Inspection on 23/08/05 for 19 Alexandra Road

This inspection was carried out on 23rd August 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

19 Alexandra Road 23/09/08

19 Alexandra Road 06/10/06

19 Alexandra Road 19/01/06

19 Alexandra Road 25/02/05

19 Alexandra Road 04/08/04

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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 19 Alexandra Road 19 Alexandra Road St Leonards-on-sea East Sussex TN37 6LD Lead Inspector Jeanette Denereaz Unannounced 23 August 2005 16:00 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. 19 Alexandra Road H59-H10 S21309 19 Alexandra Road V237701 230805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 19 Alexandra Road Address 19 Alexandra Road St Leonards-on-sea East Sussex TN37 6LD 01424 446914 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) East View Housing Management Ltd Care Home 3 Category(ies) of Learning disability (LD) 3 registration, with number of places 19 Alexandra Road H59-H10 S21309 19 Alexandra Road V237701 230805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum number of residents to be accommodated will be three (3) 2. The people accommodated will be over eighteen (18) and under sixty-five (65) years on admission Date of last inspection 25 February 2005 Brief Description of the Service: 19 Alexandra Road is a three storey terraced Victorian house in a residential area of St Leonards on sea. It benefits from a small patio garden to the rear of the property that is access only through the kitchen. The home is conveniently situated a short distance from local amenties, including public transports and shops. The home is part of the East View Housing Organisation (EVH) and provides care for three younger people with learning disabilities. 19 Alexandra Road H59-H10 S21309 19 Alexandra Road V237701 230805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, the first in the year running from April 1st 2005 to March 31st 2006. The visit lasted from 16:00 until 18.00. The home has three service users, who wish to be referred to as residents in this report. The visit was spent talking directly with all residents privately and collectively; and with the team leader who is managing the home, however the team leader informed the inspector that he would be leaving at the end of August 2005. Some judgements about quality of life and choices were taken from direct conversation with service users and observation followed by discussion with the team leader and evidencing records held at the home. A tour of the premises was undertaken by the inspector escorted by the residents. What the service does well: The home is well managed with the team leader and staff team who put the well being of the residents first and foremost, which ensures the residents are empowered to make choices about their lives. All the residents said they are happy living in the home, and the house is very homely and reflects the individuals’ lifestyles and interests. The residents make comments of: • • “The staff are very nice and we are going on holiday to Blackpool”. “The staff help me with the cleaning, the hoovering, and they help me with my washing”. The two residents at home during this inspection expressed their sadness that the team leader was leaving. What has improved since the last inspection? Since the last inspection one staff member has successfully undertaken the Learning Disability Framework Award (Ldfa) and the other staff member is very interested in this qualification. Supervision of staff has taken place regularly, since the last inspection, and the information was seen by the inspector. Some repairs and decorating has been undertaken and the lounge has new 19 Alexandra Road H59-H10 S21309 19 Alexandra Road V237701 230805 Stage 4.doc Version 1.40 Page 6 furniture. The home has improved the cleaning rota and was clean on the day of this 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. 19 Alexandra Road H59-H10 S21309 19 Alexandra Road V237701 230805 Stage 4.doc Version 1.40 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 19 Alexandra Road H59-H10 S21309 19 Alexandra Road V237701 230805 Stage 4.doc Version 1.40 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) 1,2,3 & 5 Residents are given all the information they need to be able to make an informed decision to live at 19 Alexandra Road. EVIDENCE: There have not been any new residents to the home since the last inspection. However, the home has a comprehensive policy and procedures in place for prospective residents. The home is part of the East View Housing Organisation and has detailed policies and procedures in place for prospective residents. All residents living the home have copies of their contracts statement of purpose and Service Users’ guides in their care plans. 19 Alexandra Road H59-H10 S21309 19 Alexandra Road V237701 230805 Stage 4.doc Version 1.40 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 & 10 Al residents are treated with genuine respect and dignity by the staff, individual personal, health and social care needs are well supported. It was observed that one resident is seeking to become more independent, and this is being managed sensitively and confidentially by the staff team, taking their lead from the team leader. All confidential information is handled in an appropriate manner within the home. EVIDENCE: During this inspection two residents were interviewed and they expressed their satisfaction with the support they received from the staff. The third resident was still out at his work placement, but he rang the home to inform the team leader of his evening plans, and the inspector had the opportunity to talk with him on the telephone, and he also expressed his satisfaction with the service. 19 Alexandra Road H59-H10 S21309 19 Alexandra Road V237701 230805 Stage 4.doc Version 1.40 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 standard(s) 11,12,13,14,15,16 & 17 Residents are encouraged to make choices about all aspects of their lives, through a range of activities and friendships in the home and local area. EVIDENCE: It was evident during this inspection that this is a very busy home. The residents are involved in the running of the home, and have busy social lives in the community. The residents are able to make a range of choices about their lives and are supported by the staff team. The residents are encouraged to participate with the home’s routines, which include shopping, cleaning and cooking; there is also a move toward healthier eating within the menu planning. The two residents at home during this inspection spoke openly about their lives at 19 Alexandra Road and living in Hastings area. They have local knowledge about the community and enjoy a variety of social activities, which includes annual holidays and they looking forward to their holiday to Blackpool. One resident in the past always expressed his dissatisfaction with his day service, the team leader was fully aware of this situation and since the last 19 Alexandra Road H59-H10 S21309 19 Alexandra Road V237701 230805 Stage 4.doc Version 1.40 Page 11 inspection the resident’s day service has improved and he attends other services including a farming project. The resident wanted the inspector to see his ‘day to day’ file to confirm all his new activities. 19 Alexandra Road H59-H10 S21309 19 Alexandra Road V237701 230805 Stage 4.doc Version 1.40 Page 12 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 Residents are treated with genuine respect and dignity by support staff and Individual health, personal and social needs are well supported. EVIDENCE: Residents fell that they are treated as individuals and that this is respected in care giving and support. Health care is well managed with residents encouraged to take responsibility as far as they are able. Health records indicated frequent visits to the chiropodist, dentist and optician and the team leader confirmed that the home had a good relationship with the local GP surgery and the Community Learning Disability team (CLDT). 19 Alexandra Road H59-H10 S21309 19 Alexandra Road V237701 230805 Stage 4.doc Version 1.40 Page 13 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 Residents are able to raise concerns and can be assured that these concerns will be listened to and acted on. The Residents are protected as far as possible from the risk of harm or abuse. EVIDENCE: Residents stated that they knew who to talk to if they had a concern or wished to make a complaints, this included the team leader, other staff, the responsible individuals and the inspector. Copies of the home’s complaint’s procedures are available in the home. 19 Alexandra Road H59-H10 S21309 19 Alexandra Road V237701 230805 Stage 4.doc Version 1.40 Page 14 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 & 30 The residents live in a warm, nicely decorated and clean home. However there was a musky damp odour in the home during this inspection. EVIDENCE: The home is well presented, homely and clean. Residents talked about the daily chores and cleaning they do within the home. The team leader was seen to be supportive giving guidance and physical assistance where needed during this inspection. The home had a musky damp smell and the team leader confirmed that there is always a smell within hallway, but it could not be located. Areas of the home had been redecorated and repaired since the last inspection and new leather sofas had been purchased for the lounge, but there were still areas in needs of redecoration and maintenance. 19 Alexandra Road H59-H10 S21309 19 Alexandra Road V237701 230805 Stage 4.doc Version 1.40 Page 15 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 At the time of this inspection the residents benefit from the support of a welltrained and stable staff team. EVIDENCE: The home has had a stable staff team, who the residents like and respect, however, the team leader (acting manager) will be leaving at the end of August 2005, therefore the home will require a registered manager. Since the last inspection one staff member has undertaken the Ldfa training and the other support staff member is very enthusiastic about attending this training in the future. Also since the last inspection staff supervision has taken place regularly and the records were seen by the inspector. 19 Alexandra Road H59-H10 S21309 19 Alexandra Road V237701 230805 Stage 4.doc Version 1.40 Page 16 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) 37,38,40 & 42 Resident’s personal preferences and care needs are supported and carried out through the team leader’s open leadership and this has promoted a safe home and working environment. EVIDENCE: The residents felt the team leader and the support staff are very approachable, unfortunately the views of the staff were not sought at this inspection, as the team leader was the only member of staff on duty. However, supervision records were inspected and were found to open, frank and informative giving the impression of a cohesive staff team. The team leader demonstrated through discussion a very clear understanding of the current and future needs of the residents. Monitoring health and safety in the home is of a good standard, with weekly health and safety checks taking place, and equipment serviced as required to maintain a sage home and facilities. 19 Alexandra Road H59-H10 S21309 19 Alexandra Road V237701 230805 Stage 4.doc Version 1.40 Page 17 Risk assessments are completed for individual residents and staff activities in the home including care duties. At the last inspection there were concerns regarding the assistance given to one resident with his personal allowance and the accounting of this money. This has improved and the accounts were clearly audited giving the resident the independent he requested and the support to record his spending accurately. 19 Alexandra Road H59-H10 S21309 19 Alexandra Road V237701 230805 Stage 4.doc Version 1.40 Page 18 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 3 3 3 x 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 x 2 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 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 19 Alexandra Road Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 2 3 x 2 x 3 x H59-H10 S21309 19 Alexandra Road V237701 230805 Stage 4.doc Version 1.40 Page 19 Are there any outstanding requirements from the last inspection? Yes 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 YA30 Regulation 13(3) 16(2) (j)(k) Requirement The Responsible Individual must ensure that the premises are free from smells and odours, and that such odours are located and rectified. Timescale for action 31/12/05 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 YA37 Good Practice Recommendations It is recommended that the home should have a registered manager that is qualified, competent and experienced to run the home. 19 Alexandra Road H59-H10 S21309 19 Alexandra Road V237701 230805 Stage 4.doc Version 1.40 Page 20 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 19 Alexandra Road H59-H10 S21309 19 Alexandra Road V237701 230805 Stage 4.doc Version 1.40 Page 21 - 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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