Inspection on 22/02/06 for 50a Avis Road

This inspection was carried out on 22nd February 2006.

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 01/08/05

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 Inspection 22nd February 2006 2:20 50a Avis Road DS0000021014.V249320.R01.S.doc Version 5.1 Page 1 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 50a Avis Road DS0000021014.V249320.R01.S.doc Version 5.1 Page 2 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 Stationery 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 DS0000021014.V249320.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 50a Avis Road Address 50a Avis Road Newhaven East Sussex BN9 0PN 01273 612171 Telephone number Fax number Email address Provider Web 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 (5) registration, with number of places 50a Avis Road DS0000021014.V249320.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users to be accommodated is five (5). Service users must be aged between eighteen (18) and sixty five (65) years on admission. Only adults with a learning and physical disability are to be accommodated. 1st August 2005 Date of last inspection 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. There are two vehicles, both of which are wheelchair accessible. 50a Avis Road DS0000021014.V249320.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection started at 2.20pm and lasted for just over three hours. The inspection involved talking with four service users, the deputy manager and two members of staff. The process also included observing staff working with service users; a brief tour of the premises; reading care plans, policies and records; checking the administration and recording of medication. There was evidence that the home continues to provide a good quality service to meet the complex needs of the service. What the service does well: What has improved since the last inspection? The service has reviewed its procedure for the morning routine of one service user to ensure the support provided is sensitive and effective. There are more robust procedures for the handling of laundry to ensure effective infection control procedures are followed. 50a Avis Road DS0000021014.V249320.R01.S.doc Version 5.1 Page 6 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. 50a Avis Road DS0000021014.V249320.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection 50a Avis Road DS0000021014.V249320.R01.S.doc Version 5.1 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 the following standard(s): 2, 4. The service has a comprehensive pre-admissions process, which enables the service to identify the needs of prospective service users and for the service users to visit the home prior to moving in. EVIDENCE: The deputy manager and staff confirmed that a prospective new service user and their family have visited the home prior to choosing if to move in. There was documentary evidence of the service having a robust preadmissions policy, which includes the service undertaking their own preadmission assessments as well as getting information from the prospective new service user, their family and other agencies where appropriate. The deputy manager highlighted the importance of new service users being compatible with the people currently living in the home. 50a Avis Road DS0000021014.V249320.R01.S.doc Version 5.1 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 the following standard(s): 6, 7, 9. Service users’ needs and their required support are clearly documented in their care plans. Service users are consulted about all aspects of the home and are supported to make decisions in all aspects of their lives. Clearly assessed and managed risks enable service users to undertake a wide range of activities. EVIDENCE: Individual care plans contained comprehensive information about the service user. The plans had clearly assessed needs, background information and goals. There were clearly stated support guidelines to enable staff to meet the needs of each service user. The plans also contained information about service users’ likes and dislikes, family and friends, communication, daily routines and activities. There was documentary evidence that the care plans were in the process of being reviewed and updated to reflect current needs. Staff were observed supporting service users to make choices whenever possible in various aspects of their lives. Service users were able to choose food and drinks, activities and which room they wanted to be in in the home. 50a Avis Road DS0000021014.V249320.R01.S.doc Version 5.1 Page 10 There was documentary evidence of risk assessments and management plans to enable service users to undertake a wide range of activities in the home and in the community. Risk assessments had been regularly reviewed and updated as necessary. 50a Avis Road DS0000021014.V249320.R01.S.doc Version 5.1 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 the following standard(s): 11, 12, 13, 14, 16, 17. Service users are supported to take part in a wide range of activities to lead fulfilling lives, meet their needs and ensure their personal development. Service users play an active and fulfilling role in the life of their community. The ethos of the homes promotes the right of service users to make choices in all aspects of their lives. Food provided is nutritious, appetising and meets the dietary needs and preferences of the service users. EVIDENCE: There was documentary evidence of service users accessing a wide range of day care, vocational, educational and leisure activities. All the service users access a day care centre four days a week ad have one day during the week at home. During their home day, it was reported that service users can choose their own activities, do personal shopping and attend appointments. 50a Avis Road DS0000021014.V249320.R01.S.doc Version 5.1 Page 12 Two service users spoken with communicated that they were happy going to the day centre and having a day at home. In addition to their formal day care programme of activities, there was evidence that service users access a wide range of leisure activities including puzzles, arts and craft, aromatherapy, theatre, clubs and pubs. Service users are supported to lead fulfilling lives, which ensures they are able to play an active role in the community and exercise their individual rights and choices. All the service users had been on an annual holiday in the last twelve months. One service user was supported to go and visit her family. Service users are provided with varied and nutritious meals, which meet their preferences and needs. Staff were able to describe the dietary requirements of each of the service users, and how those needs are catered for. 50a Avis Road DS0000021014.V249320.R01.S.doc Version 5.1 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 the following standard(s): 18, 19, 20. 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. EVIDENCE: There was evidence that the service had reviewed and changed its procedures in relation to the morning routine of one service user in order to ensure it continues to provide skilled and dignified care in a sensitive manner. Staff were observed being thoughtful and professional in the way they provided personal care. There was documentary evidence that service users are able to access a wide range of health services to meet their needs. There was evidence that the specific needs of one service user are being reviewed in consultation with specialist health professionals. All service users are registered with a local general practitioner. All medication is stored securely and all staff who dispense it are appropriately trained. All medication had been signed for accurately. 50a Avis Road DS0000021014.V249320.R01.S.doc Version 5.1 Page 14 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 the following standard(s): 22. Service users rights are protected with a robust system for recording and investigating complaints. EVIDENCE: The service has a clear and accessible complaints policy, although no formal complaints had been received. Service users are able to raise concerns, or where they appear unhappy, staff are proactive in considering how the service could be provided more effectively to suit the needs and preferences of the service users. Staff are skilled in understanding the range of communication methods used by the service users. 50a Avis Road DS0000021014.V249320.R01.S.doc Version 5.1 Page 15 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 the following standard(s): 24, 26, 28, 30. The home offers a friendly and relaxed environment that is kept in good decorative order and offers sufficient communal space. The home is kept clean and tidy. EVIDENCE: Service users live in a comfortable, homely environment that is purpose built to meet the needs of people with physical disabilities. There was evidence of an on-going maintenance plan, with one bedroom and the lounge having been decorated. Service users bedrooms are spacious, comfortable and reflect their own tastes and preferences. One service user said that he had chosen the colours for his newly decorated room. Bedrooms are individually decorated with pictures and photographs and service user’s own possessions. There is a spacious, comfortable lounge and a large kitchen/dining room, which provide sufficient communal space. All communal areas are kept in good decorative order. 50a Avis Road DS0000021014.V249320.R01.S.doc Version 5.1 Page 16 The home was clean and tidy. The service has introduced new infection control systems in relation to service users’ laundry to ensure the home is hygienic and clean. 50a Avis Road DS0000021014.V249320.R01.S.doc Version 5.1 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 36. There is a skilled and dedicated staff team who continue to work hard to meet the needs of the service users. The staff team are supported to provide consistent care and meet the needs of the service users with regular supervision and staff meetings. The organisation has robust employment procedures to protect the service users. EVIDENCE: There is a skilled, experienced and caring staff team, who provide flexible and innovative support to meet the needs of the service users. Staff were able to describe in detail their roles and responsibilities and those of their colleagues. Staff had an in-depth knowledge and understanding of the individual needs of service users and how those needs are met. There are sufficient staff on duty to enable the service to meet the needs of the service users. There was evidence that there are some relief staff used, but they work regularly in the home and are able to provide skilled and consistent care. Staffing is provided flexibly to enable service users to attend their activities, which at times includes one to one staffing. 50a Avis Road DS0000021014.V249320.R01.S.doc Version 5.1 Page 18 The organisation has robust employment procedures. When new staff are employed, the manager of the home goes to organisation’s main office to witness that all the relevant information and checks on the new staff member have been completed. There are photographs of the staff in the home, which are used on the daily planners to show service users which staff are on shift. There was documentary evidence that staff receive regular supervision as well as attend fortnightly team meetings. Staff reported that they were able to raise issues and concerns with the management team and in the team meetings. 50a Avis Road DS0000021014.V249320.R01.S.doc Version 5.1 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 42. An experienced and knowledgeable manager provides clear direction and support to enable the staff to provide good quality care to the service users. The views and rights of the service users underpin the ethos and development in the home. A range of health and safety checks ensures the health and safety of service users and staff. EVIDENCE: The manager is a knowledgeable and experienced practitioner, who has worked in the service for a number of years. He has the Registered Managers Award and has recently completed the NVQ level 4 in care. The manager and deputy are knowledgeable about the needs of the service users and how those needs should be managed. Staff reported that where the management team had introduced clear directions and procedures for staff to follow, the changes proved to be effective. There was documentary evidence of a range of quality monitoring systems. The staff team have an annual monitoring day away from the service, where they identify good practice and also highlight areas where they need to 50a Avis Road DS0000021014.V249320.R01.S.doc Version 5.1 Page 20 improve. There was evidence of positive feedback from carers as well as staff working with service users to gauge their views about the quality of the service. There are also regular monitoring visits undertaken by an area manager. There was documentary evidence of a range of regular health and safety checks, including checks on the water temperatures, fire systems and the environment in the building. There was evidence that the service has changed the way it deals with service users’ laundry to ensure effective infection control procedures are in place. 50a Avis Road DS0000021014.V249320.R01.S.doc Version 5.1 Page 21 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 Standard No Score 1 X 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 X ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 4 12 3 13 3 14 4 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 3 3 X X 3 x 50a Avis Road DS0000021014.V249320.R01.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? No 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. 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. Refer to Standard Good Practice Recommendations 50a Avis Road DS0000021014.V249320.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection East Sussex Area Office 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. 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