Inspection on 21/10/08 for St Bridget`s Home

This is the latest available inspection report for this service, carried out on 21st October 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

St Bridget`s Home 22/11/05

St Bridget`s Home 25/07/05

St Bridget`s Home 29/11/04

St Bridget`s Home 10/06/04

Similar services:

Thorndene

Sutton Lodge Nursing Home

Wingham Court

Bethany Lodge

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Red Oaks

Clare House Nursing Home

Broad Oak Manor Nursing Home

Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: St Bridget`s Home Ilex Close Rustington Littlehampton West Sussex BN16 2RX     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: Gary Bartlett     Date: 2 1 1 0 2 0 0 8 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. the things that people have said are important to them: They reflect 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 28 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.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: St Bridget`s Home Ilex Close Rustington Littlehampton West Sussex BN16 2RX 01903783988 01903859235 sara.willis@lc-uk.org Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Sara Margaret Willis Type of registration: Number of places registered: Leonard Cheshire Disability care home 38 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 physical disability Additional conditions: The maximum number of service users who can be accommodated is: 38 The registered person may provide the following category/ies of service only: Care home only - PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Physical disability - PD Date of last inspection Brief description of the care home St Bridgets is a private residential care home registered to accommodate thirty-eight people with a physical disability. The premises are purpose built, set in their own grounds in a residential area between Rustington Village and the sea front. Residents accommodation is provided on the ground floor of the main building and in three separate bungalows. The proprietors are The Leonard Cheshire Foundation. The Responsible Individual for the organisation is Mr Peter Bray and the Registered Manager is Ms Sara Willis. Current fees range from £900 to £1,200 per week. Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 38 Care Homes for Adults (18-65 years) Page 5 of 28 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 key unannounced inspection was conducted by Gary Bartlett, Regulatory Inspector, who was in St. Bridgets from 10.00 a.m. until 2.30 pm. Judgements about quality of life and choices were taken from direct observation and by discussion with the residents, staff, health care professionals and visitors. Some records and parts of the building and grounds were inspected. The Manager had completed an Annual Quality Assurance Assessment, from which information was used to inform the inspection process. The Manager and staff gave their full assistance throughout the inspection. Care Homes for Adults (18-65 years) Page 6 of 28 The Care Homes Regulations 2001 and the National Minimum Standards for Care Homes for Younger Adults refer to people who use the service as service users. People living at St. Bridgets prefer to be referred to as residents. Accordingly this shall be done in the text of this report. The Inspector would like to thank everyone involved for their contribution to the inspection. 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. Care Homes for Adults (18-65 years) Page 8 of 28 The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 28 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 10 of 28 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. Prospective residents aspirations and needs are effectively assessed before admission to the home. Evidence: The organisation has a comprehensive assessment and admission policy and procedure for Registered Managers to follow to ensure each admission is undertaken in a planned way. A Team Leader described how prospective residents are only admitted to the home after a full assessment of needs. These are inclusive of relatives and health care professionals and are the starting point for residents individual care plans. Further assessments are undertaken after the resident had been admitted to the home. The records sampled included assessments of personal support, health care needs, religious and cultural needs and social activities. The Team Leader confirmed the home offers residents a settling in period to ensure the home is the right place for them. Representatives from a placing authority said the home has been very effective in the Care Homes for Adults (18-65 years) Page 11 of 28 Evidence: recent admission of a resident and facilitated staff to learn new skills to meet the residents individual care needs. Care Homes for Adults (18-65 years) Page 12 of 28 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 individual needs are clearly recorded and reviewed through the care plan system. Residents are supported in making choices and decisions about their lifestyles and in taking appropriate risks. Evidence: Each resident has an individual care plan. Four were inspected in detail. The plans contain the information staff need to know to help residents with their care needs in an appropriate manner. The care plans also include assessments on potential risks for each individual. The care plans and risk assessments are regularly reviewed. A key worker is allocated to each resident. Residents say they value this support. Information held about each resident is stored appropriately and securely. St Bridgets has policies and procedures in place in respect of data protection and confidentiality of Care Homes for Adults (18-65 years) Page 13 of 28 Evidence: information. A staff member confirmed guidance on confidentiality of information is given during the induction training and further discussed at staff meetings. Residents have the regular opportunity to contribute their views and ideas with regard to the running of the home. Care Homes for Adults (18-65 years) Page 14 of 28 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 enjoy individual lifestyles and are supported to develop their life skills. They have the opportunity to experience a variety of social, educational and recreational activities. Evidence: From observation, discussion and records it is clear that residents benefit from opportunities for personal, emotional and social development and are supported towards independent living skills, tailored to their abilities. Residents are treated as individuals and are consulted about their different interests and aspirations, which are recorded in their personal care plans. Activities are provided accordingly. Personal development is enabled through attendance at college, paid employment, voluntary work, day centres, leisure activities and relationships with friends and family. Residents spoken with clearly enjoy the activities they are involved in. Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: There are a substantial number of volunteers who provide individual support to residents with transport and escorting out to local shops and other activities. Residents care plans indicate where they would benefit from support from a volunteer. Residents are able to see their family and friends as often as they wish. Individuals can visit the home at any reasonable time. Visitors spoken with say they are always made welcome. Residents participate in planning the menus and they enjoy a balanced and nutritious diet with a variety and choice. The provision of meals at St Bridgets is still under the responsibility of Caterlink, although it is planned to bring it in house in the near future. Menus are on individual tables daily and residents can choose between the daily menus or an alternative. Care Homes for Adults (18-65 years) Page 16 of 28 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 benefit from personal support which meets their individual needs. Their privacy and dignity is respected. Evidence: Records show that staff are clearly made aware as to the type and nature of the support required for individuals personal and intimate care needs. Staff have a good understanding of the preferred routines and varying requirements of each individual. They provide flexible support to residents based on individual choice and personal care is provided in private to promote the dignity of residents. Through discussion with the staff and assessing the four care plans, it is evident that residents have ready access to health and social care professionals. This includes GPs, district nurses, optician, dentist, chiropodist and dietician. They are supported with any specialist appointments and interventions. A tour of the premises shows that residents have the technical aids and equipment they need for moving and transferring and maintaining independence as far as is Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: possible. Staff say they receive Moving and Handling training as part of their induction training and it is updated as necessary to ensure they know how to assist residents safely. A procedure is in place for the administration of medication by the home, which aims to protect residents. Records show that all staff administering medications have been trained and signed off as being competent to do so. The administration records seen are completed appropriately. Care Homes for Adults (18-65 years) Page 18 of 28 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. Systems are in place to enable those living at the home or their representatives to raise concerns or complaints with staff and people they trust. The home ensures as far as possible that residents are protected from abuse. Evidence: The complaints procedure is readily available to residents and their relatives. They say they feel confident they are listened to and any necessary action is taken. The Home keeps a record is of all complaints received by them, the result of the investigation and how the complaint has been resolved. There are procedures for responding to suspicion or evidence of abuse or neglect to ensure the safety and protection of residents. The staff spoken with have a sound understanding of adult protection procedures. The Manager stated any allegation of abuse would be referred to the concerned agencies without delay. All residents have their own bank account and receive advice and support about welfare benefits and financial matters from the Residents Personal Assistant. Care Homes for Adults (18-65 years) Page 19 of 28 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. Residents live in a generally clean and bright home, which would be enhanced by further redecoration. Evidence: St. Bridgets is purpose built and set in its own grounds in a residential area between Rustington Village and the sea front. Residents accommodation is provided on the ground floor of the main building and in three separate bungalows. Since the last inspection, some parts of the home, notably the bathrooms, have been improved but there are areas where the decor is looking tired and worn. Whilst hygienic and free from offensive odours, the standard of cleanliness around the home is variable, with some areas needing vacuuming and dusting. Bedrooms are generally well furnished and decorated to the preferences of residents and personal possessions are displayed reflecting the occupants personalities and lifestyles. Storage of equipment remains a problem in the home with there being so many items Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: of individual equipment. Resultantly, staff have to be diligent that undue obstruction is not caused by the storage of equipment in corridors. The gardens are well maintained and residents say they enjoy using them in the more clement weather. Care Homes for Adults (18-65 years) Page 21 of 28 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. Robust recruitment processes are followed to ensure only properly vetted people work at the home. People living in the home benefit from the support of enthusiastic and caring staff, who demonstrate a good understanding of residents needs. Evidence: From observation and discussion, it is clear the staff are very focussed on the needs of the people living in the home and work closely with them. Residents like the staff and find them approachable, polite and kind. Throughout the site visit there was evidence of good relationships between staff and residents. Staff mentioned how much they enjoy working with the residents and this is reflected in the way care and support is given. Staff obviously know the residents well and how best to put them at ease. Since the last inspection, the home has recruited more permanent staff and is currently recruiting bank staff. People applying to work at the home have to complete an application form, provide two references and have a POVA and Criminal Records Bureau (CRB) check and attend Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: an interview. The files of the most recently recruited staff show that appropriate checks are made prior to them commencing duties. There is an induction programme in place for new staff and this is in line with Skills for Care. Staff say there is regular training and this is conformed by records seen. Staff meetings are held regularly and the Manager uses the meetings to make sure that staff are fully up to date with different polices, procedures and current good practice. Staff spoke of regular supervision and appraisals. Care Homes for Adults (18-65 years) Page 23 of 28 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 Manager is committed to providing a good service and the home is well run in the best interests of residents. There is an open and friendly atmosphere. Evidence: Mrs Sara Willis is the registered Manager of St. Bridgits and has been working at the home for over 5 years. She demonstrates a commitment to providing a high quality service tailored to the individual needs and preferences of the residents. Mrs. Willis is a registered nurse and has completed the Registered Managers Award. Residents, visitors, health care professionals and staff find the Manager and management team approachable and supporting. A quality assurance process is in place, which elicits views from residents, their families and other professionals involved with the home and outcomes are collated and published. The standard of cleanliness in the kitchen and surrounding area is good. Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: There are records of fire systems checks and fire drills and training. Staff spoken with have a good understanding of emergency procedures. The Manager stated that records of maintenance and safety checks are in order. These were not inspected on this occasion. Care Homes for Adults (18-65 years) Page 25 of 28 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 26 of 28 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 1 2 24 30 It is recommended the parts of the home where the decor is worn be redecorated as son as possible. It is recommended all parts of the home be kept clean. Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: 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 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). 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