Inspection on 30/08/05 for Weka House

This inspection was carried out on 30th August 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

Weka House 25/06/07

Weka House 08/06/06

Weka House 04/01/06

Weka House 11/09/04

Weka House 06/05/04

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 Weka House 4 Elsden Road London N17 6RY Lead Inspector Teferi Degeneh Unannounced 30 August 2005 @ 09.00 am 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. Weka House G59 S10794 Weka House V241199 30.08.05 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Weka House Address 4 Elsden Road, London, N17 6RY 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) 020 8808 8428 Mr Alexio Kadira Mr Alexio Kadira PC - Care Home only 4 beds Category(ies) of MD - Mental Disorder registration, with number of places Weka House G59 S10794 Weka House V241199 30.08.05 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 11 September 2004 Brief Description of the Service: Weka House is a care home lockated in a residential area of Tottenham, near Bruce Grove and near a park. It is registered to provide a service for up to four people with a mental disorder. Mr Alexio Kadira is the proprietor and the registered manager of the home. Mr Kadira has a similar care home close to this home. The home is an ordinary terraced house, on a domestic scale and fits in well with the surrounding area. Each service user has a single bedroom and one of these has en suite facilities. The communal facilities in the home include a bathroom with a shower, two toilets, a lounge, a dining area, a kitchen and a rear garden. Weka House G59 S10794 Weka House V241199 30.08.05 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was undertaken between 8:55 am and 4:00 pm on 30/8/05. The assistant manager, Mr Kenneth Bruce, was present throughout the inspection. One of the three people who currently live at the home was spoken to. A pre-inspection questionnaire completed by the registered manager and a feedback card completed and returned by one service user was considered. Written documents such as files of the staff and people who live at the home were examined. Other records including the rotas, menus, and medication administration record (MAR) sheets; the diary and the policies and procedures of the home were seen. The inspector had a guided tour of the premises. The other two people who live at the home did not wish to share their experiences. What the service does well: What has improved since the last inspection? What they could do better: In order to ensure a high quality of care that meets the needs of the people who live at the home, it is important for the registered person to implement a good quality assurance system that enables the home to gather the views of all stakeholders about the services and facilities of the home. The feedback obtained through the system must be analysed and strategies adopted to address any shortfalls. The registered person must ensure that staff who are competent and adequate in number are available to meet the needs of the people. The rota must reflect the staff who are on shift and the files of all staff who work at the home must be available for inspection. The registered person is required to replace the loose carpets in the corridors. It is required that a qualified and competent person maintains the electric light switches. Weka House G59 S10794 Weka House V241199 30.08.05 Stage 4.doc Version 1.40 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. Weka House G59 S10794 Weka House V241199 30.08.05 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 Weka House G59 S10794 Weka House V241199 30.08.05 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) 2, and 4 The home has a satisfactory system of admission procedures enabling prospective service users to visit the premises before making a decision to accept an offer of admission. Service users are confident that their admission is based on the outcome of their assessments and that the their needs can be met by the home’s facilities. EVIDENCE: The assistant manager confirmed that assessments are completed for all new service users before admission. A decision to admit a new service user is based on the outcome of an assessment and on the basis that the needs of a service user can be met by the existing facilities and services. The home’s referral and admission policy states, “The home will request all past and present records relating to mental and physical health of the potential client”. A discussion with the assistant manager and a service user indicated that new service users visit the home before moving in. No new service user has been admitted since the last inspection. Weka House G59 S10794 Weka House V241199 30.08.05 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, and 9 The systems for updating care plans and risk assessments are managed very well thus enabling the home to identify care needs and risks to service users and to implement care plans that meet the needs and the risks. Service users have benefited from their ability to spend their money as they wished. EVIDENCE: Three service users’ files were assessed. In each of the files it was evident that care plans have been developed and reviewed on a monthly basis. Risk assessments have also been completed and reviewed for all the service users. A service user described their ability to travel independently to and from their work place. They said they let staff know of their whereabouts when they go out. They said that they are able to carry out cooking, cleaning and laundry tasks with minimum support from the staff. One service user said they do their own shopping and cooking. Discussions with a service user and service users’ files showed that all service users have front door keys and one service user has a solicitor whom they regularly see. The assistant manager said all the people who live at the home manage their own finances. The care plans and risk assessments are comprehensive. Weka House G59 S10794 Weka House V241199 30.08.05 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 15, 14, 16, and 17 Arrangements for preparations of meals, management of finances, leisure activities and meeting with visitors are satisfactory and meet service users’ needs. However, opportunities for day activities are below service users’ expectations with no planned stimulations for service users during daytime. EVIDENCE: All service users have front door keys and can go out and return to the home independently. It was evident from observations that service users have free access to all communal areas. A service user spoken to said they attend a club where they work five days a week. A summary of the home’s quality assurance questionnaire indicates that there are no sufficient opportunities for some service users to go out. Even though the home as an action plan for this (see under Standard 39 below) it seems implausible that the action plan can be implemented given the staffing level of the home. The assistant manager confirmed that all the people who live at the home are registered to vote. From the records seen and the discussions with a service user and the assistant manager it was evident that service users are able to visit and to be visited by friends and families. A service user said friends are able to see them privately Weka House G59 S10794 Weka House V241199 30.08.05 Stage 4.doc Version 1.40 Page 11 in their bedroom. Records indicated that the home has organised trips to the seaside and one service user is able to go on a holiday of their choice. A service user said they are given a weekly allowance, which they use to buy food items of their choice. The assistant manager confirmed that two service users are supported with shopping and cooking. Discussions with a service user and observations showed that service users are able to have meals at a time of their choice. Weka House G59 S10794 Weka House V241199 30.08.05 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, and 20 The home has undertaken a commendable job in promoting and monitoring the health needs of service users. Service users have benefited from the home’s system of storing and administration of medication and the home’s close working relationship with health professionals. EVIDENCE: It was evident from service users’ files and the diaries that service users had access to NHS health care facilities. Records showed that service users have psychologists, psychiatrists and general practitioners whom they see as and when required. One service user said the staff remind them to take their medication. At the time of the visit one service user was in hospital receiving treatment. Medication is kept in a locked cabinet and records confirmed that the temperature of this area is maintained at below 25oC. The medication administration record sheets and the medicines were checked and found to be in order. Weka House G59 S10794 Weka House V241199 30.08.05 Stage 4.doc Version 1.40 Page 13 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 Service users are reassured by their knowledge of the home’s complaints procedure. Even though the home has policies and procedures for the protection of vulnerable adults from abuse, risk to service users have not been eliminated. The staff filing system of the home is poor. EVIDENCE: The home has a complaints procedure, which contains the address details of the CSCI and the early date by which a response should be made to a complainant. A service user spoken to said they knew how and who to complain to. There have been no complaints recorded since the last inspection. The files of the five members of staff, which were assessed, showed that they all have satisfactory clearance certificates from the Criminal Records Bureau (CRB). The file of one member of staff whose name was on the rota was not kept at the home but was brought for this inspection from another care home owned by the provider. The home has a policy and procedures on the protection of vulnerable adults from abuse. A copy of the placing authority’s policy and procedures of the protection of vulnerable adults from abuse has been obtained by the home. The member of staff spoken to is familiar with the policy and procedures of protecting vulnerable adults from abuse. Weka House G59 S10794 Weka House V241199 30.08.05 Stage 4.doc Version 1.40 Page 14 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, and 30 The location of this home is good and service users have access to transport and shopping facilities. However, the standard of the carpets in the home are below the expectation of service users. Service users’ health and safety is put at risk due to malfunctioning of electric light switches in the home. EVIDENCE: The home is located in a residential area of Tottenham, near Bruce Grove and near to a park. Shops, cafés and transport facilities are very close to the home. The premises were clean, tidy and free from offensive odours on the day of the inspection. However, the carpets in the corridors were loose and stained. A notice was displayed on the light switch in the kitchen warning staff and service users that it was out of order and not to be used. The assistant manager was able to call a person to come to the home and fix the switches. After the person left the inspector was able to see that the light switches were in working order. It was noticed, however, that the switches were fitted in a different way; that is, pressing down the switches turns the light off and pressing them upwards turns the light on. Weka House G59 S10794 Weka House V241199 30.08.05 Stage 4.doc Version 1.40 Page 15 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) 32, 33, 34, and 35 Despite the satisfactory training opportunities provided to the staff, service users’ needs are not met due to the low staffing level and the lack of information about the staff. The rota and filing systems of the home are poor and the names of some staff on shift are not on the rota. EVIDENCE: The rota for the week beginning 29/8/05 showed that there is one member of staff on shift at all times. The assistant manager said extra staff are called in to cover shifts as needed. A member of staff at another care home owned by the provider was working with the stant manager on the day of the inspection. This was not reflected in the rota and the assistant manager said the person was on the rota to work in the other care home located on the same road. It was understood from discussions with the assistant manager that staff are regularly asked from the other care home owned by the provider to cover shifts at this home. Evidence was available in the staff files to confirm that they attended training in First Aid, basic food hygiene, health and safety, moving and handling, equal opportunities, manual handling and management of aggression. All the staff currently working at the home have clear CRB checks and the home has an equal opportunities policy. It was evident from staff files that two written references have been received and contracts issued for each member of staff. As stated earlier, the file of one member of staff was not kept at the home but was brought from another home for this inspection. Weka House G59 S10794 Weka House V241199 30.08.05 Stage 4.doc Version 1.40 Page 16 Discussions indicated that a person has been employed to identify and organise training for the staff. Weka House G59 S10794 Weka House V241199 30.08.05 Stage 4.doc Version 1.40 Page 17 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) 39, and 42 The systems for monitoring the quality of the services and facilities are not satisfactory. Apart from the carpets in the corridors and the light switches in the kitchens, the health and safety precautions are satisfactory and service users feel safe in the home. EVIDENCE: The assistant manager said service users have been consulted regarding their views of the quality of services and facilities provided at the home. A summary of the outcome of the quality assurance consultation, which was seen, states, “…. But [Weka House] will try to ensure that a member of staff is available to take [a service user] out at [a service user’s] request.” The assistant manager said service users are also able to comment on the quality of the services at their meetings. There was no evidence to indicate that relevant visitors and professionals are consulted about their views of the home. Weka House G59 S10794 Weka House V241199 30.08.05 Stage 4.doc Version 1.40 Page 18 It was mentioned above that the carpets in the corridors were loose and a person whose skills or qualification were not checked repaired the electric light switches in the kitchen room. Records and certificates indicated that all portable electrical appliances were checked on 12/7/05 and the fire alarms were inspected on 26/7/05. It was also evident from certificates that the gas boiler was checked on 26/1/05 and the fire extinguishers were serviced on 26/7/05. The environmental health officer who visited the home on 12/7/05 commented that there was no action required from the visit. Weka House G59 S10794 Weka House V241199 30.08.05 Stage 4.doc Version 1.40 Page 19 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 3 x 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 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 2 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x 3 2 2 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Weka House Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 2 x x 3 x G59 S10794 Weka House V241199 30.08.05 Stage 4.doc Version 1.40 Page 20 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. 2. 3. Standard 12 24 24 Regulation 16(2)(m) 16(2); 23(2) 23(2); 17 Requirement The registered person must provide service users with social activities that meet their needs. The registered person must replace the carpets in the corridors. The registered person must confirm in writing that the electric light switches in the kitchen are fixed by an appropriately trained electrician. A copy of the electrical maintenace certificate of the home must be forwarded to the CSCI Inspectro. The registered person must, having regard to the size of the home, the statement of purpose and the number and needs of service users, ensure that at all times suitably qualified and competent persons are working at the home in such numbers as are appropriate for the health and welfare of service users. The details of the staff who are on shift must be clearly identified in the rota. The registered person must ensure that the files of all staff who work at the home are Timescale for action 30/11/05 31/10/05 30/9/05 4. 33 18(1)(a) 30/9/05 5. 34 17(3)(4) 30/9/05 Weka House G59 S10794 Weka House V241199 30.08.05 Stage 4.doc Version 1.40 Page 21 available at the home. 6. 39 24(1)(2) The registered person must consult service users and visitors about the quality of services and facilities provided at the home. The feedback obtained through the quality assurance must be summarised with action plans and made available to all stakeholders including the CSCI. 31/12/05 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 Good Practice Recommendations Weka House G59 S10794 Weka House V241199 30.08.05 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection 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 Weka House G59 S10794 Weka House V241199 30.08.05 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. 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!