Inspection on 17/01/06 for Shooters Hill Road, 156

This inspection was carried out on 17th January 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 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

Shooters Hill Road, 156 09/05/07

Shooters Hill Road, 156 16/03/05

Shooters Hill Road, 156 14/12/04

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Shooters Hill Road, 156 156 Shooters Hill Road Blackheath London SE3 8RP Lead Inspector Sue Grindlay Unannounced Inspection 17th January 2006 11.40 Shooters Hill Road, 156 DS0000006875.V275276.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 Shooters Hill Road, 156 DS0000006875.V275276.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. Shooters Hill Road, 156 DS0000006875.V275276.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Shooters Hill Road, 156 Address 156 Shooters Hill Road Blackheath London SE3 8RP 020 8319 3939 020 8319 3939 mrshem2000@yahoo.com 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 Ahmad Mungul Mr Shemil Mungul Mr Shemil Mungul Care Home 3 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (2), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (1) Shooters Hill Road, 156 DS0000006875.V275276.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th June 2005 Brief Description of the Service: Shooters Hill residential Home provides 24-hour care for three adults of both sexes who have mental health problems, one of whom may be over the age of 65. The house is a large 4-bedroomed property on the main A2 close to Charlton village. It is domestic in style and not identified from the outside. There is a small parade of shops adjacent to the Home and the G.P. surgery is next door. Buses pass the front door towards Lewisham, Blackheath and Woolwich. Each service user has his own room, which is equipped with a bed, television, fridge, wash hand basin, easy chair and wardrobe. The rooms are well decorated and the house is maintained to a high standard throughout. Communal areas include a lounge, dining/meeting room, breakfast room and kitchen. The conservatory leading off the kitchen is the designated laundry area. There is a large secluded garden with shrubs, lawn and a vegetable plot that provides food for the table. Service users are encouraged to think of it as their home, and to live as independently as they can. Meals are provided but service users can prepare their own meals if they wish to do so. Shooters Hill Road, 156 DS0000006875.V275276.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection taking just over one hour. It was the second inspection of the inspection year, and there were no changes to the group of service users placed. The manager and the Registered Provider’s wife, who also works in the Home were present for the inspection, and two service users agreed to be interviewed in their rooms. Both had been seen on previous occasions. Case files and records in respect of fire drills and complaints were looked at, and the manager’s response to an Equalities Questionnaire sent from the Commission was also drawn on. There have been no notifiable events in the period since the last inspection. What the service does well: What has improved since the last inspection? What they could do better: The Home should continue its work to promote independence, and to offer new experiences to residents. Shooters Hill Road, 156 DS0000006875.V275276.R01.S.doc Version 5.1 Page 6 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. Shooters Hill Road, 156 DS0000006875.V275276.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 Shooters Hill Road, 156 DS0000006875.V275276.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): EVIDENCE: None of these standards were assessed on this occasion. The current group of residents have been in the Home for some time. The manager would liaise with care managers and other professionals in respect of any new resident referred to the Home to ensure the Home could meet the needs. Shooters Hill Road, 156 DS0000006875.V275276.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, 8 and 9 Residents in the Home are treated as individuals, and their care plans reflect their individual needs and wishes. EVIDENCE: Each service user has a care plan, and this is reviewed and updated as required. In one case the plan was discussed in a meeting with the care manager and service user and both signed to say that they concurred with the plan. A review date was also on the record. Service users have opportunities to affect decision-making in the Home. There are regular meetings and service users are encouraged to express their views. Both service users spoken to said that they would feel able to tell the manager if they were unhappy about anything in the house. In addition the Home formally asks service users to complete a questionnaire, and copies of these were seen on case files. Risk assessments were on file, and in some cases it had been assessed that the risk had reduced over time. The manager explained that in one case, the service user who used to squander money has been helped to shop around for Shooters Hill Road, 156 DS0000006875.V275276.R01.S.doc Version 5.1 Page 10 items, thereby saving money. One of the service users has begun going out jogging with the manager, and he said that he takes him in the car to Greenwich Park to begin the run. This affords them greater protection from exhaust fumes and from traffic hazards. One service user said that he was trying to stop smoking, and the staff were helpful in giving him support and encouragement in this endeavour. Shooters Hill Road, 156 DS0000006875.V275276.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, 13 and 15 Residents in the Home enjoy a comfortable and stimulating lifestyle, where individual choice is respected. EVIDENCE: Two of the service users were taken to the Tate Modern recently, and this has sparked off some creativity in the Home. The manager has purchased large drawing pads and pens, and both service users have produced some interesting artwork. One service user had a picture on his wall, and asked for an opinion. It was extremely well executed, and clearly gave him some sense of pride and achievement. The manager and his mother (the Registered Person’s wife) were pleased with the response and plan to repeat the exercise. In addition these two service users have signed up for the Waterfront leisure Centre, and this will give them access to the facilities including the gym, the swimming pool and the sauna. In terms of helping service users develop their self-confidence and social skills, this standard is exceeded. Service users are free to come and go as they please. Some shop at the local shops and are known to the shopkeepers. One service user goes to the church across the road for coffee mornings, and says he is welcomed there whenever Shooters Hill Road, 156 DS0000006875.V275276.R01.S.doc Version 5.1 Page 12 he goes. Besides the physical succour (he said you could get marmite on toast), he has gained some spiritual comfort from this community link, as he said, “They pray for you. There’s a lot of temptation along the way”. One service user visits his father regularly, and often stays overnight. Others have no family contact, and view the proprietor and his family as their own family. One said in his questionnaire, “They look after me like I am part of the family. They love me with all their heart”. Shooters Hill Road, 156 DS0000006875.V275276.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): EVIDENCE: No standards relating to health were looked at on this occasion. Shooters Hill Road, 156 DS0000006875.V275276.R01.S.doc Version 5.1 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 the following standard(s): 22 Residents express a high degree of satisfaction with the care in the Home, and the managers ensure that residents’ wishes are listened to and responded to. EVIDENCE: Both service users said that they would speak to the manager if they had any complaint, and neither felt worried about doing so. There is only one complaint recorded since the last inspection, and this was a service user complaining about another resident. The manager records the action taken to resolve the difficulty in terms of mediation, and stated that the situation had not recurred since that time. Shooters Hill Road, 156 DS0000006875.V275276.R01.S.doc Version 5.1 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 the following standard(s): 24 and 26 The Home is bright, spacious and welcoming. Bedrooms are personalised by the individual resident. EVIDENCE: The Home is well-suited to its purpose. There is a range of communal space including a large and comfortable lounge, a dining room suitable for meetings or reviews, a small breakfast room, and a large level garden mainly laid to lawn, with a level patio and lightweight garden furniture. Some new planting has been done in the garden, and one of the residents, who studies gardening at college, helped with this. The garden looked extremely tidy, although it was the middle of winter. The two bedrooms seen were personalised by the individual service users, and there was evidence of their interests in videos on the shelf and pictures on the walls. One of the service users had a number of CDs in his bedside drawer, and these were difficult to access. It is recommended that he is encouraged to purchase a floor standing CD rack for his large collection, so that he can find his favourites easily (Recommendation 1). Shooters Hill Road, 156 DS0000006875.V275276.R01.S.doc Version 5.1 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 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 This is a small family business, and staff manage to create a warm family ambience in the Home, whilst maintaining their professional roles. EVIDENCE: This is a family business and four of the six regular staff members are family members. The rota is the same week on week, so there is consistency for the residents. The proprietor’s wife is continuing her NVQ3 one day a month through a local nursing home. Shooters Hill Road, 156 DS0000006875.V275276.R01.S.doc Version 5.1 Page 17 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 The Home is well run in a professional but caring way, and residents are enabled to live comfortably according to their own wishes. EVIDENCE: The Home’s manager, the proprietor and his wife are all well-qualified and competent to run the Home. Certificates are displayed appropriately, records are well-maintained and were immediately available for inspection in good order, and policies and procedures are adhered to firmly. Both managers are keen to update their practice and to improve the service, for example in responding to the good practice guidelines of food handling and in being proactive in seeking new training opportunities. Service users benefit from the way the Home is run, by the consistency and dedication of staff, and feedback suggests that they consider themselves fortunate to be living there. The Home responded to the Commission’s questionnaire on Equalities, showing by the answers a demonstrable commitment to promoting equality. Shooters Hill Road, 156 DS0000006875.V275276.R01.S.doc Version 5.1 Page 18 Shooters Hill Road, 156 DS0000006875.V275276.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 X 3 X 4 X 5 X 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 3 25 X 26 3 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X 3 3 X LIFESTYLES Standard No Score 11 4 12 X 13 3 14 X 15 3 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X 3 3 X X X X X Shooters Hill Road, 156 DS0000006875.V275276.R01.S.doc Version 5.1 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. 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 YA25 Good Practice Recommendations It is recommended that the service user with a large collection of CDs be encouraged to purchase a floorstanding CD rack so that he can access his collection easily. Shooters Hill Road, 156 DS0000006875.V275276.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Sidcup Local Office River House 1 Maidstone Road Sidcup DA14 5RH 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 Shooters Hill Road, 156 DS0000006875.V275276.R01.S.doc Version 5.1 Page 22 - 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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