Inspection on 15/11/05 for Sophia Care Home

This inspection was carried out on 15th November 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

Sophia Care Home 30/10/07

Sophia Care Home 21/07/06

Sophia Care Home 12/05/05

Sophia Care Home 28/02/05

Sophia Care Home 21/10/04

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 Sophia Care Home 236 Malvern Avenue South Harrow Middlesex HA2 9HE Lead Inspector Virginia Allen Unannounced Inspection 15th November 2005 08:00 Sophia Care Home DS0000047917.V263039.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Sophia Care Home DS0000047917.V263039.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Sophia Care Home DS0000047917.V263039.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Sophia Care Home Address 236 Malvern Avenue South Harrow Middlesex HA2 9HE 020 8426 8110 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) Ms Sophia Mirza Ms Sophia Mirza Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Sophia Care Home DS0000047917.V263039.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th May 2005 Brief Description of the Service: Sophia Care Home is care home for adults with learning disabilities. It is situated in a quiet residential area of Eastcote. It is close to local shops and transport. It is a two -story conversion of two semi- detached houses into one five-bed home on two floors. There are five single bedrooms and two bathrooms on the first floor and a spacious communal lounge and dining area, large kitchen and laundry area for the service users. There is a well maintained garden to the rear of the house. The house is part of the normal housing stock in the same road. The manager has converted the large communal areas into a day care facility for people with learning disabilities, which is separate to the residential home. Sophia Care Home DS0000047917.V263039.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on a pleasant autumn morning. There is currently only one resident in the home and the inspector talked with the resident about his time at the home and talked with the manager. The inspector viewed the policies and procedures of the home and the service user care plan and records. 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. Sophia Care Home DS0000047917.V263039.R01.S.doc Version 5.0 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Sophia Care Home DS0000047917.V263039.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3,4,5 Prospective service users know that the home they choose will meet their needs and aspirations. They have the opportunity to visit and test drive the home. Each service user has an individual written contract or statement of terms and conditions with the home. EVIDENCE: Prospective service users are comprehensively assessed prior to making a decision about whether or not to move into the home. Prospective service users are therefore given assurance prior to their admission that the home can meet their needs. The manager told the inspector that in line with their policy, a prospective service user is offered the opportunity to visit the home and to stay over night. This gave them the chance to sample the food and to get to know the staff. The prospective service user is also given the opportunity to choose their own bedroom. The manager explained that after admission the service user has a settling in period of three months after which the placement is reviewed and the service user has the chance to decide whether or not they wish to continue. Sophia Care Home DS0000047917.V263039.R01.S.doc Version 5.0 Page 8 The manager assured the inspector that all specialist services are offered to the service user after admission. The current service user does not have any specialised needs but does have appointments with the chiropodist, optician, dentist and phlebotomist. The inspector viewed the documentation for these appointments. Staff employed by the home include three trained health professionals and their rapport with the service user is good. The service user has daily phone calls with his parents and visits their home weekly. The manager told the inspector that she would organise independent advocacy for the service user if there was need. The current service user does not wish to attend any form of religious observance but has been given the opportunity. The home has a signed contract with the funding body and the current service user’s family. Sophia Care Home DS0000047917.V263039.R01.S.doc Version 5.0 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): 7,8,10 Service users make decision about their lives with assistance as needed. They are consulted on and participate in all aspects of life in the home. Service users know that information about them is handled appropriately and their confidences are kept. EVIDENCE: The focus of the home is person centred. The wishes and aspirations of the service user govern the practice. The manager of the home explained to the inspector how the service user makes his own decisions about what he wants and is supported by the home and it’s staff. The current service user makes his own decisions about what he wears, where he goes each day, what food he has and what his hygiene needs are. He looks after his own finances. His likes and dislikes are documented in his care plan. The current service user is encouraged to pursue his own interests and take appropriate risks. Risk assessments are in place. Sophia Care Home DS0000047917.V263039.R01.S.doc Version 5.0 Page 10 The manager explained to the inspector that the service user likes bus riding and although initially staff travelled with him, he now goes out on his own. He goes shopping and goes to the pub. Because there is currently only one service user, he receives one to one assistance and support. All records in the home are stored in a locked cupboard. The home has a policy of confidentiality. The manager explained to the inspector that the service user has the right to privacy and information is only shared with others on the agreement of the service user. Sophia Care Home DS0000047917.V263039.R01.S.doc Version 5.0 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): 11,14,16,17 Service users have the opportunity for personal development and engage in appropriate leisure activities. Their rights are respected and responsibilities recognised. They are offered a healthy and enjoyable diet. EVIDENCE: The current service user has been offered the opportunity to attend a day centre but has chosen to pursue his own interests during the day. He is registered to attend college in the new year. He participates in therapy to assist him with some behavioural issues. Staff encourage a range of activities during the day with special emphasis on the service user pursuing his own hobbies. Special trips into London or a range of parks are encouraged. The staff acknowledge the service users right to independence and privacy within the home. The inspector noted that the service user was spoken to with dignity and respect. The manager knocked on his bedroom door before entering. Sophia Care Home DS0000047917.V263039.R01.S.doc Version 5.0 Page 12 All bedrooms have an individual key to allow the service user the opportunity to lock their doors. During the inspection the current service user received mail and it was noted that this was given directly to him to open. Although service users have the opportunity to choose their meals, and the home promotes a healthy lifestyle. The current service user is on a special diet and is encouraged to maintain this where possible. The manager informed the inspector that she encourages a varied diet and they have at least three or four vegetables with their meals. Where possible service users are encouraged to help in the kitchen and to learn kitchen skills. However, the current service user does not wish to do any kitchen tasks except make a cup of tea. Meals are offered three times a day with snacks in between. This is at the discretion of the service user. Service users are weight regularly and encouraged to watch their weight. Sophia Care Home DS0000047917.V263039.R01.S.doc Version 5.0 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): 18,21 Service users receive personal support in the way they prefer and require. The ageing, illness and death of a service user is handled as the individual would wish. EVIDENCE: The home provides sensitive and flexible personal support for the service user. This was evident at the inspection. The service user spoke very well of the home and the support he received. He reported to the inspector that he felt he was completely independent and that gained support from the staff when he needed it. The manager talked about the individual needs of the service user that had required specialised therapy. She was sensitive to those needs and worked along with the service user giving appropriate support. The inspector viewed the home’s documentation. There was a policy on death and dying and the manager had talked with the family of the service user and had documented individual wishes in relation to this issue. Sophia Care Home DS0000047917.V263039.R01.S.doc Version 5.0 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 Service users feel their views are listened to and acted on EVIDENCE: The inspector spoke to the service user about complaints. He told the inspector that he had nothing he wished to complain about. The inspector viewed the complaints procedure which was written in user friendly style for access by the service user. The manager assured the inspector that relatives and friends receive a copy of the complaints procedure. Sophia Care Home DS0000047917.V263039.R01.S.doc Version 5.0 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): 25,26,27,28,29 Service users bedrooms suit their needs and lifestyles and promote their independence. The toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users individual rooms EVIDENCE: The current service user showed the inspector his own room. He appeared to be extremely pleased with his room that was carpeted and had matching décor. He had a double bed and plenty of cupboarding. The inspector toured the other available bedrooms and noted that they were all light, bright and tasteful. The bedroom doors all had a lock so that service users have the opportunity to maintain their privacy and independence. There are two bathrooms with toilets that were seen to be clean and adequate. The bathrooms were also lockable. Sophia Care Home DS0000047917.V263039.R01.S.doc Version 5.0 Page 16 The communal areas are large and well decorated. They provide comfortable seating and are centrally heated. There is a communal television although there is also provision for the service user to have their own televisions in their own rooms. The home is decorated with domestic furniture that is of good quality. Sophia Care Home DS0000047917.V263039.R01.S.doc Version 5.0 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, Service users are supported by competent and qualified staff who form an effective team. EVIDENCE: As there is currently only one service user, and so the home does not utilise all of the staff that they have employed. However, the manager is a registered general nurse and a registered mental health nurse. Three of her staff are also health trained. Some further training has been commenced, but will evolve as the home expands and more staff are deployed. The current service user spoke well of his experience with the staff. Sophia Care Home DS0000047917.V263039.R01.S.doc Version 5.0 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 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): 38,39,40, Service users benefit from the ethos, leadership and management of the home and are confident that their views underpin all developments by the home. Their rights and best interests are safeguarded by the homes policies and procedures. EVIDENCE: The manager informed the inspector that the ethos of the home was person centred and the promotion of independence. It was clear from the documentation and the reports from the current service user that this was the philosophy that underpinned the practice in the home. The current service user supported the manager’s claim that his wishes and aspirations were listened to and acted on. His likes and dislikes were also recorded in his care plan. Sophia Care Home DS0000047917.V263039.R01.S.doc Version 5.0 Page 19 The documented policies and procedures for the home reflect the focus of the home. The home has a quality assurance procedure and a copy was given to the inspector for filing at the CSCI office. Sophia Care Home DS0000047917.V263039.R01.S.doc Version 5.0 Page 20 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 X 3 3 3 Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 3 X 3 Standard No 24 25 26 27 28 29 30 STAFFING Score X 3 3 3 3 3 x LIFESTYLES Standard No Score 11 3 12 X 13 X 14 3 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 3 X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Sophia Care Home Score 3 X X 3 Standard No 37 38 39 40 41 42 43 Score X X 3 3 X X x DS0000047917.V263039.R01.S.doc Version 5.0 Page 21 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. Refer to Standard Good Practice Recommendations Sophia Care Home DS0000047917.V263039.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Harrow Area office Fourth Floor Aspect Gate 166 College Road Harrow HA1 1BH 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 Sophia Care Home DS0000047917.V263039.R01.S.doc Version 5.0 Page 23 - 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!