Care Home: Craignish Avenue (4)

Similar services:

• Ashlong House
• Norbury Crescent (30)
• Edenvale
• Wadham Avenue
• Chatsworth Care - Dawson House
• Cowden Road, 52 - 54
• Chatsworth Care - Tudor Lodge
• Foxley Lane (121a)

What the care home does well All the written and verbal feedback we received from people who use the service, their relatives, professional representatives, and staff that work at Craignish Avenue was in the main very complimentary about the respite unit and the standard of care provided there. Typical comments, included: `I like staying here`, `we work well together as a team at Craignish`, `staff are always looking at how best to meet the needs of the people who use the service and are sensitive to the needs of parents and carers as well`, `all the clients I support who access Craignish Avenue are always happy to go there and enjoy the activities they offer`, and `staff are very friendly, helpful, and flexible when it comes to staying late or taking on new referrals at short notice`. All the people who use the service who returned our surveys told us staff always ask them what activities they wanted to do and what meals they would like when they stayed at Craignish Avenue. Whilst touring the premises we noted a suggestions box in the main lounge and the results of a recent satisafaction survey carried out by the unit dislayed ion the hallway. The manager told us all the people who use the service and their carers are actively encouraged to express their views about how the service operates. It was positively noted that as result of suggestions made by people who use the service in the last internal quality assurance review some new activities were introduced to better reflect peoples social interests and radiators were all fitted with new valves that enabledpoeple to control the room temperature of the bedrooms they occupied. The social and recreational activities the people who stay at Craignish Avenue have the chance to participate in remains extremely varied and stimualtign. One person we met who uses the service told us they liked to watch sport on the television which staff always let them do. During a tour of the premises we noted a wide variety of different home entertainment equipment and resources available in the lounge, which included: a wide screen television; DVD player and films; a karaoke machine; an electronic darts game, and various board games, puzzles, and books. No recording errors were noted on medication Administration sheets we sampled at random. The manager told us that as stated in the services AQAA no Controlled Drugs or `as required` medication was handled by staff on behalf of anyone who currently used the service. The manager demonstrated a good understanding of what constituted best practice regarding the safe handling of Controlled Drugs and assured us they would be put into practice as and when required. The manager also told us that she continues to `spot` check and monitor her staff teams medication handling practices at regular intervals. A pharmacist carried out an assessment of the services medication handling practises in 2008 and all the recommendations they made have subsequwnltry been implemented. The manager produced a risk assessment on request that set out in detail all the strategies that were in place to enable people who were willing and able to look after their own prescribed medication to continue doing so whenever they stayed at Craignishstimulating Avenue. All the social care professionals who returned our surveys told us the service always supports people to administer their own medication, or manage it correctly where this is not possible. Staff we met also told us people who use the service who express an interest in doing more for themselves during their time at Craignishsatisfaction are actively encouraged to do so. For exmaple, the manager and a memeber of staff both told us people who use the service can choose to prepare their own meals and drinks if they wish too. The manager confirmed that as she had stated in the AQAA no significant accidents or majoer injrueis involving any of the people who stay at Craignish Avenue had occurred since the services last key inspection. Restimulatingcords indicate that most accidents are minor and usally involve a fall. All the social care professionals who returned our surveys told us staff have the right skills and experience to meet peoples health care needs and would always seek and act upon advice given to them by health care professionals. According to the AQAA and the services complaints log no concerns about its operation have been made in the past twelve months. People who use the service who complated our surveys all told us they knew who to speak to if they were unhappy about anything during their time at Craignish Avenue. During a tour of the premises we noted a very easy to understand pcitorial complaints procedure conspicuously displayed in the hallway for all to see. The one incident of physical aggression that occurred within the service in the past year was dealt with in a very open and professional manner by the manager and her staff team. The manager reported the incident without delay to all the relevant external agencies in accordance with locally agreed safeguarding protocols. The matter was fully investigated, and based on its findings appropriate action taken to minimise the likelihoodof a similar incident reoccurring in th future. A member of staff we spoke to at length about safeguarding demonstrated a good understanding of what constituted vulnerable adult abuse and what they needed to do if they suspected and/or witnessed its occurrence at Craignish Avenue. During a tour of the premises we noted more `suitable` floor covering had been laid in a top floor bedroom and all the damaged wall tiles in the kitchen replaced as we had required in the services last inspection report. Other improvements made to the environment included, two new sofas for the lounge and new wallpaper hung in the entrance hall and upstairs landings. However, it was also evident from the majority of feedback we received from various stakeholders that the interior design and layout of Craignish Avenue needed further improvement (See the section below, entitled - `what the service could do better`). This comment notwithstanding the service continues to look and feel relatively `homely`. Furthermore, all the people who completed our surveys and staff we met told us 4 Craignish Avenue always looked and smelt very fresh and clean. All the toilets and bathrooms we viewed were supplied with sufficient quantities of toilet tissue, paper towels, and soap. The temperature of hot water emanating from a first floor bath was f What the care home could do better: The overall standard of the services interior decor and fittings remains its only major weakness, despite the recent improvements made to the premises (See above). We acknowledge it would be `unrealistic` to require the providers to redecorate the rest of the building while the future of 4 Craignish Avenue remains uncertain. We nonetheless expect the badly ripped and rather out dated wallpaper in the communal lounge area to be replaced within the next six months, irrespective of whether or not this respite service moves from its current location. Random inspection report Care homes for adults (18-65 years) Name: Address: Craignish Avenue (4) 4 Craignish Avenue Norbury London SW16 4RN three star excellent service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Lee Willis Date: 2 7 0 4 2 0 1 0 Information about the care home Name of care home: Address: Craignish Avenue (4) 4 Craignish Avenue Norbury London SW16 4RN 02086798951 02086791096 claire.adam@croydon.gov.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Claire Louise Adam Type of registration: Number of places registered: Conditions of registration: Category(ies) : London Borough of Croydon care home 5 Number of places (if applicable): Under 65 Over 65 2 learning disability Conditions of registration: 0 The maximum number of service users who can be accommodated is: 5 The registered person may provide the following category of service only: Care Home Only (CRH - PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD Date of last inspection Brief description of the care home Craignish Avenue is a small semi-detached property offering short stay respite accommodation and support for up to 5 (at anyone time) generally younger adults with mild to moderate learning disabilities. The service is owned and run by Croydon Social Services Department and Claire Adam, who has worked at the unit for over a decade, Care Homes for Adults (18-65 years) Page 2 of 10 Brief description of the care home remains in operational day to day charge as its registered manager. All the people who use the service are always offered their own single room. There is a main lounge, an open plan dining area and kitchen on the ground floor. All areas of this short stay respite unit are relatively well furnished and maintained. There is also well-maintained garden at the rear of the property that everyone who uses the service can access. The service is close to good transport links, including a local train station and several bus stops. Located in the heart of Norbury the service is also very near a wide variety of good local leisure and community facilities. Care Homes for Adults (18-65 years) Page 3 of 10 What we found: From all the evidence we gathered during the inspection process we still rate 4 Craignish Avenue as an excellent performing service. It was clear from the staff practises we observed, their recording keeping, and all the positive feedback we received from different stakeholders that this respite service continues to deliver excellent outcomes for the people who use it. We spent two hours at 4 Craignish Avenue on a Tuesday between 9.00 and 11.00 in the morning. During this announced site visit we met one person who was staying there, the services manager, a support worker, and a domestic. Twelve of our satisfaction surveys were also returned to us. The vast majority were completed by the people who use the service and/or their relatives. Two came back from care managers who represented a number of different individuals who frequently stayed at 4 Craignish Avenue. The services manager also completed and returned our Annual Quality Assurance Assessment (AQAA) when we asked for it. This tells us what the providers believe they continue to do well, have improved since their last inspection, and what plans they have to develop the service. Finally, we looked at various records and documents, including: a random sample of Medication Administration Sheets; the services complaints log; its incident and accident book; and fire safety records. The remainder of the site visit was spent touring the premises. We would like to take this opportunity to thank all the people who contributed to the inspection process for their time and input. What the care home does well: All the written and verbal feedback we received from people who use the service, their relatives, professional representatives, and staff that work at Craignish Avenue was in the main very complimentary about the respite unit and the standard of care provided there. Typical comments, included: I like staying here, we work well together as a team at Craignish, staff are always looking at how best to meet the needs of the people who use the service and are sensitive to the needs of parents and carers as well, all the clients I support who access Craignish Avenue are always happy to go there and enjoy the activities they offer, and staff are very friendly, helpful, and flexible when it comes to staying late or taking on new referrals at short notice. All the people who use the service who returned our surveys told us staff always ask them what activities they wanted to do and what meals they would like when they stayed at Craignish Avenue. Whilst touring the premises we noted a suggestions box in the main lounge and the results of a recent satisafaction survey carried out by the unit dislayed ion the hallway. The manager told us all the people who use the service and their carers are actively encouraged to express their views about how the service operates. It was positively noted that as result of suggestions made by people who use the service in the last internal quality assurance review some new activities were introduced to better reflect peoples social interests and radiators were all fitted with new valves that enabled Care Homes for Adults (18-65 years) Page 4 of 10 poeple to control the room temperature of the bedrooms they occupied. The social and recreational activities the people who stay at Craignish Avenue have the chance to participate in remains extremely varied and stimualtign. One person we met who uses the service told us they liked to watch sport on the television which staff always let them do. During a tour of the premises we noted a wide variety of different home entertainment equipment and resources available in the lounge, which included: a wide screen television; DVD player and films; a karaoke machine; an electronic darts game, and various board games, puzzles, and books. No recording errors were noted on medication Administration sheets we sampled at random. The manager told us that as stated in the services AQAA no Controlled Drugs or as required medication was handled by staff on behalf of anyone who currently used the service. The manager demonstrated a good understanding of what constituted best practice regarding the safe handling of Controlled Drugs and assured us they would be put into practice as and when required. The manager also told us that she continues to spot check and monitor her staff teams medication handling practices at regular intervals. A pharmacist carried out an assessment of the services medication handling practises in 2008 and all the recommendations they made have subsequwnltry been implemented. The manager produced a risk assessment on request that set out in detail all the strategies that were in place to enable people who were willing and able to look after their own prescribed medication to continue doing so whenever they stayed at Craignishstimulating Avenue. All the social care professionals who returned our surveys told us the service always supports people to administer their own medication, or manage it correctly where this is not possible. Staff we met also told us people who use the service who express an interest in doing more for themselves during their time at Craignishsatisfaction are actively encouraged to do so. For exmaple, the manager and a memeber of staff both told us people who use the service can choose to prepare their own meals and drinks if they wish too. The manager confirmed that as she had stated in the AQAA no significant accidents or majoer injrueis involving any of the people who stay at Craignish Avenue had occurred since the services last key inspection. Restimulatingcords indicate that most accidents are minor and usally involve a fall. All the social care professionals who returned our surveys told us staff have the right skills and experience to meet peoples health care needs and would always seek and act upon advice given to them by health care professionals. According to the AQAA and the services complaints log no concerns about its operation have been made in the past twelve months. People who use the service who complated our surveys all told us they knew who to speak to if they were unhappy about anything during their time at Craignish Avenue. During a tour of the premises we noted a very easy to understand pcitorial complaints procedure conspicuously displayed in the hallway for all to see. The one incident of physical aggression that occurred within the service in the past year was dealt with in a very open and professional manner by the manager and her staff team. The manager reported the incident without delay to all the relevant external agencies in accordance with locally agreed safeguarding protocols. The matter was fully investigated, and based on its findings appropriate action taken to minimise the likelihood Care Homes for Adults (18-65 years) Page 5 of 10 of a similar incident reoccurring in th future. A member of staff we spoke to at length about safeguarding demonstrated a good understanding of what constituted vulnerable adult abuse and what they needed to do if they suspected and/or witnessed its occurrence at Craignish Avenue. During a tour of the premises we noted more suitable floor covering had been laid in a top floor bedroom and all the damaged wall tiles in the kitchen replaced as we had required in the services last inspection report. Other improvements made to the environment included, two new sofas for the lounge and new wallpaper hung in the entrance hall and upstairs landings. However, it was also evident from the majority of feedback we received from various stakeholders that the interior design and layout of Craignish Avenue needed further improvement (See the section below, entitled - what the service could do better). This comment notwithstanding the service continues to look and feel relatively homely. Furthermore, all the people who completed our surveys and staff we met told us 4 Craignish Avenue always looked and smelt very fresh and clean. All the toilets and bathrooms we viewed were supplied with sufficient quantities of toilet tissue, paper towels, and soap. The temperature of hot water emanating from a first floor bath was found to be a safe 40 degrees Celsius when we tested it. We observed the manager and other staff interacting with the one person using the service in a very respectful, courteous, and professional manner. The manager told us the service continues to experience extremely low levels of staff turnover, which means the people who use the service continue to receive continuity of support from very experienced staff who are familiar with their unique needs and wishes. It was evident from the minutes of the services last three team meetings that staff know the likes and dislikes of all the people who regularly stay at 4 Craignish Avenue. The manager confirmed that as she had stated in the AQAA no new permanent members of staff had been recruited since Craignishusually Avecompletednues last full key inspection. It also remains the custom for the service to carry out pre-employment checks on all new staff, including temporary agency staff, and for all staff to have their Criminal Records Bureau checks renewed every three years. The manager produced a record of the induction all agency staff must complete beofre beign a,looeed to comnce workign at the service, which has been specifically developed for temporary staff. The manager assured us the majority of her staff team have achieved National Vocational Qualifications in care level 4, exceeding National Minimum Standards for support workers. The manager was also not aware of any gaps in her staff teams knowledge and skills. The manager produced documentary evidence on request that showed us all her staff team receive one to one supervisions with her at least once every two months, have their performance appraised bi-annually, and attend team meetings with their fellow peers on a monthly basis. A member of staff we spoke at length with told they were always given all the information they required to meet the needs of the people they supported; their on going training was relevant to their role; and they received enough support from their manager. This individual also told us all the staff they worked with at 4 Craignishpictorial Avenue had a fantastic attitude, a good team spirit, and always wanted what was best for the people who stayed there. Care Homes for Adults (18-65 years) Page 6 of 10 Since the services last inspection a full fire safety risk assessment of the building has been carried out and all the recommendations made in the subsequent report implemented. This included the fitting of a new fire resistant door on the ground floor, the putting up of fire retardant plaster board in the hallway, and installing intumescent strips on all the services existing fire doors. The services fire safety records showed us in line with good practise the fire alarm system continues to be tested on a weekly basis, and fire drills carried out every quarter. A member of staff we met demonstrated a good understanding of where all the services fire extinguishers, exits, and assembly points were. Fire extinguishers we sampled at random had all been checked in the past twelve months by a fire safety officer. Finally, the atmosphere within the service remained extremely relaxed and congenial throughout the course of this site visit. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 7 of 10 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 8 of 10 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 24 23 The provider must establish 01/11/2010 a time specific maintenance programme to redecorate the communal lounge. This will ensure the people who use the service have a far more homely, comfortable, and aesthetically pleasing environment to stay in. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 9 of 10 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 10 of 10 - 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!