Inspection on 09/09/05 for Sherrick House

This inspection was carried out on 9th September 2005.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Sherrick House 16/02/07

Sherrick House 20/01/06

Sherrick House 24/12/04

Sherrick House 07/06/04

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 Sherrick House 30 Church End Hendon London NW4 4JX Lead Inspector Margaret Flaws Unannounced 09 September 2005 @ 09.00 am 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 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 Stationary 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. Sherrick House 20050909 Sherrick House X00023 UN Stage 4 S245023 V245023 G59.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Sherrick House Address 30 Church End, Hendon, London NW4 4JX Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 8203 4860 020 8202 6603 RayBooth for Barnet Mencap Mrs Lesley Snow PC Care Home only 3 beds Category(ies) of LD Learning Disability registration, with number of places Sherrick House 20050909 Sherrick House X00023 UN Stage 4 S245023 V245023 G59.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 24 December 2004 Brief Description of the Service: Sherrick care home is a small care home run by Barnet Mencap. It provides, at any one time, a respite service for up to three younger adults who have a learning disability. There are 35 service users registered to receive the service at times throughout the year. The majority of service users live with their parents and some with other relatives. It offers them a chance to learn what it is like to live away from the family home as well as providing a break from caring for family members. There are three bedrooms at Sherrick House. On the ground floor is a large lounge, a kitchen/dining room, one bedroom and a shower room and toilet. There is a patio area and garden to the rear. On the first floor there are two bedrooms and a bathroom as well as the office and staff room. The home is close to the shops, transport links and services of Hendon. Sherrick House 20050909 Sherrick House X00023 UN Stage 4 S245023 V245023 G59.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The person in charge and one other staff member were spoken to on the inspection day. The inspector also spoke briefly to one service user, who was mainly non-verbal. No relatives visited during the inspection but comment cards were received from two relatives. A tour of the buildings and grounds, inspection of service user files, staff records, general records and policies and procedures formed the basis of the inspection. No new requirements or recommendations were made on this inspection and no requirements restated from the last inspection. 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. Sherrick House 20050909 Sherrick House X00023 UN Stage 4 S245023 V245023 G59.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Sherrick House 20050909 Sherrick House X00023 UN Stage 4 S245023 V245023 G59.doc Version 1.40 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 standard(s) 2 Service users can feel confident that their individual needs and aspirations are fully assessed prior to each respite admission. EVIDENCE: The home has thirty one respite service users currently on its books. Three come from outside the London Borough of Barnet. Staff said that the home has an extremely good relationship with The London Borough of Barnet, who do regular reviews of service users’ needs. The home keeps in close touch with parents and caregivers, to ensure the changing needs of service users are fully assessed prior to each respite admission. Each service users has a set of terms and conditions that are also reviewed annually. Sherrick House 20050909 Sherrick House X00023 UN Stage 4 S245023 V245023 G59.doc Version 1.40 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 standard(s) 6 and 9 All service users have an individualised care plan that reflects both their needs and personal goals. They can also feel confident that any risks to them will be assessed and managed in their interests, while support their independence. EVIDENCE: Care plans were examined for the three service users staying at the home at the time of the inspection. All were up to date and contained appropriate information for the nature and level of respite care provided. Staff were able to describe how they followed care plan objectives with the service users. The care plan format was clear and easy to follow and were regularly reviewed. The terminology used in care plans is appropriate and there was no further evidence that outdated language was being used by staff, as was found at the previous inspection. Service users are able exercise freedom of choice, which was clear from documented consultations about their daily lives in their care plans. Risk assessments are regularly reviewed and written from an enabling perspective. Because the service users only stay at the home for short periods, the risk assessments are carefully scrutinized and reproduced for each visit. Sherrick House 20050909 Sherrick House X00023 UN Stage 4 S245023 V245023 G59.doc Version 1.40 Page 9 Sherrick House 20050909 Sherrick House X00023 UN Stage 4 S245023 V245023 G59.doc Version 1.40 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 standard(s) 12, 13, 15 and 17 While Sherrick House is not the service users’ permanent home, their normal daily pattern of life, including any regular activities and contact with families, is maintained by the home during the respite period with minimal disruption. Service users eat very well at Sherrick House. EVIDENCE: The service provided at Sherrick House is not the service users’ primary service and Sherrick staff are not responsible for the service user’s overall needs. Service users stay there for planned respite care, primarily to provide a break for families and carers and often for weekend or overnight stays. Some also come for longer periods. Most service users staying at the home attend day care or college during the day. The service aims to provide as much continuity as possible for the service users while they are receiving respite care. They are able to also enjoy activities such as going to the cinema, pub or shopping accompanied. Most service users are local to the area. Staff were very knowledgeable about service users and able to describe their specific needs. Staff rotas are matched to the demographic make-up of the Sherrick House 20050909 Sherrick House X00023 UN Stage 4 S245023 V245023 G59.doc Version 1.40 Page 11 service users. Some staff are able to use Maketon to communicate with those service users familiar with it. Service users assist staff with meal preparation if they are able. Menus are varied and interesting. There was a good supply of fresh and interesting food in the fridge, freezer and cupboards. Some service users take a packed lunch out and others have a full three course meal at the local day centre. Culturally appropriate food is provided for service users who require it. Sherrick House 20050909 Sherrick House X00023 UN Stage 4 S245023 V245023 G59.doc Version 1.40 Page 12 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 standard(s) 18, 19 and 20 Those service users with personal care needs can feel confident that these will be well met by staff and that any medication they are taking will be delivered safely. EVIDENCE: At the time of the inspection, one service user required full personal care and support. This process was clearly set out in the care plan and followed appropriately by staff. All service users are monitored throughout the night according to their level of dependency. Because the service only provides respite care, limited health information is kept at the care home. Both relatives who completed comment cards were satisfied with the quality of care at Sherrick House. One said: “I always feel very relaxed and confident on leaving my daughter in their care.” Staff concurred and said that regular service users come for respite at Sherrick House and the continuity of care is very good. Medication storage facilities and policies and procedures were examined and were in order. A small medication fridge is provided, temperatures were monitored and were within range. Clear medication risk assessments are placed prominently in the front of service users’ files along with ‘at a glance’ essential dietary information. Sherrick House 20050909 Sherrick House X00023 UN Stage 4 S245023 V245023 G59.doc Version 1.40 Page 13 Standard Nineteen is not applicable because information about service users’ health needs are not kept at the home. Their families and social workers are responsible for their health care needs. Sherrick House 20050909 Sherrick House X00023 UN Stage 4 S245023 V245023 G59.doc Version 1.40 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 Service users can feel confident that their views will listened to and acted on and that staff are properly trained to ensure their protection. EVIDENCE: The complaints book is now kept in an accessible place, as was required at the last inspection. There have been no complaints since the last inspection. The home now has updated adult policies and procedures, which was required at the last inspection. Staff have received POVA training and when spoken to were able to describe the process they would follow if faced with suspected abuse. Sherrick House 20050909 Sherrick House X00023 UN Stage 4 S245023 V245023 G59.doc Version 1.40 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 and 30 Service users can enjoy staying at a home which is homely, safe and well maintained. EVIDENCE: On inspection, the home was very clean, tidy and a pleasant space to be in. Over the past year, the home has been redecorated and refurbished and it shows. The inspector particularly noted the clean and orderly state of the kitchen and bathrooms, evidence of an organised and thoroughly systematic staff team. All service users’ bedrooms were inspected and while simply furnished, were appropriate for short periods of respite care. Infection control procedures are in place and staff training in this area is up to date. Sherrick House 20050909 Sherrick House X00023 UN Stage 4 S245023 V245023 G59.doc Version 1.40 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 35 and 36 Service users’ needs are met by a stable, knowledgeable and efficient staff team, who are supported to meet these needs. EVIDENCE: The staff team is well established and several staff have worked at the home for a number of years. Both staff spoken to said they work as a cohesive team, that staff meetings are a regular forum for communication, discussion and resolution. The rotas were examined and the staffing was appropriate to the number and dependency levels of the service users present at the time of the inspection. Both staff said that the way the rota was well structured and worked well for them as individuals and as a team, with a mix of short and long days. Staff are gender matched to service users requiring personal care. The home has a responsive training plan. One recently employed staff member described the well structured induction programme that she had been through. Training files were examined and all foundation and statutory training is up to date. Regular training is provided with relevance to the healthcare needs of the service users, such as epilepsy. All staff have either completed NVQ 2 or 3, or have been put forward to study this year. The deputy manager has completed NVQ4. Staff receive regular supervision and said that they are well supported in their jobs. Sherrick House 20050909 Sherrick House X00023 UN Stage 4 S245023 V245023 G59.doc Version 1.40 Page 17 Sherrick House 20050909 Sherrick House X00023 UN Stage 4 S245023 V245023 G59.doc Version 1.40 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42 Service users staying at the home are supported and protected in a safe and healthy environment. EVIDENCE: The home’s health and safety policies and accident and incident records were inspected and were in order, as were all gas, electrical, fire safety and water safety certificates. Infection control procedures are in place and staff training in this area is up to date for the protection of service users. There were no obvious hazards in the home, which has a simple, domestic layout. Fire drills are held regularly and staff receive six monthly training. Staff are trained in manual handling. A makeshift call system for staff who need assistance when working with service users upstairs appears to be workable. Sherrick House 20050909 Sherrick House X00023 UN Stage 4 S245023 V245023 G59.doc Version 1.40 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score x 3 x x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Sherrick House Score 3 x 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x 20050909 Sherrick House X00023 UN Stage 4 S245023 V245023 G59.doc Version 1.40 Page 20 No 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 Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Sherrick House 20050909 Sherrick House X00023 UN Stage 4 S245023 V245023 G59.doc Version 1.40 Page 21 Commission for Social Care Inspection Solar House 1st Floor, 282 Chase Road Southgate London N14 6HA National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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