Random inspection report
Care homes for adults (18-65 years)
Name: Address: Speakers Court St James`s Road Croydon Surrey CR0 2AU one star adequate service 23/06/2009 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Lee Willis Date: 1 8 0 9 2 0 0 9 Information about the care home
Name of care home: Address: Speakers Court St James`s Road Croydon Surrey CR0 2AU 02086650745 02086650745 laura.baker@scope.org.uk www.scope.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : SCOPE care home 7 Number of places (if applicable): Under 65 Over 65 0 physical disability Conditions of registration: 7 The maximum number of service users who can be accommodated is: 7 The registered person may provide the following category of service only: Care Home Only (CRH - PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Physical disability ? Code PD Date of last inspection Brief description of the care home Speakers Court offers accommodation and personal support for up to seven adults with Cerebral Palsy and associated physical disabilities. The five self-contained flats that make up Speakers are owned by Croydon Churchs Housing Association, but are managed and staffed by the registered charity Scope. The services registered manager, Laura Baker, who has been signed off on long term sick leave since August 2008, resigned her position in July 2009 and will not be
Care Homes for Adults (18-65 years) Page 2 of 9 2 3 0 6 2 0 0 9 Brief description of the care home returning to Speakers Court. A new permanent manager has been appointed who starts this September (2009). Located in the Broad Green area of Croydon the service is relatively close to a wide variety of good leisure and community facilities. The service is also close to a number of very good bus, tram, and rail links with excellent connections to London and the areas surrounding Croydon. The five self-contained flats that make up Speakers all have there own front doors which open out onto a well maintained old converted church courtyard. Each flat has a large open plan lounge/kitchen area, separate bedroom, and en-suite toilet and bathing facilities. The flats have also been suitably adapted to meet the individually assessed needs and wishes of the occupants and maximise their independence. All the flats are wheelchair accessible. There is a separate office located within the complex, which has its own kitchen, toilet and shower facilities, and sleep-in room for staff. All the occupants are provided with copies of the homes Statement of Purpose and Guide. Scope currently charges between £39,000-£59,000 a year for each placement for facilities and services provided. Care Homes for Adults (18-65 years) Page 3 of 9 What we found:
This unannounced site visit was carried out to determine whether or not Speakers Court had fully complied with the statutory enforcement notice we served in July 2009 regarding its poor medication handling practices. This random inspection was carried out over one hour on the morning of Friday 18th September 2009. We informally interviewed the two support workers who were both on duty at the time of the visit; looked at Medication Administration Records (MAR) sheets kept by staff since 30th July for all five of the people who currently reside at Speakers Court; and examined the contents of the medication cabinet located in the services office. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 4 of 9 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 1 6 The services Statement of 01/08/2009 purpose and Guide must be kept under constant review (i.e. at least annually), and where appropriate revised to reflect any changes in provision. This will ensure prospective new occupants and their representatives have all the information they need to make an informed decision about whether or not to live at Speakers Court. 2 6 17 All the occupants must have care plans that set out in greater detail any specialist communication needs of the occupants and their preferred method of communication. This will ensure staff have all the information they need to communicate effectively with the occupants in their preferred method of communication. 01/09/2009 3 6 12 All the occupants must have 01/09/2009 care plans that set out in greater detail all the support they require to have their unique social needs and
Page 5 of 9 Care Homes for Adults (18-65 years) Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action wishes met. This will ensure staff have all the information they need to meet the social needs and wishes of all the occupants. 4 19 17 All the occupants must have 01/08/2009 up to date health care action plans that contain detailed information about the outcome of all the appointments occupants have with health care professionals. This will ensure anyone authorized to inspect the record can determine whether or not occupants health care needs are being suitably met and monitored. 5 23 13 All the people who work at the service must receive Scopes own safeguarding vulnerable adults training. This will ensure all the staff have the necessary knowledge and skills to minimise the risk of the occupants being harmed, neglected and/or abused. 6 35 18 All the care staff who work in 01/10/2009 the service must receive or up date their training in fire safety, first aid, food hygiene, and infection control. This will ensure all the staff have the necessary
Care Homes for Adults (18-65 years) Page 6 of 9 01/09/2009 Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action knowledge and skills to meet the needs and wishes of all the occupants. 7 37 9 The provider must appoint a 01/10/2009 suitably competent, qualified and experienced permanent manager to be in operational day to day control of this service. This will ensure the occupants benefit from living in a service which is consistently well managed. 8 42 17 A record of every fire drill or 22/08/2009 test of fire equipment (including the fire alarms) conducted within the service and of any action taken to remedy defects must always be kept in the service and made available for inspection on request. This will enable anyone authorised to inspect these fire records to determine whether or not they are sufficiently robust to keep the occupants, their guests and staff safe. Care Homes for Adults (18-65 years) Page 7 of 9 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 9 of 9 - 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!
