Inspection on 08/12/08 for Trevelyan Road

This inspection was carried out on 8th December 2008.

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

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 19/12/06

Trevelyan Road 02/02/06

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 19/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Trevelyan Road 140 Trevelyan Road Tooting London SW17 9LN     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: Louise Phillips     Date: 0 8 1 2 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. that people have said are important to them: They reflect the things 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 Adults (18-65 years) 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 Adults (18-65 years) Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) 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 Adults (18-65 years) Page 3 of 27 Information about the care home Name of care home: Address: Trevelyan Road 140 Trevelyan Road Tooting London SW17 9LN 02086729977 02086729977 clifford@mobile6.fsnet.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Clifford Steven Oakley care home 4 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Additional conditions: 4 The maximum number of service users who can be accommodated is: 4 The registered person may provide the following category of service only: Care Home Only (CRH - 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 Date of last inspection Brief description of the care home Trevelyan Road provides a service for four adults of African Caribbean origin, who have mental health problems. All residents 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 transport facilities and shops. Information about the service is provided in the Statement of Purpose. Care Homes for Adults (18-65 years) Page 4 of 27 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 Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This inspection took place over one day and included a visit to the service by a Regulation Inspector. When we visited we spoke to people who live and work at the home, the manager and proprietor. We also looked at records, observed what was going on and looked at the environment. We sent surveys to people who live and work at the home, plus relatives/ advocates of people who use the service and any relevant health/ social care professionals, and these are referred to in the report. We also asked the manager to complete an Annual Quality Assurance Assessment (AQAA) so inform us of what has been happening at the service since we last visited. Care Homes for Adults (18-65 years) Page 5 of 27 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 Adults (18-65 years) Page 6 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 7 of 27 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, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. 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 the person 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. Admissions are not made to the home until a full needs assessment has been made. Prospective residents are given the opportunity to spend time in the home. Relatives said they received enough information, and that they feel the service generally meets peoples needs. Evidence: Full assessments of need were seen to be in place for the people who use the service, and this allows care plans to be drawn up that can meet their needs. People who use the service and their relatives views are sought throughout this process, and visits to the home are encouraged to enable them to meet the staff and other people who live at the home. Additional assessments are also carried out by staff at the home as part of the admission procedure. Relatives/ advocates who responded to our survey said that they feel the service generally meets the needs of their relative/ friend. Care Homes for Adults (18-65 years) Page 8 of 27 Care Homes for Adults (18-65 years) Page 9 of 27 Individual needs and choices 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 needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. 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. The service has a strong believe that it is essential to involve residents in the planning of the care that affects their lifestyle and quality of life. Residents continue to be supported by staff to make decisions about their lives. Management and staff encourage and enable residents to exercise their rights and make their own decisions within a risk assessed framework. Evidence: Two care plans were examined at this inspection. Since the last key inspection there has been some improvement in the content and organisation of the care plans and risk assessments. One health/ social care professional involved with the service identified that these could be improved upon, and in discussion with the proprietor and manager, work in this area is ongoing. Examples were seen of people who use the service being involved in making decisions about their lives, such as in menu planning and how they spend their day. Care Homes for Adults (18-65 years) Page 10 of 27 Evidence: The care plans are signed by the people who use the service and placement reviews showed that their views are included in these. Up to date risk assessments are in place, including Care plan Approach (CPA) which evidence multidisciplinary involvement. People have individualised risk assessments according to their needs. Regular house meetings are held and this enables people who use the service to put their views across about life at the home. Care Homes for Adults (18-65 years) Page 11 of 27 Lifestyle 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 can take part in activities that are appropriate to their age and culture and 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 and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. 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. Links with the local community are good and help to support peoples social and educational opportunities. Further improvements could be made for people to be more involved in community activities that interest them. Evidence: People who use the service have individual programmes which vary according to their needs and they are encouraged and supported by staff to pursue activities. These include gardening projects, support groups and college courses. One person is currently involved in carpet laying. Information in the files examined evidences that people are able to make choices and take part in appropriate activities. One relative/ advocate said that they feel the service does well at taking their friend/ relative out, and trying to get them involved in community activities. However, one staff member said that they feel there should be more activities available for people to do. Similarly, Care Homes for Adults (18-65 years) Page 12 of 27 Evidence: one health/ social care professional said that they feel that the service can sometimes be a bit cautious in promoting more independence for the people who live at the service. The other professional who responded to our survey also identified that the service needs to be more pro-active with activities and supporting people to engage in them. The manager stated that people are encouraged to go shopping for household items as well as personal items. Meals out and visits to pubs are regular occurrences. Support is given with medical and other health care appointments when needed. People who use the service are able to maintain contact with their friends and family. This is achieved either by visitors to the home or visits made to relatives and friends. One relative/advocate said that they would like the service to encourage their relative/friend to telephone them sometimes. During the inspection one person who uses the service said that they enjoyed listening to music in their room and took pride in showing us their music player. Another person spoke of their holiday to Butlins which they had enjoyed. The manager reported that holidays are encouraged although not all people are interested in going away. Television and music equipment is available for people to use in the lounge area. All people have time set aside to do their laundry and ironing, and they are encouraged to do some of the household chores, eg. mopping, sweeping the kitchen and hoovering. People who use the service are also responsible for their rooms although staff will regularly support where help is needed. The proprietor stated that once a month the cook will spring clean each persons room. People who use the service are consulted about any religious or spiritual needs they may have and would be supported to attend places of worship. A copy of the weekly menu was seen. People who use the service are consulted as to what they would like to eat, and are encouraged to cook with staff support if necessary. One person we spoke to said that they get help from staff with cooking. A cook is employed twice a week. The menu seen was varied and included cultural dishes which people wanted to eat, such as curry, chicken rice and peas. In discussion with the manager where alternative meals are eaten no record is maintained. The proprietor said that this would be rectified. Care Homes for Adults (18-65 years) Page 13 of 27 Care Homes for Adults (18-65 years) Page 14 of 27 Personal and healthcare support 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 receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people 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. If people are approaching the end of their life, the care home will respect their choices and help them to 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. The health needs of people who use the service continue to be met with evidence of good multi-disciplinary working taking place. People are consulted about their care. Medication is stored, administered and recorded appropriately. Evidence: Staff were observed to support people in a caring manner during the inspection visit. Relatives said that they are kept up-to-date with important issues that affect their relative, such as a hospital admission or accident. They also say that they feel the home gives their relative the right support. Good health and social care support is provided by a local assessment and intervention community team. Peoples care files contain evidence of support from health and social care professionals including GPs, community nurses, care managers and psychiatrists. Feedback we received from health and social care professionals is that the service usually acts upon the advice they give, and that sometimes extra support is needed in this area due to the complexity of peoples needs, who use the service. Care Homes for Adults (18-65 years) Page 15 of 27 Evidence: The medication cabinet was locked securely at the time of inspection. All medication records were appropriately completed, and all allergies were seen to be recorded, where if no allergies were known then this was documented. A record is kept of all medication coming into the home. The proprietor and manager reported that the local pharmacist provides good support to the home. Care Homes for Adults (18-65 years) Page 16 of 27 Concerns, 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. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. 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. Policies and procedures concerning abuse are in place to protect people from abuse and harm. The home promotes an approchable and open atmosphere. The complaints policy is accessible and is explained to people who use the service. Evidence: There have been no complaints since the last inspection. One person who uses the service told us that they know how to complain should they need to. Relatives/ advocates also said that they know how to make a complaint. One health/ social care professional involved with the home said that whenever they have raised an issue with the service they feel this has been addressed appropriately A copy of Wandsworth inter agency safeguarding policy is available in the office, although this document has been updated recently and the home should obtain the revised document. The manager reported that all staff have recently completed Safeguarding of Vulnerable Adults training. Staff have also attend training in the management of challenging behaviours to help them meet the needs of people who use the service. The manager is a qualified nurse, and informed us that issues around mental health and peoples level of functioning is regularly discussed during team meetings and individual staff supervisions. People who use the service have their own bank account, and they are supported by Care Homes for Adults (18-65 years) Page 17 of 27 Evidence: staff to withdraw money when needed. A record is made when money is given to people who use the service, though from the records relating to these some minor inaccuracies were seen in recording exactly how much money had been returned, and greater care must be taken to ensure that there are no errors. Care Homes for Adults (18-65 years) Page 18 of 27 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, comfortable, 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. People have enough privacy when using toilets and bathrooms. 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. People who use the service live in a clean, comfortable environment which meets their needs. The outside of the home is in keeping with other properties and is not recognisable as a care home. Evidence: 140 Trevelyan Road provides a homely environment to the people who live there. There is a comfortable lounge with television on the ground floor., and a large kitchen that leads to a pleasant garden area. A separate toilet is also available on the ground floor, plus a telephone for people to use. One persons bedroom is located on the ground floor, two on the middle floor and one at the top of the home. Bedrooms seen were very much lived in and people are able to personalise their room with posters and photos. We spoke to two people who use the service, both whom said they are happy with their rooms. A staff office is located on the first floor, with a bathroom/ toilet on the next level. Care Homes for Adults (18-65 years) Page 19 of 27 Care Homes for Adults (18-65 years) Page 20 of 27 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, qualified 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. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. 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. People who use the service are supported by a competent staff team The recruitment process protects individuals from harm and is appropriate checks are carried out on staff prior to commencing employment. Evidence: The staff team continues to be culturally representative of the people who live at home. Staff were observed to get on well with the people they support, and healthcare professionals say that there is a nice atmosphere at the service. Relatives say that they feel the staff usually have the right skills and experience to meet their relatives needs Staff files showed that all necessary recruitment checks are in place, including proof of identification, references and a photograph. Criminal Record Bureau (CRB) checks were seen to be in place on the three files looked at. Staff say that they had an appropriate induction to their role and feel they are given relevant training. One health professional said that they feel that staff should receive training in mental health to ensure they are competent in working with people with these needs. Supervisions were seen to be taking place regularly and staff reported in Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: their questionnaires that they continue to feel supported in their roles. Regular staff meetings take place which allows information to be passed on and for staff to be kept up to date with organisational and management developments. The AQAA states that two staff have completed their NVQ (National Vocational Qualification) level 3 and two staff have completed their NVQ level 2. The proprietor stated that all mandatory training was due and was about to be updated for all staff. Care Homes for Adults (18-65 years) Page 22 of 27 Conduct and management of the 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 have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because 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. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. 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. The manager is approachable, caring and has a good knowledge of the needs of people who use the service. Attention is given to ensuring that the health, safety and welfare of people using the service are promoted and maintained. Evidence: Responses in surveys were positive regarding the management of the home. Staff said that they felt supported and included in the planning and delivering support to people who use the service. Health/ social care professionals who responded to our survey say that they feel the manager is good, and is committed to providing a good service. They also say that they have a positive relationship with the service and there is good communication. Health and safety documentation was in place and up to date certificates were seen for five yearly electrical testing and gas safety. The Portable Appliance Test (PAT) was due. Other records seen included daily fridge and freezer temperature checks and fire drills/fire alarm testing. Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: The proprietor is a regular visitor to the home and is very aware of peoples needs and will often take them out or get involved in certain activities with them. Monthly reports to demonstrate visits in accordance with Regulation 26 of the Care Homes Regulations 2001 are in evidence at the service. The proprietor must ensure that the Commission is formally notified when the manager is absent for more than 28 days (as was the case recently) and detail the arrangements for the running of the home during this absence. Care Homes for Adults (18-65 years) Page 24 of 27 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 Adults (18-65 years) Page 25 of 27 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 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 Adults (18-65 years) Page 26 of 27 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 © (2009) 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 27 of 27 - 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!