Inspection on 14/11/05 for Onkar Care Home

This inspection was carried out on 14th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Onkar Care Home 03/12/08

Onkar Care Home 08/10/08

Onkar Care Home 02/10/08

Onkar Care Home 24/04/07

Onkar Care Home 27/04/06

Onkar Care Home 28/04/05

Onkar Care Home 10/12/04

Onkar Care Home 17/06/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Onkar Care Home 15 Portman Street Leicester Leicestershire LE4 6NZ Lead Inspector Mr Everton Osbourne Unannounced Inspection 14th November 2005 11:00 Onkar Care Home DS0000046349.V264703.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 Onkar Care Home DS0000046349.V264703.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. Onkar Care Home DS0000046349.V264703.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Onkar Care Home Address 15 Portman Street Leicester Leicestershire LE4 6NZ 0116 2516443 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 Harjap Singh Riyat Mr Jaspal Singh Riyat Care Home 10 Category(ies) of Learning disability (10), Physical disability (3) registration, with number of places Onkar Care Home DS0000046349.V264703.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. No persons falling within category PD may be admitted to the home unless that person also falls within category LD - ie dual disability Persons falling within category PD may only be accommodated on the ground floor. Limit PD to 3 only 3. No person is to be admitted to the home in category PD when 3 persons in total of this category are already accommodated in the home. 28th April 2005 Date of last inspection Brief Description of the Service: Onkar Care Home cares for 10 younger adults who have learning disabilities, which includes the facility to accommodate three residents who may have a dual disability for example learning disability and physical disability. The premise is located in a residential area close to Melton Road where residents have access to a variety of amenities. The city centre of Leicester is located two miles from the home. The home is easily accessible by public and private transport. The premise consists of two floors for residents use, which is accessible by use of the stairs. There are a variety of aids and adaptations throughout the home based on residents assessed care needs to support them to be more independent. The home has ten single bedrooms all with en-suite facilities. There are sufficient toilet and bathroom facilities on both floors based on ten residents residing in the home. A garden area is situated to the rear of the building which is in the process of being developed. Onkar Care Home DS0000046349.V264703.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took three hours and thirty minutes to complete. The outcome of the inspection was positive in that three residents spoken with indicated that they are happy residing in the home and that their care needs are being met. No Requirements or Recommendations were made. A tour of the premises took place and one staff member’s recruitment and training record and one resident’s care record was inspected. In addition to speaking with three residents the proprietor, one staff member and the registered manager were spoken with as part of the inspection 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. Onkar Care Home DS0000046349.V264703.R01.S.doc Version 5.0 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 Onkar Care Home DS0000046349.V264703.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2 The admission and assessment processes are good for the safety of all residents in their care. EVIDENCE: The home’s Statement of Purpose was inspected and found to contain good information about the services provided in the home. Discussion held with one staff member indicated that this document is given to prospective residents before they move into the home. The inspection of one resident’s assessment indicated that good information is contained in the document which identifies the resident’s health, social and recreational care needs. Onkar Care Home DS0000046349.V264703.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 9 and 10 Residents care plans are written in detail so that they can receive the care they need. EVIDENCE: One care plan was inspected. The document contained good information which identified the resident’s care needs and what actions staff members are to take in order to meet those care needs. The care plan seen also contained suitable risk assessments. The documents are stored in lockable cabinets. Onkar Care Home DS0000046349.V264703.R01.S.doc Version 5.0 Page 9 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, 14, 15 and 16 Processes are in place to promote residents’ personal development so that they can maintain suitable contact with the community including their relatives and friends. EVIDENCE: One resident’s care record inspected indicated that the resident maintain contact with the community by attending community events such as cultural festivals and by maintaining contact with relatives and friends. Care records seen and conversation held with the resident indicated that he is in paid employment as part of his ongoing development. Observations made indicated that the resident is taken out for day trips as part of meeting his recreational care needs. Onkar Care Home DS0000046349.V264703.R01.S.doc Version 5.0 Page 10 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): 20 and 21 The medication and healthcare processes are good in ensuring that residents’ healthcare needs are met adequately. EVIDENCE: The medication process was inspected. One medication record seen indicated that staff members appear to be administering medication in accordance with doctors’ prescriptions. The medication record was up to date and signed by staff members. Discussion held with one staff member indicated that suitable processes are in place in the event of the death of a resident. Onkar Care Home DS0000046349.V264703.R01.S.doc Version 5.0 Page 11 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 The complaint process is robust in ensuring that residents or their relatives can make a complaint when required. EVIDENCE: The complaint process was inspected. Good written information on how to make a complaint is written in the Statement of Purpose and other documentation. Conversation held with one resident indicated that he has some basic knowledge on how to make a complaint and whom to speak with. Onkar Care Home DS0000046349.V264703.R01.S.doc Version 5.0 Page 12 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): 25, 26 and 29 The home is maintained to acceptable standards to meet residents’ accommodation needs. EVIDENCE: Observations made during the inspection indicated that there is sufficient communal space in the home based on the number of residents residing in the home for example the dining and lounge areas. Three residents’ bedrooms seen indicated suitable equipment is in place based on their assessed care needs. Observations made indicated that there are sufficient fittings and fixtures in the home for example lighting fixtures in bedrooms and communal areas. Onkar Care Home DS0000046349.V264703.R01.S.doc Version 5.0 Page 13 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): 31, 32, 34, 35 and 36 Suitably trained staff and satisfactory staffing levels are maintained in the home for residents’ care and protection. EVIDENCE: The staffing rota seen and observations made indicated that there were suitable numbers and skill mix of staff members on duty at the time of the inspection. Three residents spoken with indicated that they are satisfied with the staffing levels in the home. Training records seen indicated that the registered manager has completed training to National Vocational Qualification (NVQ 4) level in care management. Other training records seen indicate that staff members are completing their National Vocational Qualification (NVQ 2 and 3). Training certificates seen indicated that staff members continue to attend core training such as moving and handling. One staff member’s recruitment record seen indicated that all relevant documentation including a suitable Criminal Record Bureau declaration are contained in the file. Onkar Care Home DS0000046349.V264703.R01.S.doc Version 5.0 Page 14 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, 38, 39, 42 and 43 The home is managed well and staff members appropriately supervised for residents’ safety and continuous care. EVIDENCE: Registration documents seen prior to the inspection pertaining to the registered manager indicated that he is adequately trained and experienced to manager this home. Observations made indicated that the registered manager appear to be knowledgeable and competent in his daily role. For example consulting with residents about the care they receive. Three residents spoken with indicated that they are satisfied with the manager’s approach to operating the home. An inspection of the financial procedures in the home indicated that robust processes are in place to safeguard residents’ monies. The quality assurance process was inspected and found that residents and relatives meetings are held on a regular basis in order to obtain feedback about the care they provide to their residents. Onkar Care Home DS0000046349.V264703.R01.S.doc Version 5.0 Page 15 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 3 x x x Standard No 22 23 Score 3 x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 x x 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score x 3 3 x x 3 x LIFESTYLES Standard No Score 11 3 12 x 13 x 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 x 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Onkar Care Home Score x x 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 x x 3 3 DS0000046349.V264703.R01.S.doc Version 5.0 Page 16 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. Standard Regulation Requirement Timescale for action 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. Refer to Standard YA2 YA23 Good Practice Recommendations The registered person shall ensure that risk assessments are carried out when risks are clearly identified in initial assessments. The registered person shall manage the home so that risk of harm to residents are identified and avoided. Onkar Care Home DS0000046349.V264703.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 Onkar Care Home DS0000046349.V264703.R01.S.doc Version 5.0 Page 18 - 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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