Inspection on 27/02/06 for Norman Road (135)

This inspection was carried out on 27th February 2006.

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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Norman Road (135) 24/06/08

Norman Road (135) 18/07/07

Norman Road (135) 12/01/05

Norman Road (135) 16/06/04

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 Norman Road (135) 135 Norman Road Leytonstone London London E11 Lead Inspector Sheelagh Doherty Unannounced Inspection 27th February 2006 08:00a Norman Road (135) DS0000007313.V284657.R01.S.doc Version 5.1 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 Norman Road (135) DS0000007313.V284657.R01.S.doc Version 5.1 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. Norman Road (135) DS0000007313.V284657.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Norman Road (135) Address 135 Norman Road Leytonstone London London E11 020 8539 0596 020 8989 5768 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) Mr Y. O. Jooma Mrs Rooksanah Jooma Mr Y. O. Jooma Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Norman Road (135) DS0000007313.V284657.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The provider to notify the National Care Standards Commission when the named client with associated mental health problems is admitted and when he/she is discharged 25th July 2005 Date of last inspection Brief Description of the Service: 135 Norman Road is a care home which offers support, guidance and accommodation to a maximum of three service users who have a learning disability. The property is a large terraced house situated in a residential area of Leytonstone situated in the London Borough of Waltham Forest. The home is a short distance from local shops and community amenities and is well served by local transport, including a nearby underground station. Norman Road (135) DS0000007313.V284657.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on a weekday morning and was conducted with the full assistance of the residents, manager and staff of the home. The purpose of the inspection was to monitor the progress of the home in implementing the requirement of the last inspection and to assess the service against key elements of the National Minimum Standards. The home provides care and personal support to three residents who have learning disabilities. All the residents have lived in the home for a number of years and this is a well-established, supportive community. The registered manager is also one of the registered providers and there is a stable staff group who know the residents very well. The inspector spoke with one of the three residents who said that he was happy at the home and that the manager and staff were supportive and approachable. One resident was still in bed and one resident chose not to speak to the inspector. The service was found to be operating in line with National Minimum Standards and to be providing a service which meets the needs of the residents. The inspector would like to thank the residents, staff and the registered manager for their assistance with this inspection, especially one resident who assisted the inspector with finding her way round the local neighbourhood. What the service does well: The manager and staff offer individual care to residents in a homely environment. Residents like living in the home and are obviously happy there. Residents are supported to participate in activities in the local community, including paid work. They are also given the opportunity to be independent according to their abilities and skills. Residents are encouraged and supported to maintain relationships with family and friends and visitors to the home are welcome. All residents have care plans in place and are involved in the development of these. These are regularly reviewed and updated to meet the changing needs of residents. Norman Road (135) DS0000007313.V284657.R01.S.doc Version 5.1 Page 6 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. Norman Road (135) DS0000007313.V284657.R01.S.doc Version 5.1 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 Norman Road (135) DS0000007313.V284657.R01.S.doc Version 5.1 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): 2, 5 Although no service users have been admitted since the last inspection in discussion the registered manager was able to talk knowledgeably about the process and discuss how assessment and admission process would be managed for a prospective resident. All residents have a statement of terms and conditions of occupancy. EVIDENCE: The manager was able to discuss the whole process of pre-admission assessment, including liaison with the community learning disability team, the prospective resident, and their family and other involved agencies to ensure that the transition to the care home was appropriately managed on an individual basis. A statement of terms and conditions of occupancy was available in each residents file. Norman Road (135) DS0000007313.V284657.R01.S.doc Version 5.1 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): 6, 7, 8, 9 The outcomes for those standards tested were generally being met but some areas need further work to ensure residents remain as safe as possible when taking part in activities which may pose a risk. EVIDENCE: All three residents have an individual care plan in place. These are being regularly reviewed. Residents are involved in the development and review of care plans and evidence of this was seen on file. Some personal information had been incorrectly filed in the notes of one service user when it related to another service user. The manager must be more careful when filing information. Residents are enabled to determine how to spend their time and are encouraged to adhere to their daily activity plan but are able to choose whether to do so or not. Residents are able to come and go freely in the house and to access local facilities independently or with support. Some risk assessments had been Norman Road (135) DS0000007313.V284657.R01.S.doc Version 5.1 Page 10 completed for example re: smoking but not all potential risks had been recognised and/or assessed. Further work needs to be done in this area to ensure that appropriate plans are in place to minimise any risk to the service user. For example, assessment of use of kitchen equipment and the ability to make meals and drinks independently. It is also necessary to assess external risks such as use of public transport and accessing local community facilities. Norman Road (135) DS0000007313.V284657.R01.S.doc Version 5.1 Page 11 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): 11, 12, 13, 14, 15, 16, 17 Opportunities are provided for personal development both in-house and externally. Residents are encouraged and supported to access local community facilities. One resident has a part time job for which he is paid. One resident spoke of his continued relationship with his family and talked about how he was assisted to maintain this. EVIDENCE: Individual care plans give details of personal goals for residents and show what action needs to be taken to achieve these. One resident has greatly improved his independent living skills whilst residing at the home and there was evidence of this one his file. Staff have achieved this improvement with him through discussion, support and guidance. One service user delivers papers with a friend from outside the home and receives payment for this from his employer. Another resident attends college two days a week to further develop independent living skills. One resident had expressed the desire to go horse riding and arrangements for this had been made with the first lesson planned for later in the week. Information about local activities and groups was available on the notice board and the manager and staff facilitated involvement Norman Road (135) DS0000007313.V284657.R01.S.doc Version 5.1 Page 12 in activities through encouragement, support and assistance according to individual needs and wishes. Residents are encouraged to maintain contact with their family and friends and to make new friends through participation in community activities. One resident told the inspector that he maintained contact with his brother in Australia by telephone and that he was awaiting information about a proposed visit to England by his brother. Visitors to the home are welcomed and residents go out to local pubs etc with their visitors. From observation and discussion with residents and staff it was evident that the daily routine of the home promotes individual choice, freedom of movement and independence. Residents are encouraged to express their preferences about the menu and to participate in shopping trips. One resident said that the food provided is good and that there is choice. There was an ample stock of tinned and packet food, with some fresh fruit and vegetables available. Norman Road (135) DS0000007313.V284657.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): 18, 19, 20 Service users are given the support they need to meet their personal needs. This is done on an individual basis according to needs identified in the care plan. Residents are given choice as to delivery of care. There are policies and procedures in place for management of medications and for safe handling and administration. There was evidence that these were being adhered to in daily practice. EVIDENCE: All the residents are self-caring to some degree and their individual needs and the support required to meet them is identified in the plan of care. Staff discuss and agree with the residents the most appropriate time and place for delivery of care. The manager and staff were observed to interact with the residents in a supportive manner and one resident said that he could talk about any problems to the manager. Residents are all registered with a local general practitioner and are encouraged and supported to attend appointments with him and other health care professionals including the dentist and optician. Norman Road (135) DS0000007313.V284657.R01.S.doc Version 5.1 Page 14 Only two residents receive medication, neither of them are able to be responsible for their own medication. Medications are appropriately stored and records relating to all aspects of medication handling were well kept. Norman Road (135) DS0000007313.V284657.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): 22, 23 Residents are able to express their views freely and can discuss any issues with the manager and other staff. Staff demonstrated knowledge and understanding of adult protection issues. EVIDENCE: Residents were observed to be freely spoken with the manager and staff and in discussion said that their views were listened to. The one resident who spoke with the inspector was clear about who to raise concerns with and felt that if he had serious issues to raise these would be dealt with by the manager. There is a complaints policy and procedure. There have been no complaints since the last inspection. There is a policy and procedure relating to the protection of vulnerable adults from abuse and staff have received training around this issue, including recognition, prevention and reporting. The one staff member spoken with was able to describe the action he would take if he suspected abuse was occurring. Norman Road (135) DS0000007313.V284657.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, 30 The accommodation meets the needs of the current residents. It would not be suitable for those with mobility problems. Some of the furnishings and fittings are showing signs of wear and tear, as is some of the internal the decoration. EVIDENCE: The home is an older style terrace house and the registered provider, who is also the manager, has plans to refurbish the home to provide each resident with a bedroom with an en-suite facility. He informed the inspector that he has just completed such refurbishment for another home he operates in East London. Each resident has their own room and this is personalised by them as they wish. There is appropriate communal space including a kitchen/ diner and a lounge. The furniture in the communal areas is showing signs of wear and tear, although the manager said that this had been replaced only just over a year ago. He stated that one resident, not seen by the inspector, bangs the furniture a lot. The manager may wish to look at obtaining more appropriate furniture that meets the needs of the residents. The home was clean and tidy when inspected though one resident spoke of there being a problem with mice from time to time. There was evidence that Norman Road (135) DS0000007313.V284657.R01.S.doc Version 5.1 Page 17 pest control products were in use and the manager explained that there was sometimes a problem but that they had input from pest control operators on a regular basis [every three months] and in the interim if there was a problem. Records also confirmed this. Norman Road (135) DS0000007313.V284657.R01.S.doc Version 5.1 Page 18 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): 32, 34, 35 There is a stable staff group who know the residents well. Recruitment practices are appropriate. Staff receive training and supervision on a regular basis. EVIDENCE: There were two members of staff on duty at the time of the inspection. One was the registered manager and one was a support worker who had done a sleepover the night before and who stayed on shift to assist with the inspection. The manager and member of staff were very familiar with the residents and their individual needs and were meeting these appropriately. The one resident spoken with said that staff were supportive and helpful and that he found it easy to talk to them and express his own views and preferences. Staff receive both induction and foundation training and the member of staff spoken with had worked in the home for two years and was about to complete NVQ 2 training. From records it was also noted that staff had received training in medication handling and protection from abuse and that one member of staff is doing an NVQ 3 qualification in care. The registered manager needs to ensure that staff also receive training specific to the client group for which the home is registered. Norman Road (135) DS0000007313.V284657.R01.S.doc Version 5.1 Page 19 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, 39, 42 There are effective management systems in operation in the home. Service users views are taken into account in the day-to-day operation of the home. The health and safety of residents and staff is promoted and protected. Records are not always filed correctly. EVIDENCE: The manager and staff seek the views of residents through one to one discussion and through observation of what works and what doesn’t. Residents are consulted about decisions in the home that affect them and changes are made according to the needs and wishes of residents. The home was clean, hygienic and free from obvious health hazards on the day of inspection. [See also standard 30]. All substances harmful to health, such as Norman Road (135) DS0000007313.V284657.R01.S.doc Version 5.1 Page 20 those regulated under COSHH, were appropriately stored. Food storage was satisfactory. Records required under the regulations are generally being kept securely, however, as noted previously some records had been incorrectly filed both in a resident’s file and in a staff file. The manager must take time to ensure that records are filed correctly in order to safeguard the privacy of both staff and residents. Norman Road (135) DS0000007313.V284657.R01.S.doc Version 5.1 Page 21 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 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 2 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X 1 3 X Norman Road (135) DS0000007313.V284657.R01.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? NO 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] Requirement All activities which residents take part in, either in-house or in the community, which carry identifiable risks must be assessed for level of risk and plans put in place/ action taken to reduce the risk. All records relating to residents and staff must be correctly filed in that person’s records. Timescale for action 31/07/06 2 YA41 17 31/05/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Norman Road (135) DS0000007313.V284657.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection East London Area Office Gredley House 1-11 Broadway Stratford London E15 4BQ 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 Norman Road (135) DS0000007313.V284657.R01.S.doc Version 5.1 Page 24 - 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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