Inspection on 31/08/05 for 28 Southdown Road

This inspection was carried out on 31st August 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

28 Southdown Road 16/01/07

28 Southdown Road 29/11/05

28 Southdown Road 11/01/05

28 Southdown Road 17/08/04

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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 28 Southdown Road 28 Southdown Road Seaford East Sussex BN25 4PG Lead Inspector Jon Wheeler Unannounced 31 August 2005 2.25pm 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. 28 Southdown Road H59-H10 S21001 28 Southdown Road V218088 310805 stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 28 Southdown Road Address 28 Southdown Road Seaford East Sussex BN25 4PG 01323 897877 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) Southdown Housing Association Limited Ms Marion Love Care Home 5 Category(ies) of Learning disability (LD) 5 registration, with number of places 28 Southdown Road H59-H10 S21001 28 Southdown Road V218088 310805 stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum number of service users to be accommodated is five (5). 2. Service users must be aged between eighteen (18) and sixty-five (65) years on admission. 3. Only adults with a learning and physical disability are to be accommodated. Date of last inspection 11 January 2005 Brief Description of the Service: 28, Southdown Road is owned by Southdown Housing Association and provides residential care to five younger adults who have learning and physical disabilities. The home is a purpose built bungalow situated in a residential area of Seaford. The home is close to the town centre and to public transport facilities. The home has two accessible vehicles. The home is well decorated and maintained, and has a friendly, homely atmosphere. There is a large lounge, and a spacious kitchen/dining room. Service users have their own bedrooms, all of which are pleasantly decorated, and contain the service users own pictures and furnishings. There is a well-maintained, secure garden to the rear of the property. There is level access throughout the home and the garden. Service users are supported to access a range of activities within the home and the local community. 28 Southdown Road H59-H10 S21001 28 Southdown Road V218088 310805 stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place on 31 August 2005, starting at 2.20pm and lasting for three hours. The inspection involved a tour of the premises, talking to the manager and two care staff, reading care plans, records and checking medication and the management of service users money. Because of the learning disabilities of the service users, they were not able to clearly communicate their views about the service, so they and the staff were observed working together. What the service does well: What has improved since the last inspection? The service continues to work hard to monitor its own practice, including reviewing the way medication is dispensed. There is regular discussion in team meetings to ensure service users needs are met fully. 28 Southdown Road H59-H10 S21001 28 Southdown Road V218088 310805 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. 28 Southdown Road H59-H10 S21001 28 Southdown Road V218088 310805 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 28 Southdown Road H59-H10 S21001 28 Southdown Road V218088 310805 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) 3, 5. The home is able to identify and meet the needs of the service users. The housing rights of the service users are protected by a contract. EVIDENCE: There was a wide range of evidence to demonstrate that the home is able to meet the needs of the service users. The home has not had any new service users for a number of years, but the manager and staff are able to monitor and identify and changing needs of service users and are then able to tailor the service to meet those needs. There was evidence of regular review meetings to ensure the home is able to meet the on-going needs of service users. Each service user has a contract in their care plans. Because of the extent of their learning disabilities, service users have their contracts signed on their behalf by a member of their family. 28 Southdown Road H59-H10 S21001 28 Southdown Road V218088 310805 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, 10. Comprehensive care plans enable the service to identify and meet the needs of the service users. Service users are supported to develop their rights, choices and independence. Information about service users is treated with dignity and respect. EVIDENCE: The care plans contained comprehensive information about the needs of the service users and clear support guidelines to enable those needs to be met. There was a confidentiality statement in the front of each care plan, which staff were able to discuss and explain how confidentiality of information works in practice. There was documentary evidence of regular reviews of the information in the care plan. There was clear information about the likes and needs of each service user and how they communicate their views and wishes. Staff were observed helping service users to make decisions about various aspects of their lives, including what to drink and what activities they would like to do. The staff used objects, as terms of reference to enable service users to make choices. The staff practice was clearly supported by information within the care plans. Where service users are not able to make informed choices, staff demonstrate clear knowledge of the needs and preferences of the service 28 Southdown Road H59-H10 S21001 28 Southdown Road V218088 310805 stage 4.doc Version 1.30 Page 10 users. There was documentary evidence of regular discussions by staff about each service user, to ensure the home continues to meet their needs and wishes. Family and advocates are involved in the reviews and decision-making processes for the service users. Service users are involved in the daily running of the home, including helping with cooking, cleaning and shopping. There was documentary evidence of comprehensive risk assessments that enables service users to undertake a range of activities in the home and in the community. The risk assessments had been reviewed and updated on a regular basis. 28 Southdown Road H59-H10 S21001 28 Southdown Road V218088 310805 stage 4.doc Version 1.30 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 standard(s) 11, 12, 13, 14, 15, 16. Service users are supported to lead fulfilling lives and access a wide range of activities, in the home and in the community. Service users are supported to maintain relationships with their families and friends and are given respect and dignity in their daily lives. EVIDENCE: There was evidence of service users being supported to access a wide range of meaningful and fulfilling activities in the home and in the community. Service users access day care, college and leisure activities to suit their needs and preferences. Activities undertaken include attending a day centre, going to college, hydrotherapy, sensory room sessions, music group, exercise, trampoline and riding. Service users access a wide range of activities in the community including cafes, pubs, clubs, theatre and concerts. All service users are offered an annual holiday, although one of them takes days out as a preference to a week away. 28 Southdown Road H59-H10 S21001 28 Southdown Road V218088 310805 stage 4.doc Version 1.30 Page 12 There was documentary evidence of regular review of activities to ensure they meet the needs and preferences of the service users. Staff described in detail the activities that service users enjoyed doing. Service users are supported to maintain regular contact with their family, friends and advocate. Families and advocates are involved in the review processes and events in the home. The ethos of the home promotes the rights and choices of the service users to lead fulfilling lives based on their needs and preferences. Service users, where possible, are supported to make choices about all aspects of their lives. Staff were observed providing sensitive care to enable service users to choose what to drink and what activities they would like to do. Staff respect the rights of service users to make choices and they recognise those choices in variety of communication methods including vocalisation, gestures and body language. Staff continue to work hard as a team to ensure they are vigilant to the nonverbal choices of the service users. 28 Southdown Road H59-H10 S21001 28 Southdown Road V218088 310805 stage 4.doc Version 1.30 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 standard(s) 18, 19, 20. Service users receive dignified and sensitive support to meet their personal, emotional and health needs. There are robust systems for the storage, administration and recording of medication, to protect the service users. EVIDENCE: Staff were observed providing sensitive and dignified support to the service users. As service users came home from their day activities, they were offered drinks and personal care by the staff on shift in a friendly, relaxed and caring manner. During the inspection, a new staff member was having induction training. Whilst describing the needs of the service users and explaining the support, the two care staff fully involved the service users in the conversation and respected their rights and dignity. The staff should be commended for their professional and caring approach. The care plans described the way personal care should be provided, which was clearly reflected in the practice of the staff. There was documentary evidence of service users accessing a wide range of specialist services to meet their emotional and health needs. The health needs of the service users were regularly reviewed. 28 Southdown Road H59-H10 S21001 28 Southdown Road V218088 310805 stage 4.doc Version 1.30 Page 14 Medication is kept securely in the home. even though all staff who dispense medication have received appropriate training, an update session has been organised to ensure accurate administration is continued. The service had recently reviewed the system of administering medication, to ensure the process is robust and effective. All medication had was stored, administered and recorded in line with the organisation’s robust policy. 28 Southdown Road H59-H10 S21001 28 Southdown Road V218088 310805 stage 4.doc Version 1.30 Page 15 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. Robust complaints and adult protection policies protect the service users. EVIDENCE: The organisation has a robust complaints procedure, which uses pictures and images to make it more accessible for people with learning disabilities. Whilst no complaints had been received, staff were able to describe how they monitored if service users appeared unhappy, based on their knowledge and experience of their likes and dislikes. Advocates and family are able to raise concerns or complaints on behalf of the service users. There is a comprehensive adult protection policy. All staff have completed adult protection training as part of their induction, and it is regularly discussed at team meetings. Service users’ money is kept securely and there was documentary evidence of accurate recording of income and expenditure, which is checked by staff in the home each day. 28 Southdown Road H59-H10 S21001 28 Southdown Road V218088 310805 stage 4.doc Version 1.30 Page 16 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, 26, 27, 28, 29,30. Service users live in a safe, clean and comfortable home, which provides them with sufficient communal space and toilet and bathing facilities. Service users have comfortable bedrooms and various adaptations, which meet their personal needs. EVIDENCE: The home was clean, tidy and hygienic and was in good decorative order. There was evidence of recent work in the home, including a new hall carpet and one bedroom redecorated. The home was purpose-built to meet the needs of people with learning and physical disabilities. There is a relaxed, homely environment offering comfortable and sufficient communal space, with large lounge and kitchen/dining areas. There are two large bathrooms, which provide adapted baths, a shower trolley and ceiling hoists, to meet the needs of the service users. The service users all have large, comfortable bedrooms, which are individually decorated and personalised with their own possessions and pictures. Two of the bedrooms have operational ceiling hoists. Each service user is able to spend time in their own bedroom, for privacy and rest. 28 Southdown Road H59-H10 S21001 28 Southdown Road V218088 310805 stage 4.doc Version 1.30 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 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, 35, 36. There is an experienced, skilled and well-trained staff team who provide good quality care to understand and meet the needs of the service users. Good supervision and support enable staff to provide consistent and caring support. EVIDENCE: All staff have a job description and were able to describe their own roles and those of their colleagues. There is a skilled, experienced staff team who were observed providing good quality care, which was sensitive and respectful of the rights and choices of the service users. There are sufficient staff on each shift, to provide innovative and flexible care to meet the needs of the service users. The home had two vacancies, which were being covered by relief staff who regularly work in the home. Staff are well-trained with the organisation’s comprehensive staff training programme and through accessing NVQ courses. Two of the staff spoken with confirmed they were in the process of completing paperless NVQ care courses. There was documentary evidence, in addition to confirmation from staff, that there is regular supervision and team meetings, which provided good support to ensure consistent and good quality care an d support. 28 Southdown Road H59-H10 S21001 28 Southdown Road V218088 310805 stage 4.doc Version 1.30 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 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) 37, 38, 42. A skilled manager provides clear direction and support to enable the staff to provide good quality care to the service users. A range of health and safety checks protects service users and staff. EVIDENCE: The home is run by an experienced and skilled manager, who ensures a clear ethos and direction for the home, in line with the values and aims of the organisation. Staff described the manager as knowledgeable, approachable and supportive. The manager has an appropriate management qualification and the NVQ4 in care. She demonstrated a clear understanding of the needs of the service users and how those needs should be met. There was documentary evidence of a range of health and safety procedures in the home, including daily checks of the hoists and weekly fire system, lighting, call point and water temperature checks. There is a regular walk-through check of the environment. 28 Southdown Road H59-H10 S21001 28 Southdown Road V218088 310805 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 x x 3 x 3 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 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 4 3 3 4 3 3 x Standard No 31 32 33 34 35 36 Score 3 3 3 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 28 Southdown Road Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 x x x 3 x H59-H10 S21001 28 Southdown Road V218088 310805 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 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 Good Practice Recommendations 28 Southdown Road H59-H10 S21001 28 Southdown Road V218088 310805 stage 4.doc Version 1.30 Page 21 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. 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