Latest Inspection
This is the latest available inspection report for this service, carried out on 20th July 2010. CQC found this care home to be providing an Good service.
The inspector found no outstanding requirements from the previous inspection report,
but made 6 statutory requirements (actions the home must comply with) as a result of this inspection.
For extracts, read the latest CQC inspection for Touchsky.
What the care home does well The people who use the service that we spoke with told us that they were satisfied with the care they receive at the home. They told us the staff were supportive and that the meals were good and that there was always enough to eat. We toured the building with the manager and visited some resident`s rooms with their permission. The kitchen was clean and food cupboards were well stocked. We also saw that fresh fruit and vegetables were available for residents` meals. The service has now complied with all of the requirements made at the last inspection. As a result of this: Pre admission assessments are more detailed and recorded in peoples` plans of care. The records in relation to the receipt and administration of medication were being accurately maintained. Care plans now indicate that residents have access to outside community based activities. Care staff had undertaken training in food hygiene. However some of these certificates were out of date and further training is required. What the care home could do better: The flooring in the kitchen was very worn down and could present a health and safety risk. A new requirement has been issued to have the flooring replaced in the kitchen area. The pedal bin in the kitchen area was broken and needs replacing. The manager told us that Environmental Health had inspected the kitchen last year andthe service was awarded three scores out of a possible five. The staff member who was cooking that day had a good knowledge of residents` dietary requirements and also peoples` likes and dislikes. The lunch on the day of the inspection was stewed chicken which looked and smelt appetising. The manager told us that residents have a meeting each month to discuss menus at the home. Seven staff files were examined. These all contained copies of training certificates for mandatory training. A number of certificates were out of date and staff require refresher training in a number of mandatory subjects. A new requirement has been issued that the manager carry out a training audit for all staff at the home to highlight any training gaps. Training must then be booked for all staff who require refresher training and this training plan must be sent to the Commission. We also checked staff files to see if safe recruitment practices were being followed. All staff files inspected contained two written references, proof of identity and evidence that criminal record checks had been carried out. We asked the manager how she ensures that staff are authorised to work within the UK. The manager told us that she phones immigration and checks with them. However this check is not recorded in staff files. It would be prudent to record this check and a new requirement has been issued that the manager review all staff and record, in their files, that authorisation has been sought for each staff member to be able to work in the UK. Records were examined in relation to residents` money. The manager told us that she is appointee for two residents at the home. This situation is not ideal and the manager should ensure that alternative arrangements are sought so that residents` financial arrangements are managed more appropriately. We checked one resident`s record of financial transactions. Appropriate receipts and records were being maintained however there was one area of concern. Staff had taken money out of a resident`s post office account. There were no records of the date this occurred or the signatures of the staff members who took this money out. No receipt of this withdrawal had been obtained. The resident`s statement had not been received for the time this money was taken and so there was no evidence to confirm that the amount taken from the resident` s account was accurate. The manager told us she would write to the post office to obtain a receipt for this transaction and notify the Commission of the outcome. Clearly this is not acceptable practice and more robust and transparent procedures must be developed to protect residents from potential financial abuse. A new requirement has been issued relating to this matter. The manager told us that since the administrator had left the home, taking over their work as well as carrying out her own duties was proving difficult and time consuming. It may be of benefit to employ another administrative worker at the home. This issue was discussed with the manager during the inspection. The manager told us that, following her application for transition of registration to the new 2008 Health and Social Care Act, it was found that the legal entity of the service had changed. The Commission was not notified of this change. The manager said that she was dealing with this issue as a matter of urgency. The manager also told us that the vacancy at the home was having a financial impact on the service. We have issued a new requirement that the annual accounts of the carehome, certified by an accountant, are sent to the Commission for inspection. Six new requirements have been issued as a result of this inspection. Random inspection report
Care homes for adults (18-65 years)
Name: Address: Touchsky 240/242 Odessa Road Forest Gate London E7 9DY two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: David Hastings Date: 2 0 0 7 2 0 1 0 Information about the care home
Name of care home: Address: Touchsky 240/242 Odessa Road Forest Gate London E7 9DY 02085340035 02089266560 touchsky8@btinternet.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Florence Ndiedzei Muyambo Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Florence Ndiedzei Muyambo care home 6 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Conditions of registration: 6 The maximum number of service users who can be accommodated is: 6 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: Mental Disorder, excluding learning disability or dementia - Code MD Date of last inspection Brief description of the care home Touchsky is a care home registered to provide support and accommodation to six adults with mental health issues. The home is situated in a quiet residential area of Forest Gate in the London Borough of Waltham Forest. The home is close to shops, transport links and other local amenities, and is in keeping with other homes in the
Care Homes for Adults (18-65 years) Page 2 of 11 Brief description of the care home area. The home is privately run. The current range of fees charged by the home is between six hundred pounds and two thousand pounds per week. Care Homes for Adults (18-65 years) Page 3 of 11 What we found:
The Care Quality Commission carried out this unannounced inspection of Touchsky Residential Home on Tuesday 20th July 2010. The reason for this inspection was to check compliance with the requirements we made at the last key inspection of this service. The Commission also received some anonymous concerns about the service in relation to food and staff recruitment practices. The Commission wanted to make sure that people who use the service were safe and being cared for properly. We met the registered manager who was open and helpful throughout the inspection. We spoke with four residents, three staff, we looked at various care records, policies and procedures and also inspected the premises. There are currently five people receiving a service and one vacancy at the home. On the day of the inspection there were two care staff on duty and the manager told us that there were always two staff on duty throughout the day and one waking night staff on duty during the night. The service did have an administrator however they left the service about two months ago and the manager is now undertaking all administrative work herself. What the care home does well: What they could do better:
The flooring in the kitchen was very worn down and could present a health and safety risk. A new requirement has been issued to have the flooring replaced in the kitchen area. The pedal bin in the kitchen area was broken and needs replacing. The manager told us that Environmental Health had inspected the kitchen last year and
Care Homes for Adults (18-65 years) Page 4 of 11 the service was awarded three scores out of a possible five. The staff member who was cooking that day had a good knowledge of residents dietary requirements and also peoples likes and dislikes. The lunch on the day of the inspection was stewed chicken which looked and smelt appetising. The manager told us that residents have a meeting each month to discuss menus at the home. Seven staff files were examined. These all contained copies of training certificates for mandatory training. A number of certificates were out of date and staff require refresher training in a number of mandatory subjects. A new requirement has been issued that the manager carry out a training audit for all staff at the home to highlight any training gaps. Training must then be booked for all staff who require refresher training and this training plan must be sent to the Commission. We also checked staff files to see if safe recruitment practices were being followed. All staff files inspected contained two written references, proof of identity and evidence that criminal record checks had been carried out. We asked the manager how she ensures that staff are authorised to work within the UK. The manager told us that she phones immigration and checks with them. However this check is not recorded in staff files. It would be prudent to record this check and a new requirement has been issued that the manager review all staff and record, in their files, that authorisation has been sought for each staff member to be able to work in the UK. Records were examined in relation to residents money. The manager told us that she is appointee for two residents at the home. This situation is not ideal and the manager should ensure that alternative arrangements are sought so that residents financial arrangements are managed more appropriately. We checked one residents record of financial transactions. Appropriate receipts and records were being maintained however there was one area of concern. Staff had taken money out of a residents post office account. There were no records of the date this occurred or the signatures of the staff members who took this money out. No receipt of this withdrawal had been obtained. The residents statement had not been received for the time this money was taken and so there was no evidence to confirm that the amount taken from the resident s account was accurate. The manager told us she would write to the post office to obtain a receipt for this transaction and notify the Commission of the outcome. Clearly this is not acceptable practice and more robust and transparent procedures must be developed to protect residents from potential financial abuse. A new requirement has been issued relating to this matter. The manager told us that since the administrator had left the home, taking over their work as well as carrying out her own duties was proving difficult and time consuming. It may be of benefit to employ another administrative worker at the home. This issue was discussed with the manager during the inspection. The manager told us that, following her application for transition of registration to the new 2008 Health and Social Care Act, it was found that the legal entity of the service had changed. The Commission was not notified of this change. The manager said that she was dealing with this issue as a matter of urgency. The manager also told us that the vacancy at the home was having a financial impact on the service. We have issued a new requirement that the annual accounts of the care
Care Homes for Adults (18-65 years) Page 5 of 11 home, certified by an accountant, are sent to the Commission for inspection. Six new requirements have been issued as a result of this inspection. 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 2. Care Homes for Adults (18-65 years) Page 6 of 11 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, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 7 of 11 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 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, 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 23 13 The registered person must 31/08/2010 ensure that procedures in relation to residents finances are reviewed and measures put in place to ensure the management of residents money is transparent and accurately recorded. This includes staff acting as appointees for residents. This is to ensure that residents money is managed in an open and transparent way and not open to potential abuse. 2 24 13 The registered person must 26/08/2010 ensure that the pedal bin in the kitchen is replaced so that staff do not have to touch the bin when throwing food away. This is to ensure that all areas of the kitchen are clean and hygienic 3 24 13 The registered person must ensure that the flooring in the kitchen is replaced. 27/09/2010 Care Homes for Adults (18-65 years) Page 8 of 11 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, 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 This is to ensure that all areas of the kitchen are clean and hygienic. 4 34 19 The registered person must ensure that all staff employed at the home are legally able to be employed. This is to ensure that only suitable people work with residents at the home. 5 35 18 The registered person must 30/09/2010 ensure that a training audit is carried out for all staff working at the home. Where there are gaps in training then appropriate training must be booked for all staff and a plan of this training must be sent to the Commission. This is to ensure that all staff working at the home are suitably trained for the work they are to undertake. 6 43 25 The registered person must ensure that the annual accounts of the care home, certified by an accountant are sent to the Commission. This is to make sure the homes financial position is not having a negative affect on people who use the service. 31/08/2010 31/08/2010 Care Homes for Adults (18-65 years) Page 9 of 11 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 10 of 11 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got 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 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 11 of 11 - 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!
