Inspection on 09/02/06 for 26 Tennyson Road

This inspection was carried out on 9th 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 Tennyson Road 10/11/08

26 Tennyson Road 26/03/07

26 Tennyson Road 10/05/05

26 Tennyson Road 09/12/04

26 Tennyson Road 13/07/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 26 Tennyson Road Bognor Regis West Sussex PO21 2SB Lead Inspector Mrs L O’Donnell Unannounced Inspection 9th February 2006 02.00p 26 Tennyson Road DS0000014298.V283086.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 Tennyson Road DS0000014298.V283086.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 Tennyson Road DS0000014298.V283086.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 26 Tennyson Road Address Bognor Regis West Sussex PO21 2SB 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) 01243 869882 United Response Mr Thomas John Lyons Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 26 Tennyson Road DS0000014298.V283086.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th May 2005 Brief Description of the Service: 26 Tennyson Road 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 dayto-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 DS0000014298.V283086.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an Unannounced Inspection, which took place during the mid to late afternoon on the 9 January 2006. Prior to the inspection the Inspector reviewed the previous inspection reports and any other information or correspondence received since the last inspection. During the inspection the Inspector reviewed care planning records and spoke with residents and staff. Residents appeared relaxed and happy and relationships between residents and staff were appropriate and supportive. Staff demonstrated a good awareness and understanding of the needs of the residents. What the service does well: What has improved since the last inspection? All communal areas including the lounge and dining room have been redecorated, and provide a bright, cheerful and homely environment. New personal development opportunities, in the form of the gateway award, have been accessed for residents. The managers desk and computer are now contained within a fold away cupboard within the dining room. It was observed that this was only used when residents were not using the dining room, however consideration should still be given for separate office space. 26 Tennyson Road DS0000014298.V283086.R01.S.doc Version 5.1 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. 26 Tennyson Road DS0000014298.V283086.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 Tennyson Road DS0000014298.V283086.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): All key standards were assessed as met at the last inspection. EVIDENCE: 26 Tennyson Road DS0000014298.V283086.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 All residents have an individual care plan in place, which reflects their assessed needs and personal goals and objectives. EVIDENCE: A sample of care plans was seen during the inspection. These included information as to the individual needs of residents, their goals, aims and objectives and the support needed to help them meet these. In addition staff use a set of index cards which provided provide easily accessible information as to residents individual needs, in daily living activities, and the staff support necessary to meet these. Staff spoken with advised that these are of particular use and benefit for new staff or agency staff working within the home. 26 Tennyson Road DS0000014298.V283086.R01.S.doc Version 5.1 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): 11, 12, 13, 14, 17 Residents have opportunities to maintain and develop social and independent living skills Residents are able to access a variety of educational and leisure activities Residents are supported to access the local community Residents enjoy a wholesome and varied diet, which takes into consideration individual needs and preferences. EVIDENCE: There is a large activities/orientation board displayed within the dining room of the home and this, as well as discussions with residents and staff, demonstrated that residents enjoy a wide range of educational, recreational and social activities. 26 Tennyson Road DS0000014298.V283086.R01.S.doc Version 5.1 Page 11 Residents spoken with talked about their college courses and the activities they enjoy. These included adult literacy, drama, woodwork, car maintenance, and cookery. In addition the Registered Manager has been successful in obtaining funding for some of the residents to complete the Gateway Award. This is an award specifically designed for adults with learning disabilities and includes a programme of activities designed to encourage personal development, increase confidence and promote choice. Staff anticipate that all residents will have the opportunity to participate in this in the future. Residents also spoke about the wide range of recreational and social activities they enjoy. These included swimming, Tai chi, horse riding, keep fit, social clubs, cinema, trips out and theatre trips. Staff advised that all of the residents have a holiday and that they were currently planning for this year’s holiday. The inspector was shown how the holidays are planned using pictorial forms for residents to advise what type of holiday they would like, how they would like to get there, where they would like to stay etc. Residents confirmed that they were looking forward to the holidays. Meals and menus are planned weekly in advance with residents choosing the meals they would like to have. Residents also take it in turns to prepare or assist in the preparation of the main meal and this was observed during the inspection. Staff are fully aware of individual preferences and nutritional needs and these were seen to be accommodated within the meal. Staff use a daily planner within the home, which records all the activities that residents are participating in and how they are to get there and all meals served, along with a variety of other information as to the day to day running of the home. 26 Tennyson Road DS0000014298.V283086.R01.S.doc Version 5.1 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 the following standard(s): All key standards were assessed as met at the last inspection. EVIDENCE: 26 Tennyson Road DS0000014298.V283086.R01.S.doc Version 5.1 Page 13 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): All key standards were assessed as met at the last inspection. EVIDENCE: 26 Tennyson Road DS0000014298.V283086.R01.S.doc Version 5.1 Page 14 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, 25, 26, 28, 30 Residents live in a homely and comfortable environment Resident’s bedrooms suit their needs and promote their independence. Residents have access to comfortable communal rooms The home is clean and hygienic. EVIDENCE: The homes premises are bright, cheerful and comfortably furnished and provide a homely environment. Since the last inspection all communal areas have been redecorated. The lounge provides comfortable seating for all residents and residents spoken with advised that they liked the new furniture and layout. The dining room is also appropriately furnished. 26 Tennyson Road DS0000014298.V283086.R01.S.doc Version 5.1 Page 15 All residents have their own rooms. One resident invited the inspector to see her room. She confirmed that she has been able to decorate her room as she wished. The laundry room is sited separately with direct access, therefore dirty laundry is not taken through any food storage, preparation or eating areas. The laundry facilities have also been improved with redecoration to the walls and ceiling, although this room would still benefit from new flooring. Residents do their own laundry with staff supervision as necessary. Throughout the inspection residents were observed to choose where they wished to spend their time, either in the lounge or other communal areas or within their own rooms. 26 Tennyson Road DS0000014298.V283086.R01.S.doc Version 5.1 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 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 Residents at the home are supported by a competent and effective staff team, with sufficient staff on duty to meet the needs of the residents. EVIDENCE: Details of the staff on duty are displayed within the weekly activities/orientation board so that the residents are aware of who will be working within the home. A separate staff rota is also kept. This showed that staffing can be flexible depending on what is happening during the day, to ensure that the needs of all residents are met. One staff member advised that they are trying to increase staffing at weekends to enable more trips out for residents. Throughout the inspection staff were observed to be accessible to residents. Residents were relaxed with the staff on duty and approached and spoke with them as they wished. The staff demonstrated a good understanding and awareness of the needs of the residents and how these were best met. It was very clear through discussions with staff that their aim is to promote the independence and personal choice of the residents. 26 Tennyson Road DS0000014298.V283086.R01.S.doc Version 5.1 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 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 The Registered Manager is appropriately qualified and experienced in managing a care home. EVIDENCE: The Registered Manager was not at the home during the inspection, however there has been no change in management since the last inspection and this standard has previously been assessed as met. It was clear through the assessment of other standards at this inspection that the home is meeting its stated aims and objectives. 26 Tennyson Road DS0000014298.V283086.R01.S.doc Version 5.1 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 X 28 3 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 3 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X X X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 4 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X 3 X X X X X X 26 Tennyson Road DS0000014298.V283086.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA30 Good Practice Recommendations Further upgrades to the laundry should be considered to ensure that the floor finishes are impermeable and readily cleanable. 26 Tennyson Road DS0000014298.V283086.R01.S.doc Version 5.1 Page 20 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 Tennyson Road DS0000014298.V283086.R01.S.doc Version 5.1 Page 21 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!