Inspection on 04/06/07 for 166 Tarring Road

This inspection was carried out on 4th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

166 Tarring Road 21/11/05

166 Tarring Road 18/07/05

166 Tarring Road 06/01/05

166 Tarring Road 22/07/04

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 18-65 166 Tarring Road Worthing West Sussex BN11 4HG Lead Inspector Mr E McLeod Key Unannounced Inspection 4th June 2007 09:30 166 Tarring Road DS0000014280.V338781.R01.S.doc Version 5.2 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 166 Tarring Road DS0000014280.V338781.R01.S.doc Version 5.2 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. 166 Tarring Road DS0000014280.V338781.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 166 Tarring Road Address Worthing West Sussex BN11 4HG 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) 01903 208110 Mrs Helen O`Mahony Mrs Helen O`Mahony Care Home 2 Category(ies) of Learning disability (2) registration, with number of places 166 Tarring Road DS0000014280.V338781.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st November 2005 Brief Description of the Service: 166, Tarring Road is a care home registered to provide personal care and accommodation for two people with a learning disability, although only one person is accommodated. It is in a residential area of Worthing, West Sussex and within walking distance of the town centre with all of its amenities. The premises consist of a three-storey end of terrace house with a small rear garden. The owner lives on the premises and the person accommodated has her own room and lives as part of the family. Fees are £1,027 per month. The provider advises that the service provides practical support and advice for the one person accommodated, and does not plan to offer the service to others. 166 Tarring Road DS0000014280.V338781.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection visit was arranged to update previous assessments of the service provided. The inspection visit was undertaken by one inspector who was on the premises for one hour and forty five minutes. The planning for the inspection visit took into account outcomes from the previous inspection visit, updated information on the service received from the provider, and a written survey received back from the person accommodated. At the inspection visit, interviews were carried out with the manager and the accommodated person, a tour of the premises was made, and records, policies and procedures relating to the care provided and health and safety were sampled. What the service does well: Accommodated people live within a family home, with levels of one to one support which are ensuring their opportunities to develop their life skills are maximised and supported. This also provides a consistent level of care and support. People accommodated are fully supported to take control of their lives and make day to day decisions, and to influence how the care and support is being provided. The care provided allows people to take responsible risks which will help them develop their independence. People accommodated feel in control of their own lives and to live the lifestyle they prefer. People accommodated are being enabled to learn from day to day situations, and to feel empowered to make good use of the local community and to contribute to it. Peoples’ friendships and family links are acknowledged and supported. Their access to health services and community support services is made easier by the provider. 166 Tarring Road DS0000014280.V338781.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. 166 Tarring Road DS0000014280.V338781.R01.S.doc Version 5.2 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 166 Tarring Road DS0000014280.V338781.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements are in place for full needs assessments, which will inform the care provided for people accommodated. EVIDENCE: The provider advises that the service provides practical support and advice for the one person accommodated, and does not plan to offer the service to others. The provider works closely with the local community disability team who would provide a full needs assessment where this was required. A service user’s guide is provided which informs people accommodated about what will be provided for them and conditions of residence. 166 Tarring Road DS0000014280.V338781.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Users of the service have their health, personal and social care needs set out in an individual plan of care, which is updated and reviewed. This helps ensure care needs are being appropriately met. People using the service make decisions about their lives with assistance as needed, and their right to make decisions is respected. They are provided with the information, assistance and communication support they need to make decisions. This assists people to attain their ambitions and goals. People accommodated are supported to take risks as part of an independent lifestyle, and receive the practical and emotional support they need to do this. This helps people develop their life skills. EVIDENCE: 166 Tarring Road DS0000014280.V338781.R01.S.doc Version 5.2 Page 10 A survey form was received from the person accommodated, which indicated that the person’s choice and independence are being supported, and the person is being treated well. When interviewed, the person accommodated said that she was able to follow the religion of her choice and to make her own life decisions. Mrs O’Mahony, carer, manager and owner, said that she continues to support the person accommodated to lead a full life. She said support provided had assisted the person to become more relaxed and to cope with stressful situations and social situations better. Mrs O’Mahony gave examples of the person cared for encountering a problem during the day, then returning home to talk it through and learn from the situation. Money handling and shopping skills have been improved by support provided, and other independence skills are being learned Interactions observed between the provider and the person indicated that no discrimination on the grounds of disability or gender are practised. nteractions also suggested that there is a trusting and supportive relationship. We sampled updated risk assessments and an activity plan. Regular reviews of the care provided are carried out by the placing authority, and records of these were sampled. Discussions with person cared for indicated she is making her own decisions on a day-to-day basis and is encouraged to practice and maintain her independent living skills. 166 Tarring Road DS0000014280.V338781.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People using the service are supported to live a full and independent lifestyle, and to make use of opportunities to maintain and develop social, emotional, communication and independent living skills. Users of the service are supported to access and maintain appropriate jobs and to continue their education and training, which support them feeling fulfilled in their lives. Users of the service are supported to participate in the local community and to maintain their family links and friendships. This is supporting them to feel a valued member of the community and valued in their daily lives. The rights of people accommodated are respected, and their independence is promoted. This increases peoples’ sense of self-worth. 166 Tarring Road DS0000014280.V338781.R01.S.doc Version 5.2 Page 12 People accommodated are offered a healthy diet and enjoy their meals. EVIDENCE: The person accommodated said she benefited from attending college and found working in a care home for a few hours per week very rewarding. She said she enjoyed going to church on Sundays and doing bible study. Her interests include line dancing, which she goes out with her friends do. She said she enjoyed the meals provided, especially fish and chips. Menus were sampled, which indicated that meals provided are nutritious and well balanced. The resident said she keeps contact with friends and family, through visits and social activities. Mrs O’Mahony said the resident’s independence skills had been assisted by attending college and continuing to do voluntary work. She has a computer and printer and uses these regularly. When asked, the resident said she was happy in her life and with where she lived. She has her own set of friends, who she regularly goes out with and takes independent holidays with. She uses local shops and belongs to a sports and social club. 166 Tarring Road DS0000014280.V338781.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People accommodated receive support in the way they prefer and require, and this promotes them feeling in control of their lives. The physical and emotional health needs of people are met, and they access a full range of health care services and community support. People using the service retain, administer and control their own medication where appropriate, which assists them to maintain their life skills. EVIDENCE: The person accommodated provides her own personal care. Interactions we observed indicated that the emotional support and encouragement which is assisting to develop life skills is being provided in a non-intrusive and cooperative spirit, which promotes the person’s dignity, independence, and control over her own life. 166 Tarring Road DS0000014280.V338781.R01.S.doc Version 5.2 Page 14 The person accommodated is accessing a wide range of health services, and has regular health checks. She has good health, and is responsible for her own medication which Mrs O’Mahony advised she always takes correctly and at the right time. She keeps her own medication and medication records. The person has been helped to change G.P.s in the past when she felt she was not getting a good service, and is currently registered with a G.P. she finds acceptable and easy to access. On the day of the inspection visit, she went out independently for a health check she had requested and arranged. 166 Tarring Road DS0000014280.V338781.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a clear complaints procedure, and people accommodated understand this procedure. This assists people in believing their views will be listened to and acted on. People are being protected from abuse, neglect and self harm. EVIDENCE: A copy of the complaints procedure has been given to the person accommodated. The provider has explained to the user of the service the home’s complaints procedure. Arrangements are in place for complaints made to be logged, though at the time of the inspection visit no complaints or concerns were recorded. The person accommodated has her money to spend as she wishes, but is assisted to access her money. Records are kept of money held, and the service user is involved in recording and confirming transactions made on her behalf. Protecting adults procedures were discussed with Mrs O’Mahony, who gave examples of how she had acted to protect the person accommodated in situations which were of concern. She advised that when the resident gets 166 Tarring Road DS0000014280.V338781.R01.S.doc Version 5.2 Page 16 into difficulties she has the use of a personal alarm and can readily contact the carer. 166 Tarring Road DS0000014280.V338781.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a homely, comfortable and safe environment, which supports their sense of living a normal lifestyle. People’s bedrooms reflect their interests and promote their independence. All areas of the home visited were clean, pleasant and hygienic. EVIDENCE: A partial tour of the premises was undertaken. The premises very much reflect that it is a normal family home, and is furnished and decorated to a good standard. 166 Tarring Road DS0000014280.V338781.R01.S.doc Version 5.2 Page 18 The main communal areas are a sitting room, a room for entertaining visitors, a dining room, and a well kept garden. The person accommodated uses both the shower and the bath without assistance. The person’s bedroom has been personalised, reflects her interests, and is appropriate to her lifestyle. The room provides plenty of space for a television, computer, printer and music system as well as sufficient soft furnishings. There is lockable storage for valuables, medication and money. All areas of the home visited were clean, pleasant, and hygienic. 166 Tarring Road DS0000014280.V338781.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service has the competencies and qualities required to meet the needs of people accommodated. One to one support is being provided, which ensures a consistency of care for the person accommodated. Appropriate checks on persons with access in the home to the person accommodated have been carried out, which assists in ensuring their personal safety. EVIDENCE: The home is staffed and operated by owner/manager Mrs O’Mahony. With only person being accommodated, support provided is therefore one to one. 166 Tarring Road DS0000014280.V338781.R01.S.doc Version 5.2 Page 20 CRB checks have been provided for Mrs O’Mahony, and for supportive family members should they be needed in an emergency need to take over the care provided. Mrs O’Mahony said she believed that the high amount of contact time provided ensured that the service provides meets the support needs of the person accommodated. 166 Tarring Road DS0000014280.V338781.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People accommodated benefit from a well run home, which is ensuring consistent care and the continuing development of their life skills. The views of people accommodated are listened to and help change how the home is run. The health, safety and welfare of people accommodated are being promoted and protected. EVIDENCE: Mrs O’Mahony has no formal qualifications, but has extensive experience in caring for people with a learning disability, and continues to update her skills 166 Tarring Road DS0000014280.V338781.R01.S.doc Version 5.2 Page 22 though training provided by the local authority. She holds a current appointed person first aid certificate. There is not a formal quality assurance system in place. However, Mrs O’Mahony said that she regularly talks with the person accommodated to ask her if there are things she would like changed. Mrs O’Mahony gave examples of things said by the person and what had been done to change things accordingly. The inspector found the arrangements in place for the person accommodated to verbalise her wishes, likes and dislikes, to be appropriate to the family home nature of the service provided. Records of fire alarm tests, a complaints log, and details of medicines and menus are held. There is also a log of significant events, and health and safety checks which have been carried out. Insurance including public liability insurance is in place. 166 Tarring Road DS0000014280.V338781.R01.S.doc Version 5.2 Page 23 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 X 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 3 27 x 28 3 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 4 3 x LIFESTYLES Standard No Score 11 4 12 4 13 4 14 4 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 x 4 X 3 X X 3 x 166 Tarring Road DS0000014280.V338781.R01.S.doc Version 5.2 Page 24 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. 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 YA17 Good Practice Recommendations Actual food provided should be recorded. 166 Tarring Road DS0000014280.V338781.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 166 Tarring Road DS0000014280.V338781.R01.S.doc Version 5.2 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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