Inspection on 06/11/06 for 19 Stone Lane

This inspection was carried out on 6th November 2006.

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 06/12/05

19 Stone Lane 15/08/05

19 Stone Lane 03/02/05

19 Stone Lane 15/09/04

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Insight - Eastchurch

Southfields

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33 St John`s Church Road

Dovedale Court

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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 Ms B Tye Unannounced Inspection 6th November 2006 09:00 19 Stone Lane DS0000029496.V320421.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 19 Stone Lane DS0000029496.V320421.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. 19 Stone Lane DS0000029496.V320421.R01.S.doc Version 5.2 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.V320421.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 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.V320421.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced visit to the home lasted for 4 hours. Prior to inspection information held on file was reviewed, including the last two inspection reports and any official documentation relating to the home since the last inspection. Prior to the visit the registered provider Mr Neil Ramdin had completed a preinspection questionnaire and three comment cards were received from families involved with the home. A tour of the home was undertaken during which all communal areas and private rooms were seen and the inspector saw lunch, which is the main meal of the day, being cooked and served. The inspector spent time in the house observing staff work practice. Time was also spent talking to the staff about their roles and responsibilities. Three care plans were tracked with any issues arising being discussed with the deputy manager, the staff files for two new staff members were seen along with their training files. Records for the running of the business were seen, which included accident and incident forms, complaints, health and safety recording, medication and maintenance records and all were in good order. The registered manager was on holiday at the time of the visit and the deputy manager Mrs Annette Bishop assisted with information and was given feedback. What the service does well: The home places value on supporting the residents to develop independent living skills within a structured environment. Every aspect of each residents care is documented. Clear action plans and guidelines give staff clarity to provide care specific to individual needs. Risk assessments for residents promote independent living in line with their assessed capabilities. Administration systems are well-organised and up to date enabling staff to access information as needed and ensuring good health and safety practices are upheld within the home. The activities programme is varied offering residents the opportunity to participate in and develop areas of interest. All the residents attend various college courses, as well as day centres. They also participate in activities that have been identified in their care plans. 19 Stone Lane DS0000029496.V320421.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. 19 Stone Lane DS0000029496.V320421.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 19 Stone Lane DS0000029496.V320421.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. Detailed pre-admission assessments are completed prior to admission to the home and information gained forms the basis of an on going plan of care. There is sufficient information available to ensure that prospective service users and their families can make an informed choice about whether the home would meet their needs. EVIDENCE: An updated Statement of Purpose is in place and the Service Users Guide is in place. There is sufficient information in these to ensure that prospective service users and their families are enabled to make an informed choice about the services provided in the home. Each document is provided in a format suitable for residents so they are aware of what the service offers prior to admission. Individuals are able to view the home and contribute fully to identifying their care needs and aspirations prior to admission. 19 Stone Lane DS0000029496.V320421.R01.S.doc Version 5.2 Page 9 There have been no new residents admitted since the last visit. At that time pre-admission assessments and contracts were seen to be in place. Records showed residents had undertaken detailed pre admission assessments with the manager and provider of the service. Terms and Conditions for the home are provided to each resident on arrival. This ensures residents are fully aware of their rights and exactly what the home has to offer them. 19 Stone Lane DS0000029496.V320421.R01.S.doc Version 5.2 Page 10 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 good. This judgement has been made using available evidence including a visit to this service. A comprehensive care planning system is in place detailing the personal and emotional needs of each person. The staff team offer choice regarding personal care issues and residents have the opportunity to be involved in the running of the home. EVIDENCE: Care files contain comprehensive information relating to the residents assessed care needs including assessments of need, risk assessments, daily living plans and personal routines. The plans are very comprehensive and in good order to easily inform staff members about the personal and background details of the people they are supporting. Care plans are reviewed and updated on a regular basis in line with the changing needs of the residents. 19 Stone Lane DS0000029496.V320421.R01.S.doc Version 5.2 Page 11 Residents have the opportunity to contribute to the care planning process through one to one keywork sessions and formal reviews. Each care file has risk/behaviour management guidelines. This promotes independence for residents in line with assessed risk and agreed limitations and ensures the manager and staff can provide care within safe boundaries. Members of staff spoken to showed an awareness of the support needs of residents and any changes in the care plans are communicated at shift handover times and through the daily communication book. Staff practice was observed. Residents were treated kindly and with respect and staff members were heard to offer choices where appropriate. Resident’s personal information is held on files in a locked staff office, ensuring confidentiality of personal information, within the home. 19 Stone Lane DS0000029496.V320421.R01.S.doc Version 5.2 Page 12 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 good. This judgement has been made using available evidence including a visit to this service. Residents are supported and encouraged in terms of personal development and activities both at the home and in the wider community. Residents are supported to keep in touch with family and friends. The menu at Stone Lane offers a range of healthy balanced meals in line with assessed nutritional needs. EVIDENCE: There is evidence both from records that a variety of community social and leisure facilities are accessed. The staff team support people to pursue interests and/or educational opportunities as detailed in their careplans. Where rights and freedoms have been restricted as part of a risk assessment process, this has been recorded and signed by the resident concerned. These agreements are reviewed on a regular basis to ensure that current needs and wishes of individuals are addressed. 19 Stone Lane DS0000029496.V320421.R01.S.doc Version 5.2 Page 13 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. Records demonstrated that residents were given a choice. Menus show that a variety of fresh, home cooked meals are available and residents have their nutritional needs assessed as part of the care planning process. 19 Stone Lane DS0000029496.V320421.R01.S.doc Version 5.2 Page 14 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 good. This judgement has been made using available evidence including a visit to this service. Healthcare needs are met and residents have access to a number of healthcare professionals in the wider community. Medication is well managed and staff members receive relevant training. EVIDENCE: Care plans detail the specialist health needs of each service user and people are supported to be as independent as possible, in line with agreed risk assessments. Some residents said they liked to be self-managing but knew they could always ask a member of staff for help if they needed it. Personal preferences are recorded and residents said that their choices are respected. Each resident is assigned a key worker who provides a one to one session on a weekly basis, or more often if required. These meetings provide residents with the opportunity to talk through all aspects of their care needs and make supported changes where needed. All information from these sessions is recorded in their on going care plan. 19 Stone Lane DS0000029496.V320421.R01.S.doc Version 5.2 Page 15 There is evidence from records that that the home works closely with a variety of healthcare professionals including the community learning disability team. Regular reviews are held and recorded. Residents stated they had access to medical advice and were supported by the staff team to attend appointments. The home has an agreement with a local pharmacy for medication. There are policies and procedures in place with regards to the administration of medication and all staff members who administer medication receive appropriate training. Medication records are well managed, with no gaps or errors. This demonstrates staff adhere to policies and guidelines when dispensing medication to residents. 19 Stone Lane DS0000029496.V320421.R01.S.doc Version 5.2 Page 16 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. The home has effective systems in place to protect the residents from abuse, neglect and self-harm. 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. Staff have completed the Protection of Vulnerable Adults training and as part of LDAF induction training. This reduces risk within the home and ensures staff were clear about reporting procedures should suspicion of abuse arise. Residents spoken to felt listened to and able to speak to the manager or staff about issues of concern. Residents have regular informal 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. The complaints log was seen, there have been no complaints at the home since the last inspection. 19 Stone Lane DS0000029496.V320421.R01.S.doc Version 5.2 Page 17 19 Stone Lane DS0000029496.V320421.R01.S.doc Version 5.2 Page 18 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. The home offers a comfortable and clean living space for residents. Residents rooms contain personal possessions and all those seen were clean and homely. EVIDENCE: Residents bedrooms and communal areas in the home will be re-decorated on the week commencing 14th November 2006. Residents have chosen colours for their own rooms. 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 comfortable. They reflect the personality of their occupants with a variety of personal pictures and possessions. Residents spoken to said they liked their rooms. Some rooms have been adapted to meet residents specific needs. 19 Stone Lane DS0000029496.V320421.R01.S.doc Version 5.2 Page 19 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. All rooms have locks and residents have keys where appropriate. Lockable spaces are provided to promote privacy. The attractive rear garden has a large lawn and is accessible to all residents. The house is cleaned regularly by staff with appropriate support from residents, this encourages a sense of ownership and promotes independent living skills. A new washing machine has recently been purchased. 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. 19 Stone Lane DS0000029496.V320421.R01.S.doc Version 5.2 Page 20 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. Residents in the home are supported by a committed, caring and well-trained staff team and recruitment records are in good order. EVIDENCE: Two staff files were examined, they contained all the relevant checks and information needed to meet the standards. All staff have CRB checks which reduces risk to vulnerable residents and ensures staff are able to competently fulfil their roles. Duty rotas seen on the day of inspection indicated staff were on duty in sufficient numbers. The home has a full staff compliment and does not use agency workers promoting consistency of care for the residents. The people on duty were kind and respectful in their dealings with residents and were seen supporting people to be as independent as possible and offering choice. 19 Stone Lane DS0000029496.V320421.R01.S.doc Version 5.2 Page 21 Records show that staff receive regular supervision and support. This gives staff members the opportunity to reflect on their practice and identify areas of personal development. Staff attend three monthly meetings which are recorded. This forum enables them to have input about decision making processes in the home and discuss issues relevant to practice as a team. The manager intends to increase the frequency of these meetings to monthly to enable staff to discuss issues relating to practice on a more regular basis. Each staff member has a training record in place and there is evidence that a variety of courses are undertaken including the management of challenging behaviour, epilepsy management, medication and the protection of vulnerable adults from abuse. Staff have undertaken either LDAF training and/or a full induction within the home. The provider has devised a monthly training schedule for staff for 2006/07. This includes specialist training in line with the needs of the resident group. Over 50 of the staff team have completed or are undertaking NVQ Level 2 & 3. 19 Stone Lane DS0000029496.V320421.R01.S.doc Version 5.2 Page 22 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 good. This judgement has been made using available evidence including a visit to this service. Competent management is in place and staff are well supported. This was supported by efficient administrative systems, which promote the health, safety and welfare of the residents and staff. EVIDENCE: The registered manager Mr Peter O’Sullivan was absent on the day of the visit but the inspector was able to spend time with the Deputy Manager Mrs Annette Bishop. Mr Neil Ramdin, the provider of the home had completed a pre-inspection questionnaire and information from this document was used to inform the visit. 19 Stone Lane DS0000029496.V320421.R01.S.doc Version 5.2 Page 23 Staff members on duty said that management was approachable and fair and ran the home in the best interests of the residents. One stated it was ‘very much like home from home for the residents’. The managers of the home have weekly meetings with the Registered provider and monthly meetings with other managers in the organisation, to discuss and monitor issues of on going practice in relation to staff and residents. Health and safety, finance and maintenance records were examined. This included fire records, water temps, incident and accident logs, residents financial records and the maintenance log. All records were in good order and up to date, which ensures that people in the home are protected at all times. Regulation Twenty-Six visits are carried out on a monthly basis by the registered provider and forwarded to the Commission. Copies of these records are kept at the home. There is a Quality Assurance Review in place within the home, which is undertaken on an annual basis. Residents, their families and interested parties have the opportunity to provide feedback and comments about the way the home is run. All feedback and comments received by the commission were positive and praised the care provided to residents. 19 Stone Lane DS0000029496.V320421.R01.S.doc Version 5.2 Page 24 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 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 x 19 Stone Lane DS0000029496.V320421.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 19 Stone Lane DS0000029496.V320421.R01.S.doc Version 5.2 Page 26 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 19 Stone Lane DS0000029496.V320421.R01.S.doc Version 5.2 Page 27 - 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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