Inspection on 24/01/06 for Stanhope Gardens 109

This inspection was carried out on 24th January 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Stanhope Gardens 109 20/02/07

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 Unannounced Inspection 24th January 2006 09:00 Stanhope Gardens 109 DS0000010814.V265791.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Stanhope Gardens 109 DS0000010814.V265791.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Stanhope Gardens 109 DS0000010814.V265791.R01.S.doc Version 5.0 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 3 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (3) of places Stanhope Gardens 109 DS0000010814.V265791.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th August 2005 Brief Description of the Service: 109 Stanhope Gardens is a care home registered to provide personal care for a maximum of three 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 house. On the ground floor, there is a single bedroom, kitchen, lounge/ diner and a bathroom with a toilet. On the first floor, there are two single bedrooms, a bathroom, a separate toilet and the staff office. None of the bedrooms have en-suite facilities. The front of the building is paved. The back garden is partly paved and accessible to service users. It is attractive and contains a variety of fruit trees and flowers. 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. Stanhope Gardens 109 DS0000010814.V265791.R01.S.doc Version 5.0 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 two 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 speak with two service users in private and in some depth, and the third service user was out at the time of the inspection. A number of the records kept in the home were reviewed and the information provided to the inspector by the registered provider in a pre-inspection questionaire also contributed to this inspection. One of the service users went out of her way to make the inspector feel welcome, making tea and toast during the visit. 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 Stanhope Gardens 109 DS0000010814.V265791.R01.S.doc Version 5.0 Page 6 contacting your local CSCI office. Stanhope Gardens 109 DS0000010814.V265791.R01.S.doc Version 5.0 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 Stanhope Gardens 109 DS0000010814.V265791.R01.S.doc Version 5.0 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 Service users’ needs are properly assessed prior to them moving to the home. EVIDENCE: The inspector examined the three service users’ files and although no one has been admitted recently, there was evidence that all of the necessary preadmission assessment information was in place, so that the home were clear about the needs of the service users at the time that they were admitted. Stanhope Gardens 109 DS0000010814.V265791.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Service user plans and risk assessments are detailed and informative. Service users are encouraged to make decisions about their lives and supported to take risks as part of an independent lifestyle. EVIDENCE: The inspector saw the written records for the three service users all contained individual service user plans. The plans were comprehensive and addressed the assessed needs of service users along with their interests and preferences and each service user had recently attended a multi-disciplinary review of their placement. The inspector noted that a risk assesment has been undertaken, in consultation with the service user concerned, her familly and other professionals, regarding particular activities outside of the home. 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. Two service users manage their own finances and make all day-to-day decisions about this. One service user a trust fund and this is managed on her behalf by her solicitor. The home keeps a small amount of cash for her day-to-day expenses. Stanhope Gardens 109 DS0000010814.V265791.R01.S.doc Version 5.0 Page 10 Stanhope Gardens 109 DS0000010814.V265791.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15 & 17 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: All three of the service users said that they were settled and happy in the home and there was other evidence that each person is making personal progress in different areas of their lives. Two of the service users are independent and are able to be out and about in the community. One service user regularly attends a specialist day service for people with mental health needs. Two service users are familiar with the local area and comfortable using public transport, which they do regularly. The service users are encouraged to maintain contact with family and friends. One service user has a friend who acts as advocate on her behalf, and another service user has made a number of friends through her religious group and spends a lot of time with them. Stanhope Gardens 109 DS0000010814.V265791.R01.S.doc Version 5.0 Page 12 At the previous inspection the record of service users’ diet was seen by the inspector and wasn’t in sufficient detail to determine whether the diet is satisfactory in relation to nutrition and a requirement was made that a proper record be kept of what service users actually eat. At this inspection the inspector noted that the records have been modified to better reflect each service users’ diet. 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 they are very happy with the food. Stanhope Gardens 109 DS0000010814.V265791.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 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 genrally quite indipendent in terms of their personal care, although each persons’ specific needs in this area are noted so that staff are clear about their support needs. At the previous inspection the ispector noted that a need for specific health care check ups had been identified as part of one service user’s review, a requirement was made in relation to this and had been addressed. The inspector saw the recent records of the medication administered to service users by staff. 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.V265791.R01.S.doc Version 5.0 Page 14 Stanhope Gardens 109 DS0000010814.V265791.R01.S.doc Version 5.0 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 & 23 The registered person ensures that there is a clear and effective complaints procedure. Service user do feel that their views are listened to. They feel safe in the home and are protected from abuse and neglect. EVIDENCE: All three of the service user said that they really do feel safe and secure in their home. The home has a policy and procedure for responding to complaints. There is also information available for service users about how to complain. There were no new complaints since the last inspection. 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 confirmed that they had been well cared for, not subject to any ill treatment and the inspector has received no allegations of abuse or ill treatment. 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. Stanhope Gardens 109 DS0000010814.V265791.R01.S.doc Version 5.0 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, 26, 27, 28 & 30 The home’s premises are suitable for its stated purpose, accessible, safe and well maintained. There is however, a minor maintenance issue that needs to be addressed in order to safeguard service users best interests. 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. The home is a two storey terraced family house. On the ground floor, there is a single bedroom, kitchen, lounge/ diner and a bathroom with a toilet. On the first floor, there are two single bedrooms, a bathroom, a separate toilet and the staff office. At the previous inspection the inspector noted that there was evidence of water damage on the walls and ceiling in the sitting room and there were also cracks that had appeared in the plaster, in various rooms and a requirement was made ensure that the reason for the cracks appearing in the inside walls was properly investigated and that action be taken to address the cause and Stanhope Gardens 109 DS0000010814.V265791.R01.S.doc Version 5.0 Page 17 make appropriate repair. At this inspection there were builders in the home as an extension was being added on the ground floor at the back of the house. As part of this work the lounge had been re-plastered in part, and redecorated. The registered manager explained that the source of the water damage had been a leaking radiator and that this problem had been addressed. As to the cracks that had been appearing on various walls, it was reported that a surveyor had inspected these, and it was evident that these were due to a certain amount of settlement of the building and that this was not of concern. Each person has a bedroom of their own and these are furnished and decorated to their tastes. All three service users allowed the inspector access to their rooms and said that they were comfortable in their rooms. One service user showed the inspector her new television. The bathroom and toilet facilities include two bathrooms, one downstairs and one on the first floor. There is also a separate toilet on the first floor. These are well decorated and properly equipped. On the day of inspection, all areas of the home were clean and tidy and no unpleasant odours were detected. The washing machine and dryer are adequate for the needs of the service users and are sited in a covered laundry area that is outside of the home so that laundry does not have to be taken through the kitchen. Stanhope Gardens 109 DS0000010814.V265791.R01.S.doc Version 5.0 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 & 35 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. Generally the staff and consequently the service users benefit from access to relevant training. However, in order to best support service users, the NVQ training for staff needs to be made a priority. EVIDENCE: The registered manager provided a copy of the staff rota for the two week period in which the inspection took place. It indicated that the registered manager is available in the home in the early mornings and the late evenings from Monday to Friday, and works all day on Sundays. A senior carer works from 8am to 5pm from Monday to Friday and another carer comes in to cover the weekends. There is a waking night staff on duty each night, from 8pm. 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. Some progress has been made with this. However, as it has not been fully achieved, this requirement is restated as part of this report. All care staff who are involved in food preparation, have successfully completed food hygiene training. At the previous inspection the requirement was made that the registered person must ensure that all personnel files include a recent photograph of the Stanhope Gardens 109 DS0000010814.V265791.R01.S.doc Version 5.0 Page 19 staff member concerned. The inspector was able to confirm that this had been addressed. The staff files that were seen by the inspector were well organised and did include all necessary information and proofs of identity. The registered person has also devised a new staff application form, that provides information regarding the applicants qualifications and employment history. Stanhope Gardens 109 DS0000010814.V265791.R01.S.doc Version 5.0 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 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, 41 & 42 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. EVIDENCE: This is a family business and the registered manager is the son of the registered person and has been running the home since it opened in 2001. He has a City & Guilds certificate in advanced management for care. He told the inspector that he is to undertake two modules from the Registered Manager’s Award, to ensure that his qualification is equivalent to NVQ level 4 in management and care and will have completed these modules by the end of February 2006. He is knowledgeable regarding the management of the home and the care needs of the service users. The service users expressed confidence in him. Stanhope Gardens 109 DS0000010814.V265791.R01.S.doc Version 5.0 Page 21 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. The inspector reviewed the fire prevention, alarm and equipment records, the monitoring records of the water temperatures in the home, the monitoring records of the fridge and freezer temperatures. All these records were in good order. Stanhope Gardens 109 DS0000010814.V265791.R01.S.doc Version 5.0 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 X 3 X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X 3 3 3 X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 3 3 2 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Stanhope Gardens 109 Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score 3 X X X 3 3 X DS0000010814.V265791.R01.S.doc Version 5.0 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 YA35 Regulation 18 (1) The registered person must ensure that at least 50 of the staff team have a qualification in care at the level of NVQ 2 or equivalent. The timescale of 31/12/05 was not met. Requirement Timescale for action 01/05/05 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 Stanhope Gardens 109 DS0000010814.V265791.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA 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 Stanhope Gardens 109 DS0000010814.V265791.R01.S.doc Version 5.0 Page 25 - 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. 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