Inspection on 02/02/06 for Trevelyan Road

This inspection was carried out on 2nd February 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 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

Trevelyan Road 08/12/08

Trevelyan Road 19/12/06

Trevelyan Road 22/07/05

Trevelyan Road 31/01/05

Trevelyan Road 29/07/04

Trevelyan Road 03/02/04

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 Trevelyan Road 140 Trevelyan Road Tooting London SW17 9LN Lead Inspector Janet Pitt Unannounced Inspection 2nd February 2006 10:50 Trevelyan Road DS0000029318.V282254.R01.S.doc Version 5.1 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 Trevelyan Road DS0000029318.V282254.R01.S.doc Version 5.1 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. Trevelyan Road DS0000029318.V282254.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Trevelyan Road Address 140 Trevelyan Road Tooting London SW17 9LN 020 8672 9977 020 8672 9977 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) Mr Clifford Steven Oakley Vincent Ethelbert Hurley Care Home 4 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (4) of places Trevelyan Road DS0000029318.V282254.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22/07/05 Brief Description of the Service: Trevelyan Road provides a service for four clients of African/Caribbean origin, who have mental health difficulties. All four clients are male and are supported by male members of staff. The home is a two storey domestic property with a garden to the rear. The home provides a lounge, four bedrooms, kitchen/diner and bathing and toilet facilities. Trevelyan Road is situated close to local bus routes; Tooting Broadway underground and Tooting Bridge mainline station are within five minutes walk. Trevelyan Road DS0000029318.V282254.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was undertaken unannounced by one inspector and lasted a total of two hours. During the course of the inspection the inspector spoke with three clients, two members of staff and the provider The inspection focused on requirements from the previous inspection and core Standards not assessed. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Trevelyan Road DS0000029318.V282254.R01.S.doc Version 5.1 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Trevelyan Road DS0000029318.V282254.R01.S.doc Version 5.1 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Clients are supported to achieve their individual aims and aspirations. EVIDENCE: The three clients spoken with indicated that they are able to choose what they do and are supported to develop their skills. One client was positive about the life skills they had learnt and was hoping at some stage in the future to live in the community independently. Two clients plans indicated that they are involved in the reviews of care given and supported to make their views heard. The staff reported that they were currently accessing relevant college courses for clients, in practical and educational skills to enable them to develop. Trevelyan Road DS0000029318.V282254.R01.S.doc Version 5.1 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 and 9 Clients are able to develop independent living skills in a safe environment and are supported to take appropriate risks as part of an independent lifestyle. EVIDENCE: Clients are enabled to develop independent living skills within a risk assessment framework and care plans were developed from assessments of the client. Care plans examined had individualised goals and there were risk assessments relating to activities such as cooking, venturing out in the community, using public transport and smoking. Care documentation was noted to be routinely reviewed and changes noted, this verifies that clients’ conditions are monitored and appropriate care planning strategies are put into place. Annual mental health review documentation was in place and detailed progress in the placement of clients. Risk assessments relating to clients’ were noted to be individualised and covered areas such as behaviour, arson, alcohol consumption and shopping independently. Trevelyan Road DS0000029318.V282254.R01.S.doc Version 5.1 Page 9 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): 11, 15 and 17 Clients are able to have appropriate relationships with family members and friends. Clients are able to choose what and where they eat. EVIDENCE: Clients are enabled to maintain contact with significant others. Two clients spoke of visiting their families and friends at regular intervals. Care is taken by the staff to make sure that a client is stable prior to visiting their relatives and there are emergency procedures documented in the individual plan and these are communicated to the family if the need arises. The home has a set menu but this is deviated from if clients chose. On the day of inspection one client went with a member of staff to get some food for lunch, as the clients did not want what food there was available within the home. One client said that they enjoy take away food at least once a week and lunch out when they go shopping. There was discussion with staff regarding religious needs of the current clients. The staff reported that clients had not expressed any particular views, but would be supported if they wished to attend religious services. Trevelyan Road DS0000029318.V282254.R01.S.doc Version 5.1 Page 10 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 Clients benefit from individualised support. EVIDENCE: Clients are supported with personal care if necessary. Staff make sure that they are appropriately dressed for the weather if going out. There was open discussion about compliance with medication and how the clients might feel if they do not adhere to medication. One member of staff explained that one client now attends their outpatient appointments for medication on their own after initially receiving support from staff. Trevelyan Road DS0000029318.V282254.R01.S.doc Version 5.1 Page 11 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): EVIDENCE: None of these Standards were inspected but were met in the previous inspection. Trevelyan Road DS0000029318.V282254.R01.S.doc Version 5.1 Page 12 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, 25, and 26 Clients benefit from a homely environment and are able to choose items for their own rooms. EVIDENCE: Clients are able to personalise their rooms and are encouraged to choose their own furniture and bedding. One client kindly allowed the inspector to view their room. The client had adequate furniture for their needs. The client had their own audio system and CD’s. The walls had pictures and posters of the client’s choosing. The client was happy to discuss photographs of family and friends that they had in their room. Improvements have been made to the garden areas to make them more accessible for clients and to ensure that safety is maintained. The minor repair needed to the kitchen unit, noted at the previous inspection has been done. The lounge had comfortable seating for all clients and the dining area was large enough to accommodate all clients of they wished to take a meal together. Trevelyan Road DS0000029318.V282254.R01.S.doc Version 5.1 Page 13 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): EVIDENCE: None of these Standards were inspected but will be during the next inspection period. Trevelyan Road DS0000029318.V282254.R01.S.doc Version 5.1 Page 14 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): EVIDENCE: None of these Standards was inspected but will be during the next inspection period. Trevelyan Road DS0000029318.V282254.R01.S.doc Version 5.1 Page 15 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X 3 X LIFESTYLES Standard No Score 11 3 12 X 13 X 14 X 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X X X X X X X X X X Trevelyan Road DS0000029318.V282254.R01.S.doc Version 5.1 Page 16 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Trevelyan Road DS0000029318.V282254.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection SW London Area Office Ground Floor 41-47 Hartfield Road Wimbledon London SW19 3RG 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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