Inspection on 16/07/05 for 1 Sheepfold Avenue

This inspection was carried out on 16th July 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 Sheepfold Avenue 27/06/08

1 Sheepfold Avenue 23/08/06

1 Sheepfold Avenue 13/12/05

1 Sheepfold Avenue 07/02/05

1 Sheepfold Avenue 24/08/04

1 Sheepfold Avenue 28/01/03

Similar services:

Lyncol House

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 1 Sheepfold Avenue Rustington Littlehampton West Sussex BN16 3SQ Lead Inspector Mrs J Aston Unannounced 16th July 2005:10:00, V230114 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 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 Stationary 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 Sheepfold Avenue H60-H11 S14264 1 Sheepfold Avenue V230114 190705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 1 Sheepfold Avenue Address Rustington, Littlehampton, West Sussex, BN16 3SQ Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01903 785753 H4MO42Mellor@Mencap.org.uk Royal Mencap Society Ms Josi Mellor Care home only 5 Category(ies) of LD-Learning disability-5 places registration, with number of places 1 Sheepfold Avenue H60-H11 S14264 1 Sheepfold Avenue V230114 190705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Only persons aged between 18 and 65 years may be accommodated. Date of last inspection 7 February 2005 Brief Description of the Service: 1 Sheepfold Ave is a care home registered to provide personal care support (PC) and accommodate up to five service users with a learning disability (LD) between the ages of eighteen and sixty-five. It is a detached property located within a short distance from Angmering and Rustington.The property provides accommodation consisting of all single rooms, lounge, dining room, sensory room and easy access to the garden at the rear of the property.The service provides personal care assistance to service users who have a profound learning disability and physical disability. Support and assistance is also provided to enable service users to access facilities and activities at home and in the community to ensure they lead an active lifestyle.The Royal Mencap Society owns the service. The Responsible Individual operating on behalf of the organisation is Ms Janine Tregelles. The Registered Manager responsible for the day-to-day running of the home is Ms Josi Mellor. 1 Sheepfold Avenue H60-H11 S14264 1 Sheepfold Avenue V230114 190705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and undertaken on Saturday the 16th July 2005 over two hours from 9.15am to 11.40am. The inspection was undertaken on a Saturday to make an observation of the service at a weekend. The inspection was brief and concentrated on the staffing levels at weekends and the lifestyle and activities available for residents. All residents were present in the home at the start of the inspection. One resident went home for the day. The Inspector was unable to speak with all residents to obtain their views of the home due to their level of disability and communication difficulties. However observations were made of the interaction between members of staff and residents. Four relatives were spoken with one at the time of the inspection and three were contacted by telephone after the inspection. Two members of staff were spoken with during the inspection. Two comment cards had been received prior to the inspection. The Inspector examined residents care plans and looked around the home. A visit was also made to the home on Monday 18th July to provide feedback to the Manager about the inspection. What the service does well: The service provides a good standard of care and support to residents. The residents’ lifestyle varies from having a range of individual activities during the week to a more relaxed approach at weekends. The staff team work hard to make sure that a resident’s needs are met and that they have a choice about how they spend their time. They plan and organise the time they spend with residents well. The property provides a comfortable and homely environment. Individual care plans provide good and clear information about each resident. Relatives spoken with all said they were very satisfied with the service Sheepfold Ave provides. 1 Sheepfold Avenue H60-H11 S14264 1 Sheepfold Avenue V230114 190705 Stage 4.doc Version 1.30 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. 1 Sheepfold Avenue H60-H11 S14264 1 Sheepfold Avenue V230114 190705 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection 1 Sheepfold Avenue H60-H11 S14264 1 Sheepfold Avenue V230114 190705 Stage 4.doc Version 1.30 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 standard(s) None The Standards in this section were not assessed at this inspection. EVIDENCE: 1 Sheepfold Avenue H60-H11 S14264 1 Sheepfold Avenue V230114 190705 Stage 4.doc Version 1.30 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 standard(s) 6,9. Individual care plans provide clear information about each resident however providing additional information could enhance these. Choices made by residents and activities undertaken by them are supported in a way that considers and lessens any potential risk. EVIDENCE: The care plans for all residents were looked at. They provide good information about the complex needs of each resident. However it is recommended that: More detailed information is provided about how members of staff should assist with moving or transferring a resident. This is to ensure that clear guidelines are in place to ensure safe working practices for members of staff and those residents are protected from harm. To ensure that the staff team have clear aims and objectives about the support to be provided residents should be assisted to identify personal goals and these are recorded as part of the care plan. 1 Sheepfold Avenue H60-H11 S14264 1 Sheepfold Avenue V230114 190705 Stage 4.doc Version 1.30 Page 10 It was evident that risks to residents are considered before they participate in an activity and the action to be followed to lessen the risk is recorded on a risk assessment. Risk assessments are reviewed regularly. 1 Sheepfold Avenue H60-H11 S14264 1 Sheepfold Avenue V230114 190705 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,13,14,15,17. Opportunities and activities for residents are well managed and provide a variety of stimulation and interest for residents living in the home. Residents are supported to maintain contact with family and friends. Residents are supported to follow a healthy diet and have a choice about the food they eat. EVIDENCE: Residents’ records clearly demonstrate that the home support and provide a range of individual activities for each resident. Residents have several planned sessions at local day care facilities where a variety of activities are offered. The home had also arranged activities within the home i.e. aromatherapy and reflexology. A day centre manager confirmed that they have developed good working relationships with the Manager and staff team. On the day of the inspection it was observed that members of staff had planned and organised the time they spent with residents well. This ensured that residents not only received the support they required but were included in shopping for the home, going out for a walk and going to a local fete. 1 Sheepfold Avenue H60-H11 S14264 1 Sheepfold Avenue V230114 190705 Stage 4.doc Version 1.30 Page 12 The staff team work in a way that helps residents to make choices about everyday things in their lives but also in a way that may enhance their quality of life. The home continues to maintain good links and relationships with relatives. One resident had gone home for the day. All relatives spoken with confirmed that they are made welcome in the home and are consulted and kept informed. Relatives said, “There are plenty of activities,” “they take him out a lot which is good.” On arrival at the home three residents were being supported to eat their breakfast in the garden as the weather was so good. The Inspector noted that the meals being provided were appropriate and the menus offered variety. A record is kept of the food and drink consumed by each resident and their weight. 1 Sheepfold Avenue H60-H11 S14264 1 Sheepfold Avenue V230114 190705 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None The Standards in this section were not assessed at this inspection. EVIDENCE: 1 Sheepfold Avenue H60-H11 S14264 1 Sheepfold Avenue V230114 190705 Stage 4.doc Version 1.30 Page 14 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 standard(s) None The Standards in this section were not assessed at this inspection. EVIDENCE: 1 Sheepfold Avenue H60-H11 S14264 1 Sheepfold Avenue V230114 190705 Stage 4.doc Version 1.30 Page 15 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 standard(s) 24,25,26,27,28,29,30. 1 Sheepfold Ave provides residents with an attractive comfortable home that is safe and well maintained. Residents’ rooms are individually decorated and provide a comfortable space for each resident. Sufficient toilets and bathrooms are provided. The communal space is comfortable and provides different areas of stimulation. EVIDENCE: The home was well maintained and decorated and clean. The garden looked reasonably well maintained and is accessible and safe for residents. Residents’ rooms are decorated in a bright and comfortable way with residents’ belongings personalising each room. A relative said, “her room is really nice, always decorated well and it is how she likes it.” The communal space consists of a lounge/dining room, sensory room and a second lounge on the first floor. 1 Sheepfold Avenue H60-H11 S14264 1 Sheepfold Avenue V230114 190705 Stage 4.doc Version 1.30 Page 16 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32,33. Residents are supported by competent members of staff and an effective staff team. EVIDENCE: At the time of the inspection there were an appropriate number of staff in the home. The rota for the weekend also confirmed that appropriate levels of staffing were on duty. The members of staff on duty during the inspection clearly knew the residents well and were confident in how to support them. The faces of two of the residents lit up when being supported by those members of staff. The atmosphere in the home was very relaxed but organised and residents appeared calm and contented. Relatives said, “she is really happy there,” “couldn’t be better looked after,” “very good relationships with staff,” “staff are first class,” 1 Sheepfold Avenue H60-H11 S14264 1 Sheepfold Avenue V230114 190705 Stage 4.doc Version 1.30 Page 17 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39. Views on the quality of the service provided had been obtained by the home as part of the self-monitoring system. EVIDENCE: An exercise had been undertaken by the Registered Manager to obtain feedback about the service provided. Residents, relatives and other professionals had been consulted. A report of the findings is available and has been submitted to the Commission. The Inspector was made aware that Sheepfold Ave had received a satisfactory internal service review report. 1 Sheepfold Avenue H60-H11 S14264 1 Sheepfold Avenue V230114 190705 Stage 4.doc Version 1.30 Page 18 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 x x x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 x 3 Standard No 31 32 33 34 35 36 Score x 3 3 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 1 Sheepfold Avenue Score x x x x Standard No 37 38 39 40 41 42 43 Score x x 3 x x x x H60-H11 S14264 1 Sheepfold Avenue V230114 190705 Stage 4.doc Version 1.30 Page 19 No Are there any outstanding requirements from the last inspection? 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. 1. 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. 1. 2. Refer to Standard 6 6 Good Practice Recommendations More detailed information to be provided about how members of staff should assist with moving or transferring a resident. Residents should be assisted to identify personal goals and these are recorded as part of the care plan. 1 Sheepfold Avenue H60-H11 S14264 1 Sheepfold Avenue V230114 190705 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection 2nd Floor, Ridgeworth House Liverpool Gardens Worthing, West Sussex BN11 1RY 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. Extracts may not be used or reproduced without the express permission of CSCI 1 Sheepfold Avenue H60-H11 S14264 1 Sheepfold Avenue V230114 190705 Stage 4.doc Version 1.30 Page 21 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!