Inspection on 12/07/05 for 20 Newlands Close

This inspection was carried out on 12th July 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 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

20 Newlands Close 05/01/06

20 Newlands Close 23/02/05

20 Newlands Close 21/12/04

Similar services:

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Southfields

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Seabourne House

33 St John`s Church Road

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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 20 Newlands Close Hastings East Sussex TN34 2QW Lead Inspector Jeanette Denereaz Unannounced 12 July 2005 15:00 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. 20 Newlands Close H59-H10 S21314 20 Newlands Close V231378 120705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 20 Newlands Close Address 20 Newlands Close Hastings East Sussex TN34 2QW 01424 755717 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 20 Newlands Close H59-H10 S21314 20 Newlands Close V231378 120705 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 aged over eighteen (18) and under sixtyfive (65) years on admission Date of last inspection 23 February 2005 Brief Description of the Service: 20 Newlands Close is a detached bungalow registered for three service users with learning disabilities. The home is part of the East View Housing Ltd. (EVH). The home as been extended and adapted to provide care for people with mobility difficulties. The accomodation consists of four bedrooms (one bedroom is used as the general office and staff sleep-in room) one bathroom with toilet, shower room and separate toilet. The communal areas are a large kitchen diner, lounge and a conservatory. There is a back garden that is used by the service users and there is an open frontage. The bungalow is situated in a quiet residential close, there are bus routes to the town of Hastings and there are two local shops in walking distance. 20 Newlands Close H59-H10 S21314 20 Newlands Close V231378 120705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place between 15.00 and 17.00 with the inspector made very welcome to the home by the team leader. The inspector is familiar with the service hence a number of judgements were made from previous knowledge, confirmed by observation and talking with the service user at home and the team leader. A new member of staff was on duty when the inspector arrived, the team leader arrived shortly after, to undertake supervision. The home is managed by the team leader, and she intends to make application to become the registered manager. There are only two service users in residence at the time of this inspection, the third service user has now left because to home could not fully met his needs, and he had disrupted the home, distressed other service users and damaged fixtures and fittings. The service users wish to be referred to as residents within this report. What the service does well: What has improved since the last inspection? Negotiations between a resident’s family member are taking place because his financial situation, restricted independence and choice imposed by the family member. The resident now has an independent advocate to assist this process. The organisation EVH and the home came to the decision that it was not meeting the needs of a resident, and he was disrupting the lives of the other residents, and he was supported to move on. 20 Newlands Close H59-H10 S21314 20 Newlands Close V231378 120705 Stage 4.doc Version 1.40 Page 6 All documentation relating to staff and health and safety required by regulation are now in the home and are available for 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. 20 Newlands Close H59-H10 S21314 20 Newlands Close V231378 120705 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 20 Newlands Close H59-H10 S21314 20 Newlands Close V231378 120705 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 Prospective service users and their representatives are provided with a good level of written information about the service. EVIDENCE: A prospective service user would have access to suitable written information to inform them of the service and what it is like to live at 20 Newlands Close in the form of a statement of purpose and service user guide. Following the recent experience the team leader will ensure that the home can meet the prospective resident’s needs and they are compatible with the other residents so they all can live together, and have respect for each other. The previous resident was taken as an emergency, his was very active, younger and not as able as the other men and had very little in common. The organisation does not have a policy for emergency admissions and will be more cautious in the future. 20 Newlands Close H59-H10 S21314 20 Newlands Close V231378 120705 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 The residents’ care and support needs are well managed enhancing the residents’ independence and overall quality of life. EVIDENCE: During this inspection the individual care plans were not inspected in depth. However it was evident that residents are given the opportunities to be involved in the day-to-day running of the home. 20 Newlands Close H59-H10 S21314 20 Newlands Close V231378 120705 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 & 16 The residents have every opportunity to have a fulfilled, responsible, valued and socially active life. EVIDENCE: It was evident from discussions with the resident at home and the team leader that they participate fully in the local community. One resident has 1:1 time with staff to explore his interests and involving more community presence. The other resident was at the day service during this inspection, but the inspector was assured he continues to enjoy his day service and other hobbies and interests, which includes the Nautical Corp that he attends weekly. He also has asked for support in finding a job. The inspector saw the weekly menus and the evening meal was a fish dish, which the team leader would be cooking later. The refrigerator and freezer was fully stocked and appropriately labelled. 20 Newlands Close H59-H10 S21314 20 Newlands Close V231378 120705 Stage 4.doc Version 1.40 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 standard(s) 18,19 & 20 The residents’ health and care needs are very well managed and take into account service users individual preferences and needs. EVIDENCE: It was from observation during this inspection and the reviewing of records residents are treated as individuals and that this is respected in care giving and support. Health care is well managed with regular health checks undertaken with visits to chiropodist, dentist, optician and other health professional when required. Since the last inspection the home has purchased a new medication cabinet, No resident administer their own medication, therefore all medication is administered by the staff, and full training is given to all care staff on dealing with medicines. The home has regular Pharmacy audits, and the reports are usually positive. Further investigation are being undertaken into the incontinence of a resident, and the team leader must ensure that this is managed, as the home now has an offensive odour throughout and this not acceptable for the resident or for others living and working in the home. 20 Newlands Close H59-H10 S21314 20 Newlands Close V231378 120705 Stage 4.doc Version 1.40 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 standard(s) 22 & 23 The residents would be able to raise concerns, and therefore are protected as far as possible from the risks of harm or abuse by an informed and trained staff team. EVIDENCE: All staff undertake training in the protection of vulnerable adults also the home has polices on the prevention of abuse. The team leader confirmed that the staff have read such policies, but their understanding of the policies were not explored with staff on this occasion. The inspector during this visit did hear a staff member speak to the resident in harsh and disrespectful way, this was feedback to the team leader who was aware of other incidents and intends to deal with the situation. The home’s complaints book did not have any entries. 20 Newlands Close H59-H10 S21314 20 Newlands Close V231378 120705 Stage 4.doc Version 1.40 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 standard(s) 24,25,26,27 & 30 The residents enjoy living at 20 Newlands Close it is safe, fairly well maintained and homely. But is now showing signs of wear and tear due to the heavy treatment from a previous resident. EVIDENCE: The inspector did a tour of the home escorted by the team leader, and found it was clean and warm in the living areas, but there was an offensive odour throughout the home. In general the home is well maintained but there are signs of wear and tear due to the heavy treatment of a the previous resident. The bedroom occupied by the previous resident has been decorated to a very high standard with matching curtains and bed linen. The shower area still is in needs deep cleaning to the tiles, floor and grouted areas. The residents enjoy sitting in the lounge watching television, but the suite of furniture needs to be replaced, due to the chewing to the arms and the ripping of the seating of the previous resident. 20 Newlands Close H59-H10 S21314 20 Newlands Close V231378 120705 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,34 & 36 The residents are supported and cared for by a competent team leader who is the acting manager. EVIDENCE: The team leader informed the inspector that the home had experienced staff shortages, but new staff have been recruited and the majority had settled well. The support worker who was on duty when the inspector arrived, told the inspector that she was new to the home but had many years experience working with people with a learning disability. However, her manner toward the resident during this inspection was sharp and disrespectful. The inspector informed the team leader, who also had had concerns regarding the manner of this staff member, and had come in early on this day to have supervision with the member of staff. It is therefore evident that the team leader is aware and vigilant and confronts situations that are not appropriate and not meeting the needs of residents. Following this inspection the inspector was informed that disciplinary action had been taken by EVH against the staff member. 20 Newlands Close H59-H10 S21314 20 Newlands Close V231378 120705 Stage 4.doc Version 1.40 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 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 & 43 The residents are safe in the home and the staff are trained and supervised. The team leader is well motivated and competent ensuring the home is run well in the best interest of the residents. She is well respected by the residents and staff and it is evident that she has a management style that is open and approachable. EVIDENCE: The team leader has worked with this service user group for many years, and is currently working towards her NVQ 4 and then the Registered Managers Award. She will be making application to become the manager of 20 Newlands Close and make application to the CSCI to be the registered manager. The team leader demonstrated through discussion a very clear understanding of the current needs of residents. Monitoring health and safety in the home is to a good standard, with weekly health and safety checks taking place, and equipment serviced as required to maintain a safe home and facilities. Risk assessments are completed for individuals and staff activities in the home and care duties. 20 Newlands Close H59-H10 S21314 20 Newlands Close V231378 120705 Stage 4.doc Version 1.40 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 3 3 3 x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 2 x x 2 Standard No 11 12 13 14 15 16 17 3 3 3 x x 3 x Standard No 31 32 33 34 35 36 Score 3 3 x 3 x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 20 Newlands Close Score 3 2 3 x Standard No 37 38 39 40 41 42 43 Score 2 x x 3 x x 3 H59-H10 S21314 20 Newlands Close V231378 120705 Stage 4.doc Version 1.40 Page 17 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 YA19 Regulation 12 Requirement The home must ensure the residents health is monitored and problems identified and dealt with at an early stage. This is in reference to the incontinance of a resident and the affect on the home. The home must ensure that the furnishing and fittings are in a good conditon and of good quality. This is in reference to the suite of furniture in the lounge, which has been demaged by a previous resident. The home must ensure that the tiles and grouting around the shower are cleaned or replaced. The responsible Individual must ensure the home has a registered manager in post The home must ensure that the premises are kept clean, hygienic and free from offensive odours. Timescale for action 1/09/05 2. YA24 23 1/09/05 3. 4. 5. YA27 YA37 YA30 23(2)(j) 8&9 13(2) 16(2)(j) (k) 1/09/05 1/12/05 1/09/05 20 Newlands Close H59-H10 S21314 20 Newlands Close V231378 120705 Stage 4.doc Version 1.40 Page 18 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 Good Practice Recommendations 20 Newlands Close H59-H10 S21314 20 Newlands Close V231378 120705 Stage 4.doc Version 1.40 Page 19 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. 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