Inspection on 05/11/08 for Stirling Park

This inspection was carried out on 5th November 2008.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Stirling Park 14/12/06

Stirling Park 23/02/06

Stirling Park 19/10/04

Stirling Park 03/06/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Townley Road, 2-3

Orchard House Nursing Home

St Josephs Rest Home

Foxley Lane (121a)

Tudor Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 30/01/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Stirling Park 87 Stirling Road Wood Green London N22 5BN     The quality rating for this care home is:   two star good service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Jacqueline Izzard     Date: 0 5 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 25 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 25 Information about the care home Name of care home: Address: Stirling Park 87 Stirling Road Wood Green London N22 5BN 02088890319 02083524734 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mrs Pauline Christine Janet Hogan,Mr Bernard Raymond Hogan Name of registered manager (if applicable) Mrs Pauline Hogan Type of registration: Number of places registered: care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia old age, not falling within any other category Additional conditions: One specified service user who has dementia may remain accommodated in the home. The home must advise the regulating authority at such times as the specified service user vacates the home. Date of last inspection Brief description of the care home 87 Stirling Park is a registered care home for six older people. The home is privately owned with the registered manager also being the registered provider jointly with her husband. Members of the proprietors family also work at the home as carers. The home is a large converted two storey domestic premises, which has been extended to further improve the facilities offered. The ground floor contains a communal kitchen/ Care Homes for Older People Page 4 of 25 Over 65 2 6 0 0 Brief description of the care home dining room, and a lounge. There is also a single and a double bedroom, bath and toilet facilities on the ground floor. The first floor contains three single bedrooms, a staff sleep-in room, a bath, toilet facilities and a laundry room. The office is located at the rear of the building, where there is a large well-kept garden. There is an off-road parking space at the front of the home and there are good public transport links to the area. There is a stairlift in the home, which makes the first floor accessible to people with a physical disability. Following Inspecting for Better Lives, the provider must make information available about the service, including inspection reports, to service users and other stakeholders. Care Homes for Older People Page 5 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This unannounced inspection took place on 5 December and lasted for one day. We were able to meet with the providers, Mr and Mrs Hogan, the staff team and the three current residents. We also examined staff records for evidence of training and supervision and residents files for evidence that their needs had been recorded and were being met. We looked around the home and spent time talking with the two residents who were able to talk to us. Care Homes for Older People Page 6 of 25 Care Homes for Older People Page 7 of 25 What the care home does well: What has improved since the last inspection? 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 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 25 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents of this home have benefited from an assessment of their needs before and at the time of their admission to the home. This means the home had a knowledge of their needs before offering them a place in the home. Evidence: We did not look at the pre-admission assessments for the three residents on this occasion as the most recent resident to move in had been at the home for over three years. Their assessments have been inspected and assessed as being of a good standard at previous inspections. We discused assessment with the manager who showed a good knowledge of the importance of a thorough assessment to ensure the home can meet a persons needs before offering them a place. Care Homes for Older People Page 10 of 25 Evidence: The home is not equipped to provide intermediate care. Care Homes for Older People Page 11 of 25 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents of this home are looked after according to their individual care needs. Their health needs are met and they are protected by good practice with medication. Evidence: We looked at the care plans, health and medication records for all three residents. We were able to meet and talk with two of the residents about their care. Both had current health conditions which they were being treated for. The care plans were evaluated regularly and were up to date about the three residents needs. Both residents that we spoke to said they were happy with the care they received and that they saw their GP regularly. One person was seeing the district nurse regularly and was able to tell us how the staff at the home had supported her to recover from health problems. All three residents were recorded as having some complex health needs and these were met by the staff with support from GPs and other health professionals. The third resident was not able to talk to us but appeared to be comfortable and we saw written evidence from her relative that the family was very happy with the Care Homes for Older People Page 12 of 25 Evidence: standard of care provided to her. Medication records were completed accurately. Staff are trained to administer medication. One resident told us that she always receives her medication on time and that staff tell her what it is for. No records were regularly kept of residents weight and a requirement is made to do so as two of the residents are underweight which should be monitored. Care Homes for Older People Page 13 of 25 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents enjoy a family lifestyle where they have the opportunity to spend time with the providers family including young children and dogs. Their needs are met and they are happy living in this home. They are supported in maintaining contact with their relatives and enjoy a diet catering for their individual preferences. Evidence: This is a family run home and the residents benefit from being involved in the providers family. We spoke with two of the three residents who said they really enjoyed being part of a family. One said she missed her own family and was happy to be part of the part of the providers family. Both residents said they had formed a good relationship with the providers grandchildren who visit them regularly. They also enjoy the family dogs who are at the home each day. Residents said they had the opportunity to go out in the car but both preferred to stay in the home. There are puzzles, DVDs and videos, magasines and newspapers available. One person said she read a newspaper every day. Staff spend time in residents rooms chatting with them daily. One resident has limited communication and staff said that they read to her every day. Care Homes for Older People Page 14 of 25 Evidence: All residents have contact with their relatives and the manager supports this by regularly phoning them. Residents said they enjoy the food. One person needs full support with eating and there are sufficient staff on duty to ensure she has plenty of time to eat her meals. At present residents choose to eat in their rooms but they have the opportunity to eat together at the table and were planning to do this at Christmas. One resident said she didnt like eating liquidised food but was waiting to see a dentist again as her dentures did not fit. The other resident said how much she enjoyed the food; She (the manager) will make you whatever you ask for, like egg and chips. She does a good roast, piled high. The manager told us how extra treats and snacks are provided for a resident ho has little appetite. One resident is Jewish and has been offered the chance to attend a club for Jewish people twice a week but does not do so at present. The home has regular family gatherings and residents said they enjoyed this. Care Homes for Older People Page 15 of 25 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents feel safe and listened to. They are looked after by a staff team trained to safeguard their wellbeing. Evidence: There were no complaints recorded in the complaints register. The manager said there have been no complaints. We talked to one resident about making complaints and this person said she would have no worries about making a complaint if she wasnt satisfied with anything. She said that the providers are very approachable and listened to any concerns or suggestions she may have. The home has the appropriate safeguarding procedures in place to guide staff if there was any suspicion of abuse. Staff have been provided with safeguarding training and the manager showed us that further training is booked for staff. A resident told us that she felt safe in the home and that staff always listened to her. The manager has attended training on deprivation of liberty and is addressing this in the home. Care Homes for Older People Page 16 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents enjoy living in a clean, safe and homely environment. Evidence: We carried out an inspection of the premises. There is a kitchen diner and communal lounge available, although the three current residents are not using the communal rooms as one is bed bound, one does not currently come downstairs and the other said she chooses to stay in her room most of the time. The ground floor room is a shared room. Two residents live here and have shared for some years. The other current resident lives on the first floor. There is a choice of bath or shower to use and there is a stairlift so that residents upstairs can come down freely. A new fire escape from the first floor has been fitted since the last inspection. Disposable paper towels are supplied in the bathrooms to improve hygiene. There suitable facilities for laundry and a sluice facility is in place to deal with soiled linen. We asked one resident if there was anything she would improve about the home or the facilities. She said the home was warm and comfortable and she enjoyed the view from the window onto a playing field. There is a garden which is used for barbecues and is accessible for residents. There were three vacant bedrooms at the time of this inspection. Care Homes for Older People Page 17 of 25 Evidence: The level of cleanliness and decor was good throughout the home. Care Homes for Older People Page 18 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are looked after by a stable experienced staff team who are trained to meet their needs. Staffing levels are good and enable individual needs to be met. Evidence: Mrs Pauline Hogan, one of the home owners is also the manager of the home and is supported by six staff, all of whom have been working at the home for a number of years. There are two staff on duty at all times plus the manager. This gives one to one staffing to the three current residents. At night one staff is awake and another sleeps in the home on call. Staff work a fixed rota but are flexible and will change their shifts when requested. Four staff have completed NVQ level 2 training and one has NVQ 3. Each staff has an individual training record. Records showed that staff were provided with regular supervision and that the manager discussed their training with them. Staff have formed close relationships with residents as the staff team is well established. Care Homes for Older People Page 19 of 25 Care Homes for Older People Page 20 of 25 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. This home is run in the best interests of the people living there. They feel included, they are happy with the management of the home and their health and safety is protected. Evidence: The manager is also one of the two owners of the home and is experienced at managing this home. She said she is currently completing her NVQ 4 management training. The residents who were able to contribute to the inspection said they felt included in the home and praised the manager. One said, Pauline is marvellous, and the other said, we are on the same wavelength. They both said they were involved in decision making in the home. There is a stable staff team and it was evident from speaking with the manager and staff that staff work well as a team to meet residents needs. Records showed that staff meetings are held regularly and staff supervision is taking place every two Care Homes for Older People Page 21 of 25 Evidence: months as required. Residents finances were not inspected on this occasion but we saw that receipts and financial statements were filed and were available for inspection. We checked a small sample of health and safety records and these were found to be in order. The home s electrical wiring was inspected in 2007 and found to be safe. There was a fire inspection in 2008 and there is a fire risk assessment in the home to advise staff. There are suitable infection control procedures in place to protect residents. Care Homes for Older People Page 22 of 25 Are there any outstanding requirements from the last inspection? Yes £ No R 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, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 23 of 25 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, Care Homes 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 1 8 12 Residents weight must be monitored and recorded on a regular basis. This is to ensure that any concerns about residents weight can be quickly referred to their GP. 30/01/2009 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 Older People Page 24 of 25 Helpline: 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 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 © (2008) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. 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