Inspection on 07/07/05 for 39-41 Whitehawk Way

This inspection was carried out on 7th July 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

39-41 Whitehawk Way 09/01/09

39-41 Whitehawk Way 14/02/07

39-41 Whitehawk Way 26/01/06

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 7 July 2005 10.00 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. 39 Whitehawk Way H59-H10 S14139 39 Whitehawk Way V229434 070705 stage 4.doc Version 1.30 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 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) registration, with number Physical disability (4) of places 39 Whitehawk Way H59-H10 S14139 39 Whitehawk Way V229434 070705 stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for four (4) service users with a learning disability and physical disability. 2. A maximum of four (4) service users to be accommodated. 3. Service users accommodated will be aged between eighteen (18) and sixtyfive (65). Date of last inspection 28 February 2005 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 a 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 H59-H10 S14139 39 Whitehawk Way V229434 070705 stage 4.doc Version 1.30 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 (except in the requirements section), and the people who work at the home as staff or by their job title. The people who live at the home, some of the staff team and 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 six staff were spoken to throughout the day. The inspection was arranged with the manager of the home, as this was an announced inspection. The requirements made from the inspection in February 2005 were checked to see if they had been met. The manager produced evidence to show that all of the requirements had been met. Two relative comment cards were returned prior to the inspection. Both contained positive responses, with comments such as “ I think it’s a well run place”, and “the staff are very, very nice”. 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: Daily activities were planned and arranged around each person likes and dislike. During the day all the people either went out or had an activity at home. Staff organised their shifts around the people’s wishes. The staff were seen to interact with each person respectfully and were knowledgeable about their support needs and their preferences. The care plans were well written with comprehensive information about individuals preferred routines during the day. This enabled the staff team to be consistent in their approach to each person. Particular care was taken to emphasis the personality of a person and their achievements, rather than their disabilities. Health care information was recorded well and keyworkers ensured that each person accessed community health care appointments. The manager had arranged a staff rota with a variety of weekly working hours for the staff team. These hours had been worked around the needs of the people who live at the home and the staff and their needs. The staff spoken to stated that they particularly benefited from the flexible approach of the manager and found that it increased their commitment to the home. They 39 Whitehawk Way H59-H10 S14139 39 Whitehawk Way V229434 070705 stage 4.doc Version 1.30 Page 6 where positive about the support they had received from the manager and deputy when arranging their hours with one part time person saying she would not of finished her degree if the flexibility had not been provided. This approach had ensured that she was committed to the home and could give something back. Southdown Housing Association had a comprehensive induction and training programme for new and existing staff. Throughout the day staff were seen to act in a friendly, professional manner with the people. The staff team had training and were experienced in specialist support for the people such as dietary and nutrition support, posture support and sensory disability awareness. 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. 39 Whitehawk Way H59-H10 S14139 39 Whitehawk Way V229434 070705 stage 4.doc Version 1.30 Page 7 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 39 Whitehawk Way H59-H10 S14139 39 Whitehawk Way V229434 070705 stage 4.doc Version 1.30 Page 8 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 39 Whitehawk Way H59-H10 S14139 39 Whitehawk Way V229434 070705 stage 4.doc Version 1.30 Page 9 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) 1,2 and 5 The manager and staff had access to policies and documents that help them to support new people move to the home. The Statement of Purpose for the home was appropriate for the current group of people. Each person had a licence agreement with Southdown Housing. EVIDENCE: The statement of purpose and service users guide was appropriate for the current group of people at the home. The manager discussed that the document is kept under review and may need some changes as the needs of the group may change. Whilst looking at each persons care plan it was noted Brighton and Hove City Council people’s placing authority had reviewed their placements and were up to date. The manager and inspector discussed the needs to ensure these assessments where reviewed yearly and adapted when their was a significant change in anyone’s support needs. Each person has a licence agreement with Southdown Housing Association that are detailed and in a pictorial format. 39 Whitehawk Way H59-H10 S14139 39 Whitehawk Way V229434 070705 stage 4.doc Version 1.30 Page 10 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 and 9.. The person’s individual care plans contained information based on people’s preferences, their likes and dislikes and health care needs. Each plan was well written and was presented in the same format. The plans enabled the staff team to work in a consistent manner with each person. Each person is engage by the staff to make decisions about the lives and are supported to take measured risks. EVIDENCE: Each persons care plan was looked at. Reviews of each persons plan, carried out by the home’s staff team, were up to date. Each person health care needs were assessed to determine whether the home could provide appropriate support in this area. The people living at the home did not read and three people did not use words to communicate. Evidence was not seen of how the staff helped the people to be involved in the plans although evidence was seen that people were involved in their reviews. The plans contained information about each person that was specific to them for example one person liked particular songs and a list was in her plan so staff new what to sing with her. Family histories was evident in the plans one staff members said this help to talk about the “old times” with people. 39 Whitehawk Way H59-H10 S14139 39 Whitehawk Way V229434 070705 stage 4.doc Version 1.30 Page 11 The staff team use a variety of methods to present people with choices. In some situations people are asked directly in others the team use a method of observing. For example if a new activity is thought about as appropriate for someone then the keyworkers arrange to attend it and observe how a person reacts. A decision is then made on whether to continue adapt and not attend the activity. This is recorded in the persons plan so that other staff attending an activity can be consistent in their approach. Some people have changing health care needs. It was noted that some health checks and had not had the “Best Interest” approach applied. Where issues of capacity to consent to medical procedures are in doubt, the manager, staff and health care professionals have a duty under law to follow “Best Interest” procedures. It was required the manager ensures the people who live at the home make decisions in respect of their health and welfare and take their wishes and feelings into account. Each person had a series of risk assessments that support them to take risks as part of an independent lifestyle. 39 Whitehawk Way H59-H10 S14139 39 Whitehawk Way V229434 070705 stage 4.doc Version 1.30 Page 12 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, and 17 The manager and staff were committed in supporting each person with their interest. Personalised activity plan’s were in place for each individual and the staff were concerned with engaging people primarily on a one to one basis and didn’t group people together for ease. Each person was actively engaged in their local community and have good links with family and friends. The meals appeared nutritionally balanced based around the people’s choices. EVIDENCE: During the inspection each person went out or had an activity in the home. One person went to a sensory room in Lewes; another went out for lunch then played a game of short mat bowls. Two people stayed in for a story telling session and were joined by a person from the home next door. Then one person went to the over 55’s lunch club at the local community hall. Each person had an activity planner that was kept up to date mainly by keyworkers. A member of staff commented that she believed that since the staff team, rather than dedicated activities person was organising activities, 39 Whitehawk Way H59-H10 S14139 39 Whitehawk Way V229434 070705 stage 4.doc Version 1.30 Page 13 the shifts had become more interesting as they were able to be out and about with the people more often. Each person had an active role in their local community with the staff support. One person is supported to go to her local Church every Sunday and this is included in her care plan. This type of attention to detail enabled the person to have a consistent approach by any staff member who supported her on Sunday’s. The meals at the home are prepared and cooked by staff. They support the people to help with the cooking of the meals. The menu is drawn up from peoples preferences although the menu is adapted were needed to provide a weight reducing diet. During the inspection a staff member was seen to pick up on the pointers from one person that she was hungry. The staff member engaged with the person and brought her a snack to eat. The staff member used her knowledge of the individual’s likes and her dietary requirements to bring her something that she enjoyed. The inspector had lunch with some of the people and staff this was a relaxed meal time where people were supported with the meal sensitively. 39 Whitehawk Way H59-H10 S14139 39 Whitehawk Way V229434 070705 stage 4.doc Version 1.30 Page 14 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 and 21 The people who live at the home are supported to maintain their well being. They attend community health care appointments and have access to specialist health care provision. Preferences in the ways people prefer to receive personal support are recorded. The medication procedures are clear and have improved EVIDENCE: Staff were sensitive when supporting people with personal care. They were seen to knock on doors and gain permission before entering and not hurry people whilst eating. Detailed information on how to position, manoeuvre and support people whist receiving personal care was logged. Drawings of how one person’s leg supports needed to be fitted were in her care plan. Information was available from health care professionals such as from the speech and language therapist and community nurses. This enabled the staff to support people in a consistent way. Records were kept of attendance to health care appointments. The home operates an appropriate medication system and staff were trained in administering medication and the use of drugs. Since the previous inspection the medication monitoring and stock control had improved. The manager had 39 Whitehawk Way H59-H10 S14139 39 Whitehawk Way V229434 070705 stage 4.doc Version 1.30 Page 15 discussed with the pharmacist supplying the medication the need to have information about the medication clearly displayed on the labels. 39 Whitehawk Way H59-H10 S14139 39 Whitehawk Way V229434 070705 stage 4.doc Version 1.30 Page 16 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 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 staff understood the complaints procedure and the process were monitored by the manager. 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. Some staff had not received Adult Protection training. EVIDENCE: The complaints procedure was seen during the inspection within the Service User Guide. The organisation has attempted to make the information accessible to those people who don’t read by producing the information in a pictorial format. The home had received no formal complaints since the previous inspection. The manager discussed that any concerns that relatives have are discussed during review meetings. A staff member acting up in a senior role was asked about the complaints procedure she was able to talk through the process and how she would record and report a complaint. A check on the handling and recording of the people’s monies was carried out. The acting up senior demonstrated the system and the monies and receipts were checked. The home runs an appropriate system to prevent people from financial abuse. 39 Whitehawk Way H59-H10 S14139 39 Whitehawk Way V229434 070705 stage 4.doc Version 1.30 Page 17 It was required that all staff attended adult protection training. Some staff who were not new or on management training had not received adult protection training. 39 Whitehawk Way H59-H10 S14139 39 Whitehawk Way V229434 070705 stage 4.doc Version 1.30 Page 18 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 and 30 The manager and staff team provide a homely comfortable and safe environment. The bathroom and toilets were well equipped and provided enough specialist adaptations that met the people’s needs. All parts of the home were clean and well presented. EVIDENCE: The people who live at the home, the staff and manager had presented the home in a homely way. The hallway had been redecorated and had quality portrait photos of the people who live there hung on the walls. Several pieces of the people’s artwork were displayed in a thoughtful manner. The garden was designed to enable access to all areas by people who use wheelchairs. The staff said that they helped the people to use the garden space as much as possible during warm days. The home was clean and tidy and the laundry had been well organised with different colour bins provided for different types of clothes. 39 Whitehawk Way H59-H10 S14139 39 Whitehawk Way V229434 070705 stage 4.doc Version 1.30 Page 19 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) 33, 34 and 35 The staff team was effective and met the support needs of the people who lived at the home. The organisations policies and procedures for recruitment of new staff are followed by the home. The people are protected by a robust procedure that meets the requirements in the National Minimum Standards. The organisation invests in the induction and training of its staff and the manager monitors each staff member through supervisions and staff meetings. EVIDENCE: The manager has developed a creative rota that offers a variety of contracts for the staff. This includes having each person on a four day contract and offering term time contracts only. The manager has received support from Southdown Housing to enable this to happen. Some staff members were asked about the outcome for this strategy for themselves and the people who live at the home. One person stated she was only able to finish her degree because of the flexibility in her working hours. She therefore felt a commitment to the manager, staff and the people at the home to be flexible herself now she had returned full time. A relief member of staff spoke about not feeling different from the permanent members of staff 39 Whitehawk Way H59-H10 S14139 39 Whitehawk Way V229434 070705 stage 4.doc Version 1.30 Page 20 and that it was an accommodating home and had a sense of not wanting to let anyone down. The rota was looked at and showed that the manager had managed to create continuity with the support of the people when they attended their activities. Sickness was low and the home had limited turn over in staff. Time was spent with a person acting up into a senior role. She said she was enjoying the role and had good support from the manager and team. She demonstrated knowledge of her senior responsibilities and duties. Other staff were seen to engage sensitively with the people and had knowledge of each persons preferences. This was demonstrated in the discussion over lunch with the people and staff about hobbies, family members, people family histories and holidays. Staff were asked privately about people’s health care support. These questions were also answered knowledgeably. 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 H59-H10 S14139 39 Whitehawk Way V229434 070705 stage 4.doc Version 1.30 Page 21 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, 39 and 42 The home was well run and the organisational ethos was reflected in the wider staff team. The manager and staff sought the people’s views on a daily basis. The manager and staff and senior managers conducted a yearly service review. This process meets the intended outcome that the people and their representative’s views contribute to the development of the home. The manager demonstrated knowledge of monitoring health and safety issues. The home was generally a safe enviorment for the people who live and work in the home. EVIDENCE: The staff spoken to were complimentary about the organisational and managerial support. The staff had a clear view of the ethos of the home that the people were at the centre of the service. They felt that respect for the 39 Whitehawk Way H59-H10 S14139 39 Whitehawk Way V229434 070705 stage 4.doc Version 1.30 Page 22 individual was paramount and each person should be given the opportunity to develop new skills and interest. A formal process of obtaining peoples views was sought from family members or representatives that is an annual service review of the home. Feedback from people and their representatives are included in the review. Goals are set for the year and are regularly reviewed. Several health and safety documents were viewed including the homes fire plan, water temperature checks, food storage temperatures and monthly house health and safety checks. Accidents and incidents records were looked at and all were recorded and reported appropriately. Staff are trained in First aid, moving and handling and food hygiene. The home had appropriate fire protection procedures. No evidence was seen during the time at the home that the health and safety procedures were not being carried out by staff. Environment risk assessments were in place for each area of the house. 39 Whitehawk Way H59-H10 S14139 39 Whitehawk Way V229434 070705 stage 4.doc Version 1.30 Page 23 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 3 3 x x 3 Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 2 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x x 3 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 39 Whitehawk Way Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 x x 3 x H59-H10 S14139 39 Whitehawk Way V229434 070705 stage 4.doc Version 1.30 Page 24 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 7 Regulation 12(2)(3) Requirement It is required the manager ensures the service users make decisions in respect of their health and welfare and take the wishes and feelings into account. It is required the manager make arrangements by training of all staff to prevent service users being at risk from abuse. Timescale for action Immediate 2. 23 13(6) 30th September 2005. 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 39 Whitehawk Way H59-H10 S14139 39 Whitehawk Way V229434 070705 stage 4.doc Version 1.30 Page 25 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. Extracts may not be used or reproduced without the express permission of CSCI 39 Whitehawk Way H59-H10 S14139 39 Whitehawk Way V229434 070705 stage 4.doc Version 1.30 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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