Inspection on 08/02/06 for 26 Shakespeare Road

This inspection was carried out on 8th February 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

26 Shakespeare Road 12/01/10

26 Shakespeare Road 23/02/09

26 Shakespeare Road 04/08/07

26 Shakespeare Road 20/02/07

26 Shakespeare Road 16/09/05

26 Shakespeare Road 03/02/05

26 Shakespeare Road 20/10/04

26 Shakespeare Road 24/02/04

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 26 Shakespeare Road Worthing West Sussex BN11 4AS Lead Inspector Mrs L Riddle Unannounced Inspection 8th February 2006 09:30 26 Shakespeare Road DS0000014297.V281540.R01.S.doc Version 5.1 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 26 Shakespeare Road DS0000014297.V281540.R01.S.doc Version 5.1 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. 26 Shakespeare Road DS0000014297.V281540.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 26 Shakespeare Road Address Worthing West Sussex BN11 4AS 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 230029 shakespeare@sussexoakleaf.org.uk Sussex Oakleaf Housing Association Limited Mrs Vanessa Brenda Saunders Care Home 8 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (7), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (1) 26 Shakespeare Road DS0000014297.V281540.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th September 2005 Brief Description of the Service: 26 Shakespeare Road is a care home registered to provide accommodation and personal care for up to eight persons with mental disorders who are between eighteen and sixty five years of age. The registration allows for one of the eight to be over the age of sixty five. The service is provided by The Sussex Oakleaf Housing Association Ltd for whom the Responsible Individual is Mrs Tracey Faraday-Drake. The registered manager in charge of the day to day running of the home is Mrs Vanessa Brenda Saunders. The property consists of a large semi-detached house in a residential area of Worthing with local shops and other amenities such as the seafront and beach within easy walking distance. 26 Shakespeare Road DS0000014297.V281540.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out over a period of five and a half hours by one inspector as part of the yearly inspection process. Prior to the inspection the previous inspection report was read along with other documents and correspondence relating to the home. Some records and documents were examined during the inspection. A partial tour of the premises was undertaken which included the communal areas. One flatlet and three single bedrooms were visited at the invitation of their occupants. During the inspection six residents were spoken with in order to obtain some sense of what it is like to live in 26 Shakespeare Road. Three support staff were spoken with and there was also discussion with the registered manager and assistant manager. What the service does well: What has improved since the last inspection? What they could do better: There were no requirements or recommendations arising from this report. All standards assessed on this occasion were found to be met in full or exceeded. The home is well managed and it is hoped that residents living there will continue to enjoy a good quality of life. 26 Shakespeare Road DS0000014297.V281540.R01.S.doc Version 5.1 Page 6 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. 26 Shakespeare Road DS0000014297.V281540.R01.S.doc Version 5.1 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 26 Shakespeare Road DS0000014297.V281540.R01.S.doc Version 5.1 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): 2, 4 The needs and aspirations of prospective resident’s are assessed to ensure that the home will be the correct placement for the individual and there are opportunities to visit and ‘test drive’ the home. EVIDENCE: The registered manager confirmed that seven of the eight residents had lived in the home for several years and had been fully assessed prior to their placements to determine their needs. As needs change these are recognised and the care plans changed accordingly. The original written assessments had been archived. Prospective residents are encouraged to visit the home and have short stays before any decisions are made about admission. Once admitted there is a three month probationary period. One prospective resident spoken with said that he was having his third one-week stay in the home and hoped that he would be moving in before long. The records in respect of this person were examined and found to contain a full assessment of needs as well as comprehensive background information to assist the manager and staff in determining his suitability for the home and the home’s ability to meet his needs. During the short stays staff continue the assessment process taking into account the persons ability to ‘fit’ into the home and relate to other residents as well as finding out what interests and abilities the person may have so that a daily or weekly programme can be worked out with that person if and when admission takes place. 26 Shakespeare Road DS0000014297.V281540.R01.S.doc Version 5.1 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 Residents know that their individual care plans reflect their assessed and changing needs as well as their personal goals. EVIDENCE: Files are maintained for each resident which contain all of the information needed by staff to care for them. The files are divided into sections including for example the care plan, physical and mental health care, trigger factors for staff to watch for which may indicate a change in their mental health, risk assessments, medical appointments and medication. Three files were examined at random. Care plans showed clearly what action is required by staff to help meet the assessed needs of residents and to help the individuals to achieve their short and long-term goals and aspirations. Each resident also has a weekly plan of activities which may include chores within the house such as bed-changing, room cleaning etc. when they would be assisted/supervised by their key worker. Any arrangements outside of the home such as college courses and day centre attendance are also included in the weekly plans. A copy of the individual weekly activities plan was seen to be displayed in each resident’s room visited. There was evidence in the form of resident’s signatures to show that the plans are discussed and agreed with them and reviewed on a regular basis. One resident said “my key worker talks about my 26 Shakespeare Road DS0000014297.V281540.R01.S.doc Version 5.1 Page 10 care plan review with me” and in answer to a question another said “yes, I know what’s in my care plan, it’s all discussed with me and I can read it”. 26 Shakespeare Road DS0000014297.V281540.R01.S.doc Version 5.1 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): 12, 17 The home provides a lifestyle which encourages independence, allows for individual choice and freedom and enables personal development. EVIDENCE: One resident was out at a day centre which she attends twice weekly. On her return she was able to confirm that she enjoys these arrangements. Another resident attends college on one day a week to undertake a course in education and punctuation. He said that he had already completed courses in adult literacy and the Internet. One resident said she had until recently enjoyed doing a small job in the community and the manager said that she hoped to be able to arrange something else for her in the future once a health problem has been overcome. Four or five residents use an arts and crafts centre where they can also join in relaxation and gentle exercise classes if they wish. Residents are encouraged to participate in all aspects of home life taking turns to assist with the weekly food shop and helping in the kitchen for example. They are encouraged to prepare their own breakfasts and snack lunches which was observed and they can and do make drinks for themselves and others whenever they wish. The kitchen/dining room is clearly the hub of the home. Residents can come and go as they wish and several said that they like to go into town for shopping. Key workers or other staff may accompany residents 26 Shakespeare Road DS0000014297.V281540.R01.S.doc Version 5.1 Page 12 who need or want their support when going out and local facilities such as cafes and pubs are used. One older resident likes to go out to have her hair and nails done every week. She is taken and brought back by taxi. All residents spoken with were very complimentary about the food. Comments included “the food is lovely. We can help ourselves to snacks if we want, the staff always say it’s your home and you can do as you like”. One resident said “the staff are all good cooks” and another said “the food is really good we get choice and variety”. Menus were examined. All staff take turns at cooking the evening meals and residents can assist if they wish. Staff also assist at other times if any resident cannot or does not want to prepare his/her own breakfast or lunch. Residents were seen to be in and out of the kitchen/dining area, chatting to each other and the staff and making drinks and snacks. There was a very ‘homely feeling’. 26 Shakespeare Road DS0000014297.V281540.R01.S.doc Version 5.1 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): 19, 20 The healthcare needs of residents are assessed and there are arrangements in place to address these. EVIDENCE: All residents are registered with GPs in the locality of the home. It was confirmed by some of those spoken with that they can make their own appointments if they wish and attend independently but generally they preferred a staff member to go with them. They can choose to see the doctor without a staff member present if they wish. Additional support is provided by the Community Mental Health Team and residents have access to such services as dentists, opticians and chiropodists in the local community as they were able to confirm. All matters relating to the healthcare of residents is recorded in their individual files in the relevant sections. Residents are enabled to take control of their own medications but this is usually done in stages if it happens and is risk assessed. One resident was self medicating and there is a full written procedure to be followed in respect of this as well as records of the dispensing when medication for the week is given to her and of her self-administration. Medicines held by the home were seen to be stored securely in a locked cupboard and records maintained to provide an audit trail from the time they are received until disposal. Staff had received training in the safe handling of medicines. 26 Shakespeare Road DS0000014297.V281540.R01.S.doc Version 5.1 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): Residents know how and to whom they should complain. Residents are protected as far as possible from all forms of abuse. EVIDENCE: The home has a clear complaints procedure, which is included in the Service Users Guide. A copy is also displayed in the home. Residents asked were aware of the procedure and said they understood it and knew who to complain to if the need arose. They were confident of being listened to and thought that action would be taken to put things right. A copy of the West Sussex Adult Protection procedures was seen to be held in the office easily available to staff and residents. Staff have all received training in these procedures and are aware of their responsibilities as carers. Residents have their own bank accounts, receive bank statements and can access their monies and choose what they wish to spend it on. This was confirmed by comments from residents such as “I have my own money and go to the bank to get it, I can spend it as I wish.” Support and advice is provided by the manager and staff where needed to assist residents in the management of their monies so that they can pay any bills they may have and not become overdrawn. 26 Shakespeare Road DS0000014297.V281540.R01.S.doc Version 5.1 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, 30 The home’s premises are suitable for its stated purpose, accessible, safe and well maintained EVIDENCE: The home is conveniently situated within walking distance of the town centre, local shops and bus routes. The premises were found to be clean, well maintained, bright and cheerful. The home was warm and comfortably furnished with good quality furnishings in all areas. Residents are able to have their own furniture and personal possessions around them if they wish and this was very evident in the rooms seen. One resident said of her flat “I like it very much, I chose the colours and bought my own furniture” and others confirmed that they had chosen the décor in their rooms or flats. Another said that she had recently bought a new chest of drawers. It is entirely the residents’ own decisions as to whether they buy their own items of furniture or have that provided by the home. The home meets the requirements of the local fire service and environmental health department and there are reports to verify this. The laundry is suitably sited away from areas where food is prepared or served. The equipment was seen to be suitable and residents are able to use the facilities themselves with or without staff support. As the laundry is small this is usually arranged on a rota basis the home has policies and procedures 26 Shakespeare Road DS0000014297.V281540.R01.S.doc Version 5.1 Page 16 in place for the control of infection. The manager said that training for staff in infection control will be arranged in the near future. 26 Shakespeare Road DS0000014297.V281540.R01.S.doc Version 5.1 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): 33, 34, 35 The home has an effective staff team with sufficient numbers and skills to support resident’s assessed needs at all times. Residents are protected by the home’s recruitment procedures. EVIDENCE: Duty rotas examined, observations made and discussion with the manager and support staff confirmed that staffing levels are appropriate to provide a good level of care for the residents. They said that they are able to give individual attention to their key residents and spend quality time with them both within and outside of the home. This was also confirmed by residents. The staff team is made up of both male and female support staff which is appropriate to the gender balance of residents. The manager said that staffing levels are reviewed to reflect resident’s changing needs. Three staff files examined at random were found to contain all necessary documentation to show that robust recruitment procedures are followed. These included application forms CVs, notes on interviews, references and Criminal Records Bureau checks. All staff receive statements of terms and conditions. Staff confirmed that they have monthly meetings and can put forward ideas and initiatives. The home has an active training programme which means that 26 Shakespeare Road DS0000014297.V281540.R01.S.doc Version 5.1 Page 18 staff have the necessary skills and competencies to care for the residents and meet their individual needs. They have opportunities to undertake National Vocational Qualification training and several have achieved or are in the process of undertaking this at various levels. Other training is provided including a comprehensive induction for new staff, which meets Sector Skills Training specifications. Training in mental health related topics is also provided as training records demonstrated. Staff spoken with said that they very much enjoy working in the home. They were observed to speak to the residents as equals and clearly had a good understanding of each resident’s needs. Relationships between staff and residents appeared to be very relaxed and there was a happy and warm atmosphere in the home. Staff presented as being enthusiastic and committed to providing the best possible care for the residents. They felt well supported by management and considered that they receive clear direction. 26 Shakespeare Road DS0000014297.V281540.R01.S.doc Version 5.1 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 The registered manager assures as far as possible the health, safety and welfare of residents and staff. EVIDENCE: Training records examined and discussion with staff members confirmed that they receive appropriating and updates in health and safety topics such as fire safety, food hygiene and first aid. Infection control training is also to be provided as previously stated. The home has a comprehensive health and safety policy. Risk assessments are in place relating to individual residents and to the home’s premises and work practices. Window restrictors are fitted to all windows above ground floor level and the hot water in areas used by residents is controlled within safe limits by regulating valves. All accidents and incidents were seen to be recorded and reported to the appropriate Bodies if necessary. 26 Shakespeare Road DS0000014297.V281540.R01.S.doc Version 5.1 Page 20 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 N/A 2 3 3 N/A 4 3 5 N/A 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 N/A 26 N/A 27 N/A 28 N/A 29 N/A 30 3 STAFFING Standard No Score 31 N/A 32 N/A 33 3 34 3 35 3 36 N/A CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 N/A N/A 3 N/A LIFESTYLES Standard No Score 11 N/A 12 3 13 N/A 14 N/A 15 N/A 16 N/A 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score N/A 3 3 N/A N/A N/A N/A N/A N/A N/A N/A 26 Shakespeare Road DS0000014297.V281540.R01.S.doc Version 5.1 Page 21 NO Are there any outstanding requirements from the last inspection? 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. 1. Refer to Standard YA20 Good Practice Recommendations The method of recording supply and monitoring selfadministration should be reviewed. 26 Shakespeare Road DS0000014297.V281540.R01.S.doc Version 5.1 Page 22 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 26 Shakespeare Road DS0000014297.V281540.R01.S.doc Version 5.1 Page 23 - 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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