Inspection on 19/04/10 for Summer Wood

This is the latest available inspection report for this service, carried out on 19th April 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

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Extracts from inspection reports are licensed from CQC, this page was updated on 29/06/2010.

Key inspection report Care homes for adults (18-65 years) Name: Address: Summer Wood 18 Magdalen Road Bexhill-On-Sea East Sussex TN40 1SB     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Alexis Reilly     Date: 1 9 0 4 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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. Care Homes for Adults (18-65 years) Page 2 of 25 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial 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. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 25 Information about the care home Name of care home: Address: Summer Wood 18 Magdalen Road Bexhill-On-Sea East Sussex TN40 1SB 01424221641 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mrs Luisa Backhouse Name of registered manager (if applicable) Mrs Luisa Backhouse Type of registration: Number of places registered: care home 3 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users to be accommodated is 3. 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: Learning disability (LD). Date of last inspection Brief description of the care home Summer Wood is a new service for three people with learning disabilities, owned and managed by Mrs Luisa Backhouse. Summer Wood is a large Victorian house and was once a Bed and Breakfast business, it is in the quiet service area of Bexhill, and is situated near the town centre, shops and public transport. The current weekly fees are £700.00. 0 Over 65 0 Care Homes for Adults (18-65 years) Page 4 of 25 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: The site visit for this inspection began at 9.15 am and ended at 11.15 am. As part of the inspection the inspector looked at the care that two service users received in the home. One service user was in on the day of the inspection but did not wish to spend any time with the inspector. The Registered Manager was available throughout the inspection and aided the process. Surveys were returned directly to the CQC and the comments from these are included in the report. As part of the case tracking and to enable the inspector to take a view as to the care people receive in the home, the inspector examined the person centred documents such as plans of care, risk assessments, and behavioural guidelines. Also evidenced were the external reviews from the adult placement team and pre admission documents. Other documents examined were copies of notifications, the complaints procedure, the Statement of Purpose, terms and conditions of contracts for the residents, and evidence of joint working with community agencies. Care Homes for Adults (18-65 years) Page 5 of 25 Care Homes for Adults (18-65 years) Page 6 of 25 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 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 7 of 25 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 8 of 25 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. The service has had two admission since the last inspection. The Registered Manager had gained information about the service user and evidence was supporting in the form of review documents from the Adult placement team. The service has a comprehensive statement of purpose and all service users receive terms and conditions of contract Evidence: At the last inspection the Registered Manager had a requirement to ensure that the statement of purpose was up to date and that all service users received a terms and conditions of contract. During the inspection the inspector evidenced a very comprehensive statement of purpose and service user guide. A discussion took place with the Registered Manager as two of the phrases in the statement of purpose were misleading these were what we expect from you doors locked by 8pm and residents expected to retire to rooms by 10.30pm. This was discussed in detail and the Registered Manager gave examples of this not being the case such as one resident staying up until midnight to watch the wrestling, and a further resident returning late from London. It was discussed and agreed that these phrases would be changed to Care Homes for Adults (18-65 years) Page 9 of 25 Evidence: reflect the correct situations in the home. The inspector also looked at the admission documents and plans of care for the two service users in the home. Evidence was supporting to confirm that the Registered Manager obtains all the relevant documentation and has a detailed picture of the service users prior to offering them a placement in the home. Care Homes for Adults (18-65 years) Page 10 of 25 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. Evidence is supporting to show that the Registered Manager has worked in a positive manner with the service users placed; The Registered Manager has ensured they have comprehensive care plans and risk assessments for each service user and that they are able to make their own choices and decisions, and are treated as individuals. Contact with advocacy services is promoted. Evidence: At the last inspection the service was issued with a requirement in relation to care plans and risk assessments. During the inspection the inspector looked at the care plans, risk assessments and behavioural guidelines for the two residents placed in the home. The inspector saw evidence of very detailed, comprehensive, person centred documents which were user friendly and relevant to the individuals needs. Good examples of guidance were seen in relation to dealing with certain behaviours, and evidence was available to highlight that the Registered Manager involves community resources to support residents placed in the home and works well with outside agencies. Care Homes for Adults (18-65 years) Page 11 of 25 Evidence: One completed residents survey was returned to the CQC it stated that the service users was given choice and and information about moving into the home, and sometimes made decisions about what they did on a daily basis. The replies stated that the service users could do what they wanted during the days evenings and weekends. That they knew who to talk to if they were unhappy and that the care staff and manager always treated them well. Care Homes for Adults (18-65 years) Page 12 of 25 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. Service users benefit from freedoms and flexible routines. The Registered Manager has ensured that service users are involved in activities on offer both within the home and the community such as educational, and where appropriate, employment opportunities. Evidence: At the last inspection the Registered Manager was given a requirement in relation to care plans and activities provided for service users in and outside the home. The inspector viewed the care plans and activities log for both residents currently placed in the service. The Registered Manager has ensured that she has a variety of activities on offer inside and outside the home and that these are tailored to individual needs. The Registered Manager ensures that service users have access to community resources and educational resources were appropriate. Care Homes for Adults (18-65 years) Page 13 of 25 Evidence: Surveys from staff who work in the home were returned directly to the CQC comments from these under the section What does the home do well?, included, care for people, following the care plans and encourage people to speak up for themselves, and to let staff know if there are any concerns. Provides a friendly and supportive environment and encourages residents with their daily activities. Care Homes for Adults (18-65 years) Page 14 of 25 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. The Registered Manager has a productive relationship with the community placement team and service users health care needs are reviewed and referrals made were appropriate. Evidence: The Registered Manager has the required cupboard and procedures in place for administering medication. The current service user who has medicines self medicates. The Registered Manager has a productive dialogue with the current Adult Placement team and other community resources and this has ensured that all the individuals health and psychological needs are monitored and additional support obtained as required. Care Homes for Adults (18-65 years) Page 15 of 25 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. The Registered Manager has a complaints procedure in place with the correct details of the regulating body. The Registered Manager ensures they notify the CQC of all significant incidents in the home. However the Registered Manager must ensure they follow the guidance in relation to staff recruitment in the service to ensure service users are not placed at risk. Evidence: The Registered Manager has ensured they have notified the CQC of any significant events since the last inspection. The CQC received a copy of a Adult Protection alert this year and this was discussed with the Registered Manager on the day of the inspection, this has now concluded. The service has an up to date complaints procedure in place. Care Homes for Adults (18-65 years) Page 16 of 25 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. Service users live in a bright and clean home with an accessible garden. Evidence: Summer Wood has been totally refurnished and has accommodation over three floors, including communal areas on the ground floor. The communal area, which includes two lounges, are well furnished and equipped with leather sofas, and a large wall mounted LCD Televisions. The kitchen is well equipped and there is a separate dining room. The washing machine and tumble dryer is placed in a large walk in cupboard. There is also a locked medicine cupboard. Service users bedrooms are on the second floor with two separate bathrooms. The top floor is used for the office, sleep over room and staff room. There is also a third bathroom which will be for the use of service users. The bedrooms provide usable floor space all well extending the recommended 12sq m. All bedrooms have a single bed, wardrobe, chest of drawers, and easy chair. Each bedroom has a hand basin and there is a cloakroom on the ground floor. The property offers very comfortable accommodation for 3 residents. The property also has a secure back garden and front drive. The home was bright and clean on the day of the inspection. Information taken from the AQAA shows the Registered Manager has the required documents in place in Care Homes for Adults (18-65 years) Page 17 of 25 Evidence: relation to health and safety in the home. Care Homes for Adults (18-65 years) Page 18 of 25 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The Registered Manager is putting service users at risk by not following comprehensive recruitment procedures. Evidence: As part of the inspection the inspector looked at the recruitment files of two staff recruited into the service. It was evident that staff receive the appropriate training induction and supervision. However neither of the two recruitment files had a CRB which was in place prior to the commencement of employment in the home. A CRB had been requested after the staff had commenced employment and this one was available to view. Written references were also unavailable for these workers. This was discussed in detail with the Registered Manager at the time of the inspection, and she informed the inspector that the staff were known to her prior to employment in the home. These poor recruitment practises could place service users at risk and the Registered Manager must ensure she follows the correct comprehensive procedure with regard to recruitment in the future. Surveys which record the views of staff employed in the home were returned directly to the CQC comments taken from these included Its very organised, I was clearly told about the job role, needs and responsibilities and these is always someone to talk to about queries and problems. Care Homes for Adults (18-65 years) Page 19 of 25 Evidence: With regard to the answers supplied to the CQC in respect of the following questions, did your induction cover everything you needed to know to do the job, out of the four replies received all four stated very well and the rely for the question are there enough staff to meet the individual needs to all the people you support all four replies stated that there always was. Care Homes for Adults (18-65 years) Page 20 of 25 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 Registered Manager provides a good service for the residents at Summerwood. Residents are very much part of the home and it is run in their best interests. However the Registered Manager is putting service users at risk by her recruitment practises in the home. Evidence: As part of the inspection the inspector looked at the care that two service users received in the home. One service user was in on the day of the inspection but did not wish to spend any time with the inspector. The Registered Manager was available throughout the inspection and aided this process. Surveys were returned directly to the CQC and the comments from these are included in the report. As part of the case tracking and to enable the inspector to take a view as to the care people receive in the home, the inspector examined the person centred documents such as plans of care, risk assessments, and behavioural guidelines. Also evidenced were the external reviews from the adult placement team and pre admission documents. Other documents examined were copies of notifications, the complaints procedure, the Statement of Purpose, terms and conditions of contracts for the residents, and Care Homes for Adults (18-65 years) Page 21 of 25 Evidence: evidence of joint working with community agencies. The Registered Manager who is also the owner of the home has over twenty years experience in social care, during which time they have worked as support worker, and senior support officer. The Registered Manager has a Degree in Counselling (1980) and studied for a Doctorate in Psychology (1985) they have NVQ3 and have completed the mandatory training. The Registered Manager plans to undertake the new Duel Award Leadership & Management for care services award. Since the last inspection the Registered Manager has worked hard to address the requirements from the last inspection and has shown she is able to improve the service and follow the guidance and requirements set at the last inspection. Service Users benefit from comprehensive care plans which are person centred and informative as are risk assessments. A comprehensive package of community support and activities are available for the service users. Staff receive the appropriate training induction and supervision. However during the inspection the inspector looked at two recruitment files and neither had a CRB which was in place prior to the commencement of employment in the home. Written references were also unavailable for these workers. This was discussed in detail with the Registered Manager at the time of the inspection, and she informed the inspector that the staff were known to her prior to employment in the home. These poor recruitment practises could place service users at risk and the Registered Manager must ensure she follows the correct comprehensive procedure with regard to recruitment in the future. Information taken from the AQAA and confirmation by the Registered Manager highlighted that the required health and safety documentation is in place. Care Homes for Adults (18-65 years) Page 22 of 25 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 23 of 25 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 1 34 19 The Registered person shall 30/06/2010 not employ a person to work at the care home unless they have obtained in respect of that person the documents specified in Schedule 2 To ensure service users are protected by the homes recruitment procedures . 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 24 of 25 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 non-commercial 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 25 of 25 - 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. 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