Inspection on 05/01/06 for 20 Newlands Close

This inspection was carried out on 5th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found 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 12/07/05

20 Newlands Close 23/02/05

20 Newlands Close 21/12/04

Similar services:

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Insight - Eastchurch

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 Inspection 02:30 5 January 2006 th 20 Newlands Close DS0000021314.V269970.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 20 Newlands Close DS0000021314.V269970.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. 20 Newlands Close DS0000021314.V269970.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 20 Newlands Close Address Hastings East Sussex TN34 2QW 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) 01424 755717 East View Housing Management Ltd Ms Heather Moller Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 20 Newlands Close DS0000021314.V269970.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of residents to be accommodated will be three (3) The people accommodated will be aged over eighteen (18) and under sixty-five (65) years on admission 12th July 2005 Date of last inspection 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 accommodation 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 DS0000021314.V269970.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, the second in the year running from April 1st 2005 to March 31st 2006. The inspection took place between 14.30 and 16.30. The overall focus of the inspection was on meeting with the staff on duty and reviewing the progress of the requirements from the previous inspection, and a full tour of the home. Time was spent meeting the staff, reviewing a number of records, policies, procedures and other documentation. Two resident were spoken to and they showed the inspector their bedrooms. Since the last inspection a third resident has moved in, unfortunately she was still at her day service during this inspection, but the inspector met her at another EVH home in December 2005, and the resident was in the process of moving. It was evident that all the necessary preparation had taken place for the move. As this report was made following the second unannounced visit, and does not cover all the standards, therefore for the reader to make a judgment about the home, it is recommended that a copy of the last inspection report of the 12th July 2005 also be obtained to have a clearer picture of the home. What the service does well: What has improved since the last inspection? The home was very clean, hygienic and free from offensive odours, thus indicating that the home is managing a resident’s incontinence. The home now has new lounge furniture, which is very comfortable and stylish, and enhances the homeliness of the bungalow. 20 Newlands Close DS0000021314.V269970.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. 20 Newlands Close DS0000021314.V269970.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 20 Newlands Close DS0000021314.V269970.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): The key standard 2 was inspected at the last inspection on the 12th July 2005 and was fully met. EVIDENCE: Since the last inspection a new resident has moved into 20 Newlands Close. The resident had previously lived at another EVH home, and during an inspection at the previous home the resident informed the inspector that she was moving, she fully understood why the move had been suggested, she had visited 20 Newlands Close, met the staff and residents and was very excited about moving. Unfortunately the resident was out during this inspection, but the other residents spoke very positively about their new resident. 20 Newlands Close DS0000021314.V269970.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): 9 The residents are supported to take responsible risks, and there are safeguards in place through the comprehensive EVH organisation’s risk assessment and risk management strategies. EVIDENCE: It was evident that risk assessments had been carried out prior to the new resident moving into 20 Newlands Close. All the residents have comprehensive risk assessments with are recorded in their individual care plans, and they are reviewed regularly. 20 Newlands Close DS0000021314.V269970.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 17 The residents at 20 Newlands Close enjoy a healthy diet. EVIDENCE: During this inspection the member of staff who has responsibility for setting the menus and the organisation of the shopping was on duty. She showed the inspector the planned four-week menus and explained that she and the residents decided on the menus. She has worked in the home for many years and the two male residents have also lived in the home for many years, and therefore she knows their likes and dislikes. The new resident was trying new things, and the staff are getting to know her likes and dislikes and this is reflected in the menus. 20 Newlands Close DS0000021314.V269970.R01.S.doc Version 5.0 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The Key standards of 16,19 & 20 were inspected on the last the inspection on the 12th July 2005 and two were fully met. EVIDENCE: Since the last inspection it was evident that the home is now managing the resident’s incontinence and the home during this visit was free from offensive odours. 20 Newlands Close DS0000021314.V269970.R01.S.doc Version 5.0 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 Both key standards 22 & 23 were inspected at the last inspection on the 12th July 2005. EVIDENCE: However, staff on duty during this inspection were asked about the home’s procedures to facilitate a resident wanting to make an official complaint. The staff were unaware of the procedure to officially record a concern or complaint, and did not know if the home had a complaints book to record such events. 20 Newlands Close DS0000021314.V269970.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 27 & 30 To safeguard residents living in the home the laundry service and procedures need to be reviewed, and following a full assessment of risk may need to review the position of the washing machine in relation to where food is stored, prepared and eaten. EVIDENCE: With the incontinence of a resident, the home now uses red bags for the soiled washing, but before putting in the red bags, the soiled clothing is sluiced in the shower area by staff. The washing machine in sited in the kitchen and is a domestic model and therefore, the home needs to undertake a full assessment of the washing procedures to safeguard residents and staff. The inspector undertook a full tour of the home and it was found to be clean well furnished and free from offensive odours. However, the folding seat in the shower area (which the inspector was informed is not used by residents at this time) was in need of deep cleaning. 20 Newlands Close DS0000021314.V269970.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33 & 36 The residents continue to be supported and cared for by a competent team leader (who is the acting manager) and competent and experienced staff. Team. EVIDENCE: A small but competent staff team work at 20 Newlands Close. The newest staff member to join the staff is from another EVH home. She is very familiar with the generic EVH procedures and policies but is undertaking a comprehensive induction into 20 Newlands Close instructed by the Team Leader. The inspector was informed by the staff on duty that they received regularly supervision from the team leader. However, supervision records were not seen at this inspection as all confidential information was locked away and not available. 20 Newlands Close DS0000021314.V269970.R01.S.doc Version 5.0 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 & 39 The residents continue to be safe in a home where the staff are trained and supervised. In the inspector‘s opinion the resident are listened to by the staff and their views are taken into account in all aspects of the running of the home and their lives. EVIDENCE: 20 Newlands Close is a small home for three people and it was evident during this inspection that the staff know the residents well. The residents are confident and seem very relaxed, and the two residents at home expressed to the inspector how much they enjoyed living in the home. 20 Newlands Close DS0000021314.V269970.R01.S.doc Version 5.0 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score 2 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X X 2 X X 2 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 3 3 X X 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 20 Newlands Close Score X 3 3 X Standard No 37 38 39 40 41 42 43 Score 2 X 3 X X X X DS0000021314.V269970.R01.S.doc Version 5.0 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 YA22 Regulation 22(8) Requirement Timescale for action 31/03/06 2 YA30YA24 13(4a 16(2ef 23(2a39h 3. 4. YA27 YA37 23(2)(j) 8&9 The responsible Individual must ensure that all staff are aware of the complaints procedure and a recorded is kept of all issues raised or complaints made by residents, details of the any investigation, action taken and outcome, and this record is checked at last three times a month. The responsible Individual 31/03/06 must ensure that soiled articles and clothing are not carried through areas where food is stored, prepared, cooked or eaten. Also necessary sluicing facilities are provided and risk assessments are in place for these procedures. The home must ensure that 28/02/06 the folding shower seat is deep cleaned or replaced. The responsible Individual 31/03/06 must ensure the home has a registered manager in post. This is a requirement from previous DS0000021314.V269970.R01.S.doc Version 5.0 Page 18 20 Newlands Close inspections 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 20 Newlands Close DS0000021314.V269970.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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