Inspection on 28/04/05 for Onkar Care Home

This inspection was carried out on 28th April 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 14/11/05

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 Everton Osbourne Unannounced 28 April 2005 10:00 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 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 Stationary 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 C51 S46349 Onkar Care Home V221653 280405.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Onkar Care Home Address 15 Portman Street Leicester Leicestershire LE4 6NZ 0116 2516443 None onkarcarehome@yahoo.co.uk Mr Harjap Singh Riyat Telephone number Fax number Email 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 Jaspal Singh Riyat Care home only 10 Category(ies) of LD Learning disability (10) registration, with number PD Physical disability (1) of places Onkar Care Home C51 S46349 Onkar Care Home V221653 280405.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1) No persons falling within category PD may be admitted to the home unless that person also falls within category LD - ie dual disability. 2) Persons falling within category PD may only be accommodated on the ground floor. Date of last inspection 10th December 2004. Brief Description of the Service: Onkar Care Home cares for 10 younger adults who have learning disability which includes the facility to accommodate one resident 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 accesible 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 ensuite 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 C51 S46349 Onkar Care Home V221653 280405.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took four hours to complete. A total of twenty-one Standards were inspected. No Requirements were made. There were two Recommendations concerning identifying risks and carrying out risk assessments for the protection of residents. No residents were at risk of harm as a result of the home having insufficient risk assessments on this occasion. A tour of the premises took place and staff and care records were inspected. Three residents and one staff member were spoken to. 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 C51 S46349 Onkar Care Home V221653 280405.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Onkar Care Home C51 S46349 Onkar Care Home V221653 280405.doc Version 1.30 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 standard(s) 1, 2, 3, 4 and 5 The admission procedure is good. There is sufficient information about the type of service provided in the home which is given to prospective residents and their relatives. Satisfactory assessment processes are in place although there are some weaknesses in the risk assessment process. EVIDENCE: The Statement of Purpose seen contains detailed information about the services provided in the home. Three residents spoken to indicated that they were given information when they moved into the home but that this information was given to their relatives who later relayed the information to them. All three residents indicated that the care provision is provided in accordance with what was promised when they moved in. Two residents’ assessments were examined and conversation held with these residents indicated that the information contained in the documents accurately describes their care needs. Two specific issues were identified in one resident’s assessment which required risk assessing but was not completed. This did not place the resident at risk immediately, however the risk assessment was needed for staff members’ guidance regarding the protection of this resident and other residents’ residing in the home. It is recommended that the registered person identify issues of risk in residents’ assessments and complete risk assessments when needed. Onkar Care Home C51 S46349 Onkar Care Home V221653 280405.doc Version 1.30 Page 8 Three residents spoken to indicated that their care needs are being met. For example one resident indicated that he is interested in learning life skills such as taking care of his personal hygiene care needs and completing daily life chores. This resident indicated that he attends a men’s group which teaches life skills. This is indicated in his care plan. Discussion held with the registered manager and two residents’ admission records seen indicated that prospective residents visit the home for an introductory visit before moving in. One resident spoken to indicated that he did visit the home before he moved in. Two residents’ admission records seen indicated that contract of residence was given to them including a Terms and Condition of residence which is signed by the residents. Onkar Care Home C51 S46349 Onkar Care Home V221653 280405.doc Version 1.30 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 standard(s) 6, 7, and 8 Residents care plans are written in detail in order to ensure that they receive the care they need. Good consultation processes are practiced in the home so that residents have the freedom of making decision about their daily lives. EVIDENCE: Detailed examination of two residents’ care plans indicated that all aspects of personal and health care needs including recreational needs are recorded in the documents based on their assessments. Care plan records seen and discussion held with one staff member indicated that the documents are reviewed on a regular basis. Two residents spoken to indicated that they make plans about their daily activities with support from the staff team and registered manager. For example one resident indicated that it is his choice when he attends day care away from the home. Observations made throughout the day indicated that staff members consult with residents about decisions made in the home for example what to eat or what kind of activities to engage in. Onkar Care Home C51 S46349 Onkar Care Home V221653 280405.doc Version 1.30 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 and 17 Good opportunities are given to residents so that they can engage in educational or occupational activities as part of their day care activities. Variable and well balanced meals are given to residents to meet their nutritional care needs. EVIDENCE: Residents were seen leaving the home in the morning for their day care attendance. Two residents’ care plans and activities records seen indicated that residents attend day care as part of the care process. Three residents spoken to confirmed this. One resident stated ‘I go to day care and I like it there’. Another resident commented ‘I go out and learn to do a lot of things’. Two residents spoken to indicated that they maintain contact with their family and friends by visiting their parents or receiving visitors into the home. Visitors records examined confirmed that visitors visit residents on a regular basis. Observations made and the lunchtime meal seen indicated that meals are varied and wholesome. The menu was inspected which indicated that residents have a daily choice of meals. One resident commented ‘I love the food’. Onkar Care Home C51 S46349 Onkar Care Home V221653 280405.doc Version 1.30 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 and 20 Suitable processes are in place to ensure that residents receive good healthcare when needed as part of their ongoing care in the home. The medication process works well in ensuring that residents are given correct doses of medication as prescribed by a doctor. EVIDENCE: Two residents spoken to and detailed examination of their care plans indicated that residents receive care in accordance with their assessments. Professional visitors’ records seen for example General Practitioner visits, indicated that doctors and Community Nurses form part of the care process in ensuring the continuity of care in the home. Two residents’ medication records were inspected. This indicated that residents are given their medication as prescribed. The medication records are up to date. Detailed examination of the medication policy indicated that sufficient information is contained in the document for staff members’ guidance concerning safe administration of medication. Onkar Care Home C51 S46349 Onkar Care Home V221653 280405.doc Version 1.30 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 23 Suitable adult protection processes are in place for the protection of residents residing in the home. Insufficient risk assessments are carried out which could place residents at risk of harm. EVIDENCE: Detailed inspection of the adult protection policy indicated that there is sufficient information in the document for staff members’ guidance on how to protect residents from the risk of abuse. Three residents spoken to indicated that they feel safe residing in the home. One staff member spoken to gave good verbal responses regarding the protection of vulnerable adults residing in the home. The staff member displayed sufficient knowledge concerning actions to take and to whom suspicion or allegations of abuse should be reported. The home is lacking in identifying and writing risk assessments for the protection of residents. It is Recommended that all areas of risk are identified for the protection of residents residing in the home. Onkar Care Home C51 S46349 Onkar Care Home V221653 280405.doc Version 1.30 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 27, 28 and 30 The home is maintained to a good standard with an emphasis on comfort for the residents. There is sufficient communal space and adequate toilet and bathing facilities in the home for residents’ use. The home is clean throughout and hygienic in appearance. EVIDENCE: An inspection of the flooring, walls and fixtures throughout the home indicated that it is being maintained to an acceptable standard. Three residents spoken to indicated that they are satisfied with the upkeep of the premises. An inspection of the bedrooms indicated that residents have use of their own toilet and hand-wash facilities due to having ensuite in their bedrooms. The number of bathing facilities seen throughout the premises indicated that they are sufficient in numbers based on ten residents sharing the facilities. Three residents spoken to indicated that they are satisfied with the communal space in the home such as the dining room and the lounge. Observations made throughout the day indicated that residents moved around freely including one resident who is mobile with the use of a wheel chair. Onkar Care Home C51 S46349 Onkar Care Home V221653 280405.doc Version 1.30 Page 14 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 The number of care hours provided weekly is sufficient in providing suitable care for the protection of residents residing in the home. EVIDENCE: A calculation of staffing hours using the Residential Forum for Younger Adults for week beginning Monday 25th April to Sunday 1st May 2005, was carried out. This indicated that sufficient staffing hours is provided to meet residents’ care needs. Onkar Care Home C51 S46349 Onkar Care Home V221653 280405.doc Version 1.30 Page 15 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 40 and 41 The care provider makes a good effort in adhering to the written policies and procedures kept in the home for residents’ protection. Good safekeeping of residents’ records are maintained including good record keeping in accordance with the Care Homes Regulation 2001 and the Data Protection Act 1998. EVIDENCE: Two residents’ care plans, medication and daily care records were inspected and found to be kept up to date by the staff team. Detailed examination of the medication, infection control and adult protection policies were made and all policies contained sufficient information for staff members’ guidance regarding residents’ care. Onkar Care Home C51 S46349 Onkar Care Home V221653 280405.doc Version 1.30 Page 16 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 3 3 3 Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x 3 3 x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x x x 3 Standard No 31 32 33 34 35 36 Score x x 3 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Onkar Care Home Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x 3 3 x x C51 S46349 Onkar Care Home V221653 280405.doc Version 1.30 Page 17 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 N/A Regulation N/A None Requirement Timescale for action N/A 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 2 23 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 C51 S46349 Onkar Care Home V221653 280405.doc Version 1.30 Page 18 Commission for Social Care Inspection 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 C51 S46349 Onkar Care Home V221653 280405.doc Version 1.30 Page 19 - 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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