Inspection on 28/07/05 for 27 Arundel Road

This inspection was carried out on 28th July 2005.

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

The inspector 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

27 Arundel Road 10/10/06

27 Arundel Road 03/02/06

27 Arundel Road 10/01/05

27 Arundel Road 13/05/04

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Southfields

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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 27 Arundel Road 27 Arundel Road Eastbourne East Sussex BN21 2EG Lead Inspector Nigel Thompson Announced 28 July 2005 9.30 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. 27 Arundel Road H59-H10 S21000 27 Arundel Road V229507 280705 stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 27 Arundel Road Address 27 Arundel Road Eastbourne East Sussex BN21 2EG 01323 431367 01323 417199 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) Eastbourne and District Mencap Mrs Frances Reed Care Home 8 Category(ies) of Learning disability (LD) 8 registration, with number of places 27 Arundel Road H59-H10 S21000 27 Arundel Road V229507 280705 stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum number of service users to be accommodated is eight (8). 2. Service users must be aged between eighteen (18) and sixty-five (65) years on admission. 3. Service users with a learning disability only to be accommodated. Date of last inspection 10 January 2005 Brief Description of the Service: 27 Arundel Road is a purpose built, single storey Care Home for adults with learning disabilities. There are two units, 27 A & 27 B, each with four bedrooms, a kitchen area, dining room, lounge and two bathrooms and three WC’s. There is a courtyard in the centre, and a large lawn at the front of the building. The registered providers of this service, Eastbourne and District Mencap, continue to offer a high standard of care for adults with learning disabilities. 27 Arundel Road H59-H10 S21000 27 Arundel Road V229507 280705 stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over five hours in July 2005. It found that all of the National Minimum Standards that were assessed had been met or partially met and the overall quality of care provided was good. At the time of the inspection, all but one service user was out at a local day centre. It is hoped that by altering the time of the next inspection, it will be possible to meet with more residents. A tour of the premises took place and documentation was inspected, including service user and staff files. Two of the staff on duty and one of the eight residents were spoken with. What the service does well: What has improved since the last inspection? The kitchen and lounge have been redecorated and an area of the garden has been cleared and made more accessible. Although there have been very few changes made to the physical environment, it is evident that high standards continue to be maintained throughout the home. 27 Arundel Road H59-H10 S21000 27 Arundel Road V229507 280705 stage 4.doc Version 1.30 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. 27 Arundel Road H59-H10 S21000 27 Arundel Road V229507 280705 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 27 Arundel Road H59-H10 S21000 27 Arundel Road V229507 280705 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) 1, 2 ,3, 4 & 5 Documentation, including an easy to read and comprehensive information booklet ensures that prospective service users and their relatives are able to make an informed choice about the home and the suitability of the services provided. Prospective service users have the opportunity to visit the home to look around and meet staff and existing service users, before a decision is made on whether or not to move in. The admission procedure is comprehensive and thorough, ensuring that service users are admitted only on the basis of a full needs assessment, undertaken by people competent to do so. EVIDENCE: The information brochure incorporating an easy to read statement of purpose makes effective use of photographs, pictures and diagrams. The manager confirmed that the booklet is made available to all prospective service users and their relatives, ensuring that they are able to make an informed choice about the home and the services provided. At present Social Services are providing block funding for eight persons. Following a referral to the home, the manager undertakes a full assessment of the individual’s care and support needs and completes a comprehensive form, the ‘Resident’s Personal Assessment’. 27 Arundel Road H59-H10 S21000 27 Arundel Road V229507 280705 stage 4.doc Version 1.30 Page 9 Before a person moves in, they are encouraged to visit the home and have the opportunity to look around and meet with service users and members of staff. The manager confirmed that a flexible trial period is provided to establish whether the individual’s assessed needs are able to be met and decide on their suitability for the home and their compatibility with existing service users. A contract, including a full statement of terms and conditions of residency is provided to all new service users. It was noted that this document contains both the organisation and the resident’s ‘obligations’. This represents good practice and is a clear and concise agreement of what each party can expect of the other. The service user, or a relative or representative, is expected to sign the contract to acknowledge understanding and agreement of the terms and conditions. However it was noted in one file that was examined that this agreement had not been signed. 27 Arundel Road H59-H10 S21000 27 Arundel Road V229507 280705 stage 4.doc Version 1.30 Page 10 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 A clear and consistent care planning system ensures that support staff have sufficient information to adequately meet the assessed needs of service users. Service users are encouraged and supported to make decisions about their day to day living and benefit from effective consultation systems. EVIDENCE: Comprehensive care plans have been developed for each service user and are clearly and directly linked to the individual’s assessed needs. Service users’ individual plans that were inspected contained details of their personal, psychological and emotional support needs and were found to be accurate, generally well maintained, and up to date. The manager confirmed that, although there have been no significant changes in recent months, all care plans, including risk assessments are reviewed on a regular basis. 27 Arundel Road H59-H10 S21000 27 Arundel Road V229507 280705 stage 4.doc Version 1.30 Page 11 It was not evident in plans that were examined that reviews had taken place or that service users or their relatives are directly involved in their individual care planning. Staff spoken to during the inspection confirmed that the key worker system operates effectively in the home. Service users are encouraged and supported to make decisions in many aspects of their daily living, including choosing colour schemes for their own room and communal areas, social and leisure activities, personalising and cleaning their bedroom, menu planning and meal preparation. Any limitations on choice and freedom of movement for health and safety reasons are clearly documented in individual care plans. 27 Arundel Road H59-H10 S21000 27 Arundel Road V229507 280705 stage 4.doc Version 1.30 Page 12 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) 15 & 17 Family and community links are good and support and enrich service users’ social opportunities. Service users benefit from menus that are balanced and nutritious and reflect their individual likes and preferences. EVIDENCE: The manager confirmed that, where appropriate, service users’ family links are encouraged and supported. The majority of service users have regular family contact and some visit and stay at their family home during the weekend and for special occasions. Visiting to the home is largely unrestricted and relatives and friends are made welcome any time between 10am and 9pm. Menus are varied and balanced and are based on service users’ identified likes and preferences. An alternative to the main meal is always available and a 27 Arundel Road H59-H10 S21000 27 Arundel Road V229507 280705 stage 4.doc Version 1.30 Page 13 copy of the menu is displayed in the kitchen. A four weekly rolling menu is provided, reflecting seasonal variations and catering for special dietary needs. Service users’ weight and dietary needs are monitored regularly and the menu choice is adapted accordingly. Staff and service users continue to eat their evening meal together. 27 Arundel Road H59-H10 S21000 27 Arundel Road V229507 280705 stage 4.doc Version 1.30 Page 14 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 have a good understanding of the service users’ care and support needs, as evidenced by the positive relationships that have been formed between the staff and service users. The systems for the administration of medicines are good, with clear and comprehensive arrangements being in place to ensure service users’ medication needs are met. EVIDENCE: Service users’ care plans that were examined were found to contain comprehensive information, compiled through consultation with residents and, where appropriate, their relatives. The plans were found to contain detailed needs assessments and information relating to staff intervention and action to be taken . Staff spoken to during the inspection confirmed the importance of routine in the lives of service users and this is clearly reflected in the individual care plans and structured daily routines for how personal care is provided. 27 Arundel Road H59-H10 S21000 27 Arundel Road V229507 280705 stage 4.doc Version 1.30 Page 15 Satisfactory records relating to the receipt, administration, dispensing and storage of service users’ medication are in place and were found to be up to date and well maintained. The manger confirmed that specific staff training is provided by a local pharmacist in the control and handling of medication (Foundation Module). 27 Arundel Road H59-H10 S21000 27 Arundel Road V229507 280705 stage 4.doc Version 1.30 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 & 23 The open and inclusive atmosphere within the home enables service users, staff and visitors to feel able to express any concerns, confident that they will be listened to. Service users are safeguarded from abuse through robust policies, procedures and relevant staff training. EVIDENCE: A clear and accessible complaints procedure is in place, however, as discussed it is recommended that it be reviewed and amended to include updated contact details of the CSCI. It was not possible on this occasion to establish whether service users or their relatives felt confident that their concerns would be listened to and acted upon. However members of staff spoken to during the inspection confirmed that they would have no hesitation in raising issues or concerns with the manager: ‘She (the manager) is very approachable and always ready to listen’. The home has in place updated policies and procedures for the protection of vulnerable adults, including a whistle blowing policy. This forms one of the key policies and procedures that staff are made aware of through their induction and foundation training and which are reinforced during regular supervision and staff meetings. 27 Arundel Road H59-H10 S21000 27 Arundel Road V229507 280705 stage 4.doc Version 1.30 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 27, 29 & 30 The service is accessible, safe and clean and is clearly suitable for it’s stated purpose. Service users benefit from pleasant accommodation that is comfortable, generally well maintained and decorated to a satisfactory standard. EVIDENCE: The physical environment of the home remains largely unchanged and the premises are generally well maintained. Levels of cleanliness and hygiene were found to be high throughout. However it was noted that in one service user’s room there is a large gap in the carpet where a fitted wardrobe has been removed. The poor condition of the shower room was also discussed with the manager, who agreed that it is now in need of upgrading. To ensure compliance with the Standards, these issues are to be addressed. 27 Arundel Road H59-H10 S21000 27 Arundel Road V229507 280705 stage 4.doc Version 1.30 Page 18 As previously documented, as far as practicable, independence and individuality is promoted within the home and this is evident from the personalising of service users’ private rooms, which clearly reflects individual tastes, interests and personality. All necessary specialist equipment is made available to meet service users’ assessed support and mobility needs, including assisted baths, wheelchairs and hoists. 27 Arundel Road H59-H10 S21000 27 Arundel Road V229507 280705 stage 4.doc Version 1.30 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34, 35 & 36 There are sufficient trained and competent staff on duty at all times to meet the assessed needs of the service users. Thorough recruitment procedures help to ensure the safety and protection of service users. EVIDENCE: The stable and dedicated staff team is clearly able to meet the assessed, individual and collective needs of service users within the home. All new staff are provided with comprehensive job descriptions and undertake induction and foundation training, in order to meet the needs of service users. There is also a structured programme of mandatory staff training. Service specific training is provided for all care staff and includes: ‘Catheter care’; ‘Labels and syndromes’; ‘Autism awareness’ and ‘Peg feeding’. Staff spoken to during the inspection confirmed that they receive comprehensive and relevant training and had a clear understanding of their individual role and responsibilities. 27 Arundel Road H59-H10 S21000 27 Arundel Road V229507 280705 stage 4.doc Version 1.30 Page 20 Staff files that were examined were found to be well maintained, containing all necessary information, including two written references, proof of identity and satisfactory Criminal Record Bureau (CRB) and Protection of Vulnerable Adults (POVA) checks. All new staff are provided with and sign a written contract, including a statement of terms and conditions. The process for formal staff supervision remains the same with the registered manager supervising the deputy manager and senior care staff, who in turn, through a ‘cascade’ process, provide formal supervision for all other members of staff in the home. 27 Arundel Road H59-H10 S21000 27 Arundel Road V229507 280705 stage 4.doc Version 1.30 Page 21 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 home regularly reviews aspects of its performance, through an effective programme of self-monitoring and consultation, which includes seeking the views of service users and their relatives. Staff are aware of and adhere to up to date policies and procedures relating to health and safety, ensuring the health, safety and welfare of service users and staff. EVIDENCE: Monitoring visits are carried out, on a monthly basis, by a member of the executive committee, as part of the organisation’s quality assurance process. Other performance monitoring systems including service user and visitors’ satisfaction surveys, staff supervision and regular consultation meetings are also carried out to monitor the facilities and services at 27 Arundel Road. 27 Arundel Road H59-H10 S21000 27 Arundel Road V229507 280705 stage 4.doc Version 1.30 Page 22 Satisfaction questionnaires that were looked at reflected a high level of satisfaction with the home and services provided. The manager confirmed that the health, safety and welfare of service users and staff remains a priority within the Home. Policies and procedures regarding health and safety are in place, including Control of Substances Hazardous to Health (COSHH), Reporting of Injuries, Diseases and Dangerous Occurrences Regulations (RIDDOR) guidelines. An accident book is in place and all accidents are appropriately recorded. As previously documented, relevant staff training is provided on an ongoing basis and includes ‘Moving and Handling’; ‘First Aid’; ‘Fire Safety’ and ‘Food Hygiene’. Fire safety systems and appliances are checked regularly and fire drills are undertaken and recorded, as required. 27 Arundel Road H59-H10 S21000 27 Arundel Road V229507 280705 stage 4.doc Version 1.30 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 2 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 x 2 x 3 3 Standard No 11 12 13 14 15 16 17 x x x x 3 x 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 27 Arundel Road Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x H59-H10 S21000 27 Arundel Road V229507 280705 stage 4.doc Version 1.30 Page 24 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 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. 2. 3. Refer to Standard 5 24 27 Good Practice Recommendations It is recommended that all contracts, including statements of terms and conditions, be signed by or on behalf of the service user. It is recommended that the carpet be replaced in a service users room, where a fitted wardrobe has been removed. It is recommended that the shower room be upgraded, as discussed with the manager. 27 Arundel Road H59-H10 S21000 27 Arundel Road V229507 280705 stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection Ivy House, 3 Ivy Terrace Eastbourne East Sussex BN21 4QT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 27 Arundel Road H59-H10 S21000 27 Arundel Road V229507 280705 stage 4.doc Version 1.30 Page 26 - 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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