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Care Home: Amonet Residential Care Home

  • 76 Hendon Lane Finchley London N3 1SL
  • Tel: 02083434702
  • Fax: 02085026363
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Amonet is a private care home registered to provide care for 12 older people. The home is owned by Dr Amos Akinola and Mrs Janet Akinola. Mrs Akinola is also the registered manager. Amonet is a specialist service providing care for older Asian people. The staff speak the same languages as the service users and activities and food provided is for Asian people. There are eleven bedrooms: ten single and one double. The bedrooms are on all three floors of the building. There is a shaft lift serving all three floors. Amonet is in a pleasant residential area. The building is a three floored, attractive house with a large pleasant garden to the rear. The stated aims of the home are to provide comprehensive quality services, which protect and preserve the homely environment and lifestyle of every service user and to treat service users with respect and dignity, promoting their independence, guaranteeing their rights and ensuring their choice. The fees are £437.60 a week. This report is available through the internet. Copies may also be obtained from the provider of this service.

  • Latitude: 51.59700012207
    Longitude: -0.2039999961853
  • Manager: Mrs Janet Oyefunke Akinola
  • Price p/w: ~
  • UK
  • Total Capacity: 12
  • Type: Care home only
  • Provider: Dr Amos Alabi Akinola
  • Ownership: Private
  • Care Home ID: 1722
Residents Needs:
Old age, not falling within any other category

Latest Inspection

This is the latest available inspection report for this service, carried out on 15th January 2008. CSCI found this care home to be providing an Good service.

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.

For extracts, read the latest CQC inspection for Amonet Residential Care Home.

What the care home does well The home provides consistently good outcomes for people. The statement of purpose also identified the skills and staffing resources available to meet the needs of people. The home provides a statement of purpose that is specific to the individual home, and the resident group they care for. It clearly sets out the objectives and philosophy of the home.The service user guide has been translated into Gujarati, as this is the preferred language of people who use the service. The service understands the importance of having sufficient information when choosing a care home. Placing local authorities provides initial assessments. The home also has carried out its own detailed assessments of people`s needs. Admissions are not made to the home until a fall needs assessment has been undertaken to ensure the best outcomes for people. Care plans were personalised, and referred to the cultural needs of people. Detailed nutritional, tissue viability, falls and manual handling assessments are in place. Management of risk is positive addressing safety issues are aiming for a better quality of life for people living at the home. The records of medicines received, administered and returned to the pharmacist were all complete. Medication records are fully completed, contain the required entries, and are signed by appropriate staff to ensure peoples safety. I spoke with people who live at the home who told me that they are provided with regular activities. People are involved in meaningful daytime activities of their own choice and according to their individual interests and capabilities. People spoken to said Diwali celebration had been well organised. They also told us that other religious festivals were celebrated. The home promotes people`s continued involvement in the local Hindu community. People with whom I spoke confirmed that they knew how to make a complaint. One person said, " I have no complaints." The home has an open culture that allows people to express their views, and concerns in a safe and understanding environment. People living at the home felt confident that any concerns they raised would be handled sensitively and appropriately. A person told me, " I can tell staff about anything that upsets me." People feel safe and well supported by the home, which has their protection and safety as a priority. I walked round the home and found that it was appropriately furnished. There are accessible toilets, baths and showers. The home provides an accessible and safe environment for people to live in. People living at the home told me that staff are available to meet their needs. There is consistently enough staff available to meet the needs of people living at the home. People told me they felt that staff understood how to meet their needs. We examined two staff files and found that these contained all the required information relating to their recruitment to protect people. The home Amonet Residential Care Home DS0000010394.V354264.R01.S.doc Version 5.2 Page 7recognises the importance of effective recruitment procedures in the delivery of a quality service and to protect people. The registered manager has extensive experience of managing a service for older people. The registered manager has a clear understanding of how to deliver good outcomes for people living at home. The home has a system for obtaining the views of the quality of the service it provides. People`s views are sought and provide the bases for improving the quality of the service. All health and safety policies were available. The home has an effective system for monitoring accidents to ensure the safety of people who live at the home. Appropriate measures are put in place to prevent incidents from reoccurring. What has improved since the last inspection? There were three areas for improvement identified at the last key inspection these have now been addressed. The registered manager explained that since the last inspection she had replaced the weighing scales. People health and well being is promoted. Since last inspection all staff had received first aid training. The registered manager explained that since the last inspection two more staff have completed the National vocational qualification in care at level 2. Therefore the home and now has over 50% of its staff appropriately qualified. Staff are properly trained to ensure the safety and well being of people living at the home. What the care home could do better: One area for improvement have been identified at this inspection. We found that the menu had not been reviewed or updated for over a year. It is recommended that menus be reviewed so that people living at home are supported to have a variety of meals. CARE HOMES FOR OLDER PEOPLE Amonet Residential Care Home 76 Hendon Lane Finchley London N3 1SL Lead Inspector Tony Brennan Key Unannounced Inspection 15th January 2008 11:30 X10015.doc Version 1.40 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 Amonet Residential Care Home DS0000010394.V354264.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 Older People. 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. Amonet Residential Care Home DS0000010394.V354264.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Amonet Residential Care Home Address 76 Hendon Lane Finchley London N3 1SL 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 8343 4702 020 8502 6363 Dr Amos Alabi Akinola Mrs Janet Oyefunke Akinola Care Home 12 Category(ies) of Old age, not falling within any other category registration, with number (12) of places Amonet Residential Care Home DS0000010394.V354264.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd November 2006 Brief Description of the Service: Amonet is a private care home registered to provide care for 12 older people. The home is owned by Dr Amos Akinola and Mrs Janet Akinola. Mrs Akinola is also the registered manager. Amonet is a specialist service providing care for older Asian people. The staff speak the same languages as the service users and activities and food provided is for Asian people. There are eleven bedrooms: ten single and one double. The bedrooms are on all three floors of the building. There is a shaft lift serving all three floors. Amonet is in a pleasant residential area. The building is a three floored, attractive house with a large pleasant garden to the rear. The stated aims of the home are to provide comprehensive quality services, which protect and preserve the homely environment and lifestyle of every service user and to treat service users with respect and dignity, promoting their independence, guaranteeing their rights and ensuring their choice. The fees are £437.60 a week. This report is available through the internet. Copies may also be obtained from the provider of this service. Amonet Residential Care Home DS0000010394.V354264.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This unannounced key inspection was undertaken as part of the annual inspection programme. We sought to confirm that the three areas for improvement identified at the last inspection had been addressed. Prior to the inspection the home had completed its annual quality assurance assessment. The annual quality assurance assessment provided us with information about the home and how it was seeking to provide the best outcomes for people. We also looked at any other information we had received about the home since the last inspection. This included any information regarding incidents that the home had told us about. The inspection took place over one day. We were assisted by Janet Oyefunke Akinola, the registered manager, with the inspection. A Gujarati translator accompanied us, as this is the preferred language of people living at Amonet. We spoke with all the people who live at Amonet, and two members of staff. We observed care practice and interaction between staff and people living at the home. We toured the building and examined a number of records relating to the care, health and safety and management of the home. We would like to thank the staff that assisted us by answering questions about the running of the home. We would also like to thank all the people who live at the home who discussed their views of the service they receive. What the service does well: The home provides consistently good outcomes for people. The statement of purpose also identified the skills and staffing resources available to meet the needs of people. The home provides a statement of purpose that is specific to the individual home, and the resident group they care for. It clearly sets out the objectives and philosophy of the home. Amonet Residential Care Home DS0000010394.V354264.R01.S.doc Version 5.2 Page 6 The service user guide has been translated into Gujarati, as this is the preferred language of people who use the service. The service understands the importance of having sufficient information when choosing a care home. Placing local authorities provides initial assessments. The home also has carried out its own detailed assessments of peoples needs. Admissions are not made to the home until a fall needs assessment has been undertaken to ensure the best outcomes for people. Care plans were personalised, and referred to the cultural needs of people. Detailed nutritional, tissue viability, falls and manual handling assessments are in place. Management of risk is positive addressing safety issues are aiming for a better quality of life for people living at the home. The records of medicines received, administered and returned to the pharmacist were all complete. Medication records are fully completed, contain the required entries, and are signed by appropriate staff to ensure peoples safety. I spoke with people who live at the home who told me that they are provided with regular activities. People are involved in meaningful daytime activities of their own choice and according to their individual interests and capabilities. People spoken to said Diwali celebration had been well organised. They also told us that other religious festivals were celebrated. The home promotes people’s continued involvement in the local Hindu community. People with whom I spoke confirmed that they knew how to make a complaint. One person said, “ I have no complaints.” The home has an open culture that allows people to express their views, and concerns in a safe and understanding environment. People living at the home felt confident that any concerns they raised would be handled sensitively and appropriately. A person told me, “ I can tell staff about anything that upsets me.” People feel safe and well supported by the home, which has their protection and safety as a priority. I walked round the home and found that it was appropriately furnished. There are accessible toilets, baths and showers. The home provides an accessible and safe environment for people to live in. People living at the home told me that staff are available to meet their needs. There is consistently enough staff available to meet the needs of people living at the home. People told me they felt that staff understood how to meet their needs. We examined two staff files and found that these contained all the required information relating to their recruitment to protect people. The home Amonet Residential Care Home DS0000010394.V354264.R01.S.doc Version 5.2 Page 7 recognises the importance of effective recruitment procedures in the delivery of a quality service and to protect people. The registered manager has extensive experience of managing a service for older people. The registered manager has a clear understanding of how to deliver good outcomes for people living at home. The home has a system for obtaining the views of the quality of the service it provides. People’s views are sought and provide the bases for improving the quality of the service. All health and safety policies were available. The home has an effective system for monitoring accidents to ensure the safety of people who live at the home. Appropriate measures are put in place to prevent incidents from reoccurring. What has improved since the last inspection? What they could do better: Amonet Residential Care Home DS0000010394.V354264.R01.S.doc Version 5.2 Page 8 One area for improvement have been identified at this inspection. We found that the menu had not been reviewed or updated for over a year. It is recommended that menus be reviewed so that people living at home are supported to have a variety of meals. 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. Amonet Residential Care Home DS0000010394.V354264.R01.S.doc Version 5.2 Page 9 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Amonet Residential Care Home DS0000010394.V354264.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 13 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The statement of purpose is an accurate description of the service provided. People’s needs are assessed prior to admission to the home to ensure they receive the care and support they need. EVIDENCE: The annual quality assurance assessment stated, “ relevant statements are available including a brochure and a statement of purpose for prospective service uses.” I found that the needs of the people case tracked were within a range of those specified in the statement of purpose. The statement of purpose also identified the skills and staffing resources available to meet the needs of people. The home provides a statement of purpose that is specific to Amonet Residential Care Home DS0000010394.V354264.R01.S.doc Version 5.2 Page 11 the individual home, and the resident group they care for. It clearly sets out the objectives and philosophy of the home. A copy of the statement of purpose and guide was given to each person living in the home. A copy was placed in their bedrooms. I spoke with one person who had recently been admitted to the home she confirmed that she had a copy of the service user guide. The service user guide has been translated into Gujarati, as this is the preferred language of people who use the service. The service understands the importance of having sufficient information when choosing a care home. The statement of purpose confirmed that the cultural and religious needs of people would be respected. Records show that people were supported by the home to maintain contact with their Temple or other community groups. The registered manager explained that she was working with families to make sure that this contact was maintained. Staff spoken to was able to explain how they would meet these needs sensitively. The registered manager explained that staff where possible are recruited who understand the language and culture of people living at the home. Records also confirmed that training on the equalities and diversity topics had been provided. The service makes sure that people’s equality and diversity is promoted. People living at the home have varying degrees of disability. The environment has been adapted so that it is accessible. People are able to live as independently as possible. I observed that people were able to move about the home safely. The annual quality assurance assessment confirms that, “ no one moves into the home without having their needs assessed and been assured that these will be met.” A relative of a person who had recently come to live at home told us that the registered manager had spent time with the family to find out the persons needs. The registered manager told us she thought it was important to involve peoples families in the initial assessment process. This would make sure that people’s cultural and religious needs are at the centre of care giving. Initial assessments are provided by placing local authorities. The home also has carried out its own detailed assessments of peoples needs. Needs identified in the initial assessments of the three people case tracked were highlighted in their risk assessments and care plans. There was guidance on how their needs should be met. Admissions are not made to the home until a fall needs assessment has been undertaken to ensure the best outcomes for people. There are detailed assessments of people needs. As part of the assessment process information on the needs of people had been obtained from health professionals. This had been used to inform the home’s own assessment. A person told me, “ Staff are very helpful.” Staff spoken to was able to explain the individual needs and preferences of the people case tracked. Two people Amonet Residential Care Home DS0000010394.V354264.R01.S.doc Version 5.2 Page 12 spoken to told us, “ we like it here. Staff are good.” Admissions to the home only take place when staff has the necessary skills to meet the assessed needs of perspective residents. Amonet Residential Care Home DS0000010394.V354264.R01.S.doc Version 5.2 Page 13 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 10 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People’s personal, social and medical care needs are fully planned for. People who use the service are fully protected by safe procedures for handling medication. Peoples right to privacy is supported. EVIDENCE: I found that the care plans of all the people case tracked were detailed and clearly identified how the needs of people would be met. The annual quality assurance assessment said, “Care plans are users friendly and are reviewed regularly to meet residents needs.” Care plans were based on initial assessments of the people case tracked. A person spoken to told us, “ they know how to help. If I need help with a shower staff know how I like this to be done.” There were clearly defined actions highlighted in the care plans to Amonet Residential Care Home DS0000010394.V354264.R01.S.doc Version 5.2 Page 14 meet the needs of people. Care plans had been reviewed, and people have been consulted about how their needs should be met. The care plans for the people case tracked were found to reflect their choices and preferences. People are involved in the planning of their care that affects their lifestyle and quality of life. One of the people case tracked care plan recorded that she preferred to wear sari and that she was a vegetarian. We observed staff interaction with the Gujarati translator. The Gujarati translator explained that staff were speaking to people in a respectful and caring way. People I spoke to told me that they felt staff understood the needs. Staff spoken to confirm that they acted as key workers to a number of people. They could explain the individual needs of the people they were key working. Care plans were personalised, and referred to the cultural needs of people. Detailed nutritional, tissue viability, falls and manual handling assessments are in place. These assessments identified the level of risk and any actions to alleviate this. For example, one person had a falls assessment stated that she walked using a walking stick. The possibility that she might trip and fall was assessed. Staff will advised to ensure there were no trip as is to prevent her from walking safely at around the home. Management of risk is positive addressing safety issues are aiming for a better quality of life for people living at the home. The annual quality assurance assessment stated, “Purchased new digital sitting weighing scale for comfort of our residents.” The registered manager explained that since the last inspection she had replaced the weighing scales. It is now possible for all residents to be weighed as the new scales allow this to be done while the person is sitting down. I found that three people case tracked had been weighed regularly. Diary notes showed that appropriate medical attention and advice is sought. Diary notes also showed that the people case tracked had access to their General Practitioner when necessary. One of the people spoken to confirm that she had seen the general practitioner and that the doctor visited “regularly.” Other people spoken to confirm that they could either visit their general practitioners surgery with staff or member of the family. Diary notes also confirmed that where the General Practitioner had recommended specific medical interventions these were followed up. One of the people case tracked had recently had a change in her medication made by the General petitioner. This had been recorded appropriately and the new medication was available for her use. The records of medicines received, administered and returned to the pharmacist were all complete. We found where the General Practitioner had made changes to peoples medication this was signed by the General Practitioner to confirm the change had been made. We found that the medication for each of the people case tracked was accurately recorded. Amonet Residential Care Home DS0000010394.V354264.R01.S.doc Version 5.2 Page 15 Medicines were stored safely. All medicines are stored at the appropriate temperature. Medication records are fully completed, contain the required entries, and are signed by appropriate staff to ensure peoples safety. Training has been provided on the safe administration of medicines. I spoke with staff and found they were clear about their responsibilities and how to handle medicines safely. Training records also contained certificates confirming that this training had taken place. I was able to observe staff administering medication, and confirmed that this was done safely. Staff understands how to administer medication safely to people living at the home. Amonet Residential Care Home DS0000010394.V354264.R01.S.doc Version 5.2 Page 16 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 15 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People living at the home are provided with varied activities to meet their needs. People living at the home are supported to maintain contact with relatives and other representatives of their choice. The menu reflects the preferences of people living at the home and offers a balanced diet. EVIDENCE: I spoke with people who live at the home who told me that they are provided with regular activities. I observed that equipment had been bought so that people living at home could engage in light exercise with the help of staff. I observed that activities were taking place at various times throughout the day. People are involved in meaningful daytime activities of their own choice and according to their individual interests and capabilities. Amonet Residential Care Home DS0000010394.V354264.R01.S.doc Version 5.2 Page 17 I observed that staff spend time talking with people who live at the home and listening to what they had to say. Staff spoken to understood the importance of one-to-one contact for people. People told me that they could see visitors in private if they wish to. The registered manager explained that she has recruited one of the relatives of the volunteer. The volunteer will work with people and supported them to engage with religious and other cultural activities. Diary notes showed that people had regular contacts with family, friends and the wider community. People spoken to said Diwali celebration had been well organised. They also told us that other religious festivals were celebrated. People were able to watch television and films in the Gujarati language. Staff also play music that they enjoy. I observed that Hindu religious pictures and other items of importance to service users were available throughout the home. People spoken to said they participate in daily religious observance as is their custom and choice. A number of residents lead the daily prayers and chanting. One of the people we spoke to had recently celebrated her 101 years birthday. She said the home had made this “ very special”. The registered manager showed us photographs of this event. The registered manager explained that local dignitaries, including the mayor, had attended. The annual quality assurance assessment stated that the library books had been obtained in Gujarati. I saw the data available in the home. People are supported to practise their religion. The home promotes people’s continued involvement in the local Hindu community. We spoke with people who said they were generally pleased with the quality of the food provided. A person who lives at the home said, “ the food is very good”. All the people living at home are vegetarian and Hindu meals are provided to reflect this. There was specific guidance in peoples care plans about their dietary needs. I saw that meals were well presented and they were provided in a relaxed manner. People were supported to eat. I observed that this was done at the pace of the people being assisted. People are able to enjoy the food they prefer and like. All the residents spoken to were happy with the meals provided. However, we found that the menu had not been reviewed or updated for over a year. There is a four week menu. Meals were repeated on the different weeks of the menu. This was discussed with the registered manager who agreed to review the menus in consultation with people living at home. It is recommended that menus be reviewed so that people living at home are supported to have a variety of meals. Amonet Residential Care Home DS0000010394.V354264.R01.S.doc Version 5.2 Page 18 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 18 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People who use the service are confident that their complaints will be listened to, taken seriously and acted upon. The home’s procedures protect people from abuse. EVIDENCE: People with whom we spoke confirmed that they knew how to make a complaint. One person said, “ I have no complaints.” The complaints policy has been translated into Gujarati. This supports people and their relatives to raise concerns if they should need too. Actions had been taken to address issues that had arisen from the complaints. The complaints record showed actions taken to resolve complaints. There have been no complaints to the Commission about the home. The home has a suggestion box for relatives and other visitors to use to make comments about the service. The home has an open culture that allows people to express their views, and concerns in a safe and understanding environment. There were comprehensive policies on handling abuse and protection. People living at the home felt confident that any concerns they raised would be Amonet Residential Care Home DS0000010394.V354264.R01.S.doc Version 5.2 Page 19 handled sensitively and appropriately. A person told me, “ I can tell staff about anything that upsets me.” No adult protection issues have been raised about the home since the last key inspection. We found that staff had received training on adult protection. Staff spoken could recognise the signs of potential abuse, and how they would respond to it. People feel safe and well supported by the home, which has their protection and safety as a priority. Amonet Residential Care Home DS0000010394.V354264.R01.S.doc Version 5.2 Page 20 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 26 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People live in a home that provides a safe and homely environment. The home is clean and hygienic. EVIDENCE: We walked round the home and found that it was appropriately furnished. Passenger lifts provided access for people to all floors. We observed that people were able to access all areas in the home safely. The home has the necessary adaptations to support people to move around safely. The annual quality assurance assessment highlighted that the Kitchen, lounge and dinning Amonet Residential Care Home DS0000010394.V354264.R01.S.doc Version 5.2 Page 21 areas have been refurbished. We found that these areas of the home has been decorated and where appropriate new furniture had been purchased. The hallways and one of the bedrooms have also been redecorated. This has made the home a more pleasant environment for people to live in. The registered manager explained that further decorating and refurbishment of the home was planned. There are accessible toilets, baths and showers. I observed the people were able to safely move about the home and access these facilities. People said that the homes facilities supported their cultural bathing practices. The home provides an accessible and safe environment for people to live in. Bedrooms were personalised with items of furniture and pictures belonging to the people who live at the home. People told us that they were able to have her own furniture pictures and religious items in their bedrooms. People who use the service are encouraged and supported to personalise their bedrooms. Appropriate measures are in place to prevent cross infection. The home has detailed policies on the prevention of cross infection. Staff have received training on infection control measures. Staff spoken to understood how to work to minimise the possibility of cross infection. Staff confirmed that they had access to disposable gloves and aprons. Liquid soap and paper towels were available throughout the home. Effective infection control measures are in place to ensure the safety of people living at the home. Amonet Residential Care Home DS0000010394.V354264.R01.S.doc Version 5.2 Page 22 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 30 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Sufficient staff are available at all times to meet the needs of people who live at the home. Staff do have all the skills to meet all the assessed needs of people who live at the home. People who live at the home are protected by the home’s recruitment practices. EVIDENCE: The rota showed that a consistent staffing level was being maintained in the home. This confirmed that sufficient staff are available to meet the needs of people. We spoke with staff that said that sufficient staff were available to meet the needs of people who live at home. People living at the home told me that staff are available to meet their needs. We observed that staff were available at key times of the day (e.g. mealtimes) to assist people. Staff were also observed to spend time with people both individually and in small groups. This allowed more attention to the individual needs of people. There is consistently enough staff available to meet the needs of people living at the home. Amonet Residential Care Home DS0000010394.V354264.R01.S.doc Version 5.2 Page 23 The registered manager explained that since the last inspection two more staff have completed the National vocational qualification in care at level 2. Records confirmed that all other staff either have this or an equivalent qualification. Therefore the home and now has over 50 of its staff appropriately qualified. Since last inspection all staff had received first aid training. They were records of certificates to confirm this. Staff spoken to also said they had been given this training. The Training records showed that staff had completed all the other there is a statutory required training. Staff have also had training skin care and dementia. Staff are properly trained to ensure the safety and well being of people living at the home. We examined two staff files and found that these contained all the required information relating to their recruitment to protect people. A health check had been carried out to ensure that staff could safely meet the needs of people. The home recognises the importance of effective recruitment procedures in the delivery of a quality service and to protect people. Amonet Residential Care Home DS0000010394.V354264.R01.S.doc Version 5.2 Page 24 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31 33 35 38 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Appropriate management structures are in place to ensure that people receive the care they need. People who live at the home are consulted about the quality of the service provided and are encouraged to make suggestions for improvement. People who live at the home have their financial interests protected by the home’s procedures. People who live at the home and staff are protected by the home’s health and safety procedures. EVIDENCE: Amonet Residential Care Home DS0000010394.V354264.R01.S.doc Version 5.2 Page 25 The registered manager has extensive experience of managing a service for older people. The registered manager has a nursing background and has completed the Registered Managers Award. The registers manager is supported by a deputy manager. The registered manager explained that the deputies currently working towards the Registered Managers Award. We spoke with staff who confirmed that the registered manager provided support to meet the needs of people. People we spoke told us they could talk to the registered manager about anything that concerned them. The registered manager has a clear understanding of the key principles and focus of the service to make sure that people receive the care they need. The registered manager has a clear understanding of how to deliver good outcomes for people living at home. The home has a system for obtaining the views of the quality of the service it provides. The home makes sure that any areas for improvement are addressed. The annual quality assurance assessment completed by the home showed that areas for improvement would be identified. A survey of the views of people who live at the home, relatives and professionals was in place. People who live at the home and their relatives have meetings on a regular basis to discuss how they wish the home to be run. People told us that they can talk to staff and they responded well any suggestions that they made. Staff meetings take place to ensure staff are aware of plans to develop the service. People’s views are sought and provide the bases for improving the quality of the service. I saw samples of the recently completed survey of the views of people and relatives about how the home was meeting their needs. The registered manager explained that this had been analysed to see if there are any particular issues that need to be addressed. The home is produced a newsletter in which areas for improvement identified in the survey were addressed. This clearly stated what actions would be taken to make these improvements for the benefit of people living at home. The home does not hold money for people who live at the home. The home invoices their families or the relevant social service department for any expenditure made on their behalf. A system is in place to ensure receipts are obtained for any expenditure. People use the service trust the home to handle their money safely. Fire drills were taking place and the fire alarm was tested regularly. I found that the fire risk assessment includes an assessment of all the potential fire risks in the home. I questioned staff on the fire safety procedures and found that they understood fire safety issues. At a recent fire drill held with the London Fire Brigade the officer in charge who attended the home wrote in the Amonet Residential Care Home DS0000010394.V354264.R01.S.doc Version 5.2 Page 26 homes compliments book. He said that, “ after 22 years this was the most professional evacuation and I attended.” All health and safety policies were available. Certificates for gas, legionella and electrical testing were in date. COSHH guidance was in place and chemicals were stored safely. I discussed health and safety issues with staff and they demonstrated their understanding. The home has an effective system for monitoring accidents to ensure the safety of people who live and work at the home. People told us that safety issues were addressed and said that they felt “safe” at the home. The temperature of food delivered to and cooked by the home was recorded. The temperatures of the fridges and freezers were recorded and within safe limits. The home has an effective system for monitoring accidents to ensure the safety of people who live at the home. Appropriate measures are put in place to prevent incidents from reoccurring. Amonet Residential Care Home DS0000010394.V354264.R01.S.doc Version 5.2 Page 27 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Amonet Residential Care Home DS0000010394.V354264.R01.S.doc Version 5.2 Page 28 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. Standard Regulation Requirement Timescale for action 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 OP15 Good Practice Recommendations The registered persons should review the menus so that people living at home are supported to have a variety of meals. Amonet Residential Care Home DS0000010394.V354264.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Harrow Area office Fourth Floor Aspect Gate 166 College Road Harrow HA1 1BH 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 Amonet Residential Care Home DS0000010394.V354264.R01.S.doc Version 5.2 Page 30 - 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. 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