Inspection on 08/08/05 for Tooting Bec Gardens, 11

This inspection was carried out on 8th August 2005.

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

Tooting Bec Gardens, 11 16/03/07

Tooting Bec Gardens, 11 27/01/06

Tooting Bec Gardens, 11 23/02/05

Tooting Bec Gardens, 11 24/09/04

Tooting Bec Gardens, 11 24/03/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 11 Tooting Bec Gardens 11 Tooting Bec Gardens Streatham London SW16 1QY Lead Inspector Mary Magee Unannounced 8 August 2005 th 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 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 Stationary 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. 11 Tooting Bec Gardens G52-G02 S22770 TootingBG V244526 080805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 11 Tooting Bec Gardens Address 11 Tooting Bec Gardens, Streatham London SW16 1QY Telephone number Fax number Email 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 8769 1235 The Frances Taylor Foundation Mrs Jacqueline Warrick CRH Care Home 8 Category(ies) of PC Care Home only registration, with number of places 11 Tooting Bec Gardens G52-G02 S22770 TootingBG V244526 080805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 to include one person over the age of 65 years Date of last inspection 23rd February 2005 Brief Description of the Service: 11 Tooting Bec Gardens is one of a number of homes owned and managed by Frances Taylor Foundation a registered charity. It is a large detached house set on a busy route in Streatham. The large garden located at the rear of the property leads into the very pleasant grounds of the residential home/convent next door. The home is fully double glazed to reduce traffic noise. The home is a minute’s walk from the large shopping centre of Streatham. It is conveniently situated to bus and rail links to Central London and other suburban shopping centres. It also has a very large park/common within five minutes walk away. The home provides residential care for 8 women with learning difficulties. Accommodation provided comprises of single bedrooms for all service users as well as ample communal space. 11 Tooting Bec Gardens G52-G02 S22770 TootingBG V244526 080805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was completed over a half a day. Four service users were absent as they had chosen to go on a day trip with people from another home locally. Three service users met with the inspector and took her on a tour of the home. They welcomed her to view their bedrooms and communal areas. Two members of staff as well as the registered manager were spoken to. A selection of records that included staff and service users’ personnel files were viewed. What the service does well: What has improved since the last inspection? What they could do better: Staff training and development opportunities needs to improve and reflect individual staff training requirements and service users’ needs. Mandatory training must be kept up to date for staff. 11 Tooting Bec Gardens G52-G02 S22770 TootingBG V244526 080805 Stage 4.doc Version 1.40 Page 6 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. 11 Tooting Bec Gardens G52-G02 S22770 TootingBG V244526 080805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection 11 Tooting Bec Gardens G52-G02 S22770 TootingBG V244526 080805 Stage 4.doc Version 1.40 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 standard(s) 2 3 Service users receive services that are appropriate and that they meet their assessed needs. EVIDENCE: Feedback received from three service users indicated that they were happy living at the home and were satisfied with the support and the quality of care provided. All three-service users have lived there for numerous years. All service users reported favourably on the support available, they said that “staff were very kind and supportive”. For one service user identified as requiring more monitoring there have been notable improvements. One service user no longer requires the psychologist’s input and has commenced work in the care home nearby. 11 Tooting Bec Gardens G52-G02 S22770 TootingBG V244526 080805 Stage 4.doc Version 1.40 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 standard(s) 6 7 9 Systems in place for delivering care to service users ensure that individuals assessed and changing needs are met. EVIDENCE: Care plans viewed for two service users contained clear details of the services needed to meet their needs and included guidelines from other professionals. Records had been updated to reflect current needs. Both service users had personal growth and health care plans in place. Daily records in the form of personal diaries were recorded for service users indicating that plans had been followed and that activities planned had been participated in. Risk assessments were completed and updated recently. Written acknowledgements by service users were present indicating the consultation and agreement of limitations. For one service user that has on occasions absconded after work staff were instructed on the non-obtrusive measures in place to ensure that she returns safely to the home. These were satisfactory and ensure that the service user arrived home safely. One service user was busy with laundry duties while another prepared drinks in the kitchen. All three service users demonstrated that they are involved in 11 Tooting Bec Gardens G52-G02 S22770 TootingBG V244526 080805 Stage 4.doc Version 1.40 Page 10 decision making at the home. Minutes of service user meetings were displayed on the notice board to ensure that all those living at the home were aware of the outcome of the meetings. 11 Tooting Bec Gardens G52-G02 S22770 TootingBG V244526 080805 Stage 4.doc Version 1.40 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 standard(s) 12 13 17 Service users are supported to lead fulfilling lifestyles and have the opportunities for self-development. EVIDENCE: Meals are varied and menus planned according to individual tastes and dietary needs. Service users are fully involved in selecting and purchasing food. One service user takes responsibility in rotation for preparing the main meal with support from staff. This also enables service users to further develop independent living skills. Records demonstrated that individuals have their nutritional needs met. The registered manager spoke of the lifestyle offered to service users and the opportunities they availed of for personal development. One service user spoken to said that she attended college on a number of days and was looking forward to the new term. Staff at the home ensure that service users are kept informed and that registration for the college is completed on time. A service user recently attended a wedding; she spoke of the lovely day she enjoyed. She said that “ she had been supported by the manager, she had assisted her with buying a new outfit and looking good for the special 11 Tooting Bec Gardens G52-G02 S22770 TootingBG V244526 080805 Stage 4.doc Version 1.40 Page 12 occasion”. All three service users spoke of the number of activities they were enjoying during the holiday period. Two other service users had decided to go to the coast for the day with the service users from another home. A high number of service users access the community independently and demonstrated a good knowledge of the local community and of events taking place. Service users spoke of the holidays they had planned. The manager had involved them in selecting a holiday via the internet. Two ladies were excited about the holidays they had booked for Lourdes later in the year. Service users contribute towards the holidays that they choose. 11 Tooting Bec Gardens G52-G02 S22770 TootingBG V244526 080805 Stage 4.doc Version 1.40 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 standard(s) 18 19 Service users are supported to take control and facilitated to manage their own healthcare including access to all healthcare facilities. EVIDENCE: None of the current service users requires direct support with personal care. Staff however support and encourage service users with personal hygiene. The physical and emotional needs of service users are monitored and recorded in accordance with professional advice. One service user had experienced difficulties regarding her emotional needs and become distressed frequently. A psychologist was involved in the ongoing assessment process. The home has complied with the recommendations made and the psychology input has now ceased. The young lady referred to is progressing well and now participates in part time employment. Records were maintained for service users of appointments with GP, district nurse and other NHS facilities. On the day of inspection it was observed that staff prompted service users with times of appointments and supported them to manage their own healthcare. Service users are ensured of continuity through the provision of allocated key workers. Records set out clearly peoples preferred routines, individual likes dislikes. 11 Tooting Bec Gardens G52-G02 S22770 TootingBG V244526 080805 Stage 4.doc Version 1.40 Page 14 Service users spoken to said that they enjoyed shopping and choosing clothes that they liked. All three service users present were dressed in comfortable and suitable clothing for the hot day. 11 Tooting Bec Gardens G52-G02 S22770 TootingBG V244526 080805 Stage 4.doc Version 1.40 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 standard(s) 22 23 Service users find that their views are listened to and acted upon. There are robust procedures to safeguard service users from neglect or abuse but up to date training for staff on safeguarding people from abuse is required. EVIDENCE: The home has the complaints procedure displayed on the notice board. From discussions with three service users, it was evident that service users’ views were encouraged and listened to carefully. Two service users spoke of the “regular resident meetings held”; a copy of the minutes of the meeting was displayed. All three service user were observed to be at ease with members of staff and comfortable with expressing their views. No complaints from service users or families were recorded at the home. There are robust procedures in place to safeguard service users from abuse, neglect or self harm. Two members of staff spoken to demonstrated a good knowledge of protecting people from abuse or neglect. However there has been no recent training for staff on Vulnerable Adults Procedures or Abuse. A new member of staff had recently commenced employment without an up to date POVA check. 11 Tooting Bec Gardens G52-G02 S22770 TootingBG V244526 080805 Stage 4.doc Version 1.40 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 standard(s) 24 25 27 30 Service users benefit from living in a comfortable and homely environment. It is well maintained and ensures the health and safety of those living and working there. EVIDENCE: The premises a large eight-bedroom house is very spacious and meets service users’ needs collectively and individually. A variety of comfortable shared space is available. There is a large lounge, a conservatory and kitchen/diner available, all the facilities were brightly decorated and well maintained. On the third floor there is also an additional kitchen/lounge available for those service users that wish to prepare snacks and drinks. Service users were observed using the communal areas at the time of inspection. Service users enjoy a small pleasant garden to the rear of the home. It is well stocked and is used for barbeques during the warmer weather. Some users were busy placing their laundry on the clothesline in the garden when the inspector was present. Three service users spoke of enjoying the benefits from the garden during the summer. Three service users invited the inspector to view their bedrooms. The rooms were beautifully decorated and personalised by individuals. All rooms are very 11 Tooting Bec Gardens G52-G02 S22770 TootingBG V244526 080805 Stage 4.doc Version 1.40 Page 17 spacious. Sufficient numbers of toilets and bathrooms are located conveniently for service users’ bedrooms. The premises are well maintained throughout with any repairs responded to promptly. A carpet in the lounge on the top floor had marks present. The manager informed the inspector that she had planned for this carpet to be shampooed. 11 Tooting Bec Gardens G52-G02 S22770 TootingBG V244526 080805 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32 34 35 36 Service users are looked after by a caring and dedicated staff team that is supervised and supported. The staff team need further training and development in order to ensure that they have all the skills and competencies that may benefit service users EVIDENCE: There have been a small number of changes to the staff team in the past six months. One new member of staff recruited did not have all the necessary up to date information available before she commenced employment. Service users said that they found staff to be understanding and approachable. Observations made demonstrated that staff interacted well with service users and had a good knowledge of their individual needs. The home has a staff induction training programme for all new staff. A training needs analysis is needed for the staff to team identify the benefits for service users and as the basis to plan the future training and development programme. The staff team has a mixture of skills and experiences. Mandatory training has been provided to all staff but this requires updating, one area identified was training on Adult Protection. Members of staff receive regular and consistent supervision 11 Tooting Bec Gardens G52-G02 S22770 TootingBG V244526 080805 Stage 4.doc Version 1.40 Page 19 11 Tooting Bec Gardens G52-G02 S22770 TootingBG V244526 080805 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 36 37 39 42 Service users benefit home that is well run and that promotes an open and positive environment. EVIDENCE: The inspector found a significant improvement in staff morale and the management approach of the home. There have been a small number of changes in staffing personnel that has contributed to this improvement. Previously a member of staff had not worked effectively with the staff team and some undermining of the management had been encountered. This has now been resolved. Overall, the feedback from service users and staff indicated that the team worked closely in achieving the best outcome for service users. The management approach and leadership had focused on service users’ best interests. Staff meetings are held regularly where staff are encouraged to put forward views and ideas. The environment was relaxed and inclusive. The manager has been approved and registered with CSCI. 11 Tooting Bec Gardens G52-G02 S22770 TootingBG V244526 080805 Stage 4.doc Version 1.40 Page 21 The organisation has developed a quality assurance system for the home. The procedure introduced for evaluating and monitoring the quality of services was viewed. The results were not finalised of this quality assurance system and will be reviewed at the next inspection. Procedures are in place to ensure the environment is maintained to a safe standard and that protects and safeguards service users and staff. Weekly environmental checks are undertaken at the home. Current certification viewed confirmed the servicing of emergency lighting, gas and electrical installation and fire fighting equipment. 11 Tooting Bec Gardens G52-G02 S22770 TootingBG V244526 080805 Stage 4.doc Version 1.40 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 3 x x Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x 3 x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x x x 3 Standard No 31 32 33 34 35 36 Score x 3 x 2 2 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 11 Tooting Bec Gardens Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 3 x 3 x x 3 x G52-G02 S22770 TootingBG V244526 080805 Stage 4.doc Version 1.40 Page 23 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. 1. Standard 23 Regulation 18 (1) c Requirement The registered person must ensure that staff receive up to date mandatory training that is appropriate to the work they perform, this to include Adult Protection training, The registered person must ensure that full and satisfactory information is available for all newly recruited staff before they commence work. The registered person must ensure that a training needs analysis is completed for the staff team and from this information as well as from an audit of service users needs a staff training and development programme is implemented for staff. Timescale for action 30/11/200 5 2. 2334 19 (1) b 30/9/2005 3. 35 30/10/200 5 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. Refer to Standard 27 Good Practice Recommendations The registered person should ensure that cleaning planned G52-G02 S22770 TootingBG V244526 080805 Stage 4.doc Version 1.40 Page 24 11 Tooting Bec Gardens for the carpet in the small lounge is completed. 11 Tooting Bec Gardens G52-G02 S22770 TootingBG V244526 080805 Stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection SE London Area Office Ground Floor, 46 Loman Street Southward London SE1 0EH 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. 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