Inspection on 22/07/05 for Trevelyan Road

This inspection was carried out on 22nd July 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

Trevelyan Road 08/12/08

Trevelyan Road 19/12/06

Trevelyan Road 02/02/06

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 22 July 2005 10:00 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. Trevelyan Road G54-G04 S29318 Trevelyan Road V230955 220705 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Trevelyan Road Address 140 Trevelyan Road Tooting London SW17 9LN 020 8672 9577 020 8672 9977 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) Mr Gifford Steven Oakley Vincent Ethelbert Hurley Care home only (PC) 4 Category(ies) of Mental disorder excluding learning disability or registration, with number dementia (MD) of places Trevelyan Road G54-G04 S29318 Trevelyan Road V230955 220705 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31st January 2005 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 facitlies. Trevelyan Road is situated close to local bus routes, Tooting Broadway underground and Tooting Bridge mainline station are within five minutes walk. Trevelyan Road G54-G04 S29318 Trevelyan Road V230955 220705 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection commenced at 10am and concluded at 12pm, one inspector undertook the inspection. Records relating to client care and policies and procedures were examined. A tour of the premises was undertaken. The inspector spoke with one client, the provider and two members of staff. What the service does well: What has improved since the last inspection? What they could do better: Clients must be protected from harm from receiving medication, which they might be allergic to, by ensuring that allergies or lack of allergies are recorded on admission. The home must ensure that religious needs or lack of religious needs are documented to ensure spiritual needs of clients are met. Minor repairs to the home must be achieved in a timely manner to ensure clients are not put at risk of harm when in the home. Trevelyan Road G54-G04 S29318 Trevelyan Road V230955 220705 stage 4.doc Version 1.40 Page 6 Client must be able to access a pleasant maintained garden, to enable them to benefit from warm weather. 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 G54-G04 S29318 Trevelyan Road V230955 220705 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 Trevelyan Road G54-G04 S29318 Trevelyan Road V230955 220705 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) 3, 4 and 5 Potential clients are able to visit the home prior to admission with comprehensive assessments being undertaken that identify care needs. Clients have information on what is included in the service provided. EVIDENCE: A copy of the placement agreement was sent to the Commission for Social Care Inspection after the inspection, as requested. This document indicates the fee and what is included in the service. The provider indicated that potential clients are invited to visit the home prior to moving in and there is a twenty-eight day trial period on first moving into the home, allowing a client to decide whether the home is suitable for their needs. Full information from the health professionals and social workers was available on client files and an assessment had been undertaken prior to a client moving into the home. This verified that relevant information was collated prior to admission and client care needs were identified. Information included on the admission to the home was noted to be detailed and contained contact numbers for social workers, psychiatrists and next of kin. Arrangements for meeting needs such as opticians or dentists were also noted. All clients resident at the home required a high input from mental health services and this input was clearly documented. This highlighted the close relationship the home shares with local mental health professionals and services. Trevelyan Road G54-G04 S29318 Trevelyan Road V230955 220705 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 and 10 Clients can be confident that identified care needs will be met and that they will be treated as individuals. 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 arson, alcohol consumption and shopping independently. Care documentation and other information related to clients is kept in the staff office where access is restricted. Clients have a key to the house and there is no restriction on movement within the home or outside of the home. Clients are able to lock their bedroom doors if they wish and staff respect this and knock prior to entering a client’s room. Trevelyan Road G54-G04 S29318 Trevelyan Road V230955 220705 stage 4.doc Version 1.40 Page 10 Clients are able to choose how they spend their day and staff support them in activities they choose to undertake. Each client has a timetable for the week, which includes domestic duties. One client spoken with stated that they did not mind doing housework, as they liked their room to be tidy. Trevelyan Road G54-G04 S29318 Trevelyan Road V230955 220705 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) 11, 12, 13, 14 and 15 Clients are able to choose what activities they participate in and are able to maintain contact with family and friends. The home must ensure that the religious needs of clients are detailed, to enable spiritual needs to be met. EVIDENCE: Two clients within the home attend a drop in centre for Afro/Caribbean people, where they have the opportunity to mix with other people and have meals. One client spoken with enjoyed watching films and going out shopping. Clients have access to Sky television and on the day of inspection three clients were observed watching the news and reading newspapers. One client attends a literacy group. Contact with families and friends is encouraged where able and the client spoken with confirmed that they were able to spend weekends with their family. The client also confirmed that they were able to plan their day and what activities they choose to do. There was evidence within the daily records of activities that clients had undertaken. Trevelyan Road G54-G04 S29318 Trevelyan Road V230955 220705 stage 4.doc Version 1.40 Page 12 The provider stated that clients are encouraged to participate in household tasks and keep their rooms clean and tidy. One of the two care plans inspected did not detail the religious needs of the service user; the manager stated that this client did not have any religious needs. The home needs to ensure that this is documented; otherwise clients may not have spiritual needs acknowledged. Trevelyan Road G54-G04 S29318 Trevelyan Road V230955 220705 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) 19 and 20 Medicines for clients are maintained safety, however any allergies clients have need to be documented to ensure that clients are not placed at risk of harm. Good multi-disciplinary input into clients care indicates that physical and emotional health needs are met. EVIDENCE: Clients care plans and daily records indicate that care needs are being met. There was evidence of input from healthcare professionals in the two care plans inspected. Routine health and dental checks were also carried out. The clients are registered with a general practitioner of their choice. Medications were recorded when given and when received into the home. The provider stated that the home has sourced appropriate medication training for staff and staff were in the process of applying for the distance-learning course with Croydon College. The medicines policy was examined and observed to be satisfactory, there was discussion relating to the Royal Pharmaceutical Guidance on medicines within care homes and it is recommended that a copy is obtained to supplement the home’s own policy. Staff need to ensure that medication allergies are noted on admission, to protect clients from harm. Trevelyan Road G54-G04 S29318 Trevelyan Road V230955 220705 stage 4.doc Version 1.40 Page 14 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 and 23 Lack of complaints regarding the home and Adult Protection issues indicates that clients are protected from harm. EVIDENCE: The provider reported that there have been no complaints received at the home since the previous inspection and there have been no Protection of Vulnerable Adults investigations. The Statement of Purpose contains a complaints policy, which was noted to be satisfactory and give clients information on how to make a complaint. The Adult Protection Policy was noted to include details of types of abuse and how allegations should be dealt with. Trevelyan Road G54-G04 S29318 Trevelyan Road V230955 220705 stage 4.doc Version 1.40 Page 15 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, 26, 27, 28, 29 and 30 Clients benefit from a homely environment and are able to choose items for their own rooms. The garden requires tidying to enable clients to benefit from this facility. Minor repairs must be carried out promptly to ensure clients’ safety. EVIDENCE: Each client has their own room, which they are able to personalise. Two clients kindly allowed the inspector to view their rooms. The clients had adequate furniture for their needs and are able to choose what bedding they wish to have. One client had their own audio system and CD’s. The walls had pictures and posters of the client’s choosing. The facia of a drawer in the kitchen required mending as it was loose. All areas of the home were found to be clean and tidy. The provider said that a domestic visits the home twice weekly to cook and clean. 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. Bathroom and toilet facilities are situated close to clients’ rooms and are domestic in character. Trevelyan Road G54-G04 S29318 Trevelyan Road V230955 220705 stage 4.doc Version 1.40 Page 16 The garden required maintained and the provider said that the garden would be tidied prior to the end of summer and invited the inspector to come back and ensure it had been achieved. Trevelyan Road G54-G04 S29318 Trevelyan Road V230955 220705 stage 4.doc Version 1.40 Page 17 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) 31, 32 and 35 Clients are supported by staff that are aware of their responsibilities and role. Induction procedures are in place to enable staff to be prepared to work in the home. EVIDENCE: One staff members spoken with had only been working at Trevelyan Road for two months. The staff member confirmed that they had received induction training. Also since commencing employment at the home they had received training on control and restraint and dispensing of medication. The member of staff said that they would like to undertake NVQ training. This indicates that staff are prepared to work in the home and receive training to enable them to undertake their duties. Training will be further examined at the next inspection. On the day of inspection there were adequate numbers of staff to provide the care the clients required, which enables all care needs to be met. Trevelyan Road G54-G04 S29318 Trevelyan Road V230955 220705 stage 4.doc Version 1.40 Page 18 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) 38, 39, 40, 41 and 42 Clients benefit from a home that is managed with their interests in mind. Clients are able to express their views openly and be confident that will be acted upon. Clients’ health and safety is maintained by checking procedures within the home. EVIDENCE: The provider and his team were welcoming on the day of inspection, as were the clients. Monthly meeting occur with clients and staff members, which are documented, in these meetings it was noted that clients are able to express views on the service provided and any issues they may have. Any issues raised were noted to be acted upon, which enables client to feel confident that their views are heard. Policies and procedures were in place, which give clear guidance on how health and safety issues within the home should be addressed, this promotes a safe environment for clients. The manager stated that they were aiming to register to commenced NVQ level 4 to commence in September 2005. Trevelyan Road G54-G04 S29318 Trevelyan Road V230955 220705 stage 4.doc Version 1.40 Page 19 Records relating to hot water temperatures and fridge and freezer temperatures indicate that the health and safety of clients is maintained and temperatures of hot water and food storage facilities are kept within safe limits. It was noted that Portable Appliance Testing had been carried out in February 2005. Trevelyan Road G54-G04 S29318 Trevelyan Road V230955 220705 stage 4.doc Version 1.40 Page 20 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 x 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 2 3 3 3 3 x x Standard No 31 32 33 34 35 36 Score 3 3 x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Trevelyan Road Score 3 x 2 x Standard No 37 38 39 40 41 42 43 Score x 3 3 3 3 3 x G54-G04 S29318 Trevelyan Road V230955 220705 stage 4.doc Version 1.40 Page 21 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 11 Regulation 12 (4) (b) Requirement The registered person must ensure that religious needs of clients are documented and acted upon if required. The registered person must ensure that allergies of clients are documented. The registered person must ensure that minor repairs are carried out in a timely manner. The registered person must ensure that the garden is accessible for clients to use. Timescale for action 30th October 2005 30th October 2005 30th October 2005 30th October 2005 2. 3. 4. 20 24 24 13 (2) 23 (2) (b) 23 (2) (o) 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 20 Good Practice Recommendations It is recommended that the home obtains a copy of the Royal Pharmacutical Guidlines for the Administration and Safe Handling of Medicines within a care home. Trevelyan Road G54-G04 S29318 Trevelyan Road V230955 220705 stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection 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. Extracts may not be used or reproduced without the express permission of CSCI Trevelyan Road G54-G04 S29318 Trevelyan Road V230955 220705 stage 4.doc Version 1.40 Page 23 - 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. 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