Inspection on 19/09/06 for Park Road 88

This inspection was carried out on 19th September 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 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 19/12/05

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 Key Unannounced Inspection 19th September 2006 09:00 Park Road 88 DS0000065435.V308928.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 Park Road 88 DS0000065435.V308928.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. Park Road 88 DS0000065435.V308928.R01.S.doc Version 5.2 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 7936 CareTech Community Services (No.2) Ltd Miss Kerry Catherine West Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Park Road 88 DS0000065435.V308928.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th December 2005 Brief Description of the Service: 88 Park Road is a small care home registered to provide personal care for a maximum of five younger adults who have learning disabilities. A variation to the registration was approved this month to allow the home to admit a fifth resident over the age of 65 year into the extra bedroom built. The home was opened in 1988 and is owned by CareTech Community Services Limited. The company also runs other similar homes in Barnet and other parts of the country. 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 five single bedrooms. The fifth bedroom which was added to the home recently, has ensuite facilities. On the ground floor, there is an office, a kitchen / diner, laundry room, bathroom with a toilet, a lounge and two bedrooms. 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. The fees charged by the home range from £1089.00 - £1265.62 each week. Park Road 88 DS0000065435.V308928.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out on 19 September 2006 and took a total of four hours to complete. The inspector found that the overall quality of care provided was satisfactory. During this inspection, the inspector was assisted by Ms Kerry West, the registered manager of the home. The inspector was able to interview two residents. The feedback received from them indicated that they were satisfied with the care provided. The inspector attempted to interview a third resident, but she was unable to provide an opinion. Statutory records were examined. These included four residents’ case records, the maintenance records, accident records, complaints’ record and fire records of the home. The premises including residents’ bedrooms, communal bathrooms, laundry, kitchen, garden and communal areas were inspected. Two staff on duty were interviewed on a range of topics associated with their work. Staff records, including supervision records, evidence of CRB disclosures, references and training records were examined. In addition, the minutes of staff and residents meetings were examined. What the service does well: Residents were involved in the running of the home and their preferences had been responded to. There was evidence that residents were encouraged to be as independent as possible. Residents had made improvements in their communication and daily living skills. The manager and her staff were knowledgeable regarding the needs of residents. There was close supervision of staff and this was documented. The quality of care provided was closely monitored and the home scored highly in the company’s own internal audit. Park Road 88 DS0000065435.V308928.R01.S.doc Version 5.2 Page 6 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. Park Road 88 DS0000065435.V308928.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 Park Road 88 DS0000065435.V308928.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3 The quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Satisfactory arrangements were in place to ensure that residents admitted into the home are assessed and appropriate. This ensures that the home can meet the needs of residents accommodated there. EVIDENCE: The two residents who were interviewed informed the inspector that they were well cared for and their care needs had been attended to. This was reiterated in completed questionnaires received from three residents and three relatives. Comments made by residents included, “I am well treated” and “they take good care of me”. Residents were noted to be clean, appropriately dressed and appeared well cared for. Park Road 88 DS0000065435.V308928.R01.S.doc Version 5.2 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, 7, 8, 9 The quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Arrangements were in place to ensure that residents are able to make decisions about their lives and remain as independent as possible. EVIDENCE: Residents had been consulted regarding the management of the home. Documented evidence of this was provided by the manager. The sample of four residents’ case records contained appropriate care plans and assessments, including risk assessments. Plans of care had been reviewed at regular intervals and these were comprehensive. There was documented evidence that residents had been encouraged to be as independent as possible and this was confirmed by the residents interviewed. Residents were noted to be involved in household chores such as shopping, cooking and tidying of their bedrooms. Park Road 88 DS0000065435.V308928.R01.S.doc Version 5.2 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): 11, 12, 13, 14, 15, 16, 17 The quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The daily life and routines of residents were well organised and individually tailored to meet the needs of residents. This ensures that residents felt valued and are able to exercise choice and control over their lives. EVIDENCE: The daily life and routines of residents were well organised. The home had a varied activities programme for residents. This included outings, relaxations sessions, aromatherapy, gardening and attendance at a day centre. There was evidence in the case records that residents had been kept active and stimulated. Each resident had an individual activities programme which was displayed in their bedrooms and in the kitchen. These included attendance at educational classes. There was documented evidence that residents had been consulted regarding their activities programme. Park Road 88 DS0000065435.V308928.R01.S.doc Version 5.2 Page 11 Residents interviewed stated that they were happy with the activities provided. The inspector was informed by a resident and the manager that holidays had been organised for residents. Meetings had been organised and residents had been consulted regarding the management of the home. The minutes of these meetings were available for inspection. Resident interviewed indicated that they were satisfied with the meals served. The menus examined appeared varied and balanced. A record of temperatures for the fridge and freezer had been kept daily. These were satisfactory. Park Road 88 DS0000065435.V308928.R01.S.doc Version 5.2 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): 18, 19, 20 The quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The arrangements for healthcare and personal care were satisfactory. This had ensured that residents’ holistics needs are being met at the home. EVIDENCE: The medication records were well maintained and the two residents stated that they had been given their medication. The sample of four 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. These plans had been regularly reviewed (with the exception of those relating to a resident who had only recently been admitted). The inspector noted that two residents had made significant improvement as a result of care provided. One had made improvements in her communication skills while another had been able to keep her bedroom tidy. Park Road 88 DS0000065435.V308928.R01.S.doc Version 5.2 Page 13 This was documented in the case records and in minutes of reviews done. A completed questionnaire returned by a healthcare professional indicated that the respondent was satisfied with the healthcare arrangements for residents. Park Road 88 DS0000065435.V308928.R01.S.doc Version 5.2 Page 14 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 The quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The arrangements for responding to complaints and for adult protection were satisfactory. This ensures that resident are listened to and protected from abuse and harm. EVIDENCE: The complaints book was examined. No complaints were documented since the last inspection. The manager explained that none had been received. The two residents interviewed stated that they were well treated by staff and no allegations of any ill treatment were received by the inspector. Three relatives who returned their completed questionnaires indicated that they were satisfied with the care provided. Park Road 88 DS0000065435.V308928.R01.S.doc Version 5.2 Page 15 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, 26, 27, 28, 30 The quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The home was clean, well equipped and furnished to a high standard, therefore providing a nice environment to live in. EVIDENCE: The premises were clean and well maintained. The communal areas were well decorated and well furnished. The gardens were attractive and colourful. A new patio had been provided. The required maintenance and safety inspections had been carried out. These included safety inspection certificates for the portable appliances, electrical installations and gas equipment. A new extension had recently been completed. This comprised a single bedroom with ensuite facilities. This bedroom was well furnished and appeared cosy. Park Road 88 DS0000065435.V308928.R01.S.doc Version 5.2 Page 16 Bedrooms inspected had been personalised by residents concerned. Park Road 88 DS0000065435.V308928.R01.S.doc Version 5.2 Page 17 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 quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. The recruitment process and staffing arrangements were on the whole, satisfactory. This ensured that residents’ needs were met by an appropriate and capable group of staff. Improvements are required to ensure that two references are obtained for a staff member employed. EVIDENCE: The two residents who were interviewed indicated that staff had treated them with respect and dignity. The duty rota was examined. It indicated that in addition to the manager, there was normally at least two care staff during the day shift and two staff on waking duty during the night shifts. The two staff who were on duty were interviewed on a range of topics associated with their work (such as health and safety, adult protection, fire Park Road 88 DS0000065435.V308928.R01.S.doc Version 5.2 Page 18 procedures and the mental healthcare care of residents). They were noted to be knowledgeable regarding their roles and responsibilities. There was documented evidence that staff had been provided with essential training. This included food hygiene, adult protection, administration of medication and health and safety. Three staff records were examined. Two of these contained the required documentation (including CRB disclosures, contracts, passport photos and references). The records of a staff member contained only one reference. A requirement is made accordingly. The registered person must ensure that the records of the staff member identified to her contain at least two references as required in Schedule 2 of the Care Home Regulations (Regulation 19(4)(b)). The manager reassured the inspector that a second reference would be obtained. Staff interviewed stated that they worked as a team and indicated that they were satisfied with the management of the home. Park Road 88 DS0000065435.V308928.R01.S.doc Version 5.2 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 42, 43 The quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The home was run in the best interest of residents and arrangements were in place to ensure the safety and welfare of residents in the home. EVIDENCE: When interviewed, the manager was found to be knowledgeable regarding her role and responsibilities. There was evidence that staff and residents were consulted regarding the management of the home. The minutes of these meetings were available for inspection. There was evidence that residents preferences regarding holidays, outings and meals provided were responded to. Park Road 88 DS0000065435.V308928.R01.S.doc Version 5.2 Page 20 Weekly fire alarm checks and fire drills had been documented. Staff interviewed were aware of the fire procedures. A current certificate of insurance was displayed. There was evidence of effective quality monitoring. The recent quality audit of the home indicated that the home had provided a high quality of care for residents and was awarded a high score. The financial records of residents were available for inspection. This record contained receipts for items purchased on behalf of the resident. Frequent checks were made to ensure that the finances of residents are accurate. However, the inspector noted that residents were charged for aromatherapy. This was discussed with the manager. The manager provided evidence that she had written to the social worker concerned. However, no reply had yet been received. This requirement is therefore repeated. Park Road 88 DS0000065435.V308928.R01.S.doc Version 5.2 Page 21 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 X 2 3 3 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 2 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 4 12 4 13 3 14 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 3 3 4 3 X x 3 2 Park Road 88 DS0000065435.V308928.R01.S.doc Version 5.2 Page 22 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 YA34 Regulation 19(1)(5) 19(4)(b) Requirement The registered person must ensure that the records of the staff member identified in the body of this report contain at least two references as required in Schedule 2 of the Care Home Regulations (Regulation 19(4)(b). The registered person must clarify with the local authority contracts monitoring officer that aromatherapy mentioned in standard 43 can be charged to residents accounts. This requirement is reworded and restated. The previous timescale which was not met was 1/7/05 and 13/02/06. Timescale for action 13/11/06 2. YA43 12(1) 13/11/06 Park Road 88 DS0000065435.V308928.R01.S.doc Version 5.2 Page 23 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.V308928.R01.S.doc Version 5.2 Page 24 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.V308928.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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