Inspection on 26/01/06 for 39-41 Whitehawk Way

This inspection was carried out on 26th January 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

39-41 Whitehawk Way 09/01/09

39-41 Whitehawk Way 14/02/07

39-41 Whitehawk Way 07/07/05

39-41 Whitehawk Way 28/02/05

39-41 Whitehawk Way 28/09/04

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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 39 Whitehawk Way 39 Whitehawk Way Brighton East Sussex BN2 5QL Lead Inspector Jenny Blackwell Announced Inspection 10:00 26th January 2006 and 3 March 2006 rd 39 Whitehawk Way DS0000014139.V269762.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 39 Whitehawk Way DS0000014139.V269762.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. 39 Whitehawk Way DS0000014139.V269762.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 39 Whitehawk Way Address 39 Whitehawk Way Brighton East Sussex BN2 5QL 01273 603110 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) Southdown Housing Association Limited Ms. Sandra Midgley Care Home 4 Category(ies) of Learning disability (4), Physical disability (4) registration, with number of places 39 Whitehawk Way DS0000014139.V269762.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. This home is registered for four (4) service users wirth a learning disability and physical disability. A maximum of four (4) service users to be accommodated. Service users accommodated will be aged between eighteen (18) and sixty-five (65). 7th July 2005 Date of last inspection Brief Description of the Service: 39 Whitehawk Way is part of the Southdown Housing Association and is registered to provide residence and care to four adults, with a learning disability. The home is a purpose-built bungalow, situated in Brighton. The location of the home offers access to local amenities, including food shops, pubs and restaurants. Each person has their own individually decorated bedroom. Communal areas comprise of a lounge/dining room and kitchen. The building has level access for those service users who use wheelchairs and an enclosed rear garden. The people who live at the home have individual day activity timetables and are supported to participate in their chosen activities by the care staff. 39 Whitehawk Way DS0000014139.V269762.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. During this summary and report the people who live at the home will be referred to as people/person and the people who work at the home as staff or by their job title. The inspection took place over two visits on the 26th January ’06 and 3rd March ‘06. The first visit was announced and the second was unannounced. The people who live at the home, some of the staff team and the manager were present during the inspection. Time was spent with all four of the people who live at the home. The manager was spoken to individually and seven staff were spoken to throughout the visits. The two requirements made from the inspection in July 2005 were checked to see if they had been met. The manager produced evidence to show that they had been met. Three relative comment cards were returned prior to the inspection. They contained positive responses, with one person commenting, “I have found at all times this place [39 Whitehawk Way] is very happy and clean. My son loves it.” The people who live at the home and the staff were helpful throughout the inspection and contributed to the report where possible. What the service does well: The home continues to provide daily activities that were planned and arranged around each person’s likes and dislike. During the visits all the people either went out or had an activity at the home. Staff organised their shifts around the people’s wishes. The staff were observed to treat people as individuals and ensure that choice was offered to people on a daily basis. The interaction between the staff and people living at the home was respectful, friendly and professional. Personal support was handled sensitively. When the inspector arrived for the visits the inspector was taken around the home and introduced to each person, with an explanation of why she was there. On the first occasion it was the manager who made the introductions - on the second it was a relief member of staff. The manager organised training through individual supervision and through the organisational training plan. The staff received induction within the first six weeks and foundation training within six months. 8 days of training are setaside for each staff member. 39 Whitehawk Way DS0000014139.V269762.R01.S.doc Version 5.0 Page 6 A new staff member showed the inspector her induction and foundation portfolio. Individual checklists are in place for each person. It is expected that the new member of staff understands the support needs of the individuals before they support them alone. 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. 39 Whitehawk Way DS0000014139.V269762.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 39 Whitehawk Way DS0000014139.V269762.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): 3 and 4 New people moving to the home would be given accurate information about the home function via the statement of purpose and service user guide. People looking to move to the home would have visits and trial overnight stays to “test drive” the home. EVIDENCE: The current group of people living in the home have done so for some years. The manager did not see in the near future that new people would move to the home. However the home and the organisation provide information in the statement of purpose and the service users guide to enable new people to make a choice about moving to the home. The home ensures that, through the admission procedure, any prospective person moving to the home and their representatives would be able to visit the home and have planned stays, to ensure that the home is able to support the individual’s needs. The staff are trained in supporting people with learning disabilities and attend training about supporting people with additional physical disabilities. The building is designed to support people who have mobility problems, with wide doorways and assisted bathing equipment. 39 Whitehawk Way DS0000014139.V269762.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): 7,8 and 10. The staff supported the individuals to make decisions and encouraged them to participate in all aspects of the life in the home. Information about the people was handled and stored appropriately. EVIDENCE: During the inspection the staff were asked about how the people made decisions about their lives. One member of staff described a variety of methods that were based on the individual’s communication abilities. Some of the people were able to directly indicate their choices through language whilst other used a method of body language to show their choices. Staff were seen to offer choices of activities, food and drinks to people during the visits. They were observed to wait for the person’s response and then if necessary offer other choices if the person was indicating they did not want what was on offer. A member of staff who had been working at the home for three months was able to give an example of one person’s preferences with drinks. She said she had learnt this through the information in the person’s care plan and by other staff showing her how to work with the person. The staff were seen to 39 Whitehawk Way DS0000014139.V269762.R01.S.doc Version 5.0 Page 10 encourage people to participate in the household tasks at the home, when they wished to. Since the previous inspection the manager and staff have ensured that they look at the peoples best interest when arranging for medical procedures and interventions. The manager showed a piece of work the staff had conducted with one person, when supporting her with blood tests. The manager and staff demonstrated that they understood what was necessary to ensure they acted in the person’s best interest. The staff records daily information about the people. Each shift the staff fill in a daily records sheet that describe what the person has been doing and how they were feeling. These forms were noted to be particularly good, as they used face symbols to demonstrate how the person was feeling for that part of the day. This made the recording of the information more accessible to the people, enabling them to participate in the process by indicating how they were feeling. The records about the people were stored securely but accessible to them. Staff were seen to record information in front of the people, talking about it as they did and then put the files away in the office. 39 Whitehawk Way DS0000014139.V269762.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): 12,13,and 14. The manager and staff were committed in supporting each person with their interest. Personalised activity plans were in place for each individual and tailored to suit their chosen activities. EVIDENCE: During the visits all the people were engaged in activities in and outside of the home. One person had been to a college to look at the chapel there. The person and the staff were asked about their trip out. The person appeared to have enjoyed the trip out and the staff member described how the person enjoyed looking at big buildings. Before coming back to the home the person and the staff member had lunch at a pub. Another staff member had been out with one person to a seafront fish and chip restaurant for lunch. They had travelled into town on a public transport bus that was able to take people who used wheelchairs. Later in March, one person was going on a long weekend holiday at a holiday centre that was having a motown weekend. Holidays were arranged with each person and a staff member said they were arranged around the interest of the people. The staff also demonstrated the knowledge of how long the people like 39 Whitehawk Way DS0000014139.V269762.R01.S.doc Version 5.0 Page 12 to have breaks away from the home. Some people enjoyed shorter breaks, whilst others were happy to be away for longer. A person from another service visited the people who lived at the home. He said he came every week for dinner on Fridays. 39 Whitehawk Way DS0000014139.V269762.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): 20. The medications procedures were improving and the staff knowledge and organisation’s procedures where protecting the people who live at the home. EVIDENCE: The medication system was looked at during both visits to the home. At the inspection on the 26th January a medication error was noted. The manager had reported verbally that two errors in medication had occurred in January ’06. A dose of medication was not administered on the two occasions. The checking procedures in the home and the staff concerned identified their errors and reported the incidents appropriately. In both situations the individuals sought medical advice as to what actions they should take, to protect the person from any adverse effects of missing the medication. Incident reports written by the staff members and the actions that were taken by the manager were sent to the commission. At the visit on the 3rd March ‘06 the deputy manager showed the inspector the improvements that had been made to the system since the previous inspection. More information about the medication was written on each persons measure dose system. The deputy manager was able to show how the staff had followed correct procedures when a medication was dropped. They 39 Whitehawk Way DS0000014139.V269762.R01.S.doc Version 5.0 Page 14 recorded the information and a replacement dose was requested from the pharmacist and replaced. 39 Whitehawk Way DS0000014139.V269762.R01.S.doc Version 5.0 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 the following standard(s): 22 and 23 The organisation’s policies and procedures enable the people who live at the home and their representatives the opportunity to raise concerns and make complaints. The organisation operates within procedures to protect people from abuse. The manager worked in line with the procedures and demonstrated knowledge on her role and responsibility in protecting people and reporting suspected abuse. EVIDENCE: The complaints procedure was seen during the inspection within the Service User Guide. The home or the commission had not received any complaints since the previous inspection. Out of the three relatives comment card returned, all said they were aware of the complaints procedure. At the last inspection it was noted that not all the staff had undertaken adult protection training. The manager stated she had addressed the requirement by ensuring that everyone had now attended the training. Each new member of staff attends the organisations adult protection course in the first 12 months. The deputy manager had trained relief members of staff in tutorial sessions. The manager said that at the home’s annual monitoring, daytime is specifically set aside for looking at issues of adult protection. In particular related to the vulnerability of the people currently living in the care home. The manager produced a record of an adult protection alert that was raised since the previous inspection. The manager and organisation had acted in line with adult protection protocols and worked with other professionals to ensure that the alert was thoroughly investigated. 39 Whitehawk Way DS0000014139.V269762.R01.S.doc Version 5.0 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 the following standard(s): 25,26,27,28 and 29 EVIDENCE: Some time was spent with one person in her bedroom on the first visit to the home. She was watching a music video and seated in a large beanbag. She appeared relaxed and comfortable. The staff had decorated her room based on the knowledge they had of the person. Family photos had been framed and hung on the walls. The other people’s bedrooms were also decorated individually. Thought had been put into the layout of the room to make it easier for the people to get about in. One person had a study desk built in, as he liked to look at books, write and draw. Another person had his flooring replaced and easy to open low level cupboard installed. The staff said that this was because he spent some time stretching and relaxing on the floor, as most of the day he spent using his wheelchair. The staff said he was able to open his cupboards and get things out for himself. The home has two specialist bathrooms. Both are relatively spacious and have ceiling track hoist that enable staff to lift the people in and out of the bath. Although the rooms were tiled and difficult to personalise the staff had thought 39 Whitehawk Way DS0000014139.V269762.R01.S.doc Version 5.0 Page 17 about making the rooms less clinical. Modern mobiles had been hung from the ceiling and effort had been made to items of decoration in them. The staff had made a large sign on the bathroom doors to let the people and the staff know when a room was occupied. Staff were seen to knock on the doors before entering and discuss discreetly helping people to the toilet. The home’s lounge is adequate to support the peoples needs, although it is noted that when all the people and the staff use the space at the same time i.e. meal times, it can become crowded. The staff on duty for the second visit were asked about this. They felt they managed the space the best they could, by having people out and about at different times. One person preferred to eat his meals in the kitchen. This was observed during the inspection. The current group of people required various types of specialist equipment to help them around the house and out in the community. Ceiling hoists were in the bathroom and bedrooms. A shower trolley and a specialist bath were provided. Service contracts were arranged for all the specialist equipment. 39 Whitehawk Way DS0000014139.V269762.R01.S.doc Version 5.0 Page 18 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): 31,32 and 36. The staff knew their roles and responsibilities and worked as a team. The staff team was competently trained and had opportunities to become qualified. The management supported the staff team and staff were appropriately supervised. EVIDENCE: The staff working at the home during the two visits were asked about their roles. Time was spent with a new member of staff who had been working at the home for three months. She was able to describe her support worker role and the roles of the others in the team. She understood her responsibilities to report any issues of poor practice and was confident to approach the manager if she had any concerns. The manager organised training through individual supervision and through the organisational training plan. The staff received induction within the first six weeks and foundation training within six months. 8 days of training are setaside for each staff member. The new staff member showed the inspector her induction and foundation portfolio. The portfolio contained a comprehensive checklist that the staff member and manager signed when the staff has been trained or given information about the organisation’s policies and procedures. Individual checklists are in place for each person. It is expected that the new member of staff understands the support needs of the individuals before they support them alone. 39 Whitehawk Way DS0000014139.V269762.R01.S.doc Version 5.0 Page 19 On the second visit another new member of staff was doing a shadow sleep-in shift where an experienced staff member took the new person through the shift. The deputy manager said this was the second one the staff had undertaken. The deputy said this was a usual procedure as part of the induction process. A relief member of staff working also worked in another Southdown Housing Association home. She said she enjoyed working at the home and found working with other people who lived at the home as interesting. She found the staff team supportive and could approach the manager if there were any problems. Since the last inspection the home has had three members of staff leave to pursue other careers, all three people were N.V.Q level 3 qualified. The manager recorded in the pre inspection questionnaire that three of the existing staff are N.V.Q qualified. The staff members spoken to had regular supervision with their named supervisor. Sessions were recorded and information gathered to support applications for training courses. 39 Whitehawk Way DS0000014139.V269762.R01.S.doc Version 5.0 Page 20 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): 40,41,42 and 43 The home’s policies and procedures and the record keeping procedures protect the best interests of the people who live at the home. The health and safety of the people was protected by policies, monitoring and responding to their changing needs. The organisation ensures that the home is financially viable and the people benefit from living in a well managed home. EVIDENCE: At previous inspections, Southdown Housing policies and procedures have been examined and found to meet the standards. The manager stated in the pre inspection questionnaire that some policies had been reviewed and updated, whilst other had no change. She submitted information about the review dates of the policies. The staff were seen to handle the peoples information correctly. The home has an access to files policy that was reviewed in April 2005. Several records were examined that supported the health and welfare of the people and the staff. Risk assessments were in place for activities around the 39 Whitehawk Way DS0000014139.V269762.R01.S.doc Version 5.0 Page 21 house such as food storage and the use of knives in the kitchen. The assessments were written to encourage people’s participation in activities. The health and safety checks were carried out appropriately in the home. The gas and electrical safety certificate was seen and information was recorded on the monthly walk through health and safety checklist. The deputy manager mainly did these. He showed the inspector the development in the quality assurance system he had introduced for the home. The report combines the information about health and safety checks, staff information like appraisals and the home report form the annual review day. The deputy stated he was due to take this to a managers meeting in the organisation to present the work. Once finalised with a programme of action and review the quality assurance report should then be made available to the people who live at the home and the commission. Staff are trained in First aid, moving and handling and food hygiene. The home had appropriate fire protection procedures. The organisation manages the financial viability of the service and has appropriate insurance cover for public liability. 39 Whitehawk Way DS0000014139.V269762.R01.S.doc Version 5.0 Page 22 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 3 X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 3 X 3 Standard No 24 25 26 27 28 29 30 STAFFING Score X 3 3 3 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score 3 3 X X X 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 39 Whitehawk Way Score X X 3 X Standard No 37 38 39 40 41 42 43 Score X X X 3 3 3 3 DS0000014139.V269762.R01.S.doc Version 5.0 Page 23 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. 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 39 Whitehawk Way DS0000014139.V269762.R01.S.doc Version 5.0 Page 24 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. 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