Care Home: Sahara Parkside

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What the care home does well The pre-admission processes are robust and time and effort are spent planning to make admission to the home personal and well managed. Individuals are involved in the planning of their care and are supported to take control of their own lives and are encouraged to make their own decisions and choices, within a risk assessment framework. Equality and diversity issues are given a high profile within the service and there is a strong commitment to enabling people to develop and maintain their skills. People are encouraged to maintain important personal and family relationships. Complaints and safeguarding issues are well managed and staff undertake training in these important areas. Recruitment processes are robust. The environment offers excellent facilities and currently the organisation is considering the feasibility of deregistering this service as a residential facility, and changing it to supported living as the premises would readily lend itself to this service. Any personal care required could be purchased separately from a registered domiciliary care agency. What has improved since the last inspection? This is the first key inspection for this newly registered service. What the care home could do better: The home must have a controlled drugs cupboard which complies with new legislation, and the care home must have a registered manager. Both of these were discussed with the Operations Director during the inspection. If the organisation makes a decision to deregister this service, it must send a formal application for cancellation to the Commission. Key inspection report Care homes for adults (18-65 years) Name: Address: Sahara Parkside 101-113 Longbridge Road Barking Essex IG11 8TA     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Sandra Parnell-Hopkinson     Date: 1 6 1 1 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 25 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought 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 The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 25 Information about the care home Name of care home: Address: Sahara Parkside 101-113 Longbridge Road Barking Essex IG11 8TA 02085075800 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): alan.betts@saharahomes.co.uk Sahara Parkside Limited Name of registered manager (if applicable) Type of registration: Number of places registered: care home 30 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability mental disorder, excluding learning disability or dementia Additional conditions: The maximum number of service users who can be accommodated is 30 (Thirty) The registered person may provide the following category of service only: Care Home only - code 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 & Mental Disorder - Code MD Date of last inspection Brief description of the care home The care home is situated in the London Borough of Barking and Dagenham and is close to good transport links and to the town centre and local shops and restaurants. Accommodation is within 10 flats with each flat accommodating 3 people in single bedrooms with en suite facilities which includes a shower. Some of the rooms have been fitted with ceiling hoists. Each flat has its own communal lounge/dining area, Care Homes for Adults (18-65 years) Page 4 of 25 Over 65 24 6 24 6 Brief description of the care home kitchen and domestic laundry. In addition there is a communal lounge/activities area and snoozelum room on the ground floor. All floors are served by a lift. The home has a roof garden, car parking facilities to the rear of the building which is protected by an electronic gate. The statement of purpose and service user guide are available to all residents and visitors, and fees can be obtained on request and following an assessment of need. Care Homes for Adults (18-65 years) Page 5 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This was the first key inspection for this service since registration in June 2009. We arrived at the home at 10:00 hours and were met by the Operations Director who was available throughout the inspection. Also present for some of the inspection was the Finance Director and the acting manager. We were unable to speak to the 1 service user who was absent from the home at the time of this inspection. Evidence was gathered from a case file, and other documentation and records. Due to a systems error within the Commission an annual quality assurance assessment (AQAA) was not requested prior to this inspection. Care Homes for Adults (18-65 years) Page 6 of 25 What the care home does well: What has improved since the last inspection? 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 7 of 25 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 8 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective service users and their representatives have the information required to help them choose a home that will meet their needs. Evidence: We looked at documentation and spoke to staff and are satisfied that significant time and effort is spent planning to make an admission to the home personal and well managed. All new service users receive a comprehensive needs assessment before admission. This is carried out by staff with skill and sensitivity, and the service ensures that it receives comprehensive information from assessments that have been undertaken through care management arrangements. The assessment focuses on achieving positive outcomes for the service users and this includes ensuring that the facilities, staffing and specialist services provided by the service meet the ethnic and diversity needs of the individual. Service users and their families are invited to visit the home prior to them making a decision to move in. Care Homes for Adults (18-65 years) Page 9 of 25 Evidence: All service users have a copy of the service users guide and a copy of the statement of purpose is available within the home. New service users are provided with a statement of terms and conditions or a contract. Care Homes for Adults (18-65 years) Page 10 of 25 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Individuals are involved in decisions about their lives and are encouraged to play an active role in planning the care and support they need and receive. Evidence: Service users at this home know that their assessed and changing needs and personal goals are reflected in their individual care plan. A key principle of this service is that people are in control of their lives and that they should direct the service. Staff are fully committed in supporting individuals to lead purposeful and fulfilling lives as independently as possible. The current service user was not at the home during this inspection as he was away visiting friends, and this within a risk assessment framework. All service users have a comprehensive care plan that is developed with the individual. Parts of this are in pictorial format to make it easier for some people to understand where they may have some communication difficulties. The care plan is based on a full Care Homes for Adults (18-65 years) Page 11 of 25 Evidence: and up to date holistic assessment and clearly addresses any needs identified around gender, age, sexual orientation, race, religion or belief and disability. The plan viewed was person centred and focused on the individuals strengths and personal preferences. Reviews are undertaken and these always include the service user who can invite others to attend the review such as a family member or a social worker. Care plans include comprehensive risk assessments who are regularly reviewed. Any limitations on freedom, choice or facilities are always in the persons best interests and discussed with him or her. The service has procedures to ensure that service users are informed of their rights to confidentiality, but are made aware of when staff may have to share personal information. Service users would have access to advocacy services for support where this is requested or needed. Care Homes for Adults (18-65 years) Page 12 of 25 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users are able to make choices about their life style and are supported to develop their life skills. Evidence: Service users are encouraged to take responsibility for keeping their own bedrooms clean, and support is given by staff where this is needed. The accommodation is within 10 flats, each of which accommodates up to three people and each flat has its own communal lounge/dining room, domestic laundry and kitchen area. Where people want to prepare their own food they are encouraged to do this, again with support being given by staff where appropriate. Staff work with service users to encourage them to eat a balanced and nutritious diet. Managing finances and budgets is also seen as important in developing life skills, and again support is given in this important area. Care Homes for Adults (18-65 years) Page 13 of 25 Evidence: Where appropriate, education and occupational opportunities are encouraged, supported and promoted. The home is situated next to a park and their are plans to develop some gardening opportunities with the local authority in which the home is situated. Service users are encouraged to access and enjoy the opportunities available in the local community and are encouraged to use public transport. All service users are encouraged to maintain good relationships with family and friends and visitors are welcome to visit the home at any time. Care Homes for Adults (18-65 years) Page 14 of 25 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care that people receive is based on their individual needs, with the principles of respect, dignity and privacy being put into practice. Evidence: Through the care planning procedure and process the service is able to identify the support required for each individual with regards to personal care support. The current service user is fully independent with regards to personal care and hygiene. The service user is registered with a GP and has access to a dentist, chiropodist, optician and other health and social care professionals where necessary. The service recognises the importance of supporting people in developing and maintaining relationships, and guidance and support in this area is given and discussed during reviews and other sessions with the agreement of the individual. Staff are alert to changes in mood, behaviour and general well-being and training for them on health care topics are arranged where necessary. The service has developed efficient medication policy, procedure and practice guidance. Where staff are involved in the administration of medication they have Care Homes for Adults (18-65 years) Page 15 of 25 Evidence: undertaken the necessary training. Currently no controlled drugs are stored at the home, but the service does need to ensure that it has a controlled drugs cupboard which complies with the new legislation around the storage of controlled drugs. Information on this can be obtained from the local pharmacist or from the Commissions website. Care Homes for Adults (18-65 years) Page 16 of 25 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users are able to express their concerns, and have access to a robust, effective complaints procedure and are protected from abuse and have their rights protected. Evidence: In discussions with staff it was apparent that the home has an open culture that allows people to express their views and concerns in a safe and understanding environment. The complaints procedure is given to service users and is available in the home to visitors. A record of any complaint received is maintained and this includes details of any investigations and actions taken. The service views complaints in a positive manner and uses outcomes to improve the service to people living at the home. The service has clear policies and procedures for safeguarding vulnerable adults, and staff were able to demonstrate a clear understanding of these, knew when incidents needed to be referred under safeguarding of vulnerable adults, and to whom the referral was to be sent. The service has a whistleblowing policy and staff would be supported if they ever had to report concerns about colleagues and/or managers. Staff have undertaken training in safeguarding and is other training around dealing with physical and verbal aggression, and alternatives to the use of restraint, in any form, would always be looked for. Care Homes for Adults (18-65 years) Page 17 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The physical design and layout of the home enables people to live in a safe, well maintained and comfortable environment which encourages independence. Evidence: We undertook a tour of the premises and found that all communal areas were clean and extremely well maintained. There is a roof garden which again was well maintained and had seating areas for the service users. There are 10 flats, with each flat being able to accommodate 3 people in single rooms with en suite facilities which include a shower. Some bedrooms have been fitted with a ceiling hoist. Each flat has a separate bathroom, kitchen and domestic laundry. All bedrooms have been fitted with a flat screen television and telephone together with an emergency call system. The accommodation is situated on 4 levels and there is a communal lift to all floors. All service users are given a key to his/her flat. There is a large communal lounge/activities area and a snoozelum room situated on the ground floor. Currently there is an industrial laundry, staff room, two large offices and a store room, again all situated on the ground floor. There is limited car parking facilities to the rear of the premises, and the building has Care Homes for Adults (18-65 years) Page 18 of 25 Evidence: disabled access, and an electronic entry gate to the car park. The accommodation is well suited to be a supported living complex. Care Homes for Adults (18-65 years) Page 19 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service. Evidence: Because this is a newly registered service, the organisation is still recruiting staff for the home, but intermediate support is being given by qualified staff from other homes within the organisation. The content of the induction and probationary periods are robust and service specific. Staff within the organisation are encouraged to undertake external qualifications and there are many internal courses available for staff. Training is focused on delivering improved outcomes for people. Recruitment processes are robust with the necessary applications forms being completed, references and criminal records bureau disclosures being obtained and interviews being undertaken. The organisation recognised the importance of having an effective recruitment procedure in the delivery of good quality services. The organisation ensures that staff have regular supervision sessions which include 1:1, observations of practice and group supervision. Care Homes for Adults (18-65 years) Page 20 of 25 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management and administration of the home is based on openness and respect and the service has effective quality assurance systems in place. Evidence: This was the first inspection for this newly registered service, and on arrival we were met by the Operations Director. There is currently no registered manager and the organisation is currently engaged in the recruitment process for this post. In the meantime the home is being competently managed by a deputy manager from one the organisations other homes, with support from the Operations Director where required. There is currently one 1 service user and the acting manager was extremely knowledgeable about the needs of this individual. The acting manager was very aware of the need for confidentiality in respect of a service user. The Operations Director and the acting manager demonstrated a clear understanding of the key principles and focus of the current service, based on the organisational Care Homes for Adults (18-65 years) Page 21 of 25 Evidence: values and priorities. The are very committed to continuously improve services to provide an increased quality of life for service users, with a strong focus on equality and diversity issues and promoting human rights. To this end the organisation is currently considering the possibility of deregistering the service as a residential care home, and operating the premises as supported living accommodation with personal care support being provided from a registered domiciliary care agency. Policies and procedures are sound and are regularly reviewed and updated in line with changing legislation. The service works to a clear health and safety policy. Records are maintained to a good standard and risk assessments are in place and involve the service user in the development of these. The organisation has effective quality assurance systems for monitoring the performance and practice of the home and the organisation provides appropriate support in the running of the service. We did not look at maintenance records as these were all viewed as part of the recent registration process for the service. Regulation 37 notifications as required under the Care Homes Regulations 2001 are sent to the Commission as necessary. Currently there have not been any referrals under the Mental Capacity Act 2005 Deprivation of Liberty Safeguards (DOLS). Care Homes for Adults (18-65 years) Page 22 of 25 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, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 23 of 25 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 1 38 8 The registered person shall appoint a manager to manage the care home. A manager will need to be appointed and registered with the Commission if the home continues registration as a registered care home. 29/01/2010 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes 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 20 13 The registered person shall make arrangements for the safe storage of controlled drugs. This will ensure that the home complies with the new legislation around the storage of controlled drugs for the benefit of staff and service users. 11/12/2009 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 24 of 25 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. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 25 of 25 - 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!