Inspection on 26/02/07 for Number Residential Care Home

This inspection was carried out on 26th February 2007.

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

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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 Number Residential Care Home 45-47 Pembury Road London N17 6SS Lead Inspector Caroline Mitchell Key Unannounced Inspection 26th February 2007 02:30 Number Residential Care Home DS0000068765.V329566.R01.S.doc Version 5.2 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 Number Residential Care Home DS0000068765.V329566.R01.S.doc Version 5.2 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. Number Residential Care Home DS0000068765.V329566.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Number Residential Care Home Address 45-47 Pembury Road London N17 6SS 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) 020 8801 4860 020 8203 0430 DRS Care Homes Limited Ranie Safderali Datoo Care Home 10 Category(ies) of Learning disability (10), Mental disorder, registration, with number excluding learning disability or dementia (10) of places Number Residential Care Home DS0000068765.V329566.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Limited to 10 people of either gender who have a mental disorder (MD) and who may also have a learning disability (LD) Two specified service users who are over 65 years of age may remain accommodated in the home. The home must advise the regulating authority at such times as either of the specified service users vacates the home. 30th January 2006 Date of last inspection Brief Description of the Service: Number Residential Care Home is registered to provide accommodation and personal care for a maximum of ten people with a mental disorder. Mrs Ranie Safderali Datoo is both the registered manager and proprietor of the home. The proprietor has another small home two doors away from this home in the same road. The home is located in Tottenham, North London, close to shops, public houses, restaurants, and cafés and transport facilities including the Bruce Grove Rail Station. The home consists of two adjacent terrace houses, which have been joined together to create a single home for ten residents. The home provides ten single bedrooms with en suite facilities on the ground and first floors. There are an additional two bathrooms and toilets at the home. The home has undergone refurbishment and recently rooms have been added through the extension of the building to provide a large dining room, a sitting/smoking room, staff room, staff sleeping-in room and an office. There is a large lounge adjacent to the kitchen. The front garden is paved and is used as a car park for staff and visitors. The rear garden is also paved and is used by residents to relax in during the summer months. The stated aim of the home is to provide residents with a secure, relaxed, and homely environment in which their care, well-being and comfort are of the prime importance. The fees are normally £650 to £800 for each placement per week, toiletries and newspapers are provided and residents are expected to pay separately for items such as the sky TV channel, hairdressing and dry cleaning. Following “Inspecting for Better Lives” the provider must make information available about the service, including inspection reports, to residents and other stakeholders. Number Residential Care Home DS0000068765.V329566.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was undertaken on an unannounced basis and took around three hours to complete. There were ten residents living in the home at the time of the inspection and three were kind enough to speak to the inspector in some depth. The inspector read two residents’ and two staff’s files, and a number of the homes written records and policies and procedures. The registered manager Mrs Dattoo aided the inspector during the inspection and showed the inspector around the home. All were very open and helpful throughout the process. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Number Residential Care Home DS0000068765.V329566.R01.S.doc Version 5.2 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Number Residential Care Home DS0000068765.V329566.R01.S.doc Version 5.2 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents’ needs are properly assessed prior to them moving to the home. EVIDENCE: The inspector reviewed the written records of the two residents who had most recently been admitted to the home and found that the notes indicated that people are admitted to the home only after comprehensive assessment information has been provided to the service to enable them to make the decision that they can meet the person’s needs. Number Residential Care Home DS0000068765.V329566.R01.S.doc Version 5.2 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 & 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Generally, residents are supported to agree goals that are documented in their care plans with the ultimate aim being to move towards greater independence, and they are supported to take risks as part of an independent lifestyle. However, there was room for improvement in respect of the individual plan and risk assessments for one, recently admitted resident. Residents benefit from having regular meetings in the home to enable them to express their views about the service. EVIDENCE: The inspector reviewed the written records of the two residents who had most recently been admitted to the home and found that for one resident, there was a clear plan. This was of a good standard, and provided guidance for staff in respect of the resident’s ethnic, cultural and religious needs and preferences. A relevant risk assessment was also in place, setting out the potential harmful risks to the resident and the intervention in place to reduce these risks. Number Residential Care Home DS0000068765.V329566.R01.S.doc Version 5.2 Page 9 In the case of the resident who was admitted in December 2006 the care plan and risk assessments had not been completed and requirements are made in respect of this issue. Number Residential Care Home DS0000068765.V329566.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides opportunities for personal development and residents take part in a good range of work, social and leisure activities, both in the home and in their local community. Staff support residents to maintain family links. The food provided is culturally appropriate and healthy, and offers variety and choice. EVIDENCE: The inspector noted that residents are encouraged to be involved in the dayto-day chores around the house such as shopping, cooking, washing and cleaning. They go out swimming, bowling, to cinemas, cafes and pubs. At the time of the inspection lots of the residents were out either for half day or for the whole day. Most were attending their various colleges and specialist day centres. One residents’ relative wrote to the inspector to compliment the home for the hard work and thoughtfulness shown in organising a recent birthday party. Number Residential Care Home DS0000068765.V329566.R01.S.doc Version 5.2 Page 11 The home has Sky Television with a range of programmes for the residents to watch in the lounge. There were television sets, video players and music systems in the bedrooms inspected and the conservatory is used as a games room with very good range of board games, table football, table tennis and air hockey. Of the two residents whose records were reviewed, they reflected that there are a range of activities in the home in the evenings, that these residents had taken part in and these included: beauty treatments, a news and views group, arts and crafts, board games and music therapy. One resident spends weekends with their parents on a regular basis. The father of the other resident visits weekly. The home’s commitment to ensure residents’ rights and choice is stated in the statement of purpose. There is also a policy in place regarding empowerment, which aims to ensure that residents have access to the full range of local services such as libraries, adult education, transport and health services. Some residents were observed going out and coming back to the home independently or with staff support, depending on their individual needs. The inspector saw the minutes of the meetings that are held regularly with residents and these indicate that they are consulted and informed about a range of issues such as leisure activities, and when staff were recruited, residents were encouraged to give feedback as part of the staffs’ induction process. The inspector saw the menu. There was a good variety and balance of dishes and a choice of meals at lunchtimes and evenings. The registered person told the inspector that the residents are all encouraged to be involved with cooking. The inspector noted that residents’ needs and preferences regarding food were noted as part of their individual plans. The residents spoken to said that they were happy with the food served in the home. Number Residential Care Home DS0000068765.V329566.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Overall the staff provide sensitive and flexible personal support and assist residents to gain access to the appropriate health care. The residents are protected by the home’s policy and procedure for the receipt, recording, storage, handling, administration and disposal of medicines. EVIDENCE: The person whose records the inspector reviewed in detail was from an AfroCarribean background. The records reflected that they were able to communicate their wishes needs and opininons. They had some independence in terms of their personal care, and their needs in this area were noted, so that staff are clear about their support needs. Their needs relating to the persons cultural and relgious background and their gender were considered and noted. At the previous inspection it was recommended that specific ethnic and cultural needs in relation to personal care be discussed at the next review of one resident. At this inspection the inspector was able to confirm that this issue had been satisfactorily addressed. Number Residential Care Home DS0000068765.V329566.R01.S.doc Version 5.2 Page 13 The resident was registered with a local GP and there were monitoring records in place that shows clearly when they were supported to access health care services such as the optician, dentist, dietician, community nurse and psychiatrist. The inspector briefly reviewed the arrangements for the storage, administration and recording of medication in the home. The medication was kept appropriately in a locked cupboard. Records included medication received and medication returned to the pharmacist. The Boots system is used; there was evidence that staff members had been provided with appropriate training in the administration of medication and the records were well ordered, up to date, and accurate. Number Residential Care Home DS0000068765.V329566.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are clear and effective complaints, adult protection and whistle blowing procedures and residents are safeguarded from abuse and neglect. EVIDENCE: There was evidence that the resident guide was given top new residents as they move in. This sets out how residents can make a complaint. No complaints had been received or recorded by the home and no complaints have been made about the service directly to the Commission. The inspector spoke to two residents in private and they were both clear that they have had no cause to complain since they moved into the home. They were clear about whom they would complain to if they had any issues about the home. No adult protection issues have arisen, a copy of the adult protection procedure is available in the home. There was evidence that staff members had been provided with training in adult protection. Number Residential Care Home DS0000068765.V329566.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides an environment that residents can regard as their home and their bedrooms are personalised to reflect this. The standard of the décor is very good and the home presents as a homely and comfortable environment for residents to live in. The residents can be confident that home will be kept nice and clean. EVIDENCE: The previous dining room and sitting room have been combined to make it a large lounge with comfortable sofas. A new extension has enabled the home to provide a large, bright dining area and a separate activities room that is particularly well equipped with pool table, table tennis table and lots of other recreational equipment. A paved garden at the back has chairs, tables and umbrella, which the residents use when the weather permits. All the communal areas were clean, tidy, and bright, well decorated and had good quality furniture. The home is not registered to provide services for people with additional, physical disabilities. The facilities and equipment at the home meet the needs of current residents. Decoratively, there were lots of nice, homely touches. Number Residential Care Home DS0000068765.V329566.R01.S.doc Version 5.2 Page 16 Residents have their own single bedroom with en-suite facilities. The bedrooms were not measured at this inspection. All bedrooms have sufficient and comfortable furniture and were decorated and equipped to reflect the backgrounds and interests of their occupants. The residents spoken to informed the inspector that they were very happy with their rooms. An additional communal bathroom and toilet are provided at the home. All the washing facilities were clean and tidy on the day of the inspection. All parts of the home, which were inspected, were very clean, hygienic and free from offensive odours. Number Residential Care Home DS0000068765.V329566.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 & 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are sufficient numbers of staff employed to meet the needs of the residents. Residents are protected by the home’s recruitment practices, and staff benefit from the provision of relevant training. EVIDENCE: The registered manager reported that several staff members have completed NVQ Level 2 & 3 in care, and that some are undertaking NVQ level 3, and two staff are due to start NVQ 2. There are good records of the training that staff have received and each have an individual training plan. These showed that there was progress being made. There are good systems in place to ensure that staff member’s training needs are highlighted and that they are receiving the core training and the specialist training that they need to meet the needs of the residents in their care. The inspector saw the rota, which indicated that there are sufficient staff provided to meet the needs of the residents. There are nine care staff and a cleaner in the team. The registered manager is rota’d to be on shift between 9 am and 5 pm Monday to Friday. The rota showed that three staff cover the Number Residential Care Home DS0000068765.V329566.R01.S.doc Version 5.2 Page 18 early shifts and two staff are on duty in the afternoons. At weekends, one extra member is provided to support residents. A sleep-in and a waking member of staff cover the night shifts. The registered person maintains staff records in the home as outlined in the National Minimum Standards including a written application, CRB details, written references, and a recent photograph of each staff member. Some applicants had completed the year of their employment, rather than the full date and it is recommended that the registered person ensure that applicants provide the full dates of their employment on their application forms. Number Residential Care Home DS0000068765.V329566.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management of the home is good and stable, and the health, safety and welfare of residents is well promoted and protected. EVIDENCE: The registered manager is also the proprietor and has managed the home since it first opened. She has had prior experience of working with people with mental health needs. Certificates of attendance of courses showed that she has attended a number of training programmes. The manager was cooperative with the inspector in providing all necessary information and documents needed for this inspection. There is a fire safety policy and an emergencvy plan in place. The fire records indicated that weekly fire alarm checks had been carried out. In addition, no recommendations were made by the fire authorities at their last visit. Fire Number Residential Care Home DS0000068765.V329566.R01.S.doc Version 5.2 Page 20 drills have been carried out regularly. At the previous inspection it was recommended that the written records of fire drills be amended to include more information about those involved and how they responded to the drill. At this inspection the inspector was able to confirm that this issue had been satisfactorily addressed. The necessary safety inspections had been carried out on the portable electrical appliances and gas installations. Number Residential Care Home DS0000068765.V329566.R01.S.doc Version 5.2 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 x 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X X X X 3 X Number Residential Care Home DS0000068765.V329566.R01.S.doc Version 5.2 Page 22 No 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 YA6 Regulation 15 Requirement The registered person must ensure that one resident’s plan is completed and available on their file. The registered person must ensure that one resident’s risk assessments are completed and available on their file. Timescale for action 01/04/07 2. YA9 13(4) 01/04/07 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 YA34 Good Practice Recommendations It is recommended that the registered person ensure that applicants provide the full dates of their employment on their application forms. Number Residential Care Home DS0000068765.V329566.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Number Residential Care Home DS0000068765.V329566.R01.S.doc Version 5.2 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. 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