Inspection on 20/02/07 for Stanhope Gardens 109

This inspection was carried out on 20th February 2007.

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

Stanhope Gardens 109 24/01/06

Stanhope Gardens 109 09/08/05

Stanhope Gardens 109 09/11/04

Stanhope Gardens 109 13/07/04

Similar services:

Townley Road, 2-3

Foxley Lane (121a)

Tudor Lodge

Stacey Street Nursing Home

Delrose House Ltd

Clovelly House Residential Home Ltd

Abbey Road [53]

Cherry Tree House

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

CARE HOME ADULTS 18-65 Stanhope Gardens 109 London N4 1HZ Lead Inspector Caroline Mitchell Key Unannounced Inspection 20th February 2007 11:00 Stanhope Gardens 109 DS0000010814.V322993.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 Stanhope Gardens 109 DS0000010814.V322993.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. Stanhope Gardens 109 DS0000010814.V322993.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stanhope Gardens 109 Address London N4 1HZ 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) 020 8800 6393 020 8800 0429 Mr Phivos Joannides Mrs Eftychia Joannides Mr Christos Joannides Care Home 4 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (4) of places Stanhope Gardens 109 DS0000010814.V322993.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th January 2006 Brief Description of the Service: 109 Stanhope Gardens is a care home registered to provide personal care for a maximum of four service users between the ages of 18 to 64 years who have mental disorders. Mr Phivos Joannides and Mrs Eftychia Joannides, who also run a number of other, similar homes in the immediate vicinity, own this home. The stated aim of the home is to motivate service users to live as full a life as possible with emphasis on education, training, social skills, maintaining links with families and friends and promoting cultures and traditions of those from ethnic minority backgrounds. The home is a two storey terraced family house. On the ground floor, there are two single bedrooms, one with en-suite facilities, and a separate bathroom with a toilet, a kitchen and lounge/ diner. On the first floor, there are two single bedrooms, a bathroom, a separate toilet and the staff office. There is a small back garden, with a variety of fruit trees. The home is situated in a residential area of Haringey and close to a large selection of Mediterranean restaurants, shops and community facilities located along Green Lanes and in Wood Green Shopping Centre. St. Anns Hospital is about half a mile away. The fees are normally between £600 and £950 for each placement per week, and service users are expected to pay separately for items such as hairdressing and clothes. Following “Inspecting for Better Lives” the provider must make information available about the service, including inspection reports, to service users and other stakeholders. Stanhope Gardens 109 DS0000010814.V322993.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out on an unannounced basis and took around three and a half hours to complete. The inspector was aided by Mr Christos Joannides who is the registered manager, briefly met Eftychia Joannides, the registered provider and also met and spoke with one staff member. The inspector was able to meet, and speak with all four of the service users living in the home, although one service user didn’t really engage in the process. A number of the records kept in the home were reviewed. 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. The summary of this inspection report can be made available in other formats on request. Stanhope Gardens 109 DS0000010814.V322993.R01.S.doc Version 5.2 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 Stanhope Gardens 109 DS0000010814.V322993.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 4 & 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are admitted to the home only after comprehensive assessment information has been provided to the service to enable them to make the decision that they can meet the person’s needs. Prospective service users have the opportunity to visit and to “test drive” the home. Each service user has an individual written contract that sets out the terms and conditions of the home. EVIDENCE: One service user had moved into the home since the previous inspection. The service user was not interested in talking to the inspector. The written records were reviewed for this service user. These indicated that the home had received a good level of written assessment information regarding the service user prior to admission. The registered person and the registered manager had made a visit to the service user at their previous address, to undertake an assessment prior to making the decision that the home could meet her needs, and the service user visited the home, before she was admitted. The inspector noted that all service users had been provided with a clear written contract so that they would be clear what to expect from the home. Stanhope Gardens 109 DS0000010814.V322993.R01.S.doc Version 5.2 Page 8 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported to agree goals that are documented in their care plans with the ultimate aim being to move towards greater independence. Each service user also has a range of risk assessments in place. Service users benefit from having regular meetings in the home to enable them to express their views about the service. EVIDENCE: The inspector saw briefly, the individual plans for each service user, and these were up to date. It is evident that each person is encouraged to be involved in putting these plans together and reviewing them. The inspector reviewed the written records for the service user who had moved in since the previous inspection in more detail and found that an individual plan had been completed that set out the aims of the placement and included her particular needs and interests. A range of clear risk assessments were in also place, that were relevant to the needs and lifestyle of this service user, and set out the necessary interventions to help in reducing the risks. Stanhope Gardens 109 DS0000010814.V322993.R01.S.doc Version 5.2 Page 9 The inspector saw the minutes of the meetings that the registered manager holds with service users and these indicate that they are consulted and informed about a range of issues in the home on a regular basis. The registered manager told the inspector that some of the service users voted in recent local council elections. It was also minuted at a recent service users’ meeting, that one service user she did not wish vote because of her religious beliefs. As part of the quality assurance system, the registered manager uses a clear and simple method of monitoring whether the activities that are requested by service users are actually achieved. Stanhope Gardens 109 DS0000010814.V322993.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users do have opportunities to take part in age, peer and culturally appropriate activities. They do take an active part of the local community. Staff support service users to maintain family links and friendships inside and outside the home. Service users enjoy their meals and the home provides a balanced diet. EVIDENCE: Three of the service users said that they were settled and happy in the home. There is evidence that each person is making personal progress in different areas of their lives. Some of the service users are able to go out and about independently in the community. They are familiar with the local area and comfortable using public transport. One service user has made very good progress in overcoming her anxiety about leaving the house, and is now going out to the local shops on a daily basis. Another service user regularly attends a specialist day service for people with mental health needs. Stanhope Gardens 109 DS0000010814.V322993.R01.S.doc Version 5.2 Page 11 The service users are encouraged to maintain contact with family and friends. One service user has made a number of friends through her religious group. She told the inspector that she is resting, in order to recover from some recent serious health issues, and isn’t going out at the moment. The inspector saw a copy of the menu, which was displayed on the notice board in the lounge. It provided a good variety of well-balanced meals. The minutes of the service users’ meetings also show that the service users are consulted regularly about the menu and the feedback recorded in these meetings is that service users are very happy with the food. There was sufficient fresh fruit in the house at the time of the inspection. The kitchen was clean and a record of fridge and freezer temperatures had been kept. All of the service users said they were very happy with the food served in the home. One service is becoming more interested in helping with food preparation and the registered manger told the inspector that she has learned to make a very good Greek salad. Stanhope Gardens 109 DS0000010814.V322993.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive personal support in the way they prefer and require. The healthcare needs of service users are recognised and procedures are in place to address them. The service users are protected by the arrangements and practice for the receipt, recording, storage, handling, administration and disposal of medicines. EVIDENCE: The records of each service user reflect that they are generally quite indipendent in terms of their personal care, and may only need prompting in one or two areas, and each persons’ specific needs in this area are noted so that staff are clear about their support needs. The registered manager has obtained service users’ medication in bubble packs in order to simplify the system in the home. The inspector saw the recent records of the medication administered to one service user. Staff had signed the record each time they had administered the medication and the signatures were clear. The medication prescribed for service users was stored and recorded appropriately. The staff who administer the medication have undertaken appropriate training. Stanhope Gardens 109 DS0000010814.V322993.R01.S.doc Version 5.2 Page 13 Two service users had had stays in hospital related to serious physical ill health, since the previous inspection, but were recovered and back in the home at the time of this inspection. One service user received a visit from a member of the community team in relation to her medication. The records of these incidents were thorough, and reflected that they were dealt with appropriately. Both service users said they had been able to receive the medical care and treatment required. The case records examined also contained evidence that the healthcare needs of service users had been attended to. They contained details of appointments and correspondence with doctors and visits by the community psychiatric nurse, along with visits to the chiropodist, dentist, optician and GP. The home have done well with one particular service user as, after much initial reluctance, she has recently attended appointments with her GP and a optician. Stanhope Gardens 109 DS0000010814.V322993.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The three service users who spoke to the inspector said that they really do feel safe and secure in their home. The registered manager confirmed that Information about how to complain is given to service users when the move in and it is also displayed in the home. There were no new complaints regarding the home recorded since the last inspection. Records reflected that one service user had been supported by the registered manager of the home to make a complaint to the health authority and had received an apology. The inspector has been provided with a copy of the adult protection policy that is in place in the home and this is comprehensive and clear. The three service users who spoke to the inspector confirmed that they had been well cared for and not subject to any ill treatment. The inspector has received no allegations of abuse or ill treatment regarding the home. The inspector also noted that the whistle blowing policy is given to staff when they start work in the home, as part of the staff handbook. The staff have received training in the protection of vulnerable adults, or are scheduled to complete this training very shortly. Stanhope Gardens 109 DS0000010814.V322993.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s premises are suitable for its stated purpose, accessible, safe and well maintained. Service users’ bedrooms are decorated to their tastes, the standard of cleanliness in the home is good, and generally this is a nice, homely environment for people to live in. EVIDENCE: The home is situated just off Green Lanes, providing easy access to the shops, and transport and community and leisure facilities in that area. It is generally well maintained and homely. An extension providing a forth bedroom, with ensuite facilities, has been added and registered since the last inspection. The registered manager pointed out that the hall, stairs and landing had been recently redecorated and that new wood laminate floor covering had recently been laid in two service users’ bedrooms. The upstairs bathroom and toilet have also been refurbished with new wall and floor tiles. Stanhope Gardens 109 DS0000010814.V322993.R01.S.doc Version 5.2 Page 16 Each person has a bedroom of their own and these are furnished and decorated to their tastes. Service users allowed the inspector access to their rooms, and the three service users spoke to the inspector said that they were comfortable in their rooms. On the day of inspection, all areas of the home were clean and tidy and no unpleasant odours were detected. Stanhope Gardens 109 DS0000010814.V322993.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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 & 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home operates quite a robust recruitment procedure. The home has an effective staff team, with sufficient numbers and complementary skills to meet service users’ needs. The staff benefit from access to relevant training and a good level of supervision and support. EVIDENCE: At the previous inspection the registered person was required to ensure that at least 50 of the staff team have a qualification in care at the level of NVQ 2 or equivalent. The inspector was able to confirm that this target has been achieved. The inspector reviewed the written records for three staff members. The staff files that were seen by the inspector were well organised and included the necessary information, proofs of identity and CRB checks. The inspector noted that each of the staff had been employed by the registered person for around three or four years, and a recommendation is made that their CRB checks be updated, in line with good practice guidance. Stanhope Gardens 109 DS0000010814.V322993.R01.S.doc Version 5.2 Page 18 The manager values and places emphasis on providing staff with good quality training. Staff have training plans in place, and have been provided with a good range of training. The certificates for this were available on each person’s file, as was evidence of annual appraisal and regular formal one to one supervision. Stanhope Gardens 109 DS0000010814.V322993.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 41 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users benefit from a well run home. Service users are consulted and their views taken into account. The service users benefit from a well run home. Records required by regulation for the protection of service users and for the effective and efficient running of the business are maintained, up to date and accurate. The health, safety and welfare of service users and staff are generally very well maintained. Records required by regulation for the protection of service users and for the effective and efficient running of the business are maintained, up to date and accurate. The health, safety and welfare of service users and staff are generally very well maintained. EVIDENCE: This is a family business and the registered manager is the son of the registered person. He has been running the home since it opened in 2001. He has a City & Guilds certificate in advanced management for care. He has Stanhope Gardens 109 DS0000010814.V322993.R01.S.doc Version 5.2 Page 20 undertaken two modules from the Registered Manager’s Award, to ensure that his qualification is equivalent to NVQ level 4 in management. He is knowledgeable regarding the management of the home and the care needs of the service users. As on previous occasions, the service users expressed confidence in him. Regular staff and service user meetings are held and minutes are available. The inspector saw a number of records relating to the day-to-day running of the home as decribed in the body of this report and all were clear and well ordered. In terms of health and safety, the inspector reviewed the fire alarm and equipment records, fire drills, the monitoring records of the water temperatures, the monitoring records of the fridge and freezer temperatures. All these records were in good order. The inspector saw the certificates of insurance, gas safety and PAT(portable electrical appliance)tests. The registered manager has recently completed fire warden training and said that as a result, he will review the fire risk assessments and put an emergency in to place. Stanhope Gardens 109 DS0000010814.V322993.R01.S.doc Version 5.2 Page 21 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 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X 3 3 X Stanhope Gardens 109 DS0000010814.V322993.R01.S.doc Version 5.2 Page 22 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. YA34 It is recommended that the registered person apply for up to date CRB checks for staff, where these are more than three years old. Refer to Standard Good Practice Recommendations Stanhope Gardens 109 DS0000010814.V322993.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Stanhope Gardens 109 DS0000010814.V322993.R01.S.doc Version 5.2 Page 24 - 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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