Inspection on 10/11/05 for 17 Jerome Close

This inspection was carried out on 10th November 2005.

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

17 Jerome Close 17/05/07

17 Jerome Close 30/05/06

17 Jerome Close 15/02/06

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

CARE HOME ADULTS 18-65 17 Jerome Close 17 Jerome Close Eastbourne East Sussex BN23 7QY Lead Inspector Lindy Latreille Unannounced Inspection 10 November 2005 09.20 17 Jerome Close DS0000021453.V250446.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 17 Jerome Close DS0000021453.V250446.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 17 Jerome Close DS0000021453.V250446.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 17 Jerome Close Address 17 Jerome Close Eastbourne East Sussex BN23 7QY 01323 767399 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) Jemini Response Mr James Edwards Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 17 Jerome Close DS0000021453.V250446.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of young adults to be accommodated is three (3). The young adults accommodated will be between sixteen (16) and twenty-five (25) years on admission. Only young adults with a learning disability can be accommodated. Date of last inspection 5th April 2005 Brief Description of the Service: 17 Jerome Close is a small Care Home for Adults registered for three residents with a learning difficulty aged between 16 and 25 years on admission. The residential estate is on the outskirts of Eastbourne and is close to local shops and facilities. The detached property has three bedrooms. A lounge- dining room, cloakroom, kitchen and third bedroom on the ground floor. On the first floor there is a bathroom with lavatory, two bedrooms and an office. There is a triangular shaped open front garden where additional parking space has been added. The rear garden is enclosed by a perimeter wall and is grassed with a small paved area. The home aims to work with young people with disorders within the autistic spectrum and challenging behaviour. 17 Jerome Close DS0000021453.V250446.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection of 17 Jerome Close under the Care Home for Adults National Minimum Standards. A variation was passed in June 2005 to change the registration from a children’s home to the present. This change allows the residents to remain in the home that they are familiar with, as they have moved from children’s to adult services. Time was spent with the Registered Manager and staff. It was not appropriate to be with the residents during the inspection day; but this will be planned for the future. Care plans and supporting documentation was read and considerable discussion took place accommodating the new National Minimum Standards. 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. 17 Jerome Close DS0000021453.V250446.R01.S.doc Version 5.0 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 17 Jerome Close DS0000021453.V250446.R01.S.doc Version 5.0 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): 2 and 4 The last resident to be admitted was not assessed by the Registered Manager before admission, or made a visit to the home. EVIDENCE: The last resident to be admitted to the home was not assessed and did not make a visit whilst the decision was being made about admission. The family did visit and the young person had made a recreational visit a year earlier. The local Practice Manager supplied information about the young person. The young person was known to the Registered Manager when both were at another service in East Sussex, but with was over four years ago. Staff have met regularly with the young person at a weekly club that the residents attend. 17 Jerome Close DS0000021453.V250446.R01.S.doc Version 5.0 Page 8 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 and 9. Assessed and changing needs and goals are detailed in the individual care plans. As the young people are not expected to leave care the Registered Manager has not implemented the Leaving Care Plan. Naturally occurring risks are managed within the daily and weekly routines of the residents, but there is no evidence of the management for risk assessment reviews. EVIDENCE: The individual care plans detail the residents holistic needs. Looked After Children (LAC) reviews are held and information used to inform the care plan. Personal goals are clear and evaluated at the end of each month and this forms a report that is shared with the social worker and the parents where appropriate. The residents in the home are not expected to move to independent living and so the Registered Manager has not implemented the Leaving Care Plan. The daily and weekly routines include reasonable risks and some activities with high risk such as horse riding. A qualified person supervises the later. Risk assessments seen were clear and detailed the management strategies but they were undated and had no review date. The quality assurance programme had not identified this shortfall. 17 Jerome Close DS0000021453.V250446.R01.S.doc Version 5.0 Page 9 17 Jerome Close DS0000021453.V250446.R01.S.doc Version 5.0 Page 10 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): 15 The young people are encouraged to maintain appropriate personal relationships. Family contact is actively supported in and out of the home by the staff. EVIDENCE: The young people are encouraged to maintain personal relationships with peers at school and external clubs Family contact is facilitated within the home and outside, always following the direction from the court as necessary. 17 Jerome Close DS0000021453.V250446.R01.S.doc Version 5.0 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 and 20 Intuitive staff care for the residents. The Pharmacy inspector has visited and made requirements that are being addressed. EVIDENCE: The staff support the residents through their daily routines with encouragement and respect. Routines are flexible and staff are aware of the need to support the young people by providing holistic care that enhances life in the home and in education. The Pharmacy inspector from Commission for Social Care Inspection has made requirements that are being addressed. 17 Jerome Close DS0000021453.V250446.R01.S.doc Version 5.0 Page 12 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 and 23. The residents use Makaton, symbols, British sign language (BSL) and traffic light cards in and out of the home, which is effective. The Registered Manager is aware that staff training in child and adult protection and bullying is due. EVIDENCE: The residents use a variety of methods to communicate. The staff are aware that if there is any concern it is the behaviour of the resident that clarifies it. All observations are recorded and evaluated and staff check back with the resident for clarification. The Registered Manager is aware that staff training is due in child and adult protection and bullying, and is looking to find a provider. Previous training was done with another children’s home. Other training provided has benefited staff by looking at challenging behaviour and the autistic spectrum with appropriate management. 17 Jerome Close DS0000021453.V250446.R01.S.doc Version 5.0 Page 13 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 and 30 Some refurbishments and decorating has been done. The home is clean, but the management of the laundry needs improvement. EVIDENCE: Decoration has been carried out in the lounge. The new resident did not move into a re-decorated room as it had recently been done, though curtains and bed linen that was more appropriate to a young woman have been purchased. Personal items are kept in the residents’ rooms and they are encouraged to personalise their rooms with posters and furnishings. In the lounge there is a new carpet, furniture and a sensory mirror on the ceiling. The home is clean and there are no offensive odours. The management of the laundry needs to be addressed so that damp clothing is not continually dried over the banisters 17 Jerome Close DS0000021453.V250446.R01.S.doc Version 5.0 Page 14 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): 32,35 and 36. Some staff have experience and four are training National Vocational Qualification level 3 Caring for Children and Young People. The service does not have 80 of trained staff. Some core training has lapsed. No staff have followed training from the Learning Disability Award Framework. Induction training does include guidance on child protection. Staff with supervision responsibility have received training. Annual appraisals are in place. EVIDENCE: The service has had a contract with a training provider for over one year and there has been little support or progress. Four staff are registered and motivated to train but are now feeling rather despondent. The Registered Manager is to contact the agency. New staff, recently recruited, have completed skill for care induction. All staff but one are trained in PRICE restraint. Refresher training in first aid, fire prevention and food handling is being negotiated. No staff have followed accredited training from the Learning Disability Award Framework. The Registered Manager supervises senior carers who in turn supervise carers. Annual appraisals are now in place, and staff confirmed feeling supported. 17 Jerome Close DS0000021453.V250446.R01.S.doc Version 5.0 Page 15 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 and 39. The Registered Manager has completed the Registered Managers Award (RMA). Quality assurance questionnaires were sent out in September 2004. Pre-review assessments are done with the residents. EVIDENCE: The Registered Manager has completed the RMA but not yet received the certificate. Evidence was produced at the inspection to confirm that the home is financially viable. Certificates of registration and insurance displayed, the latter is due for renewal in March 2006. Quality assurance questionnaires to stakeholders were distributed in September 2004 and the Registered Manager confirmed that this was due to be repeated and sent to teachers, parents and the Family Intensive Support System (FISS). 17 Jerome Close DS0000021453.V250446.R01.S.doc Version 5.0 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 2 X 2 X Standard No 22 23 Score 3 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X 2 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 2 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X 2 X X 2 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 17 Jerome Close Score 3 X X 2 Standard No 37 38 39 40 41 42 43 Score X X 2 X X X X DS0000021453.V250446.R01.S.doc Version 5.0 Page 17 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 YA2 Regulation 14 Requirement Timescale for action 10/02/06 2 3 4 YA6 YA4 YA39 5 6 7 8 YA1 YA39 YA30 YA32 That all residents are assessed prior to admission and the Registered Manager confirms in writing that the home can meet the needs assessed. 17(1)(a) That the care plan includes the contents of Schedule 3. 12(2) That prospective residents are encouraged to visit the home prior to admission. 17(2) That the roster shows the hours worked by the Registered Manager as hands-on or management. 13(4)(b) That risk assessments are dated and reviewed. 24,35(a) That quality assurance is current and includes Schedule 7. 13(3) That laundry is managed effectively. 18(1)(c)(i) That core training is provided. 10/02/06 10/02/06 10/02/06 10/02/06 10/02/06 10/02/06 10/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. 17 Jerome Close DS0000021453.V250446.R01.S.doc Version 5.0 Page 18 No. 1 Refer to Standard YA1 Good Practice Recommendations That 80 staff working with 16 and 17 year olds are qualified to National Vocational Qualification level 3 in Caring for Children and Young People. 17 Jerome Close DS0000021453.V250446.R01.S.doc Version 5.0 Page 19 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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