Inspection on 01/03/07 for Wimbourne House

This inspection was carried out on 1st March 2007.

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

Wimbourne House 22/01/08

Wimbourne House 07/10/05

Wimbourne House 16/05/05

Wimbourne House 17/08/04

Wimbourne House 01/04/04

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 Wimborne House 16 Wimborne Road London N17 6HL Lead Inspector Mr Stephen Boyd Key Unannounced Inspection 1st March 2007 11:15 Wimborne House DS0000010779.V321020.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 Wimborne House DS0000010779.V321020.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. Wimborne House DS0000010779.V321020.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wimborne House Address 16 Wimborne Road London N17 6HL 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 8493 9947 020 8801 0620 Mr Kwame Adusei Mr Kistnasamay (Chris) Thandrayen Care Home 3 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (3) of places Wimborne House DS0000010779.V321020.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th October 2005 Brief Description of the Service: Wimborne House is located in a residential area close to Bruce Grove where there are a range of local shops and easily accessible public transport. The home is registered to provide residential care for three people with Mental disorder, excluding learning disability or dementia. The registered provider, Mr Kwame Adusei, owns a number of similar small homes in this area. The home is an ordinary house, on a domestic scale and fits in well with the surrounding area. It has three bedrooms, a separate toilet room and one bathroom, with a shower over the bath. There is a shared lounge, kitchen and dining area and a rear garden. The home has four care staff, two night staff, a part time domestic staff and a manager. Staff are on duty on a twenty four hour basis. The organisation’s brochure states that it specialises in supporting service users who may have a forensic history or may be on the supervision register and that the aims are to respect the resident’s privacy and dignity, maintaining and promoting personal identity and the right to choose. Fees charged at the home range between £700 and £1000 per week. A copy of this report can be obtained direct from the provider or via the CSCI website (web address can be found at page two of this report. Wimborne House DS0000010779.V321020.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place in one day in March 2007. The inspector spoke with the two staff members on duty and also met with the registered provider, Mr Kwame Adusei. Both service users were spoken with and a tour of the premises was undertaken. Various records and policies were seen as part of the inspection process. 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. Wimborne House DS0000010779.V321020.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 Wimborne House DS0000010779.V321020.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. Prospective service users can be confident that their needs will be assessed prior to admission to the home. EVIDENCE: On the day of inspection there were two service users living at the home, who had both been there for some time. Both the service users had assessments of their needs carried out and these were comprehensive. The home has a policy on admission and in speaking with staff on duty it was clear that no one would be admitted to the home without undergoing a full assessment and they would need to be compatible with the needs of existing service users. Wimborne House DS0000010779.V321020.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 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have their needs and goals reflected in comprehensive care plans. Service users are encouraged to make decisions about their lives with appropriate assistance from staff. Service users have risks assessed and strategies put in place to deal with these. EVIDENCE: Holistic care plans were seen to be available for both of the current service users. These had clear aims and were seen to have been regularly reviewed with the service users being involved along with other relevant people such as social workers and health professionals. Service users stated they can make decisions for themselves and this was evident on the day of inspection in terms of when to get up, what to wear, who to see and where, when to go out etc. Due to service users mental health conditions they sometimes make decisions which are perhaps not in their best Wimborne House DS0000010779.V321020.R01.S.doc Version 5.2 Page 9 interests. Staff are always on hand to guide and advise service users where they will allow in these circumstances. Service users were seen to have risk assessments covering areas of individual risk. Due to the nature of some service users health conditions, in agreement with staff details are kept of when they leave and return to the home and where they are intending going. Risk assessments were seen to be regularly reviewed. Wimborne House DS0000010779.V321020.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 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are involved in activities of their choosing, most of which take place in the local community. The service users have contact with family and friends. Service users know that they will have their rights respected and that they have responsibilities towards others in a communal living environment. Service users enjoy their meals and are involved in choosing what to eat and in preparing and cooking. EVIDENCE: The home employs an activities co-ordinator who visits the home to assist service users with leisure activities. Records are kept of activities which service users have undertaken, which are dependent often on their current situation. Service users are able to go out by themselves and visit places such as cinemas, cafes, pubs etc. The home displayed notices of events and clubs that are of interest and have supported service users who have wished to go on holiday or on longer day trips. Wimborne House DS0000010779.V321020.R01.S.doc Version 5.2 Page 11 Service users have visits from their family members and are able to visit friends. A visitor’s book is kept which details all visits regarding service users. A service user on the day of inspection was visited by two care professionals and this visit took place in private with staff being asked to join the visit at various times. Service users have bedroom keys and can choose to be on their own. Service users understand they have responsibilities such as observing the homes smoking policy which forbids smoking in communal areas. Staff were seen to respect service users during the inspection by knocking on bedroom doors and waiting an invitation to enter. Service users comments about staff and how they treat them were positive. Each of the service users is supported to formulate a list of food items they want to have which include a balance of nutritional food. The staff then do this shopping and service users generally keep and cook the food for themselves. Service users stated they were happy with arrangements for food within the home. Wimborne House DS0000010779.V321020.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 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive appropriate support from staff. Health needs of service users are fundamental to the overall care of service users. The homes system of medicine administration is well managed. EVIDENCE: Care plans were seen to outline the support service users need. Service users can manage most of their personal care needs. Care plans also relate the health needs of service users. Service users were seen to have appointments with a range of healthcare specialists from records and appointment details kept in the home. Due to service users previous and current lifestyles, staff are very aware of the need to maintain records and monitor changes in the way service users are presenting. The home administers medication for both current service users. A suitable policy for medication is available and staff have received training in medication administration, uses and side effects. Medication was found to be kept in a secure manner and good records were kept. The home reported good relationships with G.P, s and supplying pharmacists. Wimborne House DS0000010779.V321020.R01.S.doc Version 5.2 Page 13 Wimborne House DS0000010779.V321020.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 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be confident their views will be listened to and acted upon. The homes complaints policy needs to change to reflect the CSCI has taken over from NCSC. The service users are as far as possible protected from abuse, neglect and self harm. EVIDENCE: The home has a complaints policy, however this needed to be amended to reflect that the CSCI and not its forerunner NCSC can have a role in receiving or investigating complaints. No complaints had been made since the previous inspection. Service users spoken with during the inspection did not have any concerns they wished to raise, but intimated they knew how to do so should the need arise. The home had a policy in respect of protecting vulnerable adults from abuse. The home also retained a copy of the relevant London Boroughs policy and procedure. Staff had received training in how to spot potential or actual abuse situations and then take appropriate action. No referrals had been made under pova guidelines since the last inspection. Wimborne House DS0000010779.V321020.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 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Due to ongoing building works at the time of the inspection, a limited judgement is made that service users generally live in a homely, comfortable and safe environment. EVIDENCE: At the time of the inspection building works were taking place on both floors of the home. A new bedroom and shower room were being created on the first floor and on the ground floor, work to a doorway and re- positioning of the boiler from kitchen to dining room was undergoing. Builders were consequently working throughout the home and thus the home was inevitably not seen at it’s best due to dust and materials throughout. That said the home was being kept as clean and tidy as possible during the works and decoration looked reasonable. Service users take responsibility for cleaning their rooms and a part – time domestic staff member is employed to clean the other parts of the home. Service users said that their experience is that the home is generally Wimborne House DS0000010779.V321020.R01.S.doc Version 5.2 Page 16 comfortable and homely. They had been consulted about the building works and said they had not been inconvenienced unduly by them. Wimborne House DS0000010779.V321020.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 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A competent and qualified staff team are trained to meet service users needs. The recruitment and selection of staff supports and protects service users. EVIDENCE: As well as the registered manager, Wimborne house employs four care staff, two night carers and a part time domestic staff member. The company which owns the home provide the services of an activities co-ordinator and training organiser. The registered provider visits the home daily to give support. One member of staff is on duty at all times and can draw on additional staff as necessary and as happened on the day of inspection. Staff spoken to during the inspection were clearly competent, well trained and knowledgeable regarding the service users and their needs. One member of staff spoken with was currently undertaking national vocational qualification at level 3. The person in charge at the time of the inspection was studying to PhD level and was a trained social worker and drug and alcohol counsellor. Staff training records indicated a range of relevant training had been undertaken such as Wimborne House DS0000010779.V321020.R01.S.doc Version 5.2 Page 18 protection of vulnerable adults and medication. Staff said that training within the company was good. The inspector examined the file of the one new member of staff since the previous inspection and found that they had completed an application form, had references taken up and criminal records bureau check completed. Photo identity was also available along with evidence of training and qualifications. Wimborne House DS0000010779.V321020.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 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run and has systems in place to assure the quality of service. The health safety and welfare of service users is generally well promoted, though some certificates of safety need to be made available. EVIDENCE: The registered manager, Mr Kistnasamay (Chris) Thandrayen, was on a day off during the inspection. He has been the manager for a number of years and staff spoken with clearly felt well supported by him. The inspection indicated a well run home with good relations between staff and between staff and service users. Records and policies were well recorded and written. Wimborne House DS0000010779.V321020.R01.S.doc Version 5.2 Page 20 The previous inspection report had highlighted the need for developing a system of quality assurance, which sought the views of service users and others and planned action to address any concerns. This had been achieved at this inspection. An action plan to meet some issues arising from surveys and questionnaires had been put in place. Service users said their views were taken into account and service user meetings were seen to be held with minutes available. As indicated earlier in the report, some building work was ongoing at the time of the inspection. Staff reported that the builders took safety measures as a priority and cleared up materials and tools well at the end of each working day. The inspector saw safety certificates for fire equipment, electrical installation and gas safety. A new gas safety certificate will be required following the completion of building works, as the boiler was being re-positioned. Also, there was no certificate seen in respect of water safety within the home. It was clear that fire alarm tests and drills are regularly carried out. COSSH assessments and general risk assessments for the building were also available. Wimborne House DS0000010779.V321020.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 X 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 2 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 3 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 2 X Wimborne House DS0000010779.V321020.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No 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. Standard YA22 YA42 Regulation 22(7) 23(2) Requirement The registered provider must ensure the complaints policy includes details of the CSCI The registered person must ensure that the gas boiler and the heating system have up to date certificates/records that confirm that the gas boiler and the central heating system have been checked and are in good working order following building works within the home The registered provider must produce evidence that the home has been assessed for the risks associated with legionnaires disease. Timescale for action 31/03/07 30/04/07 3. YA42 23(2) 30/04/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Wimborne House DS0000010779.V321020.R01.S.doc Version 5.2 Page 23 Wimborne House DS0000010779.V321020.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 Wimborne House DS0000010779.V321020.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!