Inspection on 18/01/06 for 100 Goldstone Crescent

This inspection was carried out on 18th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

100 Goldstone Crescent 10/10/08

100 Goldstone Crescent 20/11/06

100 Goldstone Crescent 02/08/05

100 Goldstone Crescent 18/01/05

100 Goldstone Crescent 20/07/04

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 18-65 100 Goldstone Crescent Hove East Sussex BN3 6BE Lead Inspector Jennie Williams Unannounced Inspection 18th January 2006 10:00 100 Goldstone Crescent DS0000060757.V264862.R01.S.doc Version 5.1 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 100 Goldstone Crescent DS0000060757.V264862.R01.S.doc Version 5.1 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. 100 Goldstone Crescent DS0000060757.V264862.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 100 Goldstone Crescent Address Hove East Sussex BN3 6BE 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) 01273 553718 01273 553718 www.caremanagementgroup.com Care Management Group Limited Vacant Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 100 Goldstone Crescent DS0000060757.V264862.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. That a maximum number of service users to be accommodated is three (3). That service users should be younger adults aged between eighteen (18) and sixty-five (65) years on admission. That service users to be accommodated have a learning disability, not falling within any other category. 2nd August 2005 Date of last inspection Brief Description of the Service: 100 Goldstone Crescent is one of many homes within the Care Management Group (CMG). It is registered to provide accommodation for three residents with a learning disability. The home is located in a quiet residential area in Hove. There is access to local amenities and public transport. The home has access to a mini bus. There is no parking available at the home, but free parking is available in the adjacent streets. All rooms are for single occupancy and are located over two floors. Residents must be able to independently mobilise to access the first floor. The layout of the home is not suitable to accommodate wheelchair users. There is a garden at the rear of the building that is currently not accessible for residents to use. 100 Goldstone Crescent DS0000060757.V264862.R01.S.doc Version 5.1 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 Regulation Act 2001, uses the term ‘service user’ to describe those living in care home settings. For the purpose of this report, those living at 100 Goldstone Crescent will be referred to as ‘residents’. In order that a balanced and thorough view of the home is obtained, this inspection report should be read in conjunction with the previous inspection report of 2 August 2005. This unannounced inspection took place over five hours on the 18 January 2006. All residents were out for the day. Four hours was spent with the acting manager and a staff member. The Inspector returned to the home in the evening to spend an hour with the residents. Care plans, medication procedures and personal allowance monies were inspected. A prospective employees file was looked at and the environment and individual rooms were spot-checked. There were three residents residing at the home on the day of the inspection. What the service does well: 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. 100 Goldstone Crescent DS0000060757.V264862.R01.S.doc Version 5.1 Page 6 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 100 Goldstone Crescent DS0000060757.V264862.R01.S.doc Version 5.1 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 & 4 The home has information available to prospective residents and their representatives to make an informed decision if the home is suitable for their needs. All prospective residents are assessed prior to moving into the home. The admission process is well planned. EVIDENCE: The Statement of Purpose and Service User Guide have not been amended as required at the last inspection. The acting manager was employed mid September 2005. The acting manager confirmed that the Statement of Purpose and Service User Guide will be amended now that she has settled into the home. This has not been reflected as an outstanding requirement, but a new timescale has been set. These documents incorporate the use of pictures and symbols. The organisation has a central assessment team based in Wimbledon who undertake the initial assessment of prospective residents. Copies of previous care plans/social services assessments are taken whenever available. A recent admission demonstrated that a thorough pre assessment had been undertaken prior to admission. The Inspector had a telephone conversation with a relative of the new resident who confirmed that they were very pleased with the admission procedures at the home and found staff very supportive and helpful with the transition phase. 100 Goldstone Crescent DS0000060757.V264862.R01.S.doc Version 5.1 Page 8 It was confirmed that staff had attended a one-day training session to ensure a specific need of the newly admitted resident will be met. Due to the disability of the residents, admissions are well planned and the home will not take any emergency referrals or short-term admissions. Residents already residing at the home are provided with an opportunity to input their views into the admission of any new resident. The newly admitted resident visited the home on numerous occasions. It was confirmed that they had three overnight stays and joined the Christmas party at the home. A person from CMG assessment team visited the home on the day of the inspection to ensure that the transition was still going smoothly. Social services have their own contract with the organisation for the residents they are purchasing care for. Head office of CMG deals with all contracts. It was confirmed that the home has a copy of an individuals’ contract. The content of this document was not inspected. 100 Goldstone Crescent DS0000060757.V264862.R01.S.doc Version 5.1 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, 8, 9 & 10 Residents’ needs are being met by the information contained in the care plans. Residents are supported to make decisions and choices about their lives. EVIDENCE: CMG are have developed a new Health Booklet that will include all relevant information about an individual. It was confirmed that they contain comprehensive information on an individuals’ health needs. Staff have received training in the use of these new documents and information regarding an individual will be transferred to these new documents. Care plans are reviewed six monthly or earlier if the needs of an individual changes. Residents are encouraged to be involved in the reviewing of their care plans. Residents spoken with confirmed that staff discuss their care needs with them. Residents are consulted and participate in most aspects of the home. There is a pictorial notice board in the dining area that clearly shows what day it is, what staff is on duty and what the programme is for the day. Eg: Day centre, activities, menu planning etc. 100 Goldstone Crescent DS0000060757.V264862.R01.S.doc Version 5.1 Page 10 There are risk assessments in place that staff must remember to sign and date when reviewing. Residents are encouraged and empowered to make decisions about their life, which include being aware of risks. Information is stored securely at the home and information is shared on a need to know basis. It was confirmed that there is a policy on confidentiality. 100 Goldstone Crescent DS0000060757.V264862.R01.S.doc Version 5.1 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, 13, 14, 15 & 17 Residents are provided with opportunities for personal development and to be involved in the local community. Visitors are welcomed at the home. EVIDENCE: Residents are provided with a range of activities they are able to participate in. The day centre provides opportunities for residents to engage in informative and creative activities should they wish. On the day of the inspection, all residents were out for the day. Residents are encouraged and supported to be involved in the running of the home. There are house meetings held every Monday. Residents are involved in the planning of activities, menus etc. Residents are encouraged to participate in household duties. Visitors are welcomed at the home. Residents are able to choose whom they see and may receive visitors in private if they wish. The home encourages good communication for residents and their families. A relative ringing on the day of the inspection and able to freely speak with staff and their family member evidenced this. 100 Goldstone Crescent DS0000060757.V264862.R01.S.doc Version 5.1 Page 12 Staff were observed to have a good professional rapport with residents and respected their privacy and dignity. Residents’ views and choices were readily sought by staff and respected. Residents are provided with a variety of nutritional meals. Menus are developed with the input from residents on a weekly basis. Individuals’ likes and dislikes are accommodated. Specialist nutritional advice is accessed via a referral from a GP when the need arises. Residents confirmed that they enjoyed the food provided at the home. 100 Goldstone Crescent DS0000060757.V264862.R01.S.doc Version 5.1 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): 19, & 20 Resident’s needs are being met by the skill mix of staff and support network of health professionals within the CMG organisation. Residents are safeguarded by the medication procedures within the home. EVIDENCE: Health needs are met with the skill mix of staff and the good support network throughout the organisation. The home can also access specialist advice from within the community if the need arises. The home does not provide nursing care. Due to the disability of the residents, no one is capable of managing their own medication. MAR charts inspected demonstrated that there are clear records of all medication administered. All staff that administer medication have received training. The supplying pharmacist undertakes regular checks. There are records kept of all medication received into and leaving the home. The home has implemented suitable procedures for any resident that may require medication whilst they are outside the home environment. The home has implemented a medication communication book for staff to write in. This assists in promoting safe medication practices. The Inspector did note that there was unlabelled cream being used in a communal bathroom. The unsuitability of this was discussed with the acting 100 Goldstone Crescent DS0000060757.V264862.R01.S.doc Version 5.1 Page 14 manager. This has not been reflected as a requirement as this was addressed on the day of the inspection. The acting manager is aware of the shortfall in the documentation regarding the wishes of an individual following death. This has not been reflected as a requirement as action is being taken to address this. 100 Goldstone Crescent DS0000060757.V264862.R01.S.doc Version 5.1 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 Residents/representatives are provided with opportunities to air their views. EVIDENCE: There have been no complaints made to the home or directly to CSCI since the last inspection. There is a complaints procedure available at the home and a pictorial format available for the residents. This has been amended locally as required at the last inspection. It was confirmed that staff received updated training in Protection of Vulnerable Adults (POVA). This training was provided to by CMG. It is recommended that the acting manager attend a POVA update training provided by the local authority. The adult protection policy must clearly state that all allegations of abuse must be referred to social services. Information about the POVA list needs to be included. This policy and procedure has not been amended as required at the last inspection. The home is awaiting a new policy from the head office of the organisation. The whistle-blowing policy needs to be amended as it currently only focuses on abuse. It needs to be made clear that whistle blowing can relate to any practices within a home. The home has amended this policy locally to include the contact details of the CSCI as recommended at the last inspection. All residents have their own bank accounts. Residents’ monies spot-checked demonstrated that there are clear records kept of financial transactions. 100 Goldstone Crescent DS0000060757.V264862.R01.S.doc Version 5.1 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 & 30 Residents live in a homely environment. Residents will benefit more when the garden is made safe and accessible. EVIDENCE: 100 Goldstone Crescent is located in a quiet residential area of Hove. There is access to local amenities and public transport. The home has access to a mini bus. There is no parking available at the home, but free parking is available in the adjacent streets. All rooms are for single occupancy and are located over two floors. Residents must be able to independently mobilise to access the first floor. The layout of the home is not suitable to accommodate wheelchair users. Rooms spot-checked were seen to be personalised. A residents’ room had been redecorated to the individuals’ choice and preference as required at the last inspection. This resident was involved in the painting of the room. There is a garden at the rear of the building that is currently not accessible and unsafe for residents to use. This requirement is now outstanding from the last three inspections. Priority must be given to providing residents with an opportunity to access and use a safe garden. It was confirmed on the day of the inspection that this will be completed within the next six weeks. 100 Goldstone Crescent DS0000060757.V264862.R01.S.doc Version 5.1 Page 17 The carpet flooring has not been replaced in the bathroom as required in the last inspection. This flooring was not as offensive smelling as noted at the last inspection. It was confirmed that the flooring is on the next list of things to be completed. This is an outstanding requirement and a new timescale has been set. The Inspector was pleased to note that the mouldy slip mat had been replaced as required at the last inspection. Consideration is also being given to the replacing of carpet in communal areas as part of the refurbishment programme. The home was clean and free from offensive odours on the day of the inspection. 100 Goldstone Crescent DS0000060757.V264862.R01.S.doc Version 5.1 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): 32, 33, 34 & 36 Residents’ needs are currently being met with the number and skill mix of staff on duty. EVIDENCE: Residents spoken with were happy with the staff working at the home. Staff were observed to have a good professional rapport with residents. The staff member spoken with was happy working at the home and stated that the opportunities to attend training sessions were good. Staff stated that they felt there was always enough staff on duty to meet the needs of the residents. The head office of CMG sends the home a training schedule on a regular basis. It was confirmed that all staff are kept up to date with all mandatory training. It was confirmed that four care staff have enrolled to undertake their NVQ level 2 studies, commencing in February 2006. This has not been reflected as a requirement as the home is working towards the required 50 ratio of qualified staff. On the day of the inspection, the home had one full time carer vacancy. There has been no new staff employed at the home since the last inspection. A prospective staff members’ file was inspected. The home is currently waiting for the CRB check to be returned. The health declaration was at head office of CMG and reasons for leaving previous care jobs were not documented. This 100 Goldstone Crescent DS0000060757.V264862.R01.S.doc Version 5.1 Page 19 has not been reflected as a requirement as the acting manager confirmed that these will be addressed prior to the worker commencing employment. It was confirmed that staff now receive supervision approximately every six weeks. The supervision of staff is more structured now since an acting manager has been in post. 100 Goldstone Crescent DS0000060757.V264862.R01.S.doc Version 5.1 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, 41 & 42 Residents and staff benefit from clear leadership within the home. EVIDENCE: A new acting manager commenced employment at the home mid September 2005. She has been in care for approximately 25 years working in various positions including approximately two and a half years as a deputy manager. The acting manager is enjoying working at 100 Goldstone Crescent and find external management supportive. The acting manager has NVQ level 3 in care and is registered on the Registered Manager Award (RMA) to commence in the next couple of months. An application form needs to be forwarded to CSCI to begin the process of registering a manager. The staff member spoken with confirmed that the acting manager is approachable and supportive. It was confirmed that all relevant health and safety checks are undertaken. A full service by a fire safety company was undertaken in November 2005. Records demonstrated that a fire drill was undertaken in January 2006, which involved the residents. There is a pictorial format for residents on the steps to 100 Goldstone Crescent DS0000060757.V264862.R01.S.doc Version 5.1 Page 21 take in the event of a fire occurring. It is recommended that the fire drill records are expanded to include how long it took and any shortfalls noted that require to be addressed etc. Additional recording of information was discussed with the acting manager on the day of the inspection. There was hot water in an individuals’ bedroom that was being delivered at 50°C. It was made an immediate requirement that risk assessments were put in place immediately until pre set valves were installed. It is recommended that the water taps used by residents are clearly labelled hot and cold. It was required at the last inspection that the recording of accidents be improved. There have been no accidents since the last inspection. This has not been reflected as an outstanding requirement, but will be reassessed at the next inspection. The home is one of many homes owned by CMG, which has to date given no cause of concern regarding financial viability. 100 Goldstone Crescent DS0000060757.V264862.R01.S.doc Version 5.1 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 2 2 3 3 3 4 4 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 3 34 3 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 2 3 LIFESTYLES Standard No Score 11 3 12 X 13 3 14 3 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 3 X 2 X X X 3 2 X 100 Goldstone Crescent DS0000060757.V264862.R01.S.doc Version 5.1 Page 23 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 YA1 Regulation 4&5 Requirement That the Statement of Purpose and Service User Guide is amended to reflect the changes in management and staff. A copy of these amended documents must be forwarded to CSCI. That risk assessments are signed and dated when reviewed. That the adult protection policy clearly states that all allegations of abuse must be referred to social services. Information about the POVA list needs to be included. (Timescale 30.09.05 not met) That the whistle blowing policy is amended to state that it refers to any practice in the home and not just abuse issues. (Timescale 30.09.05 not met) That the garden area of the home be tidied and up dated to make it safe and accessible to service users. (Outstanding from last three inspections) That the flooring be replaced in the bathroom. (Timescale 30.09.05 not met) That an application for a registered manager is forwarded DS0000060757.V264862.R01.S.doc Timescale for action 31/03/06 2. 6. YA9 YA23 15 13.6 28/02/06 31/03/06 7. YA23 Appendix 2 31/03/06 8. YA28 23.2(o) 31/03/06 11. 12. YA27 YA37 23.2(d) 8&9 31/03/06 31/03/06 100 Goldstone Crescent Version 5.1 Page 24 to CSCI. 13. YA42 13.4 That risk assessments are in place where water is being delivered in excess of 43°C until pre set valves are installed. 19/01/06 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 YA42 YA42 Good Practice Recommendations That hot and cold-water taps are clearly labelled. That the fire drill records are expanded to include how long it took and any shortfalls noted that require to be addressed. 100 Goldstone Crescent DS0000060757.V264862.R01.S.doc Version 5.1 Page 25 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 100 Goldstone Crescent DS0000060757.V264862.R01.S.doc Version 5.1 Page 26 - 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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