Inspection on 06/09/05 for Roanu House

This inspection was carried out on 6th September 2005.

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 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Roanu House 21/08/07

Roanu House 22/05/06

Roanu House 01/12/05

Similar services:

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Chatsworth Care - Dawson House

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Chatsworth Care - Tudor Lodge

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Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Roanu House Roanu House 2 Grosvenor Avenue Carshalton Beeches Surrey SM5 3EW Lead Inspector Deborah Yapicioz Unannounced Inspection 6th September 2005 09:00 Roanu House DS0000063202.V251220.R01.S.doc Version 5.0 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 Roanu House DS0000063202.V251220.R01.S.doc Version 5.0 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. Roanu House DS0000063202.V251220.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Roanu House Address Roanu House 2 Grosvenor Avenue Carshalton Beeches Surrey SM5 3EW 020 8647 6366 020 8669 1766 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) Rashot Ltd Mrs Beatrice Falana Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Roanu House DS0000063202.V251220.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. Of the six service users, all six may have dual diagnosis of mental illness and learning disability. Of the six service users, two may also have a physical disability but must not be wheel-chair bound. Of the six service users, two may also have a sensory impairment. Only one service user at any one time may have a high level of care needs. The two bedrooms that are less than twelve square meters and do not have en-suite facilities may only be used for placements of up to six month`s duration. Within one year of this registration, the undersized, en-suite rooms must cease to be used. First inspection 6. Date of last inspection Brief Description of the Service: Roanu House provides a sercice to adults with a learning disability who may also have a duel diagnosis (of mental illness and learning disability). The home is currently registered with the Commission for Social Care and Inspection (CSCI) to provide personal care and accommodation for up to six adults between the age of 18-65. Situated in a suburban area of Carshalton Beeches, the home is within easy walking distance of a variety of local amenities, including shops, cafes, pubs and public transport links. Wallington and Carshalton Beeches train stations with their links to central London and the surrounding areas are both within walking distance of the home. The house comprises of six single occupancy bedrooms, a dinning/living space, a kitchen, laundry room, and a small office. There is a pleasant garden at the rear of the property which has a patio area. The home owner has plans to extend the house in order to complay with the conditions of registration. Roanu House DS0000063202.V251220.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place in the morning when most of the service users were at home. The home was inspected under the National Minimum Standards Care Homes for Younger Adults. Methods of inspection included a tour of the premises observation of contact between staff and service users, talking to staff and service users and discussion with the home owner. Records examined included service user plans; care manager needs assessments and risk assessments, medication records, complaints, staff files, health and safety and fire records. There were six requirements and two recommendations as a result of this inspection. What the service does well: What has improved since the last inspection? What they could do better: The home does not currently have a registered manager. The homeowner is in the process of recruiting someone suitable for the post. The homeowner must consult the service users on their wishes concerning death and dying so that the suitable arrangements can be made which comply with the service users religious beliefs and their cultural heritage. A record of their particular wishes should be kept on their file. Although the menu’s are based on service users likes and dislikes there was no evidence to show that the dietary needs of the service users are taken into account when planning the service users menus, this needs to be addressed The homeowner stated that fire drills take place regularly although nothing is recorded so it was not possible to verify this. The homeowner must ensure that all fire drills are recorded in future. Roanu House DS0000063202.V251220.R01.S.doc Version 5.0 Page 6 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. Roanu House DS0000063202.V251220.R01.S.doc Version 5.0 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 Roanu House DS0000063202.V251220.R01.S.doc Version 5.0 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): 1,2,5 The home provides information and introduction opportunities for prospective service users and their families to make an informed choice about moving to the home. A pre-admission assessment is undertaken so that service users and their families can be confident that their needs will be met by the home. Each of the service users is issued with an individual contract setting out the terms and conditions of the placement, which safeguards the interests of both parties. EVIDENCE: The home only accepts a referral from care mangers that have completed a full assessment of the service user, to ensure their needs can be met by the home. The home also has an assessment format in place, which is completed for any prospective service user. Any prospective service user would have a gradual introduction to the home with a series of short visits and overnight stays. The time frame would be flexible depending on the service user. Compatibility with others already living in the home is also taken into account. The home has compiled a statement of purpose and service user guide, which should also be in a format that is suitable for the service users living at the home. Each of the service users has a personal contract, specifying the terms and conditions of their occupancy that included periods of notice, fees charged, and the cost of ‘extras’ not covered by the basic cost of the placement. Roanu House DS0000063202.V251220.R01.S.doc Version 5.0 Page 9 Roanu House DS0000063202.V251220.R01.S.doc Version 5.0 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): 6,9,10 The service users have individual care plans with contain information on their needs and personal goals. The home operates a risk management strategy thus enabling the service users to participate in activities in the home and in the community with appropriate support. EVIDENCE: The service users at the home each have an individual plan, which are based on Person Centred Plan principles. The Plans follow on from the initial needs assessments completed by their care manager. Care plans also include medical information. The service users currently have three monthly reviews, which are attended by family members (if appropriate), the care manager as well as staff at the home and any other involved person. The home operates a risk management strategy Service users at the home have individual risk assessments depending on their needs and goals. Copies of individual risk assessments are kept on the service users file. The home has a key worker system. Part of the role of the key worker is to advocate on behalf of the service user. The home has recently introduced service users meetings as a way of involving service users in the decision making process. The home has a confidentiality and whistle blowing policy. The homeowner stated that the staff team receive training on confidentiality during their induction period. Roanu House DS0000063202.V251220.R01.S.doc Version 5.0 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): 12,13,15,17 The service users at the home are offered the opportunity to engage in age appropriate activities with an emphasis on using community based facilities. The home has an open visitors policy to ensure friendships and family links are maintained. The home must evidence that dietary needs are catered for with meals that are nutritionally well balanced, nicely presented, and clearly based on the service users food and drink preferences, providing them with daily variation and healthy eating options. EVIDENCE: The home has been open for less than a year and the homeowner is in the process of developing a timetable of activities. The homeowner stated that she has approached local day centres with a view to getting some activity sessions for the service users. Currently the service users attend some of the activity sessions organised by local Men cap. The service users also have a programme of social activities organised by the staff team at the home. Examples of activities included pub visits, sessions at the local leisure centre, visiting the library and swimming. The home has recently had a Barb-b-q, which friends and family were invited to. There is an open visitors policy and the home just ask that visitors phone to ensure their family member is going to be in before they visit. Roanu House DS0000063202.V251220.R01.S.doc Version 5.0 Page 12 Visitors can be seen in any of the homes communal areas as well as the service users bedrooms. The staff team at the home encourage service users to remain in contact with their family members if it is appropriate. Two of the service users who have little family contact have an advocate. Menu’s at the home are based on the service users likes and dislikes, although there was no evidence that the health needs of the service users have been taken into account. For example one of the service users has particular dietary needs, which were not reflected in the menus looked at during the inspection. Roanu House DS0000063202.V251220.R01.S.doc Version 5.0 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): 18,19,20,21 Personal care is carried out in a way that residents prefer so that dignity and choice are maintained. Residents’ physical and emotional health needs are detailed in personal plans to offer consist care in this area. Residents’ medication is well managed to ensure good health. Service users have not been consulted on their personal and cultural preferences in relation to illness, death and dying so that their individual wishes can be respected. EVIDENCE: The service users need varying degrees of assistance with their personal care. The level of support a service user needs would be detailed at their review and in their care plan. The service users at the home are registered with a local General Practitioner. The service users are able to access community health facilities such as an optician, when required. The home uses a blister pack system for medication. Records examined showed that all medicines administered are recorded on Medicine Administration Record Sheets, which were up to date at the time of the inspection. The homeowner stated that staff members can only give out medication when they have attended accredited training. The service users at Roanu House and their families (where appropriate) have not yet been consulted on their wishes around death and dying. The homeowner must ascertain service users wishes and ensure a record is placed on their files. Roanu House DS0000063202.V251220.R01.S.doc Version 5.0 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 There is complaints policy and procedure, which facilitates good access to the complaints system for the residents, their family or their representatives. The home has the appropriate policies in place to ensure the protection of vulnerable service users EVIDENCE: The home has a complaints procedure, which outlines how a complaint is dealt with and timescales for action. The Commission For Social Care Inspection had been notified of some concerns from neighbours. The homeowner is aware of these concerns and is dealing with them. The homeowner has arranged for vulnerable adults training for the staff team. Roanu House DS0000063202.V251220.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,30 This home provides a comfortable and safe environment for service users to live in. The general décor of the home is good, however the source of the malodour in one bedroom needs to be investigated. The service user’s bedrooms provide privacy. EVIDENCE: Roanu House is an ordinary family home, which has been converted to provide care to people with a duel diagnosis of Learning disabilities and mental health issues. It is currently accommodating five service users. Each of the service users in the home has a single room, which is decorated and personalised to reflect their individual taste. The homeowner must investigate the source of the mal odour in room two and take the necessary steps to eliminate the source. The home has been operational since the beginning of 2005 and there are two conditions of registration around the home environment, which refer to the undersized bedrooms and the lack of ensuite facilities. The homeowner plans to extend the home in order to meet the conditions of registration. There is communal space in the home, provided by a lounge/diner, a kitchen and garden; there are sufficient numbers of bathrooms and toilet facilities situated throughout the home. The home also has a pleasant garden to the rear. Roanu House DS0000063202.V251220.R01.S.doc Version 5.0 Page 16 The home has separate laundry facilities away from the homes kitchen and the food preparation area. The washing machine in the home is capable of washing at high temperatures, which helps in the control of infection. Roanu House DS0000063202.V251220.R01.S.doc Version 5.0 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 The home opened at the beginning of the year and the staff at the home are in the process of establishing themselves as a team. The home manager must ensure that copies of all the information require under Schedule 2, 1 to 6 of the care home regulations 2001 as a safeguard to offer protection to the homes service users. EVIDENCE: The homeowner arranges for four staff members to be on duty during the day. At night there are two waking staff on duty. The homeowner arranges for regular staff meetings. The agenda includes discussions on service users needs and their care plans. The homeowner feels that this has raised awareness of service users rights amongst the team and will lead to a more service user led approach. The homeowner has also arranged for training in moving and handling, first aid, food hygiene, and breakaway techniques. Following a discussion with the homeowner around the concerns raised by care managers it was agreed that the staff team would benefit from completing a “Values” course. The staff team at the home have regular supervisions Staff files held at the home did not contain all the information necessary under the care standards act. The home owner must ensure that all the necessary information about the staff team is held in the home, including a copy of staff inductions and Criminal Records Checks. Roanu House DS0000063202.V251220.R01.S.doc Version 5.0 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,42 The management style at the home appears to be open and transparent. Records held at the home provide evidence that maintenance is regularly carried out to ensure the well being of the service users. EVIDENCE: The home does not currently have a manager in post. The homeowner is covering the day-to-day management responsibilities and stated that she is in the process of recruiting a new person for the position. The homeowner is reminded that any significant events at the home must be reported to the Commission for Social Care Inspection. The home has a fire risk assessment in place and the fire systems at the home are checked on a weekly basis. The homeowner stated that fire drills take place regularly although nothing is recorded so it was not possible to verify this. The homeowner must ensure that all fire drills are recorded in future. The home has thermostatic control values fitted to water outlets and radiators are covered. The water temperature is checked regularly and a record is kept. A first aid box and a fire blanket are situated in the kitchen. There are fire extinguishers Roanu House DS0000063202.V251220.R01.S.doc Version 5.0 Page 19 throughout the house. Coloured chopping boards and knives were seen in the kitchen. The home has a call bell system in each room and the out doors to the house are alarmed There are locked “Control of Substances Hazardous to Health” cupboards. The staff team have access to training around health and safety issues and have undertaken moving and handling training, basic food hygiene and first aid Roanu House DS0000063202.V251220.R01.S.doc Version 5.0 Page 20 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 3 x x 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 x x 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x x x x 2 LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 x 17 Standard No 31 32 33 34 35 36 Score x 3 x 2 2 x CONDUCT AND MANAGEMENT OF THE HOME 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Roanu House Score 3 3 3 2 Standard No 37 38 39 40 41 42 43 Score 2 x x x x 2 x DS0000063202.V251220.R01.S.doc Version 5.0 Page 21 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 Requirement Timescale for action 30/11/05 2 YA34 3 YA30 18.-(1) ( c The home manager should ) (i) ensure that the staff team at the home attend a training course in basic values training. 7, Sch The registered person must 08/09/05 2.1, 2.2, ensure that all persons working 2.3 at the home are available on request including proof of a person’s identity, a recent photograph, copies of their birth certificate and current passport (if any) and a Criminal Records Check. 16.-(2)(k) The homeowner must investigate 30/11/05 the source of the mal odour in room two and take the necessary steps to eliminate the source. 23.-(4)(e) 8.-(1)(a) 16.-(2)(i) The homeowner must ensure regular fire drill ate undertaken and recorded. The homeowner must ensure a suitably qualified person is appointed to the managers post. The home owner must ensure the dietary needs of the service users are taken into account when planning the homes menus. 08/09/05 30/11/05 08/09/05 4 5 6 YA42 YA37 YA17 Roanu House DS0000063202.V251220.R01.S.doc Version 5.0 Page 22 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 2 Refer to Standard YA1 YA21 Good Practice Recommendations The service users guide should be put into a format suitable for the service users at the home. The homeowner must ascertain service users wishes with regards to death and dying and ensure a record is placed on their files. Roanu House DS0000063202.V251220.R01.S.doc Version 5.0 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. Extracts may not be used or reproduced without the express permission of CSCI Roanu House DS0000063202.V251220.R01.S.doc Version 5.0 Page 24 - 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. 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