Inspection on 06/12/05 for 19 Stone Lane

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

19 Stone Lane 19/10/07

19 Stone Lane 06/11/06

19 Stone Lane 15/08/05

19 Stone Lane 03/02/05

19 Stone Lane 15/09/04

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Southfields

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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 Stone Lane Worthing West Sussex BN13 2BA Lead Inspector Beth Tye Unannounced Inspection 7th December 2005 09:30 19 Stone Lane DS0000029496.V271396.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 19 Stone Lane DS0000029496.V271396.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. 19 Stone Lane DS0000029496.V271396.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 19 Stone Lane Address Worthing West Sussex BN13 2BA 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 693453 Sutton Court Nursing Home Limited Mr Peter Gratton Hugh O`Sullivan Care Home 6 Category(ies) of Learning disability (6) registration, with number of places 19 Stone Lane DS0000029496.V271396.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th August 2005 Brief Description of the Service: 19 Stone Lane is a Care Home registered for up to six residents in the Category Personal Care (PC) and Learning Disabilities (LD). The establishment is a converted premises situated on the outskirts of Worthing. Local shops and access to public transport are close by. Accommodation is provided over two floors. All rooms are single occupancy with one en-suite. The service is privately owned and the Registered Provider is Sutton Court Nursing Home Ltd. The registered manager is Mr Peter OSullivan and the Registered Provider is Mr Neil Ramdin. 19 Stone Lane DS0000029496.V271396.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over three hours. Prior to inspection information held on file was reviewed, including the last two inspection reports and any official documentation relating to the home over the last six months. Stone Lane currently has six residents and the inspector was able to speak to most of them during the inspection. Two members of staff were interviewed and the inspector spent time with the Deputy Manager who provided information and documentation. A tour of the premises was undertaken. Case files, health and safety records and staff files were examined. Where there has been no change to the assessed standards the body of text will remain unchanged from the last report. What the service does well: What has improved since the last inspection? Following discussion with the management at the last inspection it was agreed that residents or their families will, in future, be asked to sign any documentation relating to their care in order to demonstrate their involvement. From the findings of this inspection, residents signatures are now evident on their care plans and review sheets. This shows that residents wishes are respected by staff and that they are involved in the care planning process. 19 Stone Lane DS0000029496.V271396.R01.S.doc Version 5.0 Page 6 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 Stone Lane DS0000029496.V271396.R01.S.doc Version 5.0 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 19 Stone Lane DS0000029496.V271396.R01.S.doc Version 5.0 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): 1, 4 and 5 The home and the prospective residents have access to all relevant information prior to admission. This helps each involved party to assess whether the home can appropriately meet the identified needs of individuals. The overall outcome for the residents in this area was good. EVIDENCE: Prospective residents and their carers are provided with all relevant information to make an informed decision about the home. The inspector viewed an up to date Service Users Guide and Statement of Purpose. This is available in symbol and picture format to assist residents in understanding what the home has to offer. Each resident is given the opportunity to visit the home prior to admission, as many times as they feel necessary. This gives them the opportunity to meet other residents and staff, therefore contributing to a smooth transition process. Terms and Conditions were seen on individual files and residents are issued with their own copy. This information is discussed with them on arrival to ensue they understand their rights and exactly what service the home provides. 19 Stone Lane DS0000029496.V271396.R01.S.doc Version 5.0 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&8 Residents meet with their key workers on a regular basis and have the opportunity to contribute and review how their care is implemented. The inspector concluded the home meets residents changing needs and personal goals, promoting independent living where possible. EVIDENCE: The inspector examined all the residents care plans. Each plan is generated from pre-admission assessments and information from involved professionals. These relate to all aspects of the individuals health, personal and social needs. In addition to this each resident has specific guidelines for their daily routines, personal care and activities. Each set of guidelines is held at the front of individual files so is easily accessible by staff. The inspector noted that the guidelines were specific to the preferences of each resident. For example; what they like for breakfast; how to give medication; how to calm them. This demonstrates that residents preferences are listened to and actioned appropriately. 19 Stone Lane DS0000029496.V271396.R01.S.doc Version 5.0 Page 10 Changes to care plans also occur following regular meetings between residents and their key workers. This demonstrates the care provided at the home is in line with the residents changing needs. The inspector noted that since the last inspection the residents had signed their care plans to demonstrate their involvement in the review process. The inspector viewed detailed risk assessments for individuals. These were signed by each resident demonstrating that limitations were agreed and independence where possible, was encouraged. The inspector examined the daily record sheets for each resident. These detailed any significant event, which needed to be handed over to other staff. All records were kept up to date and in good order. Residents personal information is held on files in a locked staff office, ensuring confidentiality of personal information, within the home. 19 Stone Lane DS0000029496.V271396.R01.S.doc Version 5.0 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): 17 Residents within the home are offered a good choice of healthy and balanced meals. EVIDENCE: The inspector examined menus for the home. Each week a staff member plans the menu for the forthcoming week. One resident confirmed he liked the food and he was consulted on about what he liked to eat. A staff member stated if residents changed their minds on the day an alternative could be offered. Packed lunches are prepared for residents who attend college or day centres. Those who remain at the home are offered a choice for lunch on the day. Residents have the opportunity to assist staff in cooking regularly in the home and will shop and prepare the ingredients as part of an independent living plan. Other residents often get involved in assisting with domestic tasks in the kitchen. All meals eaten are recorded in a log and the inspector noted these were balanced and varied. 19 Stone Lane DS0000029496.V271396.R01.S.doc Version 5.0 Page 12 The kitchen was seen by the inspector and was clean and tidy. Food was well presented and looked appetising. Fridge/freezer temps are recorded daily and colour coded boards are used for food preparation to minimize the risk of infection. Staff have completed food hygiene training and certificates were displayed in the kitchen area. 19 Stone Lane DS0000029496.V271396.R01.S.doc Version 5.0 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): 20 Medication is stored and labelled appropriately. The inspector found that all MAR sheets and information relating to medication was in good order and signed by staff. EVIDENCE: Policies and procedures relating to all aspects of healthcare and medication administration are in place and up to date. Records show staff have undertaken relevant training to dispense medication safely. Medication is stored appropriately at the home and medication charts examined were up to date and in good order. A local chemist is responsible for regular audits of all medication within the home. Medication is suitably stored in locked cabinets in the office and the home has an agreement in place with a local pharmacy who will offer advice and assistance as required. 19 Stone Lane DS0000029496.V271396.R01.S.doc Version 5.0 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 The home has a complaints log in place which is supported by an up to date complaints policy and procedure. A complaints procedure is available to residents and their families in the Statement of Purpose and Service Users Guide. All residents spoken to felt listened to and able to vocalise any issues of concern. Parents feedback that they felt able to approach the staff and discuss anything they needed to. The home provides mandatory training for all staff in respect of working with vulnerable adults. EVIDENCE: The home has a detailed procedure for complaints, which is included in the Service Users Guide and Statement of Purpose, providing residents with clear information about how to complain. All complaints information is printed in a format suitable for residents to ensure they are clear about their rights within the home. The complaints log was seen, a few minor issues were recorded but there have been no official complaints at the home for over a year. Residents have regular meetings, which provide them with a forum to talk about issues of concern. In addition to this, the key worker system gives residents with the opportunity to talk on a one to one basis. 19 Stone Lane DS0000029496.V271396.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 The home overall offered a comfortable and clean living space and therefore providing a good outcome for residents. EVIDENCE: All areas of the home are clean, light and airy. Communal areas are comfortable and spacious. Furnishings are modern and comfortable providing a pleasant living environment. Bedrooms are all a reasonable size and decorated to a good standard. They reflect the personality of their occupants with a variety of personal pictures and possessions. Residents spoken to said how much they liked their rooms. Some rooms have been adapted to meet residents specific needs i.e. Velcro curtains which can be removed in the day and lino flooring where carpet is not appropriate. This provides residents with a living space, which incorporates their assessed needs and preferences. The inspector noted that one residents mattress was badly soiled and needed replacing. The owner took this on board and replaced the mattress with a new one by the end of the day. 19 Stone Lane DS0000029496.V271396.R01.S.doc Version 5.0 Page 16 En suite facilities are available in one bedroom providing the occupant with more privacy than the shared facilities. There is an additional bathroom and a shower room with sufficient toilets to meet residents needs appropriately. In addition to the communal areas there is a games room, which residents are encouraged to use this room to promote relaxation and engage in activities of interest. The house is cleaned regularly by staff with appropriate support from residents, this encourages a sense of ownership and promotes independent living skills. All rooms have locks and residents have keys where appropriate. Lockable spaces are provided to promote privacy. The rear garden has a large lawn and is accessible to all service users. Laundry facilities include a sluice cycle. Policies and Procedures are in place for safe handling and disposal of clinical waste. All staff undertake Infection Control training which promotes hygienic practices by staff and minimises the risk of infection within the home. The inspector noted the atmosphere within the home was relaxed and friendly. 19 Stone Lane DS0000029496.V271396.R01.S.doc Version 5.0 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): 34 & 36 Not all staff records contained the relevant documentation. Also, the inspector could not conclude that supervised staff supported residents’, as the supervision records seen, were not up to date. Requirements have been made in respect of these issues. EVIDENCE: The inspector concluded that staff are given clear guidance from the systems in place, to work effectively with the residents. However this process would be enhanced by regular supervision, which was found to be overdue. A requirement has been made in respect of this. The inspector examined staff records for the staff on shift. Although the majority were in good order, and the home has up to date Recruitment Policies and Procedures, one file was missing two references and another a CRB check. These checks would ensure the residents are protected from any risk posed by the staff. The Deputy Manager stated all staff had received a CRB check and she intended to contact the CRB Office for a copy of the original document. She stated the required staff references would be obtained at the earliest opportunity. A requirement was made in respect of these issues and will be monitored at the next inspection. 19 Stone Lane DS0000029496.V271396.R01.S.doc Version 5.0 Page 18 Duty rotas seen on the day of inspection indicated staff were on duty in sufficient numbers and with a good gender/skill mix to meet residents needs. The home has a full staff compliment and does not use agency workers promoting consistency of care for the residents. 19 Stone Lane DS0000029496.V271396.R01.S.doc Version 5.0 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): 42 Overall the inspector concluded that the residents benefit from a well run home and are safe guarded by the homes policies, procedures and systems. The health, safety and welfare of residents are promoted and protected through good, clear systems and record keeping. EVIDENCE: The inspector examined all safety records at the home including, fire records, training, water temperatures, maintenance and the accident book. They were all up to date and in good order promoting the welfare and safety of the residents. Efficient administrative systems and guidelines are in place to support staff in their day to day care provision and ensure accountability in relation to work practices. 19 Stone Lane DS0000029496.V271396.R01.S.doc Version 5.0 Page 20 The home has up to date policies and procedures in line with current legislation to safe guard the rights and interests of the staff and residents. Discussions and observations confirmed staff are given clear direction in their roles and good working practices are promoted through staff support and training. One staff member stated he felt the management were ‘very supportive’ and the training offered by the company was ‘very good’. Another staff member, (although new to the organisation) demonstrated a clear understanding of her role and what the residents needed. The most recent Quality Assurance report and Inspection report from the Commission is available to residents and parties involved in the home. The report includes detailed feedback from residents and their families, providing them with an opportunity to contribute to the way the home is run. The inspector concluded that the overall conduct and management of the home served the best interests of the residents and the staff who work there. 19 Stone Lane DS0000029496.V271396.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 X X 3 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X 3 X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X X X 2 X 2 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 19 Stone Lane Score X X 3 X Standard No 37 38 39 40 41 42 43 Score X X 3 3 X 3 x DS0000029496.V271396.R01.S.doc Version 5.0 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. 1 Standard 34 Regulation 17 Requirement To ensure all records are kept up to date within the home and appropriate checks for staff are obtained Ton ensure staff receive supervision no less than 6x annually Timescale for action 31/12/05 2 36 18 31/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 19 Stone Lane DS0000029496.V271396.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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 Stone Lane DS0000029496.V271396.R01.S.doc Version 5.0 Page 24 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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