Inspection on 03/02/06 for 27 Arundel Road

This inspection was carried out on 3rd 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 found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

27 Arundel Road 10/10/06

27 Arundel Road 28/07/05

27 Arundel Road 10/01/05

27 Arundel Road 13/05/04

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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 Unannounced Inspection 3rd February 2006 09:30 27 Arundel Road DS0000021000.V267109.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 27 Arundel Road DS0000021000.V267109.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 27 Arundel Road DS0000021000.V267109.R01.S.doc Version 5.0 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 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) Eastbourne & District Mencap Mrs Frances Reed Care Home 8 Category(ies) of Learning disability (8) registration, with number of places 27 Arundel Road DS0000021000.V267109.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users to be accommodated is eight (8). Service users must be aged between eighteen (18) and sixty five (65) years on admission. Service users with a learning disability only to be accommodated. Date of last inspection 28th July 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 single bedrooms, a kitchen area, dining room, lounge and two bathrooms and three WCs. There is a courtyard in the centre and a large lawn at the front of the building. The registered providers, Eastbourne and District Mencap, continue to offer a high standard of care and support for people using the service. 27 Arundel Road DS0000021000.V267109.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over six hours in February 2006. 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. Service users and relatives spoken with during the inspection expressed satisfaction with the home, the staff and the service provided. On the day of the inspection there were eight service users living at the home. The inspection involved a tour of the premises, examination of the home’s records and discussion with the Registered Manager. Three members of staff and two service users were also spoken with. The focus of the inspection was on the quality of life for people who live at the home. In order that a balanced and thorough view of the home is obtained, this report should be read in conjunction with previous inspection reports. What the service does well: Service users at 27 Arundel Road clearly benefit from having an experienced Manager and dedicated staff team who are committed to providing consistent and high quality care. Staff work closely with service users and have developed a sound understanding of their individual care and support needs. The relaxed, homely and welcoming environment has evolved over several years and reflects the stability and commitment within the staff team and the open and inclusive management style. Despite evident difficulties with communication, service users are encouraged and supported to make decisions about their lives. They are involved and regularly consulted on many aspects of life in the home, including menu planning and activities. Consultation with service users’ family members is also effective and ongoing, with relatives having the opportunity to partake in individual assessment, care planning and reviewing processes. Staff receive effective induction and foundation training, regular supervision and are clearly valued and supported by the management team. 27 Arundel Road DS0000021000.V267109.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? 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 DS0000021000.V267109.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 27 Arundel Road DS0000021000.V267109.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not inspected on this occasion. All key standards were assessed during the previous inspection carried out on 28 July 2005. EVIDENCE: 27 Arundel Road DS0000021000.V267109.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 & 10 Service users’ care plans are developed from a comprehensive assessment of an individual’s needs and enable staff to meet such needs in a structured and consistent manner. The person centred approach to care and effective systems for service user consultation and participation provide opportunities for individuals to be directly involved in many decision making processes and aspects of life within the home. Meeting service user’s changing needs could be compromised by the current system of reviewing care plans. EVIDENCE: Service users’ care plans are in place and are clearly and directly linked to the individual’s assessed needs. Plans examined contained comprehensive details of their personal, psychological and emotional support needs and were found to be accurate and generally well maintained. 27 Arundel Road DS0000021000.V267109.R01.S.doc Version 5.0 Page 10 However there was little evidence of plans, including risk assessments, being regularly and routinely reviewed and updated. In some cases it was noted that the last recorded review was dated May / June 2004. There was also no evidence of the involvement of the service user, their relative or representative in this process. The Manager confirmed that, although the current recording system could be misleading, all care plans, including risk assessments are reviewed on a regular basis. It is therefore recommended that this system of recording reviews and changes to care plans be improved. Staff spoken to during the inspection confirmed that, despite the limited verbal communication of some service users, effective and regular interaction and consultation takes place constantly throughout the home. The key worker system continues to operate effectively and service users are encouraged and supported to make decisions regarding 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 continue to be clearly documented in individual care plans. 27 Arundel Road DS0000021000.V267109.R01.S.doc Version 5.0 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): 11, 12, 13, 14, 15, 16 & 17 Positive relationships developed between staff and service users provide staff with awareness and sound understanding of individual social care and support needs. Social activities and meals are both generally well managed, creative and provide daily variety and interest for people living in the home. Family involvement and links with the community are generally good and support and enrich service users’ social opportunities. EVIDENCE: As previously documented, despite the limited and variable communication skills of service users, staff have worked closely and sensitively with individuals to develop effective levels of interaction. As one member of staff described it: ‘Each resident has their own way of making their feelings and wishes known and if someone is not happy, they will soon let us know!’ 27 Arundel Road DS0000021000.V267109.R01.S.doc Version 5.0 Page 12 Recreational activities are based on the assessed interests and preferences of service users and include rambling, swimming, bowling and horse riding. Within the home, a structured programme of events and activities has been introduced and there are also popular social evenings, including music and karaoke, held on a regular basis. 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 at any reasonable time. A four weekly rolling menu is provided, reflecting seasonal variations. Service users’ weight and dietary needs, including gluten free diets, continue to be monitored regularly and the menu choice adapted accordingly. Current menus were found to be varied, balanced and nutritious and are based on service users’ identified likes and preferences. An alternative to the main meal is always available and a copy of the menu is displayed in the kitchen. Staff and service users continue to eat their evening meal together. 27 Arundel Road DS0000021000.V267109.R01.S.doc Version 5.0 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): These standards were not inspected on this occasion. All key standards were assessed during the previous inspection carried out on 28 July 2005. EVIDENCE: 27 Arundel Road DS0000021000.V267109.R01.S.doc Version 5.0 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): These standards were not inspected on this occasion. All key standards were assessed during the previous inspection carried out on 28 July 2005. EVIDENCE: 27 Arundel Road DS0000021000.V267109.R01.S.doc Version 5.0 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, 25, 26, 27, 28, 29 & 30 The service is accessible, safe and clean and is clearly suitable for its stated purpose. Service users benefit from pleasant accommodation that is comfortable, 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. Since the previous inspection, as recommended the shower room has been upgraded and a carpet has been replaced in as service user’s room, following the removal of a fitted wardrobe. Accommodation for service users is provided on the ground floor and is safe, accessible and well maintained. Appropriate adaptations and specialist equipment, including tracking hoists, are provided as necessary, to meet the individual and collective needs of the service users. The Manager confirmed that a tracking hoist is to be fitted in the bathroom to enable more service users to make use of the Jacuzzi. Independence and individuality continues to be promoted within the home and this is evident from the personalising of service users’ individual rooms, which clearly reflects individual tastes and interests. 27 Arundel Road DS0000021000.V267109.R01.S.doc Version 5.0 Page 16 Infection control procedures are in place and evidently adhered to and levels of cleanliness and hygiene were found to be high throughout. 27 Arundel Road DS0000021000.V267109.R01.S.doc Version 5.0 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): These standards were not inspected on this occasion. All key standards were assessed during the previous inspection carried out on 28 July 2005. EVIDENCE: 27 Arundel Road DS0000021000.V267109.R01.S.doc Version 5.0 Page 18 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, 38, 39, 40 & 41 Service users and staff benefit from the manager’s open and approachable style of leadership and clear and positive sense of direction. The Home regularly reviews aspects of its performance through a programme of quality assurance monitoring and consultation, which includes seeking the views of service users’ relatives. EVIDENCE: The Registered Manager has been in her current post for two years. She is studying for the NVQ level 4 in Management and Care, which she hopes to complete later this year. The Manager continues to demonstrate competency and a clear sense of leadership and direction. She is positive and approachable and creates an open and inclusive atmosphere within the home. 27 Arundel Road DS0000021000.V267109.R01.S.doc Version 5.0 Page 19 This was clearly evident from direct observation during the inspection and through discussions with members of staff. As part of the home’s quality assurance system, annual satisfaction questionnaires are sent out to service users’ relatives. The positive responses to the most recent survey express a high degree of satisfaction with the home and the care services provided: ‘We continue to appreciate the quality of care and support provided at Arundel Road’. Policies and procedures that were examined contained little evidence of any formal or structured reviewing or updating process. Following discussion with the Manager, it is required that policies and procedures held in the home are regularly reviewed and updated, as necessary. 27 Arundel Road DS0000021000.V267109.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 27 Arundel Road Score X X X X Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 2 X X DS0000021000.V267109.R01.S.doc Version 5.0 Page 21 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. 1 Standard YA6 Regulation 15 (2) (b) Requirement Timescale for action 31/03/06 2 YA6 3 YA40 It is required that the service user’s care plan be kept under review and appropriately recorded. 15 (2) (c ) It is required that the service 31/03/06 user and, where appropriate, their relative or representative, be involved in the developing and reviewing of individual care plans. 17 (3) (a) It is required that written policies 30/06/06 and procedures held in the home be regularly reviewed and updated, as necessary. 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 YA6 Good Practice Recommendations It is recommended that the current system of recording reviews and changes to service users’ individual care plans be amended and improved. 27 Arundel Road DS0000021000.V267109.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 27 Arundel Road DS0000021000.V267109.R01.S.doc Version 5.0 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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