Inspection on 17/05/05 for Southview Close

This inspection was carried out on 17th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 but made no statutory requirements on the home.

Other inspections for this house

Southview Close 20/06/06

Southview Close 28/11/05

Southview Close 04/10/04

Southview Close 13/05/04

Southview Close 15/01/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

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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 Southview Close 1 Southview Close Rectory Lane Tooting SW17 9TU Lead Inspector Davina McLaverty Unannounced 17 May 2005 8.50 am th 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. Southview Close G54-G04 S10226 Southview Close V218742 170505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Southview Close Address 1 Southview Close Rectory Lane Tooting London SW17 9TU 020 8682 3312 020 8682 3422 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) MacIntyre CRH Care Home 12 Learning Disability (12) Physical Disability (12) (E) Learning Disability over 65 (3) (E) Physical Disability over 65 (2) Category(ies) of LD registration, with number PD of places LD PD Southview Close G54-G04 S10226 Southview Close V218742 170505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th & 6th October 2004 Brief Description of the Service: Southview Close is a home for twelve adults with learning disabilties , some of whom also have a physical disabilty. The property is purpose built and has been adapted for use by service users with wheelchairs. The home is on two floors and is divided into four flats, each with their own kitchen /dining room, lounge, toilet and bathroom. All bedrooms are single occupancy, with four bedrooms having ensuite facilties. Shared facilties include the garden. The home is situated in a quiet residential area near Amen Corner, Tooting and is within easy reach of shops and community facilties. The area is well served by public transport and the home has the use of an adapted minibus,. The home has six allocated parking spces. Street parking is restricted. Further information concerning the service can be found on the organisations website at www.macintyre-care.org. Southview Close G54-G04 S10226 Southview Close V218742 170505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over one day. The inspector met nine of the service users. Communication with service users was difficult due to the level of their learning disability and many being non verbal. The acting manager was seen as well as four staff. The inspection consisted of the examination of records, inspection of the communal areas of the home and some of the service users bedrooms. There is one service user vacancy in the home. Since the previous inspection, the “Responsible Person” request for a variation to the registration of the home has been granted by the Commission. Previously, the home was registered as two separate units with two managers. A new staffing structure has been put in place, which will provide service users with more care hours and in order to have in consistency in practice within the home. What the service does well: What has improved since the last inspection? At the last inspection, ten requirements were made of which seven have been satisfactorily addressed; three were in hand. The garden area has been made more secure and there are further plans to develop this area. Recruitment of permanent staff has taken place and the staff team are hopeful that once they are all in post, the shifts will run more smoothly and more spontaneity can take place in regards to trips out with service users. Southview Close G54-G04 S10226 Southview Close V218742 170505 Stage 4.doc Version 1.30 Page 6 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. Southview Close G54-G04 S10226 Southview Close V218742 170505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Southview Close G54-G04 S10226 Southview Close V218742 170505 Stage 4.doc Version 1.30 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 standard(s) 1, 2, 3,4 & 5 There are appropriate procedures in place for the admission of service users, including visits and overnight stays. Service users assessments are thorough and allow for a detailed care planning process to develop from the documentation. This ensures that service users needs can be met. EVIDENCE: A Statement of Purpose and Service User Guide is in place, which contains information about admission criteria, structure of the organisation, staffing, supporting service users, service users plans and community participation. Since the last inspection, no new service user has been admitted. There is currently one vacancy. The organisation has a comprehensive admission policy and procedure in place. In discussion with the acting manager, she was aware of the importance and need to carry out her own assessment before any new service user is admitted to the home. This is to ensure that the home is able to meet the individual’s particular needs, as well as to consider the impact this service user would have on the service users currently in residence. Family interests would be taken into account. Full and detailed assessments were in place in each of the four service files examined. Staff spoken to, were found to be very knowledgeable of the service users needs, their routines and their likes and dislikes. Southview Close G54-G04 S10226 Southview Close V218742 170505 Stage 4.doc Version 1.30 Page 9 Contracts between McIntyre and the service users were seen to be in place. These contracts detail what the home will provide for the service user and details the organisation’s complaints procedure. The manager stated that contracts with the local authority were kept at head office. Southview Close G54-G04 S10226 Southview Close V218742 170505 Stage 4.doc Version 1.30 Page 10 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, 7, 8, 9, 10 The staff have a good understanding of the service users individual support needs. Positive, relaxed and warm communication was observed with mutual respect. Service users are supported by staff to be as independent as able and are actively encouraged to fulfil their goals and aspirations, whatever that might be. EVIDENCE: The home uses a person centred plan, which is specific to service users individual needs. The manager stated that work on care plans is on going. Personal profiles, photographs and weekly timetables were available. The plans seen reflect the needs, aspirations and goals of the individual and sets out how to make them a reality. Pictures are used where service users are not able to communicate verbally in part of their plans. Service users guidelines were available. These describe morning and evening routines. Also seen were specific guidelines, which related to particular issues such as eating, feeding, and toileting. These guidelines enable new staff to understand how to deliver care to service users. Monthly summaries are written, which details changes in areas such as medication/health, as well as update everyone as to the service users involvement in the community and with their family. Statutory reviews Southview Close G54-G04 S10226 Southview Close V218742 170505 Stage 4.doc Version 1.30 Page 11 were not all in place and the manager stated that it is her intention to pursue these with the purchasing authority. Risk assessments were in place in two of the files seen on the first floor, but the two files seen on the ground floor required updating. The manager was aware of this and is addressing it. House meetings take place in some of the units where service users are able to input. These meetings are minuted and service users are encouraged to raise any concerns they have with the home, staff and each other as well as to plan the menu and outings. Staff spoken to were aware of the importance of confidentiality. Records were seen to be kept securely in a locked cabinet in both offices. Southview Close G54-G04 S10226 Southview Close V218742 170505 Stage 4.doc Version 1.30 Page 12 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) 11, 13, 14, 15, 16, & 17 Links with the community are good and these support and enrich service users social and educational opportunities. Visitors are welcomed, with service users being supported to maintain contact as they wish. Staff encourage service users to be as independent as possible. Service users, where able, choose their meals. Where they are not able, they are offered a healthy and varied diet. EVIDENCE: Service users are well catered for with regard to activities being offered at the home. The home has its own mini bus, which allows trips further a field to be planned for the weekends. The bus enables staff to be spontaneous and take service users out with minimum planning. The manager reported that the home should be getting a new minibus, which will better meet the need of service users with less mobility. The activities programme displayed on the wall of the upstairs office, require updating. The senior support worker stated that the majority of the service users attend local day centres five days a week. However, a couple attend part of the week and have 1 to 1 support, or attend classes at an adult education centre or participate in projects such as theatre and gardening. Southview Close G54-G04 S10226 Southview Close V218742 170505 Stage 4.doc Version 1.30 Page 13 Service users have contacts with their families, which vary from day/weekends at home to relative visits to the home. Staff support as necessary. Staff reported that they also accompany service users on holiday, if they wish to go. All service users are encouraged to go on holidays and a lot of planning goes into this process. One staff member stated that a service user loves flying and is fascinated with planes. This service user is really looking forward to her holiday to Spain later on in the year. There is a range of television and music activities available in the various lounges, as well as various soft toys, balls, puzzles and board activities for service users. Some service users attend evening clubs. Staff stated that regular trips take place to the cinema, shopping, parks and out for meals or to the pub. Evidence of these trips was seen in the care plans examined. A sample of menus were seen, which appeared to the inspector to be varied and nutritious. Special dietary needs are catered for. One service user is muslim and only eats “halal” meat. His meat is kept and prepared separately. Special utensils is available to one service user. One staff member stated that service users tend to eat together in their respective dining rooms, but on occasions and special events e.g. birthdays, the units will come together to share the particular occasion. Photographs of special occasions were seen in the home. Southview Close G54-G04 S10226 Southview Close V218742 170505 Stage 4.doc Version 1.30 Page 14 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 Personal support in this home is offered in such a way as to promote and protect service users’ privacy, dignity and independence. Health care needs of service users are met with evidence of multi –disciplinary team working taking place on a regular basis. EVIDENCE: Information was seen in the service users files sampled and included how personal care was to be delivered to the service user. Staff guidelines were available. Three staff reported that service users privacy was respected in that they ensured that bathroom doors were locked when personal care was being administered. The service users are encouraged to do as much as possible for themselves. Service users are given choices as to what to wear and encouraged to make their own decisions. Service users are all registered with a local GP practice and are supported by staff to attend appointments. Service users are also registered with other health professionals e.g. opticians, dentists chiropody etc, and input was seen on the files examined. The acting manager reported that the home has good links with the local specialists community team for people with learning disabilities. Southview Close G54-G04 S10226 Southview Close V218742 170505 Stage 4.doc Version 1.30 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 standard(s) 22 & 23 An appropriate written complaint procedure is available, as well as a pictorial one, which is displayed on notice boards in the various units. Organisational policies and procedures are in place to protect service users from abuse. EVIDENCE: The complaints procedure is evident in the home. The complaint book was examined and concerns were raised by a relative and responded to. However, in view of this book being available to all visitors, consideration must be given to confidentiality and whether this dialogue of concern should be kept in the service user rooms and the book used to log formal complaints. Staff spoken to reported that they had received training on Protecting Vulnerable adults, which also formed part of the induction package. They were aware of their role and responsibilities in this area to service users. A copy of Wandsworth Protecting Vulnerable Adults Procedure was available in the home. Southview Close G54-G04 S10226 Southview Close V218742 170505 Stage 4.doc Version 1.30 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 standard(s) 24,25, 26, 27, 28, 29, 30 The home is comfortable and in a good decorative state. Bedrooms seen were personalised, reflecting service users individuality. Specialist equipment was seen to be in place. Generally, the premises were seen to be clean and free from offensive odours on the day of the inspection. EVIDENCE: The home is divided into four units, two on each floor. All four units, which are quite different, were homely in appearance taking into account service users needs. There are sufficient toilets and bathrooms for the number of service users. A parker bath and hoist is available. Adequate communal space is available in each unit, with their own lounges and dining rooms. On the whole, the premises were in a good decorative state with the exception of the following maintenance issues. The laundry rooms require decorating. The curtains require more hooks to enable them to close properly; the radiator cover in the lounge on the ground floor requires replacing and the balcony area needs cleaning/tidying to ensure service users safety. Also, risk assessments must be in place to ensure service users safety. Southview Close G54-G04 S10226 Southview Close V218742 170505 Stage 4.doc Version 1.30 Page 17 The home was seen to be clean on the day of the inspection with the exception of cobwebs in the top flat, which is too high for staff to reach. There is a large communal garden available. New fencing has discouraged children from the local estate to use it as a “cut through” to the main road. The manager stated that the home is still looking at how the garden can be landscaped to make it more accessible to service users whose mobility is restricted. Southview Close G54-G04 S10226 Southview Close V218742 170505 Stage 4.doc Version 1.30 Page 18 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) 32, 34, & 35 Competent, committed and qualified staff support service users. Staff are very aware of service users needs. Staff were very positive about the organisation’s training programme. EVIDENCE: The acting manager has been in post since March 2005, prior to that, she worked as a senior at the organisation’s other registered care home. The manager was aware of the need to submit her application to the Commission as the person responsible for the management of the home. The manager stated that recruitment has been an issue in the home; however, following a successful recruitment drive, the home had filled all its five vacancies. Two new staff had recently started and references were still outstanding on the other three prospective staff. Staff records were not available in the home as they are kept centrally and the manager was advised to obtain written confirmation (with dates) as to the various checks, which were carried out and for this to be made available at the next inspection. The manager stated that six staff had completed their NVQ Level 3, five were currently on it, and four were due to start imminently. New staff will start the certificate in working with people with a learning difficulty, unless they already have their NVQ Level 2, where they will go onto their NVQ Level 3. Staff were Southview Close G54-G04 S10226 Southview Close V218742 170505 Stage 4.doc Version 1.30 Page 19 very positive about the organisation’s training programme and evidence seen supported the training received. Currently, staffing levels upstairs is three staff in the morning and three in the afternoon. Downstairs, it is the same, although occasionally, there are four in the afternoon. One service user, due to his needs, receives one to one support during the day. The manager reported that staffing levels would increase downstairs when another service user moves in. The manager reported that service users needs were currently being met but staffing levels would be kept under review. The manager is supernumerary when in the home, but due to the current level of staff vacancies and the fact that she is new to this service, she has on occasions, worked some shifts, particularly if the home has not been able to get an agency/bank staff. Monthly staff meetings have been taking place. Items discussed include staff training, service users and their reviews, and organisational changes. Staff spoken with were all positive about the managers leadership style, which was described as inclusive. They all stated that they worked well as a team, supported each other and endeavoured to provide a high standard of care to service users who some described as a extension of their family. Staff spoke warmly and knowledgeably about service users. Southview Close G54-G04 S10226 Southview Close V218742 170505 Stage 4.doc Version 1.30 Page 20 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) 38 & 42 The home is well managed with staff and service users being consulted as to how the service is delivered. The health, safety and welfare of service users are promoted. EVIDENCE: Since the last inspection, a new manager has come into post. All staff spoken to were positive about her management style, stating that their opinions were sought and that they felt included in the service delivery. Staff described the manager as supportive and “hands on”. Staff meetings take place monthly and minutes of these meetings were seen. Service users meetings take place weekly in the upstairs unit and these meetings are minuted. The inspector saw the following records, fire drill, fire alarm tests, fridge and freezer temperatures, and weekly water temperature checks, which were in order. The fire hydrants were due to be serviced in June and staff must ensure that the fire blanket is also checked, as there was no date on the back of it as to when it was last checked. An up to date gas safety certificate was available, Southview Close G54-G04 S10226 Southview Close V218742 170505 Stage 4.doc Version 1.30 Page 21 and the portable appliance testing is up to date. The COSHH information needs updating, and the Fire Evacuation plan. Southview Close G54-G04 S10226 Southview Close V218742 170505 Stage 4.doc Version 1.30 Page 22 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 3 3 3 3 2 Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 2 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 3 2 x Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x 3 x 2 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Southview Close Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x 2 x x x 2 x G54-G04 S10226 Southview Close V218742 170505 Stage 4.doc Version 1.30 Page 23 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 5 Regulation 17(2) Requirement The Registered Persons must obtain copies of the placement agreements which detail care home charges to service users and keep a copy on the service users files. (Timescale of the 31/10/05 not met.) The Registered Person must ensure that all care plans are reviewed yearly. Risk assessments must be updated and identify who was involved in drafting and reviewing the assessments. The Registered Person must ensure that the maintenance issues detailed in the Environment section of this report is addressed. The Registered Person must ensure that a system is put in place to address the exceptional high level cleaning required in the home. Confirmation is required that the services and facilties comply with Water Supply ( Water Fittings) Reguations 1999. Timescale of the 31/12/05 not met. The Registered Person must ensure that details of checks Timescale for action 31/7/05 2. 6&9 13.4 30/8/05 3. 24 23(b) 30/8/05 4. 29 30 30/7/05 5. 34 17(2) Schedule 30/7/05 Page 24 Southview Close G54-G04 S10226 Southview Close V218742 170505 Stage 4.doc Version 1.30 2&4 6. 38 8(2) 7. 42 23(4) carried out on staff (with dates ) are available in the home to evidence the information required in Schedule 2 of the Care Home Regulations 2002. The Regstered Person must enure that the acting managers application to manage the home is sent to the Commission. The Registered Person must ensure that the COSHH assessments and the fire evacuation plan are updated. The fire blankets must be included in the service of the fire extinguishers. 30/7/05 30/7/05 8. 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 Southview Close G54-G04 S10226 Southview Close V218742 170505 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection Ground Floor - CSCI 41-47 Hartfield Road Wimbledon SW19 3RG 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 Southview Close G54-G04 S10226 Southview Close V218742 170505 Stage 4.doc Version 1.30 Page 26 - 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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