Inspection on 09/01/09 for 39-41 Whitehawk Way

This inspection was carried out on 9th January 2009.

CSCI found this care home to be providing an Good service.

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 14/02/07

39-41 Whitehawk Way 26/01/06

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 18/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 39-41 Whitehawk Way 39-41 Whitehawk Way Brighton East Sussex BN2 5QL     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Nigel Thompson     Date: 0 9 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: 39-41 Whitehawk Way 39-41 Whitehawk Way Brighton East Sussex BN2 5QL 01273603110 Telephone number: Fax number: Email address: Provider web address: whitehawk39@southdownhousing.org Name of registered provider(s): Name of registered manager (if applicable) Ms Sandra Midgley Type of registration: Number of places registered: Southdown Housing Association Ltd care home 8 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users to be accommodated is 8. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD). Date of last inspection Brief description of the care home 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 Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 8 Brief description of the care home activity timetables and are supported to participate in their chosen activities by the care staff. The current fees are £1,480 per week. Care Homes for Adults (18-65 years) Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This key unannounced inspection took place over five hours in January 2009. It found that all of the key National Minimum Standards that were assessed had been met or partially met and the overall quality of care provided was good. Residents spoken with during the inspection expressed satisfaction with the home, the staff and the service provided. On the day of the inspection there were eight residents living at the home. The inspection involved a tour of the premises, observation of working practices, examination of the homes records and discussion with five residents, three members Care Homes for Adults (18-65 years) Page 6 of 29 of staff, the two deputy managers and the Registered Manager. Responses from a CSCI service users survey, regarding their views on the home and quality of care provided, now form part of the inspection process and have also been included in this report. The purpose of this inspection was to monitor care practices and the focus was on the quality of life for people who live at the home. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 29 Care Homes for Adults (18-65 years) Page 9 of 29 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The thorough admission policy and procedure ensures that residents are admitted only on the basis of a full needs assessment, undertaken by people competent to do so. Prospective residents know that the home is able to meet their individual care and support needs. Evidence: It was noted that there have been no admissions to the home since July 2006. However recently updated information is available to prospective and existing residents in various formats. The Statement of Purpose and Service User Guide have been thoughtfully and imaginatively developed and are both comprehensive and informative. A full and robust admission policy and procedure, made available for inspection, contained details of the thorough assessment process, evidently undertaken by the manager, to identify an individuals care and support needs. Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: The manager confirmed that prior to moving in, a prospective resident would be invited to visit the home to look around, meet people and generally get a feel for the place. On moving in, a flexible trial period is provided to establish whether the individuals assessed needs are able to be met and decide on their suitability for the home and their compatibility with existing residents. Care Homes for Adults (18-65 years) Page 12 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Comprehensive care plans enable staff to meet the assessed support needs of residents in a structured and consistent manner. Systems for consultation and participation are effective. Residents are treated with respect and encouraged and enabled to make decisions about their day-to-day living. Evidence: Person centred support plans have been developed and implemented for each resident. Individual plans that were examined contained personal risk assessments and comprehensive details of their physical, psychological and emotional support needs. However, it was noted that some plans had evidently not been regularly reviewed and many details had not been updated since 2007. As discussed with the manager, it is important that individual plans are kept up to date and well maintained, so as to Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: accurately reflect the changing care and support needs of residents. Independence and individuality is evidently encouraged and promoted within the home and is reflected in the personalising of residents rooms, the choice of bedclothes and colour schemes and individual preferences for occupational and leisure activities. Residents are evidently encouraged and supported to make decisions regarding many aspects of their daily living, including menu planning, what clothes they wear and how they spend their day. Staff spoken to during the inspection confirmed that, despite the variable and limited verbal communication of some residents, effective and regular interaction and consultation takes place constantly throughout the home. This was evident from direct observation of staff supporting residents in a professional, sensitive and respectful manner. Care Homes for Adults (18-65 years) Page 14 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are enabled and supported to maintain contact with family and friends as they wish and effective links with the community enrich their social and educational opportunities. Residents benefit from appropriate educational and leisure activities and menus that are balanced and nutritious, reflecting their individual likes and preferences. Evidence: The recreational and leisure interests of residents are identified and recorded in their individual care plan and they continue to be supported to access activities and facilities, reflecting their individual needs, preferences and abilities. The deputy managers confirmed that a wide range of leisure activities is made availabe to residents including swimming, art or attending local college courses. Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: Activities maybe run in house with support workers organising weekly group sessions, including music on Wednesdays and art on Thursdays. Residents are able to participate with the local community on a daily basis with one to one support and by means of service or public transport. A wide range of opportunities evidently enables them to pursue personal interests, develop new relationships and maintain important networks of friends and acquaintances. The manager confirmed that a holistic approach to residents physical and emotional well being provides opportunities to develop and maintain skills, use communication preferences and pursue opportunities to celebrate faith and religion of their choice. Meals are all prepared by support staff, with input from residents where appropriate. The home has a four week rolling menu, which is reviewed on a seasonal basis. Ongoing support from dieticians and speech and language therapists identifies latest dietary and mealtimes support requirements, alongside particular known preferences to support complex issues of dysphagia and weight, posture issues and food textures and consistencies. Care Homes for Adults (18-65 years) Page 16 of 29 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff have developed close and positive relationships with residents and demonstrate an awareness and sound understanding of their individual care and support needs. Residents are protected by clear and comprehensive policies and procedures in place for the control and safe administration of medication. Evidence: In accordance with their personal care plan, residents are fully supported and enabled, as far as practicable, to exercise control over their lives and maintain maximum levels of independence and individuality. As previously documented, during the inspection residents were observed being supported in a sensitive, professional and respectful manner. Documentary evidence was in place to demonstrate that the health and emotional care needs of residents continue to be met within the home. All residents are registered with local GPs and have access to other health care Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: professionals, including district nurses, speech and language therapists and dentists, as required. All medical appointments with, or visits by, health care professionals are appropriately recorded. Dysphagia diagnosis for three residents has meant detailed risk assessments drafted with speech and language therapists to provide daily guidance plus specific staff training. Up to date and detailed policies and procedures relating to the control, storage, administration and recording of medication are in place. Medicines are stored and recorded appropriately. All staff responsible for administering medication have received training, as part of their comprehensive induction programme, and are individually assessed and authorised to do so. The manager confirmed that, following risk assessments, no resident currently self administers their own medication. Care Homes for Adults (18-65 years) Page 18 of 29 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The homes complaints procedure ensures that residents and staff feel able to express any concerns, confident that they will be listened to and acted upon. Residents are protected through relevant staff training and robust policies and procedures relating to abuse and safeguarding vulnerable adults. Evidence: A clear, comprehensive and accessible complaints procedure is in place and residents have access to the organisations pictorial complaints leaflet in their individual support plans. Residents and members of staff spoken to during the inspection confirmed that, should they have a concern or complaint, they would have no hesitation in speaking to the manager or one of deputy managers and each person was confident that they would be listened to. Policies and procedures relating to safeguarding adults, including whistle blowing are in place and were found to be up to date and well maintained. The manager confirmed that staff are made aware of these and other key policies and procedures as part of their induction and foundation training and they are also reinforced during regular supervision and staff meetings. Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: Staff training records, including individual learning portfolios, provide evidence of annual updates to safeguarding adults practice knowledge and initial and refresher training undertaken. Care Homes for Adults (18-65 years) Page 20 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service is accessible, safe and clean and is clearly suitable for its stated purpose. Residents benefit from pleasant accommodation that is comfortable, well maintained and furnished and decorated to a reasonable standard. Evidence: Following the amalgamation in April 2008, the service now comprises two adjoining, single storey buildings. The bungalows are purpose built to accommodate residents with physical disabilities and specialist eqipment in the bathrooms and bedrooms include tracking hoists, assisted baths and shower trolleys. The use of an internal alarm system and fitting of safety locks on all doors and windows provides additional security for residents and staff at night. Twenty four hour maintenance assistance is available through an oncall system with direct access contractors, should the need arise. The location of the service ensures that residents have easy access to the local amenities and a good bus service every ten minutes enables residents to travel into the centre of the city. Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: During my guide tour of the premises it was evident that the reasonably well maintained decor and good quality furniture and furnishings continues to provide a comfortable, pleasant and homely environment for residents. The Manager confirmed that the health, safety and welfare of residents remains a priority. Independence continues to be promoted within the home, as far as is practicable, and this is evident from the personalising of residents rooms, which clearly reflects individual tastes, preferences and interests. Infection control procedures are in place and clearly adhered to and levels of cleanliness remain high throughout. Care Homes for Adults (18-65 years) Page 22 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is always sufficient trained and competent staff on duty to meet the assessed needs of the residents. Residents are protected by satisfactory staff recruitment policies, procedures and documentation. Evidence: In addition to the manager, the service benefits from two experienced depuity managers who oversee the running of each unit. Support workers are employed in sufficient numbers as to ensure that residents pesonal, physical and emotional needs are met. The manager clearly recognises the importance of a skilled and competent workforce. All new staff receive the Assocaiations comprehensive induction and foundation training, which is compatible with Skills for Care. In addition to this programme, appropriate core skills training is provided, including first aid, moving and handling, food hygiene and fire safety. This was confirmed through discussions with staff and supported by training records examined: There is always plenty of opportunities for training here. Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: 10 and 22 week appraisals in the first six months of employment highlight areas of learning and practice development needed. Individual learning and development plans identify training needs and opportunities for practice competence to be developed. In accordance with company policy, the manager confirmed that formal supervision is provided for all care staff on a regular basis. It was noted that the manager provides supervision for all new members of staff while the deputy managers have responsibility for the supervision of the remaining care staff. Through direct observation and discussions with members of staff, it is evident that the manager also operates an open door policy, with staff feeling confident and able to discuss any issues at anytime. The home continues to operate thorough and robust recruitment procedures, to ensure the protection of residents. Individual files are held at the Head Office and the manager confirmed that, prior to a new member of staff commencing work in the home, she will ensure that all necessary information has been obtained, including two satisfactory references, proof of identity and satisfactory Criminal Record Bureau (CRB) and Protection of Vulnerable Adults (POVA) disclosures. Care Homes for Adults (18-65 years) Page 24 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from a competent and experienced manager and are protected by satisfactory health and safety procedures. Their best interests are safeguarded by adequate and effective quality monitoring systems. Evidence: The manager has been with the Association since 1999 and evidently has extensive experience working with people with learning disabilities. She holds both the Registered Managers Award (RMA) and NVQ level 4 in Care. From direct observation and through discussions with residents and members of staff, it is evident that the manager continues to demonstrate a clear and positive sense of leadership and direction. She is conscientious, motivated and approachable and, ably supported by two effective and efficient deputy managers, creates an open and inclusive atmosphere within the home. The home continues to operate effective quality monitoring systems, including Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: satisfaction questionnaires for residents, their relatives and other visitors to the home. Collated responses from the most recent survey indicate a high level of satisfaction with the home and the care and support provided: ..... is treated with the utmost respect. Staff are always busy but ......s every need is met. No matter what time of day I call, the house is always spotless. ..... has flourished since being at W/W. W/W has been excellent at keeping me informed. The communication is excellent. The manager confirmed that the health, safety and welfare of residents and staff remains of paramount importance within the home. Staff training is provided in many aspects of safe working practices, including moving and handling; food hygiene; fire safety and first aid. All staff training is recorded. COSHH assessments and guidelines are in place. Regular fire drills are undertaken and recorded. Temperature regulators are fitted to all hot water outlets, accessible to residents. All accidents, incidents and injuries are recorded and reported, as required. Care Homes for Adults (18-65 years) Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 27 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 6 15 It is required that residents support plans, including risk assessmnets, be kept under regular review and updated to reflect changing care needs and circumstances. Some plans had evidently not been regularly reviewed and many details had not been updated since 2007. 31/03/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. 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