Inspection on 26/06/08 for Richford Street, 60

This inspection was carried out on 26th June 2008.

CSCI found this care home to be providing an Adequate service.

The inspector found no outstanding requirements from the previous inspection report, but made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Richford Street, 60 23/10/07

Richford Street, 60 30/08/06

Richford Street, 60 01/09/05

Richford Street, 60 05/10/04

Richford Street, 60 01/06/04

Similar services:

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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 28/09/2008.

CARE HOME ADULTS 18-65 Richford Street, 60 Richford Street 60 Richford Street Hammersmith London W6 7HP Lead Inspector Jacqueline Derbyshire Key Unannounced Inspection 26th June 2008 09:00 Richford Street, 60 DS0000019139.V364452.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 Richford Street, 60 DS0000019139.V364452.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. Richford Street, 60 DS0000019139.V364452.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Richford Street, 60 Address Richford Street 60 Richford Street Hammersmith London W6 7HP 020 8749 9295 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) lawrence.dawson@yarrowhousing.org.uk Yarrow Housing Limited Mr Lawrence Matthew Dawson Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Richford Street, 60 DS0000019139.V364452.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home only - Code PC to service users of the following gender Either whose primary care needs on admission to the home are within the following categories: 2. Learning disability - Code LD The maximum number of service users who can be accommodated is: 3 23rd October 2007 Date of last inspection Brief Description of the Service: 60 Richford Street is a registered care home providing accommodation and support for two women and one male. Shepherds Bush Housing Association owns the property and the care is provided by Yarrow Housing Limited, a voluntary organisation. The home is located in a residential area, close to the shops and transport links of Shepherds Bush and Hammersmith Broadway. The accommodation is arranged over three floors, the home has a back garden that is used by the residents. The home does not have a lift; access for people with a physical disability would be difficult. The weekly fee for Richford Street is £859.00 Richford Street, 60 DS0000019139.V364452.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. Throughout this report the word ‘we’ will be used as meaning the CSCI. This unannounced inspection took place on Thursday 26th June 2008; we spent 4.30 hours visiting the home. The Inspector spent time talking to the three people living at Richford Street and two members of staff, the Registered manager was not available on the day of this inspection. We checked the care records of one of the residents; all medication and finance records were looked at and were well recorded. All of the bedrooms were looked at and all communal parts of the home. The home is in need of a cyclical programme for the redecoration of the whole house internally and externally. The home was seen to be clean and tidy on the day of this inspection. We received three residents’ surveys; comments from the surveys will be included throughout this report. Six of the seven requirements that were set 23/10/07 have been met; five new requirements have been made from this visit. We will make reference to the Annual Quality Assurance Assessment (AQQA) throughout this report. What the service does well: We spent time talking to the three residents, all stated that they are happy living at Richford Street. We looked at the Person Centred Plan (PCP) for a resident, the plan was linked into the review from the local authority and showed how the resident was being supported to be independent whilst living at Richford Street and what their aims and aspirations are. We looked at activity plans for the three residents, the residents are all encouraged and assisted to participate in activities in the community that they enjoy doing. Richford Street, 60 DS0000019139.V364452.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Richford Street is in need of a full redecoration. We had a full tour of the house and all areas were seen to be looking unkempt. One resident stated that they wanted their house to be painted, as there are marks on the walls. All communal areas including the bathroom and kitchen are to be included in the plan. Richford Street, 60 DS0000019139.V364452.R01.S.doc Version 5.2 Page 7 The outside of the home is looking untidy and needs to be painted in keeping with the other houses in the street. One resident’s bedroom that was looked at needs to have new curtains that fit the window as they cannot close properly and are to small. The Manager must put an up to date copy of the homes complaint procedure on the homes notice board for residents and visitors to use to make a complaint or make any suggestions. 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. The summary of this inspection report can be made available in other formats on request. Richford Street, 60 DS0000019139.V364452.R01.S.doc Version 5.2 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 Richford Street, 60 DS0000019139.V364452.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1 and 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a statement of purpose that is specific to the individual home and the resident group they care for. It sets out the objective and philosophy of the service that is supported by a service user’s guide. EVIDENCE: We looked at the Statement of Purpose and the Service User Guide both documents are very condensed with basic information about Richford Street. We discussed the documents that had been up dated and suggested the organisation make sure all documents are standardised with other Yarrow homes. We looked at the records in one resident’s file the information in place showed that introductory visits had taken place with notes to show how the staff other residents interacted. The care plan and referral records were informative showing the residents needs, looking at their aims and aspirations and showing and how the staff at Richford Street were going to support the individual in meeting them. We looked at the three Residents Agreements; the documents have been up dated to reflect the changes in the home. The Residents Agreements were signed and did have a date on them. Richford Street, 60 DS0000019139.V364452.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service involves individuals in the planning of care which affects their lifestyle and quality of life. Staff understand the importance of residents being supported to take control of their own lives. Individuals are encouraged to make their own decisions and choices. EVIDENCE: Comments made by people who use the service and their relatives. ‘I do things myself independently’ ‘The care home is like a family home, my sister is very happy living there’. We looked at one resident file that had a comprehensive care plan that was fully completed had a lot of information linking into the daily routine of the individual. Richford Street, 60 DS0000019139.V364452.R01.S.doc Version 5.2 Page 11 There was a four plus one (4 1) Person Centred Plan (PCP) in the persons file that was very informative showing the individuals likes, dislikes their family and what activities they enjoyed doing. The Person Centred Planning (PCP) are in pictorial formats and are used as an ongoing record. In discussion with the three residents we were told they liked the home and the staff were really nice. Two of the residents made themselves a drink and cereal for their breakfast in the kitchen; we were told that this is part of their daily routine before going out. One resident who is being supported to be more independent attended to their own personal care liaised with the staff on duty then left the house to attend an art class in the community. We looked at all of the risk assessment records for each resident that all linked into the care plans for any risk areas and how the staff were eliminating or minimising the risk. The manager has implemented an induction information file for staff that includes all of the relevant care and welfare for all three residents. Richford Street, 60 DS0000019139.V364452.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are involved in meaningful daytime activities of their own choice and according to their individual interests, diverse needs and capabilities. They have been involved in the planning of their lifestyle and quality of life. EVIDENCE: Comments made by people who use the service. ‘I am happy living here, I do things I like to do’. We looked at one resident file and care need assessment. The file contained a lot of information regarding information about the resident’s likes, dislikes, hobbies and leisure interests. We looked at daily records for the people staying at the home and there was information written daily about what activities an individual had done including shopping, eating out, and going for walks and attending any community centres. Richford Street, 60 DS0000019139.V364452.R01.S.doc Version 5.2 Page 13 We looked at the activity plans for all three residents; one is very comprehensive with a lot of activities chosen to do in the local centre. Two of the residents do not like to go to centres as much and their plans show that they like to go to cafes, shopping, the pictures and other visit community facilities. We were told by a staff member that there is now sufficient staff to make sure all of the residents are taken out to activities of their choice. One resident works at the Gate and we were told that they enjoy their job. All three of the residents went out into the community, two went for a walk to a local cafe and one went to attend an art class. Daily care notes completed by staff show that residents are supported to take part in activities in the home and the wider community. One resident does attend church every Sunday. Details of resident’s family, friends and other important people are recorded as part of the residents (PCP). Contact details of all significant people are clearly recorded and daily care notes show that relatives visit residents and residents do visit their families. We were told that the home does a big weekly shopping for food but shop regularly for the food requested by the residents as they have different cultural and religious dietary needs, one of the residents also requires a special diet. A member of staff went to do the shopping on the day of this inspection; residents were asked if they wanted to go to the shops, all declined having already decided where they were going. In discussion with the three residents we were told that they liked the food provided. Records of what residents had eaten were looked at and discussed with the staff. The Annual Quality Assurance Assessment (AQQA) form completed does go into detail about the different diverse needs of the residents and how they try to provide a varied menu. There is a pictorial menu that is renewed daily to show residents what meals are planned for that day as agreed at the weekly house meeting. Richford Street, 60 DS0000019139.V364452.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18,19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People receive personal and healthcare support using person centred approach with support provided based upon the rights of dignity, equality, fairness, autonomy and respect. Personal healthcare needs including specialist health, nursing and dietary requirements are clearly recorded in each person centred plan. EVIDENCE: We looked at one of the residents files that had information in place including the referral to the service that is part of a multi-agency referral process and the file contained background information and reports from health and social care professionals. We saw reports from social workers, psychologists and speech and language therapists. The reports each contained useful information and guidance for staff. In discussion with the staff on duty at this site visit it was clear that different levels of support are required from monitoring to assistance of care support. All of the people living at Richford Street are registered with their own GP. We looked at the medication records kept at the home that were well recorded and accurate. We looked at the staff training records that show all staff have had medication training and are fully aware of the medication policy and procedure. Richford Street, 60 DS0000019139.V364452.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service has a complaints procedure that is clearly written and easy to understand. It is available in different formats to help anyone staying at or involved with the service to complain or make suggestions for improvement. EVIDENCE: We looked at the complaints file that had no complaints recorded in the last 12 months. We were told by the staff on duty that they have attended complaints training. The manager must make sure that the complaints procedure is placed on the notice board for residents and visitors to make a complaint or make a suggestion. The complaints procedure is available in different formats including pictorial. There have been no safeguarding incidents at the home in the last 12 months. The Inspector looked at the finances of the three people living at the home, the records were correct with receipts in place for any financial transactions made with the resident or on their behalf. The AQQA and training records show that all staff has attended POVA training. We looked at Person In Control (PIC) records that show visits are now taking place on a monthly basis with recommendations recorded for the Registered manager or the organisation to meet. Richford Street, 60 DS0000019139.V364452.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24, 25, 27, 28 and 30. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The environment does not reflect the standard that is written in the statement of purpose. EVIDENCE: We had a full tour of the home and all areas were seen. There is a need for Richford Street to have a full cyclical programme in place as all areas are in great need of redecoration. The interior areas and exterior areas of the house look shabby with paint peeling and walls badly stained. The kitchen area and bathroom that are communal areas and are used by all residents also need to be included in the programme. We went into all three residents bedrooms that are adequately furnished, there is a need for one of the residents to have new curtains as the ones in the bedroom are to small, do not close and this could impinge on their privacy. The home was clean and tidy on the day of this inspection. Richford Street, 60 DS0000019139.V364452.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32, 34 and 35. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are enough qualified, competent and experienced staff to meet the health and welfare of people using the service. Staffing rotas take into account the needs and routines of the people using the service. EVIDENCE: On the day of the Inspection there were 2 staff on duty. We looked at rotas and sufficient staff was scheduled to be on duty on all shifts. On certain days when staff was seen to be absent because of sickness the staffing was minimum. The organisation has been successful in the last recruitment drive and there are no longer any vacancies. The manager sent the Inspector information showing that all staff including agency staff has a full Criminal Records Bureau (CRB) Disclosure. We looked at the training programme that all staff has completed. There is an issue that not all staff are up to date in mandatory training including food hygiene and first aid training. The manager sent the CSCI the schedule for staff to attend the relevant training. Richford Street, 60 DS0000019139.V364452.R01.S.doc Version 5.2 Page 18 All recruitment is completed by the Human Resources team at Yarrow head office. There is an induction/information pack in place for any bank staff that was very informative. The registered manager has completed NVQ level 4, the manager keeps a training and development schedule for himself and the Annual Quality Assurance Assessment (AQQA) states that the manager undertakes regular training courses to update his knowledge. There is currently one staff member who has an NVQ with two working towards a level 2 or 3. We were told that the two remaining staff would be registered to start an NVQ this year. Richford Street, 60 DS0000019139.V364452.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager has a clear understanding of the key principles and focus of the service, based on organisational values and priorities. EVIDENCE: The Registered manager has worked with Yarrow for many years and is very experienced having recently completed the NVQ Registered Managers Award. The Registered manager writes in the (AQQA) that Richford Street is a safe home for residents to live. We were told that there would be a party to celebrate the home being open for twenty years at the end of July 2008. Richford Street, 60 DS0000019139.V364452.R01.S.doc Version 5.2 Page 20 There is an effective quality assurance monitoring system in place that was looked at by the Inspector, we looked at questionnaires that stated the residents views on the services they receive in the home. Yarrow produces an annual document that is available to prospective clients and any stakeholder’s whishing to see how the organisation works to develop a provision of care that is aiming to improve. Comments were seen from family members on the questionnaires that were very positive. We were given the dates for all Health and safety checks in the (AQQA) that show they are all up to date. The fire alarm, water temperatures and fridge freezer temperatures were looked at and were well recorded with no issues. There was an issue about food storage, we looked at all storage areas and all opened food had a date recorded on the packaging. As written in this report all staff must be bought up to date in first aid and food hygiene training. Richford Street, 60 DS0000019139.V364452.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 3 2 3 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 3 ENVIRONMENT Standard No Score 24 1 25 2 26 X 27 1 28 1 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 X Richford Street, 60 DS0000019139.V364452.R01.S.doc Version 5.2 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. 1. Standard YA24 Regulation 23 Requirement The organisation must decorate all areas of the home to provide all residents with comfortable accommodation as written in the Statement of Purpose. The organisation must paint the exterior of the house in keeping with the other properties in the street. The organisation must provide curtains that fit in one of the resident’s bedrooms to protect their privacy. The organisation must decorate the homes bathroom to an acceptable standard for all residents. The manager must make sure all staff is up to date with all mandatory training including food hygiene and first aid training. Timescale for action 30/09/08 2 YA24 23 30/09/08 3 YA26 16 26/07/08 4 YA27 23 30/09/08 5 YA35 YA42 13 31/10/08 Richford Street, 60 DS0000019139.V364452.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. 1. Refer to Standard YA9 Good Practice Recommendations The manager must put a copy of the updated risk assessments in the residents care file to make sure all staff are up to date with the actions required to minimise any risks. The manager pits a copy of the organisations complaint procedure on the notice board in the dining room for resident or any visitors to make a complaint or make a suggestion. 2 YA22 Richford Street, 60 DS0000019139.V364452.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection London Regional Office 4th Floor Caledonia House 223 Pentonville Road London N1 9NG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Richford Street, 60 DS0000019139.V364452.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. Re-publishing this information is in breach of the terms of use of that website. 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