Care Home: Robinia Care Homes Ltd (Solna Road)

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 The home provides a good standard of care and support to the eleven residents who have complex physical and emotional needs. The people who live in the home receive support for their health from a range of experienced healthcare professionals. The staff demonstrate a good knowledge of the residents and are able to recognise their individual needs. The people who live in the home are supported to maintain positive contact with their relatives and to have a full lifestyle enjoying a range of community based activities. The staff team are very stable and work well together and benefit from supervision and training to provide them with the skills needed to support the residents to a high standard. What has improved since the last inspection? This key inspection found that all of the requirements from the previous key inspection had been met. This included carrying out a range of environmental improvements such as replacing the carpet in the hallways, modernising a first floor bathroom and decorating bedrooms. Person centred care plans have been introduced for all the residents. The quality assurance process in the home has sought the views of residents, relatives and care professionals. Training on equality and diversity was provided to the staff working in the service. The service has also worked to improve NVQ training with most staff having completed or working towards an NVQ level 3 in care. What the care home could do better: Two requirements were made at this inspection. The first was to ensure that the resident`s medication does not run out. The annual quality assurance exercise seeking the views of residents, relatives and other care professional`s needs to be updated. It was also recommended that the staff training on autism is updated to support them to meet the specific needs of some of the residents. The overview of staff training in the home should be completed so that future training needs can be anticipated. The manager should complete the registration process. Copies of staff recruitment records should be available in the home for the manager to access as needed. CARE HOME ADULTS 18-65 Robinia Care Homes Ltd (Solna Road) 35-37a Solna Road London N21 2JE Lead Inspector Jane Ray Unannounced Inspection 3rd September 2008 9:00 Robinia Care Homes Ltd (Solna Road) DS0000010657.V370476.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 Robinia Care Homes Ltd (Solna Road) DS0000010657.V370476.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. Robinia Care Homes Ltd (Solna Road) DS0000010657.V370476.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Robinia Care Homes Ltd (Solna Road) Address 35-37a Solna Road London N21 2JE 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 8360 8900 020 8360 7555 solna.road@robinia.co.uk The Robinia Care Group Ltd Post vacant Care Home 11 Category(ies) of Learning disability (11), Physical disability (5) registration, with number of places Robinia Care Homes Ltd (Solna Road) DS0000010657.V370476.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th September 2006 Brief Description of the Service: 35-37a Solna Road is a care home for eleven adults between the ages of 18 and 65 years who have a learning disability. Five of the eleven people may have a physical disability as well as a learning disability. The ground floor of the home is wheelchair accessible. The home has been open for thirteen years and has been run by Robinia Care Limited since 2001. The home is situated in a quiet residential area with access to local shops and buses. The home consists of two semi-detached houses joined together, with five bedrooms on the ground floor and six on the first floor. The residents attend day services and take part in activities organised by the home. All residents have a learning disability and some have additional disabilities such as epilepsy, physical disability or a mental illness. The aim of the home is to provide a warm homely environment for eleven adults that encourages their independence, their individuality, and their involvement in the community. The fees charged by the home range from £303- £1913 a week. A copy of this report can be obtained direct from the provider or via the CSCI website (web address can be found at page two of this report). Robinia Care Homes Ltd (Solna Road) DS0000010657.V370476.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. The inspection took place on the 3 September 2008 and was unannounced. The inspection lasted for seven hours and was the key annual inspection. The inspection looked at how the home was performing in terms of the key National Minimum Standards for Younger Adults and the associated regulations. The inspector was able to speak to and observe the support given to the eleven current residents. The inspector was also able to spend time talking to the deputy manager as well as one of the care staff who were working. The manager was able to join the inspection at the end of the day. The inspector did a tour of the premises and also looked at a range of records including resident records, staff files and health and safety documentation. The home had provided the inspector with a completed self-assessment questionnaire (AQAA) prior to the inspection. Surveys were received from nine residents, two care professionals and seven members of staff. The inspector was assisted with the inspection by an “Expert by Experience” who spent time talking to the residents and staff. An “Expert by Experience” is a person who has had experience of either receiving care services themselves or of having contact with care services through a person close to them. They help to ensure that the inspection focuses on the people who are receiving the service. What the service does well: The home provides a good standard of care and support to the eleven residents who have complex physical and emotional needs. The people who live in the home receive support for their health from a range of experienced healthcare professionals. The staff demonstrate a good knowledge of the residents and are able to recognise their individual needs. The people who live in the home are supported to maintain positive contact with their relatives and to have a full lifestyle enjoying a range of community based activities. The staff team are very stable and work well together and benefit from supervision and training to provide them with the skills needed to support the residents to a high standard. Robinia Care Homes Ltd (Solna Road) DS0000010657.V370476.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Robinia Care Homes Ltd (Solna Road) DS0000010657.V370476.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 Robinia Care Homes Ltd (Solna Road) DS0000010657.V370476.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1,2,3,4 and 5 were inspected. People using this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People living in the home can be assured that their individual needs will be assessed and that the staff have the skills and ability to meet these needs. People moving to the home have access to the necessary information and can visit the service to see if they want to live there. EVIDENCE: “We are well known to service users before their assessment and we offer a good assessment and transition plan” (Extract from the AQAA prepared by the home) “He is obviously very happy there and I know he is well cared for, which enables me to have great peace of mind” (Extract from a survey completed by a relative as part of the homes own quality assurance exercise) We inspected the statement of purpose and this document had been updated to provide accurate information about the home. This document is clear and would be useful for care professionals and relatives who could need Robinia Care Homes Ltd (Solna Road) DS0000010657.V370476.R01.S.doc Version 5.2 Page 9 information about the service. A service user guide has also been prepared in a user-friendly format with photos of the home. This guide also includes details of how each person’s equality and diversity will be respected. We looked at the case notes for four of the people who live in the home. They all had assessments that formed part of their person centred plan and included detailed information about each person and how they liked to lead their lives. We discussed the current needs of the people who live in the home with the deputy manager and care staff. They have very specific individual needs linked to their learning disability, physical health and complex behaviours. The staff spoken to had a very good understanding of the individual needs of the residents. In addition it was observed that the staff were supporting the residents with great skill and sensitivity. It was however noted from the four staff training records that were inspected that only two of the four staff have completed training on autism and this training took place five years ago. It would be positive if this training could be updated and extended to all staff. There has been one new resident moving to the home since the last inspection and the home is now fully occupied. From discussions with the staff it is evident that this person was offered a very careful introduction to the home, which included a number of visits and overnight stays and the resident subsequently settled well in the service. As part of the service user guide each resident a contract between themselves and the home, clearly stating what the service will provide. The format is easy to understand and has been signed by a representative acting on behalf of the resident. Robinia Care Homes Ltd (Solna Road) DS0000010657.V370476.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6,7,8 and 9 were inspected. People using this service experience excellent outcomes in this area. This judgement has been made using available evidence including a visit to this service. The people living in the home can be confident that they will be supported to have a person centred plan and risk assessments. This will facilitate the residents to make choices in their daily lives. EVIDENCE: “We have improved our person centred plans and all the service users have them”. (Extract from the AQAA prepared by the home) “Solna Home is a real home in which the residents appear to be the focus of attention and are loved and respected”. (Extract from a survey completed by a care professional as part of the homes own quality assurance exercise) Robinia Care Homes Ltd (Solna Road) DS0000010657.V370476.R01.S.doc Version 5.2 Page 11 “I thought the PCP’s were great because they had photos and picture symbols” (Quote from the Expert by Experience) We inspected care plans for four of the people currently living in the home. We also spoke to the deputy manager and care staff about the care plans. All of the people whose records were inspected had comprehensive holistic person centred care plans in place. These provided information on what is important to each person and their personal goals. The care plans had been prepared in the last six months. The staff when asked about the person centred plans, were able to describe the goals for each person. All the residents had been supported to have an annual care plan review meeting with their care manager and the records of these reviews were available. One placing authority had been invited to the residents review on three occasions but had not attended and so the meeting had been held with relatives and staff from the home. Residents, where they wish to do so and relatives are invited to the meetings. The records showed that actions agreed at previous reviews had been followed through. Each resident had a named key worker. The staff was asked about their role as a key-worker and this showed that the support they provided was very comprehensive including helping with personal shopping, attending review meetings if possible, ensuring all the residents personal care needs were met, and organising leisure activities. The residents were able to tell us the name of their key-worker and clearly valued this relationship and the support they received. We read the risk assessments for four of the people who live in the home. It was possible to see that an effort had been made to identify areas of personal risk and look at how this can be managed without placing unnecessary restrictions on people. The risk assessments had been prepared using one format and they were clear and easy to follow. It was also possible to observe the actions from the risk assessments being implemented in the home, such as ensuring that staff support was available as needed. Each person living in the home had individual behavioural guidelines as part of their support plans and risk assessment and these were clearly written and gave guidance to the staff. The staff were observed helping the residents when they became agitated in line with their guidelines. All the staff were observed to be very calm and patient. We observed the people living in the home and their interaction with the staff. It was positive to note that they were being facilitated to make choices including what they wanted to eat or wear. The staff were observed to be very aware of the need to communicate sensitively with the residents showing them objects to facilitate choices where needed. Robinia Care Homes Ltd (Solna Road) DS0000010657.V370476.R01.S.doc Version 5.2 Page 12 The residents are also supported to hold regular residents meeting and these take place two monthly. The record of these meetings was inspected and a number of issues relating to aspects of living in the home had been discussed including the menu and activities. One resident is sometimes able to write the minutes of the meeting. The deputy manager also explained that one resident has been supported to access an advocacy service and the advocates have got to know the resident well as part of the process of representing her views. Robinia Care Homes Ltd (Solna Road) DS0000010657.V370476.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 11,12,13,14,15,16 and 17 were inspected. People using this service experience excellent outcomes in this area. This judgement has been made using available evidence including a visit to this service. People living in the home are supported to develop their independent living skills and are also enabled to follow their own routine. The home has made progress in supporting the residents to enjoy a wide range of communitybased activities, based on their individual interests. This enables them to enjoy an active and meaningful lifestyle. EVIDENCE: “We are aware that the service users enjoy many opportunities at Solna Road including educational and recreational activities”. (Extract from a survey completed by a care professional as part of the homes own quality assurance exercise) Robinia Care Homes Ltd (Solna Road) DS0000010657.V370476.R01.S.doc Version 5.2 Page 14 “The residents get to choose what meals they have, when to go to bed, when to get up” (Quote from the Expert by Experience) We were able to read in the resident’s support plans and talk to staff about how the residents were being supported by staff to develop their independent living skills in line with their individual needs. For example they are supported to attend to as much of their own personal care as possible and assist with domestic chores. Some residents were able to describe how they help in the home. One person said, “I make my bed on my own” and another person said, “I make my own tea and toast in the morning for breakfast”. We spoke to the staff and looked at the resident’s activity programmes to get an understanding about the activities that are taking place. All the residents have a full and active lifestyle. Most of the people go to a day service either full time or for part of the week. They also attend activities in the evening such as a social club once or twice a week. Care professionals come into the home to provide sessions that include drama, art, aromatherapy and relaxation. Some residents were able to describe how they enjoy these sessions and show us some of the things they had made. Other activities also take place that reflect each persons individual interests such as going to the cinema, bowling, meals out and going for a drive. The residents make use of a range of local community facilities. The home also has access to a minibus and driver to facilitate activities for people who cannot use local transport. In terms of holidays the deputy manager explained that the residents have chosen not to have holidays but to have some day trips. This has included a recent trip to the zoo and a boat trip was planned for the week after the inspection. The AQAA identified that all the residents are British and nine are Christian and two Jewish. The deputy manager explained that one resident who is Roman Catholic chooses to go to church occasionally, the others do not practice their religion. The manager explained that most of the people living in the home have close contact with their relatives, who either come to visit them or they are supported to go home. The staff have a good knowledge of each persons family relationships and their importance to each resident. The residents have friendships with each other and with a person who used to live in the home. One resident talked about a family friend who comes to visit her and takes her out. The staff member explained that the people living in the home were able to follow a routine of their choice and that people get up at different times according to their individual wishes and needs. The staff said that during the week most people get up to be ready for their activities but at the weekend some of the residents if they have not gone home enjoy lying in till later. It Robinia Care Homes Ltd (Solna Road) DS0000010657.V370476.R01.S.doc Version 5.2 Page 15 was very positive to note that the residents were supported in a very person centred and individual manner. The staff explained that the menu is prepared on a four weekly basis. The residents all get to choose some of the meals and residents were able to describe their choices. The menu includes pictures of the food. The food appeared to be healthy and nutritious. It was observed that there was fresh fruit and vegetables in the home and the evening meal was being prepared using lots of fresh vegetables. Robinia Care Homes Ltd (Solna Road) DS0000010657.V370476.R01.S.doc Version 5.2 Page 16 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18,19 and 20 were inspected. People using this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The people living in the home are supported in a manner that protects their privacy and dignity. Each person is supported to access professional healthcare input based on their individual needs. Medication is stored and administered safely, although stocks need to be maintained at all times. EVIDENCE: “We use all the healthcare resources well”. (Extract from the AQAA prepared by the home) “We enjoy a good working relationship with the management and staff”. (Extract from a survey completed by a care professional as part of the homes own quality assurance exercise) Robinia Care Homes Ltd (Solna Road) DS0000010657.V370476.R01.S.doc Version 5.2 Page 17 We observed during the inspection that the staff were supporting the people living in the home to receive personal care in a manner that preserved their privacy and dignity. It was observed that the residents were appropriately dressed and that their clothing was very suitable for the weather and the activities they were attending. The deputy manager explained about how they go out with some residents to buy clothes and others go shopping with relatives. The residents were also well groomed in terms of their personal care including haircuts. We looked at the healthcare records for four of the people living in the home. They each had a very comprehensive health action plan as part of their person centred plan that identified all their healthcare needs. They had all been supported to access a range of healthcare professionals including the GP, dentist, optician, chiropodist, psychiatrist and other appointments according to their individual needs. It was also positive to see that new healthcare input was being accessed as the needs of the resident changed. One resident who recently had a fractured bone was receiving physiotherapy input. The staff were also using the advice that was being received from healthcare professionals such as following exercise routines as recommended by the physiotherapist. It was also noted that residents with epilepsy were having their seizures recorded and monitored with input from the psychiatrist. The medication in the home was inspected. The home uses a dossette box system. The home keeps records to show how much medication is delivered to the home and any returned medication, which enables there be an audit trail for the medication. The medication administration records were inspected and were completed correctly. It was however noted that one item of medication that was not stored in the dossette box had run out for one of the residents. Replacement medication was arranged as soon as this was pointed out. A daily record is kept of the temperature in the medication storage cupboard and this has remained within an acceptable level. Some of the residents have PRN medication. The PRN administration guidelines are clear and are available for staff to access in the medication folder. The staff training records were inspected for four members of the staff team and three of the staff had completed medication training. Further training is booked later in the year. Robinia Care Homes Ltd (Solna Road) DS0000010657.V370476.R01.S.doc Version 5.2 Page 18 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23 were inspected. People using this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The people living in the home have access to an appropriate complaints procedure and can express their views. Procedures and training on safeguarding vulnerable adults are in place to protect the residents. Systems to ensure resident’s personal monies are being managed appropriately are robust. EVIDENCE: “The general relationship with service users is happy and productive. One incident prompted me to speak to the home manager and this was handled professionally through supervision. I saw a clear and positive change and was very impressed”. (Extract from a survey completed by a care professional as part of the homes own quality assurance exercise) Robinia has an appropriate complaints procedure, which we inspected. We looked at the record of complaints and as reflected in the AQAA there has been one complaint since the last inspection that has been addressed within the correct timescale. An appropriate format is available to record complaints. All the residents in their survey said they would know who to speak to if they were not happy. Robinia Care Homes Ltd (Solna Road) DS0000010657.V370476.R01.S.doc Version 5.2 Page 19 There has been one adult protection issue since the last inspection and the home participated appropriately as part of this process. The four staff whose training records were inspected had all received training on safeguarding vulnerable adults, although for some this needs to be updated and no training date is planned. The staff spoken to during the inspection all showed a good understanding of how to recognise abuse and what action they would need to take. All of the four staff whose training records were inspected had attended appropriate training to enable them to support people who have complex challenging behaviours. Staff were observed supporting residents in a calm, patient and appropriate manner. We checked the personal finances for two residents including their building society books, cash record and receipts. One resident had a relative acting as their appointee and another had a corporate appointee provided by the company. The financial records were all accurate and provided evidence that appropriate systems were in place to protect the residents from financial abuse including keeping an accurate record of expenditure and receipts as needed. The resident with the corporate appointee had records to show they were receiving their DSS benefits into their building society account. Robinia Care Homes Ltd (Solna Road) DS0000010657.V370476.R01.S.doc Version 5.2 Page 20 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 and 30 were inspected. People using this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The people who use this service can usually feel confident that they are living in a well maintained home. The home is kept clean and hygienic and is a pleasant environment for the people who live here. EVIDENCE: “The house is always clean and tidy”. (Extract from a survey completed by a care professional) “I felt it looked like a “normal house” from the outside, by which I mean it had no signs on it like some care or supported living homes”. (Quote from the Expert by Experience) Robinia Care Homes Ltd (Solna Road) DS0000010657.V370476.R01.S.doc Version 5.2 Page 21 The home is a detached house that is well decorated, well maintained and which continues to provide an overall pleasant environment to meet the current service users needs. The home has some downstairs bedrooms and upstairs bedrooms. The stairs would be difficult for people who are unsteady on their feet. During the inspection a toilet in the downstairs bathroom was leaking and maintenance staff attended to address this problem. Since the last inspection a number of improvements have taken place as explained in the AQAA, including decorating the residents bedrooms, providing new carpets in the hallways, providing new flooring in four bedrooms and fitting a new first floor bathroom. The garden has also been maintained and this looks very attractive. The AQAA also explained that in the next 12 months the outside of the house will be decorated and new furniture will be provided including new couches in the lounge. The house has satisfactory laundry facilities and storage for chemical cleaning materials. The home was seen to be clean and tidy during the inspection. Residents had been supported to make their bedrooms homely and personalised. Robinia Care Homes Ltd (Solna Road) DS0000010657.V370476.R01.S.doc Version 5.2 Page 22 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32,33,34,35 and 36 were inspected. People using this service experience excellent outcomes in this area. This judgement has been made using available evidence including a visit to this service. The residents are supported by a caring and committed team of staff. The staff are receiving relevant training and are supported by regular supervision sessions. This enables them to work to a high standard and deliver good care. EVIDENCE: “The staff all seem to stay, work as a team and know the service users really well”. (Extract from a survey completed by a care professional) “The home provides support when required and training is always available to better our performance at work”. (Extract from a survey completed by a staff member) “The service is good as all the staff are working together as a team”. (Extract from a survey completed by a staff member) Robinia Care Homes Ltd (Solna Road) DS0000010657.V370476.R01.S.doc Version 5.2 Page 23 We looked at the rota and this showed that there is a manager, deputy, two seniors and team of fourteen care staff working at the home. The home has a part-time cleaner and driver. The staff turnover has been low over the past year with only one full time member of staff leaving. Two new staff have started working at the home. The staffing levels consist of three or four staff on the day shifts and two waking night staff. The number of staff working during the day depends on the number of people in the home and the planned activities. The staffing levels reduce when the residents are visiting relatives. The rota was inspected and this confirmed the staffing levels. The deputy manager and care staff explained that staff team meetings take place on a monthly basis. The record of these meetings was inspected and it could be seen that they discuss a range of operational issues. The staff spoken to said that the team was working well together and that there was open communication between team members. They also felt confident to raise any concerns with the manager. The records for the two new staff confirmed that they had completed induction training in the home. This was confirmed by talking to the staff working in the home. The AQAA prepared by the home stated that out of the seventeen current staff twelve have completed an NVQ in care and one person is working towards this qualification. We looked at the recruitment records for the two members of staff who have started working at the home since the previous inspection. It was found that all these staff had two references, ID with visa where needed, POVA and CRB disclosure check. The staff members had completed and signed a contract of employment. Some of these records had to be faxed to the home from head office and it is recommended that copies of records are available. Each member of staff has a record of the training they have received and the manager has started to prepare an overview of the training received by the whole staff team to enable future training to be planned, but this needs to be completed. The training is organised with the staff at head office. The staff said that the training was very good. We looked at the record of supervision sessions. All the staff had received regular individual supervision about every two months. The staff confirmed they were receiving regular supervision. Robinia Care Homes Ltd (Solna Road) DS0000010657.V370476.R01.S.doc Version 5.2 Page 24 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37,39 and 42 were inspected. People using this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People using this service can be assured that a permanent manager who can provide effective leadership is available. Health and safety measures are in place to safeguard the people living in the home, although some fire safety measures need addressing. The quality improvement system in the home seeks the views of the residents, relatives and other stakeholders. EVIDENCE: “I believe Solna Road to be one of the best homes in the borough for people with a learning disability”. (Extract from a survey completed by a healthcare professional as part of the homes own quality assurance exercise) Robinia Care Homes Ltd (Solna Road) DS0000010657.V370476.R01.S.doc Version 5.2 Page 25 “The manager has attended the companies academy training and the deputy has gained the NVQ level 4”. (Extract from the AQAA prepared by the home) The manager who was previously the deputy manager has many years of experience working in the service. The manager confirmed that she has completed the NVQ level 4. The manager was appointed to this role in the last couple of months following the retirement of the previous manager. She needs to complete the registration process. The homes internal annual quality assurance exercise has taken place and through the use of questionnaires has sought the views of residents, relatives and other care professionals. These questionnaires were inspected and the feedback was very positive. This exercise took place nearly a year ago and now needs to be updated. The record of regulation 26 visits were inspected and show that the home is regularly monitored by senior managers in the organisation. The home notifies the Commission of any serious incidents such as when a resident needs to go to hospital. A recent inspection by the London fire service identified that the home met fire safety requirements. The fire alarm and fire extinguishers had been serviced. The fire alarm records show the alarm is checked weekly and the fire drills take place monthly. The training records for four staff showed they had all received fire safety training but one person who worked at night needed this to be updated. The AQAA showed that all the health and safety maintenance checks had taken place. This was confirmed by inspecting all the certificates in the home. The four staff training records show that the staff have completed the health and safety training including food hygiene, infection control and first aid. Three staff needed training in moving and handling but this is booked for later in the year. Robinia Care Homes Ltd (Solna Road) DS0000010657.V370476.R01.S.doc Version 5.2 Page 26 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 3 2 3 3 2 4 4 5 3 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 4 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 3 3 x LIFESTYLES Standard No Score 11 3 12 3 13 3 14 4 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 3 x 2 x x 2 x Robinia Care Homes Ltd (Solna Road) DS0000010657.V370476.R01.S.doc Version 5.2 Page 27 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. 3. Standard YA20 YA39 YA42 Regulation 13(2) 24 23(4) Requirement The registered person must ensure the medication is always available for the residents. The registered person should update the annual quality assurance exercise. The registered person should complete the work on the fire safety risk assessment and emergency plan as directed by the fire service. Timescale for action 30/09/08 31/12/08 15/10/08 Robinia Care Homes Ltd (Solna Road) DS0000010657.V370476.R01.S.doc Version 5.2 Page 28 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. 2. 3. 4. Refer to Standard YA3 YA34 YA35 YA37 Good Practice Recommendations The registered person should provide updated training on autism for the staff team to support them to meet the specific needs of the residents. The registered person should ensure that copies of all staff recruitment records are available in the home so the manager can access information as required. The manager should keep an overview of staff training up to date so that future training needs can be anticipated and training booked as needed. The manager should complete the registration process as soon as possible. Robinia Care Homes Ltd (Solna Road) DS0000010657.V370476.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection London Regional Office 4th Floor Caledonia House 223 Pentonville Road London N1 9NG 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 Robinia Care Homes Ltd (Solna Road) DS0000010657.V370476.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. 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!