Inspection on 27/02/06 for Sach Road (31)

This inspection was carried out on 27th 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 no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Sach Road (31) 26/07/07

Sach Road (31) 26/10/06

Sach Road (31) 08/12/04

Sach Road (31) 08/07/04

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 Sach Road (31) 31 Sach Road Hackney London E5 9LJ Lead Inspector Robert Sobotka Unannounced Inspection 27th February 2006 01:00 Sach Road (31) DS0000010285.V284398.R01.S.doc Version 5.1 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 Sach Road (31) DS0000010285.V284398.R01.S.doc Version 5.1 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. Sach Road (31) DS0000010285.V284398.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Sach Road (31) Address 31 Sach Road Hackney London E5 9LJ 020 8442 4253 020 8350 6723 sachroad@hotmail.co.uk 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) Mr Nonoy G Capina Mrs Mina Joy A Capina Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Sach Road (31) DS0000010285.V284398.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th August 2005 Brief Description of the Service: 31 Sach Road is a residential care home for five people with learning disabilities. The home is culturally diverse and care is currently provided to service users from African/Caribbean, Chinese and White British origins. The home comprises a two storey Victorian end of terrace property in a residential area in Clapton. The home is within walking distance from a Lower Clapton Road, which has a parade of shops. Mare Street and Dalston shopping areas are accessible by transport links. The home has its own minibus and unrestricted on street parking is available for visitors. The home aims to provide “a caring environment, which is flexible enough to meet the differing needs of individuals for support whilst maximising their potential for independence and integration in ordinary settings.” The home is privately owned and generally family run and provides care in a homely setting. At the time of the inspection there were no service user vacancies. Sach Road (31) DS0000010285.V284398.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over one afternoon and was unannounced. The inspector spoke to some of the service users, one member of staff working in the home and the acting home manager. The inspector also conducted a tour of premises and viewed various records. The aim of this unannounced inspection was to check the home’s progress towards full compliance with the legislation. What the service does well: What has improved since the last inspection? Appropriate risk assessments have been drawn up since the last inspection. Kitchen units have been replaced. Staff personnel files have been updated to include all information required by law. Sach Road (31) DS0000010285.V284398.R01.S.doc Version 5.1 Page 6 In addition the acting manager has introduced some positive changes and it is noted that he has worked hard in promoting equality and diversity of the service users. He has also drawn up and reviewed some of the policies. Service users files have also been reorganised to enable better accessibility. 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. Sach Road (31) DS0000010285.V284398.R01.S.doc Version 5.1 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 Sach Road (31) DS0000010285.V284398.R01.S.doc Version 5.1 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): 3, 5. The home was appropriately meeting the assessed of the current service users group. EVIDENCE: There have been no new admissions to the home for a considerable length of time. There were no service user vacancies in the home. Standards relating to the home’s admission systems were therefore not assessed during this inspection. Based on the review of documentation maintained in relation to each service user, discussions with staff and the acting manager, as well as direct and indirect observation, the inspector was satisfied that the home was meeting the assessed needs of those accommodated at Sach Road. Service users spoken to told the inspector that they were very happy living at Sach Road. The acting home manager stated that the home was in the process of implementing new contracts for each service user. Sach Road (31) DS0000010285.V284398.R01.S.doc Version 5.1 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, 7, 8, 9, 10. The home had a good care planning system in place. Service users are encouraged to make decisions about their lives and take responsible risks as part of their independent lifestyle. Confidentiality was being maintained. EVIDENCE: As part of this visit, the inspector viewed care plans of all service user accommodated in the home. Care plans were well written and up-to-date. There was also a pictorial version of care plan of service users’ files. Care plans have recently been reorganised to enable better accessibility. In addition each person had a health action plan and healthbook, which was produced in pictorial form. Where possible service users were being asked to contribute to their care planning process. Families and advocated were also involved in the process. In accordance with the risk assessments and in consultation with the service users’ relatives, the decisions were made regarding the service users’ abilities and precautions that had to be taken to ensure the health and safety and wellbeing of those living in the home. Sach Road (31) DS0000010285.V284398.R01.S.doc Version 5.1 Page 10 During the course of inspection, the inspector had an opportunity to talk to some of the service users. They said that they liked living in the home and got on very well with staff. Service users’ meetings were regularly held and minutes from those were available for inspection. Minutes from the resident meetings viewed showed that a wide range of topics was discussed. These included: voting in elections, maintaining good health, diet, menus, exercising and holidays. There was evidence that views of those living in the home were being obtained. In situations when it was not possible to obtain views of those living in the home, due to their disabilities, views of their relatives/advocates were sought. Each service user had appropriate risk assessment in place. The requirement issued at the last inspection has therefore been met. Confidentiality was being maintained. The home had recently introduced a “commitment to confidentiality document” and all staff have been asked to sign the document to confirm their understanding and commitment to adhere to the confidentiality policy. During the course of this inspection information was shared on a need-to-know basis. Sach Road (31) DS0000010285.V284398.R01.S.doc Version 5.1 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): 11, 12, 13, 14, 15, 16, 17. Service users continue to benefit from a high level of activities on offer. They are encouraged and supported to lead active lifestyles within the local community. Those who live in the home enjoyed food offered. EVIDENCE: Those who live in the home continue to benefit from a wide range of activities on offer. Service users are encouraged and supported to attend a wide range of activities both indoors and outdoors. Four of the service users attend local day centres. Documentation viewed showed that there were good communication systems in place between the home and day centres. Additionally those using the service belong to various interest groups, which are culturally diverse. Some of the service users belong to the carers and users group for people from ethnic minorities. One of service users belongs to arts group and his work has recently been exhibited at the Tate Gallery. Another service user attends flower arrangement classes. One of the male service users has tried sailing in Docklands and attends performing Sach Road (31) DS0000010285.V284398.R01.S.doc Version 5.1 Page 12 arts workshops. Staff working in the home support and encourage service users to practice their faiths. The home is commended for promoting cultural diversity of the service users. The acting manager has recently developed The equality and diversity statement of intent and charter of rights, as well as the equality and diversity action plan for 2005/06, which listed how diverse cultural needs of each service user living in the home would be met. The home continues to encourage and support service users to maintain family links and friendships inside and outside of the home. Service are frequently visited by their family members and also accompanied by them on holidays and invited for overnight stay. Service users also maintain contacts with friends from day centres. Good relationships are maintained with neighbours. Relatives are invited to care planning reviews. Some of the relatives are also involved in managing financial affairs on behalf of the service users. Visitors book was being maintained. Food was mainly prepared by staff, but the service users also had an opportunity to assist in accordance with their wishes, assessed abilities and risk involved. Record of food offered to the service users was maintained. Food was appropriately stored. Fridge/freezer temperatures were being maintained. Sach Road (31) DS0000010285.V284398.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20. The home was appropriately meeting service users’ physical and emotional health needs. Medication systems were generally satisfactory, however record of medication received into the home must be maintained. EVIDENCE: Service users living in the home required support with personal care, due to the level of their disabilities. Personal care is offered by member of the same sex. The inspector was satisfied that the home ensures that the healthcare needs of the service users were met. Both the responsible person and the acting home manager are the first level registered nurses with many years of experience in the learning disability field. Each service user is registered with the GP. Service users are enabled to access other Primary Care Trust specialists, these include: psychiatrist, clinical psychologists, occupational therapists, speech and language therapists, audiology and opticians. There was evidence that the home had adequate information on service users’ conditions for staff information. As previously mentioned, each person accommodated in the home has a health action plan in place. Records of visits to healthcare professionals and outcome Sach Road (31) DS0000010285.V284398.R01.S.doc Version 5.1 Page 14 from those were being maintained. Service users received appropriate healthcare checks on regular basis. Medication systems were generally satisfactory, however the responsible person must ensure that record of medication received by the care home must be maintained. Staff working in the home have received appropriate medication training. Sach Road (31) DS0000010285.V284398.R01.S.doc Version 5.1 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 the following standard(s): 22, 23. The home had appropriate complaints system in place. Staff did not always inform the Commission about significant events in the home. The home’s Adult Protection Policy required improvement/updating. EVIDENCE: The home had a complaints policy in place, which contained details of the Commission for Social Care Inspection. There have been no complaints made to the home since the last inspection visit. It was noted that some of the service users may not be able to raise complaints directly, due to the level of their disabilities. There have been no accidents/incidents in the home since the last inspection. There was however one hospital admission, which should have been reported to the Commission. It is required that the Commission is notified of any significant event in the home in accordance with Regulation 37 of the Care Homes Regulations. The homes Adult Protection policy required updating/further development to include information in relation to the Protection of Vulnerable Adults list and what action should be taken if any form of abuse is suspected. Sach Road (31) DS0000010285.V284398.R01.S.doc Version 5.1 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 the following standard(s): 24, 26, 30. Those who live in the home benefit from a homely, comfortable and clean environment. EVIDENCE: The home is located in a two storey Victorian terraced house in a quiet residential road in Hackney. It is kept to a very high standard, both externally and internally and it blends unobtrusively into the neighbourhood. The premises were kept very clean and provided a welcoming atmosphere. There is large patioed garden at the rear of the house, which was been well cared for by service users and staff. There were numerous homely touches throughout the building. The sleepover room is also used during the day as a quiet/ one to one sessions area. Kitchen units (including oven) have been replaced, as required at the last inspection visit. The Inspector viewed all bedrooms in the home. There were very attractively furbished and highly personalised to reflect individuality of each service user. Sensory materials were provided for a service user with visual impairment. The home was found to be very clean and hygienic at the time of the inspection. Laundry facilities were kept clean and in good working order. The home had infection control guidelines in place. Sach Road (31) DS0000010285.V284398.R01.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35, 36. The home is continuously staffed. Staff are appropriately trained to meet the assessed needs of the service users. EVIDENCE: The inspector was satisfied that staff working in the home are appropriately skilled to carry out their tasks and responsibilities. At the time of this inspection 3 staff were in possession of their NVQ in Care training. Staff spoken to demonstrated their awareness of each service user’s assessed needs. They were also observed to work in a respectful and professional manner. The inspector was satisfied that staffing levels were adequate to support the current service user group. Duty rosters were maintained. There was always at least one member of staff on duty. Depending on activities on offer, additional member of staff was employed. There was one person sleeping-in at night. During the last inspection, the requirement was made for the responsible person to review the staffing levels. This requirement was made due to increasing needs of one of the service users. Since the service users’ health condition has improved and no additional staffing was required, the requirement has been lifted. The acting home manager stated that staffing levels would be reviewed should any needs of the service users change. Sach Road (31) DS0000010285.V284398.R01.S.doc Version 5.1 Page 18 Staff personnel files were inspected during this inspection. All files viewed contained all information required by law. The requirement from the last inspection has therefore been met. The inspector was satisfied that staff working in the home attended appropriate training. Certificates from courses attended were available for inspection. They were also displayed in the staff office. A member of staff working in the home said that she was happy with training on offer. Staff received regular supervisions. Staff meetings were also organised. Sach Road (31) DS0000010285.V284398.R01.S.doc Version 5.1 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 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, 38, 39, 42. The service is run by a competent acting home manager. Appropriate health and safety checks were in place. EVIDENCE: The registered manager was not present during this inspection visit, as she has been on long-term sickness. Suitable management cover was in place. The acting manager demonstrated a good knowledge of individual service users’ needs. He was also aware of his role and responsibility in running and managing the care home. The acting manager informed the inspector that the proprietors were in the process of deciding whether to put him forward as the new registered manager of the home and that the Commission would be informed of the decision in due course. The acting manager had suitable professional qualification. He is a registered nurse and has a degree in Social Science. He was also in the process of arranging some modules from the NVQ Level 4 Registered Managers Award. Sach Road (31) DS0000010285.V284398.R01.S.doc Version 5.1 Page 20 Both service users and a member of staff spoken to stated that they were happy with the acting manager. Service users said that they liked the acting manager very much and they wanted him to continue working in the home. The acting manager has recently developed a quality questionnaire and was in the process of sending it out to the service users’ relatives to obtain their views about how the home is run and whether any improvements were needed. He also said that the proprietor visited the home almost every day. All appropriate health and safety checks were carried out on regular basis and record of those was maintained. The home had appropriate insurance cover in place. Sach Road (31) DS0000010285.V284398.R01.S.doc Version 5.1 Page 21 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 Standard No Score 1 x 2 x 3 3 4 x 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 x 26 4 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 4 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 3 3 3 x x 3 x Sach Road (31) DS0000010285.V284398.R01.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? No. 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 YA20 Regulation 13(2) Requirement The responsible person must ensure that record of medication received by the care home must be maintained. It is required that the Commission is notified of any significant event in the home in accordance with Regulation 37 of the Care Homes Regulations. The homes Adult Protection policy requires updating/further development to include information in relation to the Protection of Vulnerable Adults list and what action should be taken if any form of abuse is suspected. Timescale for action 01/04/06 2. YA23 37 01/04/06 3. YA23 13(6) 01/05/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Sach Road (31) DS0000010285.V284398.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection East London Area Office Gredley House 1-11 Broadway Stratford London E15 4BQ 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 Sach Road (31) DS0000010285.V284398.R01.S.doc Version 5.1 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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