Inspection on 19/10/05 for 10 Harison Road

This inspection was carried out on 19th October 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 no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

10 Harison Road 25/05/07

10 Harison Road 10/05/05

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 Announced Inspection 19th October 2005 2:00 10 Harison Road DS0000020990.V249440.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 10 Harison Road DS0000020990.V249440.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. 10 Harison Road DS0000020990.V249440.R01.S.doc Version 5.0 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 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) Southdown Housing Association Limited Mrs Susan Gales Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 10 Harison Road DS0000020990.V249440.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users to be accommodated is five (5). Service users must be aged between eighteen (18) and sixty five (65) years on admission. Only adults with a learning disability are to be accommodated. Date of last inspection 10th May 2005 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 wellmaintained garden at the back of the property. Service users are supported to access a range of vocational, educational and leisure activities. 10 Harison Road DS0000020990.V249440.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The announced inspection started at 2.00pm and lasted for just over three hours. The inspection involved talking to four of the five service users, the manager and one of the deputies and three members of staff. During the inspection, two relatives of a service user were present and written feedback was gained from one other relative. The process also included observing staff working with service users; reading care plans, daily diaries, policies and records; checking the administration and recording of medication. There was considerable evidence that the home continues to provide a good quality service to meet the various and at times complex needs of the service users in a sensitive, dignified and professional way. What the service does well: What has improved since the last inspection? The service has reviewed its process of administering medication, to ensure a robust system for administration and recording. The service has reviewed the way it supports the complex needs of one specific service user. The staff have been successful in changing its approach to provide more focused support. 10 Harison Road DS0000020990.V249440.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. 10 Harison Road DS0000020990.V249440.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 10 Harison Road DS0000020990.V249440.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): 2, 4. The service has a comprehensive pre-admissions policy and process, which enables the service to identify the needs of prospective service users and for the service users to visit the home prior to moving in. EVIDENCE: Whilst no new service users had moved in to the home for a number of years, the manager was able to describe in detail the policy and procedure for assessing prospective new service users. The policy clearly states that all prospective service users should be given the opportunity to visit the home on several occasions prior to choosing to move in. The manager said that initial visits would include the prospective service user meeting the people already living in the home, meeting the staff and perhaps staying for a meal. It was stated that prospective service users could be offered the chance to stay overnight, if they wished and if it met their needs, prior to making a decision to move in. 10 Harison Road DS0000020990.V249440.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): 6, 7, 9. Service users’ needs and their required support are clearly documented in their care plans. Service users are consulted about all aspects of the home and are supported to make decisions in all aspects of their lives. Clearly assessed and managed risks enable service users to undertake a wide range of activities. EVIDENCE: Individual care plans contained comprehensive information about the service user. The plans had clearly assessed needs, background information and goals. There were clearly stated support guidelines to enable staff to meet the needs of each service user. The plans also contained information about service users’ likes and dislikes, family and friends, communication, daily routines and activities. There was documentary evidence that the care plans had been regularly reviewed and updated as necessary, to reflect any changes in need. Of note was evidence that one care plan had been reviewed and updated to reflect the changes in approach by staff to work more effectively with one particular service user. The care plans clearly reflected the individual needs of each service user and contained specific guidelines to enable staff to effectively work with the service users to manage those needs and enhance their quality of life. 10 Harison Road DS0000020990.V249440.R01.S.doc Version 5.0 Page 10 Service users are supported to make decisions in all aspects of their lives. They were observed being supported to make choices about activities, staff support and the food they wanted to eat. The staff team is innovative in using photographs and pictures to help service users make informed choices. There was documentary evidence of risk assessments and management plans to enable service users to undertake a wide range of activities in the home and in the community. To minimise risks to service users, each of them has an identification card for when they go out in to the community. Risk assessments had been regularly reviewed and updated as necessary. 10 Harison Road DS0000020990.V249440.R01.S.doc Version 5.0 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 the following standard(s): 11, 12, 13, 14, 15, 16. Service users are supported to take part in a wide range of activities to lead fulfilling lives, meet their needs and ensure their personal development. Service users play and active and fulfilling role in the life of their community. They are supported to maintain positive relationships with family and friends. The ethos of the homes promotes the right of service users to make choices in all aspects of their lives. EVIDENCE: Service users are supported to access a wide range of activities that meet their individuals needs and preferences. Two 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. One service user has been learning French, and another had recently been away at a music festival. The service had planned an alternative programme of activities for one service user, to reassure him that regular activities would be provided during the college half term break. 10 Harison Road DS0000020990.V249440.R01.S.doc Version 5.0 Page 12 The service users play an active role in their local community, including going to the local Church as well as working with volunteers and friends who support them in their lives. The service users held a barbeque to raise money for the Tsunami appeal, whilst one service user raised money to pay for a bicycle for a child in Uganda. The manager and staff help the service users to be aware of issues going on in their local community and in the world as a whole. Service users had all been away on holiday this year. Four of them had been away twice for long weekends, whilst a fifth service user had been away for a week. Three of the service users spoken with said they were able to choose their activities and enjoyed the range of opportunities they had. They also said that they had been able to choose where to go on holiday and had an enjoyable time whilst they had been away. The service continues to support the service users to keep pictorial diaries to show the range of activities they have done. There is still excellent use of photographs and pictures to enable service users to make informed choices and to illustrate what activities they have done. Service users reported that they were supported by staff to keep in regular contact with their families and friends. Two relatives of one service user were at the home during the inspection and said that the manager and staff are always helpful and approachable and provided very good care in the home. Feedback from another relative of a service user also praised the quality of care provided by the manager and the staff. It was confirmed that service users are supported by staff to visit their family and friends as well as to keep contact via the phone, the Internet and letters. Staff were observed treating service users with dignity and respect. Care plans indicated the individual service users chosen form of address. Service users said they were encouraged to make choices in all aspects of their lives, in line with the clear values and ethos of the home. Staff spoken with were very positive in their approach to working with the service users and were sensitive and supportive of the individual needs and preferences of each service user. 10 Harison Road DS0000020990.V249440.R01.S.doc Version 5.0 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 the following standard(s): 18, 19, 20. Staff provide sensitive and dignified support to meet the individual needs and preferences of the service users. Service users are supported to access a range of health services to meet their physical and emotional health needs. The health and well-being of service users is safe-guarded by robust policies and medication being stored, dispensed and recorded appropriately. EVIDENCE: Staff were observed providing sensitive and dignified care to the service users. Staff were sensitive to the way personal care is provided to service users. There was documentary evidence that service users are supported to access a range of health care to meet their specific needs. All service users are registered with a local General Practitioner and are supported to access specific support as required. The management and staff team described how they sensitively meet the complex and varied needs of the service users. Medication is kept securely in the home and is dispensed by staff who have completed a training course in the administration of medication. The medication files contained a photograph of each service user, with clear guidelines and criteria for the dispensing of all the medication. 10 Harison Road DS0000020990.V249440.R01.S.doc Version 5.0 Page 14 All medication had been dispensed and signed accurately. There is a weekly check to ensure the accuracy of the dispensing and recording of medication. 10 Harison Road DS0000020990.V249440.R01.S.doc Version 5.0 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 the following standard(s): 22, 23. Service users are able to raise concerns and complaints. They are protected from abuse by robust policies and procedures and with staff receiving appropriate training. EVIDENCE: The service has a complaints book, although no complaints had been received. Staff confirmed that service users are supported to raise any issues or concerns they may have, either in one-to-one time with staff or during the tenants meetings, which are regularly held. Two of the service users spoken with said they were able to talk to staff and the manager if they were unhappy about anything. There was evidence that all staff had completed adult protection training. Staff confirmed that adult protection issues are discussed during team meetings. They were also able to describe how any potential adult protection issues would be raised and recorded. 10 Harison Road DS0000020990.V249440.R01.S.doc Version 5.0 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 the following 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 from 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. There was evidence of an on-going maintenance plan, including the recent redecoration of some rooms, new carpet in the hall, landing and stairs and a new worktop in the kitchen. Service users are able to decorate their rooms to suit their own needs and tastes ard were decorated with their own pictures, ornaments and possessions. Bedrooms were homely, comfortable and met the needs of the individual service users. Three of the service users who expressed their views, said they 10 Harison Road DS0000020990.V249440.R01.S.doc Version 5.0 Page 17 were happy with their bedrooms. Service users are able to spend time in their own bedroom, or in either of the lounges. Major adaptations are not currently required by any of the service users. The home was clean and tidy at the time of the announced inspection. 10 Harison Road DS0000020990.V249440.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 36. There is a skilled and dedicated staff team who continue to work hard to meet the needs of the service users. The staff team are supported to provide consistent care and meet the needs of the service users with regular supervision and staff meetings. The organisation has robust employment procedures to protect the service users. EVIDENCE: There is a skilled, experienced and caring staff team, who provide flexible and innovative support to meet the needs of the service users. Staff were able to describe in detail their roles and responsibilities and those of their colleagues. Staff had an in-depth knowledge and understanding of the individual needs of service users and how those needs are met. There is regular discussion and review in the team and at staff meetings of the way the service operates. The staff team had worked hard to review and change the support provided to one service user. There was documentary evidence in the care plans of the managers and staff adopting a different approach in the support they provided to one specific service user, which had been more successful in enabling the service user to have his needs met. 10 Harison Road DS0000020990.V249440.R01.S.doc Version 5.0 Page 19 The work of the staff had been recognised when they recently were given an excellence award from the organisation for their work in supporting service users play a meaningful role in the life of the community. There are no vacancies in the staff team; with staffing levels provided flexibly to ensure service users are supported to undertake a wide range of activities throughout the week. Staff holidays and sickness is covered by experienced relief staff who regularly work in the home and are therefore able to provide consistency of care to the service users. Comments from three service users and three relatives all stated that there is a skilled and dedicated staff team, who provide friendly and caring support to the service users. The organisation has robust employment procedures. When new staff are employed, the manager of the home goes to organisation’s main office to witness that all the relevant information and checks on the new staff member have been completed. There are photographs of the staff in the home, which are used on the daily planners to show service users which staff are on shift. There was documentary evidence and reports from staff that there is a programme of regular supervision for all staff, as well as fortnightly team meetings. Staff also reported that they felt well supported by the management team in the home. All staff spoken with said they felt able to raise any issues or concerns they may have. 10 Harison Road DS0000020990.V249440.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 40, 41, 42. A skilled and experienced manager provides clear direction and support to enable the staff to provide good quality care to the service users. The views and rights of the service users underpin the ethos and development in the home. Up to date policies and records in the service protect service users. Despite a range of health and safety checks, the service could not ensure the health and safety of service users and staff, as fire doors were wedged open. EVIDENCE: The home is effectively run by a skilled and experienced manager, who supported by two deputy managers, provides a clear sense of direction and values. The manager ensures that the home continues to provide good quality care to the service users, but constantly reviews its practice to identify and meet any changes in needs. Feedback from three service users, three relatives and the staff all spoke highly of the manager, who was described as being professional, approachable, supportive and knowledgeable. The manager and deputy on duty during the inspection demonstrated an in-depth knowledge of the service users, as well as 10 Harison Road DS0000020990.V249440.R01.S.doc Version 5.0 Page 21 a flexible and innovative approach to ensure the service users are supported to undertake a wide range of meaningful and fulfilling activities, to live good quality lives. Three service users said that they were listened to by the manager and staff, and were able to raise any issues or concerns they had. One service user said that if they wanted anything changed, he could talk to staff or talk about it in the tenants meetings. The service has a wide range of monitoring systems, including weekly tenants meetings, where service users are encouraged and supported to raise any issues or concerns they may have. Two of the service users also attend a meeting made up of representatives from various homes in the organisation. This meeting is consulted about any changes or developments within the organisation as a whole. The staff team have a day away from the home once a year, where they review their practice and set goals for the coming year. The area manager from the organisation undertakes monthly monitoring visits, in conjunction with the home’s own regular monitoring checklist. Two relatives said they were often consulted, in review meetings and informally by the manager and staff, about the way the home operates. A sample of policies and records were found to be in place and up to date. There was evidence of regular review of the policies and procedures by the organisation. Staff were able to describe in detail how a sample of policies worked in practice. During the inspection, some fire doors were wedged open. An immediate requirement was left for all fire doors to be kept closed. Where the service wants fire doors to be kept open, the doors should be fitted with an approved automatic closing mechanism. There is a range of regular health and safety checks within the service, including weekly fire system checks; regular checks on the two vehicles; and environmental checks. There was documentary evidence of a recent Legionella test. 10 Harison Road DS0000020990.V249440.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 X 3 X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 4 12 3 13 4 14 4 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 3 X 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 10 Harison Road Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 2 x DS0000020990.V249440.R01.S.doc Version 5.0 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. 1 Standard YA42 Regulation 23 (4) Requirement Fire doors remain closed unless fitted with approved automatic door closing mechanisms. Timescale for action 19/10/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 10 Harison Road DS0000020990.V249440.R01.S.doc Version 5.0 Page 24 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. Extracts may not be used or reproduced without the express permission of CSCI 10 Harison Road DS0000020990.V249440.R01.S.doc Version 5.0 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. 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. 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