Inspection on 06/12/05 for 103 Steyne Road

This inspection was carried out on 6th December 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 20/07/05

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 Announced Inspection 6th December 2005 2:30 103 Steyne Road DS0000020991.V249971.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 103 Steyne Road DS0000020991.V249971.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. 103 Steyne Road DS0000020991.V249971.R01.S.doc Version 5.1 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 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 Devlin Storm Nye Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 103 Steyne Road DS0000020991.V249971.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users to be accommodated is four (4). 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 20th July 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 DS0000020991.V249971.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The announced inspection took place on 6 December 2005, starting at 2.30pm and lasting for three hours. Those key standards not inspected this time, were assessed at the unannounced inspection, which took place in July 2005. The inspection process involved talking to the manager, four staff members and four of the service users. Some of the service users were not able to clearly communicate their views about the home, but were observed working with staff. The process also included a brief tour of the premises, reading care plans, documentation and records and inspecting the storage and recording of medication. There was clear evidence that the manager and staff have worked hard to continue to provide good quality care to the service users and to ensure their needs are identified and met. What the service does well: What has improved since the last inspection? The team has worked hard to ensure service users’ changing needs have been identified and met, by access a range of appropriate specialised services. 103 Steyne Road DS0000020991.V249971.R01.S.doc Version 5.1 Page 6 Bathing facilities have been reviewed and a proposed process of alteration of the bathroom has been developed to ensure they will be able to meet the needs of the service users. 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. 103 Steyne Road DS0000020991.V249971.R01.S.doc Version 5.1 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 103 Steyne Road DS0000020991.V249971.R01.S.doc Version 5.1 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. 103 Steyne Road DS0000020991.V249971.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, 9. Service users’ needs and their required support are clearly documented in their care plans. Service users are supported to make choices, where possible, 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 comprehensive support guidelines to enable staff to meet the needs of each service user. The care plans had been regularly reviewed and updated as necessary, to clearly reflect changes in need of each individual service user. The plans also contained information about service users’ likes and dislikes, family and friends, communication, daily routines and activities. The ethos of the home, and organisation promotes the rights and choices of the service users. They are encouraged and enabled, where possible, to make choices in all aspects of their lives. During the inspection, staff were observed supporting service users to make choices about their food and activities. One 103 Steyne Road DS0000020991.V249971.R01.S.doc Version 5.1 Page 10 service user spoken with said he is able to make choices about many things in his life, and had chosen to go out for a drink with a staff member that evening. Risk assessments were up to date and covered a wide range of issues to enable service users to undertake activities in the home and in the community. There was documentary evidence that risk assessments had been reviewed on a regular basis. 103 Steyne Road DS0000020991.V249971.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, 12, 13, 14, 17. 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. Service users have varied and nutritious meals, which suit their needs and preferences. EVIDENCE: Service users are supported to take part in a wide range of activities in the home and in the local community. Service users are able to choose which activities they do, to meet their preferences and needs. Activities include attending a rambling group, swimming, college courses, music sessions, gardening work, cooking and 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 are offered least one holiday a year, where they are supported by staff to go on a holiday of their choice. Service users spoken to said they were able to choose their own activities. 103 Steyne Road DS0000020991.V249971.R01.S.doc Version 5.1 Page 12 There was evidence that the manager and staff were aware of the changing needs of some of the service users and were able to provide activities to suit the needs of each service user. 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. Service users are provided with varied and nutritious meals, which meet their preferences and needs. Staff were able to describe the dietary requirements of each of the service users, and how those needs are catered for. One service user spoken with said he is able to choose his meals. The home uses pictures and photographs of food to enable service users to make choices about the food they would like to eat. 103 Steyne Road DS0000020991.V249971.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. 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: The manager and staff team have worked hard to ensure the changing needs of service users are met effectively and sensitively. Where service users have required specialist health support, the manager and staff have undertaken planned and targeted support to enable service users to feel comfortable and confident in having treatment and support. The manager and staff should be commended for their thoughtful and innovative approaches to enable service users to receive a range of health support to meet their needs. In respect of one service user, the manager and staff ensured the service user was able to access a range of health supports at one time, to minimise any distress or discomfort. There was also evidence that the manager had ensured the involvement of a number of professionals and family to ensure service users receive appropriate and effective treatment. 103 Steyne Road DS0000020991.V249971.R01.S.doc Version 5.1 Page 14 Medication is kept securely in the home. All staff have received training in dispensing medication and are in the process of receiving specific training to enable them to administer insulin. All records of administration of medication had been completed accurately and were up to date. There was documentary evidence where medication, not routinely given, had been administered as required. 103 Steyne Road DS0000020991.V249971.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. 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 service has a robust complaints policy, although no complaints had been received by the home. Staff described how they were vigilant to gauge if they thought service users were unhappy. If service users appear to be unhappy about anything, the staff discuss the issues in their team meetings to try to provide an effective resolution. Staff were aware of the home’s adult protection policy and were able to discuss how the policy works in practice. All staff have received training in adult protection as part of their induction. 103 Steyne Road DS0000020991.V249971.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. Service users live in a clean and tidy home which provides a friendly and relaxed environment. EVIDENCE: The home is kept in good decorative order and provides a clean, tidy and homely environment for the service users. There was evidence of on-going maintenance work, some to maintain the standard of the building and some to meet the changing needs of the service users. There was documentary evidence of plans being developed to renovate the bathroom to ensure the facilities are in place to meet the needs of the service users. 103 Steyne Road DS0000020991.V249971.R01.S.doc Version 5.1 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 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. There is a skilled, experienced and well-trained staff team who continue to work hard to meet the complex needs of the service users. There are sufficient staff on duty to meet the needs of the service. 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 an experienced and skilled staff team, who demonstrated a sound knowledge and understanding of the needs of the service users. There was evidence that there are sufficient staff on duty on each shift, who work flexibly to ensure they meet the needs of the service users. There was evidence that one staff member now comes in to the home earlier than before, to help one service user get up in the morning. The manager and staff were able to describe the changing needs of some of the service users and had worked hard to identify and meet those needs. There was evidence of the manager and staff providing excellent care and support in specific circumstances to ensure the complex needs of service users 103 Steyne Road DS0000020991.V249971.R01.S.doc Version 5.1 Page 18 have been met and that they a treated with dignity and respect. It is recommended that the home reviews the staffing arrangements at night to ensure they continue to ensure the health and safety of 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 was documentary evidence, confirmed by staff, that they receive regular supervision and attend regular team meetings. Staff reported that there was good informal support from the managers and team members as well as formal supervision and meetings. 103 Steyne Road DS0000020991.V249971.R01.S.doc Version 5.1 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 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, 42. A skilled and dedicated manager provides clear direction and support to enable the staff to provide good quality care to the service users. A range of regular health and safety checks ensure the health and well-being of service users and staff. EVIDENCE: The manager was registered by the Commission in September 2005 and has provided innovative and dedicated management support to ensure the staff team are able to identify and meet the needs of the service users. He is currently undertaking the NVQ 4 in Care and the Registered Managers Award. Staff reported that the manager is approachable and supportive and provides a clear sense of direction in the home. One service user said he was able to talk to the manager about any issues or problems he may have. 103 Steyne Road DS0000020991.V249971.R01.S.doc Version 5.1 Page 20 There was evidence that the manager has provided innovative and flexible management and direction to ensure the team have been able to address longstanding issues to provide excellent outcomes for service users in various areas of their lives. 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. 103 Steyne Road DS0000020991.V249971.R01.S.doc Version 5.1 Page 21 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 X 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 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 3 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 X 3 X LIFESTYLES Standard No Score 11 4 12 3 13 3 14 4 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 3 x 3 3 X X X 3 x 103 Steyne Road DS0000020991.V249971.R01.S.doc Version 5.1 Page 22 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA33 Good Practice Recommendations The Home reviews the night-time staffing arrangements. 103 Steyne Road DS0000020991.V249971.R01.S.doc Version 5.1 Page 23 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. 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