Inspection on 25/01/06 for 20 Rye Road

This inspection was carried out on 25th January 2006.

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

Other inspections for this house

20 Rye Road 26/06/07

20 Rye Road 08/09/05

20 Rye Road 16/02/05

20 Rye Road 16/07/04

20 Rye Road 27/02/04

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 Rye Road, 20 20 Rye Road London SE15 3AZ Lead Inspector Mark Stroud Unannounced Inspection 25th January 2006 06:00 Rye Road, 20 DS0000007112.V272084.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 Rye Road, 20 DS0000007112.V272084.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. Rye Road, 20 DS0000007112.V272084.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Rye Road, 20 Address 20 Rye Road London SE15 3AZ 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) 0207 639 8401 Choice Support Omotunde Davies Care Home 2 Category(ies) of Learning disability (2) registration, with number of places Rye Road, 20 DS0000007112.V272084.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th September 2005 Brief Description of the Service: 20 Rye Road is a Care Home providing personal care and accommodation to two people with a learning disability. The service is provided by Choice support, a voluntary organisation, and the building owned by a housing association. The home is located in Peckham close to local amenities such as bus routes, shops and parks. The home consists of an end of terrace three bedroomed house. Bedrooms are on the first and second floors and there is no passenger lift. Both of the home’s bedrooms are single. There is a garden to the rear. Rye Road, 20 DS0000007112.V272084.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. I visited the home in the evening, speaking to service users, a staff member, and the acting manager. 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. Rye Road, 20 DS0000007112.V272084.R01.S.doc Version 5.0 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 Rye Road, 20 DS0000007112.V272084.R01.S.doc Version 5.0 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 Service users know that staff have the information to be able to understand what their needs and aspirations are. EVIDENCE: A new service user has moved into the home, and has professional assessments about his needs for staff and the manager to see, and plan their care. Rye Road, 20 DS0000007112.V272084.R01.S.doc Version 5.0 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&9 Service users are able to work with staff who listen to their wishes and make plans to achieve goals, but they need a more personal record of this, that they can easily understand. EVIDENCE: Both service users have plans for the support they need including their finances, and their need to take risks, but they don’t say exactly what support they will receive. One service users last recorded review, led by the authority that arranged for them to live at the home, was just over a year ago, although the key worker held a meeting with the service user and their relative 30/08/05. This meeting was not written down, and nobody at the home knows what was agreed or discussed, but staff have worked closely to write down goals since the meeting. The new key worker meets with them every six weeks and sets goals. The goals appear in a quarterly plan for the home alongside the other service users goals. These should be written down in separate places for each service user to keep and understand, within a person centred plan. Service users can see what should be happening then, with support from staff if necessary, and change their minds if they want to, have decisions they make and their wishes and feelings respected, and formally acted on. One service user needs a lot of support with their nutrition, and has not been supported to Rye Road, 20 DS0000007112.V272084.R01.S.doc Version 5.0 Page 9 write down what the risks are, what they are doing to keep themselves safe, and what staff need to do to support them properly. Despite this, the service user has been supported to see their GP, and is getting better now. The home have not written down that other health professionals, who have seen the service user recently, have been told, so that they can help. Rye Road, 20 DS0000007112.V272084.R01.S.doc Version 5.0 Page 10 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): These Standards were not assessed. At the last inspection the following judgement was made :The service user gets the right support to live a full life in their community, and stay in touch with the people who are important to them. EVIDENCE: Rye Road, 20 DS0000007112.V272084.R01.S.doc Version 5.0 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): 19 Service users know their health needs will be met. EVIDENCE: One service user has been able to put on weight, following assessment by their GP and a prescription. They are eating well. Still no evidence other health professionals aware of issue of eating. The acting manager confirmed that all health professionals involved in supporting and assessing the service user have been informed about the service users nutritional needs and general health. Rye Road, 20 DS0000007112.V272084.R01.S.doc Version 5.0 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 Service users know they are listened to and action taken. EVIDENCE: The home write down when service users or their representatives complain, as well as what is done to put things right. Service users can complain formerly and informally. Customer Watch provide information for service users to know their rights, with service users from other homes representing them to monitor the organisations performance and make suggestions, comments and complaints as necessary. Rye Road, 20 DS0000007112.V272084.R01.S.doc Version 5.0 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, 26, 28 & 30 Service users have private accommodation of their choosing, and need some more support to make the accommodation accessible, safe and useable. EVIDENCE: The new service users room has been decorated and furnished according to their tastes, and they are visibly very happy with their private accommodation. The dining table still has a service users television on it, restricting its use for meals. The new service user indicated he expected a bracket to be fitted to the wall for the television. The front gate latch has been repaired but remains difficult for the service user to use, staff saying they were slow to be able to open and close it. There was no evidence that a health professional had advised the home regarding access. The tree was cut back after the last inspection but is still growing across neighbouring gardens. This will be looked at again at the next inspection to see if it has been cut back again. The acting manager said that garden furniture has been ordered and will be in the garden for the summer. The freezer draws are still broken, though staff feel it is working properly, keeping food frozen. The worktop behind sink is rotting away, not possible to maintain hygiene, presenting a risk of food contamination. Rye Road, 20 DS0000007112.V272084.R01.S.doc Version 5.0 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): 33, 35 Service users are supported by staff who know how to support them and are keen to find out more. EVIDENCE: The acting manager did risk assessment training three years ago. Staff working at the home are either permanently employed, or part of the organisations own bank staff, so that they are more likely to have the skills necessary, and know the service users well. More permanent staff came to the home with the new service user, so they know them well. Staff have recently been trained to keep themselves and service users healthy and safe, including how to support people to move around, and lift heavy objects, prepare food safely, and keep everything clean and germ free. Staff and the acting manager have asked for Makaton training to support service users communication. Staff have learnt how to keep service users information private, and how to organise themselves so that each service user can work more closely with one staff, making sure things get done. Another inspector will look at staff recruitment before 31/03/06 for all the CHOICE support homes. Rye Road, 20 DS0000007112.V272084.R01.S.doc Version 5.0 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): 37, 39 & 42 Service users don’t know who will be managing the home in the future, but know they are supported to be safe in the home. EVIDENCE: There are plans to change the management arrangements combining the post of manager of this home with another CHOICE support service. This has not been finally decided, and means that there is still no Registered Manager at this home, who CSCI have decided is able to manage the home effectively and safely. The home have now written down what the plans are for the home over the next few months, but this doesn’t mention who the manager will be, what difference this will make to service users. The plan does talk about the goals service users want to achieve. Service users get the right support to clean their home, everyone understanding what to do if there is an accident. The last fire drill was November 2005 last year, and the fire alarm sounds every week to check it is working, and so everyone knows what it sounds like. Rye Road, 20 DS0000007112.V272084.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 Score 3 x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 x x 2 x Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x 3 x 3 x 2 LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score x x 3 x 3 x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Rye Road, 20 Score x 2 x x Standard No 37 38 39 40 41 42 43 Score 2 x 3 x x 3 x DS0000007112.V272084.R01.S.doc Version 5.0 Page 17 yes 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 YA9 Regulation 13 Requirement Timescale for action 28/02/06 2 YA19 12(1)(a) 3 YA24 13(4)(c) 4 YA24 23 The Registered Person must ensure that they agree support in writing to support service users to take risks, including their nutrition. 28/02/06 The Registered Person must ensure that health professionals from the multi-disciplinary community team for people with a learning disability working with the service user or to whom the service user has been referred are aware of any concerns about their health, and involved in any planning and support to the service user and staff. (Timescale of 31/10/05 not met) The Registered Person must 28/02/06 ensure that the freezer is made good, and keeps food at a safe temperature. (Timescale of 31/10/05 not met) The Registered Person must 28/02/06 ensure that the dining table provides sufficient space for service users to have the choice to eat together comfortably and safely, removing the television to a suitable and safe location. DS0000007112.V272084.R01.S.doc Version 5.0 Rye Road, 20 Page 18 5 YA30 23 6 7 YA30 YA37 16 8&9 The Registered Person must ensure that the service user is supported to ask health professionals already working with them to assess their access to the home, including the front door key and lock, and the latch to the front gate, and provide any equipment or alterations recommended, unless this does not meet the service users needs. (Timescale of 31/12/05 not met) The Registered Person must ensure that the worktop behind the sink is made good. The Registered Person must ensure that a manager is appointed and an application submitted to the Commission for Social Care Inspection (CSCI) without delay. (Timescale of 30.04.05 and now 31/10/05 not met). 31/03/06 31/03/06 31/03/06 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 YA6 YA39 Good Practice Recommendations The Registered Person should ensure that service users have a record of their goals and plans that they can understand. The Registered Person should ensure that the annual plan includes planned management changes, how these will support service users, and the organisational goals for the coming year, and how the home will work towards these, and how this will meet the needs of service users Rye Road, 20 DS0000007112.V272084.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection SE London Area Office Ground Floor 46 Loman Street Southwark SE1 0EH 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 Rye Road, 20 DS0000007112.V272084.R01.S.doc Version 5.0 Page 20 - 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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