Inspection on 06/10/05 for Venetia Residential Care Home

This inspection was carried out on 6th October 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 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 28/11/06

Venetia Residential Care Home 02/02/06

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 Unannounced Inspection 6th October 2005 12:00 Venetia Residential Care Home DS0000059011.V264054.R01.S.doc Version 5.0 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.V264054.R01.S.doc Version 5.0 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.V264054.R01.S.doc Version 5.0 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 020 8292 1602 Venetia Residential Care Home Miss Pandelitsa Piera Constantinou Care Home 10 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (6), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (4) Venetia Residential Care Home DS0000059011.V264054.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24/08/04 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. Venetia Residential Care Home DS0000059011.V264054.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection. It took place over one afternoon. During the inspection the inspector spoke to several service users, a member of staff and the registered manager. The manager showed the inspector around the home. A number of written records were also examined. One of the registered providers also dropped in during the inspection and had a brief chat with the inspector. What the service does well: What has improved since the last inspection? What they could do better: At this inspection there are three areas that have been identified as needing improvement. One service user has moved in who has specific needs that have led to a number of restrictions being placed upon him. A specific restriction has also recently been introduced around use of the main kitchen for all service users, and some further work needs to be undertaken to ensure that there is evidence that where there are restrictions placed on the personal freedom of service users, that these are well thought through by all those involved, and in the service users’ best interests. Although the staff personnel records have been improved overall, one staff file, for a newly appointed staff member, was not complete. Venetia Residential Care Home DS0000059011.V264054.R01.S.doc Version 5.0 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Venetia Residential Care Home DS0000059011.V264054.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Venetia Residential Care Home DS0000059011.V264054.R01.S.doc Version 5.0 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 the following standard(s): 2 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: At this inspection the case records for two of the service users were examined and a number of proper professional assessments and plans were in place 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. Venetia Residential Care Home DS0000059011.V264054.R01.S.doc Version 5.0 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 the following standard(s): 6, 7 & 9 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. However, in order to safeguard the interests of one service user further work is necessary regarding particular restrictions imposed upon him. EVIDENCE: The case records for the two service users who have most recently moved into the home 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. One service user has specific restrictions placed upon him due to the nature of his disability and his family or representative and the placing authority need to be consulted about these restrictions, it is necessary for them to be reviewed on a regular basis and they must be reflected in his individual plan, risk assessments and contract. Venetia Residential Care Home DS0000059011.V264054.R01.S.doc Version 5.0 Page 10 The inspector saw copies of the risk assessments that are in place for two service users. They are up to date, reasonably comprehensive and clear. The inspector noted that one service user’s risk assessment has been further developed to include detailed information regarding his historic aggressive behaviour. This was a requirement at the previous inspection and is adequately addressed. Venetia Residential Care Home DS0000059011.V264054.R01.S.doc Version 5.0 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 the following standard(s): 12, 15 & 16 Staff help service users to find and keep appropriate jobs, continue their education or training, and keep contact with their friends and relatives. The daily routines and house rules generally promote independence, individual choice and freedom of movement. However, in order to protect the service users’ best interests further work is necessary around a particular restriction that has recently been introduced. EVIDENCE: The manager is focussing on encouraging the service users to make better use of the day services that are available to them in the local area. Several service users spoke to the inspector and some headed off to the various specialist day services that they attend. The manager explained that the kitchen door is being locked periodically throughout the day. She went on to explain why this approach has been adopted as an attempt to encourage service users to change the way that they spend their day. As this is a restriction of peoples’ personal freedom, the service users, their families or representative, and the placing authorities should be consulted, a clear written policy is necessary, and it is necessary for Venetia Residential Care Home DS0000059011.V264054.R01.S.doc Version 5.0 Page 12 the practice to be reviewed on a regular basis and be reflected in service users’ individual plans and contracts. It is also recommended that the home seek support from a psychologist in seeking alternative, less restrictive methods of intervention to motivate service users. In conversation with service users and from the records kept it was evident that service users are supported to maintain their family links and friendships. Venetia Residential Care Home DS0000059011.V264054.R01.S.doc Version 5.0 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 the following standard(s): 18 & 19 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. 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 at the previous inspection and the manager was able to say that, after focussing on working with him, there has been an improvement in his awareness of this. Service users’ records showed that they have accessed health care services. All service users are registered with a General Practitioner. The assessed files indicated that service users have named Consultant Psychiatrists and Community Psychiatric Nurses. During the inspection a Psychologist was visiting one particular service user in the home. Venetia Residential Care Home DS0000059011.V264054.R01.S.doc Version 5.0 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 the following standard(s): 22 & 23 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. EVIDENCE: Two of the service users told the inspector that they had no complaints but that they were clear about who to complain to if they had any concerns. They indicated that they thought that the registered persons would take their concerns seriously. 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. A copy has previously been provided to the inspector. Venetia Residential Care Home DS0000059011.V264054.R01.S.doc Version 5.0 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 the following standard(s): 24, 25, 26, 27 & 30 The home provides an environment that service users can regard as their home and their bedrooms are personalised to reflect this. The standard of the décor is good and the home presents as a homely and comfortable environment for service users to live in. The service users can be confident that home will be kept nice and clean. 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. The registered providers have recently been investing time and resources in upgrading the standard of accommodation. The inspector noted that the kitchen facilities in Venetia Road are much improved as the kitchen has been completely refurbished. The cook said that this was a real improvement. There are sufficient bathroom and toilet facilities and in addition a new shower room has been completed and is in use. Venetia Residential Care Home DS0000059011.V264054.R01.S.doc Version 5.0 Page 16 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. The chimneybreasts have been recently removed in two of the bedrooms, to provide more useable space. The room sizes are recorded as part of the statement of purpose. The registered persons have undertaken improvements to most of the bedrooms, and most have recently been decorated to a good standard and provided with new carpet and furniture. The inspector confirmed that service users have lockable facilities in their rooms for their personal items and all windows have window restrictors in place. 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. A new boiler has been installed and the area has been refurbished and re-organised to provide more accessible space for the laundry equipment. A storage area off of the dining room in Venetia Road ensures that cleaning materials and foodstuffs are stored separately. During the tour of the building the inspector noted that the home was reasonably clean and tidy. Venetia Residential Care Home DS0000059011.V264054.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 34 & 35 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 some work is necessary in relation to one staff file. EVIDENCE: The manager and a care worker were on duty at the time of the inspection and the cook, who is the wife of one of the registered providers, came in to prepare the evening meal. This provided sufficient staff cover to meet the needs of the service users who were in the home at the time and matched the planned rota. The inspector noted that staff personnel files included a recent photograph, all necessary forms of proof of identification and evidence of the relevant training courses that they have undertaken. However, one newly appointed staff member’s file did require a recent photograph and, although there was a copy of the contract of employment, this was not signed. A requirement is made in relation to these issues. The manager and one staff member did explain to the inspector that the college that provided NVQ training has failed to provide certification to the staff members that have completed the course due to administrative difficulties. Venetia Residential Care Home DS0000059011.V264054.R01.S.doc Version 5.0 Page 18 The manager presented evidence that the home was doing all that they could to support the staff member in dealing with this issue. Venetia Residential Care Home DS0000059011.V264054.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 The management of the home is satisfactory overall and service users benefit from the well organised and caring management approach. 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. Effective quality assurance and quality monitoring systems, based on seeking the views of service users, are in place to measure success in achieving the aims, objectives and statement of purpose of the home. A policy on quality management and an action plan have been developed and copies provided to the inspector. This includes an anonymous questionaire for service users to complete regarding the attitude of staff and the environment and facilities in Venetia Residential Care Home DS0000059011.V264054.R01.S.doc Version 5.0 Page 20 the home. Two service users were very complimentary about the home and confirmed that service users have the opportunity to talk about any aspect of the home in their meetings, which are held regularly. Overall the arrangements regarding health and safety in the home are satisfactory. There are clear COSHH (care of substances hazardous to health) and environment risk assessments in place. Both the environmental health officer and a fire officer have visited the home to undertaken inspections and the manager has provided copies of the written reports of these visits to the inspector. Venetia Residential Care Home DS0000059011.V264054.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 2 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 3 16 2 17 Standard No 31 32 33 34 35 36 Score X X 3 2 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Venetia Residential Care Home Score 3 3 X X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X 3 X DS0000059011.V264054.R01.S.doc Version 5.0 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 YA7 Regulation 13 (7) Requirement The registered persons must ensure that in the case of the service user who has specific restrictions placed upon him, his family or other representatives, and the placing authority are consulted about these restrictions, they are reviewed on a regular basis and they are reflected in his individual plan, risk assesments and contract. The registered persons must ensure that the policy of restricting access to the kitchen is discussed with the service users, their famillies or other representatives, and the placing authorities, a clear written policy is in place, that the practice is reviewed on a regular basis and is reflected in service users’ individual plans and contracts. 3 YA34 17,19 Sch. 2, 4 30/12/05 The regsitered persons must ensure that one staff members personnel records include a recent photograph and a signed copy of his contract of employment. DS0000059011.V264054.R01.S.doc Version 5.0 Page 23 Timescale for action 30/12/05 2 YA16 13 (7) 30/12/05 Venetia Residential Care Home 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 YA16 Good Practice Recommendations It is recommended that the registered persons seek guidance from a qualified psychologist in reviewing the practice of restricting access to the kitchen and seek less restrictive interventions. Venetia Residential Care Home DS0000059011.V264054.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA 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 Venetia Residential Care Home DS0000059011.V264054.R01.S.doc Version 5.0 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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