Inspection on 12/12/05 for Muriel Street Resource Centre

This inspection was carried out on 12th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Muriel Street Resource Centre 15/08/07

Muriel Street Resource Centre 14/05/07

Muriel Street Resource Centre 31/07/06

Muriel Street Resource Centre 12/07/05

Muriel Street Resource Centre 02/06/04

Muriel Street Resource Centre 27/04/04

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

CARE HOMES FOR OLDER PEOPLE Muriel Street Resource Centre 37 Muriel Street Islington London N1 0TH Lead Inspector Hannah Hanley Unannounced Inspection 12 /12 / 2005 10:00 X10015.doc Version 1.40 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 Muriel Street Resource Centre DS0000054457.V258864.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 Older People. 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. Muriel Street Resource Centre DS0000054457.V258864.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Muriel Street Resource Centre Address 37 Muriel Street Islington London N1 0TH 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) 0207 833 2249 0207 833 2253 Care UK Community Partnerships Limited Mr Philip Hartenfeld Care Home 60 Category(ies) of Dementia - over 65 years of age (40), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (20) Muriel Street Resource Centre DS0000054457.V258864.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Admittance of a person under 65 is for Mrs TT only, DOB 8/10/1948. This condition will apply until the named person leaves the home or turns 65. 12th July 2005 Date of last inspection Brief Description of the Service: Muriel Street is a newly purpose built 60 bedded care home, registered with the Commission for the provision of care for older people suffering primarily with dementia and mental disorder. The home is owned and managed by Care UK Ltd and service provision is in partnership with Islington Council. It is situated in a residential area within walking distance of Caledonia Road, where there are various shops and methods of public transport. The home is adjacent to Regents Canal. The accommodation provided is as follows: Ground Floor – 20 beds for nursing care of people with mental disorder First Floor - 20 beds for nursing care of people with dementia Second Floor – 20 beds for people requiring personal care of people with dementia. The home consists of all single bedrooms with ensuite toilets, showers and wash basins. In addition there are assisted bathrooms and toilets on the two nursing floors. Each floor is divided into two units, accommodating 10 service users in each. This includes separate dining rooms and lounges. The home is pleasantly furnished throughout. Direct care of service users is provided by qualified nursing staff, both Registered General Nurses and Registered Mental Nurses and Care Workers. Muriel Street Resource Centre DS0000054457.V258864.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second unannounced statutory inspection for 2005/2006. The emphasis on this inspection was to assess the key standards, which had not been assessed at the last inspection, and to follow up requirements made in respect of recording complaints and arrangements for handling adult protection issues. In addition, a key element of this inspection was to assess how service users needs were being met following a fire at the home, the damage of which resulted in the closure of 13 beds. This matter will be referred to throughout this report, as the issues arising relate to a number of the key standards. What the service does well: What has improved since the last inspection? What they could do better: The requirement made in respect of the need to have a central record of all complaints received, with details of the investigation, actions taken and outcomes, has yet to be addressed. Muriel Street Resource Centre DS0000054457.V258864.R01.S.doc Version 5.0 Page 6 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. Muriel Street Resource Centre DS0000054457.V258864.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Muriel Street Resource Centre DS0000054457.V258864.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 The Manager and staff had worked very hard in ensuring the continued well being of service users, following the recent fire. It seemed clear that service users were happy with the arrangements in place in the interim and were very appreciative of all the support they were receiving. The matter will need to be kept under review, and the emphasis will be on ensuring each individual service user is settled into their own designated bedroom as soon as possible. EVIDENCE: This standard was re-assessed in view of the recent fire at the home. Service users were safely evacuated to another area within the home. This meant there were nine service users without their own bedrooms. At this point the management of the home, following consultation with service users, relatives, and staff, decided it would be in the best interest of service users to try and accommodate them at the home in the interim, rather than transfer them out of the home. Service users were accommodated in communal areas, which had been turned into temporary bedrooms. Service users spoken with confirmed they were happy with the current arrangements and that they wished to remain at the home. The Inspector spoke with the Contracts Manager from Islington Local Authority, who was present, and it was agreed Muriel Street Resource Centre DS0000054457.V258864.R01.S.doc Version 5.0 Page 9 that service users without their own designated bedrooms would need to have their needs re-assessed by their relevant care managers. In the meantime all new admissions have been put on hold until such time as all existing service users can be accommodated in a single designated bedroom. It is anticipated that the bedrooms which are currently out of use will be fit to be occupied by mid January 2006 but this matter will need to be kept under review as the current arrangements would only be acceptable as an interim measure during this period. Robust risk assessments had been developed for each service user, who had to be evacuated. These were evident in care plans and highlighted the orientation needs of service users. Muriel Street Resource Centre DS0000054457.V258864.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 & 10 The risk assessments developed for service users who needed transfer to other areas of the home following the fire were sufficiently robust to highlight their needs. Such information should be reflected on the relevant care plans. Staff are demonstrating the capacity to uphold service users; rights, dignity and privacy. EVIDENCE: The standard in respect of care planning was assessed as met at the previous inspection at the previous. The Inspector advised that individual care plans should be developed to reflect the information from the risk assessments, which were formulated in respect of the recent moving of service users. Staff have worked very hard to ensure service users’ rights, dignity and privacy are maintained and arrangements are being made, as an interim measure, to further enhance this by arranging for appropriate mobile screens to be delivered. Muriel Street Resource Centre DS0000054457.V258864.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 14 Service users are assisted in exercising choice and control over their lives. This is particularly pertinent to those service users who had to transfer to other areas within the home recently. EVIDENCE: The recent event demonstrated how service users and their relatives /carers are assisted to exercise choice and personal autonomy. This included evidence of ongoing communication with service users and relatives in addition to arrangements for personal possessions. Muriel Street Resource Centre DS0000054457.V258864.R01.S.doc Version 5.0 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The manager has yet to demonstrate that robust records of complaints received are held centrally and includes actions taken and outcomes. The knowledge, which staff demonstrated, on adult protection issues demonstrates the effectiveness of the adult protection training, which they undertook. There is a need to ensure all new members of staff can demonstrate the action they need to take in response to allegations or suspicions of abuse, pending attendance at appropriate training. EVIDENCE: A requirement was made at the previous inspection in respect of the need to keep appropriate records centrally on complaints received, including actions taken and outcomes. The manager confirmed there was a complaints log on each floor but there needs to be a central record. The requirement for staff to receive adult protection training has been addressed. Staff were able to demonstrate they would take appropriate action in the event of an allegation of abuse. There is also a need for newly appointed staff to demonstrate this, pending attendance at adult protection training. Muriel Street Resource Centre DS0000054457.V258864.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 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 Until the recent fire the home has continued to meet all the environmental standards and this is still the case, with the exception of the 13 bedrooms, which are currently out of use. Staff have demonstrate thought and sensitivity in the arrangements they made for the service users who were affected. This matter will need to be reviewed again in January 2006. EVIDENCE: This is a new purpose built home, which up to the point the fire occurred, met all the environmental standards. Until the fire damage has been repaired some service users are sharing rooms within communal areas. These areas have been personalised and have been assessed as meeting the service users’ needs in the interim. The matter will need to be kept under review and a further evaluation carried out in January 2006. Muriel Street Resource Centre DS0000054457.V258864.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3&8 The staffing arrangements in place meet the needs of service users. EVIDENCE: These standards were assessed as met at the previous inspection. In view of the recent fire and the need to accommodate service users in communal areas extra staff have been rostered for day and night duty to ensure these service users’ needs are met. Staff demonstrated their competence in respect of the safe evacuation of service users during the recent fire. Muriel Street Resource Centre DS0000054457.V258864.R01.S.doc Version 5.0 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 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 & 38 The home is run in the best interest, safety and well-being of service users. EVIDENCE: The Manager has been registered with the Commission since the last inspection. Arrangements in place demonstrate the home is being managed effectively. This was particularly highlighted in the co-ordinated effort recently required of staff and management to ensure the safety and well-being of service users. The safe evacuation of service users demonstrated the effectiveness of fire training undertaken by staff in addition to the fire evacuation procedures in place. The Fire Authority’s investigation into the cause of the recent fire is awaited. Muriel Street Resource Centre DS0000054457.V258864.R01.S.doc Version 5.0 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 2 17 x 18 3 x x x x 2 x x x STAFFING Standard No Score 27 3 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x x x x x x 3 Muriel Street Resource Centre DS0000054457.V258864.R01.S.doc Version 5.0 Page 17 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 CH16 Regulation 17(2) sched 4.11 Requirement The Registered Manager must demonstrate that a record of all complaints received is held centrally to include details of investigation, actions taken and outcomes. Timescale for action 31/01/06 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 CH18 Good Practice Recommendations The Registered Manager should ensure all newly appointed members of staff are able to demonstrate the action, which should be taken following an allegation of abuse, pending attendance at adult protection training. Muriel Street Resource Centre DS0000054457.V258864.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Camden Local Office Centro 4 20-23 Mandela Street London NW1 0DU 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 Muriel Street Resource Centre DS0000054457.V258864.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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