Inspection on 07/10/05 for 4 Burnham Avenue

This inspection was carried out on 7th October 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

4 Burnham Avenue 23/05/05

4 Burnham Avenue 18/06/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 4, Burnham Avenue Bognor Regis West Sussex PO21 2LB Lead Inspector Mrs K Allen Unannounced Friday 7 October 2005. V246195 th 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. 4, Burnham Avenue H60-H11 S14309 4 Burnham Avenue V246195 071005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 4, Burnham Avenue Address 4, Burnham Avenue, Bognor Regis, West Sussex, PO21 2LB 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) 01243 868073 burnham.avenue@united-response.org.uk Mr T Jones Post Vacant Care Home (CRH) 5 Category(ies) of Learning disability (LD) - 5 registration, with number of places 4, Burnham Avenue H60-H11 S14309 4 Burnham Avenue V246195 071005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 - 5 Persons in the category LD. Persons aged 18-65 years with learning disabilities. Date of last inspection 23rd May 2005 Brief Description of the Service: Burnham Avenue provides care and accomodation for up to five people with a learning difficulty between the ages of 18 and 65. It is a three storey end of terrace house in a residential area of Bognor Regis and close to shops and other amenities in the town including public transport. Residents are accommodated on the first and second floor. There is no lift. There is a lounge, dining room and conservatory for everyone to use. The home has a small rear garden which is easily accessible and well looked after. 4, Burnham Avenue H60-H11 S14309 4 Burnham Avenue V246195 071005 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Prior to the inspection a review was made of the contact between the home and the Commission for Social Care Inspection (CSCI) since the last inspection, which included an analysis of incident reports and those of other statutory bodies such as the fire service. The inspection took place from 2pm over four and a half hours. During the inspection all of the residents were spoken to either in private or communal areas. A discussion was held with two staff members and a number of records were seen. There is currently no registered manager although a new managers application has been submitted to the Commission for Social Care Inspection and is being dealt with. What the service does well: 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. 4, Burnham Avenue H60-H11 S14309 4 Burnham Avenue V246195 071005 Stage 4.doc Version 1.40 Page 6 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 4, Burnham Avenue H60-H11 S14309 4 Burnham Avenue V246195 071005 Stage 4.doc Version 1.40 Page 7 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) 5 Each service user has a written contract with the home. EVIDENCE: Residents’ files contain a copy of their Charter of Rights which is issued by United Response to each person when they come to live at the home. It gives details of what is expected of them and what service they will be provided with. Residents sign this document. 4, Burnham Avenue H60-H11 S14309 4 Burnham Avenue V246195 071005 Stage 4.doc Version 1.40 Page 8 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) 10 Information is handled appropriately and residents’ confidences kept. EVIDENCE: The home has a comprehensive policy on confidentiality which states that information should be shared on a “need to know basis” and that “confidentiality must not be confused with secrecy”. Other professionals are aware of how to deal with any concerns about confidentiality. Resident’s records are kept up to date and safely stored. 4, Burnham Avenue H60-H11 S14309 4 Burnham Avenue V246195 071005 Stage 4.doc Version 1.40 Page 9 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, 14 & 16 Service users have opportunities for personal development and engage in appropriate leisure activities. Their rights are respected and responsibilities recognised in their daily lives. EVIDENCE: Residents told the inspector that they either went to college or to work. One person was due to attend a training day on assisting with staff interviews. Records confirmed that all residents had a weekly programme which gave them the opportunity for personal development. Residents told the inspector that they enjoyed various leisure activities and on the evening of the inspection two people were due to go to a disco and another two were going for a drink. All residents had been on a week’s holiday to Centre Parcs and said they enjoyed it although one person said they would like to try something different next year. In order to enable residents to have a choice of activity staffing has to be specially arranged, as during the weekend and evenings there is only one member of staff available. None of the residents said this was a problem and the programme of events showed that they lead an active life during the week. However, there is little scope for a change of plan or spontaneous activities. 4, Burnham Avenue H60-H11 S14309 4 Burnham Avenue V246195 071005 Stage 4.doc Version 1.40 Page 10 Staff encouraged residents to make decisions and were good at keeping them informed of events such as workmen visiting the home and the plans for the evening. Residents helped around the house and understood what tasks they were expected to do each day. One person was due to clean the bathrooms in the morning but did them in the evening which was accepted, thus giving her flexibility and some choice in how she managed her day. All except one person has a key to their room and staff do not open residents mail without their agreement. Staff adopted a supportive and encouraging attitude towards residents. This enabled them to function well and it helped to lessen any anxiety they may have been feeling. Three staff smoked and the designated area for this was outside the back door. It was evident that smoke permeated the house and would be inhaled by residents all of whom did not smoke. Staff were advised to consider the views of residents in this matter and act accordingly. All residents have unrestricted access to the home and its garden and could spend time alone if they wished. 4, Burnham Avenue H60-H11 S14309 4 Burnham Avenue V246195 071005 Stage 4.doc Version 1.40 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 20 Residents retain, administer and control their own medication where possible and are protected by the homes policies and procedures. EVIDENCE: One person manages their own medication and staff support others. Good records are made of all medicines kept, administered and disposed of. They are stored safely although the arrangements for storage were about to be changed to a locked cabinet in the dining room. Staff are reminded to ensure that residents confidentiality continues to be maintained under the new arrangements. 4, Burnham Avenue H60-H11 S14309 4 Burnham Avenue V246195 071005 Stage 4.doc Version 1.40 Page 12 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) None EVIDENCE: 4, Burnham Avenue H60-H11 S14309 4 Burnham Avenue V246195 071005 Stage 4.doc Version 1.40 Page 13 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) 25, 26, 27 & 29 Residents rooms suit their needs and lifestyles as well as promoting their independence. Bathrooms and toilets provide sufficient privacy and the changes to one bathroom will enhance the facilities for residents. No specialist equipment is required. EVIDENCE: All residents have their own bedrooms which are fitted with wash-hand basins. They are comfortably furnished with good lighting and ventilation. All rooms are fitted with locks and four residents use them. They are encouraged to choose their own furnishings and decor. One person had recently had their room redecorated and the layout changed to create more space. He said he liked it and was pleased with the colour. There is a toilet and two bathrooms all of which are fitted with suitable locks. One bathroom is currently unusable due to water damage however the necessary works are in hand to create a ‘wet room’, which will be more suitable to residents’ needs and abilities. All residents are able to get about independently and do not require aids or adaptations to the premises. 4, Burnham Avenue H60-H11 S14309 4 Burnham Avenue V246195 071005 Stage 4.doc Version 1.40 Page 14 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) 31, 32 & 33 Residents benefit from clarity of staff roles and responsibilities and are supported by competent staff. The team is effective although the availability of more staff would enhance this. EVIDENCE: Staff are clear about the aims and values of the home and understand the policies and procedures. They demonstrated that they had good relationships with residents, which were supportive and enabled them to make choices and to be as independent as possible. Staff were motivated and had a good knowledge of residents needs and abilities. Two staff were doing National Vocational Qualifications (NVQ) at Level 3 and one other person was about to start this training. The staffing rota allows for two or three people to be on duty during the day from Monday to Friday. During the evenings and weekends there is one person on duty unless a particular event is planned. The home does not employ ancillary staff such as a cook or cleaner. This staffing does not allow for uninterrupted time with residents unless it is planned. The turnover of staff is low and a new person has been recruited to fill the fulltime vacancy. Regular staff meetings are held and records show that good use is made of the time to discuss the ongoing needs of residents and how to meet them. 4, Burnham Avenue H60-H11 S14309 4 Burnham Avenue V246195 071005 Stage 4.doc Version 1.40 Page 15 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, 40, 41 & 43 Residents benefit from a well run home and the acting manager has maintained an open and positive approach. Service users views are taken into account when monitoring the home and in any development plans. Residents rights are protected by the homes policies, procedures and records. They benefit from an accountable management system. EVIDENCE: Since the last inspection the manager has left and the Commission for Social Care Inspection has received an application for the registration of a new manager. The acting manager has experience at the home and is known to all of the residents. They understood that he was now in charge and said that this was “good”. United Response has introduced the use of a questionnaire in order to obtain feedback from those with knowledge of the home. It is intended that this will include agency staff, doctors, other professionals and relatives of the residents. There is an annual review of the premises whereby the manager ensures that 4, Burnham Avenue H60-H11 S14309 4 Burnham Avenue V246195 071005 Stage 4.doc Version 1.40 Page 16 major works, for example the new bathroom, are planned and a budget allocated. Service users belong to an advocacy group, which provides the home with feedback as well as giving residents a voice in the running of the home and United Response as an organisation. Policies and procedures are in place and these are regularly reviewed and updated. Staff have access to these documents and sign to say that they have read them. All of the required records are kept and safely stored. The home has an annual plan and systems in place to ensure sound financial planning. There is employers and public liability insurance cover. The lines of accountability are clear to staff and residents who know the name of the person who oversees the home from United Response. 4, Burnham Avenue H60-H11 S14309 4 Burnham Avenue V246195 071005 Stage 4.doc Version 1.40 Page 17 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 x x 3 Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x x x x 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score x 3 3 3 x 3 3 Standard No 11 12 13 14 15 16 17 3 x x 3 x x x Standard No 31 32 33 34 35 36 Score 3 3 2 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 4, Burnham Avenue Score x x 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 x 3 H60-H11 S14309 4 Burnham Avenue V246195 071005 Stage 4.doc Version 1.40 Page 18 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 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. 1. 2. Refer to Standard 33 16 Good Practice Recommendations The staffing levels should be reviewed to ensure that uninterupted work with residents can take place. The arrangements for staff who smoke should be reviewed. 4, Burnham Avenue H60-H11 S14309 4 Burnham Avenue V246195 071005 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection 2nd Floor Ridgeworth House Liverpool Gardens Worthing, West Sussex BN11 1RY 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 4, Burnham Avenue H60-H11 S14309 4 Burnham Avenue V246195 071005 Stage 4.doc Version 1.40 Page 20 - 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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