Inspection on 06/05/09 for Deepdene Court

This is the latest available inspection report for this service, carried out on 6th May 2009.

CQC 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

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

Extracts from inspection reports are licensed from CQC, this page was updated on 20/07/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Deepdene Court 2-3 St Catherine`s Road Littlehampton West Sussex BN17 5HS     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: Sheila Gawley     Date: 0 6 0 5 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. 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. 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. Care Homes for Adults (18-65 years) Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI 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 26 Information about the care home Name of care home: Address: Deepdene Court 2-3 St Catherine`s Road Littlehampton West Sussex BN17 5HS 01903725602 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) : pauline.roberts@deepdenecare.org Deepdene Care Ltd care home 40 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Additional conditions: 40 (1) The registered person may provide the following category/ies of service only: Care home with Nursing (N) to service users of the following gender: Either: whose primary care need on admission to the home are within the following categories: Mental discrder, excluding learning disability or dementia (MD) (2) The maximum number of service users to be accommodated is 40. Date of last inspection Brief description of the care home Deepdene Court is a care home registered to accommodate up to 40 people between the ages of 18 and 65 years who have a past or present mental disorder. The service will be divided into two dedicated units; Fielding which will remain as a service for people who require residential care under the category of (MD) and the newly developed unit St Catherines which will be the nursing unit (MD). The service is intended to support people into the community. The new St Catherines Unit is joined to the Fielding unit; however it has a separate entrance to the building and a separate enclosed garden. There is full disability access to the building including a wheelchair lift at the rear of the building and ramps around the garden area and level walk ways into the home. It is situated in a residential area Care Homes for Adults (18-65 years) Page 4 of 26 Brief description of the care home close to Littlehampton town centre and the seafront. There is access to local train and bus services. The Responsible Individual on behalf of Deepdene Care Limited is Dr Ludmila Iyavoo and the Registered manager is Mr Michael Ong. The current scale of fees being charged at the home is from £410 to £700 per week. Care Homes for Adults (18-65 years) Page 5 of 26 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 site visit as part of the inspection process was carried out on 06/05/09. It was undertaken by a lead inspector from the Commission for Social Care inspection. Prior to the visit all files held by the commission, complaints and safeguarding issues were reviewed. The home had sent us their Annual Quality Assurance assessment which gave us the information we needed. We were in receipt of six surveys from people who use the service and four from staff . The comments on the surveys were positive and people spoken to on the day expressed satisfaction with life in the home. Care Homes for Adults (18-65 years) Page 6 of 26 The home had sent us their Annual Quality Assurance Assessment for the inspection, which gave us the information we needed on the home and any documents required on the day were made available. People who use the service and staff were spoken to on the day and comments were positive. People who use the service spoken to stated that they are happy in the home and that they enjoy the food. All appeared happy and the atmosphere in the home was relaxed. Staff spoken to on the day stated that they were happy working in the home and that the management was supportive. 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 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 8 of 26 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 9 of 26 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. People who use the service have their needs assessed prior to admission. Evidence: People who use the service are fully assessed prior to admission to the home. All medical and personal care need is assessed and recorded. This includes mental health, continence, mobility, and communication. Two people who use the service the service were case tracked and their pre admission assessment was present in the care plans. The AQAA stated that they continue to meet this standard on preadmission assessment. An up to date statement of purpose and service user guide is available. Care Homes for Adults (18-65 years) Page 10 of 26 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. People who use the service have their changing need and goals monitored and recorded in their plans Evidence: The routines of daily living are discussed with residents on admission and individual preferences catered for where possible. The home encourages the individual to pursue activities of their choice. Hot and cold drinks drinks are available throughout the day. All people who use the service are given the opportunity to access the community. They are within walking distance from the local shops. People who use the service have choice and control over their daily lives. Family involvment is encouraged. People can bring their own personal possessions into the home. People are risk assessed and allowed freedom to make decisions. People can manage their own money if assessed as being able to do this, the home holds Care Homes for Adults (18-65 years) Page 11 of 26 Evidence: allowances for people securely. Seven surveys were received from people who use the service and all responses indicated satisfaction with the service, Care Homes for Adults (18-65 years) Page 12 of 26 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. People who use the service are encouraged to be independent . Evidence: People who use the service can be involved in a range of activities. One person is doing a National Vocational Qualification in cooking and works in the homes kitchen for which he receives therapeutic earnings. Two people who previous lived in the home completed a living skills course and have moved into supported living. One person in the home has a cat and another enjoys gardening. People can go out to the local shops and day centers and one person attends church locally, another goes to a nearby convent for coffee. On the third floor there is a library with a computer and an exercise machine for the Care Homes for Adults (18-65 years) Page 13 of 26 Evidence: use of people who use the service. There are social events in the home such as summer barbecue and other seasonal events. A mini bus is hired for day trips to local places of interest such as garden centers or out for picnics. There was a photograph display of a trip to a wetlands center. All people have an annual holiday and four people have been to a caravan park for a week. People are involved in the daily running of the home, one was observed setting the tables for lunch. they are encouraged to clean their own rooms and some manage their own laundry. Staff knock prior to entering rooms. People are consulted on the menu and are offered a variety of nutritious food. Advocacy services are accessed as needed and a MIND advocate has come into the home to explain what this means. They help in assessing for independent living. Care Homes for Adults (18-65 years) Page 14 of 26 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. People receive personal support in the way they wish and their medicines are handeled safely. Evidence: The AQAA stated that all needs are met and that independence is encouraged. All residents have a plan of care which is drawn up following full assessment. Two people who use the service were case tracked. Their care plans were inspected and these contained information on health, mental health, personal, and social need. Needs are individually identified , aims and objectives are set and actions are implemented. Changing need is recorded.There was a personal profile in place. There was evidence review and social services review, and daily records. Risk assessments are in place in relation to alcohol misuse, smoking, falls, mobility,nutrition, medication, moving and handling and epilepsy. Weight is recorded monthly and action is taken as indicated. Care Homes for Adults (18-65 years) Page 15 of 26 Evidence: A chiropodist visits six weekly. Professional visits such as those from the general practitioner (GP) . There is psychiatric review. Care is carried out in a person centered way and staff are asked to sign that they they have read the care plan and therefore are aware of the persons needs and preferances. Medicines are received, administered, and returned correctly. Medicine administration charts (MAR) inspected were up to date. There are policies and procedures in place for the management of medicines. There is a controlled drug cupboard buit the home does not have any controlled drugs at this time. One person self medicates and risk assessment is in place for this and there is a locked space in his room for the medicines. Care Homes for Adults (18-65 years) Page 16 of 26 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. Complaints are listened to and people are protected from abuse. Evidence: There is a complaints procedure in place and it is included in the Statement of Purpose. Complaints are recorded and acted on. People who use the service spoken to stated they would be able to tell their key worker or the registered manager if they had a problem and that it would be fixed. Staff have attended safeguarding adults training and staff spoken to demonstrated an awareness of procedures. Alerts are appropriately dealt with. Six surveys received from people who use the service all responded that they know how to make a complaint. Monies for people who use the service are held separately, securely and are receipted and recorded. Care Homes for Adults (18-65 years) Page 17 of 26 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a safe environment but improvments could be made in the upkeep of the decor Evidence: The home was mostly neat clean and free from offensive odours. One room had a malodour and one further room was not clean with the table, sink and toothbrush cup very dirty.This was discussed with the manager and the need to balance the individuals wish to maintain their room as they wish and hygiene needs was highlighted. Some bedrooms have been repainted. There is a comfortable sitting room and dining room. The dining room has new furniture. There is a library with a computer and an exercise machine. Some of the paintwork in the hallways and on the bannisters is chiped. The registered manager stated that when an extention that they are building next door to increase the size of the service is finished then this part of the service will be redecorated. The central heating system is not available in all bedrooms and freestanding heaters are available. Laundry facvilities are sited in the basement and can be accessed by people who use Care Homes for Adults (18-65 years) Page 18 of 26 Evidence: the seervice if they wish. The washing machine has got suitable temperature programmes to thorooghly clean linen and control the risk of infection Care Homes for Adults (18-65 years) Page 19 of 26 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. People are supported by a motivated staff team. Evidence: Six surveys received from people who use the service all expressed satisfaction with the staff team and commented Look after us really well, Staff all friendly and helpful, Staff are supportive Staff rota show sufficient staff on duty at all times to offer the support needed. There is a training programmer in place which staff confirmed. The AQAA stated that this programme is supported by an organization coordinator. We were in receipt of surveys from four staff members mostly all positive comments although one commented that more training could be given at the beginning of employment. There is now a new common induction program in place to address this. Induction was seen in staff files inspected. Another survey commented Staff work well as a team. Two staff files were inspected and they contained all the documentation required and Care Homes for Adults (18-65 years) Page 20 of 26 Evidence: showed that criminal records Bureau clearance and a check against the POVA list were made prior to employment. Care Homes for Adults (18-65 years) Page 21 of 26 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 rights and interests of people who use the service are protected by the homes policies, procedures and management. Evidence: There is a registered manager in place who meets the criteria for registration with the Commission and who has many years experience in the care industry. People spoken to stated that they feel the home is well run. The organization is committed to quality assurance and hold regular monthly meetings with people who use the service to establish their wishes. Staff meetings are held monthly. The menus are reviewed six monthly and the organization send out surveys to relatives annually. An organizational quality manager is further developing this area. The registered manager ensures the health and safety of people who use the service Care Homes for Adults (18-65 years) Page 22 of 26 Evidence: and staff by the provision of staff training. All accidents, incidents and complaints are recorded and referred to relevant agencies if indicated. Contracts for utility maintenance are in place. Care Homes for Adults (18-65 years) Page 23 of 26 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 24 of 26 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, 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 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 25 of 26 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. 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