Inspection on 02/02/06 for Natal Road (36)

This inspection was carried out on 2nd 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Natal Road (36) 20/08/07

Natal Road (36) 13/10/06

Natal Road (36) 12/07/05

Natal Road (36) 02/03/05

Natal Road (36) 28/06/04

Natal Road (36) 02/03/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Natal Road (36) 36 Natal Road Ilford Essex IG1 2HA Lead Inspector Ms Harina Morzeria Unannounced Inspection 2nd February 2006 04:45 Natal Road (36) DS0000025911.V282645.R01.S.doc Version 5.1 Page 1 Natal Road (36) DS0000025911.V282645.R01.S.doc Version 5.1 Page 2 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 Natal Road (36) DS0000025911.V282645.R01.S.doc Version 5.1 Page 3 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. Natal Road (36) DS0000025911.V282645.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Name of service Natal Road (36) Address 36 Natal Road Ilford Essex IG1 2HA 020 8514 8689 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 Sumiran Sharma Mrs Veena Mehta Mrs Veena Mehta Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Natal Road (36) DS0000025911.V282645.R01.S.doc Version 5.1 Page 5 SERVICE INFORMATION Conditions of registration: 1. Mild to moderate level of disability. Date of last inspection 12th July 2005 Brief Description of the Service: 36 Natal Rd is a residential home registered to care for three younger adults with learning disabilities. The home is a terraced house in a residential area close to Ilford town centre, with good public transport links, a park and other community facilities. The house is an ordinary domestic property which is adequately maintained and appropriately furnished. All the service users occupy single bedrooms. Shared facilities include a lounge and a small dining area in the conservatory. A small garden is also available for the service users enjoyment. A bedroom is located on the ground floor as well as a toilet/ shower. There are two bedrooms upstairs plus a staff sleeping in room and a bathroom/toilet shared between the service users upstairs. The manager and staff ensure that the service users enjoy an active social life via membership of various groups and organisations. All of the service users attend day care services. The staff take the service users out on a regular basis to local pubs, cinema, restaurants as well as their chosen places of worship. Family and friends are welcome to visit at any time. Natal Road (36) DS0000025911.V282645.R01.S.doc Version 5.1 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This was the second statutory inspection visit in the inspection programme for 2005/06. Over the course of the two visits, all core standards have now been assessed. The requirement set at the previous inspection have not been complied with. This has been repeated in this report. This inspection was unannounced and started at 4 p.m. The inspector spoke to two service users who were present at the time of the visit and two staff members. What the service does well: What has improved since the last inspection? The home continue to encourage the staff to attend relevant training courses and all staff now have NVQ level 2 qualifications with some progressing on to acquiring NVQ level 3 qualifications. Natal Road (36) DS0000025911.V282645.R01.S.doc Version 5.1 Page 7 The manager continues to operate the service in the best interests of the service users. 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. Natal Road (36) DS0000025911.V282645.R01.S.doc Version 5.1 Page 8 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 Natal Road (36) DS0000025911.V282645.R01.S.doc Version 5.1 Page 9 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): These standards were not tested on this visit. However evidence from the last inspection was that prospective service users’ individual needs are assessed, and they know that they will be met. A Statement of Purpose and Service Users Guide are available providing service users and prospective service users with details of the services the home provides enabling them to make an informed decision about admission to the home. New service users are given an opportunity to visit the home and stay there for a trial period before they decide if they want to live there permanently. Each service user has an individual contract or statement of terms and conditions with the home. EVIDENCE: The above standards were not specifically tested on this visit, as there were no outstanding requirements in relation to the standards. At the time of the last inspection, all of the outcome standards were assessed as met. Although the home have all the above information, the current group of service users have lived there since the home first opened and it is unlikely that there will be any vacancies in the near future. Natal Road (36) DS0000025911.V282645.R01.S.doc Version 5.1 Page 10 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): 6,7,8,and 9 Each service user has an individual care plan which outlines his/her needs and personal goals. Service users are consulted about their lives and encouraged to make independent decisions as far as possible. Appropriate risk assessments are in place for activities undertaken by the service users in order to promote their independence. EVIDENCE: Each service user has the care plan which outlines the service users’ individual needs and how these would be met. Two service users’ care plans were inspected at the time of inspection and were found to outline the service users’ individual needs and how these will be met. One service user was spoken to at the time of inspection who confirmed that they are given choices and are asked by staff about what they would like to do on a daily basis. The service user said that they would talk with the manager if they had any problems. Natal Road (36) DS0000025911.V282645.R01.S.doc Version 5.1 Page 11 Daily records show that staff write what the service user has done daily, reflecting how their needs are being met. Although care plans show that these are reviewed on a monthly basis these remain much the same. The manager and key workers are aware that the care plans must be reviewed and changed if a service user’s needs change particularly in relation to health, which may affect how they are cared for. Natal Road (36) DS0000025911.V282645.R01.S.doc Version 5.1 Page 12 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): These standards were not tested on this visit. However evidence from the last inspection was that service users have opportunities for personal development and are able to take part in age and culturally appropriate activities. Service users are offered opportunities to take part in leisure activities within the local community. Service users enjoy their meals and are asked to choose on a daily basis from the menu which they have already agreed. EVIDENCE: The above standards were not specifically tested on this visit, as they were now outstanding requirements in relation to these standards. At the time of the last inspection, all of the outcome standards were assessed as met. Natal Road (36) DS0000025911.V282645.R01.S.doc Version 5.1 Page 13 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): Standards 18 and 19 were not tested on this visit. However evidence from the last inspection was that service users receive personal support in way that they preferred and require. The daily records show that service uses physical and emotional health needs are met appropriately within the home. The implementation of the medication procedures in the home need to be improved for service users’ safety. EVIDENCE: Standards 18 and 19 were not tested during this inspection as they were tested at the previous inspection. However a requirement regarding the medication procedure and its implementation was made at the previous inspection. One staff member was spoken to about the administration of medication and the home’s policy and procedure. The staff confirmed that they had received training regarding the administration of medication. Service users spoken to stated that they do receive their medication promptly. Upon extermination of the MAR sheets the inspector noted that staff continue to handwrite the names of the medication in these which is unacceptable Natal Road (36) DS0000025911.V282645.R01.S.doc Version 5.1 Page 14 practice. The Mar sheets must be provided by the pharmacist. See requirement. Natal Road (36) DS0000025911.V282645.R01.S.doc Version 5.1 Page 15 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): These standards were not tested on this visit. However evidence from the last inspection was that the home has a satisfactory complaints policy and procedure which service users and their relatives are aware of. The staff working in the home have received training in adult protection/abuse awareness to ensure a proper response for reporting any suspected or witnessed abuse. EVIDENCE: The above standards were not specifically tested on this visit, as there were no outstanding requirements in relation to these standards. At the time of the last inspection, all of the outcome standards were assessed as met. Natal Road (36) DS0000025911.V282645.R01.S.doc Version 5.1 Page 16 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): 24,27,28,29,30 Service users live in a homely and comfortable environment. Shared spaces are comfortable and sufficient for the numbers of people living in the home. The home is clean and hygienic. EVIDENCE: The house is in keeping with other properties on the street. A tour of the house showed that it is decorated and furnished in a homely manner. The service users spoken to said they liked their rooms and were comfortable and safe in them. All parts of the home seen were clean and tidy. Natal Road (36) DS0000025911.V282645.R01.S.doc Version 5.1 Page 17 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): These standards were not tested on this visit. However evidence from the last inspection was that all staff have job descriptions which clearly outlined their roles and responsibilities. Staff are qualified, competent and sufficiently experienced to carry out their tasks. The home has a recruitment policy and procedure which is robust and provide safeguards for living in the home. EVIDENCE: The above standards were not specifically tested on this visit, as there were no outstanding requirements in relation to these standards. At the time of the last inspection all of the outcome standards were assessed as met. Natal Road (36) DS0000025911.V282645.R01.S.doc Version 5.1 Page 18 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): These standards were not tested on this visit. However evidence from the last inspection was that the home is managed well by the current manager, who is sufficiently experienced and qualified to run the home and meet its stated purpose, aims and objectives. The home reviews aspects of its performance through a programme of self review and consultations, which include seeking the views of service users, staff and relatives. EVIDENCE: The inspector now receives regulation 26 monthly monitoring visit reports from a designated person who carries out these visits. The service users confirmed that the manager, talks to them continuously and they are aware that they can discuss any issues or concerns with her. The inspector noted, through discussion with the staff and service users that the service is run in the best interests of the service users and the manager fully promoted their independence and their right to make choices. Natal Road (36) DS0000025911.V282645.R01.S.doc Version 5.1 Page 19 Natal Road (36) DS0000025911.V282645.R01.S.doc Version 5.1 Page 20 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 Standard No Score 1 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 2 X X X X X X X x Natal Road (36) DS0000025911.V282645.R01.S.doc Version 5.1 Page 21 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 YA20 Regulation 13 Requirement The registered person to ensure that the homes medication policy and procedure is followed for the receipt, recording, storage, handling, administration and disposal of medicines. This includes appropriate provision and use of MAR sheets by the staff. Previous timescale of 30/09/05 not met. Timescale for action 30/04/06 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. 2. 3. Refer to Standard YA39 YA8 YA22 Good Practice Recommendations The inspector recommends that as part of the homes quality monitoring staff and other professionals are also consulted. Family members and service users involvement needs to be increased when care plans are drawn up in order to ensure that they are fully consulted and involved. A complaints log book to be developed where all complaints, no matter how minor, are recorded, showing DS0000025911.V282645.R01.S.doc Version 5.1 Page 22 Natal Road (36) 4. YA24 how these are resolved within written timescales. The manager to ensure that the broken fencing in the garden is re-erected for service users safety and security. Natal Road (36) DS0000025911.V282645.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford IG1 4PU 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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