Inspection on 08/09/05 for 20 Rye Road

This inspection was carried out on 8th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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 10 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 25/01/06

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 8/09/05 15:40 DS0000007112.V252064.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 DS0000007112.V252064.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. DS0000007112.V252064.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 DS0000007112.V252064.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th February 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 homes bedrooms are single. There is a garden to the rear. DS0000007112.V252064.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection visit was made in the afternoon; the service user and two staff members were seen. 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. DS0000007112.V252064.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 DS0000007112.V252064.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&4 Service users living at the home and new to the home know that staff understand what they need, and will help them to decide if they want to live at the home. EVIDENCE: A service user is planning to move into the home. They’ve been able to visit, and stay overnight on several occasions. They have chosen the colour of their room, and new things have been bought for the home, which are easier for them to use. Staff, who already work with the new service user, are coming with them to the home to continue supporting them, and explain what they need to other staff. The service user already living at the home already knows the new service user and is looking forward to them moving in. The service user has been used to living on their own for a long time, and will need help to adjust to having someone else living at the home. DS0000007112.V252064.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, 7 Service users know staff will support them but need to know this is written down so they can agree it, everybody who needs to knows, and be supported to understand it. EVIDENCE: The service user has agreed how they want to be supported, but it is a long time since this was all written down in one place. They have done most of the things they wanted to when their plan was last written down. One important goal hasn’t been finished, but they are getting some help still with this outside of the home. When the service users plan is written down again it should say how the service user gets money to do things outside the home, how much this is, how it will be shared with the new service user, and what happens when it runs out. The service user makes everyday decisions for themselves, like when to go out, when to eat, and what to do. DS0000007112.V252064.R01.S.doc Version 5.0 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 15, 16 & 17 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: The service user went on holiday and enjoyed it this year. They go to places in the week where they can meet friends and learn new things. They know their neighbours, and lots of people in the local community, and are able to stay in touch with their family. Staff help with keeping good friends, and making new ones. The service user gets the right support to plan and prepare food, eating what they enjoy. There are lots of fresh vegetables, and other food at the home. The service user goes out shopping for food regularly at local shops and the supermarket. DS0000007112.V252064.R01.S.doc Version 5.0 Page 10 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 When service users are ill or worried about their health they get the help they need. Service users work with staff in the way they want and are getting more help with their communication from people with different skills. EVIDENCE: The service user hasn’t been feeling well and staff have helped them to visit and explain to their doctor. There are more people who need to be told, that are starting to work with the service user. Staff and the service user are getting help to understand each other better, and help others to. This work should be finished this year, and has taken quite a long time, but is important to do it properly. Staff need to plan how they will support the service user with this work. Staff already make sure they take enough time in different ways to allow the service user to say what they are feeling, and what they want. The service user gets their health checked regularly, including the dentist, and is helped to take their medication safely. DS0000007112.V252064.R01.S.doc Version 5.0 Page 11 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): 23 Service users know they are safe and secure at the home, and that if they weren’t, staff would know what to do to help them. EVIDENCE: Staff know what to do if they are worried service users might not be safe. They check with the service user first if they see they have been hurt, and then speak to other services with their permission if they need to. DS0000007112.V252064.R01.S.doc Version 5.0 Page 12 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, 28 & 30 The service user enjoys a comfortable home with good space but needs support to make the garden useable. EVIDENCE: There is a lounge with seats for two service users and staff, as well as a ding table. This table needs to be rearranged for the new service user to use it comfortably. The service user has their own front door key but this is hard for them to use, and the latch to the front gate is broken. A new cooker is being fitted so that the new service user is safe. The existing service user likes the garden but it is overgrown and has not been regularly maintained. There are also mops, buckets, and old furniture. This makes it difficult to use, and there is only fixed seating by the house at the moment. The tree is very overgrown into the neighbour’s gardens. Staff asked for this to be cut back during this visit. The freezer in the kitchen did not appear cold enough and has broken draws. DS0000007112.V252064.R01.S.doc Version 5.0 Page 13 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 Service users know that staff have the skills to support them well. Service users need to know they are supported by enough regular staff so that they get the support they need through holiday periods. EVIDENCE: The current staff member has worked at the home for some time, and ensured that the service user knew any temporary staff who come to work at the home. Because of the size of the home, during the holiday period this visit took place there has been pressure on staff to work longer hours. This meant that the staff member on duty had been working several days without a break. There were signs that the staff member was suffering from stress. DS0000007112.V252064.R01.S.doc Version 5.0 Page 14 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 need to know why managers change, and to have the chance to get to know them well to make longer term plans. When service users take risks they need to know they are going to be supported to do this. EVIDENCE: The manager at the home has changed again since the last inspection. There is no plan for the home so that the service user and staff can see if the service is improving or not, and how they will prepare for changes to the service provided. Products that pose a potential risk to service users like bathroom cleaners are being left out, and the home need to agree this with the service user, together with any support they may need. This will need to be revised for any new service users. Staff do weekly health and safety checks, but the fire alarm is not being tested weekly as it should. There was a fire drill 6/7/05. DS0000007112.V252064.R01.S.doc Version 5.0 Page 15 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 3 x Standard No 22 23 Score x 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 3 x x x Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x 2 x 2 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 x 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x 3 2 x x x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 3 x Standard No 37 38 39 40 41 42 43 Score 1 x 1 x x 2 x DS0000007112.V252064.R01.S.doc Version 5.0 Page 16 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 YA6 Regulation 15 Requirement The Registered Person must ensure that Service Users Plans are kept up to date, including support to the existing service user sharing communal space and staffing, finance to pay for things in the community, how this is shared between service users and what to do when it runs out, life story and communication work, and maintaining the garden. 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. The Registered Person must ensure that the freezer is made good, and keeps food at a safe temperature. The Registered Person must ensure that additional seating is purchased so that service users DS0000007112.V252064.R01.S.doc Timescale for action 31/12/05 2 YA19 12(1)(a) 31/10/05 3 YA24 13(4)(c) 31/10/05 4 YA28 23 31/12/05 Version 5.0 Page 17 5 YA30 23 6 YA33 18(1)(a) 7 YA37 8&9 8 YA39 24 9 YA42 13 can sit where they want in the garden, including shady areas, and that the garden is cleared, service users supported to maintain it and use it according to their wishes. 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. The Registered Person must ensure that the service user is supported by staff who are familiar with and understand their needs in such numbers that staff do not feel under pressure to work more hours than they safely or legally can. 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 not met) Enforcement action may be taken. The Registered Person must ensure that there is an annual development plan for the home which service users are supported to understand and contribute to if they wish, reflecting aims and outcomes for service users. The Registered Person must ensure that they agree support in writing to support service users to take risks, including the use of substances that come under the Control of Substances DS0000007112.V252064.R01.S.doc 31/12/05 30/09/05 31/10/05 28/02/05 30/09/05 Version 5.0 Page 18 10 YA42 13 Hazardous to Health Regulations (COSHH) 1999. The Registered Person must ensure that the fire alarm system is checked every week, and record this. 30/09/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations DS0000007112.V252064.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 DS0000007112.V252064.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. 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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