Inspection on 06/10/05 for Murree Residential Care Home

This inspection was carried out on 6th October 2005.

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 no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Murree Residential Care Home 08/06/09

Murree Residential Care Home 08/09/08

Murree Residential Care Home 20/04/07

Murree Residential Care Home 07/09/06

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Edenvale

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Chatsworth Care - Dawson House

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Chatsworth Care - Tudor Lodge

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

CARE HOME ADULTS 18-65 Murree Residential Care Home 17 Marquis Close Wembley Middlesex HA0 4HF Lead Inspector Julie Schofield Announced Inspection 6th October 2005 09:20 Murree Residential Care Home DS0000061675.V255415.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 Murree Residential Care Home DS0000061675.V255415.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. Murree Residential Care Home DS0000061675.V255415.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Murree Residential Care Home Address 17 Marquis Close Wembley Middlesex HA0 4HF 020 8903 1571 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) Mrs Shahnaz Abbasi Mrs Shahnaz Abbasi Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Murree Residential Care Home DS0000061675.V255415.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users admitted to the home must all be able to manage the stairs without assistance. The owner/manager, Mrs S Abbasi successfully attends the training identified as part of the registration process by July 2005 (or provides evidence of a booked place by that time) The training identified is: *Sexuality in relationships for people with learning difficulties *Risk assessment (especially concerning risk assessment for service usrs) *Protection of vulnerable adults training for managers (including the use of the local multi-agency procedures for investigating allegations of abuse). Date of last inspection Newly registered service Brief Description of the Service: Murree House residential care home provides personal care for up to 3 adults with learning disabilities on a short stay, long stay or respite care basis. The home is newly registered and has 3 vacancies. The property is off a road, which is part of a route linking Ealing Road with the North Circular Road. There is a barrier across this road, close to the home, and so access to the home by vehicle must either be from the North Circular Road or by using a detour around the barrier if approaching from Ealing Road. There is space to park outside the home on the street and 2 cars could park on the paved area at the front of the house. Inside the home there is a bedroom on the ground floor and 2 bedrooms on the first floor. There are bathing and toilet facilities on both floors. There is a kitchen and an open plan lounge and dining area on the ground floor. The office is on the first floor. The laundry room is in a building in the attractive garden at the rear of the house. Murree Residential Care Home DS0000061675.V255415.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection started at 9.20am and finished at 12.25pm. The Inspector would like to thank Mr and Mrs Abbasi for their assistance during the inspection. A discussion with the manager was followed by a site inspection. The manager has completed all but one of the training courses that were the subject of a condition of registration and has a booked a place for the remaining training course. This is the first inspection since the home was registered earlier in the year. What the service does well: What has improved since the last inspection? This is the first inspection since the home was registered. Murree Residential Care Home DS0000061675.V255415.R01.S.doc Version 5.0 Page 6 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. Murree Residential Care Home DS0000061675.V255415.R01.S.doc Version 5.0 Page 7 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 Murree Residential Care Home DS0000061675.V255415.R01.S.doc Version 5.0 Page 8 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, 5 Prospective residents, their relatives or the placing authority have information about the home, which can help them to determine whether the home can meet the needs of the resident. A contract confirms the services that are to be available to the resident during their placement in the home and the home has also produced a contract in a format suitable for the needs of residents. EVIDENCE: A statement of purpose and service users’ guide were produced as part of the information supplied with the application for registration. These were available during the inspection. The information regarding the qualifications and knowledge of the manager omitted details of the manager’s linguistic skills. There were 2 contracts available. A copy of one contract was included in the home’s policies and procedures manual. The other contract is user friendly and the format, including illustrations, is suitable for the intended client group. Murree Residential Care Home DS0000061675.V255415.R01.S.doc Version 5.0 Page 9 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): No residents have been admitted to the home since registration. EVIDENCE: Murree Residential Care Home DS0000061675.V255415.R01.S.doc Version 5.0 Page 10 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): No residents have been admitted to the home since registration. EVIDENCE: Murree Residential Care Home DS0000061675.V255415.R01.S.doc Version 5.0 Page 11 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): 21 By knowing and recording the wishes of the residents about funeral arrangements these can be respected. EVIDENCE: The home has a policies and procedures manual, which includes a procedure to be followed in the event of the death of a resident. The manager has produced a form to record the known wishes or arrangements to be made after death. Murree Residential Care Home DS0000061675.V255415.R01.S.doc Version 5.0 Page 12 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): The rights of residents are protected by a clear and simple complaints procedure. An adult protection policy, familiarity with the interagency guidelines and protection of vulnerable adults training contribute towards the safety of residents. EVIDENCE: There is a complaints procedure in place. The procedure includes timescales for resolution of the complaint and advises the complainant of their right to refer to other agencies e.g. the CSCI. There is a protection of vulnerable adults policy in place. The policy also includes a whistle blowing procedure. The home has a copy of the local authority’s interagency guidelines. The manager has undertaken training in the protection of vulnerable adults. The manual also contains a policy for supporting residents with challenging behaviour. Murree Residential Care Home DS0000061675.V255415.R01.S.doc Version 5.0 Page 13 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, 30 The home is able to provide a comfortable and “homely” environment in which residents can relax. The home is also able to offer residents good standards of cleanliness. EVIDENCE: The home is kept and maintained to a good standard. On the ground floor there is a spacious bedroom. There is a combined lounge and dining area, which is comfortably furnished and decorated. A shower room, containing a toilet and wash hand basin leads off from the dining area. The kitchen is a separate room. Residents have access to a lovely garden at the rear of the house, which has a patio and lawn area, borders and mature shrubs. On the first floor there are two more spacious bedrooms, a combined office and sleeping in room for staff and a bathroom, containing a toilet and wash hand basin. Each of the bedrooms contains a wash hand basin. The home was clean and tidy and free from offensive odours. The laundry facilities are situated in a building in the garden and include hand-washing facilities. The washing machine has a sluicing cycle. There is an infection control policy in the home’s policies and procedures manual. The manager has undertaken infection control training while working as a nurse and said that Murree Residential Care Home DS0000061675.V255415.R01.S.doc Version 5.0 Page 14 training has been arranged for 2 people who are being recruited to work in the home. Murree Residential Care Home DS0000061675.V255415.R01.S.doc Version 5.0 Page 15 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): 34 A thorough recruitment process protects the welfare of the residents and the home must complete all checks before staff take up their posts. EVIDENCE: The manager is recruiting 2 members of staff, although she said that they would not be able to take up their posts until all the checks had been carried out. The staff files were produced and both candidates had previous experience in caring. References had been received for one of the candidates. However, one of the references received had been sent to the home address of a member of staff from the care home where the candidate had worked and not to the manager of the home or to the company’s head office. Applications for an enhanced CRB disclosure had been made. The home needs to demonstrate that it has verified the identity of the applicant. Murree Residential Care Home DS0000061675.V255415.R01.S.doc Version 5.0 Page 16 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): 37, 40, 43 Residents and staff are supported by an experienced and competent manager who would develop her skills and knowledge further through NVQ management training. Comprehensive policies and procedures promote good working practices. The insurance cover will need to be activated when a referral is accepted. EVIDENCE: The manager is an RGN with 10 years experience of supporting adults with learning disabilities, in a care setting. She has worked in residential and in nursing homes and in a day centre. She has undertaken sexuality awareness training and protection of vulnerable adults training. She had a letter confirming a place on a course for risk assessment training. The date for the course is outside the timescale in the condition of registration and the manager said that there had been difficulties in securing a place sooner. She has not yet enrolled on an NVQ level 4 training course in management. The manager and her husband are able to speak and/or understand English, Urdu, Hindi, Punjabi, Arabic and Gujarati. Murree Residential Care Home DS0000061675.V255415.R01.S.doc Version 5.0 Page 17 The home has a comprehensive policies and procedures manual. There is a policy or procedure for each of the standards contained in the National Minimum Standards - Care Homes for Adults 18 –65. The manager said that insurance cover has been arranged for the running of the business and that it will be activated when a referral is accepted. Murree Residential Care Home DS0000061675.V255415.R01.S.doc Version 5.0 Page 18 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 X X X 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X 2 X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Murree Residential Care Home Score X X X 3 Standard No 37 38 39 40 41 42 43 Score 2 X X 3 X X 2 DS0000061675.V255415.R01.S.doc Version 5.0 Page 19 N/A 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 YA34 Regulation 19.1 Requirement That staff do not start to work in the home until all the checks have been completed i.e. verification of proof of ID. That when new staff are recruited requests for a reference are sent to the manager, proprietor or HR department of the previous employment and addressed to care home or the company’s head office. That when a referral is accepted the manager enrols on an NVQ level 4 management training course. That when a referral is made the manager contacts the insurance cover to activate the policy. Timescale for action 01/11/05 2 YA34 13.6 01/11/05 3 YA37 9.2 01/03/06 4 YA43 25.2 01/11/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Murree Residential Care Home DS0000061675.V255415.R01.S.doc Version 5.0 Page 20 1 YA5 That the information about the manager’s qualifications and knowledge, listed in the statement of purpose and the service users’ guide, includes details of the manager’s linguistic skills. Murree Residential Care Home DS0000061675.V255415.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Harrow Area office Fourth Floor Aspect Gate 166 College Road Harrow HA1 1BH 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. 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