Inspection on 16/11/05 for 34 and 36 Seagarth Lane

This inspection was carried out on 16th November 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

34 and 36 Seagarth Lane 14/03/07

34 and 36 Seagarth Lane 07/02/06

34 and 36 Seagarth Lane 03/03/05

34 and 36 Seagarth Lane 10/01/05

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 34/36 Seagarth Lane Shirley Southampton Hampshire SO16 6RL Lead Inspector Janet Shipman Unannounced Inspection 16 November 2005 10:00a 34/36 Seagarth Lane DS0000012383.V256395.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 34/36 Seagarth Lane DS0000012383.V256395.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. 34/36 Seagarth Lane DS0000012383.V256395.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 34/36 Seagarth Lane Address Shirley Southampton Hampshire SO16 6RL 023 8077 2847 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) New Support Options Limited Ms Mary Walsh Care Home 6 Category(ies) of Learning disability (6) registration, with number of places 34/36 Seagarth Lane DS0000012383.V256395.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Residents in the category LD are only to be admitted between the age of 18 to 60 years. 3rd March 2005 Date of last inspection Brief Description of the Service: Seagarth Lane consists of two purpose built bungalows, which are interconnected. Each bungalow has three single bedrooms and run as two separate units. The home is situated close to local shops and services and has an accessible garden. One of the bungalows has a sensory room for service users in both bungalows to use. The home provides care and accommodation for people who have a learning disability and associated sensory and physical disabilities. 34/36 Seagarth Lane DS0000012383.V256395.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection of 34/36 Seagarth Lane took place on 16 November 2005. The manager of the home assisted the inspector throughout the inspection. Discussions were held with a number of staff. Full access to any information requested was provided with records and documentation identified in the report being viewed. The inspector spoke to one service user but generally the inspector was unable to fully converse and gauge the service users views of the home due to the service users disability. What the service does well: What has improved since the last inspection? 34/36 Seagarth Lane DS0000012383.V256395.R01.S.doc Version 5.0 Page 6 The adapted bath has been fitted in the bathroom of one of the bungalows to meet the specific needs of one service user who was admitted to the home last year. 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. 34/36 Seagarth Lane DS0000012383.V256395.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 34/36 Seagarth Lane DS0000012383.V256395.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): 2&4 Prospective service users are thoroughly assessed prior to being offered a permanent placement in the home. Prospective service users and their relatives/representatives have an opportunity to visit the home. EVIDENCE: The home receives referrals through care managers. In each case an assessment is undertaken to ensure the home can meet the needs of the individual. The assessment is based on a person centred planning approach and includes essential information on communication, mobility, health, social and personal care needs as well as ensuring that personal history information is collated. Key information on what the person values and doesn’t value in their life is also documented. Three assessments were seen, including the latest service user who moved in nearly a year ago. The referral for this person was an emergency as their previous residential home was closing. Specialist equipment was required before the person moved in which included a specialist bed and adapted bath. Both were paid for by the home to enable the person to move in. The inspector had the opportunity to meet the service user and he was able to indicate with the support of staff that he was very happy living at Seagarth Lane. The latest care management review also confirmed that the placement was working very well. Prospective service users and relatives/representatives are able to visit the home. This generally includes a mealtime visit and an overnight stay. 34/36 Seagarth Lane DS0000012383.V256395.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 Person centred care planning information is thorough and produced in an accessible format. The plans clearly outline how individual service users need to be supported on a day to day basis as well as identifying their hopes, dreams and aspirations for the future. Service users are involved and supported, where possible in both making decisions about their own lives and in the day-to-day running of the home. Detailed risk assessments are carried out to enable service users to lead a full and varied lifestyle. EVIDENCE: Each service user has three files that contain personal information, essential life plans and person centred planning information. The personal information file includes general information such as records of visits to dentist, opticians and other professionals, health information, weight checks, financial information and general correspondence. The essential life plan files contain a life history, ‘VIP – Vital Information Profile’ which details how the person must be supported from the moment they need to get up to when they go to bed, guidelines, skills checklist, care plans, risk assessments, unresolved and ongoing issues and review meetings. The person centred planning file contains a person centred plan, information about the person including pictures when the person was a baby and growing up, important people in the person’s life, 34/36 Seagarth Lane DS0000012383.V256395.R01.S.doc Version 5.0 Page 10 essential things in the persons life and hopes, dreams and aspirations. Most of the information is produced in a pictorial format or by using symbols and signs to support service users understanding. The information was of a high standard and the three files viewed had been regularly updated. The home has a service user meeting each month where they review the activities and significant things that they have happened over the previous month. Examples are of parties, social events, day trips and holidays. The information is produced in photographs of the service users undertaking the different activities that have taken place together with symbols and signs. The home tries to involve service users in the selection of staff by inviting the applicants to the home and having some time with the service users where the manager and staff can observe the applicants interactions. The home undertakes thorough risk assessments covering health and personal care issues, day-to-day activities and specific events to enable individuals to experience a full and varied lifestyle. For the most recent service user this included a trip on a speedboat, learning to sail and getting out of his wheelchair to sit in the sea during the summer. Photographs of these activities have been taken and are placed in his day service communication file, which was seen by the inspector. 34/36 Seagarth Lane DS0000012383.V256395.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 The home supports service users to meet their hopes, dreams and aspirations through providing different opportunities and experiences. The activities undertaken are full and varied, despite the lack of day service funding and appropriate to the individual needs of the service user. Service users participate in the local community and have good relationships within the local neighbourhood. Service users are supported to maintain and make new friendships and family links. Service users were seen to be treated with respect and have their privacy protected. EVIDENCE: At the time of the inspection three service users were going out to a cultural event in Basingstoke and one service user was going to the hairdressers. Service users are only formally allocated seven hours of day-care a week which is not sufficient to meet their individual needs. The funding for day care is through social services. The manager informed the inspector that service users are due an annual review by Social Services but no dates have been set. However, despite this the home employs a day service coordinator, who with staff support enable service users to experience a wide range of opportunities to meet their individual assessed needs. The inspector viewed the day service 34/36 Seagarth Lane DS0000012383.V256395.R01.S.doc Version 5.0 Page 12 communication files that have been developed by the day service coordinator. Each file contained information that detailed what was important to the service user, their communication needs, hopes, dreams, aspirations and lifestyle choices, likes & dislikes. A day service timetable, instructions to staff in meeting needs, risk assessments and personal plans and pictures of the individual service user undertaking the different activities they had done during the year. Examples are water-skiing, horse riding, and trips to the theatre. The home also hired a beach hut at Sandbanks in Bournemouth for a week to enable service users to spend days at the beach, which was reported to be a great success. One service users file showed pictures of him out of his wheelchair and sitting in the sea, supported by a member of staff, which was the first time he had done this. The home also has a sensory room to enable service users to relax but also to have their sensory needs met. A qualified aromatherapist has been employed to provide massage treatments to service users. The day service coordinator told the inspector that care plans and risk assessments would be put in place. Service users access the local community for walks, going to the shops. The manager and staff felt that the local neighbourhood was supportive and that neighbours always say hello. The staff support service users to maintain contact with family members and friends through social events and visits to the home. For the most recent service user his keyworker told the inspector that she was trying to arrange a visit to a friend that he had previously lived with before their home closed. The day service coordinator also told the inspector that new friendships have been supported through some of the activities they have undertaken for example at the sailing club where they go on a regular basis. There is an open visiting policy in the home. Routines in the home are very flexible and are tailored to meet the individual needs and preferences of service users. Service users have the opportunity to spend time in their own company. For service users whose main form of communication is through non-verbal means, staff use their skills and knowledge of the person together with their person centred plans to ensure service users individual preferences are met during their free time through spending time in their rooms to using the sensory room or communal areas. Staff were observed to interact in a friendly and respectful manner with service users throughout the inspection. 34/36 Seagarth Lane DS0000012383.V256395.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): The standards were not assessed on this occasion. EVIDENCE: 34/36 Seagarth Lane DS0000012383.V256395.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): 22 The home has a complaints procedure. EVIDENCE: The home has a complaints procedure, which is also provided in a user-friendly format. There have been no complaints since the last inspection. The home has set up a compliments book, which contains thank you cards and letters about the service. 34/36 Seagarth Lane DS0000012383.V256395.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 & 30 The home provides safe and attractive accommodation. Service user bedrooms provide the appropriate equipment to meet their needs. The home is clean, tidy, well maintained and has no adverse odour. EVIDENCE: Seagarth Lane is two interconnecting purpose built bungalows designed to accommodate people with physical disabilities. The accommodation has a warm, friendly and homely atmosphere. The home is well maintained and tastefully decorated throughout. All parts of the home are accessible. Service users bedrooms are decorated and personalised to the service users wishes and preferences. One service user has a gold fish in his bedroom and his keyworker told the inspector that he enjoys spending time in his room and likes looking at his goldfish. Each bungalow has its own bathroom and separate toilet. An adapted bath has been fitted in one of the bungalows to meet the assessed needs of one service user admitted to the home last year. The communal lounge has comfortable seating with widescreen television and DVD player. The patio doors in the lounge lead out to the garden, which is accessible and has a patio and lawn areas, pots and plants. The home was clean, tidy and hygienic. The home has an effective system in place for clinical waste. There were no adverse odours present at the time of the inspection. 34/36 Seagarth Lane DS0000012383.V256395.R01.S.doc Version 5.0 Page 16 34/36 Seagarth Lane DS0000012383.V256395.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): 31,33, 34, 35 & 36 The home employs sufficient staff to meet service users needs and ensures that care staff are trained, competent and supervised. However, it appears that the organisation, New Support Options is not providing a diverse training programme to ensure staff are equipped to meet the specific needs of individual service users. The recruitment of staff is safe and places the protection of service users first. EVIDENCE: Care staff appeared to have a good knowledge and understanding of the service users needs and were observed interacting in a positive, warm friendly way with service users. Many of the staff have been working at the home for a number of years and know the service users well. The home operates a keyworker system. Each service user has a keyworker and link worker whose role is to ensure that the individual needs of the service user are met through the person centred planning system in place. Training is provided through the organisation, however, the training calendar shown to the inspector appeared not to provide specific training required to meet the individual needs of service users for example, non-verbal communication skills, person centred planning. The manager reported that they have found training through other sources outside of the organisation to ensure that staff have the appropriate skills to undertake their role such as dementia training, which is relevant to the needs of one service user. The organisation needs to ensure that the training provided enables staff to meet 34/36 Seagarth Lane DS0000012383.V256395.R01.S.doc Version 5.0 Page 18 the specific needs of service users. The standard will be reviewed again at the next inspection. The recruitment process ensures that all the necessary references are taken up. The records seen were found to contain enhanced criminal record certificates and the necessary employment records, as well as copies of birth certificates and driving licence. Staff receive monthly supervisions and an annual appraisal called a Joint Progress Review. Supervision records were seen as well as a table listing the dates for staff supervision throughout the year. 34/36 Seagarth Lane DS0000012383.V256395.R01.S.doc Version 5.0 Page 19 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): The standards were not assessed on this occasion. EVIDENCE: 34/36 Seagarth Lane DS0000012383.V256395.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 3 X 3 X Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 3 3 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 4 12 3 13 3 14 4 15 3 16 4 17 Standard No 31 32 33 34 35 36 Score 3 X 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 34/36 Seagarth Lane Score X X X X Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000012383.V256395.R01.S.doc Version 5.0 Page 21 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. 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. Refer to Standard Good Practice Recommendations 34/36 Seagarth Lane DS0000012383.V256395.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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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