Inspection on 20/12/05 for Wilton Villas

This inspection was carried out on 20th December 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

Wilton Villas 09/10/09

Wilton Villas 01/05/07

Wilton Villas 25/07/06

Wilton Villas 15/03/05

Wilton Villas 01/06/04

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 St Martin Of Tours House Wilton Villas Islington London N1 3DN Lead Inspector Ms Franki Solomon Unannounced Inspection 20th December 2005 10:00 St Martin Of Tours House DS0000020974.V274116.R02.S.doc Version 5.1 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 St Martin Of Tours House DS0000020974.V274116.R02.S.doc Version 5.1 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. St Martin Of Tours House DS0000020974.V274116.R02.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service St Martin Of Tours House Address Wilton Villas Islington London N1 3DN 020 7359 9990 020 7226 2714 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) St Martin of Tours Housing Care Home 44 Category(ies) of Learning disability (5), Mental disorder, registration, with number excluding learning disability or dementia (44), of places Mental Disorder, excluding learning disability or dementia - over 65 years of age (4) St Martin Of Tours House DS0000020974.V274116.R02.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered for a total of 44 men with mental health needs accommodated in 2 units (up to 26 in Wilton Villas, and up to 18 in New North Road Registered for a total of 44 men with mental health needs accommodated in 2 units (up to 26 in Wilton Villas, and up to 18 in New North Road) Up to 4 residents (I.e. 2 in each unit) may be in the category of mental disorder with old age. Up to 5 residents (I.e. 3 in Wilton Villas, 2 in New North Road) may be in the category of mental disorder with mild learning difficulties. 2nd August 2005 2. 3. Date of last inspection Brief Description of the Service: St Martin of Tours House is a registered Care Home for men with a forensic psychiatric history between 18 – 60. The home has been open since 1987. Many of the residents have a serious forensic history. All residents are supported in the poject within the multi-agency framework of the Care Programme Approach. This requires extensive and continual liaison with all external professionals involved. The home is divided into two Units: 1) Wilton Villas which has 26 single bedrooms and 2) New North Road which has 18 single bedrooms. Each unit is staffed independently and has a manager with a dedicated staff team. Also, the two units share 3 ancillary workers. The focus of the service is on rehabilitation and partnership working with the forensic services and multi-disciplinary teams. The home is not set up to meet the needs of residents who wish to stay permanently or long terms. Stays are generally up to 2 years. There is a strong emphasis on risk assessment, care planning and structured individual sessions with key workers. Project and support workers run a range of group activities, relevant professionals are available to support therapeutic groups. The home is on 4 floors, including the ground floor where the offices are based, the communal lounge and kitchen which is used for supervised cooking groups and where residents have supervised access. Each floor has a kitchen, toilets and bathroom. Both units are self-catering. The home has a pleasant courtyard garden. St Martin Of Tours House DS0000020974.V274116.R02.S.doc Version 5.1 Page 5 The home is situated in North London, Islington in a residential area. It is within walking distance of Essex Road, and bus routes to Dalston, Highbury & Islington Tube Station and Angel Tube station. Parking is not available. St Martin Of Tours House DS0000020974.V274116.R02.S.doc Version 5.1 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This was the second statutory inspection over the year April 2005 – March 2006. The inspection was unannounced, took place over one day and lasted 6 hours. All of the key standards had been assessed at the previous inspection. The purpose of this inspection was to check on the progress made in relation to the requirements made at the previous inspection. The rest of the time was spent speaking with the deputy manager, manager of each unit, interviewing a staff member and speaking with the one resident who agreed to speak with the inspector. The inspector would like to thank residents, staff and management for their hospitality and co-operation. What the service does well: What has improved since the last inspection? The home has introduced an audit system – a check list - upon referral of a resident to ensure that comprehensive assessments from the referral authority St Martin Of Tours House DS0000020974.V274116.R02.S.doc Version 5.1 Page 7 is clear and detailed. That the home’s own assessment is properly recorded, that records are up to date so that appropriate and relevant information is available. So that residents are appropriately placed and staff are have the necessary information to undertake their tasks to the benefit and safety of residents. The manager(s) produced notes of a review of the ways in which the referrals process could be enhanced. The environment has improved with curtains in communal areas, framed pictures on walls and large pots with foliage, which serves to soften, to some extent, the institutional feel of the building and create a slightly more homely environment for residents. 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. St Martin Of Tours House DS0000020974.V274116.R02.S.doc Version 5.1 Page 8 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 St Martin Of Tours House DS0000020974.V274116.R02.S.doc Version 5.1 Page 9 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): 1 & 2. The New North Road Unit does not meet all the requirements regarding their Statement of Purpose. (This refers to New North Road Unit). Wilton Villas Unit responded well to a requirement made under standard 2. EVIDENCE: A requirement in terms of a comprehensive assessment and risk assessment, under standards 2, 9 and 41 was acted upon and the assessment and care plan was appropriately completed. Service users may feel confident and assured that staff and the resident have the appropriate information to enable them to be safe. The registered manager should ensure that the service user whose first language is not English is made aware of the terms and conditions and their care plan. St Martin Of Tours House DS0000020974.V274116.R02.S.doc Version 5.1 Page 10 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): 9. The manager responds well to a requirements made at the last inspection. EVIDENCE: A requirement was made under standards 2, 9 and 41. The requirement was made in terms of Care plans at Wilton Villas to be appropriately completed with detail and relevant information. This was done. Service users may feel confident and assured that staff and the resident have the appropriate information to enable them to make informed choices. St Martin Of Tours House DS0000020974.V274116.R02.S.doc Version 5.1 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): These standards were not assessed on this occasion. EVIDENCE: St Martin Of Tours House DS0000020974.V274116.R02.S.doc Version 5.1 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 the following standard(s): These standards were not inspected on this occasion. EVIDENCE: St Martin Of Tours House DS0000020974.V274116.R02.S.doc Version 5.1 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 the following standard(s): These standards were not inspected on this occasion. EVIDENCE: St Martin Of Tours House DS0000020974.V274116.R02.S.doc Version 5.1 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 the following standard(s): 24. The internal appearance has improved since the last inspection. EVIDENCE: A requirement had been made at the last inspection to add homely touches to relieve the institutional appearance of the home especially so on the New North End Unit. The communal areas had curtains to match the decoration. There were large pots with realistic looking foliage and various types of pictures hanging on most of the communal areas and stairway walls. The colours for decoration on the walls are different on each floor, some vivid and some calming and may, or may not be to everyone’s taste. The appearance of the home was much improved. The manager(s) produced the Provider’s draft proposal for refurbishment works to bring the building up to a higher standard both in its general fabric and appearance. Residents may look forward to experiencing a pleasant and homely environment. St Martin Of Tours House DS0000020974.V274116.R02.S.doc Version 5.1 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 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): 31. The home’s new managers are making sure that staff receive regular supervison and are aware of their roles and responsibilites, according to their job description. EVIDENCE: The inspector interviewed the new deputy manager of one month who confirmed that they had been fully informed of their roles and responsibilities and had been on a continous month’s induction. Supervision had been planned for that day when the unannounced inspection occurred. One resident said they felt the staff were well trained and doing a good job, but was disappointed that staff remained in their office and only met with them on a formal basis. They said they would appreciate it if staff came in to the lounge or any communal area like the kitchen to chat on an informal basis with them. In discussion with the manager, the manager accepted that this was the practice in the past, but that he was encouraging staff to be more proactive in working with residents. A recommendation has been made. St Martin Of Tours House DS0000020974.V274116.R02.S.doc Version 5.1 Page 16 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, 41 & 42. Generally, the home responds well to requirements made. EVIDENCE: A requirement made at Wilton Villas in terms of record keeping under standards 2, 9 and 41 was acted upon and the record has been appropriately updated. Service users may feel confident and assured that staff and the resident have the appropriate information to enable them to be safe. The manager(s) produced notes of meetings where the enhancement of assessments were being reviewed to ensure the safety and well being of residents. The managers at each unit has put in their application and undertaken their fit person interview with the Commission’s Central Registration Team. They are awaiting their registration certificate. The Regulation 26 monthly visit reports was examined. They were readily to hand and it was evident that the manager goes through the report and acts St Martin Of Tours House DS0000020974.V274116.R02.S.doc Version 5.1 Page 17 upon any issues raised so that the standard of the home, its upkeep and that of the resident’s welfare is continuously assessed and reviewed. A requirement made at the last inspection about hazardaous substances being stored in a locked cupboard was not met. On this unannounced inspection the cupboard was again unlocked with no one present. St Martin Of Tours House DS0000020974.V274116.R02.S.doc Version 5.1 Page 18 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 2 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 X 23 X ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 3 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X 3 X 3 X 3 2 X St Martin Of Tours House DS0000020974.V274116.R02.S.doc Version 5.1 Page 19 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 42(4)(vii) Regulation 13(4)(c) Requirement The Registered Person must ensure the safety of service users and keep all hazardous substances locked under the Control of Substances Hazardous to health Regulations (COSHH) 1988. This requriement has been re-stated. Timescale for action 31/01/06 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 31. Good Practice Recommendations To work with and meet with residents during the course of their work on a more informal and social basis within their professional boundaries. St Martin Of Tours House DS0000020974.V274116.R02.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Camden Local Office Centro 4 20-23 Mandela Street London NW1 0DU 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 St Martin Of Tours House DS0000020974.V274116.R02.S.doc Version 5.1 Page 21 - 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. 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