Inspection on 19/07/05 for 5 Ellasdale Road

This inspection was carried out on 19th 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

5 Ellasdale Road 20/08/07

5 Ellasdale Road 10/08/06

5 Ellasdale Road 11/01/06

5 Ellasdale Road 09/02/05

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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 5 Ellasdale Road Bognor Regis West Sussex PO21 2SG Lead Inspector David Bannier Unannounced 19 July 2005, 12:00 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. 5 Ellasdale Road H60-H11 S61616 5 Ellasdale Road V239120 190705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 5 Ellasdale Road Address Bognor Regis 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 865459 01424 202221 jean.rose@sact.org.uk Sussex Autistic Community Trust Mrs Karen Louise Phillips Care Home (CRH) only (PC) 6 Category(ies) of Learning disability (LD), (6) registration, with number of places 5 Ellasdale Road H60-H11 S61616 5 Ellasdale Road V239120 190705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9 February 2005 Brief Description of the Service: 5 Ellasdale Road is a care home which is registered to provide personal care for up to six service users in the category learning disability (LD) who are between the ages of 18 to 65 years of age. It is a semi detached property, which has been extended and adapted for its current use, and is located in the town of Bognor Regis. The property is a three storey building providing private accomodation to service users in six single bedrooms located on the first and second floors. Communal accommodation is made up of two lounges and a dining room located on the ground floor. An enclosed garden, which is available to service users, is located to the rear of the premises. The registered provider of this service is Sussex Autistic Community Trust (SACT). The Responsible Individual acting on behalf of the organisation is Mrs Jean Rose. The Registered Manager is Mrs Karen Phillips, who is responsible for the day to day running of the care home. 5 Ellasdale Road H60-H11 S61616 5 Ellasdale Road V239120 190705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and started at Midday. It took place over four hours. Most of the inspection was spent looking at what it was like to live in the care home and the kind of lifestyle and activities provided to residents. The manager introduced the inspector to two residents who were at home. Residents accommodated have autistic spectrum disorders and find it very difficult to tolerate changes in routine or new people being introduced to them. It was, therefore not possible to have meaningful discussions with them. However, the inspector was able to have lunch with two residents and observe how staff worked with them. The inspector spoke two of the four staff who were on duty and one member of staff who was undertaking induction training. The inspector also spoke to the manager and to her deputy managers. One of the deputy managers showed the inspector around the care home. Some records were also examined. What the service does well: This is a care home where younger adults with autism are well looked after. It has a competent staff team who understand the needs of the people living there. Staff on duty were very caring and considerate and the atmosphere was very homely. A range of activities is provided for residents to take part in. Activities are usually provided on a one to one basis, which are linked to the needs and abilities of each resident. 5 Ellasdale Road H60-H11 S61616 5 Ellasdale Road V239120 190705 Stage 4.doc Version 1.40 Page 6 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. 5 Ellasdale Road H60-H11 S61616 5 Ellasdale Road V239120 190705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection 5 Ellasdale Road H60-H11 S61616 5 Ellasdale Road V239120 190705 Stage 4.doc Version 1.40 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 standard(s) The standards in this section were not assessed on this occasion. EVIDENCE: 5 Ellasdale Road H60-H11 S61616 5 Ellasdale Road V239120 190705 Stage 4.doc Version 1.40 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 standard(s) 6 and 10 A care plan has been drawn up for each resident which reflects their individual needs and goals. Information about each resident’s care needs is kept confidentially. EVIDENCE: Records seen showed that a comprehensive care plan has been drawn up for each resident. It was not possible to confirm if residents know their changing needs are reflected in care plans. Due to the complex needs of each resident, the information provided in care plans is extensive. However, the quantity of information which each record contains may prevent staff from fully understanding what they are expected to do to provide for the needs of each resident. Consideration should be given to ensuring information is presented as clearly as possible to prevent misunderstandings. This will ensure residents will continue to receive good quality support from staff. All residents’ records are locked away and are accessible to staff on duty. 5 Ellasdale Road H60-H11 S61616 5 Ellasdale Road V239120 190705 Stage 4.doc Version 1.40 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, 16 and 17 Residents at 5 Ellasdale Road have been provided with opportunities for personal development. They are able to take part in appropriate leisure activities. The food is of a good standard, and offers a choice of menu. People are able to eat together or on their own should they prefer. Sufficient staff is available to assist those residents who need help and supervision with eating and drinking. EVIDENCE: On the day of the inspection residents were taking part in a range of activities. Each resident had a planned schedule for the day. This was on display on a white board in the kitchen. The white board showed where and when each resident was due to be and what they were doing during the day. Staff on duty had been allocated to work with each resident to ensure they were able to take part in planned activities. One resident had spent the morning at a local horse riding stables. Two other residents had been out for a ride in the car and had lunch out. One resident was at a day centre for the day. One resident had been 5 Ellasdale Road H60-H11 S61616 5 Ellasdale Road V239120 190705 Stage 4.doc Version 1.40 Page 11 shopping during the morning and had helped to prepare lunch. One resident was at home with her parents and was due back at the end of the week. The inspector saw two residents who were at home. They were able to show that they were enjoying what they were doing and were being helped by staff where necessary. A range of equipment was available to residents in this care home. There were musical instruments, games and puzzles, a television and video player in the lounges. Residents also had specialist equipment in their own rooms. Such equipment included tactile pads, fibre optics and rope lights. A trampoline and specially adapted swing were available in the garden. The manager told the inspector that the staff were in the process of building and equipping a den in the garden for a resident. Records seen showed that the activities provided were linked to the needs and abilities of each resident. The inspector joined two residents for lunch. The lunch was cheese salad sandwiches followed by yoghurt and jam tarts. A resident helped staff to prepare the meal. Menus seen showed that residents are provided with a varied and nutritious diet. Residents are offered a choice, particularly with regard to the main meal of the day. 5 Ellasdale Road H60-H11 S61616 5 Ellasdale Road V239120 190705 Stage 4.doc Version 1.40 Page 12 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 Staff on duty are aware of and sensitive to the way in which residents prefer to receive personal support EVIDENCE: The inspector joined two residents for lunch. During the meal the inspector observed how staff supported residents. Staff provided residents with verbal prompts and guidance to help them complete tasks. Such prompts were given in a sensitive manner which assisted residents in keeping focussed on the task in hand. Records seen demonstrated that staff are provided with information and guidance with regard to how they are expected to work with each resident. Care plans provide a lot of information about the needs of each resident. Some thought needs to be given about how much information is necessary for staff to be clear about what they should do to provide care to each resident. The manager told the inspector that the registered provider is planning to do this. 5 Ellasdale Road H60-H11 S61616 5 Ellasdale Road V239120 190705 Stage 4.doc Version 1.40 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of the standards in this section were assessed on this occasion. EVIDENCE: 5 Ellasdale Road H60-H11 S61616 5 Ellasdale Road V239120 190705 Stage 4.doc Version 1.40 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 and 30 On the day of the inspection 5 Ellasdale Road was clean, appropriately furnished, decorated in a homely manner and well maintained. This made it very pleasant for residents who live in the home. The location of the home is suitable for the residents who live there. This care home was clean and hygienic. EVIDENCE: The inspector viewed all the communal areas and the bedrooms of three residents. The door to each room has a picture of the room inside. This helps residents to know where their own room is or where other rooms are located. The environment was attractively presented and was homely, safe and comfortable for people who live there. Residents have been helped to make their rooms comfortable and to reflect their own personality. Residents have pictures of their friends and family, CD players, and specialist equipment such as tactile pads, fibre optics and rope 5 Ellasdale Road H60-H11 S61616 5 Ellasdale Road V239120 190705 Stage 4.doc Version 1.40 Page 15 lights. Residents are able to use their rooms for their own private time if they need to withdraw from the communal life of the care home. 5 Ellasdale Road H60-H11 S61616 5 Ellasdale Road V239120 190705 Stage 4.doc Version 1.40 Page 16 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) 32 and 35 5 Ellasdale Road is adequately staffed with employees who are skilled and experienced in providing care to residents with autistic spectrum disorders. EVIDENCE: Rotas were seen which showed that staffing levels were sufficient to ensure residents are well cared for. The inspector spoke to the staff on duty. The inspector also attended the handover between shifts. Staff informed the inspector that they have been provided with a range of training, which helps them understand how they should provide care to people with autistic spectrum disorders. All staff knew about the individual care requirements, which had been agreed with each resident. The inspector spoke to a new member of staff who was receiving induction training. This person was able to explain the areas this training has covered. This will mean that, as a new member of staff, they will be fully aware what is expected of them before they start to work with residents. Records seen showed that each member of staff had been provided with appropriate training, including induction training. 5 Ellasdale Road H60-H11 S61616 5 Ellasdale Road V239120 190705 Stage 4.doc Version 1.40 Page 17 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) None of the standards in this section were assessed on this occasion. EVIDENCE: 5 Ellasdale Road H60-H11 S61616 5 Ellasdale Road V239120 190705 Stage 4.doc Version 1.40 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x x 3 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 x 3 3 3 x 3 3 Standard No 31 32 33 34 35 36 Score x 3 x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 5 Ellasdale Road Score 3 x x x Standard No 37 38 39 40 41 42 43 Score x x x x x x x H60-H11 S61616 5 Ellasdale Road V239120 190705 Stage 4.doc Version 1.40 Page 19 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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. Refer to Standard 6 Good Practice Recommendations It is recommended that care plans are reveiwed to ensure they provide information to staff about how they should support residents in a manner which is clear and straight forward. This will ensure staff can continue to provide good quality care to residents on a consistent and continuous basis. 5 Ellasdale Road H60-H11 S61616 5 Ellasdale Road V239120 190705 Stage 4.doc Version 1.40 Page 20 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 5 Ellasdale Road H60-H11 S61616 5 Ellasdale Road V239120 190705 Stage 4.doc Version 1.40 Page 21 - 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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