Inspection on 21/09/05 for 1 Johnson Close

This inspection was carried out on 21st September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

1 Johnson Close 30/11/06

1 Johnson Close 05/04/05

1 Johnson Close 30/11/04

1 Johnson Close 05/07/04

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Southfields

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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 1 Johnson Close Battle Road St Leonards-on-sea East Sussex TN37 7BG Lead Inspector Jeanette Denereaz Unannounced Inspection 21st September 2005 04:00 1 Johnson Close DS0000021296.V251008.R01.S.doc Version 5.0 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 1 Johnson Close DS0000021296.V251008.R01.S.doc Version 5.0 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. 1 Johnson Close DS0000021296.V251008.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 1 Johnson Close Address Battle Road St Leonards-on-sea East Sussex TN37 7BG 01424 853339 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) East View Housing Management Ltd Sandie Ann Cox-Standen Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 1 Johnson Close DS0000021296.V251008.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of residents to be accommodated will be (four) The people accommodated will be aged over eighteen (18) and under sixty-five (65) years on admission. 5th April 2005 Date of last inspection Brief Description of the Service: 1 Johnson Close is a 4-bedroom detached house situated in a quiet residential Close. The home is registered for 4 younger adults with learning disabilities, and at present all residents are female in their forties. The home is a spacious residence, offering a large lounge, a further commual room and a large kitchen dining room. The office is in a separate room by the front door. There is a separate utility room with domestic style washing machine and tumble dryer. All residents have their own bedrooms. The house has a good front and back garden. There are no immediate local amenities within walking distance, however, Johnson Close is situated off the main Battle Road that has bus routes to the locals towns of Battle and Hastings. The home is part of East View Housing Management Limited (EVH). 1 Johnson Close DS0000021296.V251008.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, the second in the year running from April 1st 2005 to March 31st 2006. The inspection took place between 16.00 and 18.00. The overall focus of the inspection was on meeting with the manager and reviewing the progress of the requirements from the previous inspection, a full tour of the home. Time was spent meeting the manager, inspecting a number of records, policies, procedures and other documentation. All resident were spoken to and three showed the inspector around the home including their bedrooms. As this report was made following the second unannounced visit, and does not cover all the standards, therefore for the reader to make a judgment about the home, it is recommended that a copy of the last inspection report of the 5th April 2005 also be obtained to have a clearer picture of the home. What the service does well: What has improved since the last inspection? Since the last inspection the offensive odour has now been dealt with. The manager has risked assessed the home’s procedures for the safe transporting soiled articles of clothing through the kitchen area. Fire doors have been fitted to the residents’ bedrooms Staffing levels were reviewed and found to be adequate, now the newest resident has now settled and her health issue have improved. 1 Johnson Close DS0000021296.V251008.R01.S.doc Version 5.0 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 1 Johnson Close DS0000021296.V251008.R01.S.doc Version 5.0 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 1 Johnson Close DS0000021296.V251008.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1&5 Residents are given all the information they need to be able to make an informed decision to live at 1 Johnson Close. EVIDENCE: There have not been any new residents to the home since the last inspection. However, the home has a comprehensive policy and procedures in place for prospective residents. The home is part of the East View Housing Organisation and has detailed policies and procedures in place for prospective residents. All residents living the home have copies of their contracts statement of purpose and Service Users’ guides. 1 Johnson Close DS0000021296.V251008.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 8 & 10 The residents’ care and support are well managed enhancing their independence and overall quality of life. EVIDENCE: Residents told the inspector that the staff knew their needs well as was seen during this inspection and at previous inspections. Whilst care plans were not inspected on this visit, previous experience indicates that the standard and depth of recording is very good and conducted in a confidential matter. 1 Johnson Close DS0000021296.V251008.R01.S.doc Version 5.0 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11 The residents have every opportunity to live a fulfilled, responsible, value and socially active life. EVIDENCE: The service is excellent in promoting the development of educational, personal, social and emotional skills. The residents made many references indicating how the staff support them in all aspects of their lives. They all have various interests and they are encouraged and supported to explore them. 1 Johnson Close DS0000021296.V251008.R01.S.doc Version 5.0 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 The residents’ health and care needs continue to be well managed and take into account their individual preferences and needs. EVIDENCE: The residents feel that they are treated as individual and that this is respected in the care given and support. One resident spoke of her recent hospital stay and how the staff especially the manager had supported her. She said she had been very scared, but the manager was always there for her. This was confirmed by the detailed reports sent to the CSCI. She is now well on the road to a full recovery and taking part in all the home’s activities. 1 Johnson Close DS0000021296.V251008.R01.S.doc Version 5.0 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were inspected at the last inspection on the 5th April 2005 and were fully met. There have been no verbal or recorded complaints in the home since the last inspection. EVIDENCE: 1 Johnson Close DS0000021296.V251008.R01.S.doc Version 5.0 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 & 30 The residents enjoy living at 1 Johnson Close; it is spacious, safe, nicely decorated, well maintained and free from offensive odours. EVIDENCE: The Inspector toured the home and viewed all the bedrooms, bathrooms and communal areas, and found the fixtures and fittings were found to be of a high standard, modern and in keeping with the environment. The home has an attractive back garden and surrounding side gardens in which the staff and residents undertake the gardening. The staff and residents are responsible for the cleanliness of the home and are of a high standard and was found to be clean and hygienic during this inspection. 1 Johnson Close DS0000021296.V251008.R01.S.doc Version 5.0 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 & 35 The residents quality of life is enhanced by the support and expertise of the staff employed. EVIDENCE: The residents all spoke very highly of the manager and the staff team. The organisation EVH has a robust recruitment policy and all staff undertake induction and mandatory training. Since the last inspection one member of staff has completed the Learning disability framework award (Ldfa) and three staff applied to undertake NVQs but unfortunately only one got a place for this year. However, the staff member on duty during this inspection said that the manager is very proactive and at staff meeting the team undertake refresher training. She enjoys working in the home, and feels confident in her role. Staffing levels especially with regards to waking night staff, which was raised, as an issue at the last inspection, now is not a concern as the resident has settled in, and since her recent surgery her health needs have improved, and therefore the need for extra staff input has lessened. 1 Johnson Close DS0000021296.V251008.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 40,41 & 43 Residents consider that the way the home is managed and run makes it an enjoyable place for them to live. Residents are sage in the home, being very well managed and maintained. EVIDENCE: Since the last inspection, Fire doors have now been fitted to the residents’ bedrooms. As the home is part of the EVH organisation the information regarding the financial accountability of the service would be held at the EVH Head Office. However, the manager has responsibility for the household budget and records buying and spending appropriately, and EVH audits these accounts regularly. The Inspector had a meeting with the Senior Management Team on the 13th June 2005 and reviewed the past year and discussed future planning. 1 Johnson Close DS0000021296.V251008.R01.S.doc Version 5.0 Page 16 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 x x x 3 Standard No 22 23 Score x x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score x x 3 x 3 Standard No 24 25 26 27 28 29 30 STAFFING Score x x x 3 x x 3 LIFESTYLES Standard No Score 11 3 12 x 13 x 14 x 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score x 3 x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 1 Johnson Close Score 3 x x x Standard No 37 38 39 40 41 42 43 Score x x x 3 3 x 3 DS0000021296.V251008.R01.S.doc Version 5.0 Page 17 Are there any outstanding requirements from the last inspection? No 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 1 Johnson Close DS0000021296.V251008.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT National Enquiry Line: 0845 015 0120 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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