Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 27/02/06 for Prince of Wales Respite - Emergency Unit

Also see our care home review for Prince of Wales Respite - Emergency Unit for more information

This inspection was carried out on 27th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Overall this is a well-managed and efficient service. The staff team are committed to providing an effective service and this is borne out by the complimentary remarks received from the service users. The staff have a good understanding of the service user`s needs and those of their carers; and are able to develop positive relationships with all those that use the service. The ethos of the unit is to provide choice, dignity and independence. There are good support networks in place for carers and service users.

What has improved since the last inspection?

The service will be moving towards person centred planning and this will ensure that service users preferred lifestyles would be an individual. Such detailed information will be available for all staff. At the time of the inspection the majority of records were being updated, including risk assessments.

What the care home could do better:

There should be a review of the quality of care provided by the respite service. An annual service user survey should be conducted and produced in the format of a report, and a copy made available to the service users.

CARE HOME ADULTS 18-65 Prince of Wales Respite/Emergency Unit 174 Prince of Wales Road Kentish Town London NW5 3QB Lead Inspector Ms Pippa Treadwell-Smith Unannounced Inspection 27 February 2006 13:00 th Prince of Wales Respite/Emergency Unit DS0000037258.V250399.R01.S.doc Version 5.1 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 Prince of Wales Respite/Emergency Unit DS0000037258.V250399.R01.S.doc Version 5.1 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. Prince of Wales Respite/Emergency Unit DS0000037258.V250399.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Prince of Wales Respite/Emergency Unit Address 174 Prince of Wales Road Kentish Town London NW5 3QB 020 7485 5606 020 7284 2410 andy.lorentson@camden.gov.uk 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) London Borough of Camden Ms Anderson Lorentson Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Prince of Wales Respite/Emergency Unit DS0000037258.V250399.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th August 2005 Brief Description of the Service: Prince of Wales is a care home providing a short stay service (respite) for people over the age of 18 years with a learning disability. Although the primary need of the service users is a learning disability some service users may have a physical and/or sensory impairment. Generally all service users who use the service are living at home with a parent or carer. In addition to the planned respite care service, the unit has two places designated for emergency admissions. The unit also provides transitional stays for service users who are moving from one service to another and require a period of assessment prior to a suitable placement being identified. The service is operated and managed by the London Borough of Camden. The homes ethos is to enable and support people with a learning disability to independence, to access community services and to socialise with their peer groups. Access to the property is both private and secure. Parking is limited, however the home is close to all public transport, shopping areas and leisure facilities. The nearest underground station is Chalk Farm. The home has been purpose built and can accommodate six people at any one time all in single bedrooms. There is shaft lift and further aids and adaptations have been installed in toilets, bathrooms and bedrooms to assist service users with physical disabilities. Prince of Wales Respite/Emergency Unit DS0000037258.V250399.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second unannounced inspection, of the inspection year 2005/2006. The inspection took place over one afternoon and lasted about four hours. The registered manger, staff and some of the service users assisted with the inspection process. A variety of records were looked at, including care plans and training profiles. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Prince of Wales Respite/Emergency Unit DS0000037258.V250399.R01.S.doc Version 5.1 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Prince of Wales Respite/Emergency Unit DS0000037258.V250399.R01.S.doc Version 5.1 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: Prince of Wales Respite/Emergency Unit DS0000037258.V250399.R01.S.doc Version 5.1 Page 8 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): Standard 7 Service users are consulted about the care they receive. EVIDENCE: This is a respite care unit therefore support staff must be flexible as they care for a range of care needs. Staff emphasise what service users can do for themselves and this is reflected in the care records. Staff were observed supporting service users to make decisions. It is evident that the needs of the service users are paramount. Staff have the opportunity to attend a half-day workshop with other staff across the organisation linked to developing a person centred planning approach to care and care plans. Prince of Wales Respite/Emergency Unit DS0000037258.V250399.R01.S.doc Version 5.1 Page 9 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): Standards 13, 15 & 16 Service users are treated as individuals and motivated to be as independent as possible. Staff are keen to develop opportunities for service users to engage in appropriate leisure activities whilst on respite care. EVIDENCE: The unit has a stable staff team that where possible reflects the gender balance, and diversity of the service user group. Where possible service users are able to pursue activities in the community whilst on respite care. Staff are trying to set up weekends when service users of similar age and needs share the respite facility. This means that they can enjoy similar activities and interests. This is not always possible if the demands of the service are greater e.g. emergency admissions and general needs of the main carers. One area that may be difficult to arrange is extra staffing when service users are admitted with complex behaviour needs. The staff at the unit are always keen to foster a good rapport and relationships with carers so as to avoid a break down in service. The service runs a carer’s Prince of Wales Respite/Emergency Unit DS0000037258.V250399.R01.S.doc Version 5.1 Page 10 forum with meetings every three months. An agenda and minutes are circulated. The unit does not have a specific policy relating to sexuality but staff will engage in frank discussions with service users regarding the safety of both people involved in the relationship. Any areas of concern are fed back to care management. The manager confirms that staff try to stay neutral, as they have to respect the wishes of parents and main carers. Where service users are assessed as being competent then they can be offered keys to the front door and their bedroom. Service users were being observed being offered choices and being able to follow their preferred lifestyle. Service users said that staff they were happy to visit the respite unit and that the staff were very good. Prince of Wales Respite/Emergency Unit DS0000037258.V250399.R01.S.doc Version 5.1 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 19 Arrangements are in place to ensure that the health needs of service users are well met. EVIDENCE: Service users retain their own GP when on respite care. The statement of purpose and the service contract is clear that the policy is that if service users are unwell prior to a respite stay then this must be cancelled. On occasions service users may become unwell whilst in the unit. One service user commented that the staff had been kind and supportive when they had come into them during the night. It is the parents or main carers responsibility to ensure that the service users have access to health care professionals; although staff will follow any instructions. Staff in the home will support service users to gain access to the correct equipment in order to make their stay more comfortable. Prince of Wales Respite/Emergency Unit DS0000037258.V250399.R01.S.doc Version 5.1 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 22 Service users and their relative can feel confident that they can express their views and these will be taken seriously. EVIDENCE: The complaints procedure is available for parents in the statement of purpose. Staff recognise that service users have the right to complain and the right to feel safe whilst staying in the unit. The service manager monitors the number of complaints, which have been received during the person-in-charge visits. There are feedback forms for service users following their stay but the manager confirmed that these need updating. Carers are able to feed back during the forum, which is held but are also encouraged to feed back at any time. Prince of Wales Respite/Emergency Unit DS0000037258.V250399.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: Prince of Wales Respite/Emergency Unit DS0000037258.V250399.R01.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 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): Standards 32, 34 & 35 Staff have the knowledge, skills and appropriate attitudes to meet the needs of the service users and the aims and objectives of the unit. EVIDENCE: There is a multi skilled team that has a full time manager and deputy. One 35-hour post is vacant and there is a further 28 hours flexi time. Where possible staff are deployed to reflect the gender balance of the service users. There is only one male member of staff at present but the manager confirms that this is adequate. Staff did comment that the staffing levels can sometimes impact on the social care needs of the service users although service user said that the best thing about being in the unit is that he goes to the pub a lot. There is a robust equal opportunities recruitment and selection process. Copies of CRB checks are available on site. For agency staff, there is a form to send out to the agency to verify the fitness of workers. Training records are available but the manager confirms that they require updating. The manager is in the process of doing the RMA and the deputy will be enrolled as well. There is a programme in place for 50 of support staff to achieve NVQ training. Staff have access to training opportunities that reflect the needs of the service user group. Prince of Wales Respite/Emergency Unit DS0000037258.V250399.R01.S.doc Version 5.1 Page 15 Prince of Wales Respite/Emergency Unit DS0000037258.V250399.R01.S.doc Version 5.1 Page 16 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): Standard 39 Although service users views are sought there is no formal annual mechanism whereby the quality of the care is reviewed. EVIDENCE: Carers are invited to attend a forum in which that can voice their views. Service users are encouraged to have their say whilst staying at the unit and to comment on their stay. The monthly reports show that service users opinions are sought about the service. The monthly reports were not available in the home for May, November and December 2005. There will need to be more detail regarding the comments on the care of the service users and why the author of the report has no concerns over the care of the service users. The unit will need a format for an annual service user survey. This will enable them to measure their success in achieving the aims and objectives of the service. Prince of Wales Respite/Emergency Unit DS0000037258.V250399.R01.S.doc Version 5.1 Page 17 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 X 3 X 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 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 X X X LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 3 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 X X X X 2 X X X X Prince of Wales Respite/Emergency Unit DS0000037258.V250399.R01.S.doc Version 5.1 Page 18 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA39 Regulation 24(1-3) Requirement The Registered person must ensure there is a review of the quality of care provided at the care home. An annual service user survey should be conducted and produced in the format of a report and a copy made available to service users and their relatives. Timescale for action 01/06/06 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 Prince of Wales Respite/Emergency Unit DS0000037258.V250399.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Camden Local Office Centro 4 20-23 Mandela Street London NW1 0DU 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 Prince of Wales Respite/Emergency Unit DS0000037258.V250399.R01.S.doc Version 5.1 Page 20 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!