Inspection on 01/03/06 for Raleigh House

This inspection was carried out on 1st March 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

Raleigh House 12/01/09

Raleigh House 17/01/07

Raleigh House 23/08/05

Raleigh House 01/03/05

Raleigh House 12/11/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

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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 Raleigh House 9 Raleigh Avenue Wallington Surrey SM6 8HE Lead Inspector Diane Thackrah Unannounced Inspection 28th February & 1st March 2006 09:00 Raleigh House DS0000007183.V285266.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 Raleigh House DS0000007183.V285266.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. Raleigh House DS0000007183.V285266.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Raleigh House Address 9 Raleigh Avenue Wallington Surrey SM6 8HE 020 8669 3691 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) d_jesudasan@hotmail.com Mrs Rose Padmani Jesudasan Mr Davanthiran Jesudasan Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Raleigh House DS0000007183.V285266.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd August 2005 Brief Description of the Service: Raleigh Avenue is a four bed roomed, semi detached house situated in a quite street in a suburb of Wallington. The home is approximately one mile away from shops and bus routes to Croydon and Sutton. The Registered Provider is Mrs Jesudasan and the Registered Manager is her husband, Mr Jesudasan. The home is registered to provide accommodation and care to three adults who have a learning disability. The home has an extension on the ground floor, which includes a bedroom with en-suite shower facilities. There is a garden to the rear of the building. Raleigh House DS0000007183.V285266.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection commenced on 28th February 2006. As the Registered Provider and service users were not available at the first visit, a second visit to the home occurred on 1st March 2006 between 09.00 and 10.45. The standards of care were assessed through observation, examination of care records and discussion with the Registered Provider and Registered Manager. Both service users were present throughout the inspection. What the service does well: What has improved since the last inspection? There have been a number of improvements in the home since the last inspection. There have been environmental improvements including the refitting of the central heating system, the fitting of a grab rail near the front door, and an improved driveway, which now allows service users easier access to the day centre mini bus. Of the four Requirements set at the last inspection of the home, all have been met within agreed timescales. Criminal Records Bureau and Protection of Vulnerable Adults checks are now in place for each staff member who works in the home. There has been an ongoing training programme and all staff members have now been training in the Protection of Vulnerable Adults, the Safe Handling of Medication, Emergency First Aid and Food Hygiene. Additionally, The Registered Manager has recently qualified as an NVQ Assessor. Raleigh House DS0000007183.V285266.R01.S.doc Version 5.1 Page 6 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. Raleigh House DS0000007183.V285266.R01.S.doc Version 5.1 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 Raleigh House DS0000007183.V285266.R01.S.doc Version 5.1 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): 1, 2 and 3. There have been improvements to the Service User Guide. Information about the home is now more accessible to service users allowing them to make a more informed decision about were to live. There are good arrangements for ensuring that service users have their assessed needs met. EVIDENCE: At the last inspection of the home it was noted that there was a Service User Guide that provided all information required by Regulation. This information is now available on both audiotape and in written format. There have been no new admissions since the last inspection of the home, and current service users have lived in the home for over seventeen years. Needs assessment information was therefore not examined during this inspection. The Registered Provider is well aware of the need to obtain a full assessment of need, which has been carried out with the involvement of the service user, for any new service user admitted to the home. Both service users appeared happy, and content with life in the home. Relaxed and respectful interactions were observed between service users and the Registered Provider and Registered Manager. Service users attend a daycentre throughout the week and engage in activities such as shopping or leisure outings at weekends. One service user said that they went to church each weekend. Raleigh House DS0000007183.V285266.R01.S.doc Version 5.1 Page 9 Raleigh House DS0000007183.V285266.R01.S.doc Version 5.1 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): None of these Standards were assessed during this inspection. All key Standards were assessed as being met at the last inspection of the home. EVIDENCE: Raleigh House DS0000007183.V285266.R01.S.doc Version 5.1 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): 14 and 17. Service users engage in appropriate leisure activities, self-development is therefore promoted. Service users are provided with varied and nutritious meals, this promotes their health and wellbeing. EVIDENCE: Both service users attend a local day centre on a fulltime basis. At the daycentre they are able to access a range of classes and activities designed to promote educational development and self-fulfilment. One service user said that they went to church on a regular basis. Service users are also encouraged to assist in the weekly shopping and go on outings at the weekend. Service users enjoy a varied and nutritious diet, as detailed on the home’s menu. Service users eat at the day centre on weekdays. The Registered Provider said that the home’s menu is designed to complement the day centre menu. A copy of the day centre’s weekly menu was available in the home; this is to ensure that service users are provided with a different meal each day. Raleigh House DS0000007183.V285266.R01.S.doc Version 5.1 Page 12 There is a pleasant dining area were service users can eat their meals and all staff members have a food hygiene certificate. Raleigh House DS0000007183.V285266.R01.S.doc Version 5.1 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): 19, 20 and 21. Suitable arrangements are in place for ensuring that the health needs of service users are met. Medication is handled safely ensuring that the wellbeing of service users in promoted and protected. Suitable arrangements are in place for the event of a service users death, ensuring that death will be handled sensitively and with respect. EVIDENCE: Information relating to the health care needs of service users is recorded in care records. Records indicate that the home has been proactive in ensuring that service users have access to relevant health care professionals. Care records for one service user detailed that the eye specialist and chiropodist had recently seen them. The Registered Provider and Registered Manager were knowledgeable about each service user’s health needs and reported that they had been in consultation with a Psychologist and General Practitioner regarding concerns about one service user. Both service users had General Practitioner appointments on the day of this inspection. Raleigh House DS0000007183.V285266.R01.S.doc Version 5.1 Page 14 Medication is stored in a locked cabinet. Medication Administration Records were up to date and in good order. There has been consultation with the pharmacist about the safe handling of medication. All staff members have undergone a thorough training programme in handling medication. This has been overseen by the pharmacist and certificates were available confirming this training. There was a letter from a local General Practitioner confirming that both the Registered Provider and Registered Manager are trained in, and competent at administering rectal enemas. There were records detailing that arrangements for the deaths of service users have been handled sensitively. This has involved consultation with social care professionals. Since the last inspection of the home there has been consultation with ‘Age Concern’ and written arrangements for dealing with the deaths of service users are now in place. Raleigh House DS0000007183.V285266.R01.S.doc Version 5.1 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 and 23. There is a system in place for the effective handling of complaints and service users and their relatives are encouraged to raise any concerns they have. Service users therefore know that their concerns will be acted upon. There have been improvements in the arrangements for responding to allegations of adult abuse, which serve to promote the protection and well being of service users. EVIDENCE: There are policies and procedures in place for dealing with complaints. Information is made available in the Service User Guide about how a compliant, concern or suggestion should be made, and how this will be handled. This information is available in symbol format. This information also includes details about how a complaint may be made to the Commission for Social Care Inspection. No complaints have been made since the last inspection of the home. The home has a copy of the London Borough of Sutton Adult Protection Policy in place. Both the Registered Provider and the Registered Manager have attended the Local Authorities vulnerable adults protection training. Since the last inspection of the home, all other staff members have attended this training. Raleigh House DS0000007183.V285266.R01.S.doc Version 5.1 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 and 30. Service users live in a homely, comfortable, clean and safe environment, this promotes their health, safety and wellbeing. EVIDENCE: The home is situated on a residential street and cannot be distinguished from other properties. The house is domestic in nature. There are four bedrooms, two of which are registered with the Commission for Social Care Inspection, a lounge, dining room, kitchen and utility room. Current service users share a bedroom on the ground floor that has en suite facilities. There is a bathroom, and staff sleep-in room/office on the first floor. There is also a large and wellmaintained garden to the rear of the property. Since the last inspection of the home there have been a number of environmental improvements. There has been a new central heating system installed. An additional grab rail has been fitted by the front door and work has been carried out on the front driveway, which allows the daycentre minibus closer access to the front door, therefore making access to the bus less problematic for service users. All areas of the home viewed were clean and hygienic. There are suitable facilities for doing laundry and for storing cleaning materials. Staff members read the home’s policy on infection control as part of the induction programme. Raleigh House DS0000007183.V285266.R01.S.doc Version 5.1 Page 17 Raleigh House DS0000007183.V285266.R01.S.doc Version 5.1 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): 34, 35 and 36. The home’s recruitment procedures protect service users through vigorous vetting procedures. The staff training, development and supervision programme has improved and provides staff members with the skills necessary for meeting the needs of service users. EVIDENCE: There are currently three Support Workers, two Volunteers, and the Registered Manager and Registered Provider who work in the home. Staff files were examined for all who work in the home. Each file contained all information and documentation required by Regulation for the protection of vulnerable adults including: Two written references, a Criminal Records Bureau and Protection of Vulnerable Adults check, a photograph and identification documentation and job application form including work history. There have been improvements in staff training since the last inspection. Records available detailed that staff members have attended training in the protection of vulnerable adults, the safe handling of medication, food hygiene and emergency first aid. Each staff member has also undergone a thorough induction programme. One staff member is currently undertaking NVQ Level 2 in Care, a second staff member is undertaking NVQ Level 3 in Care. The Raleigh House DS0000007183.V285266.R01.S.doc Version 5.1 Page 19 Registered Provider is currently undergoing training at NVQ Level 4 in Management. The Registered Provider has recently become an NVQ Assessor. There were records detailing that each staff members receives formal supervision on a regular basis. Raleigh House DS0000007183.V285266.R01.S.doc Version 5.1 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): There are good systems in place for self-monitoring; this ensures that the home is run in the best interests of the service users. EVIDENCE: A number of measures are in place for the monitoring of quality in the home. All policies and procedures have recently been reviewed and updated, as have care plans and risk assessments. Service users and staff members attend monthly meetings in the home, records of which were available. This is a small home, were each service user is consulted with on a daily basis, informal feedback about the home is gathered this way. The home has also developed questionnaires for both staff members and service users. Raleigh House DS0000007183.V285266.R01.S.doc Version 5.1 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 3 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 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 3 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 3 3 X X 3 X X X X Raleigh House DS0000007183.V285266.R01.S.doc Version 5.1 Page 22 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. Refer to Standard Good Practice Recommendations Raleigh House DS0000007183.V285266.R01.S.doc Version 5.1 Page 23 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. 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