Care Home: Templar Street, 16

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What the care home does well There is good residents guide to the home and how it runs. People thinking about moving to the home will have their needs assessed and an opportunity to visit the home to meet people and see what it is like. Residents put their own ideas into thewritten plans for how they want staff to support them and staff make sure that these plans are thought about and changed as often as they need to be. Residents are encouraged to be as independent as possible and there are people to help with big decisions if needs be. Residents can enjoy the lifestyle of their choosing and can maintain their relationships with Friends and family. There are good places to go to and interesting things for people to do. Staff help residents to keep healthy and to take care of themselves. Staff help residents to take their medication and they know how to do this properly. Staff listen if residents complain and there is time to talk about how things are going for people living in the home. The manager and staff know the residents well. What has improved since the last inspection? There is better information about the fees that local authorities and residents pay for a place in the home. Staff have attended training in safeguarding vulnerable people and they know how to work with other professionals to keep people safe. What the care home could do better: There must be a better cupboard for medications to be stored in. Some of the rooms require decorating as they are looking a bit shabby. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Templar Street, 16 Templar Street, 16 Camberwell London SE5 9JB The quality rating for this care home is: two star good service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Sonia McKay Date: 3 0 0 4 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. They reflect the things that people have said are important to them: 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 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Reader Information Document Purpose Author Inspection report CSCI Page 2 of 22 Care Homes for Adults (18-65 years) Audience Further copies from Copyright General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI 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 22 Information about the care home Name of care home: Address: Templar Street, 16 Templar Street, 16 Camberwell London SE5 9JB 0207-274-3687 02077377035 h4056@mencap.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Royal Mencap Society care home 5 Number of places (if applicable): Under 65 Over 65 5 0 learning disability Additional conditions: 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 The maximum number of service users who can be accommodated is: 5 Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 22 A bit about the care home 16 Templar Street is a staffed home for five adults with a learning disability run by the Royal Mencap Society. It is located in a semi-detached property in a residential area and there is a small rear garden. The home is within walking distance of shops and public transport links. The building is not accessible to people who use wheelchairs. Fees are #872.15 per week. A copy of the most recent CSCI inspection report is available in the home on request. Care Homes for Adults (18-65 years) Page 5 of 22 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 Care Homes for Adults (18-65 years) Page 6 of 22 How we did our inspection: This is what the inspector did when they were at the care home This unannounced key inspection was carried out over one day. The last key inspection was on 23rd May 2007. The methods used to assess the quality of service being provided include talking with the registered manager, looking at the Annual Quality Assurance Audit (this document is sometimes called an AQAA and it provides the Commission with information about the home). There was also discussion with staff and residents at home on the day and three residents and a member of staff completed a survey. There was a tour of the premises and inspection of records. The Commission would like to thank all who kindly contributed their time, views and experiences to this inspection process. What the care home does well There is good residents guide to the home and how it runs. People thinking about moving to the home will have their needs assessed and an opportunity to visit the home to meet people and see what it is like. Residents put their own ideas into the Care Homes for Adults (18-65 years) Page 7 of 22 written plans for how they want staff to support them and staff make sure that these plans are thought about and changed as often as they need to be. Residents are encouraged to be as independent as possible and there are people to help with big decisions if needs be. Residents can enjoy the lifestyle of their choosing and can maintain their relationships with Friends and family. There are good places to go to and interesting things for people to do. Staff help residents to keep healthy and to take care of themselves. Staff help residents to take their medication and they know how to do this properly. Staff listen if residents complain and there is time to talk about how things are going for people living in the home. The manager and staff know the residents well. Care Homes for Adults (18-65 years) Page 8 of 22 What has got better from the last inspection What the care home could do better If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector Care Homes for Adults (18-65 years) Page 9 of 22 please contact Sonia McKay 33 Greycoat Street London SW1P 2QF 02079792000 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 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 10 of 22 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 11 of 22 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 . The needs of prospective residents are assessed thoroughly and they have the information they need to enable them to make an informed decision about moving to the home for a trial period. Evidence: There is an informative statement of purpose and the service users guide has been amended to include information about the fees and how they are spent, as required in the previous inspection report. There is a thorough admissions assessment process that allows residents to visit the home before moving in for a trial period. There are currently two vacant placements. Care Homes for Adults (18-65 years) Page 12 of 22 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 . Residents can be assured that their assessed and changing needs are reflected in the written plans for how they wish to be supported. Residents are encouraged to be as independent as possible within a risk management framework. Evidence: Staff keep a file of written information about the lives, goals and care and support needs of each resident. This information is stored in the staff office but is accessible to residents. Residents are involved in preparing the plans and in maintaining picture records of things that are important in their lives. Support plans and risk assessments are informative and reviewed regularly. The information about how to support each person with specific activities, such as attending classes, is excellent. This means that if new or less familiar staff are asked to support the activity there is good advice and information for them to follow, giving the resident a consistent quality of service. Care Homes for Adults (18-65 years) Page 13 of 22 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 . Residents are able to maintain the lifestyle of the choosing whilst living in the home and they are encouraged to be independent. Evidence: There are three residents living in the home at the time of this inspection. Each has a structured week of activities. Residents attend a variety of day time activity, including college classes and day services. There are opportunities for leisure and meeting up with friends and family and residents are able to maintain their friendships and relationships whilst living in the home. Residents are also encouraged and supported to take responsibility for things like laundry, shopping and cleaning. Food stocks are good and residents plan the menus and cook the food, with support if necessary. Care Homes for Adults (18-65 years) Page 14 of 22 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 . Residents receive the support that they need to maintain their health and personal care. Storage facilities for medication must be improved. Evidence: Residents need minimal support with maintaining their personal care, mostly advice and verbal prompting is all that is required. Personal care support needs are recorded. Each resident has a health action plan and staff support residents to make and attend health care appointments. Staff also keep records of what advice is given and letters from hospitals and clinics. Consideration is given to routine health screening. None of the residents are self-medicating at this time, and staff administer the medications and keep the records. Medication is stored in a wall mounted cabinet in a communal area. The cabinet is kept locked when not in use but it is made of wood, rather than metal, and does not have a specific storage area for controlled drugs, should any be prescribed. New storage must be arranged. Staff are trained to administer medication and records show that all medication is in stock and is being administered correctly. There are regular justified stock checks. This is a way for the manager to check that medication is being administered correctly by staff. Care Homes for Adults (18-65 years) Page 15 of 22 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 . Residents can be confident that their concerns and complaints will be listened to and acted upon and staff know what to do to protect people from abuse and neglect. Evidence: Residents can raise issues in frequent key working meetings which are one to one and also in regular house meetings, when they have an opportunity to raise and discuss issues as a group. There is a record of formal complaints and how they have been resolved. There are no complaints since the last inspection visit. The complaints policy and procedures were reviewed in 2009 and are in accordance with the standards expected. Staff are trained in recognising abuse and staff have attended a local authority presentation on current safeguarding procedures in the borough. There have been no safeguarding investigations since the last inspection visit and a copy of the local authority procedures have been obtained, as recommended. Care Homes for Adults (18-65 years) Page 16 of 22 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The home is suitable for its stated purpose and is comfortable, safe and clean. Communal areas are in need of redecoration. Evidence: The home is in a residential street and is indistinguishable as a care home. It is within walking distance of shops and links to buses and not far from high street shopping and leisure facilities. The home was clean and there were no unpleasant odours. Each resident has their own bedroom and there are enough bathrooms and toilets. There are sufficient hand washing facilities. The communal areas consist of a two communal lounges and a kitchen diner and small laundry room. There is a small well maintained rear garden and patio. There is a staff office and sleepover room and an area for staff to keep their belongings. Bedrooms are personalised and residents choose their own furnishings. Some areas of the home require redecoration. The wallpaper in the rear of building communal lounge is peeling and the paint is chipped. The hallways and communal staircases are also peeling and marked. The paintwork is peeling in the top floor bathroom and the flooring is damaged. Care Homes for Adults (18-65 years) Page 17 of 22 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 . There is a consistent team and residents know the staff well. Staff are qualified and experienced and they are supervised on a regular basis. Recruitment procedures are good. Evidence: Team size is currently reduced because there are two resident vacancies. There are three permanent staff and a home manager. Each resident has a key worker from within the team. A small team of bank workers work in the home as well. Staff are well trained and there is progress in obtaining care qualifications (NVQ at level 2 or above). Staff meet with their manager on a regular basis for supervision. The home is staffed on a twenty four hour basis with sleepover cover alone at night. Staff hours are limited and there is careful planning to facilitate supported activity. There are no new staff but recruitment procedures are in place and have been assessed as good when examined in the past. Care Homes for Adults (18-65 years) Page 18 of 22 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 home is well run. Evidence: The registered manager is experienced and has managed and worked in the home for many years. He knows the residents well and there is clear leadership of the team. Required record keeping is in place and it is well organised and meaningful. Systems are place to check on the safety of the home environment and fire precautions and procedures are in place. Systems are in place for the registered provider, Mencap, to monitor the quality of the service and there are detailed quality audits that result in monitored improvement plans. The views of residents are sought and included into planning in the home. Care Homes for Adults (18-65 years) Page 19 of 22 Are there any outstanding requirements from the last inspection? Yes  No  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 20 of 22 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 Description Timescale for action 1 20 13 There must be suitable storage for controlled drugs in case any are prescribed. 28/08/2009 To ensure safety. 2 24 23 Communal areas (lounge, hallways and top floor bathroom) must be redecorated. 30/09/2009 wallpaper is peeling, paint is chipped and floor covering is damaged. 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 Description Timescale for action 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 21 of 22 Helpline: Telephone: 03000 616161 or Textphone : or 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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 22 of 22 - 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!