Inspection on 22/02/06 for Seymour Gardens (33)

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

Other inspections for this house

Seymour Gardens (33) 21/09/06

Seymour Gardens (33) 28/06/05

Seymour Gardens (33) 27/05/04

Seymour Gardens (33) 29/01/04

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 Seymour Gardens (33) 33 Seymour Gardens Ilford Essex IG1 3LP Lead Inspector Ms Harina Morzeria Unannounced Inspection 22nd February 2006 09:30 Seymour Gardens (33) DS0000025927.V284345.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 Seymour Gardens (33) DS0000025927.V284345.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. Seymour Gardens (33) DS0000025927.V284345.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Seymour Gardens (33) Address 33 Seymour Gardens Ilford Essex IG1 3LP 020 8518 4645 020 8554 0396 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) Norwood Ravenswood East Ms Vanda Karen Brand Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Seymour Gardens (33) DS0000025927.V284345.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The number of persons for whom residential accommodation with both board and personal care is provided at any one time shall not exceed 5. 28th June 2005 Date of last inspection Brief Description of the Service: Seymour Gardens is a five bedded home for adults with learning and physical disabilities run by Norwood, a not-for-profit, Jewish organisation, providing services for people of the Jewish faith. Hence the ethos of the home is based around Jewish beliefs, customs and faith. Service users accommodated in the home have medium -- high dependency needs and may exhibit challenging behaviour. The home is a converted domestic dwelling in a popular residential area in Ilford and is close to public amenities as well as being served by good public transport links. All service users have their own bedrooms which are well furnished and decorated, with one of the downstairs rooms containing an en suite facility. Appropriate communal space is provided and there is also a small well-kept garden, for the service users enjoyment. The manager and staff support service users to develop and maintain independent living skills, attend college for various courses as well as accessing community facilities locally and at the Leonard Steiner Centre (Jewish community centre) in Barkingside. Personal care is provided on a 24-hour basis, and health care needs are met by staff supporting service users to attend appointments with health professionals. Seymour Gardens (33) DS0000025927.V284345.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second statutory inspection visit in the inspection programme for 2005/06. All core standards have now been assessed over the course of the two visits. This inspection was unannounced. It started at 3pm and lasted for one and a half hours. The inspector spoke to four service users during the course of the inspection and two individual service user files were checked. Five requirements were set at the previous inspection, three requirements were complied with and the registered person has yet to comply with two of the required actions. What the service does well: The home continues to offer a service which meets the needs of the service users. The standard of the décor, furnishings and fittings are well maintained with an on-going refurbishment programme in place. The home supports the service users to exercise choice and control over their lives in order to promote their independence. The routines of daily living and activities available are flexible and varied, to suit each person’s expectations, preferences and capacities. The service users said that they are asked about issues that affect them in the home and are kept informed about any changes and events that take place. Regular discussions and meetings also take place with the service users as well as with their relatives about any issues or progress being made. All necessary healthcare services are accessed for service users in order to meet their assessed and specialist needs. Each service user has a weekly programme of activities outlined in an activity plan. Hence, the service users are supported by staff to attend college, going to the gym, library, and attending activities provided at the John Steiner Seymour Gardens (33) DS0000025927.V284345.R01.S.doc Version 5.1 Page 6 Centre, as well as going to the cinema, restaurants and pubs locally with the staff during the evening. 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. Seymour Gardens (33) DS0000025927.V284345.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 Seymour Gardens (33) DS0000025927.V284345.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): 5 Each service user has a statement of terms and conditions with the home. EVIDENCE: The manager has attempted to ensure that each service user has a contract and a statement of terms and conditions with the home with the involvement of their family members as well as representatives who have agreed to these on their behalf. Seymour Gardens (33) DS0000025927.V284345.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): These standards were not tested on this visit. However evidence from the last inspection was that each service users has an individual care plan called – Individual Personal Plan (IPP). This outlines the service users needs and personal goals. Service users are consulted about their lives and encouraged to make independent decisions as far as possible. Appropriate risk assessments are in place for activities undertaken by the service users in order to promote their independence. EVIDENCE: The above standards were not specifically tested on this visit, as there were no outstanding requirements in relation to the standards. At the time of the last inspection, all of the outcome standards were assessed as met. These standards will be retested at a future inspection. Seymour Gardens (33) DS0000025927.V284345.R01.S.doc Version 5.1 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): 15 The service users have opportunities to develop and maintain social and personal networks of their choosing. EVIDENCE: The service users spoken to confirmed that they are encouraged by the staff in the home to participate in all aspects of the home and to develop networks which include visits from friends and relatives. Many of the families have limited input into the home as not many of the service users in this home receive regular visits from their families, but they do make visits to their families regularly and keep in touch with them by phone. Service users are also encouraged to maintain any friendships they form and many of them visit other service users in the other homes and interact with them during social gatherings which are held at the John Steiner Centre, a local Jewish community source. Seymour Gardens (33) DS0000025927.V284345.R01.S.doc Version 5.1 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): These standards were not tested on this visit. However evidence from the last inspection was that service users receive personal support in the way that they prefer and require. The daily records also show that the service users’ physical and emotional needs are met appropriately within the home. The organisation have reviewed their medication administration policy and procedure and all the staff have now received updated medication administration training. EVIDENCE: The above standards were not specifically tested on this visit, as there were no outstanding requirements in relation to the standards. At the time of the last inspection, all of the outcome standards were assessed as met. These standards will be retested at a future inspection. Seymour Gardens (33) DS0000025927.V284345.R01.S.doc Version 5.1 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 The home has a satisfactory complaints policy and procedure and service users said that their views are listened to. EVIDENCE: The home adopts the organisational complaints procedure which is also available in picture format for the service users. The service users said that they would be able to talk to their key worker or the manager if they had any problems. A requirement was made at the previous inspection for the manager to keep a record of complaints. The complaints book was checked during this inspection and the inspector noted that all complaints are now logged with details of the investigation and the outcome logged elsewhere. An accident log is also kept which was checked during this inspection. Seymour Gardens (33) DS0000025927.V284345.R01.S.doc Version 5.1 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): 27 A suitably adapted bath is required and must be available to meet individual needs. EVIDENCE: As highlighted during the previous inspection the bathroom upstairs is required to be adapted to meet the needs of one of the service users who now has difficulty accessing it. The manager has sought an O.T. assessment before any adaptations are made. However there are difficulties in installing the equipment which was recommended by the occupational therapist due to limited space in the bathroom. The manager continues to explore alternatives but is required to make a decision quickly in order to ensure that all the service users’ needs are met equally. See requirement. Seymour Gardens (33) DS0000025927.V284345.R01.S.doc Version 5.1 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): These standards were not tested on this visit. However evidence from the last inspection was that all staff have job descriptions which clearly outline their roles and responsibilities. Staff are competent and sufficiently experienced to carry out their tasks. Staffing levels are satisfactory and there are sufficient staff on duty to meet the individual assessed needs of the service users. There is an organisational procedure for the recruitment of staff, which is robust and provides safeguards for people living in the home. EVIDENCE: The above standards were not specifically tested on this visit, as there were no outstanding requirements in relation to the standards. At the time of the last inspection, all of the outcome standards were assessed as met. These standards will be retested at a future inspection. Seymour Gardens (33) DS0000025927.V284345.R01.S.doc Version 5.1 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): 39, 43 There are sound management systems in place to enable service users to receive the care they require. The manager is experienced and leads a staff team who are committed to working with service users with learning disabilities. EVIDENCE: The current manager has the qualifications and experience to run the home well by providing a safe environment and making sure that the health, safety and welfare of the service users are met by the staff working in the home. The inspector was satisfied that the home is monitored by lay monitors working within the organisation. The rabbi continues to visit the home on a monthly basis in order to assess that the home operates within Jewish laws. Seymour Gardens (33) DS0000025927.V284345.R01.S.doc Version 5.1 Page 16 An auditor appointed by the organisation continues to carry out regular financial audits. The registered person carries out monthly monitoring visits as part of the ongoing monitoring of the home and reports are now being forwarded to the inspector regularly. However, the organisation is required to implement a formal quality assurance and monitoring system based on seeking the views of service users and other stakeholders, to measure success in achieving the aims and objectives of the home. The views of the service users’ family, friends and advocates must be sought on how the home is achieving its goals for the service users. This is an outstanding requirement which has been restated in this report. At the time of the last inspection the public liability insurance had expired. This has been renewed and the new certificate is now displayed in the office. Seymour Gardens (33) DS0000025927.V284345.R01.S.doc Version 5.1 Page 17 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 X 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 x ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 2 28 X 29 X 30 x STAFFING Standard No Score 31 x 32 x 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X x X X 2 X X X 3 Seymour Gardens (33) DS0000025927.V284345.R01.S.doc Version 5.1 Page 18 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 YA27 Regulation 23 Requirement Timescale for action 30/06/06 2. YA39 17/18 The registered person is required to ensure that adequate bathroom adaptations are made in order to ensure that all service users can access the bath with ease. The registered person to ensure 30/06/06 that an organisational quality monitoring system is in place and implemented to measure success in achieving the homes aims, objectives and Statement of Purpose. 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 Seymour Gardens (33) DS0000025927.V284345.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford IG1 4PU 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 Seymour Gardens (33) DS0000025927.V284345.R01.S.doc Version 5.1 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!