Care Home: Rainbow Homes (London) Limited

Annual service review Name of Service: Rainbow Homes (London) Limited The quality rating for this care home is: The rating was made on: two star good service 1 8 1 1 2 0 0 8 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 We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: THOMAS McKERVEY Date of this annual service review: 1 9 1 1 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service Address of service: 23 Hoop Lane Golders Green London NW11 8JN 02084588288 02084588288 fsaweh@hotmail.com Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Name of registered manager (if applicable) Mr Samuel Isaac Yaremea Conteh Conditions of registration: Category(ies) : mental disorder, excluding learning disability or dementia Rainbow Homes (London) Limited Number of places (if applicable): Under 65 Over 65 6 0 Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service This home is owned by Rainbow Homes London Ltd., which is a private company. The home opened in July 2006, following a major refurbishment of the property, which was previously owned by the local authority and accommodated homeless people. This is the companys only care home, but the proprietors intend to open other care homes in the future. The home is located in the Golders Green area of North London, near to a large shopping area, and is well serviced by public transport. The home is registered to provide care and personal support for six people between 18 and 65 years of age who have mental health problems that may be associated with Annual Service Review Page 2 of 6 1 8 1 1 2 0 0 8 drugs and/or alcohol. The service aims to promote and develop service users independence through community living. The semi-detached building has three storeys, with one bedroom on the ground floor, three on the first floor and two located on the third floor. There is no lift in the building, which restricts the ability to accommodate people with mobility problems in upstairs bedrooms. All the bedrooms have en-suite facilities. There is a large communal area for the residents which has recently been extended by the additoin of a conservatory, located on the ground floor. The communal area contains the kitchen and a dining table, and also the lounge. A washer/drier is integrated with the kitchen units. In addition, there is a staff office and an area for storing medication on the ground floor and there is a small area for parking at the front of the building and a large garden and patio at the rear of the property. The fees for the service range from £1,015 to £1,260 per week, depending on the needs of the person. Annual Service Review Page 3 of 6 Service update since the last key inspection or annual service review: What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection or annual service review. This included: Surveys from residents, staff and health professionals. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? We carried out a random visit to the home on the 12th of November 2009, as part of this service review. We wished to assess how the home was being managed following the departure of the registered manager in August 09. We also wished to look at issues of concern that were communicated to the Commission by a person who wished to remain anonymous. These related to staff levels and recruitment in the home, the managers management style and a medication error which was alleged to have happened some time ago. We interviewed the new manager, who has applied to be registered with the Commission. We also interviewed the two staff who were on duty and all the residents. We also looked at medication records, staff files and the staff rota. After a thorough assessment of these concerns, we were satisfied that these were not substantiated and the new manager was managing the service well. We found no irregularities in the administration of medicines, including staffs signatures on medication records. However, in relation to staffing levels, we noted from the rota that no extra staff were provided when staff have to escort residents to their appointments outside the home. We also noted that at night time, in the majority of occasions, there is only one staff on night duty. Often, this will be a male carer. The home has had residents with challenging behaviour and earlier this year, an allegation of abuse was made against staff at night time. In view of this, we recommend that the home should have a minimum of two staff on duty at all times (Standard 32 NMS). This is to ensure that the care needs of residents are attended to. We were informed by the manager that with one exception, all current care staff were from an agency. He said the home uses regular agency staff who know the residents However, having such a low proportion of permanent staff and constant reliance on agency staff who are temporary, may affect continuity of care since regular agency staff may not always be available or specifically trained to meet the requirements of these residents. We recommend that the home recruits more permanent staff to ensure better continuity of care for residents. (Standard 32 NMS) In addition, the home is also required to review the staffing arrangements to ensure that there are sufficient male and female staff, particularly at night. (Standard 32 NMS Reg 18(1)) This is to ensure that residents have access to care from staff of either gender. We examined three agency staffs records. These contained required CRB certificates. The manager explained that other documents such as references and contracts were kept by the employing agency. Two Annual Service Review Page 4 of 6 staff who were on duty were interviewed. They informed us that they worked as a team and we noted that they were knowledgeable regarding their roles and responsibilities. There was documented evidence in one of the records to indicate that the staff had been provided with essential training relevant to their area of work, including NVQ training. The surveys returned to us by staff, indicated that they enjoyed working in the home and they appreciated the support and training they were given. Two professionals from the Community Mental Health team sent us completed questionnaires. There comments were very positive about the service provided to their clients by the home, which they said enabled residents to maintain their wellbeing. We spoke to all the residents who told us that they were well cared for and they held the staff and the new manager in high regard. These views were further confirmed in the surveys the residents returned to us. The home continues to let us know about things that have happened since our last key inspection. For example, the Commission had been informed about an allegation of abuse earlier this year. This matter was investigated by the local authority and the police and was found to be unsubstantiated. The home has shown us that they manage issues well and their service continues to provide good outcomes for the people who use it. What are we going to do as a result of this annual service review? We are not going to change our inspection plan, and will do a key inspection by 17th of November 2010. However we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 5 of 6 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. 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 copy of the findings 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 non-commercial 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. 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