Inspection on 28/11/06 for Venetia Residential Care Home

This inspection was carried out on 28th November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Venetia Residential Care Home 02/02/06

Venetia Residential Care Home 06/10/05

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 Venetia Residential Care Home 18 Venetia Road & 32 Lothair Road London N4 1EJ Lead Inspector Caroline Mitchell Key Unannounced Inspection 28th November 2006 12:30 Venetia Residential Care Home DS0000059011.V317458.R01.S.doc Version 5.2 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 Venetia Residential Care Home DS0000059011.V317458.R01.S.doc Version 5.2 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. Venetia Residential Care Home DS0000059011.V317458.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Venetia Residential Care Home Address 18 Venetia Road & 32 Lothair Road London N4 1EJ 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) 020 8292 1602 F/P 020 8292 1602 Venetia Residential Care Home Miss Pandelitsa Pieri Constantinou Care Home 11 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (7), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (4) Venetia Residential Care Home DS0000059011.V317458.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd February 2006 Brief Description of the Service: Mr Andrew Pieri and Mr Peter Papalazarou are the joint proprietors of The Venetia Residential Care Home, which is based in 18 Venetia and 32 Lothair Road North. The home is registered as one unit providing care and board for younger adults with mental disorder up to the age of 65. This is a ten bedded unit located in North London off Green Lanes and near to Finsbury Park, with easy access to public transport and local shops. The Venetia is a family business and several of the staff team are related to the proprietor who is also a care assistant in the team. The registered manager is the daughter of one of the registered providers. The home comprises two semi-detached properties joined together by a purpose built communal smoking room and a staff office area. Each home has five bedrooms and there is one sleeping-in room for staff. The statement of purposes states that the main aim of the home is to provide an environment for the residents where they can feel safe, secure and confident, thus able to develop their talents, abilities and skills. Placements at the home costs between £319.09 and £516.00 for each person per week. Service users are expected to pay separately for some items such as cigarettes and magazines, chiropody, holidays and clothing. Following “Inspecting for Better Lives” the provider must make information available about the service, including inspection reports, to service users and other stakeholders. Venetia Residential Care Home DS0000059011.V317458.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was undertaken on an unannounced basis and took around five hours to complete. Upon arrival there were two care staff on duty, along with a cleaner. One of the staff showed the inspector around the home as the manager was out when the inspector arrived. During the inspection the inspector met several service users and spoke to four in private, a member of staff, the registered manager and one of the registered providers. A number of written records were also examined. 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. The summary of this inspection report can be made available in other formats on request. Venetia Residential Care Home DS0000059011.V317458.R01.S.doc Version 5.2 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 Venetia Residential Care Home DS0000059011.V317458.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are not admitted to the home unless there is a proper assessment and sufficient information to enable a decision as to whether their needs can be met. EVIDENCE: There have been no new admissions to the home since the previous inspection. At which time the inspector reviewed the written records of two newly admitted service users. At that time, the case records were noted to include a number of professional assessments and plans for each person, indicating that the home had sufficient information about each person to make an assessment of whether their needs could be appropriately met in the home prior to admission. The manager has recently sent a copy of the home’s new brochure to the inspector. Venetia Residential Care Home DS0000059011.V317458.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users best interests are protected in that their needs and goals are reflected in their individual plans. They are generally encouraged to make decisions about their lives and supported to take risks as part of an independent lifestyle. EVIDENCE: The case records for the two service users were examined and there were service user plans in place for each person. These included evidence that service users had been included and involved in their creation. Individual strengths and needs were reflected in the plans. The plans reflect the input and support that individual service users receive from the home and include an action plan of goals and outcomes. The inspector saw copies of the risk assessments that were in place for two service users. They were up to date, comprehensive and clear. They addressed the particular areas of risk that were particularly pertinent to the individual and included the interventions necessary to reduce these risks. Venetia Residential Care Home DS0000059011.V317458.R01.S.doc Version 5.2 Page 9 Where there are restrictions placed on people’s personal freedom, such as the staff providing cigarettes at agreed intervals, these were referred to in service users’ reviews and included as part of their risk assessments. The four service users that the inspector spoke to were quite confident in expressing their opinions. They confirmed that they could come and go as they wish, and can lock their bedroom doors if they want to. Venetia Residential Care Home DS0000059011.V317458.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is plenty of evidence that staff encourage service users to take part in age appropriate activities and to use the facilities in the local area. Service users are encouraged to be independent and make choices regarding activities that they would like to engage in, independently of the home. Several service users go to a drop in centre during the week. Another service user likes to go to the local betting shop. The service users guide provides information about local resources. Two service users spoke about the advantages of having Sky channels on the TV in both lounges. One service user said that there is a Greek channel that another service user liked to watch, and he himself liked the film channel. Throughout the day several service users were chatting with one another in the smoking room. One service user said that the MIND day centre had been Venetia Residential Care Home DS0000059011.V317458.R01.S.doc Version 5.2 Page 11 closed for three weeks and that it would re-open next week. He said that he had appreciated the rest. Records reflect that service users maintain their family links and friendships. One service user was out visiting his long-term girlfriend. The inspector spoke in private to four service users and most mentioned what was being planned for Christmas. They confirmed that they were consulted about the activities that they wanted to be involved in. All four of the service users who spoke to the inspector said that the food was in the home was very good, varied and very much based on people’s choices and preferences. The inspector reviewed the menu and noted that service users are offered a suitable menu, which meet their dietary and cultural needs. The service users have the opportunity to choose dishes that they would like to be on the menu at their residents meetings, which take place regularly. Whilst the inspector was in the home people were choosing what they wanted to eat for their evening meal, some preferred pizza, and some had chosen kippers. Milk, bread, and most of the fresh food is bought on a daily basis, as there are a large variety of shops just around the corner. There are two service users from a Greek background living in the home and the registered manager told the inspector that they both like Greek food and this is provided regularly. Venetia Residential Care Home DS0000059011.V317458.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are well supported with regard to their physical and emotional health needs and receive personal support in the way they prefer and require. The arrangements in the home regarding medicines protect service users’ best interests. EVIDENCE: The individual plans reflect the needs and preferences of service users in terms of their personal care. One service user was noted as posing a challenge with regard to his personal hygiene and keeping his room clean. His plan and risk assessment set out the ways in which he is to be supported and the manager explained that this issue had been discussed at his placement review on the morning of the inspection. During the inspection the inspector saw the cleaner working with this service user, cleaning his room. Service users’ records showed that they have accessed health care services. Several service users went to the GP for their flu jabs on the afternoon of the inspection. All service users are registered with a General Practitioner. The files seen by the inspector indicated that service users have named Consultant Psychiatrists and Community Psychiatric Nurses. However, the manager said that it has proved difficult recently to get access to a Psychiatrist for some Venetia Residential Care Home DS0000059011.V317458.R01.S.doc Version 5.2 Page 13 service users due to illness. It was evident that the manager actively pursues health care issues on the service users’ behalf, so that they get proper access to health care services, such as medication, health reviews and mental health reviews. The inspector briefly reviewed the arrangements for dealing with prescribed medication in the home. The manager told the inspector that having a staff member who used to be a pharmacist is helpful. The medication is kept in a locked cabinet, was well organised and the temperature is monitored. The mars sheets were signed appropriately. The inspector saw the report of the most recent review by the visiting pharmacist. The inspector noted that the staff in the home are dispensing the medication into a dosset boxes. A written record is kept, and two staff sign to indicate that the correct medication has been dispensed. Venetia Residential Care Home DS0000059011.V317458.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users benefit from a complaints procedure and an adult protection protocol that ensured that their views were heard, and that they are protected from abuse. To further safeguard the service users it is recommended that refresher training be provided to staff regarding adult protection. EVIDENCE: No one that spoke to the inspector had any complaints, and all were confident to speak to the manager if they had any issues. There is a complaints policy in place and information regarding how to make a complaint about the service is provided to service users. No complaints have been recorded in the home and none have been made directly to the Commission. There are comprehensive adult protection and whistle blowing policy and procedures, which include information on staff and service user rights and on how the organisation will protect them in the event of a disclosure of bad practice within the home. Whilst some staff have had some training regarding adult protection as part of their NVQ training. However, it is recommended that they be provided with an update. Venetia Residential Care Home DS0000059011.V317458.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 27 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home provides an environment that service users can regard as their home. The home presents as a homely and reasonably comfortable environment for service users to live in. The home is generally kept and clean. Requirements are made regarding cleaning the carpets in the hall, landing and stairs, and re-fitting the floor covering in one bathroom. EVIDENCE: The home is reasonably well suited for the purpose and is in an area that affords access to a good range of shops and community facilities. There are enough bathrooms and toilets and these are in good repair. All service users who spoke to the inspector said that they were settled in the home and were comfortable in their bedrooms. The bedrooms were not measured during this inspection and the figures above are based on a visual assessment and information from the registered persons. However, all bedrooms that were in use were observed to provide reasonable space, meeting the standards for existing homes. Venetia Residential Care Home DS0000059011.V317458.R01.S.doc Version 5.2 Page 16 The kitchen in Venetia Road is in the basement and the ceiling is very low. This makes the area quite dark and not very welcoming. The registered person has made efforts to improve the environment by using light coloured paint on the walls and the units; work surfaces and floor covering have been replaced relatively recently. During the tour of the building the inspector noted that the floor covering was lifting in one bathroom and needs to be re-fitted to prevent water from getting underneath. A requirement is made in respect of this. The laundry equipment is sited in an area that is to the side of Venetia Road and is accessed from outside of the property. This area also houses the central heating boiler. Generally the home was clean, and it is an improvement that a cleaner is now being employed. However, the carpet was quite dirty in the hall and on the stairs and landing in Venetia Road. A requirement is made in respect of this. At the previous inspection the registered persons were required to decorate the sitting room. The inspector was able to confirm that this had been done. The registered persons have a constant battle to keep the downstairs living rooms clean and nicely decorated, as all of the service users smoke heavily. The manager said that the smoking room is to be redecorated again in the summer of 2007. Venetia Residential Care Home DS0000059011.V317458.R01.S.doc Version 5.2 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are sufficient numbers of staff employed to meet the needs of the service users. Staff training has been provided in a number of areas of care in order to protect the well being of service users and the numbers and skill mix of staff meets user’s needs. Service users are generally protected by the home’s recruitment practices, although an up to date CRB is needed for the cleaner. EVIDENCE: The manager and two care worker were on duty at the time of the inspection, along with a cleaner. This provided sufficient staff cover to meet the needs of the service users who were in the home at the time. The inspector saw the CRB checks for the care staff. The manager explained that the most recent CRB check for the cleaner was not yet in place, although the manager had seen her CRB check for her previous post. A requirement is made for the up to date CRB to be added to the cleaners’ personnel file. One staff completed her NVQ II training over a year ago and, due to difficulties with the college, has not yet received her certificate. She explained that the difficulties now seem to be resolved. Venetia Residential Care Home DS0000059011.V317458.R01.S.doc Version 5.2 Page 18 The manager gave a copy of the staff training plan for 2007 to the inspector. This includes planned in-house talks about such issues as asthma, infectious diseases, epilepsy and drug awareness. The manager also showed the inspector evidence that training updates are planned for early 2007, in health & safety, food hygiene and infection control. Venetia Residential Care Home DS0000059011.V317458.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management of the home is satisfactory overall. Service users can be confident that their views are taken into account and that the home protects their physical safety and security through a proactive approach to health and safety. EVIDENCE: The registered manager is the daughter of one of the registered persons. She comes across as enthusiastic and committed. She was previously the deputy in the home and has undertaken NVQ training in care at levels 2 and 3, and in management at level 4. She has recently returned from maternity leave and has reviewed the policies and procedures in the home since her return. The service users who spoke to the inspector said that there are staff meetings held regularly in the home and that they are encouraged to express their opinions. The inspector saw the minutes of these meetings, and the minutes of the staff meetings. Venetia Residential Care Home DS0000059011.V317458.R01.S.doc Version 5.2 Page 20 Overall the arrangements regarding health and safety in the home are satisfactory. Overall the arrangements regarding health and safety in the home are satisfactory. There are clear policies, COSHH (care of substances hazardous to health), and environment risk assessments in place. The inspector saw the up to date PAT (portable electrical appliance) testing certificate, electrical safety certificate and evidence that the water temperature tests had been undertaken. The manager told the inspector that the boiler had been serviced the day before the inspection and that the gas safety check was booked for the following day. Venetia Residential Care Home DS0000059011.V317458.R01.S.doc Version 5.2 Page 21 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 3 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 3 23 2 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 2 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Venetia Residential Care Home DS0000059011.V317458.R01.S.doc Version 5.2 Page 22 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 YA28 Regulation 23(2)(d) Requirement The registered persons must ensure that the floor covering in one bathroom is re-fitted. The registered persons must ensure that the carpets in the hall and on the stairs and landing in Venetia Road are shampooed. The registered persons must ensure that the personnel records of the cleaner include details of their most recent CRB check. Timescale for action 30/12/06 2. YA30 23(2)(d) 30/12/06 3. YA34 17, 19 Schedules 2 and 4 30/12/06 Venetia Residential Care Home DS0000059011.V317458.R01.S.doc Version 5.2 Page 23 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 YA23 Good Practice Recommendations It is recommended that all staff be provided with updated training regarding adult protection. Venetia Residential Care Home DS0000059011.V317458.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA National Enquiry Line: 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 © 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 Venetia Residential Care Home DS0000059011.V317458.R01.S.doc Version 5.2 Page 25 - 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!