Inspection on 22/02/06 for Roseberry Gardens 36

This inspection was carried out on 22nd February 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Roseberry Gardens 36 17/12/08

Roseberry Gardens 36 13/04/07

Roseberry Gardens 36 06/06/06

Roseberry Gardens 36 12/04/05

Roseberry Gardens 36 01/09/04

Roseberry Gardens 36 27/05/04

Roseberry Gardens 36 03/03/04

Roseberry Gardens 36 10/02/04

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 Roseberry Gardens 36 London N4 1JJ Lead Inspector Mr Teferi Degeneh Unannounced Inspection 22nd February 2006 11:00 Roseberry Gardens 36 DS0000010771.V271820.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 Roseberry Gardens 36 DS0000010771.V271820.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. Roseberry Gardens 36 DS0000010771.V271820.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Roseberry Gardens 36 Address London N4 1JJ 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) 020 8800 3230 020 8800 3230 Mr Jessie Espino Mrs Angelina Espino Mr Jessie Espino Care Home 3 Category(ies) of Learning disability (3), Learning disability over registration, with number 65 years of age (3), Mental disorder, excluding of places learning disability or dementia (3), Mental Disorder, excluding learning disability or dementia - over 65 years of age (3) Roseberry Gardens 36 DS0000010771.V271820.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Limited to 3 people of either gender who have a mental disorder (MD) and who may also fall into the category of old age (MD(E)) or have a learning disability (LD) and who may also fall into the category of old age (LD(E)). Date of last inspection 12th April 2005 Brief Description of the Service: 36 Roseberry Gardens is a care home situated in Haringey, close to the facilities of Green Lanes and within a short bus journey to Wood Green Shopping Centre. There are three single bedrooms, a galley kitchen and a dining room combined with a lounge. One of the bedrooms is on the ground floor and the other two are on the first floor. There are small front and rear gardens. The home has a stated purpose of providing a high quality 24-hour residential care for you whilst supporting you and maintaining your independence and choosing your choices. Roseberry Gardens 36 DS0000010771.V271820.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was conducted over a period of 3 hours, commencing at 11:00 am and concluding at approximately 2.00 pm. Mrs Angelina Espino, the registered manager, was present throughout the inspection. The inspection activity undertaken included a tour of the building, the examination of service user and staff files including care records, the examination of health and safety records, and the viewing of staff rotas. The person who lives at the home was spoken to in private. What the service does well: What has improved since the last inspection? What they could do better: Three requirements and a recommendation are made. The registered person must review assessments and care plans. Service users and, as appropriate, their representatives and social workers must be involved in the review of assessments and care plans. It is required that all staff working at the home have current CRB checks and that POVAFirst must be applied for while staff are waiting for their CRB certificates. The home’s quality assurance system needs to be fully implemented. The registered person must collate the feedback obtained as a result of the quality assurance exercise and put in place an action plan. More effort is required from the registered person to enable a service user to locate their relatives and to re-establish contact with them. Roseberry Gardens 36 DS0000010771.V271820.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. Roseberry Gardens 36 DS0000010771.V271820.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 Roseberry Gardens 36 DS0000010771.V271820.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): EVIDENCE: These Standards were assessed at the last inspection. No new service users have been admitted since the last inspection. Roseberry Gardens 36 DS0000010771.V271820.R01.S.doc Version 5.0 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 the following standard(s): 6, and 9 The systems for assessments and care plans are poor. Service users are not sure if and when their needs are assessed and if appropriate care plans are put in place. Service users have benefited from the system of encouraging them to do things for themselves by taking responsible risks. EVIDENCE: The service user who lives at the home was spoken to. They said they have not met their social worker for a long time. The service user said they would wish to see their social worker to discuss their needs. The registered person said she had contacted the social worker and a review meeting had been planned for the following week. This was a surprise for the service user who said that they did not know the social worker had been contacted. There was also no written evidence to confirm that the meeting had been arranged. The service user explained that they were encouraged to travel to shops and to go out for walks in the park. They have front door and bedroom keys. The service user said they preferred their money to be cashed from the post office by the registered person. There are no bedtime restrictions. The service user was observed making hot drinks. Roseberry Gardens 36 DS0000010771.V271820.R01.S.doc Version 5.0 Page 10 Roseberry Gardens 36 DS0000010771.V271820.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, 15, and 17 The home has made good progress in encouraging, supporting and providing opportunities for service users to engage themselves at the home and in the community. The food provided is satisfactory with the evidence that service users can have a choice of what and when to eat. The registered person has made a good effort to locate relatives of a service user to establish contacts. More work needs to be done by the registered person to ensure that the wishes of the service user are realised and contacts are re-established. EVIDENCE: The person who lives at the home said they have family members but they do not know their addresses. They said they would like to keep in touch with their families. The registered person stated that she had tried unsuccessfully to locate the service user’s families. She said she would continue trying by using various options including the Internet to try to locate the service user’s families. The service user confirmed that they attend a day centre where they meet with friends, do different activities and get paid some money. They said they are happy with their day arrangements. When they do not go to the day centre, Roseberry Gardens 36 DS0000010771.V271820.R01.S.doc Version 5.0 Page 12 the service user spends time going out for a walk, to the shops or to the parks. At the last inspection a requirement was made for the registered person to consult a service user and provide them with appropriate social and leisure activities. The service user referred to is no more a resident at the home. The service user said they are happy with the food provided at the home. They said they feel their needs are met regarding food. The service user stated that they do not practice their religion and do not mind eating any kind of food prepared by the registered person. The service user can make hot drinks and is involved in making decisions about the food they eat. Roseberry Gardens 36 DS0000010771.V271820.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, and 20 Good progress has been in respect of meeting service users’ personal and medical care. A service user whose needs could not be met at the home has moved to an alternative accommodation. The systems for administration and recording of medication are satisfactory. EVIDENCE: At the last inspection requirements were made for the registered person to arrange for an occupational therapist assessment for a service user and provide them with appropriate equipment and facilities that meet their needs. The registered person confirmed that following an occupational therapist assessment and consultation with the placing authority, a decision was made to move the service user to a more suitable accommodation. The registered person said this has happened about six months ago. Currently, only one person lives at the home. The service user said they are independent in carrying out self-care tasks. Medication is kept in a locked cabinet. The registered person and the staff who administer medication have undergone medication administration training. The medicines and medication administration record sheets were correct on the day of the inspection. Roseberry Gardens 36 DS0000010771.V271820.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 The home’s complaints processes are adequate to ensure that all complaints are appropriately investigated and resolved. EVIDENCE: A previous complaint about the home has been investigated and resolved. The person who lives at the home stated that they know how to complain and they can talk to the registered person. It was stated above that the service user does not know the address of their relatives. The home has a complaints procedure which explains the process of investigation, the date by which a response would be made to the complainant, and the local office address of the commission for Social Care Inspection. Roseberry Gardens 36 DS0000010771.V271820.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, and 30 The Standard of the home is good providing service users with a safe and comfortable environment to live in. EVIDENCE: The home is located in a residential street close to shops and cafés of the Green Lanes Road half way between the Turnpike Lane and Manor House Underground Stations. There is a visitor’s sitting room and a lounge. The lounge has been refurbished with new floor tiles and new double-glazing doors. The service user said they are happy with their room and the facilities of the home. They said they have keys to their bedroom and the front door. The home was clean and tidy on the day of the inspection. There is a policy on the control of infections. Roseberry Gardens 36 DS0000010771.V271820.R01.S.doc Version 5.0 Page 16 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, 33, and 34 There is a gap in the home’s recruitment process with the evidence that care staff have been allowed to work without current CRB check. This potentially puts service users at risk. The home has staff team in sufficient number, knowledge, skills and experience to meet the needs of service users. EVIDENCE: The registered person and her husband, who is also one of the registered providers, are working at the home. They are supported by three part time care staff. The registered person confirmed that a minimum of one member of staff is at the home at all times. As stated elsewhere, currently there is only one service user living at the home. Documents at the home indicated that the staff have attended a range of training programmes including medication administration, health and safety, basic food hygiene and first aid. None of the care staff have a care qualification equivalent to NVQ level 2. However, one member of the staff is undertaking a nursing qualification. The registered person was working alone at the time of the visit. The service user said the staff are good and they are happy with the home. The staff files, which were assessed, showed that the staff have been interviewed and two written references have been taken. Evidence was also available to indicate that all the staff have undergone CRB checks. An examination of the CRB’s revealed that the staff CRB’s were obtained as part of their previous employment or study at another organisation and not specifically carried out as part of their current job. Roseberry Gardens 36 DS0000010771.V271820.R01.S.doc Version 5.0 Page 17 Roseberry Gardens 36 DS0000010771.V271820.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): 39, and 42 EVIDENCE: At the last inspection the registered person was required to collate feedback received through quality assurance questionnaires and devise an action plan, which addresses any shortfalls in the quality of the service. It was also required that service users, relatives and professionals are informed of the outcome of the quality assurance system.These are yet to be complied with. The home was clean and tidy on the day of the inspection. It was evident from the records that the gas boiler was serviced on 8/4/05 and the fire alarms have been tested regularly. There are smoke/heat detectors and fire fighting equipment in the home. The home is not registered to accommodate service users with a mobility difficulty. No incidents accidents have been recorded. Roseberry Gardens 36 DS0000010771.V271820.R01.S.doc Version 5.0 Page 19 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 X X X X X Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 X X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 3 2 X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Roseberry Gardens 36 Score 3 X 3 X Standard No 37 38 39 40 41 42 43 Score X X 2 X X 3 X DS0000010771.V271820.R01.S.doc Version 5.0 Page 20 Are there any outstanding requirements from the last inspection? YES 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 YA6 Regulation 14; 15(1)(2) Requirement Timescale for action 30/04/06 2 YA34 19(1)(2) (3) 4. YA39 24(1)(2) (3) The registered person must review the assessments and service plans of the service users. The registered person must ensure that service users and, as appropriate, their representatives are involved in the review of assessments and service plans. The registered person must 31/03/06 ensure that all staff employed by and working at the home have satisfactory current CRB checks undertaken for the purpose of working at the home. The registered person must obtain POVAFirst in respect of staff without a current CRB certificate. The registered person must 30/04/06 collate feedback received through quality assurance questionnaires and devise an action plan, which addresses any shortfalls in the quality of the service. Service users, relatives and professionals must be informed of the outcome of the quality assurance system. (Timescale of 31/05/05 not met). Roseberry Gardens 36 DS0000010771.V271820.R01.S.doc Version 5.0 Page 21 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 YA15 Good Practice Recommendations The registered person should support the service user to locate and to keep in touch with their families Roseberry Gardens 36 DS0000010771.V271820.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Southgate Area Office 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 Roseberry Gardens 36 DS0000010771.V271820.R01.S.doc Version 5.0 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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