This inspection was carried out on 9th December 2008.
CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 no outstanding requirements from the previous inspection report,
but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.
Inspecting for better lives Random inspection report
Care homes for adults (18-65 years)
Name: Address: The Horizon 154 Hedge Lane Palmers Green London N13 5BX The quality rating for this care home is: The rating was made on: new service which has yet to be given a quality rating 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. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Jane Ray Date: 0 9 1 2 2 0 0 8 Information about the care home
Name of care home: Address: The Horizon 154 Hedge Lane Palmers Green London N13 5BX 02088822663 02088822663 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Somerset Villa Care Home Limited care home 4 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia 4 Over 65 0 Conditions of registration: The Registered Person may provide the following categories of service only: Care home only - Code PC to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Mental Disorder, excluding Learning Disability or Dementia - Code MD The maximum number of service users who can be accommodated is: 4 Date of last inspection Brief description of the care home The Horizon is a care home registered for four people with a history of mental illness who may also have a forensic background. The home is owned and managed by Mr and Mrs Ghoora who are both qualified mental health nurses. The accommodation in the home is arranged over three floors and all the bedrooms have an en suite shower room. The home is located near to Palmers Green and there is access to local transport and other local amenities. The stated aim of the home is to provide 24 hour care in a safe, homely and therapeutic environment to build up the service users confidence and Care Homes for Adults (18-65 years)
Page 2 of 9 enable them to assume a more independent life in the community by assisting them in every day tasks and decisions and to develop better strategies for coping with stress and disabilities. Care Homes for Adults (18-65 years) Page 3 of 9 What we found:
We looked at the statement of purpose and service user guide. Both these documents are clearly written and would provide clear information about the home for prospective residents. The statement of purpose describes the admission process to the home, including offering visits and a trial stay for prospective residents. We looked at a copy of a contract that would be given to each residents. This clearly states what the fees include and what items residents would be expected to pay for themselves as well as explaining all the other terms associated with living in the home. The home has prepared a document, which can be used in assessing potential residents. The format covers all the necessary areas and is clearly laid out. We looked at the care plan and risk assessment formats that will be used by the home. Whilst they enable goals and risks to be identified and actions to be recorded, they are not documents that are very user friendly. It is recommended that the provider and manager explore training on person centred planning. The statement of purpose gives clear examples of how the home would offer residents choice, promote their independence and respect their privacy and dignity. The document also describes how it would support residents to have equality of opportunity and would celebrate their diversity. We asked the provider and manager about what opportunities are available in the community for residents to access. They both showed a good knowledge of educational, vocational and leisure activities that residents would be able to use. We spoke about how food would be prepared in the home and the manager explained that residents would be supported to prepare their own meals with staff support based on their individual preferences. We looked at how medication would be managed in the home. The manager explained that Boots will be the pharmacist for the home and will provide a medication storage cupboard. The home has prepared a medication policy, but this does not cover all the necessary areas. It is recommended that the home looks at the medication guidance on the professionals CSCI website and the information for care homes provided by the Royal Pharmaceutical Society. We saw the complaints procedure and this was satisfactory. The safeguarding vulnerable adults procedure was also inspected. This did not reflect local social service procedures and the manager and provider were not clear when asked about the process for alerting possible safeguarding issues. It is recommended that the manager and provider attend local safeguarding training and ensure the homes procedures reflect social service procedures. The policy for residents monies was inspected and this is clear and includes measures Care Homes for Adults (18-65 years) Page 4 of 9 to enable people living in the home to manage their own finances as far as possible. The manager and provider were asked about whether they had a policy on how they would apply the Mental Capacity Act within the service. This had not been considered and it is recommended that the manager and provider attend training on the Mental Capacity Act and also find out about access to a local IMCA service. We did a tour of the premises and it was ready for residents to move in. The manager explained that four rooms are registered and they are applying for a further four rooms to also be registered. At the time of the inspection one carer was employed to work in the home. The recruitment records were inspected and all the recruitment checks had been completed. A draft induction checklist had been prepared and needs to be adapted to apply to the specific needs of the service. A format has been prepared to use when supervising staff. The manager explained that he had completed the NVQ level 4 and the Registered Managers Award. A questionnaire was observed that would be used to seek the views of residents, relatives and care professionals as part of a quality assurance exercise. In terms of health and safety, current certificates are in place for the gas system, electrical installations and fire alarm. The home has a fire safety risk assessment and emergency plan. The manager and provider explained that they had attended health and safety training as part of their work at a local hospital. It is recommended that they also access local social service training opportunities. The manager explained that insurance is not yet in place, but a company is available who will provide insurance as soon as the first resident moves into the home. The documentation to confirm this arrangement was viewed. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years)
Page 5 of 9 Care Homes for Adults (18-65 years) Page 6 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 7 of 9 Requirements and recommendations from this inspection
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, 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 20 13 The registered person must 28/02/2009 review the medication policy to reflect current professional guidance. . 2 23 13 The registered person must the safeguarding procedure reflects local protocols and staff have received appropriate training. . 23/02/2009 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 1 18 The registered person should access local training including all mandatory health and safety topics, person centred planning and the mental capacity act. Care Homes for Adults (18-65 years) Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 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. Care Homes for Adults (18-65 years) Page 9 of 9 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
