Inspection on 14/08/07 for Oval Residential Home (164A)

This inspection was carried out on 14th August 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 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Oval Residential Home (164A) 24/10/06

Oval Residential Home (164A) 18/01/06

Oval Residential Home (164A) 15/12/04

Oval Residential Home (164A) 06/07/04

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 Oval Residential Home (164A) 164a Oval Road East Croydon Surrey CR0 6BN Lead Inspector Adrian Gordon Key Unannounced Inspection 14th August 2007 10:30 Oval Residential Home (164A) DS0000025825.V342764.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 Oval Residential Home (164A) DS0000025825.V342764.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. Oval Residential Home (164A) DS0000025825.V342764.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oval Residential Home (164A) Address 164a Oval Road East Croydon Surrey CR0 6BN 020 8686 9814 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Mercidita Bheecarry Mr Mike Bheecarry Mrs Mercidita Bheecarry Care Home 3 Category(ies) of Learning disability (3), Mental disorder, registration, with number excluding learning disability or dementia (3) of places Oval Residential Home (164A) DS0000025825.V342764.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th October 2006 Brief Description of the Service: 164 Oval Road is a terraced house located in a residential street a few minutes walk from East Croydon Station. It is a small care home registered for three adults with mental health problems and learning disabilities. Local amenities are within walking distance from the home. Bus and tram services also serve the local area. Information about the service is available in the Statement of Purpose and Service User Guide. Fees are currently around £500 per week. Oval Residential Home (164A) DS0000025825.V342764.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and carried out over the course of one day by one inspectors. The inspection consisted of a tour of the premises, examination of records and observation of care practice. It was possible to meet with one of the residents and the manager. Feedback questionnaires were received from one other resident. What the service does well: What has improved since the last inspection? What they could do better: Care plans must be made more person centred to make sure that staff have a complete picture of each resident’s individual needs. Residents must be involved in this process. More attention must be given to ensuring that residents are protected through systems for monitoring finances and medication. To make sure that staff have the necessary skills to carry out their jobs, core training must be provided and refreshed regularly. Specialist training must also be provided to ensure that staff have a better understanding of residents needs. Oval Residential Home (164A) DS0000025825.V342764.R01.S.doc Version 5.2 Page 6 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. Oval Residential Home (164A) DS0000025825.V342764.R01.S.doc Version 5.2 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 Oval Residential Home (164A) DS0000025825.V342764.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is clear information about the home which will help prospective residents understand what the service provides. Residents are given placement agreements so that they understand their rights and responsibilities. EVIDENCE: The current residents have been at the home for several years and there have been no recent admissions. The Statement of Purpose and Service User Guide are up to date and contain all the information needed to give a clear picture of the service. The manager said that new residents would be assessed before moving in, so that their needs are identified. Records of the people who currently live at the home show that assessments are completed but they have not been recently updated. This must be done so that any changes in the needs of residents are identified. Oval Residential Home (164A) DS0000025825.V342764.R01.S.doc Version 5.2 Page 9 Each resident has a contract and placement agreement which they sign. This gives them information about rights, responsibilities and expectation whilst living at the home. Oval Residential Home (164A) DS0000025825.V342764.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents are consulted regularly to get their views on how they like to live. Care plan information will be improved by taking more of a person centred approach. EVIDENCE: Care plans include information on hygiene, diet, health, mobility and communication. The details are sufficient for staff to meet the needs of residents but the plans are not person centred. Work must be done to ensure that Person Centred Planning is put in place. Care plans are reviewed but it is not stated if there are any changes. Residents do not have written goals to work towards which makes it difficult to monitor progress. Information was seen about one person’s religious needs and how they enjoyed a major festival as part of that religion. Oval Residential Home (164A) DS0000025825.V342764.R01.S.doc Version 5.2 Page 11 Residents are involved in making decisions about how they live their lives. This is done through day to day chats with staff and more formally through resident meetings and reviews. Risk assessments are in place, up to date and reviewed regularly. These cover areas such as financial abuse and getting lost while out. The information enables staff to make sure that residents do things independently whilst remaining as safe as possible. Oval Residential Home (164A) DS0000025825.V342764.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents take part in meaningful activities of their own choosing. EVIDENCE: Residents are able to go out independently and take part in activities of their choice. These include local clubs, resource centre, shopping or playing cards and dominos at home. Residents go on two holidays every year, most recently to the Canary Islands in July. The manager spends some time with residents each week developing independence skills. This includes basic finance and use of money as well writing letters and sending them in the post. Friends and relatives are made welcome and can visit when they want. Some residents have friends at a home nearby who they like to go and see. Resident Oval Residential Home (164A) DS0000025825.V342764.R01.S.doc Version 5.2 Page 13 files should provide more detail about relationships and sexuality so that the social needs of residents can be better met. Menus are decided in advance by the residents, although the manager said that this is often changed on the day depending on what each person feels like having. Records show a good range of food is enjoyed. Residents go out to buy fresh food for the meal and help out with cooking. Oval Residential Home (164A) DS0000025825.V342764.R01.S.doc Version 5.2 Page 14 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, 21 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents are well supported and have access to health specialist as needed. Medication systems do not fully protect residents and must be improved. EVIDENCE: Residents are encouraged to say how they want to receive support and if they would rather not be helped this is respected where appropriate. There is information about health in care plans but it is not very detailed. This must be expanded to make sure all staff are aware of the individual needs of residents. Care plans include details of personal care needs and how these are to be met. Residents attend appointments with health specialists as required, for example doctor, optician and dentist. One of the registered providers is a qualified counsellor and is able to provide emotional support if needed to residents who may have a mental health problem. Medication is stored appropriately in a locked cabinet. Administration record (MAR) sheets showed no gaps in recording, but some of the instructions were Oval Residential Home (164A) DS0000025825.V342764.R01.S.doc Version 5.2 Page 15 misleading. For example, on the MAR sheet Procylidine is to be given twice a day. On the container it says take three times a day. In order to prevent any errors changes in medication labels and MAR sheets must state the correct dosage. Residents wishes on death and dying have been recorded in their files. Information included the type of funeral, music to be played and what they would like to be read during the service. This is a good piece of work which has been handled sensitively. Oval Residential Home (164A) DS0000025825.V342764.R01.S.doc Version 5.2 Page 16 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 adequate. This judgement has been made using available evidence including a visit to this service. Residents know how to make a complaint if necessary. However, the financial interests of residents are not fully protected by the systems in place. EVIDENCE: There is an easy read complaints procedure for residents which details what they should do if they are unhappy about something. The manager said residents are reminded how to make complaints, however there have been none recently. One resident confirmed they were aware of what to do. Residents have a bank account from which amounts are withdrawn as necessary. Some money is kept at the home on behalf of residents for when they need it. However this money is not kept securely. Lockable, safe storage must be found. Receipts of purchases are kept but these are not numbered the same as in the ledger. Records show that sometimes money is owed to the manager who pays for items on behalf of residents. This practice must stop so that residents are encouraged to be more independent by withdrawing and using their own money. There is a procedure for managing concerns about the Protection of Vulnerable Adults (POVA). However, not all staff have received recent POVA training. The manager said this was due to happen in September 2007. Oval Residential Home (164A) DS0000025825.V342764.R01.S.doc Version 5.2 Page 17 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, 25, 28, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from the living in an environment which they see as ‘home’ and which they are able to personalise. EVIDENCE: 164a Oval Road is a terraced house in a residential area of Croydon. From the outside it fits in with neighbouring houses. Rooms are laid out over two floors. On the ground floor there is a well furnished lounge which is also used as an office. This was homely though a little cluttered with games and equipment such as TV, computer, games console and piano organ. The kitchen was dated but had the necessary equipment. This led to a dining room at the back of the house. This was comfortable furnished. To the rear is a pleasant garden area. Upstairs the residents bedrooms have been decorated according to individual taste. Each resident has a key to their room and is able to keep it locked if they wish. Bedrooms are suitably furnished. Oval Residential Home (164A) DS0000025825.V342764.R01.S.doc Version 5.2 Page 18 All parts of the home were found to be clean and hygienic. Some of the décor was a little dated and shared space was quite cluttered. Overall though it felt like a real home and had a warm atmosphere. Oval Residential Home (164A) DS0000025825.V342764.R01.S.doc Version 5.2 Page 19 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 good. This judgement has been made using available evidence including a visit to this service. Residents are well supported by a small, consistent staff team. EVIDENCE: There is a small staff team which provides twenty-four hour cover which includes a sleep-in at night. The staff have a positive relationship with residents and have a good understanding of their needs. One resident said ‘they look after me very well’. Recruitment records showed that staff have all the necessary checks before being allowed to start work. This includes an Enhanced Criminal Records Bureau check, proof of identity and two references. Recent training includes Moving and Handling and Understanding the Mental Capacity Act and First Aid. However not everyone has had recent refresher training on Food Hygiene or Medication. All staff must have training profiles that make clear what training they have attended and identifies their future Oval Residential Home (164A) DS0000025825.V342764.R01.S.doc Version 5.2 Page 20 training needs. This will ensure that all staff have undertaken core training as required. Oval Residential Home (164A) DS0000025825.V342764.R01.S.doc Version 5.2 Page 21 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, 39, 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The manager is committed to providing a person centred service but could do more to ensure that there are effective systems for monitoring safe practices. EVIDENCE: The registered manager is committed to making sure that 164 Oval Road is a real home to the residents. She encourages the residents to live their lives as they want and supports them in all aspects of their lives. There is an action plan to the end of 2007. This includes specific objectives for the service for example, holidays and new linen. Quality assurance questionnaires are given to residents for their views. These were seen for February 2007. Oval Residential Home (164A) DS0000025825.V342764.R01.S.doc Version 5.2 Page 22 There are generally good systems in place for making sure health and safety checks are up to date. Smoke detectors and emergency lights are checked weekly. Gas safety and electrical installation certificates are up to date. Hot water temperatures in the bath are recorded, however other tap outlets are not monitored. Oval Residential Home (164A) DS0000025825.V342764.R01.S.doc Version 5.2 Page 23 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 3 2 2 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 2 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 3 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 2 2 3 3 X 3 X X 2 X Oval Residential Home (164A) DS0000025825.V342764.R01.S.doc Version 5.2 Page 24 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 2 Standard YA2 YA6 Regulation 14(2) 12(1), 15 Timescale for action So that residents changing needs 01/11/07 are identified their assessment must be kept under review. To ensure that care is specific 01/11/07 and meets individual needs, care plans must be person centred and include goals for each resident, which are kept under review. So that residents health needs 01/11/07 are fully met information in care plans must be more detailed and specific to each resident. To prevent maladministration 01/10/07 medication labels and MAR sheets must contain the same information and be updated immediately following any change in dosage. To protect residents financial 01/10/07 interests, secure storage must be found for any money held on their behalf. Receipts must be clearly numbered and tally with records. Money must not be lent to residents. So that residents are fully 01/11/07 protected, all staff must attend refresher training in the Protection of Vulnerable Adults, DS0000025825.V342764.R01.S.doc Version 5.2 Page 25 Requirement 3 YA19 12(1) 4 YA20 13(2) 5 YA23 12(a), Schedule 4(9) 6 YA23 13(6) Oval Residential Home (164A) 7 YA35 18(1)(c) 8 YA42 13(6) So that staff have the skills they 01/12/07 need to carry out their jobs, training must be provided in core skills To make sure the environment is 01/10/07 safe for residents, hot water temperatures at all outlets must be recorded weekly. 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 Oval Residential Home (164A) DS0000025825.V342764.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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 Oval Residential Home (164A) DS0000025825.V342764.R01.S.doc Version 5.2 Page 27 - 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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