Inspection on 10/05/05 for 26 Tennyson Road

This inspection was carried out on 10th May 2005.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

26 Tennyson Road 10/11/08

26 Tennyson Road 26/03/07

26 Tennyson Road 09/02/06

26 Tennyson Road 09/12/04

26 Tennyson Road 13/07/04

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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 26 Tennyson Road 26 Tennyson Road Bognor Regis West Sussex PO21 2SB Lead Inspector Mrs L Riddle Unannounced 10 May 2005, V223085 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. 26 Tennyson Road H60-H11 S14298 26 Tennyson Road V223085 030505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 26 Tennyson Road Address 26 Tennyson Road, Bognor Regis, West Sussex, PO21 2SB 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) 01243 869882 United Response Mr Thomas John Lyons CRH - Care home only 5 Category(ies) of LD-Learning disability - 5 places registration, with number of places 26 Tennyson Road H60-H11 S14298 26 Tennyson Road V223085 030505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9 December 2004 Brief Description of the Service: 26 Tennysonn Road service number 0000014298, is a care home registered to provide accommodation and personal care for five younger adults with learning disabilities. It is owned by the United Response organisation for which Mr Tim Jones is the Responsible Individual. Mr Thomas Lyons is the registered manager in charge of the day to day running of the home. The home is situated in a residential area of Bognor Regis close to local amenities and the town centre. It is a detached property with a small garden and patio area to the rear of the Premises. 26 Tennyson Road H60-H11 S14298 26 Tennyson Road V223085 030505 Stage 4.doc Version 1.30 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 5 hours by one inspector. Prior to the inspection the inspector looked at information held on file for the service over the last six months and read the last two reports. Four of the current eight residents in the home were spoken with by the inspector, one staff member assisted the inspector with her enquiries until the registered manager returned, having been out to collect three of the residents and residents from other homes owned by the organisation, from their various day care venues. Care plans for three residents were read along with a number of other records. The staff member was questioned and a tour of the home was undertaken. Discussion with the registered manager took place once he returned to the home. What the service does well: What has improved since the last inspection? 26 Tennyson Road H60-H11 S14298 26 Tennyson Road V223085 030505 Stage 4.doc Version 1.30 Page 6 The dining room and lounge had been changed around to provide more dining space because this room is used more than the lounge. A shower/wet room had been completed and was in full use. All records and personal information had been secured in a cupboard upstairs and staff no longer hold any discussions in the dining room which might refer to personal information about any resident. 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. 26 Tennyson Road H60-H11 S14298 26 Tennyson Road V223085 030505 Stage 4.doc Version 1.30 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 26 Tennyson Road H60-H11 S14298 26 Tennyson Road V223085 030505 Stage 4.doc Version 1.30 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) 2 Residents are carefully assessed before being offered a place in the home. This process continues after admission to ensure the home can continue to meet the resident’s needs and aspirations. The continuing assessment means that care plans can be revised accordingly and referrals to other professionals/ agencies can be made if this is indicated to be in the best interests of the individual. EVIDENCE: Detailed pre-admission assessments of resident’s needs and aspirations had previously been carried out although no new residents had been admitted for some considerable time. Continuing assessments of changing needs and abilities are maintained to ensure the home can continue to provide the best care for each resident. These were examined and found to provide an up to date picture of both improvements and deteriorations in all aspects of the residents’ health, daily living skills and abilities to function both within and outside of the home. 26 Tennyson Road H60-H11 S14298 26 Tennyson Road V223085 030505 Stage 4.doc Version 1.30 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, 8, 9 Residents are assured that their best interests are given the highest consideration and that their individual plans reflect their needs and goals . Residents are helped and encouraged to be as independent as possible and to make decisions and choices for themselves. They are consulted on, and take part in all aspects of daily life in the home thereby giving them control of their own lives within the limits of their abilities. Risks that residents may take in the course of their daily lives are explained to them so that they understand the measures taken and the reasons for them. This helps them to keep them as safe as possible. EVIDENCE: Three care plans examined set out clearly the overall needs of the residents and indicated how they would be helped to meet those needs and their identified goals. A resident was observed telling a staff member what she was going to wear the next day. Residents were seen preparing their packed lunches. The activities board clearly showed that on a rotational basis residents are fully involved in all household tasks including the cooking and main shop. Residents said that they have weekly meetings with the staff. Lists are put on the resident’s notice board beforehand so that they can decide what they want to discuss. Risk assessments were seen to be in place covering all activities undertaken by residents. 26 Tennyson Road H60-H11 S14298 26 Tennyson Road V223085 030505 Stage 4.doc Version 1.30 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) 12, 13, 15, 16, 17 The home provides residents with many opportunities to gain and maintain independent living skills which helps them to achieve personal goals in relation to personal development. Residents can take part in appropriate activities away from the home to suit their personal interests and abilities which results in greater fulfilment and a sense of achievement. It also means that they meet people other than those they live with. Staff support residents in using local facilities and amenities. Residents benefit from having a wide range of social and leisure activities in which they can choose to participate. These enable residents to mix with people who do not necessarily share their disability. Staff support service users to maintain family links and friendships inside and outside the home. The daily routines and house rules promote independence, individual choice and freedom because residents are involved in setting these. The home offers residents a wholesome and varied diet which is designed to take account of their needs and preferences. EVIDENCE: Residents have individual daily programmes illustrated on the activity board in the dining room of the home. This showed that they attend various day 26 Tennyson Road H60-H11 S14298 26 Tennyson Road V223085 030505 Stage 4.doc Version 1.30 Page 11 centres and college courses and some engage in outside work pursuits. These activities were in accordance with the individual Plans drawn up with the agreement of the residents. Residents said they were very happy with their programmes. Care plans and the activity board showed the range of social and leisure activities enjoyed by residents. These were shown as taking place during daytimes, evenings and weekends. One resident went out after supper to attend a Tai-Chi class. One resident was going home to her parents the following day and was then going on holiday with them. One resident said that he phones his parents every week. A portable telephone was seen in the residents lounge which is provided for their use and which they can use in the privacy of their own rooms if they wish. The manager said that residents can have friends and relatives to meals by arrangement. Visitors are welcome and a visitors book was available. The staff member said that residents generally make the house rules and an example of this was their decision not to allow an area in the home for staff to smoke. Rules and routines are debated at resident meetings. A resident was seen to be involved in the preparation and cooking of the supper meal. Their daily programmes ensure that they all participate in the shopping, planning of menus, preparation and cooking of meals. Residents said they enjoyed the supper and one said ‘’I always enjoy the food here’’. Menus were looked at. Various types of food were seen to be in the cupboards to accord with the special needs and preferences of individual residents such as soda bread, gluten free products and others. 26 Tennyson Road H60-H11 S14298 26 Tennyson Road V223085 030505 Stage 4.doc Version 1.30 Page 12 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 Staff provide sensitive and flexible personal support to maximise resident’s independence, privacy, dignity and control over their lives. The healthcare needs of residents are assessed and recognised and procedures are in place to address them. This results in any early symptoms or changes in their physical or mental health being dealt with or referred at an early stage. The manager and staff encourage and support residents to retain and carry out minor skin treatments, usually used to prevent dryness. This helps them to understand the importance of looking after themselves. Medication is administered by staff in accordance with the home’s policy and procedure for the receipt, recording, storage, handling, administration and disposal of medicines. Risk assessment had established that it would be unsafe for the one resident currently on prescribed medication to be in control. EVIDENCE: Day planners were seen to be maintained for each resident showing structures which are changed with changing needs. These detail all of the personal care/hygiene needs for each resident’s everyday living and have to be signed off by staff as confirmation that the matters have been attended to. Generally the residents perform most of these tasks themselves relying on staff for support and guidance. Files and Plans showed that all residents are registered with GPs and attend their own dentists. Healthcare needs are detailed in the Plans and all visits to or by doctors or other healthcare practitioners are 26 Tennyson Road H60-H11 S14298 26 Tennyson Road V223085 030505 Stage 4.doc Version 1.30 Page 13 recorded. Medication administration records were examined and found to be accurately completed, signed and up to date. Records showed that staff had received training in medication. Medicines are stored in locked cupboards. 26 Tennyson Road H60-H11 S14298 26 Tennyson Road V223085 030505 Stage 4.doc Version 1.30 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 standard(s) 22, 23 There is a clear and effective complaints procedure. It has been explained to residents and they know who to tell if they have a complaint. The home has taken adequate precautions and has policies and procedures in place for protecting residents as far as possible from all forms of abuse. Residents can feel safe. EVIDENCE: A user friendly complaints procedure is included in the home’s Statement of Purpose and Service User Guide. Residents know the Service Manager well who visits monthly and always speak openly to her. No complaints had been recorded in the home’s complaints log. Residents had been given leaflets which tell them who to contact or tell if they believe they have been abused in any way. The leaflets also explain what abuse is. Staff have reinforced this. All residents know about keeping themselves safe and a resident asked, confirmed this. Staff have all received training in Adult Protection and a copy of the West Sussex Procedures as well as the Organisation’s own policy and procedures are held in the home. 26 Tennyson Road H60-H11 S14298 26 Tennyson Road V223085 030505 Stage 4.doc Version 1.30 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 standard(s) 24, 30 The home’s premises are suitable for its’ stated purpose. It offers easy access to local amenities, local transport and relevant support services. The premises are bright, comfortably furnished and provide residents with a homely environment. Most, but not all rooms in the home are well maintained which means that residents live in a home where the two communal rooms are not as bright, cheerful and inviting as they should be. The premises were clean and free from unpleasant odours which helps to protect residents from infection. The laundry is in urgent need of upgrading so that the walls, ceiling and flooring can be easily cleaned to ensure good hygiene. Residents put their own washing in the machines under staff supervision so this unsatisfactory area has to be used by them. EVIDENCE: All parts of the home were inspected with the exception of two resident’s rooms where one was out and the other was not happy to allow the inspector in on this occasion. The lounge and dining areas were seen to be in need of redecoration they presented as being rather dingy and paintwork was discoloured and chipped. The plaster/paintwork of walls and ceiling in the laundry were flaking badly and the floor covering did not appear to be impermeable. 26 Tennyson Road H60-H11 S14298 26 Tennyson Road V223085 030505 Stage 4.doc Version 1.30 Page 16 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) 34, 35 The home operates a thorough recruitment procedure which means that residents are protected. Staff undertake a training and development programme. This enables them to understand and meet the changing needs of residents. EVIDENCE: Two staff files were examined which contained comprehensive information and documents including two references, evidence of CRB clearance and evidence of identification. Training records for two staff were read and showed that a full induction training had been undertaken followed by Foundation training relevant to those caring for people with learning disabilities. There was evidence in the form of certificates and records to show that the staff had received a considerable amount of other relevant training. The manager confirmed that annual appraisals including training needs assessments are carried out for each staff member and provided a sample as evidence. The member of staff said that ‘’the organisation provides lots of training and I have just registered for National Vocational Qualification level 3.’’ 26 Tennyson Road H60-H11 S14298 26 Tennyson Road V223085 030505 Stage 4.doc Version 1.30 Page 17 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) 39, 42 The organisation operates an effective quality assurance/monitoring system. This means that residents are given an opportunity to voice their opinions of the home so that the organisation and registered manager can see where improvements need to be made. Service users know that their views are listened to. The monitoring can help to measure the homes’ continuing ability to meet its’ aims and objectives and statement of purpose. The home has in place appropriate systems, practices and precautions, to ensure as far as possible the health and safety of residents and staff. EVIDENCE: The quality auditing manual was seen which records the auditing of systems, records, policies and procedures etc. The manager confirmed that questionnaires are sent out annually to the funding authorities and other agencies to elicit their views. He said that the area manager makes a three monthly visit to carry out a monitoring of resident satisfaction. Any action required as a result of these is then filtered back to the manager. Training records showed that staff are given regular mandatory training in all topics relating to health and safety in the workplace. A booklet relating to simple food hygiene was seen which had been used to provide information for the 26 Tennyson Road H60-H11 S14298 26 Tennyson Road V223085 030505 Stage 4.doc Version 1.30 Page 18 residents. Weekly fire tests and practices involving residents and staff were seen to be recorded. Hot water outlets are fitted with regulators and weekly temperature checks are recorded. Risk assessments undertaken for all safe working practices and for the building were examined. Hazardous substances are stored safely in a locked cupboard in the laundry in accordance with the home’s COSH policy. Accidents and incidents were seen to be recorded. The last fire officer’s report dated June 2004 showed that the home met current standards. 26 Tennyson Road H60-H11 S14298 26 Tennyson Road V223085 030505 Stage 4.doc Version 1.30 Page 19 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 N/A 4 N/A N/A N/A Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 N/A Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 N/A N/A N/A N/A N/A 2 Standard No 11 12 13 14 15 16 17 N/A 3 N/A 4 3 3 3 Standard No 31 32 33 34 35 36 Score N/A N/A N/A 3 3 N/A CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 26 Tennyson Road Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score N/A N/A 3 N/A N/A 3 N/A H60-H11 S14298 26 Tennyson Road V223085 030505 Stage 4.doc Version 1.30 Page 20 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. 1. Standard 24 Regulation 23(2)(d) Requirement All parts of the home are kept reasonably decorated (redecorate the lounge and dining room) The premises are kept in a good state of repair. (upgrade the laundry) Timescale for action 31 July 2005 10 August 2005 2. 24 23(2)(b) 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 26 Tennyson Road H60-H11 S14298 26 Tennyson Road V223085 030505 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection 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 Tennyson Road H60-H11 S14298 26 Tennyson Road V223085 030505 Stage 4.doc Version 1.30 Page 22 - 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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