Inspection on 10/05/05 for 10 Harison Road

This inspection was carried out on 10th May 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

10 Harison Road 25/05/07

10 Harison Road 19/10/05

10 Harison Road 16/11/04

10 Harison Road 01/06/04

10 Harison Road 08/12/03

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 10 Harison Road 10 Harison Road Seaford East Sussex BN25 3PN Lead Inspector Jon Wheeler Unannounced 10 May 2005 2:30 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. 10 Harison Road H59 H10 S20990 10 Harison Road V218058 100505 stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service 10 Harison Road Address 10 Harison Road Seaford East Sussex BN25 3PN 01323 490511 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) Southdown Housing Association Limited Mrs Susan Gales Care Home 5 Category(ies) of Learning Disability (LD) 5 registration, with number of places 10 Harison Road H59 H10 S20990 10 Harison Road V218058 100505 stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1 The maximum number of service users to be accommodated is five (5). 2 Service users must be aged bewteen eighteen (18) and sixty-five (65) years on admission. 3 Only adults with a learning disability are to be accommodated. Date of last inspection 16 November 2004 Brief Description of the Service: 10 Harison Road is a Southdown Housing Association service, providing residential care to five service users who have learning disabilities. The home is located in a quiet residential area approximately ¾ mile from Seaford town centre, with local amenities, including main bus and rail connections. The house is a large detached property with five single bedrooms providing service user accommodation on two floors. There is a spacious kitchen, dining room and large lounge, with an additional small lounge providing a quiet area, which was converted from the integral garage. There is a pleasant and well-maintained garden to the rear. 10 Harison Road H59 H10 S20990 10 Harison Road V218058 100505 stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection started about 3.00pm and lasted for two and a half hours. The inspection involved talking to the five service users and two staff. Evidence from the inspection was also based on observation of staff working with service users; reading service users daily diaries, care plans, policies and records and looking at the storage, administration and recording of medication. The inspection evidenced that the home continues to provide good quality care to the five service users, who are supported by a skilled and dedicated staff team to lead fulfilling lives. What the service does well: What has improved since the last inspection? There was a documented change in the care plan and support to meet the specific needs of one service user. This was as a result of the staff identifying that the home needed to change its approach to more effectively meet the needs of the service users. This was part of the on-going monitoring by the home to ensure it continues to provide a good quality service. 10 Harison Road H59 H10 S20990 10 Harison Road V218058 100505 stage 4.doc Version 1.20 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 10 Harison Road H59 H10 S20990 10 Harison Road V218058 100505 stage 4.doc Version 1.20 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 10 Harison Road H59 H10 S20990 10 Harison Road V218058 100505 stage 4.doc Version 1.20 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) 1, 2, 3. The home has a comprehensive statement of purpose and an effective pictorial service user guide. A knowledgeable and skilled staff team are able to meet the needs of the service users. EVIDENCE: The statement of purpose was available for inspection and included all the required information in a clear and accessible manner. The home had a pictorial service users guide, which clearly represented the services provided. Conversations with service users and staff alongside reading care plans and documents demonstrated that the home is aware of the needs of the service users and is able to meet those needs. Service users said they were well looked after and enjoyed living in the home. Staff spoken with were able to describe in detail the individual needs, preferences and support provided for each of the service users. 10 Harison Road H59 H10 S20990 10 Harison Road V218058 100505 stage 4.doc Version 1.20 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, 7, 8, 9. Care plans clearly reflected the individual needs of the service users. Service users are supported to make decisions in all aspects of their lives and are consulted and involved in the daily life of the home. Service users are encouraged and supported to take acceptable risks in their activities. EVIDENCE: Care plans clearly illustrated the needs of individual service users and how staff should work to meet those needs. The care plans included comprehensive information about service user’s backgrounds, likes and dislikes, communication methods, preferred activities and families and friends. Whilst all the care plans viewed included detailed support guidelines for staff, of note were the recently updated guidelines to enable staff to meet the specific and changing needs of one of the service users. Staff reported that the new guidelines were clear and had enabled them to support the service users more effectively. There was documentary evidence that care plans had regularly been reviewed and updated as necessary. Service users spoken with during the inspection said that they were supported to make decisions in all aspects of their lives including what to eat, what 10 Harison Road H59 H10 S20990 10 Harison Road V218058 100505 stage 4.doc Version 1.20 Page 10 activities they liked to do and where possible, which staff they would like to support them for specific activities. There was documentary evidence in a service user’s daily diary that he attended weekly tenants meetings, where issues affecting the home and the service users were discussed. Two of the service users spoken with said they felt able to raise any concerns they had about the home and could decide what they did in the evenings and at weekends when they were not at work, a day centre or at college. There was documentary evidence that the care plans contained comprehensive and up to date risk assessments and risk management guidelines. These were in relation to a wide range of issues and activities both within the home and in the community. 10 Harison Road H59 H10 S20990 10 Harison Road V218058 100505 stage 4.doc Version 1.20 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, 16, 17. Service users take part in a wide range of activities to ensure their personal development. Their rights are promoted and respected by the staff. Service users have a healthy and varied diet. EVIDENCE: Service users are supported to access a wide range of activities that meet their individuals needs and preferences. Three of the service users showed their daily diaries that keep a pictorial record of the activities they do on a daily basis. Activities undertaken include college courses, swimming, going on walks, going to the gym, work, going to church, leisure clubs, going to cafes and pubs and trips out. Of particular note is the consistent use of photographs and pictures to enable service users to make informed choices and to illustrate what activities they have done. Staff were observed treating service users with dignity and respect. Care plans indicated the individual service user’s chosen form of address. Service users said they were encouraged to make choices in all aspects of their lives. 10 Harison Road H59 H10 S20990 10 Harison Road V218058 100505 stage 4.doc Version 1.20 Page 12 There was documentary evidence of a varied and healthy diet. Service users said they were able to choose what to eat. The meal being prepared during the inspection was appealing and nutritious. 10 Harison Road H59 H10 S20990 10 Harison Road V218058 100505 stage 4.doc Version 1.20 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) 18, 19, 20. Personal support is offered in a dignified and sensitive way to meet the needs and preferences of the service users. The health needs of service users are met by a variety of health services. Medication is stored securely. Systems are in place to address the storage, administration and recording of medication but need to be followed at all times to ensure the protection of service users. EVIDENCE: Service users said that staff support them in a way they choose and that is sensitive to their needs. Staff were observed providing care in line with the care plans and guidelines. There was documentary evidence of the staff enabling service users to access a range of health services to meet their needs, including psychologists, dentists, health screening and generic health services. One service user said he had enjoyed talking to one of the health professionals who provides him with support. Medication is stored securely and all staff had completed a medication administration course. Whilst medication was generally administered appropriately, one medication had been signed and witnessed as dispensed, but was still in the blister pack. It was a requirement from the previous inspection that medication is dispensed in line with policy. However, it is 10 Harison Road H59 H10 S20990 10 Harison Road V218058 100505 stage 4.doc Version 1.20 Page 14 recognised that staff on the next shift had picked up the medication error. The error had been reported, recorded and investigated appropriately and in line with the policy of the home. The manager confirmed that the error would be addressed in staff supervision. 10 Harison Road H59 H10 S20990 10 Harison Road V218058 100505 stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22, 23. Service users are able to raise concerns. There are policies procedures to ensure the protection of service users from abuse or harm. EVIDENCE: The complaints book was available and no complaints had been made to the home. The service users said they knew who to talk to if they had any complaints or concerns, although all said they were happy in the home. All staff receive training about adult protection as part of their induction. There is an adult protection policy in the home. Staff spoken with said that adult protection issues are discussed during team meetings. 10 Harison Road H59 H10 S20990 10 Harison Road V218058 100505 stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 26, 27, 28, 29, 30. The home offers a friendly and relaxed environment that is kept in good decorative order and offers sufficient communal space. There are sufficient bathroom and toilet facilities that meet the needs of the service users. The home is kept clean and tidy. EVIDENCE: The home offers a homely, relaxed and well-maintained environment. There is a large kitchen, dining room and a large lounge, in addition to a smaller lounge, converted form the garage to provide a quiet area. There are two bathrooms that provide sufficient toilet and bathroom facilities to meet the needs of the service users. Service users said that they were able to decorate their rooms as they wished and that they were able to have their own pictures, ornaments and possessions as they chose. Bedrooms were homely, comfortable and met the needs of the individual service users. Major adaptations are not currently required by any of the service users. The home was clean and tidy at the time of the unannounced inspection. 10 Harison Road H59 H10 S20990 10 Harison Road V218058 100505 stage 4.doc Version 1.20 Page 17 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) 31, 32, 33, 35, 36. A skilled and knowledgeable staff team are clear about their roles and responsibilities. They are well supported and trained to ensure they carry out their jobs professionally and effectively to meet the needs of the service users. EVIDENCE: Staff spoken with were able to describe in detail their roles and responsibilities and those of their colleagues. Staff were observed working with service users with skill and sensitivity. Of note was the clarity with which staff were able to describe and demonstrate new support guidelines to meet the specific needs of a service user. Staff demonstrated a clear understanding and knowledge of the specific support guidelines for all the service users. Service users spoken with said that the staff were very good and helped them to access a wide range of activities and have their needs met. There was documentary evidence of sufficient staff on each shift to ensure the needs of the service users could be met. Staff confirmed that they attend regular team meetings where issues affecting the home are discussed. There was documentary evidence to indicate that the staff team had worked hard to accurately assess and address the specific and changing needs of one 10 Harison Road H59 H10 S20990 10 Harison Road V218058 100505 stage 4.doc Version 1.20 Page 18 service user. In evidence were new guidelines for staff that were being effectively followed and had produced good results and outcomes for the service users and staff. Staff said that they received regular supervision and were well supported by the manager, staff team and the area manager from the organisation. Details from staff, regular reviews and recordings and confirmation from service users indicated that there is a consistency of approach from the staff team to ensure they are able to meet the needs of the service users. 10 Harison Road H59 H10 S20990 10 Harison Road V218058 100505 stage 4.doc Version 1.20 Page 19 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) 38, 40, 42. The home has a clear sense of values and ethos to promote the rights and quality of life of the service users, which are supported by clear policies and procedures. There is a clear sense of direction and leadership from the manager within the home and from the organisation. The home has systems and policies in place to address the health and safety of service users and staff. EVIDENCE: There was considerable evidence from talking to service users, staff and reading care plan and policies that Southdown Housing Association and the home have a clear sense of values to promote the rights and choices of the service users. Staff were clear about their roles within the staff team and described the management direction of the home as being supportive, clear and consistent. Service users said they were clear about the care they received and that staff were there to help them in the home and to do activities in the community. 10 Harison Road H59 H10 S20990 10 Harison Road V218058 100505 stage 4.doc Version 1.20 Page 20 Staff were able to describe in detail a selection of policies and procedures. There was documentary evidence of a selection of policies being updated on a regular basis. There was documentary evidence of a range of regular health and safety checks including water and legionella; electrical application and fire safety equipment checks. 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 3 x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Harison Road Score 3 3 3 3 Standard No 24 25 26 27 28 29 30 Score 3 3 3 3 3 3 3 Version 1.20 Page 21 H59 H10 S20990 10 Harison Road V218058 100505 stage 4.doc 10 LIFESTYLES x Score STAFFING Standard No 11 12 13 14 15 16 17 4 3 3 3 x 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score x 3 x 3 x 3 x 10 Harison Road H59 H10 S20990 10 Harison Road V218058 100505 stage 4.doc Version 1.20 Page 22 yes 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 20 Regulation 13 (2) Requirement All medication is correctly dispensed in line with the homes policies and procedures. Timescale for action 10.5.05 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. Refer to Standard Good Practice Recommendations 10 Harison Road H59 H10 S20990 10 Harison Road V218058 100505 stage 4.doc Version 1.20 Page 23 Commission for Social Care Inspection 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. Extracts may not be used or reproduced without the express permission of CSCI 10 Harison Road H59 H10 S20990 10 Harison Road V218058 100505 stage 4.doc Version 1.20 Page 24 - 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!