Care Home: Kashgar Care Home

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What the care home does well It was not possible to establish whether the home was complying with The Care Homes Regulations and National Minimum Standards, as the service was not operational at the time of this inspection. What has improved since the last inspection? There had been no significant changes to the home since the last inspection. What the care home could do better: The Registered Providers must update the Statement of Purpose and Service User Guide to include all of the information listed in The Care Homes Regulations 2001. Evidence of public liability insurance must be sent to the commission. CARE HOME ADULTS 18-65 Kashgar Care Home 20 Kashgar Road Plumstead London SE18 1HW Lead Inspector Maria Kinson Key Announced Inspection 3rd August 2006 09:30 Kashgar Care Home DS0000029602.V299917.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 Kashgar Care Home DS0000029602.V299917.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. Kashgar Care Home DS0000029602.V299917.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kashgar Care Home Address 20 Kashgar Road Plumstead London SE18 1HW 020 8854 6940 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) Mr Bhramdutt Kanhye Mrs Bassunty Kanhye Mr Bhramdutt Kanhye Mrs Bassunty Kanhye Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Kashgar Care Home DS0000029602.V299917.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Age range 18 years to 65 years Date of last inspection 27th July 2005 Brief Description of the Service: Kashgar Care Home was registered in March 2002 to provide personal care and accommodation for three adults with a learning disability. The home is located in an end of terrace two-storey house, in a residential road, off Plumstead High Street. Local facilities such as shops and public transport links are within walking distance. The accommodation consists of three single bedrooms with shared use of bath / shower facilities, an open plan kitchen/ dining area and lounge. Laundry equipment is provided in a separate room on the first floor of the home. Visitors can park in the surrounding roads subject to parking restrictions. Kashgar Care Home DS0000029602.V299917.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 on 03.08.06 between 09:30am and 11:05am. Prior to the inspection the service file was examined to assess information that had been obtained and received about the home since the last inspection. The inspector spent time talking with the Registered Providers about progress with the previous requirement and recommendations and undertook a tour of the home. This home is currently unoccupied. A number of standards could not be assessed for this reason. The findings from this inspection are based solely on the information that was viewed during the inspection. It was not possible to make any judgements relating to outcomes for service users. What the service does well: What has improved since the last inspection? What they could do better: Kashgar Care Home DS0000029602.V299917.R01.S.doc Version 5.2 Page 6 The Registered Providers must update the Statement of Purpose and Service User Guide to include all of the information listed in The Care Homes Regulations 2001. Evidence of public liability insurance must be sent to the commission. 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. Kashgar Care Home DS0000029602.V299917.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Kashgar Care Home DS0000029602.V299917.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1. (It was not possible to assess the key standards). Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Prospective service users did not have access to adequate written information about some aspects of the service. EVIDENCE: The inspector was told that no changes had been made to the homes Statement of Purpose or Service Users Guide. The previous requirement to include additional information in both documents was outstanding. The Registered Provider told the inspector that this work was in progress. See requirement 1. No service users had been admitted to the home since it opened in 2002. It was not possible to assess the key standards. Kashgar Care Home DS0000029602.V299917.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): It was not possible to assess the key standards. It was not possible to form a judgement about outcomes for service users in relation to these standards. EVIDENCE: This home had not admitted any service users since it opened in 2002. It was not possible to assess the key standards. Kashgar Care Home DS0000029602.V299917.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): It was not possible to assess the key standards. It was not possible to form a judgement about outcomes for service users in relation to these standards. EVIDENCE: This home had not admitted any service users since it opened in 2002. It was not possible to assess the key standards. Kashgar Care Home DS0000029602.V299917.R01.S.doc Version 5.2 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): It was not possible to assess the key standards. It was not possible to form a judgement about outcomes for service users in relation to these standards. EVIDENCE: This home had not admitted any service users since it opened in 2002. It was not possible to assess the key standards. Kashgar Care Home DS0000029602.V299917.R01.S.doc Version 5.2 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home had procedures in place to respond to concerns and complaints. EVIDENCE: The homes complaints procedure was assessed in 2004 and was found to comply with The Care Homes Regulations. The inspector was advised that the procedure had not changed. The home had not received any complaints in the period since the last inspection. A copy of the local authority Adult Protection Procedure was kept in the home. Kashgar Care Home DS0000029602.V299917.R01.S.doc Version 5.2 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This home provides a clean and comfortable environment for service users and their visitors. EVIDENCE: The home was clean, tidy and comfortable. No outstanding maintenance issues were noted. The standard of décor was satisfactory and most of the furniture and fittings were new. All of the bedrooms were unoccupied, so it was not possible to assess whether there was adequate furniture and fittings to meet individual service users needs. The Registered Provider should assess whether service users would like additional furniture such as another comfortable chair prior to admission. Kashgar Care Home DS0000029602.V299917.R01.S.doc Version 5.2 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): It was not possible to assess the key standards. It was not possible to form a judgement about outcomes for service users in relation to these standards. EVIDENCE: The Registered Providers had not employed any staff. It was not possible to assess the key standards. Kashgar Care Home DS0000029602.V299917.R01.S.doc Version 5.2 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 40, 42 and 43. (It was not possible to assess standard 39). Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management team have the skills and experience required to manage a small care home for people with learning disabilities. The home had a policy and procedure file but some of the documents were not suitable for use in a small home. EVIDENCE: The Registered Providers were jointly responsible for the day-to-day management of the home. Both managers had experience of supporting people with a learning disability in a community setting and had a care qualification. The Registered Providers said that they were not able to commence the training recommended for managers whilst the home was empty, as the course requires them to reflect upon and provide evidence of work they have undertaken with service users in the home. Kashgar Care Home DS0000029602.V299917.R01.S.doc Version 5.2 Page 16 The home has a comprehensive set of policies and procedures. Some of the information listed in the procedures manual was assessed during the previous inspection and did not appear to be relevant to a small home for younger adults. See recommendation 1. Some routine health and safety checks had not been undertaken because the home was not occupied. The Registered Providers said that all of the necessary checks would be undertaken prior to admitting service users. The public liability certificate was not available for inspection during this visit. The Registered Provider agreed to forward a copy of the current certificate to the inspector. See requirement 2. A local environmental health officer inspected the home in July 2005. Some verbal advice was provided regarding a window that did not have a restricted opening. The window was locked as advised. The Registered Persons should consider restricting the opening of the window in the first floor bathroom to 100mm. Although this home has been vacant for the past two years there was no evidence to suggest that the home was not financially viable. The Registered Persons are not reliant upon the home providing them with an income. Kashgar Care Home DS0000029602.V299917.R01.S.doc Version 5.2 Page 17 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 2 2 X 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 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X 3 X X 2 X 3 2 Kashgar Care Home DS0000029602.V299917.R01.S.doc Version 5.2 Page 18 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA1 Regulation 4&5 Requirement The Registered Persons must amend the Statement of Purpose and Service User Guide to include all of the information listed in The Care Homes Regulations 2001. A copy of the revised Statement of Purpose and Service User Guide must be forwarded to the Commission. The previous timescale of 01/03/06 was not met. The Registered Persons must forward a copy of the current public liability insurance certificate to the commission. Timescale for action 30/11/06 2. YA43 25 18/09/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA40 Good Practice Recommendations The Registered Persons should check all of the homes policies and procedures to ensure that they are relevant to the home and category of service users. DS0000029602.V299917.R01.S.doc Version 5.2 Page 19 Kashgar Care Home Commission for Social Care Inspection Sidcup Local Office River House 1 Maidstone Road Sidcup DA14 5RH National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Kashgar Care Home DS0000029602.V299917.R01.S.doc Version 5.2 Page 20 - 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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