Inspection on 30/11/06 for 1 Johnson Close

This inspection was carried out on 30th November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 21/09/05

1 Johnson Close 05/04/05

1 Johnson Close 30/11/04

1 Johnson Close 05/07/04

Similar services:

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Insight - Eastchurch

Southfields

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33 St John`s Church Road

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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 Key Unannounced Inspection 30th November 2006 09:00 1 Johnson Close DS0000021296.V320505.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 1 Johnson Close DS0000021296.V320505.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 1 Johnson Close DS0000021296.V320505.R01.S.doc Version 5.2 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.V320505.R01.S.doc Version 5.2 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. 21st September 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 communal 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). The current scales of fees range from £700 to £1036 per week. 1 Johnson Close DS0000021296.V320505.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulations 2001, uses the term ‘service user’ to describe those living in care home settings. For the purpose of this report, those living at 1 Johnson Close are referred to as ‘residents’. This report reflects a key inspection based on the collation of information received since the last inspection and an unannounced site visit conducted by an Inspector on the 30th November 2006 The site visit included a tour of the premises and an examination of various records including medication, care and staffing records. The Inspector met with the registered manager, staff members on duty and residents that were at home during this inspection visit. The residents were sent a ‘Have you say’ about 1 Johnson Close survey, and all four were returned, and from information gathered residents were very happy with the care they received. Also during this inspection visit three residents were interviewed, the forth resident was away on holiday with her family. One resident stated: “I love it here, so friendly”. What the service does well: 1 Johnson Close offers an excellent standard of accommodation, with one bedrooms offering en-suite facilities. The quality and quantity of the food is very good. The home was again found to do most everything well, and continues to make improvements between inspections. The home was found to provide good support and the manager and staff are committed to providing a good quality of care for residents. Staff spoke positively about the home, with and one staff member commented: “I’m still loving my job”. 1 Johnson Close is very good at keeping families and friends informed about the home. A family member contacted by the inspector stated that: “The home is excellent, have no complaints I’m very happy with the care given to xxxxx”. 1 Johnson Close DS0000021296.V320505.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. 1 Johnson Close DS0000021296.V320505.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 1 Johnson Close DS0000021296.V320505.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4, & 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The statement of purpose and service user guide clearly says what service will be offered. Prospective service users can be confident their needs will be assessed, and the home will meet their needs and aspirations. EVIDENCE: EVH has a robust organisational policy and procedures for the admittance of new residents to the service. All residents have written contracts and service users guides, who have been signed by them or a representative, and the contents of these documents have been fully explained to the individual resident. There have not been any new residents since the last inspection. During this inspection visit, the three residents present were interviewed collectively and individually and all confirmed they enjoy living at 1 Johnson Close. 1 Johnson Close DS0000021296.V320505.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 & 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The manager and staff demonstrate their knowledge of the individual residents, and are aware of the complex needs of the residents and encourage them to have an independent lifestyle as far as possible. EVIDENCE: The four residents have lived together at 1 Johnson Close for over a year, and seem, for most of the time, to get on well together. However, there have been incidents with the relationship between two of the residents, with one being unpleasant and verbally aggressive. The manager has summoned the support from the Community learning disability team (CLDT) and has informed the CSCI. The manager has a good understanding of why these situations arise and is trying strategies to resolve them and allow both parties to live in a good environment. The resident involved openly spoke to the inspector about her problems relating to the other resident, and she said the manager and staff were helping her to overcome this. 1 Johnson Close DS0000021296.V320505.R01.S.doc Version 5.2 Page 10 The recording staff undertake in the day-to-day file is very comprehensive, and ensure all the staff are fully aware at all times the needs of the residents. There is a small and very stable staff team, and the two staff the inspector met during this inspection visit were very committed and attentive to the residents. The staff supported the residents to prepare the evening meal, individually do their personal laundry and get ready to go out later in the evening. There was a good atmosphere in the home, and residents seemed very relaxed. 1 Johnson Close DS0000021296.V320505.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 & 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home’s links the local community are excellent and enrich residents’ lives socially and educationally. EVIDENCE: The residents have frequent contact with family and friends, and during this inspection a resident was away on holiday with her family. Also another resident has a boyfriend, he lives in her previous home, and the staff and 1 Johnson Close support her to keep in contact. One resident does not have any family, but the manager and staff ensure she has ‘special friends’ in the community, and they are welcome to the home. Also the resident has had a wish to visit Disneyland in the USA, and she went this summer with the manager. 1 Johnson Close DS0000021296.V320505.R01.S.doc Version 5.2 Page 12 The resident proudly showed the inspector her photographs and expressed the pleasure she gained from this holiday. Also what the inspector observed was the encouragement and support shown by the other residents toward her very exciting holiday. They encouraged her to show her photographs of her swimming with the dolphins. The four residents attend various activities in the community and one resident travels independently to and from her chosen day service. During this inspection visit the inspector was present whilst the residents and staff prepared the evening meal, all were involved and all sat at the table to eat the meal. They were discussing the day and making arrangements for the evening, as they were all going to the gateway club. One was travelling there independently, and other would be travelling with the staff, but all coming home together. 1 Johnson Close DS0000021296.V320505.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 20 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents receive personal support appropriate to their physical, emotional and healthcare needs. EVIDENCE: All four residents are registered with local GPs and when required have the services of other health professionals, including the support from the local Community Learning Disability Team (CLDT). Three of the residents have recently changed GP because the manager and staff were concerned that the previous GP did not give the women the time or respect. An example given to the inspector was that when an individual resident had an appointment they would go with staff support, but the GP would only talk to the staff member, not recognising the resident was quite aware of their symptoms and could express these to the doctor. 1 Johnson Close DS0000021296.V320505.R01.S.doc Version 5.2 Page 14 One of the residents at this time was registered with another local GP and service received from this surgery was very good, with the doctor and staff always very respectful towards the resident registered with the surgery. So following discussions with the residents and the GP the three residents transferred. The medication files and storage were inspected and found to be in order. All staff have had the relevant training and are all deemed to be competent in the administrating of medication to the residents. The manager believes in giving staff the experience of taking responsibility for areas of the home, including the ordering and maintenance of the medication. The staff member with this responsibility was on duty during this inspection visit. She was very knowledgeable about the home’s system and was enjoying this responsibility, she said it made the job more interesting and she had learnt a lot about the running of the home. As stated in the standards of Individual choices and needs the manager and staff are supporting residents to live together with respect, and when needed the support from other professional bodies are sort. There was evidence of correspondence between the home and the CLDT including Psychiatry and Psychology support for one resident and this support is continuing. 1 Johnson Close DS0000021296.V320505.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives’ complaints would be taken seriously and investigated. The staff have the knowledge and understanding to take the correct action to safeguard residents from abuse. EVIDENCE: The residents were interviewed and were asked if they were worried or concerns what would they do, they all answered they would talk to the manager or the other staff working in the home. Both the manager and the staff on duty during this inspection were very confident that they understood the issues of protected residents from all forms of abuse. The manager at each staff meeting will highlight an area for the staff to discuss and revise, and the protection of vulnerable adults have been raised. The revision is undertaken in the form of answer and question with elements of role-play. The manager explained to the inspector she feels role-play gives the staff an empathy and insight into the lives of the residents. 1 Johnson Close DS0000021296.V320505.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,28 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The overall standard of the environment including the décor and furnishing are very good and provide a homely and attractive place for residents to live. EVIDENCE: The Inspector toured communal parts of the home such as the kitchen and dinning area, utility room, lounge, bathrooms and bedrooms. The inspector was invited to visit the three residents’ bedrooms .The rooms were found to be comfortable and very individually decorated and furnished reflecting the residents’ hobbies and interest. As stated previous in this report the manager has delegated certain responsibilities to the staff, and one such area is the health and safety of the home. Fortunately the staff member on the duty holds this responsibility and part of this role involves the reviewing the general maintenance of the home. 1 Johnson Close DS0000021296.V320505.R01.S.doc Version 5.2 Page 17 During the tour the home the inspector found the home to be in good order, except that in the bathroom there was mould found on the grouting around the bath. This had been identified by the staff member and by the EVH Health and Safety officer. The home had proactively purchased a steam cleaner and had booked the weekend following this inspection to steam clean the bathroom. Since the last inspector the home has had decking laid in the back garden, and the area now can be used in summer and winter. 1 Johnson Close DS0000021296.V320505.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,34,35 & 36 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The staff working in 1 Johnson Close are trained, skilled, in line with their terms and conditions, and to support the smooth running of the service. There is a small and stable staff team, which is managed by an enthusiastic and devoted manager. EVIDENCE: 1 Johnson Close has a very stable staff team and all recruitment is carried out in accordance with the robust EVH policy and procedures, which includes on staff having POVA and CRB clearance before they can work in the home. The newest member of the team was on duty during this inspection visit, and she was interviewed and her recruitment documentation was inspected, and was found to be in order. The staff member told the inspector that she was enjoying her work, this was her first job in the field of care, but the induction and support she had received from the EVH organisation and the staff team within the home was excellent. 1 Johnson Close DS0000021296.V320505.R01.S.doc Version 5.2 Page 19 She was completing the Learning disability framework award (Ldfa) training, which is the introductory training into working with people with a learning disability; she was also planning to undertaken NVQ qualifications. The second staff interviewed during this inspection visit is working towards completing her NVQ2, she praised the manager for all her support and concluded that: “I’m still loving my job”. The staff were observed working with and supporting the residents in their evening tasks, the support and language used was relevant and appropriate. The manager undertakes regular supervisions with the staff, which are planned and recorded. The home has regular staff meeting which are also planned and recorded, and from the records are well attended. In the office there is a staff notice board, which includes dates of meetings, courses available and other relevant information to keep staff up to date and informed. 1 Johnson Close DS0000021296.V320505.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,40,41,42 &43 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. 1 Johnson Close is openly and exceptionally well managed in the best interests of residents who are fully involved in the running of the home. The home benefits from a well-motivated manager, who is supported by motivated Proprietors and enthusiastic staff team. A safe environment is maintained for residents with them protected from harm by well-trained staff. 1 Johnson Close DS0000021296.V320505.R01.S.doc Version 5.2 Page 21 EVIDENCE: The registered manager of 1 Johnson Close is well motivated and is very qualified and she is also studying for a degree in Health and Social Care through the Open University (OU). This inspection visit was undertaken in two parts, with the inspectors meeting with the manager on the morning of the 30th November 2006, and returned in the evening of the same day to meet the residents and staff. The home was found during the evening inspection visit to running well in the manager’s absence by a competent, qualified and motivated staff team. Supervision of staff is now undertaken regularly, and the inspector saw supervision records, they are planned and minutes taken. Records showed that all aspects of health and safety were being met this included looking at appliance safety certificates, staff training, and accident records. All staff receive regular mandatetory training and training that has taken place since the last inspection as been in Moving and Handling training, fire safety, food hygiene and Medication administration. A nominated staff member of the home, and also by the EVH organisation’s Health and Safety Officer carries out health and safely checks. The inspector saw documentation of the checks and audits. The senior management team (SMT) of the EVH organisation also undertake monthly visits to the home as part of the Care Home Regulation (26), which requires a responsible person of the organisation to inspect the home, and write a report on the conduct of the home. All accidents and significant incidents are promptly reported to the CSCI. 1 Johnson Close DS0000021296.V320505.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 4 5 4 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 4 29 X 30 3 STAFFING Standard No Score 31 4 32 4 33 4 34 4 35 3 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 4 X 4 4 4 3 4 4 3 1 Johnson Close DS0000021296.V320505.R01.S.doc Version 5.2 Page 23 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.V320505.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 1 Johnson Close DS0000021296.V320505.R01.S.doc Version 5.2 Page 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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