Inspection on 19/07/05 for 51 Chapel Park 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 Adequate. 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 13 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

51 Chapel Park Road 25/11/08

51 Chapel Park Road 04/01/07

51 Chapel Park Road 22/02/05

51 Chapel Park Road 12/10/04

51 Chapel Park Road 31/01/02

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 51 Chapel Park Road 51 Chapel Park Road St Leonards-on-sea East Sussex TN37 6JB Lead Inspector Jeanette Denereaz Unannounced 19 July 2005 11:00 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. 51 Chapel Park Road H59-H10 S21337 51 Chapel Park Road V231383 190705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 51 Chapel Park Road Address 51 Chapel Park Road St Leonards-on-sea East Sussex TN37 6JB 01424 433646 01424 721826 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) East View Housing Management Ltd Vacant Care Home 3 Category(ies) of Learning disability (LD) 3 registration, with number of places 51 Chapel Park Road H59-H10 S21337 51 Chapel Park Road V231383 190705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum number of residents to be accommodated will be three (3) 2. Residents must be aged between eighteen (18) and sixty-five (65) years on admission 3. Residents with a learning disability only to be accommodated Date of last inspection 22 February 2005 Brief Description of the Service: 51 Chapel Park Road is situated in a residential area of St Leonards on Sea. It is a short distance from local amenities and shops. The home is owned and run by East View Housing Management Limited (EVH). It is registered for up to 3 adults with learning disabilities. The building is a detached two-storey older style house. It has a reasonably sized garden to the front and side of the property. 51 Chapel Park Road H59-H10 S21337 51 Chapel Park Road V231383 190705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced routine inspection (first of two planned before April 1st 2006) which took place between 11.00 and 14.00. The inspector is familiar with the service hence a number of judgements were made from previous knowledge, confirmed by observation and talking with service users and the staff member on duty. The registered manager has recently moved to another of the EVH home, and the inspector was informed that the team leader is now running the home. However, he was not on duty, and therefore confidential files on staff were not available for inspection.. The inspector had an extended discussion with the staff member on duty and he assisted the inspector throughout the visit. The inspector toured the home, which included all bedrooms, bathrooms, communal areas including the kitchen. Care plans and Health and safety documentation were inspected. The gentlemen living in this home wish to be referred as residents within this report. What the service does well: What has improved since the last inspection? The home is part of the EVH organisation and continues to focus on staff development and training including induction, health and safety and first aid. The home has carried out certain repairs in the kitchen including repairs to the ceiling and new flooring One resident who was posing a risk to himself and others, excessively disruptive for many months has been supported to move on, and home during this visit was much calmer, friendly and open. Both residents stated when interviewed that the home is much better now the third resident has left. 51 Chapel Park Road H59-H10 S21337 51 Chapel Park Road V231383 190705 Stage 4.doc Version 1.40 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. 51 Chapel Park Road H59-H10 S21337 51 Chapel Park Road V231383 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 51 Chapel Park Road H59-H10 S21337 51 Chapel Park Road V231383 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) 1 Prospective residents are provided with a good level of written information about the service. EVIDENCE: The resident group at 51 Chapel Park Road had been stable, but now there is a vacancy, and the home will be looking for a new resident. The home does have a robust admission procedure, but the staff member on duty had no knowledge if any prospective residents had been identified. 51 Chapel Park Road H59-H10 S21337 51 Chapel Park Road V231383 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) 6,7,8&9 The staffing levels within the home at this present time are affecting the residents’ independence and overall quality of life when both are at home. EVIDENCE: The staffing levels have now been reduced because there is only two resident living in the home. The staff member explained to the inspector that the third resident had a 1:1 service and there were always two staff or more on duty and depending what on the daily programme of the individual, the presents of two staff enabled all the resident to stay at home or go out with staff support. This situation is exacerbated by one resident who has become a recluse staying in his room, and not taking part in the home or community activities The senior management of the EVH are aware of this situation and are counselling him on his behaviour. 51 Chapel Park Road H59-H10 S21337 51 Chapel Park Road V231383 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) 11,12,13 & 17 Meaningful activities for the residents is not always taking place within the home or in the community. However, domestic independence, including the making of drinks and snacks is encouraged and supported. EVIDENCE: On the day of the inspection both residents were at home, and one resident had been out shopping in the morning when two staff were on duty. During the time of the inspection only one staff member was on duty, and one resident did not leave his room throughout this inspection. The resident stated to the inspector that he was bored and did not enjoy the day centre. The overall picture was that the range of current of activities is leaving a high amount of unoccupied time on their hands. Full structured routines need to be reviewed for the residents based on informed choice and to ensure that full opportunities are explored to meet the assessed needs. The catering of the home is based on daily choice and what is available in the store. The food is purchased at the local supermarkets. Meals were not seen during this inspection, but residents can make drinks and snacks independently and the inspector saw one resident prepare his lunch. There is a format for recording all meals, but on inspection of the records gaps were found. 51 Chapel Park Road H59-H10 S21337 51 Chapel Park Road V231383 190705 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) 18 & 19 The residents are encouraged to be independent, with personal care. However, changing needs and the reviewing of needs are not reflected in the individual care plans EVIDENCE: One resident is very independent with his personal care, but the other resident needs to be encouraged to bath and shower. The home does have an incontinence issues at times, and the soiled clothing is washed in a domestic washing machine situated in the kitchen. There was no evidence of risk assessment for the washing of the soiled clothing, or a review of the health and safety risk of the washing machine in the kitchen. By the records the updating and reviewing of care plans has been not taken place since April 2005, and the information of the changing needs of residents is not being written in the care plans. Meetings indicated in individual care plans eg Day care meeting was booked for the 26/4/05 but it did not happen. 51 Chapel Park Road H59-H10 S21337 51 Chapel Park Road V231383 190705 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) 22 & 23 The EVH organisation have a policy and procedures for dealing with concern and complaints of the service, and all staff undertake training on the protection of vulnerable adults from abuse. However, the practical application of the policy and procedure do not seem to adhered to within this home. EVIDENCE: The staff member on duty had no knowledge of a complaints book within the home, he made a search and found information relating to incidents over 2 years old. However, when questioned he did have an understanding of what is abuse and what course of action he would take if he suspected abusive behaviour in the home. There was no evidence that residents have an understanding or the support to raise concerns or make complaints about their care or the service. 51 Chapel Park Road H59-H10 S21337 51 Chapel Park Road V231383 190705 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) 24,25,27,28 & 30 The appearance of the home needs to improve however, the residents are very heavy on their environment and it is recognised that it is difficult to establish a homely feel. EVIDENCE: The inspector toured the home and saw all the bedrooms, bathrooms and communal areas and it was evident that residents are harsh on their environment. There are still outstanding requirements from the last inspection with regards to the poor condition of the bathrooms, and the kitchen units now need repairing. The house is large and the two people in residence have lots of space, but one prefers to spend much of his day in his bedroom. Bedrooms were found to reflect the residents taste and interest, but they were untidy, full of papers and objects. The hygiene of the house could be improved throughout and all the paintwork is need or cleaning. As stated previously the laundry service need to be reviewed and following a full assessment of risk may need to be sited out of the kitchen. 51 Chapel Park Road H59-H10 S21337 51 Chapel Park Road V231383 190705 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 All staff working for EVH benefit from comprehensive training package. The shortage of staff in the home is having an effect on the service and care given to residents. EVIDENCE: The home has not had any new staff since the last inspection. However, staff have left including the registered manager and the team leader is now running the home. During this inspection there was only one member of staff on duty and both residents were at home. The staff explained to the inspector that when the home had three residents, one of them had 1:1 support and if his programme was to stay at home, there would always be a member of staff in the home, and therefore if only one resident wanted to go out into the community it was facilitated. But now usually there is only one staff to two residents and one resident is tending to stay in his room, and this is restricting the other resident’ s choices. The home needs to review the staffing level to ensure the staff are meeting the needs and choices of the residents. No staff files were seen at this inspection. 51 Chapel Park Road H59-H10 S21337 51 Chapel Park Road V231383 190705 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) 37,38,41 &42 The home’s registered manager has now left and the team leader is running the home. The team leader is motivated and has worked in the home for sometime, but lacks the office management skills to ensure all records are up reviewed, updated and in order. EVIDENCE: It was evident that the day to day issues of the home were being managed, but the reviewing and monitoring had not been undertaken in certain areas. The member of staff informed the inspector that he has had regular supervision, but all staff files including the supervision records were in the locked cabinet. All the health and safety records were seen and found to be in order. 51 Chapel Park Road H59-H10 S21337 51 Chapel Park Road V231383 190705 Stage 4.doc Version 1.40 Page 16 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 3 x x x x Standard No 22 23 ENVIRONMENT Score 2 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 2 3 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 x 2 3 x 2 Standard No 11 12 13 14 15 16 17 3 2 2 x x x 3 Standard No 31 32 33 34 35 36 Score 3 x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 51 Chapel Park Road Score 2 x x x Standard No 37 38 39 40 41 42 43 Score 2 3 x x 2 3 x H59-H10 S21337 51 Chapel Park Road V231383 190705 Stage 4.doc Version 1.40 Page 17 YES 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 YA7 YA9 Regulation 12(3) 13(4)(b) Requirement Timescale for action 1/11/05 2. YA12 YA13 16(2)(m)( n) 3. YA18 YA19 18(3) 12 4. YA22 YA23 22 4(11) 13(6) It is required that the Responsible Individual reviews the staffing levels within the home to ensure that residents are supported, consulted and encoraged to have an independent lifestyle with a risk assessed environment. It is required that the 1/10/05 Responsible Individual ensures that there are the appropriate level of staff on duty to ensure the residents have the opportunities to become part of and particapate in the local community in accordance with their assessed needs. It is required that the 1/10/05 Responsible Individual ensure that the staff review and update care plans to reflect changing healthcare needs It is required that the !/10/05 Responsible Individual ensures that the home understands the organisations complaints procedures including a format for recording concerns and complaints. 51 Chapel Park Road H59-H10 S21337 51 Chapel Park Road V231383 190705 Stage 4.doc Version 1.40 Page 18 5. YA24 23(2)(d) 6. YA27 23(2)(j) 7. YA30 13(3) 16(2)(e)(f ) 8. 9. YA37 YA41 891)(b)(1 )(2) 17 It is required that the Responsible Individual ensures that the areas of the home outlined in the report should be repaired or replaced. This includes general repairs including bathrooms and carpets throughout the home. Also all paint work areas to cleaned It is required that the Responsible Individual ensures that the homes bathrooms and toilets are modernised, decorated and deep cleaned. Sealant and grouting need to be replaced around bath, shower and hand basins. It is required that the Responsible Individual ensures that the home undertake an immediate risk assessment on the soiled clothing, and assess the laundry facilities that at present is a domestic washing machine sited in the kitchen It is required that the home has a registered manager in post It is required that the Responsible Individual ensures that in the absence of a manager all records are maintained, up to date and accurate. 1/12/05 1/12/05 Immediatel y 1/12/05 Immediatel y 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 51 Chapel Park Road H59-H10 S21337 51 Chapel Park Road V231383 190705 Stage 4.doc Version 1.40 Page 19 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 51 Chapel Park Road H59-H10 S21337 51 Chapel Park Road V231383 190705 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!