• Care Home
  • Care home

Archived: Emmanuel House Care Home

7 Chalgrove Road, Tottenham, London, N17 0NP (020) 8801 9923

Provided and run by:
Ashley House Care Homes Limited

All Inspections

18 July 2013

During a routine inspection

At the time of the inspection there were 3 people living at the home. They were all out when we arrived at the inspection, but returned later in the evening. They told us that they liked living at the home, and were looking forward to the opportunity of having their own flatlets. Comments included 'I like it here,' 'This home is okay,' 'It's all right here,' 'The food is good,' 'My room is fine,' and 'I'm well supported here.'

The manager advised that the flatlets in the home next door were due to be completed shortly, and that people would have the opportunity of moving there if they chose. The current home would then be closed whilst it was refurbished to include individual flatlets.

We spoke with 2 staff members and looked at all 3 people's care records. People said that they were encouraged to make choices about their lifestyles and that their choices were respected as far as possible. They said that staff provided them with the support that they needed, and encouraged them to develop and maintain independence skills.

The home environment was clean and adequately maintained and medication administration systems were in place to ensure that people received their prescribed medicines safely.

Staff told us that they received appropriate support, training and supervision to deliver care and treatment safely and to an appropriate standard. Appropriate record keeping within the home was in place to protect people from the risk of unsafe or inappropriate care.

5 March 2013

During an inspection looking at part of the service

This inspection was undertaken to look at the progress Emmanuel House Care Home had made since we visited on 23 August 2012 and found that there was no evidence to show that the provider was ensuring there were always enough qualified, skilled and experienced staff available to meet the needs of people using the service.

On the day we visited this time we found that there were enough members of staff to meet people's needs. In addition to the manager there was one other member of care staff working. Although this member had not been on the original rota, it had been updated to show they were covering the shift.

There were three people living at the home. On the day of our visit two people were at home and we spoke with one of them. They did not raise any concerns with the care they were receiving and confirmed to us that staff were always available at the home.

23 August 2012

During a routine inspection

On the day we visited, we spoke to all three people who live at the home. When we asked them if they liked the home, they told us they wanted to leave the home as they needed a change. One person told us 'I am bored. I am frustrated. We have been here a long time.'

The people using the service told us there was always food available, but they didn't always like to eat. On the day we visited the provider had arranged a barbeque at another of their locations, which some of the people using the service were going to.

Two people who live at the home told us they liked the staff. One person was less positive about the staff.

One person told us they didn't feel safe living in the home. The other two residents told us they did feel safe

14 March 2012

During an inspection looking at part of the service

We spoke with two of the three people who live at the home. One person had no positive feedback about the home at all. The other person said that since the last inspection there had been some improvements and said "They have definitely improved. They supply us with all our needs." The third person was not available for discussion.

12 December 2011

During an inspection looking at part of the service

We spoke with two of the three people who live in this care home. Both said they were not not happy living in the home. They said they did not receive the support they wanted to become more independent. They said that staff did not understand their mental illness and how to meet their mental health needs. They said they did not always get the food they would like. One person said he did not feel the home would improve if inspectors asked the manager to make improvements. Both said they would like to move out of the home.

24 January 2011

During a routine inspection

We talked to the three people living in the home individually and we spoke with a representative of the authority who pay for the care of people at the home.

Two of the three people living in the home told us that they would like to become more independent and move on from the home. One person said that staff were not helping him to try and become more independent and felt they were not helping him with his goals. People said that the manager consulted them about their care. One person said staff sometimes consulted him. This person said that staff did not force him to do anything but did not always ask his views and wishes. We asked people if they thought the service provided to them at this home met their needs. One said Yes, that he got on well with staff and felt he was supported. One said he would like more support from staff and his needs were not being met. The other said he was not sure if his needs were met.

One person said he is supported to go swimming and watch football and sometimes visits a day service. One person said staff sometimes play games with him which he likes. Two people said they would like to develop more independence skills and needed support from staff to do this.

People living at the home told us that the menu was not varied and they had the same meals every week. One person said he felt sick when eating too much pie, chips and beans. Another said there was too much frozen food. Two said they would like more fresh food. We asked what food they don't have but would like. Their suggestions were; lamb chops, mushrooms, lasagne, carrots, grapes, grapefruit, oranges, plums, bananas and tangerines. One person said he would love a fruit bowl on the table with fresh fruit. They also said they would like more foods that they were used to before living in this home such as salt fish, curry, yams and sweet potatoes.

All three residents also said that that every evening they have takeaway meals. They said staff go out to buy the takeaway but that residents have to pay for it.

We asked two people if staff at the home support them to get other services; for example going to doctor and hospital appointments. Both said that staff support them with this. One person said he is unable to go out alone and staff will always help him to attend appointments with other professionals he needs to see. We asked two people if they felt safe in the home. One said he felt safe and got on 'reasonably well' with staff and the manager.

We discussed medication with one of the people living in the home. He said that staff looked after his medication, kept it locked away and that he believed he always received it at the right times.

We discussed the building with two people living there. One said it was 'alright.' The other said he did not like the smoking area which was unsafe.

One person said he got on 'alright' with staff. Another said he felt staff did not spend enough time with him and did not help him enough with his goals.

The three people who live at the home offered suggestions for improvements to their life in the home; such as improvements to the food, staff support to help them become more independent and improvements to their smoking area. We were not able to clarify whether they had asked the provider for these improvements.

We were able to discuss complaints with one person who lives at this home. This person said he had been given a copy of the complaints procedure and that he still had it in his bedroom.

He said he had never made a complaint. We asked if he had asked the manager or the provider to make improvements as he had suggested to us some improvements he would like in the home. He said he had not and he was not sure if he would be listened to.