Inspection on 01/08/05 for 50a Avis Road

This inspection was carried out on 1st August 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

50a Avis Road 29/03/07

50a Avis Road 22/02/06

50a Avis Road 17/01/05

50a Avis Road 08/06/04

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 50a Avis Road 50a Avis Road Newhaven East Sussex BN9 0PN Lead Inspector Jon Wheeler Unannounced 1 August 2005 07:55 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. 50a Avis Road H59 H10 S21014 50a Avis Road V217993 060605 stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service 50a Avis Road Address 50a Avis Road Newhaven East Sussex BN9 0PN 01323 612171 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 Mr Peter Flood Care Home 5 Category(ies) of Learning disability (LD) 5 registration, with number of places 50a Avis Road H59 H10 S21014 50a Avis Road V217993 060605 stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1 The maximum number of service users to be accommodated is five (5). 2 Service users must be aged between eighteen (18) and sixty-five (65) years on admission. 3 Only service users with a learning and physical disability are to be accommodated. Date of last inspection 17 January 2005 Brief Description of the Service: 50a Avis Road is part of the Southdown Housing Association, and provides a residential service to five younger adults who have complex learning and physical disabilities. The home is a spacious purpose built bungalow on the outskirts of Newhaven, close to a large supermarket, garden centre and restaurant. Each service user has their own bedroom, which is personalised with their own possessions, photographs and pictures. Communal areas include a large kitchen/dining area, lounge and a garden. There are two bathrooms, which have adapted equipment to meet the needs of the service users. The service users undertake a range of activities in the home, in the community and at a day care centre. The home has access to two vehicles, both of which are wheelchair accessible. 50a Avis Road H59 H10 S21014 50a Avis Road V217993 060605 stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection started at 7.55am on the 1 August 2005 and lasted for about three hours. The process included talking to service users and staff, the home manager, a tour of the home environment, reading care plans, policies and records and checking the storage, administration and recording of medication. As some of the service users are not able to communicate verbally, staff and service users were observed working together. What the service does well: What has improved since the last inspection? The service has continued to work hard to monitor its own practice and to ensure it can meet the changing needs of the service users. There are more staff hours available to provide direct care to the service users living in the home, so they are able to consistently undertake their chosen activities. 50a Avis Road H59 H10 S21014 50a Avis Road V217993 060605 stage 4.doc Version 1.20 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 50a Avis Road H59 H10 S21014 50a Avis Road V217993 060605 stage 4.doc Version 1.20 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 50a Avis Road H59 H10 S21014 50a Avis Road V217993 060605 stage 4.doc Version 1.20 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) 2, 3, 4. There is a robust pre-admissions procedure for prospective new service users. A skilled and knowledgeable staff team is able to identify and meet the complex needs of the service users. EVIDENCE: There was evidence of a robust admissions procedure. Recently, a prospective service user and his family had visited the home, as well as having a preadmissions assessment completed. There was a wide range of evidence that the service is able to meet the complex needs of the service users. Staff were aware of the needs of each service user and had clear knowledge of how those needs are met. 50a Avis Road H59 H10 S21014 50a Avis Road V217993 060605 stage 4.doc Version 1.20 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, 7, 8, 9. Care plans did not all contain sufficiently up to date information. Service users are consulted about all aspects of the their lives and play a role in the running of the home. Risk assessments enable service users to safely undertake a range of activities in the home and in the community. EVIDENCE: Care plans generally contained comprehensive background information, care support guidelines, service users’ likes and dislikes and risk assessments. However, as some of the information in two of the care plans viewed had not been signed or dated, there was no evidence of recent review. There was evidence that service users make choices in all aspects of their lives, including the activities they do, what they eat and what they wear and where possible, which staff support them for specific activities. Staff were observed offering choices in ways to suit the individual service user. One service user was offered objects to choose, others used pictures and photographs, whilst staff also asked people their opinions. 50a Avis Road H59 H10 S21014 50a Avis Road V217993 060605 stage 4.doc Version 1.20 Page 10 Service users are supported by staff to play a role in the day to day running of the home. They play a role in doing tasks such as cooking, cleaning, laundry. Service users are also consulted about any proposed changes in the home. There was documentary evidence of risk assessments, which had been reviewed and updated. There were clear support guidelines to enable service users to take acceptable and managed risks in their daily lives. 50a Avis Road H59 H10 S21014 50a Avis Road V217993 060605 stage 4.doc Version 1.20 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 14, 15. Service users are supported to take part in a wide range of activities to meet their needs and ensure their personal development. They are supported to maintain positive relationships with family and friends. The ethos of the homes promotes the right of service users to make choices in all aspects of their lives. EVIDENCE: Service users are supported to access a wide range of activities in the home, with other services and in the community. They access formal day care, as well as undertaking leisure activities such as theatre trips, swimming and trips out. Service users also access facilities in the community such as shops, cafes and pubs. There was evidence of service users doing activities in the home such as art and crafts and gardening. Service users are supported to choose the activities they do and they are encouraged to take part in the life of the community. All service users have the opportunity go on at least one holiday a year, which one service confirmed had been an enjoyable experience for them. The home promotes the rights and opportunities of the service users to lead fulfilling lives. 50a Avis Road H59 H10 S21014 50a Avis Road V217993 060605 stage 4.doc Version 1.20 Page 12 Service users are supported to maintain relationships with their families and friend. Family members are invited to service user review meetings and to house events. Staff support service users to keep in regular contact with their family and friends, with visits and emails. 50a Avis Road H59 H10 S21014 50a Avis Road V217993 060605 stage 4.doc Version 1.20 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19, 20, 21. Staff provide sensitive and dignified support to meet the individual needs and preferences of the service users. Service users are supported to access a range of health services to meet their physical and emotional health needs. The health and well-being of service users is safe-guarded by robust policies and medication being stored, dispensed and recorded appropriately. Staff are able to identify and meet the changing needs of the service users. EVIDENCE: Staff were observed providing sensitive and dignified support to the service users. Staff were also able to describe in detail how each service user preferred their support to be provided. However, the service was required to review the morning routine for one service user to ensure the service user’s dignity is maintained through her personal care routines. There was documentary evidence of service users accessing a wide range of health services to meet their complex needs. The staff team have continued to provide skilled care to meet the specific health needs of the service users. There are robust policies and procedures to ensure the administration of medication. Medication is kept securely in the home and had been administered and signed for accurately. All staff had received appropriate training in the administration of medication. 50a Avis Road H59 H10 S21014 50a Avis Road V217993 060605 stage 4.doc Version 1.20 Page 14 There was evidence that staff are able to identify and meet the changing needs of the service users. One service user, who has moved from the home, was provided with dedicated and sensitive care whilst he was unwell and receiving specialist medical care. Staff were aware of the need to change the way they provide support to meet peoples’ changing needs. 50a Avis Road H59 H10 S21014 50a Avis Road V217993 060605 stage 4.doc Version 1.20 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 23. Service users are protected by robust policies and appropriate training for staff. EVIDENCE: The home has a comprehensive adult protection policy. All staff receive adult protection training as part of their induction. Staff were aware of the issues of adult protection were able to describe in detail how the adult protection procedure works in practice. 50a Avis Road H59 H10 S21014 50a Avis Road V217993 060605 stage 4.doc Version 1.20 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 26, 27, 28, 29, 30. Service users live in a clean and tidy home, which is kept in good decorative order and provides a friendly and relaxed environment. There is sufficient communal space, en-suite, bathroom and toilet facilities that meet the needs of the service users. The home provides a range of adaptations to meet the needs of the service users. EVIDENCE: The service is in a large purpose-built bungalow, which has suitable facilities to enable the staff to meet the needs of the service users. The home was clean and tidy at the time of the unannounced inspection. The home was in good decorative order and provides a relaxed and homely environment. Each service user has their own bedroom, which are personalised to suit their tastes and preferences. Bedrooms have ceiling hoists to meet the needs of the service users. There is a large kitchen/dining room and spacious lounge. There are two bathrooms, which have adapted baths and shower trolleys to enable service users to receive appropriate bathing and personal care. There is paved garden area to the back of the building, which is used by service users. 50a Avis Road H59 H10 S21014 50a Avis Road V217993 060605 stage 4.doc Version 1.20 Page 17 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, 35, 36. There is a knowledgeable and dedicated staff team who are clear about roles and responsibilities. The staff are well trained and work hard as a team and are able to meet the needs of the service users. As there is not regular supervision for all staff, the home cannot ensure the interests of the service users are always met. EVIDENCE: Staff were able to clearly describe their roles and responsibilities and those of their colleagues. Staff had an in-depth knowledge of the needs of the service users and how those needs should be met. The staff were observed providing skilled care to the service users, in line with the support guidelines in service users’ care plans. Staff reported that they worked well as a team to ensure the needs of the service users were met and that they were able to have good quality of life. Staff reported that they were able to access a wide range of training to enable them to have the appropriate skills for their jobs. There was documentary evidence of training courses for staff. Staff reported that there were regular team meetings which enabled good communication in the staff team to ensure they provide consistent care to the service users. Generally staff received 50a Avis Road H59 H10 S21014 50a Avis Road V217993 060605 stage 4.doc Version 1.20 Page 18 regular supervision, although some staff reported that they had not had recent supervision sessions. 50a Avis Road H59 H10 S21014 50a Avis Road V217993 060605 stage 4.doc Version 1.20 Page 19 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) 41, 42. Up to date and accurate records protect the interests of service users. A range of health and safety checks ensures the safety and welfare of the service users and staff. Some procedures on cross infection do not ensure the safety of service users and staff. EVIDENCE: There was documentary evidence of records in the home being up to date and accurate. Those checked included records relating to health and safety systems, a visitors book, risk assessments for fire and staff rotas. There was documentary evidence of a range of health and safety checks including weekly checks on the fire systems, water temperature tests, safety checks on the hoists and for the environment. There was documentary evidence of an ongoing maintenance plan which ensures the building is kept in good order. Some procedures around laundry soiled linen need to be more robust to ensure the risk of cross infection is minimised. This is particularly in light of transferring soiled linen from a bedroom to the laundry. The service should 50a Avis Road H59 H10 S21014 50a Avis Road V217993 060605 stage 4.doc Version 1.20 Page 20 also review the procedures to address the dignity of the service user and issues of cross-infection where a service user eats and uses the commode in the bedroom at the same time. 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 3 3 x Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 50a Avis Road Standard No 31 32 Score 3 3 Version 1.20 Page 21 H59 H10 S21014 50a Avis Road V217993 060605 stage 4.doc 11 12 13 14 15 16 17 4 3 3 3 3 x x 33 34 35 36 3 x 3 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 3 3 3 Standard No 37 38 39 40 41 42 43 Score x x x x 3 2 x 50a Avis Road H59 H10 S21014 50a Avis Road V217993 060605 stage 4.doc Version 1.20 Page 22 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. 2. 3. 4. Standard 6 18 36 42 Regulation 15 (1) 12 (4) a 18 (2) 13 (3) Requirement Review and update care plans as necessary. Review the morning routine of one specified service user. All staff receive regular, formal supervision. Review the procedure for dealing with soiled linen to minimise the risk of cross-infection. Timescale for action 1/10/05 1/9/05 1/9/05 1/9/05 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 50a Avis Road H59 H10 S21014 50a Avis Road V217993 060605 stage 4.doc Version 1.20 Page 23 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 50a Avis Road H59 H10 S21014 50a Avis Road V217993 060605 stage 4.doc Version 1.20 Page 24 - 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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