Inspection on 07/02/06 for 34 and 36 Seagarth Lane

This inspection was carried out on 7th February 2006.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

34 and 36 Seagarth Lane 14/03/07

34 and 36 Seagarth Lane 16/11/05

34 and 36 Seagarth Lane 03/03/05

34 and 36 Seagarth Lane 10/01/05

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Treloar College

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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 34/36 Seagarth Lane Shirley Southampton Hampshire SO16 6RL Lead Inspector Janet Shipman Unannounced Inspection 7th February 2006 10:00 34/36 Seagarth Lane DS0000012383.V282499.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 34/36 Seagarth Lane DS0000012383.V282499.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 34/36 Seagarth Lane DS0000012383.V282499.R01.S.doc Version 5.1 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.V282499.R01.S.doc Version 5.1 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. 16th November 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.V282499.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second unannounced inspection of 34/36 Seagarth Lane for the year 2005/2006. 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. Three service users were out of the time of the inspection. Two service users had gone swimming and were having lunch out and one service user was visiting his parents. The inspector was unable to fully converse and gauge the views of service users due to their level of disability. What the service does well: What has improved since the last inspection? The organisation, New Support Options are beginning to provide a more diverse training programme for care staff. 34/36 Seagarth Lane DS0000012383.V282499.R01.S.doc Version 5.1 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 34/36 Seagarth Lane DS0000012383.V282499.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 34/36 Seagarth Lane DS0000012383.V282499.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1&5 Standards 2, 3 & 4 were assessed at the last inspection. Service users and their family are given detailed information about the service provided by the home. Each service user has a written contract stating the terms and conditions of their stay. EVIDENCE: The home has a statement of purpose and service user guide that were seen during the inspection. These contain the required information and are in a type written format. Agreement was previously reached with the CSCI that due to service users level of disability that additional formats of the documents would not be appropriate. This will need to be kept under review when the home admits new service users. Each service user has a written contract which staff go through with service users and their family. Written contracts were seen on service users files. 34/36 Seagarth Lane DS0000012383.V282499.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 10 Standards 6, 7, 8 & 9 were assessed at the last inspection. Confidentiality is respected and promoted within the home. EVIDENCE: The home has a written policy on the confidentiality of service user information. Service user files are kept in a lockable filing cabinet in the office. All staff receive training in confidentiality through their induction and have signed a confidentiality agreement. Staff said that they feel able to remind visitors about confidentiality and ensure that visitors know what parts of the home are accessible to them. 34/36 Seagarth Lane DS0000012383.V282499.R01.S.doc Version 5.1 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 17 Standards 11, 12, 13, 14, 15 & 16 were assessed at the last inspection. Service users are offered a health diet and appear to enjoy their meals and meal times. EVIDENCE: Menus are prepared based on service users preferences. Staff describe meals times as popular times of the day. Records were seen indicating a varied diet is provided. A range of health snacks is available throughout the day and fresh fruit and vegetables are bought daily. The manager and staff confirmed that service users go out for meals and take away meals are also purchased by the home. On the day of the inspection two service users had been swimming in the morning and had lunch out afterwards. 34/36 Seagarth Lane DS0000012383.V282499.R01.S.doc Version 5.1 Page 11 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): 18, 19 & 20 The home ensures service users personal and health care needs are met in a dignified and respectful way. The healthcare needs of service users are recorded in care plans with specialist advice and support from the community specialist health team. Medication is appropriately stored, dispensed and recorded within the home. EVIDENCE: Routines within the home appear to be flexible and times for when people get up in the morning is dependent on their timetable, daily commitments and medication. There are no set times at night for service users to retire to their rooms. Service users are supported to maintain personal hygiene and where there are specific issues these are documented within the care plan. Staff demonstrated their knowledge of service users specific care needs as well as the need to maintain privacy and dignity at all times. The service receives specialist support from professionals from the local specialist health care team. All service users are registered with a GP, dentist and optician. A podiatrist also visits the home on a regular basis. The home also employs a qualified aromatherapist for service users. Care plans contain the treatment plan for each service user. The manager and staff confirmed that service users really enjoy the sessions with the aromatherapist. 34/36 Seagarth Lane DS0000012383.V282499.R01.S.doc Version 5.1 Page 12 A monitored dosage medication system is used for the home. Staff receive training through their induction. Additional in-house training is provided by the organisation, New Support Options, that includes staff undergoing a series of three drug administration assessments. The medication administration records were inspected and found to be maintained to the required standard. The medication is kept in a locked cupboard and the senior member of staff on duty holds keys. 34/36 Seagarth Lane DS0000012383.V282499.R01.S.doc Version 5.1 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 Standard 22 was assessed at the last inspection. Service users are safeguarded from abuse, neglect and self-harm. EVIDENCE: The home has appropriate polices and procedures which includes, whistle blowing, financial procedures and adult protection policy that links to the locally agreed procedures. The manager and staff confirmed that they have received training in adult protection through their organisation and have covered this area through NVQ training. The manager and staff were clear about what constitutes abuse and the procedures that would need to be followed if an allegation of abuse occurred. Management guidelines are in place for service users who may present inappropriate behaviours and staff are attending a workshop on autism shortly. Policies and procedures are in place to protect service users finances. The manager went through two service users money and the processes the home follows. The organisation recruitment and employment procedures are designed to ensure that unsuitable people are not employed to work within the home. Interactions between service users and staff observed during the inspection were warm and friendly. 34/36 Seagarth Lane DS0000012383.V282499.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 29 Standards 24, 25, 26, 27, 28 & 30 were assessed at the last inspection. The home has purchased and installed specialist equipment to meet the needs of service users. EVIDENCE: The home has a range of specialist equipment to meet the needs of service users, which include, hoists, wheelchairs and adjustable beds. For the most recent service user admitted to the home an adapted bath was fitted and a specialist bed was purchased before the service user could move in. The home purchased the equipment to avoid any unnecessary delays for the service user. 34/36 Seagarth Lane DS0000012383.V282499.R01.S.doc Version 5.1 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 31, 33, 34, 35 & 36 were assessed at the last inspection. The home ensures that staff are appropriately trained and competent to undertake their role and responsibilities. EVIDENCE: During the course of the inspection the inspector observed positive interactions between staff and service users. Staff demonstrated that they have a good knowledge and understanding of both service users needs and the ways in which service users communicate their wishes and preferences. Staff spoken with during the inspection confirmed that the staff training programme provided them with the skills and knowledge needed to meet the needs of the service users and that they felt supported by the manager to further their professional development. The manager confirmed that the organisations training programme has begun to improve but that she will continue to find specific courses locally. The inspector joined staff for their handover after lunch. All staff were included in discussions and opinions actively sought by the manager. 34/36 Seagarth Lane DS0000012383.V282499.R01.S.doc Version 5.1 Page 16 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, 39 & 42 The management arrangements within the home ensures that service users needs continue to be met and creates a homely atmosphere in which service users feel valued and supported. The homes quality assurance systems ensure that service users and their relative’s views underpin the development of the home. The home’s policies, procedures and work practices are designed to ensure, as far as practicable, that service users and staff’s health, safety and welfare is safeguarded. EVIDENCE: The registered manager has been the manager of the home since it opened approximately nine years ago. The manager is responsible for the budget of the home. During the inspection the manager demonstrated a clear understanding of the needs of service users living within the home. The manager stated that her line managers are supportive and enable her to manage the home effectively. 34/36 Seagarth Lane DS0000012383.V282499.R01.S.doc Version 5.1 Page 17 The home has a number of quality assurance systems, which have been developed by the organisation. These include a service plan, which is currently being presented in a person centred planning method to enable service users to gain a clear view of how the home fits into the organisations goals for improving quality. The organisation also sends out a ‘How are we doing’ Survey to service users and relatives and reports on the findings. Further to this the area managers carry out regular audits. All of these documents were available within the home and were viewed by the inspector. The home is a safe place for service users, visitors and staff. Health and safety audits are carried out. Weekly checks on fire equipment are undertaken. All staff are given mandatory training across the year. A variety of records were seen during the inspection, which included fire safety records, maintenance and insurance certificates, food records, and medication administration records. These were found to be appropriately stored, well maintained and up to date. 34/36 Seagarth Lane DS0000012383.V282499.R01.S.doc Version 5.1 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 X 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 x 23 3 ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 3 30 X STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X 34/36 Seagarth Lane DS0000012383.V282499.R01.S.doc Version 5.1 Page 19 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.V282499.R01.S.doc Version 5.1 Page 20 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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