Inspection on 19/12/05 for Park Road 88

This inspection was carried out on 19th December 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Park Road 88 01/10/07

Park Road 88 19/09/06

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 Park Road 88 New Barnet Hertfordshire EN4 9QF Lead Inspector Daniel Lim Unannounced Inspection 19th December 2005 2:00 Park Road 88 DS0000065435.V259211.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 Park Road 88 DS0000065435.V259211.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. Park Road 88 DS0000065435.V259211.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Park Road 88 Address New Barnet Hertfordshire EN4 9QF Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 8440 2192 020 8440 2192 CareTech Community Services (No.2) Ltd Elizabeth Coleman Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Park Road 88 DS0000065435.V259211.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25 April 2005 Brief Description of the Service: 88 Park Road is a small care home registered to provide personal care for a maximum of four younger adults who have a learning disability. The home was opened in 1988 and is owned by CareTech Community Services Limited. The company also runs other similar homes in Barnet. The stated aim of the home is to work in partnership with residents and others involved in their care and provide support for residents to enable them to attain their full potential. The home is a detached two storey house with four single bedrooms. On the ground floor, there is an office, a kitchen / diner, laundry room, bathroom with a toilet, a lounge and a bedroom.On the first floor there is a bathroom with a toilet and three bedrooms. There is a small parking area at the front of the building and a garden at the side and rear. The home is located in a quiet residential area of New Barnet. It is close to shops, restaurants, transport links and other community services located along East Barnet Road and Cockfosters Road. Park Road 88 DS0000065435.V259211.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out on 19 December 2005 and took two hours and a half hours to complete (Staff and residents were preparing to go to a Christmas party) The inspector found that almost all of the National Minimum Standards examined had been met and the overall quality of care provided was of a high standard. During this inspection, the inspector was accompanied by the manager of the home (Ms Kerry West). The inspector attempted to interview three residents. However, communication difficulties were experienced and the inspector was only able to obtain feedback from one of the residents. Three residents case records were examined. The premises including bedrooms and the gardens were inspected and the maintenance records were examined. Staff on duty were interviewed on a range of topics associated with their work. A sample of two staff records were examined. Minutes of staff meetings and residents’ meetings were also examined. What the service does well: The registered person had responded promptly to most of the requirements made. The care documentation of residents had been reviewed and was found to be comprehensive and up to date. The home was well furnished and felt cosy. There were daily checks on the financial records of residents. Staff interviewed were knowledgeable regarding the needs of residents. Park Road 88 DS0000065435.V259211.R01.S.doc Version 5.0 Page 6 There was close supervision of staff and this was documented. The quality of care provided was closely monitored and the home was awarded a first prize by the company. What has improved since the last inspection? What they could do better: Park Road 88 DS0000065435.V259211.R01.S.doc Version 5.0 Page 7 One of the window frames at the front of the house was in need of repairs. This must be carried out. The finances of residents need to be reviewed to determine if they should be charged for certain items such as aromatherapy and holidays. The registered person must clarify with the local authority contracts monitoring officer that certain items mentioned in standard 43 can be charged to residents accounts. 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. Park Road 88 DS0000065435.V259211.R01.S.doc Version 5.0 Page 8 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 Park Road 88 DS0000065435.V259211.R01.S.doc Version 5.0 Page 9 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, 3 The manager and her staff had a good understanding of the needs of residents and were able to ensure that their needs are met. EVIDENCE: The inspector attempted to interview three residents. However, due to communication difficulties experienced only one resident was able to respond to questions asked. The resident who was interviewed indicated that her care needs had been met at the home and she was happy with the care provided. Comments made by her included “lovely here” “nice staff” and “I am well cared for”. A sample of three residents’ case records which were examined, contained plans of care and details of how residents needs had been met. The inspector observed that residents in the home were clean, appropriately dressed and appeared well cared for. The inspector further noted that one of the residents appeared to have made improvements since the last inspection. Park Road 88 DS0000065435.V259211.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 There was evidence to indicate that residents had been consulted and encouraged to remain as independent as possible. EVIDENCE: The inspector noted that the personal needs and preferences of residents had been documented in the case records examined. The resident interviewed indicated that she had been well treated and staff listened to her suggestions. There was evidence in the minutes of residents’ meetings to indicate that the preferences of residents had been responded to. Risks assessments had been documented and these were up to date. Park Road 88 DS0000065435.V259211.R01.S.doc Version 5.0 Page 11 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, 12, 14, 16, 17 Residents had opportunity for personal development and the provision of meals was satisfactory. EVIDENCE: The home had a varied and comprehensive activities programme for residents. Individual programmes for residents were on display in the home. There was further evidence in the case records that residents had been kept active and stimulated. Staff interviewed were knowledgeable regarding the preferences and likes and dislikes of residents. Arrangemenrts had been made to respond to them. The inspector was informed by a resident and staff that a holiday had been organised to centreparcs at the suggestion of a resident. The resident confirmed that she had enjoyed the holiday. Outings to other places of interest had also been arranged for residents. Park Road 88 DS0000065435.V259211.R01.S.doc Version 5.0 Page 12 The inspector was informed that a Christmas party had been organised for residents that same evening. There was documented evidence that monthly meetings had been organised and residents had been consulted regarding the management of the home. The arrangements for the provision of meals was found to be satisfactory and the menus examined appeared varied and balanced. A record of daily fridge and freezer temperatures had been kept and these were satisfactory. Park Road 88 DS0000065435.V259211.R01.S.doc Version 5.0 Page 13 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): 18, 19, 20 Arrangements were in place to ensure that the personal and healthcare needs of residents are met at the home. EVIDENCE: The resident interviewed stated that she had been attended to by healthcare staff and had been given her medication. The case records of residents contained evidence that their medical care had been reviewed with professionals involved. The medication records were well maintained and signed appropriately when residents had been given their medication. The temperature of the medicines cupboard was no higher than 25 degrees centigrade ( in accordance with guidance provided by the CSCI pharmaceutical advisor ). The sample of three case records contained comprehensive plans of care which addressed the holistic needs of residents. There was evidence in the records to indicate that plans prepared had been carried out. Park Road 88 DS0000065435.V259211.R01.S.doc Version 5.0 Page 14 Park Road 88 DS0000065435.V259211.R01.S.doc Version 5.0 Page 15 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, 23 There was evidence that the residents were listened to and protected from abuse and neglect. EVIDENCE: The staff records contained evidence that staff had been provided with adult protection training. The complaints book was examined. No complaints had been recorded since the last inspection in April 2005. The manager explained that none had been received. The resident interviewed stated that she had been well treated by staff. Park Road 88 DS0000065435.V259211.R01.S.doc Version 5.0 Page 16 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, 25, 27, 28, 30 The home was well furnished and clean, therefore providing a pleasant environment to live in. One of the window frames at the front of the house was in need of repair. EVIDENCE: The resident interviewed stated that she was happy with the accommodation provided. The premises inspected were found to be clean and well furnished. The required maintenance records and safety certificates were seen by the inspector. These included safety inspection certificates for the gas and portable appliances. The hot water in the bathroom was tested and found to be within the required safe temperature range of no higher than 43 C. Park Road 88 DS0000065435.V259211.R01.S.doc Version 5.0 Page 17 One of the window frames at the front of the house was in need of repair. This must be carried out. Park Road 88 DS0000065435.V259211.R01.S.doc Version 5.0 Page 18 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, 33, 34, 35, 36 The staff team were recruited with care and knowledgeable regarding their responsibilities. Residents were therefore cared for by suitable staff. EVIDENCE: The manager and two staff on duty were interviewed and noted to be knowledgeable regarding their role and the care to be provided to residents. The resident who was interviewed indicated that she was well cared for. The training records examined, indicated that staff had been provided with essential training. This included training in the care of residents who have challenging behaviour and adult protection. The staff rota was examined and staffing arrangements examined in detail. The inspector noted that there was normally at least two staff on duty during the day and night. There was evidence of regular staff supervision. Personnel records examined indicated that references and CRB disclosures had been obtained for staff recruited. Park Road 88 DS0000065435.V259211.R01.S.doc Version 5.0 Page 19 Park Road 88 DS0000065435.V259211.R01.S.doc Version 5.0 Page 20 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, 42, 43 The home was well managed and systems were in place to ensure the health and welfare of residents and staff. EVIDENCE: The manager was knowledgeable regarding the management of the home and the care to be provided to residents. She informed the inspector that she had started a course leading to the Registered Manager’s Award. Staff had been closely supervised and supervision records were seen by the inspector. There was evidence that residents had been consulted regarding the care to be provided and the management of the home. The minutes of residents’ meetings were seen by the inspector. Park Road 88 DS0000065435.V259211.R01.S.doc Version 5.0 Page 21 Health and safety arrangements were in place to ensure the welfare of residents and staff. Staff had been provided with training in Health and Safety. The arrangements for fire safety were satisfactory. A record of weekly fire alarm checks was available for inspection. Daily checks were made to ensure that the finances of residents are accurate. However, the inspector noted that residents were charged for certain items such as aromatherapy, holidays and evening primrose oil. This was discussed with the manager and the registered person must consult with the service purchasers (Barnet Social Services contracts officer) to determine if such charges can be made under the contracts agreed. The inspector was informed by the manager that the home had won first prize in the company’s competition for the best managed home and it had scored highly in the company’s internal audit Park Road 88 DS0000065435.V259211.R01.S.doc Version 5.0 Page 22 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 3 X x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 x 3 3 X 3 LIFESTYLES Standard No Score 11 3 12 3 13 x 14 4 15 x 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Park Road 88 Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 X X X 3 2 DS0000065435.V259211.R01.S.doc Version 5.0 Page 23 Are there any outstanding requirements from the last inspection? yes 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 YA43 Regulation 12(1) Requirement The registered person must clarify with the local authority contracts monitoring officer that certain items mentioned in standard 43 can be charged to residents accounts. This requirement is restated. The previous timescale which was not met was 1/7/05 2 YA24 23(2)(b) The registered person must repair the window frame at the front of the house (first floor bedroom). This requirement is restated. The previous timescale which was not met was 13/7/05 28/02/06 Timescale for action 13/02/06 Park Road 88 DS0000065435.V259211.R01.S.doc Version 5.0 Page 24 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 Park Road 88 DS0000065435.V259211.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA 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 Park Road 88 DS0000065435.V259211.R01.S.doc Version 5.0 Page 26 - 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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