Inspection on 17/08/06 for St James Road (80)

This inspection was carried out on 17th August 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

St James Road (80) 23/09/05

St James Road (80) 28/04/05

St James Road (80) 16/08/04

St James Road (80) 23/06/04

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 St James Road (80) 80 St James Road Croydon Surrey CR0 2UG Lead Inspector Mohammad Peerbux Key Unannounced Inspection 17th August 2006 9:00am St James Road (80) DS0000028489.V308278.R01.S.doc Version 5.2 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 St James Road (80) DS0000028489.V308278.R01.S.doc Version 5.2 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. St James Road (80) DS0000028489.V308278.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St James Road (80) Address 80 St James Road Croydon Surrey CR0 2UG 020 8665 9927 NO FAX 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 Asha Devi Aubeeluck Mr Rajkumar Aubeeluck Ms Asha Devi Aubeeluck Care Home 3 Category(ies) of Learning disability (3) registration, with number of places St James Road (80) DS0000028489.V308278.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd September 2005 Brief Description of the Service: 80 St James Road is a care home registered with the Commission for Social Care Inspection (CSCI) to provide care to three service users who have a learning disability. Only one service user is currently resident in the home. The Registered Providers also live in the home and their aim is very much to provide a family setting for care provision. The home is situated on the busy St James Road in Croydon; it is well served for bus routes to Croydon, Thornton Heath and Streatham and is within walking distance of Croydon town centre. The home is an ordinary domestic house, providing three single bedrooms. It has a kitchen, a dining room, a comfortable living room and a very pleasant garden. The bathroom and toilet are on the first floor. 24 hour staffing is provided by the Registered Providers. The weekly fee is £658. St James Road (80) DS0000028489.V308278.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the home’s first inspection for the year 2006/07. It was an unannounced inspection and took place over two hours. Some times were spent looking at the policies and procedures, talking to the registered manager and to the service user. They are all thanked for their time and assistance. A tour of the building was also carried out. Requirements and recommendations from the previous inspection were also discussed. Overall the inspection confirmed that the home provides a good level of care for the service user who lives there. What the service does well: What has improved since the last inspection? The home has amended the medication policy and procedure to include disposal of medication. St James Road (80) DS0000028489.V308278.R01.S.doc Version 5.2 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. St James Road (80) DS0000028489.V308278.R01.S.doc Version 5.2 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 St James Road (80) DS0000028489.V308278.R01.S.doc Version 5.2 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): 2 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. All prospective service users have their needs assessed prior to admission to ensure that the home and staff are aware of their assessed needs. EVIDENCE: The manager indicated that service users are only admitted to the home after a full assessment of their needs has been carried out by the home and the Placing Authority for individuals referred through Care Management, involving the prospective service user/recognised representative. This covers all aspects of the person’s life, including strengths, social and cultural needs and psychological needs. The home then develops its own care plans from these assessments. No service users have moved to the home since the last inspection. St James Road (80) DS0000028489.V308278.R01.S.doc Version 5.2 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): 6,7 and 9 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Care plan is comprehensive and include detailed information about service user’s needs, personal goals, wishes and risk assessments. The service user is involved in decision making about his life and can take some risks so that he lives as normal a life as possible. EVIDENCE: The service user’s care plan was sampled and it identified a wide range of care and support needs. The plan was completed with the involvement of the service user and was last reviewed in March 2006. The right of service user to make decisions about his own life is central to the ethos of the home, support and guidance is given in all areas to ensure that he is making decisions, which are in his best interest. From discussion with the service user and manager no evidence of restrictions on service user was found. St James Road (80) DS0000028489.V308278.R01.S.doc Version 5.2 Page 10 Risk assessments for the service user were examined; they are integrated into the care plan. Potential risks are identified covering all aspects of their daily living both inside and outside the home. The home was able to demonstrate that this standard was met as individualised care plan was in place for the service user that referred to action required to minimise identified risks and hazards. The home also has a comprehensive missing person’s policy, which gives staff clear guidance if a service user was to go missing. St James Road (80) DS0000028489.V308278.R01.S.doc Version 5.2 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): 12,13,15,16 and 17 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The service user is encouraged to explore opportunities to enhance his quality of life as well as maintain and participate with friends and the local community, with the aim of maximum integration. The daily routines and house rules promote the service user’s rights, and ensure equality and that all rights are enjoyed by the service user. EVIDENCE: The service user is supported to participate in domestic activities; he undertakes laundry, basic ironing, gardening and cleans his own room all with the Registered Provider’s support. He also attends church on a weekly basis. Evidence recorded in his care plan also indicated staff offer support, advice and other input that help to enhance and develop independent living skills. St James Road (80) DS0000028489.V308278.R01.S.doc Version 5.2 Page 12 The service user is clearly able to express his social / leisure needs and interests. Staff support him in pursuing these activities if and when necessary / requested. The service user attends clubs, groups and shopping independently in Croydon. The service user is actively encouraged to maintain links with his brother and friends. The home has an ‘open’ visitor’s policy and simply recommends that visitor’s telephone to say they are coming. Service user, who was at home at the time of this inspection, appeared to enjoy some level of independence. Routines can be very flexible and are well observed to take into account the service user’s individual needs. The current service user is fed by tube and is not able to consume any food or liquid orally. The dietician reviews his feed as and when necessary. St James Road (80) DS0000028489.V308278.R01.S.doc Version 5.2 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): 18,19 and 20 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The service user’s personal, physical and emotional health needs are being appropriately met and reviewed. This ensures that his physical and emotional health is well maintained and therefore the quality of life experienced is also maximised. EVIDENCE: Staff provide sensitive and flexible personal support to maximise the service user’s privacy, dignity, independence and control over his life. The manager stated that where needed, guidance and support is provided. Times for getting up/going to bed, baths, meals and other activities are flexible. The service user is registered with a local General Practitioner. Records checked indicate that GP’s and other community based medical/health care professionals are contacted on an as needed basis. The service user’s health is monitored and potential complications and problems are identified and dealt with at an early stage, including prompt referral to an appropriate specialist. St James Road (80) DS0000028489.V308278.R01.S.doc Version 5.2 Page 14 The home has a medication policy and procedure in place and it has been amended to include disposal of medications in line with a requirement made at the last inspection. The service user has recently been prescribed medication for a fungal infection. The medication administration record was audited and no gap in signatures was identified. St James Road (80) DS0000028489.V308278.R01.S.doc Version 5.2 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 the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Complaints are generally managed well, which should ensure that service users’ and relatives’ concerns are listened to. Generally the home’s policies and procedures help protect service users from abuse and help staff if they need to tell someone about any bad care practice they may observe. EVIDENCE: The current complaints procedure is a good and gives clear step-by-step guide of how to make a complaint. There had been no official complaints at or since the last inspection. The home has a copy of the Croydon Adult Protection Procedure. The staff has had training on abuse. There have not been any adult protection concerns raised since the last inspection. St James Road (80) DS0000028489.V308278.R01.S.doc Version 5.2 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 the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The home is generally hygienic and clean, homely and comfortable; this environment therefore facilitates the service users’ health and emotional wellbeing. EVIDENCE: The home is suitable for its stated purpose. It is accessible, meet residents’ individual and collective needs in a comfortable and homely way. The service user’s bedroom was personalised to reflect his individual needs, and personality. Overall the home was decorated to a good standard throughout and appeared to be very comfortable, bright and warm. The service user is planning to redecorate his room in the very near future. He is a Crystal Palace Football Club fan and looking to match the décor to his team colours. The home is kept very clean and hygienic and free from offensive odours throughout. Systems are in place to control infection in accordance with relevant legislation and published professional guidance. St James Road (80) DS0000028489.V308278.R01.S.doc Version 5.2 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): 32,34,35 and 36 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. This is a family run home. The registered providers both support each other and keep themselves up to date with training to meet the needs of the service user. EVIDENCE: Presently the home does not employ staff as there is only one service user. The registered providers have both attended a wide range of training courses to keep themselves up to date and to ensure the needs of the service user are being met. There is no one to one staff supervision being carried out at present, as the registered providers are the only staff. However it was previously recommended that the providers receive supervision from an independent person on a regular basis, which will contribute to the standards of care being provided. The registered manager stated that she is actively looking into this issue and will inform the Commission when a suitable person is found. St James Road (80) DS0000028489.V308278.R01.S.doc Version 5.2 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): 37,39 and 42 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The home is managed by an experienced and well-qualified manager who ensures a quality service. Generally the health, safety and welfare of the service users and staff were being promoted and protected. EVIDENCE: Throughout the course of the inspection the registered manager demonstrated a good competent management skills. She undertakes periodic training and development meeting Skills For Care specifications, to maintain and update her knowledge, skills and competence while managing the home. The home has a satisfaction questionnaire for service users and their relatives to gain feedback on the services being provided. St James Road (80) DS0000028489.V308278.R01.S.doc Version 5.2 Page 19 The home has domestic arrangements for fire prevention. The smoke detectors are checked on a weekly basis. Records are maintained of fire drills and tests. Hazardous substances are appropriately stored. Gas, electric and fire checks have all been undertaken appropriately. St James Road (80) DS0000028489.V308278.R01.S.doc Version 5.2 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Standard No 11 12 13 14 15 16 17 Score Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 33 34 35 36 3 3 X 3 X X 3 3 X 3 X 3 3 X 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Version 5.2 Page 21 St James Road (80) DS0000028489.V308278.R01.S.doc Are there any outstanding requirements from the last inspection? No 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 St James Road (80) DS0000028489.V308278.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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 St James Road (80) DS0000028489.V308278.R01.S.doc Version 5.2 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!