Inspection on 17/02/06 for Mount Adon Park

This inspection was carried out on 17th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Mount Adon Park 04/08/06

Mount Adon Park 09/06/05

Mount Adon Park 24/01/05

Mount Adon Park 14/05/04

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Mount Adon Park 49 Mount Adon Park Dulwich London SE22 0DS Lead Inspector Pam Cohen Unannounced Inspection 14:00 17 /18 February 2006 th th Mount Adon Park DS0000060229.V258575.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Mount Adon Park DS0000060229.V258575.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Mount Adon Park DS0000060229.V258575.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Mount Adon Park Address 49 Mount Adon Park Dulwich London SE22 0DS 020 8299 0305 020 8693 8675 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Odyssey Care Solutions for Today Mr Satyanand Mungul Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Mount Adon Park DS0000060229.V258575.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th June 2005 Brief Description of the Service: Mount Adon Park provides a home for four adults with learning disabilities. It is run by Odyssey-Care solutions for today, a private who also have other homes in the area It is a three-story building that is indistinguishable from the othe buildings in a residential road near Forest Hill. The home is close to shops and transport links but is situated in an extremely hilly street which would cause difficulties for anyone with mobility problems. There are gardens front and back and on-street parking. Each resident has a single room and there are communal kitchen, living and dining areas. At the time of inspection there was one vacancy. Mount Adon Park DS0000060229.V258575.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was started on the afternoon of the 17th February when the inspector spoke to three staff and saw the home. However the staff and service users were all going out shortly after the inspector arrived and so she returned the next day and spoke to the manager. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Mount Adon Park DS0000060229.V258575.R01.S.doc Version 5.0 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Mount Adon Park DS0000060229.V258575.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4. A prospective service user is getting every opportunity to see whether he and his family like the home before admission and training is being done to ensure his needs can be met. Information on the home is not available in a format accessible for service users. EVIDENCE: The manager said that the Service Users’ Guide is still not available in a format accessible for this group of service users, but that the organisation is working on this. A prospective service user has started visiting the home and is due to come for an overnight stay. Present service users are being prepared for having someone new living with them and staff have had training on the specific needs of the prospective service user, which is extremely good practise. The manager confirmed that the policy is that a service user would only be admitted after a full assessment of needs by the multi-disciplinary team. Mount Adon Park DS0000060229.V258575.R01.S.doc Version 5.0 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 9,10. Service users are not fully protected by strategies to support them in areas where they might be at risk. Information is kept securely. EVIDENCE: At the last inspection it was seen that care planning was good. At this inspection a service user had on file a good, up-to-date, assessment of what areas of day to day living might pose a risk. But when the possibility of risk in an area was rated as high this did not trigger a fuller assessment of that risk and what actions to take to support the service user to undertake the action as safely as possible. Service users files are kept securely. Mount Adon Park DS0000060229.V258575.R01.S.doc Version 5.0 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,15. Service users have good opportunities to take part in the appropriate social activities and work is progressing to enable consideration to be given to opportunities for all appropriate relationships. EVIDENCE: At the last inspection it was seen that the area of sexuality was not considered when care plans were being drawn up. At this inspection the manager said that the organisation has recently produced a policy on sexuality and work is proceeding on implementing this. There was evidence of a full programme of appropriate activities available for service users. Mount Adon Park DS0000060229.V258575.R01.S.doc Version 5.0 Page 10 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 10. Medication is stored securely. EVIDENCE: At the last inspection it was seen that the home looks after the health and personal care needs of its service users well. Since that inspection the manager has consulted with the community pharmacist about keeping medication in the kitchen fridge and has been advised how to keep it securely in a plastic box. Mount Adon Park DS0000060229.V258575.R01.S.doc Version 5.0 Page 11 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23.24 The home still needs a complaints policy. Service users cannot be sure that staff are enabled to speak out on their behalf. EVIDENCE: The home does not yet have a full complaints policy. The manager was not able to find a copy of the whistle blowing procedure. This is an important part of ensuring that staff feel free to approach the organisation if they have concerns about the running of the home, and a policy must be made available for staff. Mount Adon Park DS0000060229.V258575.R01.S.doc Version 5.0 Page 12 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,27,28,30. The home is comfortable, homely, well maintained and suitable for the needs of its service users. EVIDENCE: The home is bright, homely and suitable for the people who live there. All service users have large single rooms which are furnished as they wish. Communal areas are ample. There has been refurbishment since the last inspection and the home is looking smart and bright. The bathroom has been completely renovated and is now inviting and would be suitable for wheelchair users. Outdoor works have also been done which include the building of a ramp. On the day of inspection it was clean and hygienic throughout. Mount Adon Park DS0000060229.V258575.R01.S.doc Version 5.0 Page 13 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33 At the moment the service users cannot be assured service from a motivated staff force, used in sufficient numbers. EVIDENCE: Odyssey took over as registered providers some 18 months ago. Staff say that they still do not have new job descriptions although they consider that their jobs have changed. Staff were also concerned about staffing levels which they say have gone down and are due to go down further. This means the use of bank staff and the subsequent lack of continuity for service users which has been compounded by quite a lot of staff movement over the past year. The manager confirmed that he also was concerned about whether there were sufficient managerial hours. He is usually on a shift when on duty and this means he does not feel he gets enough time to do his managerial duties. Checking of two staff files showed that annual appraisal was behind and staff said that supervision was intermittent and not as frequent as before. Staff spoken to said that morale was low as the process of harmonisation with the new provider was, they believed, going to cause unwelcome changes to their terms and conditions of service. Mount Adon Park DS0000060229.V258575.R01.S.doc Version 5.0 Page 14 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39,40. Service users still lack the protection of an up-to-date policies and procedures and a quality assurance system. EVIDENCE: At the last inspection it was seen that an up-to-date set of policies and procedures and a quality assurance system were not yet in place. These still remain outstanding. The target date for compliance has not yet been reached and so these will be restated and checked at the next inspection. Mount Adon Park DS0000060229.V258575.R01.S.doc Version 5.0 Page 15 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 x Standard No 22 23 Score 2 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score x x x 2 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x 3 3 x 3 LIFESTYLES Standard No Score 11 x 12 3 13 x 14 x 15 3 16 x 17 Standard No 31 32 33 34 35 36 Score 2 x 2 x x x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Mount Adon Park Score x x 3 x Standard No 37 38 39 40 41 42 43 Score x x 2 2 x x x DS0000060229.V258575.R01.S.doc Version 5.0 Page 16 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA9 Regulation 13(4)(b)(c) Timescale for action The registered person must 30/04/06 ensure areas of risk assessed as high, trigger a more detailed assessment to determine actions that will minimise risk to the service user The registered person must 31/05/06 ensure that there is a complaints policy for the home. The previous target date of 31st August 2005 was not met. The registered person must 30/04/06 ensure that there is a whistle blowing policy accessible to staff. The previous target date of 31st August 2005 was not met. The registered person must 30/06/06 ensure that staff have job descriptions for their posts. The previous target date of 30th 2005 was not met. The registered person must 30/06/06 ensure that the needs of the home in terms of care staff hours and managerial hours DS0000060229.V258575.R01.S.doc Version 5.0 Page 17 Requirement 2 YA22 22 3 YA23 21 4 YA31 Sch 4 (6)(e) 5 YA33 18(1)(a) Mount Adon Park 6. YA39 7. YA40 are assessed to ensure that there is sufficient staffing. A copy of this assessment to be sent to the Southwark office of the CSCI. 24 The registered person must 31/03/06 ensure that there is a quality monitoring system and annual development plan. 4,Sch4,12(3) The registered person must 31/03/06 ensure that policies and procedures are updated with input from stakeholders. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA1 Good Practice Recommendations It is recommended that the Service Users’ guide is produced in a format accessible for this service user group. Mount Adon Park DS0000060229.V258575.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection SE London Area Office Ground Floor 46 Loman Street Southwark SE1 0EH National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Mount Adon Park DS0000060229.V258575.R01.S.doc Version 5.0 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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