Inspection on 30/01/06 for Rivercourt Project Short Breaks

This inspection was carried out on 30th January 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 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.

Other inspections for this house

Rivercourt Project Short Breaks 29/10/07

Rivercourt Project Short Breaks 13/11/06

Rivercourt Project Short Breaks 15/03/05

Rivercourt Project Short Breaks 11/10/04

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 Rivercourt Project Short Breaks 17 Rivercourt Road Hammersmith London W6 9LD Lead Inspector Tony Lawrence Unannounced Inspection 30th January 2006 10:00 Rivercourt Project Short Breaks DS0000035441.V280059.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 Rivercourt Project Short Breaks DS0000035441.V280059.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. Rivercourt Project Short Breaks DS0000035441.V280059.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Rivercourt Project Short Breaks Address 17 Rivercourt Road Hammersmith London W6 9LD 020 8563 8683 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 Hammersmith and Fulham Ms Angela Joan Mooney Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Rivercourt Project Short Breaks DS0000035441.V280059.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 13th September 2005 Brief Description of the Service: Rivercourt Road is a registered care home providing short breaks for adults with a learning/physical disability and/or challenging behaviours. The home provides short breaks for people living with their families and each person can stay at the home for up to 12 weeks each year. The London Borough of Hammersmith and Fulham Social Services Department manages the service. The home is located in a residential area, close to the shops and transport links of Hammersmith Broadway and Chiswick. The property is fully accessible to people with limited mobility. All five single rooms have an ensuite shower and toilet and a passenger lift provides access to rooms on the mezzanine and first floors. Following requirements made after previous inspection visits, the service closed between September 2005 – January 2006 for a complete refurbishment. Rivercourt Project Short Breaks DS0000035441.V280059.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on Monday 30th January 2006. The Inspector spent time talking with the Manager, staff and service users. He also saw communal parts of the building and checked selected care records. The recent refurbishment of the home means that it now offers a very high standard of accommodation. Both of the requirements made at the last inspection have been met. 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. Rivercourt Project Short Breaks DS0000035441.V280059.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 Rivercourt Project Short Breaks DS0000035441.V280059.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): 2 and 5. The care needs of people using the service are well recorded and are known to staff. EVIDENCE: Key Standard 2 was met at the last inspection in September 2005. During this visit the Inspector checked the care plan files for two people who stayed in the home the night before. Standards of care planning continue to be good. Each file included a care needs assessment and a copy of the local authority’s contract for residential care. The contract makes good use of Plain English and symbols to make the information more accessible to service users. There was evidence that service users read the contract with their key worker and both people sign to say that this has been done. Rivercourt Project Short Breaks DS0000035441.V280059.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): 6 and 9. Standards of care planning and risk management are good. EVIDENCE: Key Standard 7 was met at the last inspection in September 2005. To assess Standards 6 and 9 the Inspector reviewed the care plans and risk assessments for two service users. The Manager explained that care plans are currently hand-written, as the home’s computer is not working. The Manager expects that this will be fixed shortly and staff will be able to complete care plans on the computer. Both care plans included clear goals for the service user, a requirement made following the last inspection. Care plans cover personal care, nutrition and daily routines. Both care plan files also included a general risk assessment that covers all of the possible risks to service users, inside the home and in the wider community. Risk assessments are well completed and up to date. A specific fire safety risk assessment has also been completed for each person who stays at the service. Rivercourt Project Short Breaks DS0000035441.V280059.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): 16 and 17. Service users are supported to make choices about the daily lives. A variety of nutritious food is provided. EVIDENCE: Key Standards 12, 13 and 15 were met at the last inspection in September 2005. The local authority contract that is signed by each person using the respite service details each individual’s rights and responsibilities when they stay in the home. There are clear standards about how staff will treat service users and service users’ responsibilities are explained in an accessible format. There are clear ‘house rules’ about behaviours that are not acceptable and pictures are used to illustrate these for service users. When the Inspector arrived, one service user was finishing a breakfast of porridge and a cup of tea. A second person was offered a choice of cereals and a cold drink. The Inspector felt that staff on duty understood each person’s Rivercourt Project Short Breaks DS0000035441.V280059.R01.S.doc Version 5.1 Page 10 preferences, likes, dislikes and routines. Care plans also include information about each person’s diet. Rivercourt Project Short Breaks DS0000035441.V280059.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): 20. Staff use the home’s policy and procedures to make sure that any prescribed medication is administered safely. EVIDENCE: Key Standards 18 and 19 were met at the last inspection in September 2005. During this visit the Inspector checked the Medication Administration Record (MAR) sheets for three people using the short breaks service. Individual contracts emphasise the need for people to bring a supply of prescribed medication with them each time they use the service. All prescribed medication is securely stored in a lockable metal cupboard in the staff sleep-in room. One member of staff administers medication and a colleague always witnesses this. Both staff sign the MAR sheet. MAR sheets checked during this visit were well completed and up to date. The Inspector saw no errors. Rivercourt Project Short Breaks DS0000035441.V280059.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): 22 and 23. Service users are supported to make choices about their care. People using the service are cared for safely. EVIDENCE: The individual contract for each person using the short breaks service includes staff support to enable people to say what they want and to make choices about the way they receive support and care. The Inspector felt that care plans are very clear about detailing each person’s preferred routines at important times during the day. These include getting up in the morning, receiving support with personal care, mealtimes and evenings at home or taking part in activities in the community. During this visit the Inspector felt that staff were very good at asking people what they wanted and supporting individuals to be as independent as possible. The home has a clear complaints procedure and a record is kept of any complaints that are made by service users, their relatives or other people. The manager confirmed that there have been no formal complaints since the last inspection. Rivercourt Project Short Breaks DS0000035441.V280059.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): 24, 27, 28 and 30. The home provides a very good standard of private and shared accommodation. EVIDENCE: Rivercourt Road is a large 2-storey house in a pleasant residential road in Hammersmith. The home is fully accessible, with a ramped entrance and a lift to the mezzanine and first floors. The building has been converted to provide 5 single en suite bedrooms, a communal bathroom with a new assisted bath, a lounge, staff sleep in room and large kitchen /dining area. There is a paved rear garden, with a brick built summerhouse. The home has recently reopened following redecoration and refurbishment works and now provides a very good standard of accommodation. New beds and furniture have also been provided. Rivercourt Project Short Breaks DS0000035441.V280059.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): 32 AND 35. The home is well staffed to meet the care needs of service users. There is a need to make sure that sufficient numbers of qualified staff are available at all times. EVIDENCE: Key Standards 32 and 34 were met at the last inspection in September 2005. The Manager confirmed that she has a staff team comprising a Deputy Manager and four Residential Social Workers (RSW). Two RSW posts are vacant and are covered by agency staff. During this visit the Manager and 1 RSW were on duty to support two service users. The main issue that needs to be addressed by the home following this inspection is the need to make sure that sufficient numbers of qualified staff are available at all times. The home should make sure that 50 of staff have completed their National Vocational Qualification (NVQ) training. The Manager has recently started her NVQ Level 4 Registered Manager’s Award and the Deputy Manager also has a NVQ Level 4 in care. One member of staff is starting her Learning Disability Award Framework (LDAF) Foundation training and will then start her NVQ qualification. Two NVQ qualified staff have also recently left the home. To make sure that sufficient numbers of qualified staff are provided, the local authority must only use agency staff who have a NVQ qualification, until qualified permanent staff are available. Rivercourt Project Short Breaks DS0000035441.V280059.R01.S.doc Version 5.1 Page 15 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): 39. The home has procedures in place to enable service users to comment on the services they receive. EVIDENCE: Key Standards 37 and 42 were met at the last inspection in September 2005. The Manager confirmed that the local authority’s Learning Disability Services are introducing systems to enable service users, their families and other significant people to comment ion the services that are provided. At Rivercourt Road this will include sending questionnaires to people using the short breaks service and their representatives. This will enable people to comment on the care and support they receive at Rivercourt Road and the Manager hopes that these views will be used to further develop the service. Rivercourt Project Short Breaks DS0000035441.V280059.R01.S.doc Version 5.1 Page 16 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 X 4 X 5 3 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 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X 3 X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 X X X 3 X X X X Rivercourt Project Short Breaks DS0000035441.V280059.R01.S.doc Version 5.1 Page 17 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 YA35 Regulation 18 Timescale for action The local authority must only use 31/03/06 agency staff who have a NVQ qualification, until qualified permanent staff are available. Requirement 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 Rivercourt Project Short Breaks DS0000035441.V280059.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Hammersmith Local Office 11th Floor, West Wing 26-28 Hammersmith Grove London W6 7SE 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 Rivercourt Project Short Breaks DS0000035441.V280059.R01.S.doc Version 5.1 Page 19 - 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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