Inspection on 31/03/08 for 27 Arundel Road

This is the latest available inspection report for this service, carried out on 31st March 2008.

CSCI found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

27 Arundel Road 03/02/06

27 Arundel Road 28/07/05

27 Arundel Road 10/01/05

27 Arundel Road 13/05/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 27 Arundel Road Eastbourne East Sussex BN21 2EG Lead Inspector Christine Lawrence Unannounced Inspection 31 March 2008 13:00 27 Arundel Road DS0000021000.V359105.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 27 Arundel Road DS0000021000.V359105.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. 27 Arundel Road DS0000021000.V359105.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 27 Arundel Road Address Eastbourne East Sussex BN21 2EG 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) 01323 431367 01323 417199 arundelroad@eastbournemencap.org.uk Eastbourne & District Mencap Mrs Francis Reed Care Home 8 Category(ies) of Learning disability (8) registration, with number of places 27 Arundel Road DS0000021000.V359105.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10 October 2006 Brief Description of the Service: 27 Arundel Road is a purpose built, single storey home for adults with learning disabilities. There are two parts to the home, 27A & 27B, each with four single bedrooms, a kitchen area, dining room, lounge and two bathrooms and three WCs. There is a courtyard in the centre and a large lawn at the front of the building. The home is situated in a residential part of Eastbourne, with access to local facilities. There is some car parking available in the grounds and the roads outside are not restricted for parking. Information about the service, including the Statement of Purpose, Service Users’ Guide and CSCI reports, is made available to prospective resident and/or their relatives and representatives, on request, as part of the admission process. The current fees at 27 Arundel Road are £1114.27 per week. Additional charges are made for hairdressing, certain leisure activities, toiletries and holidays. 27 Arundel Road DS0000021000.V359105.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 visit was notified to the home to ensure that there would be someone available and started at 13.00 and finished at 17.00. We (the Commission for Social Care Inspection, CSCI) looked at various records in the home and also used information sent to us by the manager before the visit. This was the Annual Quality Assurance Assessment (AQAA). Information from the previous inspection was also referred to. We observed the residents who live at the home, noting how they reacted to staff and how relaxed and comfortable they were within the home. A tour of the building was undertaken and this included residents’ rooms. We made observations of staff interacting with, and supporting residents. We spoke to staff including the development officer and the deputy manager. What the service does well: What has improved since the last inspection? What they could do better: There are no formal requirements from this inspection but the manager has identified the following things for improvement in the next twelve months:- to continue to look for more opportunities to increase residents’ choices; to increase and update their training by developing an in house trainer; to continue to work towards more staff obtaining NVQ qualifications etc.; to produce a more accessible format for their complaints procedure, to include pictures and to provide more in depth training (NEBOSH) for the in house health and safety person. Please contact the provider for advice of actions taken in response to this 27 Arundel Road DS0000021000.V359105.R01.S.doc Version 5.2 Page 6 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. 27 Arundel Road DS0000021000.V359105.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 27 Arundel Road DS0000021000.V359105.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): 2 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Prospective residents’ individual aspirations and needs will be assessed. EVIDENCE: No new resident has been admitted since the last inspection but the care plans and assessments seen for this inspection were person-centred and reflected residents’ wishes as well as their needs. Both the Development Officer and the Deputy Manager confirmed that any new admission would be very carefully planned and assessments would be undertaken by experienced staff. 27 Arundel Road DS0000021000.V359105.R01.S.doc Version 5.2 Page 9 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): 6, 7 and 9 People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents can be confident that their changing needs and their wishes will be noted in their individual plans and that they will be supported to make decisions and take risks to enable as independent lifestyle as possible. EVIDENCE: The care plans in the home are very good. They are person centred and very individualized. Residents are involved as much as possible and various different formats are used such as digital photographs and old photographs of when residents were younger. Daily records are kept to ensure information is up to date to enable regular reviews of the care plan. The care plans include information which is separated into specific things reflecting any action which needs to be taken to achieve a particular goal which has been identified. The Development Officer informed us that family members are involved whenever possible and whenever appropriate. There is a key worker system in place and key workers are also involved in reviews. The individual plans reflect people’s 27 Arundel Road DS0000021000.V359105.R01.S.doc Version 5.2 Page 10 communication skills and needs, and provides clear guidelines for staff supporting residents. Some residents are limited in their ability to make choices but staff were seen to enable as much as possible, whether it is choosing where to be (lounge or own room), having music loud (even having music and television on together!), what to have for a drink or snack. We were informed that other choices are encouraged such as what to wear, whether to go out or not etc. We were informed that training is planned with regard to the Mental Capacity Act. Residents are involved as much as possible in the management of their own finances but this is mostly with considerable support. There are risk assessments in place covering a range of things which residents take part in, from domestic tasks such as working in the kitchen or having a bath, to swimming, crossing the road and self-harming. The emphasis was seen as always on managing the risk rather than stopping an activity completely. Some people living at the home have quite complex behaviours; the language of the written information and guidance to staff was always positive. 27 Arundel Road DS0000021000.V359105.R01.S.doc Version 5.2 Page 11 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): 12, 13, 15, 16 and 17 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Activities and involvement in the local community, as well as support for personal relationships will be provided for residents. They will benefit from having a healthy diet. EVIDENCE: The activities planners and other records were looked at and showed that activities provided for residents are based on their individual wishes and preferences. The person centred plans contain information about what people do. Some of this is formal, provided within a ‘day service’ format and some is more informal and leisure based, both in the home and in the community. Most residents were out at the start of this inspection and later people were observed to be helping with things in the house, watching television and listening to music. 27 Arundel Road DS0000021000.V359105.R01.S.doc Version 5.2 Page 12 Examples were noted from individual records of residents being supported to keep contact with family members. This included for example, some physical support to make visits and sending birthday cards. The Development Officer and Deputy Manager both discussed the importance of involving relatives. There are no restrictions on visiting times. The people living at 27 Arundel Road are limited in the decisions they can make for themselves but it is still clear that staff try and give as many opportunities as possible as noted under the previous standards. Several residents have very specific needs regarding nutrition and these are clearly identified within individual plans and all staff have access to special needs information when involved with preparing meals or packed lunches. General menus were varied and we were informed that residents choices are incorporated into the menu. A dietician has been involved with some residents. 27 Arundel Road DS0000021000.V359105.R01.S.doc Version 5.2 Page 13 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): 18, 19 and 20 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents are protected by the home’s policies and procedures regarding medication and their physical and emotional needs will be responded to. Their preferences and requirements for support are respected. EVIDENCE: The care plans seen contained lots of information for staff to ensure that personal care and support is provided in the right way for each individual. Particular information about health care needs is detailed as many people have quite complex needs. There were examples of aids being in place to ensure as much independence, as well as personal comfort, as possible whether this is for bathing/showering, sleeping comfortably or for moving people. The records showed that residents are involved with health care professionals both routinely and as required. Medication is managed well and both the storage and recordings are appropriate. There are policies and procedure in place and only staff who have received training give out medication. 27 Arundel Road DS0000021000.V359105.R01.S.doc Version 5.2 Page 14 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): 22 and 23 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents’ views are listened to or ascertained, and acted on. EVIDENCE: There is a complaints procedure in place although there are plans to provide a different version which might be more appropriate for residents to use. The key worker system, as well as the care planning and review procedures, help the home to identify areas where a resident might not be content. There have been no formal complaints since the last inspection. There are policies and procedures in place such as disclosure of abuse and bad practice (whistle blowing) and also regarding residents’ money and valuables. A recent incident demonstrated that procedures are robust. Staff have received training with regard to adult protection. Staff spoke to confirmed that they were aware of their responsibilities regarding adult protection. 27 Arundel Road DS0000021000.V359105.R01.S.doc Version 5.2 Page 15 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): 24, 25, 27, 29 and 30 People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is clean, comfortable and safe for the residents. This home provides an attractive, spacious, safe and homely environment that suits the individual and collective needs of the people living in it very well. EVIDENCE: The home is suitable for its purpose and during the tour of the building it was seen to be well maintained. There is sufficient communal and individual space. All areas are bright and the home was clean at the time of this visit. There are widened doors and sufficient space generally to permit people who use wheelchairs to move around the building. Residents all have their own rooms. They are individual and reflect the personality of the person living there. Where there are particular needs (for instance with regard to moving), equipment is in place to ensure these needs 27 Arundel Road DS0000021000.V359105.R01.S.doc Version 5.2 Page 16 are met such as overhead hoists. Facilities for bathing and showering also include special equipment such as hoists, shower beds and a spa bath. As already noted the home was clean and fresh at the time of the visit and we saw good examples of infection control procedures such as soap dispensers and paper towels and equipment for staff such as gloves and aprons. Staff have also received training in infection control. The laundry is appropriately equipped. 27 Arundel Road DS0000021000.V359105.R01.S.doc Version 5.2 Page 17 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): 32, 34 and 35 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Sound recruitment procedures and training provided to staff will have a beneficial impact on residents. EVIDENCE: The records showed that three people have achieved their national vocational qualification at level 3 and the development officer said that they will be continuing to support more staff to achieve this qualification. We observed staff to be responsive to residents; they were interested in what they were doing and through observing staff, as well as talking to them it is clear that they are knowledgeable about their individual needs and personalities. The staff records seen reflect that recruitment includes seeking references, using an application form for identifying gaps in employment records, interviews (and meeting residents whenever possible) and criminal record bureau checks. There is a training programme in place, which includes induction training based on the common induction standards from Skills for Care and there are plans to develop a post of in-house trainer to facilitate training. 27 Arundel Road DS0000021000.V359105.R01.S.doc Version 5.2 Page 18 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): 37, 39 and 42 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents benefit from a well run home and their health and safety is promoted and protected. EVIDENCE: The manager is experienced and has managed the home for four years. She has a management qualification and is undertaking the NVQ level 4 in care and the registered manager’s award. Questionnaires are sent regularly to relatives and those seen at this inspection (sent out in February) were all positive, indicating that they see things as ‘good’ or ‘excellent’. Staff receive training in various aspects of health and safety, including manual handling, control of substances hazardous to health, first aid, fire safety, food safety and infection control. Risk assessments are in place both for individuals’ 27 Arundel Road DS0000021000.V359105.R01.S.doc Version 5.2 Page 19 safety and for the environment. Some staff have received training in risk assessing. A spot check on records for servicing hoists showed them to be up to date and information provided by the manager within the AQAA showed other servicing and maintenance contracts are also up to date. 27 Arundel Road DS0000021000.V359105.R01.S.doc Version 5.2 Page 20 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 X 2 X 3 3 4 X 5 X 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 3 26 X 27 3 28 X 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 4 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X 27 Arundel Road DS0000021000.V359105.R01.S.doc Version 5.2 Page 21 No Are there any outstanding requirements from the last inspection? 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 27 Arundel Road DS0000021000.V359105.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection The Oast Hermitage Court Hermitage Lane Maidstone Kent ME16 9NT 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. 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