Inspection on 18/01/06 for Oval Residential Home (164A)

This inspection was carried out on 18th January 2006.

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

The inspector 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

Oval Residential Home (164A) 14/08/07

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

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 James O`Hara Unannounced Inspection 18th January 2006 08:50 Oval Residential Home (164A) DS0000025825.V271633.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 Oval Residential Home (164A) DS0000025825.V271633.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. Oval Residential Home (164A) DS0000025825.V271633.R01.S.doc Version 5.0 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 Mental disorder, excluding learning disability or registration, with number dementia (3) of places Oval Residential Home (164A) DS0000025825.V271633.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st August 2005 Brief Description of the Service: 164 Oval Road is a terraced house located in a side street a few minutes walk from East Croydon Station. It is a small care home registered for three adults with mental health difficulties between the ages of 18 and 65 years. Local amenities are within walking distance from the home. Bus and tram services also serve the local area. Oval Residential Home (164A) DS0000025825.V271633.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second inspection at the home this inspection year. The inspection took place on a Wednesday morning. Methods of inspection included a tour of the premises observation of contact between staff and service users and discussion with some of the service users. Records examined included staffing records, training records, health and safety and fire records, care plans, risk assessments and correspondence in relation to service users health issues. Previous requirements were discussed with the registered provider. What the service does well: What has improved since the last inspection? What they could do better: In general the home appears to be well run and well managed. The management approach of the home creates an open, positive and inclusive atmosphere. As a result of this inspection there are no requirements and one recommendation. The home could now work towards improving the quality monitoring systems employed in the home and supporting the staff team to achieve NVQ level 3. The inspector would like to thank the service users, staff and the registered provider’s for their support on the day of the inspection. Oval Residential Home (164A) DS0000025825.V271633.R01.S.doc Version 5.0 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. Oval Residential Home (164A) DS0000025825.V271633.R01.S.doc Version 5.0 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.V271633.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Standards 1, 2, 4 and 5 were assessed as met at the last inspection. One new service user has moved to the home since the last inspection the home followed appropriate procedures prior to admitting the service user to the home. EVIDENCE: One new service user has moved into the home since the last inspection. The registered provider produced a CPA 117 review carried out on the 08/12/05 indicating the involvement of care managers, the community psychiatric department and the service users General Practitioner. The registered provider also produced the homes own assessment, which was completed prior to the service user moving into the home. The registered provider stated that the service user was able to visit the home with his mother and his sister prior to deciding to move in. Oval Residential Home (164A) DS0000025825.V271633.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6. Standards 7, 8 and 9 were assessed as met at the last inspection. Service user care plans are comprehensive and include detailed information on the residents’ needs and personal goals. EVIDENCE: The home supports service users with mental health. There was evidence that service users care plans are kept under regular review by the home and their care managers. One service users care plan had been reviewed on the 28/04/05 and again on the 28/10/05. The service user signs the care plans. Oval Residential Home (164A) DS0000025825.V271633.R01.S.doc Version 5.0 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 the following standard(s): 14, 16 and 17. Standards 12, 13, 14 and 15 were assessed as met at the last inspection. Provision is made so that all service users attend appropriate social activities and become part of the local community. Service users spoken to on the day of the inspection were confident and comfortable and spoke in a positive manner about the support they receive in the home. Service users are offered well-balanced nutritional meals based on their own personal preferences. EVIDENCE: None of the service users require a special diet. The registered provider stated that on Saturday evenings service users plan what they wish to eat for the rest of the week. Menus are drawn up and shopping is purchased however the registered provider said that sometimes the service users change their minds and request something that is not on the menu. In this case the registered provider records what service users have instead. Oval Residential Home (164A) DS0000025825.V271633.R01.S.doc Version 5.0 Page 11 A recommendation was set at the last inspection that the registered manager records all activities attended by service users in the community. One service users daily record book was examined for activities attended outside the home over the last two weeks. The record indicated that the service user had been out shopping with his sister on two occasions, gone to a play at the Fairfield’s Hall, attended the Fairfield Club twice as well as various trips out shopping with staff. Another service user recently moved into the home and records indicate that he goes out most days to meet his sister, mother or to local shops and coffee shops. The third service user is employed and generally chooses to spend most of his day in the bookmakers. Oval Residential Home (164A) DS0000025825.V271633.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20. Standards 18, 19 and 21 were assessed as met at the last inspection. Overall the arrangements for health care needs of the service users are good and they receive personal support in the way they prefer. EVIDENCE: Medication is stored in a locked cupboard in the recreation/smoking area of the home. Medication administration and recording sheets were up to date and accurate. The home also has an appropriate system for recording the receipt and returns of medication. It is recommended that the medication be relocated to a more secure area of the home. Oval Residential Home (164A) DS0000025825.V271633.R01.S.doc Version 5.0 Page 13 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. Complaints are handled objectively and the service users are confident that any concerns they may have are listened to and acted upon. EVIDENCE: The registered provider stated that there had been no complaints received by the home since the last inspection. Oval Residential Home (164A) DS0000025825.V271633.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24. Standards 24, 27, and 30 were assessed as met at the last inspection. There have been some improvements to the home since the last inspection an effort has been made to ensure that service users live in a more homely and comfortable environment. EVIDENCE: The new service users room has been redecorated and re-carpeted since he moved into the home. A new bed was also placed in his room. The registered provider stated that all the service users bedrooms had been repainted and the hallway and stair carpet was replaced. It was noted that a carpet rod was loose and a trip hazard however the registered provider repaired this during the course the inspection. Part of the bath panel had been removed and screws were visible and a possible risk to any service user using the bathroom again registered provider repaired this during the course the inspection. Oval Residential Home (164A) DS0000025825.V271633.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. Improvements have been made to ensure that staff is appropriately trained to meet the needs of the service users. The homes procedures for staff recruitment has improved and now appear provide the necessary safeguards to ensure that so far as possible service users are not placed at risk of harm or abuse. EVIDENCE: The registered provider stated that one member of staff is currently completing an NVQ level 3 in care is due to finish in February 2006 and plans to complete NVQ level 4 in Management and Care. Another member of staff will begin an NVQ level 3 in care in February 2006. The registered provider stated that a new member of staff would also complete NVQ level 3. Staff qualifications will be examined in more detail at the next inspection. A requirement was set at the last inspection that the registered provider must contact the Local Fire Authority for advice on the homes practices regarding fire safety in the home. A fire officer from the London Fire & Emergency Planning Authority visited the home on the 16th of September 2005 and wrote to the Commission For Social Care Inspection stating that the arrangements for fire safety in the home are satisfactory. Staff have also attended training on first aid 20/12/05, food hygiene 07/12/05 and moving and handling 16/01/06. Oval Residential Home (164A) DS0000025825.V271633.R01.S.doc Version 5.0 Page 16 Staff has acquired Fire safety training in the form of video training from BVS Video Training, after watching the video staff must complete and examination form and return this to the company if the student successfully completes the exam then a certificate is provided. The registered provider stated that four staff had completed the training but only one certificate has been returned the home at present. A requirement was set at the last inspection that the registered manager must obtain a recent photograph and passport details for the new member of staffs file. The registered provider produced evidence that this requirement had been met. Criminal Records Bureau Checks were observed for all members of staff employed at the home and the registered providers other home a few doors away at 170 Oval Road. Oval Residential Home (164A) DS0000025825.V271633.R01.S.doc Version 5.0 Page 17 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): 39 and 42. In general the home appears to be well run and well managed. The management approach of the home creates an open, positive and inclusive atmosphere. EVIDENCE: The registered provider provided evidence of quality monitoring systems employed in the home. The registered provider stated that she is reviewing the homes performance for 2005 and this information will be recorded on her system. It was agreed that this system would be examined in detail at the next inspection. The registered provider produced recorded evidence of service user meetings for the 10/12/05, 05/11/05, 11/10/05 and the 29/07/05. The registered provider produced a current certificate of liability insurance, Landlords Gas Safety Certificate 15/03/05 and a Portable Appliance Testing Certificate 06/05/05. Oval Residential Home (164A) DS0000025825.V271633.R01.S.doc Version 5.0 Page 18 The home does not have a water tank, a combination boiler supplies water from the mains system to the home and there is no need for a Legionella testing certificate. Oval Residential Home (164A) DS0000025825.V271633.R01.S.doc Version 5.0 Page 19 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 X 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 X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 3 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Oval Residential Home (164A) Score X X 3 X Standard No 37 38 39 40 41 42 43 Score X X 3 X X 3 X DS0000025825.V271633.R01.S.doc Version 5.0 Page 20 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. Refer to Standard YA20 Good Practice Recommendations It is recommended that the medication be relocated to a more secure area of the home. Oval Residential Home (164A) DS0000025825.V271633.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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 Oval Residential Home (164A) DS0000025825.V271633.R01.S.doc Version 5.0 Page 22 - 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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