Inspection on 06/09/05 for Robinia Care (Sheringham Avenue)

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 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

Robinia Care (Sheringham Avenue) 25/09/06

Robinia Care (Sheringham Avenue) 30/01/06

Robinia Care (Sheringham Avenue) 06/01/05

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 Robinia Care - Sherringham Avenue 1 Sherringham Avenue Oakwood London N14 4UB Lead Inspector Jackie Izzard Unannounced 6 September 2005 @ 09.25am 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 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 Stationary 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. Robinia Care - Sherringham Avenue 20050906 Robinia Sherringham Ave X00023 Stage 4 S61218 V222860 G59.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Robinia Care - Sherringham Avenue Address 1 Sherringham Avenue, Oakwood, London N14 4UB Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 8360 5075 020 8360 2670 info@robinia.co.uk Glen von Malachowski for Robinia Care Group Ltd Martin G Crick PC Care Home 5 beds Category(ies) of LD Learning Disability registration, with number of places Robinia Care - Sherringham Avenue 20050906 Robinia Sherringham Ave X00023 Stage 4 S61218 V222860 G59.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 6 January 2005 Brief Description of the Service: This home is one of three in North London operated by Robinia Care Group Ltd, who have a number of care homes throughout the UK. This home is a service for five people who have an autistic spectrum disorder. The service user guide for the home desribes it as a home environment to support people with Autistic Spectrum Disorder and Aspergers Syndrome, moderate learning disability and behaviours that challenge. There are five men living at the home. In practice, most do not have a learning disability but do have an autistic spectrum disorder. The home encourages people to gain independence skills with a view to living more independently in the long-term. Robinia Care - Sherringham Avenue 20050906 Robinia Sherringham Ave X00023 Stage 4 S61218 V222860 G59.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second inspection of this home which was registered a year ago. The home did not know the inspector was coming. The inspector was able to meet with four of the five residents of the home, the deputy manager and a support worker who were on duty. The fifth resident chose not to meet the inspector. Apart from speaking with residents and staff, the inspection involved a tour of all the communal rooms, checking up that the home had completed the things they were asked to do at the last inspection in December 2004 and checking some of the home’s records and procedures. What the service does well: What has improved since the last inspection? The manager has written a simple step by step procedure for staff so that they know what to do if they have any suspicion that a resident may have been abused in any way. The manager was asked to do this by the inspector as the company procedure was too difficult for some staff to understand. A clear complaints procedure has been written, making it easier for people to understand how to make a complaint to Robinia Care, if they need to. The home has bought a new garden shed. Robinia Care - Sherringham Avenue 20050906 Robinia Sherringham Ave X00023 Stage 4 S61218 V222860 G59.doc Version 1.40 Page 6 The home has continued to provide a good quality service to the five people living there. 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. Robinia Care - Sherringham Avenue 20050906 Robinia Sherringham Ave X00023 Stage 4 S61218 V222860 G59.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Robinia Care - Sherringham Avenue 20050906 Robinia Sherringham Ave X00023 Stage 4 S61218 V222860 G59.doc Version 1.40 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 standard(s) 1, 2 Prospective residents have clear written information about the home which they can read before deciding if it is suitable for them. Their individual needs and aspirations are assessed and they can be assured that the home will try to meet their needs. EVIDENCE: The statement of purpose for the home meets the required standard. This document has been updated since the last inspection. The service user guide was assessed at the previous inspection and is written in plain English with pictures and photographs to make it easier to understand. Three residents’ files were checked for evidence of assessments. All three contained assessments of the person’s needs and aspirations. Their needs have been assessed regularly and records updated. Robinia Care - Sherringham Avenue 20050906 Robinia Sherringham Ave X00023 Stage 4 S61218 V222860 G59.doc Version 1.40 Page 9 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 standard(s) 6, 7, 8, 9, 10 Residents at this home have their individual needs recorded and reviewed regularly and they are fully involved in this process. They are consulted about all aspects of life in the home and confidentiality is maintained. Residents are supported to be independent and take risks and a full assessment of any risks is carried out with them. EVIDENCE: Three care plans were inspected along with risk assessments, activity plans and records of reviews. The care plan for each resident consists of a number of support plans; one for each of their identified needs. The resident signs the plan as evidence that they agree to it and any restrictions placed on them. The care plans seen were comprehensive and had been regularly reviewed and changed . Residents are encouraged to make decisions for themselves and are provided with the level of support they need. This ranges from support to eat a meal to emotional support. Risk assessments were reviewed in March 2005. These Robinia Care - Sherringham Avenue 20050906 Robinia Sherringham Ave X00023 Stage 4 S61218 V222860 G59.doc Version 1.40 Page 10 documents clearly record the risks for each individual and the action that needs to be taken. There are monthly house meetings where residents are consulted about the running of the home and any matters relating to group living. They are also consulted about decisions affecting them on an individual basis. The inspector looked at the two reviews held for one resident and saw that goals set with him had been reviewed and changed as necessary. This is very positive. Another resident had a review after living at the home for three months. The company has recently made improvements to residents’ confidentiality by requesting that their initials are recorded on incident sheets rather than their full names. Robinia Care - Sherringham Avenue 20050906 Robinia Sherringham Ave X00023 Stage 4 S61218 V222860 G59.doc Version 1.40 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 standard(s) 12, 13, 14, 15, 17 Residents are encouraged to live a full life, using community facilities and taking part in educational and leisure activities of their choice. Staff encourage each individual to lead a good quality of life. EVIDENCE: On the morning of this inspection, four of the five residents were taking part in a weekly videomaking session within the home. They were wearing costumes and performing a play which they said they were enjoying. Each resident shops for their own food and cooks their own meals, with staff support. They all go out independently. One person goes to football matches and another is doing work experience and applying for jobs. There were also records that residents had the opportunity to take part in personal development activities relating to their social and emotional needs. Residents follow their own interests and have a written weekly activity plan. These include independent living skills such as cooking, laundry, travel training and other activities such as drama therapy, pottery, meals out, cinema and Robinia Care - Sherringham Avenue 20050906 Robinia Sherringham Ave X00023 Stage 4 S61218 V222860 G59.doc Version 1.40 Page 12 daytrips. All residents are encouraged to further their education at local colleges and/or seek employment. They use community facilities such as local pubs, church and colleges. Residents choose the level of contact they want with family members. All have contract with family or friends outside the home. Three residents are planning to go to Cyprus on holiday later this month with staff. Meals are not provided by the home but each resident is supported to plan a weekly menu and offered guidance on their diet. The inspector was told by a resident and a staff member that staff encourage healthy eating. Robinia Care - Sherringham Avenue 20050906 Robinia Sherringham Ave X00023 Stage 4 S61218 V222860 G59.doc Version 1.40 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 standard(s) 19, 20 Residents’ physical and emotional health needs are met. They can self medicate if they are able, but otherwise are supported by the home’s medication policies. EVIDENCE: Three residents’ files were checked to see if they had attended medical appointments. Each file detailed appointments attended and showed evidence that the home was supporting residents with meeting their healthcare needs. One resident refused to go to the dentist and had signed that he refused to go. Staff monitor one resident’s weight as this is seen as necessary. One resident has been referred to a dietician. There are opportunities for residents to access sex education if they wish to. One resident said that his medication had been reduced since the last inspection and he was feeling much better since the change. All residents see a psychiatrist on a regular basis. Robinia Care - Sherringham Avenue 20050906 Robinia Sherringham Ave X00023 Stage 4 S61218 V222860 G59.doc Version 1.40 Page 14 One resident is self medicating. The others have signed their consent to medication and are given prescribed medication by staff. The medication cabinet and sample of medication records were inspected and found to be satisfactory. Robinia Care - Sherringham Avenue 20050906 Robinia Sherringham Ave X00023 Stage 4 S61218 V222860 G59.doc Version 1.40 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 standard(s) 22, 23 Residents’ views are listened to and acted on. A new procedure on adult protection will help staff to respond appropriately to any possible concerns about abuse. EVIDENCE: There has been one complaint made in the last year by residents and the manager investigated and recorded the outcome appropriately. The complaints procedure has been included in the home’s statement of purpose. In the absence of a clear procedure from Robinia Care (a requirement has been made on this matter in December 2004), the manager has written an adult protection procedure for this home so that staff have clear guidance on what to do if they suspect a resident has been abused or if a disclosure is made to them. All staff have signed the procedure. The inspector has been notified of incidents of self harm in the past year. The deputy manager informed the inspector of what action was being taken in this area and the inspector was satisfied that the issue was taken seriously and acted on appropriately. Robinia Care - Sherringham Avenue 20050906 Robinia Sherringham Ave X00023 Stage 4 S61218 V222860 G59.doc Version 1.40 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 standard(s) 24, 30 The home is comfortable, homely and safe with a good level of cleanliness, making it a pleasant place to live. EVIDENCE: The inspector looked at the lounge, two kitchens, toilet, bathroom, office and garden. No bedrooms were inspected on this occasion. Residents will be asked if their bedrooms can be seen at the next inspection in December 2005. The standard of furniture and decor throughout the home was good. The level of cleanliness was also good. One resident told the inspector that he enjoyed cleaning the kitchen and helped the staff with their cleaning duties. There are two kitchens for the five residents. Three share one and two share the other. Each person has cupboard and fridge space for their own food. Both kitchens were very hygienic. There were no fire hazards in the home. The garden was well maintained and a shed has been purchased recently. The house was very homely and comfortable. Two residents said they liked the house. One said he would like it to be a bit bigger as this was his own preference. Robinia Care - Sherringham Avenue 20050906 Robinia Sherringham Ave X00023 Stage 4 S61218 V222860 G59.doc Version 1.40 Page 17 Robinia Care - Sherringham Avenue 20050906 Robinia Sherringham Ave X00023 Stage 4 S61218 V222860 G59.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 Residents benefit from a staff team who have been appropriately trained for the work and who are familiar with their particular needs. EVIDENCE: The inspector was unable to look at staff files for evidence of recruitment practice and supervision records as the manager was not at the home and the staff files are kept locked away. No new staff have been recruited since the last inspection. One staff has transferred from another Robinia home to this one. Two staff have completed NVQ 3 training and a third is awaiting her certificate. Five staff are currently undertaking this training. This is very positive. The staff training programme is of a good standard and relevant to the needs of residents of the home. All but two staff have attended training in working with people who have Aspergers syndrome. The two who have missed this training will be attending it later this month. The deputy manager said that all staff receive individual supervision on a monthly basis and the four senior staff carry out the supervision. Supervision records were not inspected on this occasion. Robinia Care - Sherringham Avenue 20050906 Robinia Sherringham Ave X00023 Stage 4 S61218 V222860 G59.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42 Residents are protected by good practice in health and safety. EVIDENCE: At this inspection, fire safety was addressed. Fire extinguishers were checked for safety and a sample of fire doors were checked to see if they close properly. Fire extinguishers had been serviced by the supplier and fire doors fitted and self closed. Staff have been trained in fire safety and all residents have also attended this training which is commendable. There were no health and safety hazards noted. Risks to the health and safety of residents were documented and acted on. Robinia Care - Sherringham Avenue 20050906 Robinia Sherringham Ave X00023 Stage 4 S61218 V222860 G59.doc Version 1.40 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 3 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 x 3 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Robinia Care - Sherringham Avenue Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x 20050906 Robinia Sherringham Ave X00023 Stage 4 S61218 V222860 G59.doc Version 1.40 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 Regulation Requirement no requirements were made at this inspection 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. 1. Refer to Standard Good Practice Recommendations no recommendations were made at this inspection Robinia Care - Sherringham Avenue 20050906 Robinia Sherringham Ave X00023 Stage 4 S61218 V222860 G59.doc Version 1.40 Page 22 Commission for Social Care Inspection Solar House 1st Floor, 282 Chase Road Southgate London N14 6HA 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 Robinia Care - Sherringham Avenue 20050906 Robinia Sherringham Ave X00023 Stage 4 S61218 V222860 G59.doc Version 1.40 Page 23 - 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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