Inspection on 20/07/05 for 103 Steyne Road

This inspection was carried out on 20th 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

103 Steyne Road 13/11/08

103 Steyne Road 19/12/06

103 Steyne Road 06/12/05

103 Steyne Road 05/01/05

103 Steyne Road 21/07/04

103 Steyne Road 19/08/02

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

CARE HOME ADULTS 18-65 103 Steyne Road 103 Steyne Road Seaford East Sussex BN25 1AL Lead Inspector Jon Wheeler Unannounced 20 July 2005 15:00 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. 103 Steyne Road H59 H10 S20991 103 Steyne Road V218077 080605 stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service 103 Steyne Road` Address 103 Steyne Road Seaford East Sussex BN25 1AL 01323 490508 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 Vacant Care Home 4 Category(ies) of Learning disability (LD) 4 registration, with number of places 103 Steyne Road H59 H10 S20991 103 Steyne Road V218077 080605 stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1 The maximum number of service users to be accommodated is four (4). 2 Service users must be aged between eighteen (18) and sixty-five (65) years on admission. 3 Only service users with a learning disability are to be accommodated. Date of last inspection 5 January 2005 Brief Description of the Service: 103 Steyne Road is a Southdown Housing Association service providing residential care to four adults who have learning disabilities. The home is located close to the seafront and to Seaford town centre. There are public transport links within walking distance. The home is a detached property, with four single bedrooms, two lounges, a dining room, kitchen and conservatory. There is a secure garden and patio area at the back of the property. Service users are able to decorate their bedrooms to suit their individual preferences. There is a downstairs bathroom, with a bath seat available. Service users are supported to access a range of day, educational and leisure facilities from the home and in the local community. 103 Steyne Road H59 H10 S20991 103 Steyne Road V218077 080605 stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place on 20 July 2005 and started at 3,oopm and lasted for nearly three hours. The inspection process included talking to and observing service users, talking to the manager, the deputy and staff, an inspection of the home environment, reading care plans, records and policies, looking at the system for dispensing medication and observing staff working with service users. The manager is in the process of applying to be registered with the Commission, having been appointed to the post earlier in the year. What the service does well: What has improved since the last inspection? The manager had only just started at the last inspection, and has therefore been able to establish his position and work with a skilled staff team to monitor the service provided and look at ways of improving it. The service has worked hard to identify and meet the changing needs of some of the service users. 103 Steyne Road H59 H10 S20991 103 Steyne Road V218077 080605 stage 4.doc Version 1.20 Page 6 Service users had been offered new activities to try to extend their experiences and enhance the quality of their lives. 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. 103 Steyne Road H59 H10 S20991 103 Steyne Road V218077 080605 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 103 Steyne Road H59 H10 S20991 103 Steyne Road V218077 080605 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) 3, 5. Service users have a good quality of life, with their needs being identified and met by an experienced and skilled staff. Service users are aware of the range of services provided by the home, which are detailed in individual contracts. EVIDENCE: There was a range of evidence to demonstrate that the home is able to meet the needs of the service users. Service users spoken with said that they were happy in the home and that they were well looked after by the staff. Clear care plans and support guidelines indicated the individual needs of the service users and how those needs should be met. Reading daily recording, talking to service users and staff and observation of staff working with service users demonstrated the ability of the home to meet the assessed needs. Each service user has a contact and in their care plan, which identifies the services they would receive in the home. 103 Steyne Road H59 H10 S20991 103 Steyne Road V218077 080605 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 identify the individual needs of each service user and clearly show how those needs are met. Service users are supported to make choices in all aspects of their lives and they play an active part in the home. The safety of service users was adequately addressed, with a range of up to date risk assessments. EVIDENCE: The individual care plans contained comprehensive information about the service user, including background information, their likes and dislikes, communication methods, their activities, moving and handling assessments and their daily support guidelines. Staff were able to discuss in detail the information in the care plans and also explain how the care was provided in practice, in line with the support guidelines. There was documentary evidence of regular reviews of the care provided for each service user. There was evidence of service users being consulted about their care, and where service users not being able to clearly articulate their views, staff had worked hard to provide a range of choices or opportunities for 103 Steyne Road H59 H10 S20991 103 Steyne Road V218077 080605 stage 4.doc Version 1.20 Page 10 them. Where possible, service users are included in the running of the home, such as cooking and shopping. There was a range of risk assessments to enable service users to safely take part in a wide range of activities in the home and in the local community. There was documentary evidence that the assessments had regularly been reviewed and updated to meet the changing needs of the service users. 103 Steyne Road H59 H10 S20991 103 Steyne Road V218077 080605 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, 15, 16. Service users are supported to take part in a wide range of fulfilling activities, which reflect their age, individual preferences and needs. 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 take part in a wide range of activities in the home and using facilities in the local community. Service users are able to choose what activities they do, to meet their preferences and needs. Activities include attending a rambling group, swimming, college courses, music sessions, gardening work, cooking and personal shopping. The service users are also supported to use local facilities such as shops, pubs, cafes, leisure centre and swimming pool. All the service users have at least one holiday a year, where they are supported by staff to go on a holiday of their choice. Service users spoken to 103 Steyne Road H59 H10 S20991 103 Steyne Road V218077 080605 stage 4.doc Version 1.20 Page 12 said they were able to choose their own activities and were well supported by enjoy the activities. There was documentary evidence to demonstrate the wide range of activities that happen. Staff were aware of the changing needs of some of the service users and said they tailored the programme of activities to suit the needs of each service user. One service user is over sixty five years of age, and tends to do more relaxing and gentle activities to meet his needs and preferences. The home encourages and enables service users to develop and maintain positive relationships with their families and friends. Visitors are welcome in to the home as well as service users being supported by staff to visit their families and friends homes. Family members are invited to attend review meetings and to play an active part in the life of the service users. The manager and staff are very aware of the rights of the service users, and the ethos of the home promotes service users being able to assert their rights and accept responsibilities, which come with the choices they make. 103 Steyne Road H59 H10 S20991 103 Steyne Road V218077 080605 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. 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. The health and well-being of service users is safe-guarded by robust policies and medication being stored, dispensed and recorded appropriately. EVIDENCE: The service users’ individual care plans provide detailed support guidelines for staff providing all aspects of care. Staff were able to describe in detail the range of care provided to each service user. Staff were observed providing sensitive and dignified care to service users. There was documentary evidence of the home enabling service users to access a range of health services to ensure their physical, medical and emotional needs are met. All the service users are registered with a local GP and are able to access community health services. There is a robust and effective system of administering and recording medication. All staff have received appropriate training in administering medication. All medication had been dispensed and signed for accurately. 103 Steyne Road H59 H10 S20991 103 Steyne Road V218077 080605 stage 4.doc Version 1.20 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) 22, 23. Service users are able to raise concerns to ensure they are happy with the service provided. There are policies and procedures to ensure the protection of service users from abuse or harm. EVIDENCE: The home has a pictorial complaint policy to enable service users to make any complaints they have. Service users are also encouraged to raise concerns with staff. One service user spoken with said that he felt able raise any concerns he had with the manager or with any of the staff. Where service users are not able to raise their concerns, staff are sensitive to the way the service users are, to gauge if they are unhappy or not. No complaints had been received. Staff were able to discuss the details of the home’s adult protection policy. All staff had attended adult protection training courses as part of their induction. As some of the staff had been working for the organisation for many years, it was recommended that they attend update training on adult protection. 103 Steyne Road H59 H10 S20991 103 Steyne Road V218077 080605 stage 4.doc Version 1.20 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. Service users live in a clean and tidy home which provides a friendly and relaxed environment. The home offers a comfortable environment that is kept in good decorative order and offers sufficient communal space. The bathroom and toilet facilities generally meet the needs of the service users. There are a range of adaptations to meet the needs of the service users. EVIDENCE: 103 Steyne Road is a detached house in Seaford, which is clean and tidy, wellmaintained and provides a homely and relaxed environment. The service users have their own bedrooms, which they are able to personalise with the decorating and their own possessions and pictures. There is sufficient communal space, with two small lounges, a dining room and a conservatory. Generally bathrooms meet the needs of the service users, although the service is reviewing one bathroom to see if adaptations can be made to make it more accessible for one of the service users. There are adaptations in the home to meet the needs of the service users. These include a bath chair, an adapted bath, grab rails and a mobile hoist. 103 Steyne Road H59 H10 S20991 103 Steyne Road V218077 080605 stage 4.doc Version 1.20 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) 31, 32, 33, 35, 36. There is an experienced and knowledgeable staff team who are clear of their roles and responsibilities. The staff receive regular support and supervision to ensure they carry out their jobs effectively and meet the needs of the service users. EVIDENCE: There is an experienced and skilled staff team at the home who were clear about their own roles and those of their colleagues. All staff are provided with a job description when they commence employment with the organisation. All the staff spoken to said that they work well as a team and said they were well supported with regular team meetings and monthly supervisions. There was evidence of staff doing their NVQ courses, as well as being able to access a range of other courses to enable them to meet the needs of the service users. The service user spoken with said that the staff are very good and look after him really well. Staff were able to display in-depth knowledge of the needs of each of the service users. Staff were aware of the changing needs of some of the service users and provided clear insight in to the care provided by the team. 103 Steyne Road H59 H10 S20991 103 Steyne Road V218077 080605 stage 4.doc Version 1.20 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) 37, 38, 39, 40, 42. The home is well run by a skilled and dedicated manager whose values and ethos provide a clear direction for the service. The service involves the users in the running of the home and as part of the on-going monitoring and development. The interests of the service users are safeguarded by a range of robust and up to date policies and procedures. Whilst the service has a range of health and safety checks, some procedures did not ensure the safety of the service users, EVIDENCE: The home is well run by a skilled and knowledgeable manager, who is in the process of completing his registration with the Commission. The manager is able to provide clear direction and values to the home, as part of the ethos of the overall organisation. Staff reported that the manager and the deputy are approachable, supportive and professional. The home has a range of monitoring systems including regular service user reviews, team days and regular visits by the organisation’s area manager. 103 Steyne Road H59 H10 S20991 103 Steyne Road V218077 080605 stage 4.doc Version 1.20 Page 18 A sample of policies were found to be up to date and accurate. Staff were able to describe how specific policies work in practice. There was documentary evidence of a range of health and safety checks, including annual legionella checks, annual fire equipment checks and regular tests of the fire systems, lighting and water temperatures. However, a fire door was found propped open by a wedge during the inspection. It was reported that the door was wedged to enable a service user to have free movement in the house, through doors which are heavy and therefore may be difficult for the service user to open. It was stated that fire doors should only be kept open if they have been fitted with automatic closing devices in line with fire safety guidance. 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 x x 3 x 3 Standard No 22 23 ENVIRONMENT Score 3 3 Standard No 24 Score 3 Version 1.20 Page 19 103 Steyne Road H59 H10 S20991 103 Steyne Road V218077 080605 stage 4.doc INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score 25 26 27 28 29 30 STAFFING 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 4 3 3 4 3 3 x 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 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 x 2 x 103 Steyne Road H59 H10 S20991 103 Steyne Road V218077 080605 stage 4.doc Version 1.20 Page 20 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 42 Regulation 23 (4) Requirement Fire doors are not propped open. Timescale for action 20/7/05 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 23 Good Practice Recommendations Staff attend update training on adult protection. 103 Steyne Road H59 H10 S20991 103 Steyne Road V218077 080605 stage 4.doc Version 1.20 Page 21 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 103 Steyne Road H59 H10 S20991 103 Steyne Road V218077 080605 stage 4.doc Version 1.20 Page 22 - 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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