Inspection on 28/09/05 for 51 Norton Road

This inspection was carried out on 28th September 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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

51 Norton Road 04/03/09

51 Norton Road 26/03/07

51 Norton Road 03/01/06

51 Norton Road 07/03/05

51 Norton Road 18/01/05

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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 51 Norton Road Hove East Sussex BN3 3BF Lead Inspector James Houston Unannounced Inspection 28th September 2005 08:10 51 Norton Road DS0000014148.V249988.R01.S.doc Version 5.0 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 51 Norton Road DS0000014148.V249988.R01.S.doc Version 5.0 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. 51 Norton Road DS0000014148.V249988.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 51 Norton Road Address Hove East Sussex BN3 3BF 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) 01273 747449 The Frances Taylor Foundation Ms Catherine Anne Evans Care Home 10 Category(ies) of Learning disability (10) registration, with number of places 51 Norton Road DS0000014148.V249988.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Service users must be aged between 18 and 65 years on admission The maximum number of service users to be accommodated is ten (10) Only adults with a learning disability who have been assessed as requiring residential care are to be accommodated One named service user may be accommodated who has mental health needs in addition to learning disability needs 7th March 2005 Date of last inspection Brief Description of the Service: 51 Norton Rd is registered to provide accommodation and personal care to 10 adults with learning disabilities. The home is located in Hove with good access to local transport and amenities. It is a four storey building offering a range of communal space, ten en-suite bedrooms and a passenger lift. The registered provider is the Frances Taylor Foundation. The responsible individual is Terry Maguire. The registered manager is Cathy Evans. 51 Norton Road DS0000014148.V249988.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place during the morning and afternoon of the twenty-eighth of September 2005. Before the inspection the inspection had read records held on the home by the Commission of Social Care Inspection and prepared to inspect those sections of the standards to be covered at that inspection. The actual inspection in the home took 6.1 hours. The inspector made a tour of most of the home, and read a variety of policies, procedures and records. The manager, the deputy manager, two staff and seven residents were spoken with. Nine residents were living in the home on the day of the inspection. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 51 Norton Road DS0000014148.V249988.R01.S.doc Version 5.0 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 51 Norton Road DS0000014148.V249988.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3 and 4. The home’s statement of purpose and service users’ guide give full information. The home meets the needs of those living there. Visiting arrangements for prospective residents are appropriate. EVIDENCE: The home has a statement of purpose which has been updated since the last inspection and gives full information on the home. From discussion with residents, staff and the home’s managers and examination of records it is clear that staff individually and collectively have the skills and experience to meet the needs of residents. Observation confirmed that staff are able to communicate with residents. Makaton training was made available to staff recently. The manager said that the home would not admit any residents whose needs it could not meet. The home has a vacancy for a resident, and the deputy manager has reviewed the way in which it will be filled. Prospective residents would visit and /or stay as appropriate. There is an initial six weeks review period. 51 Norton Road DS0000014148.V249988.R01.S.doc Version 5.0 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,8,9 and 10. Comprehensive care plans are kept and regularly reviewed. Residents are involved in the running of the home. Information about residents is handled sensitively. EVIDENCE: Good care plans are drawn up. Staff said that they read them and are familiar with them. Staff said that they are given guidance on how to write in the records, and those inspected were up to date and well kept. Plans inspected were found to be reviewed regularly. Residents have a key-worker. Residents are involved in the running of the house and weekly residents’ meetings. These are minuted and the minutes were made available to the inspector. Staff confirmed that residents are involved informally in the selection of prospective staff members. Risk assessments had been drawn up, and staff confirmed that they are familiar with them and give guidance to residents as needed. 51 Norton Road DS0000014148.V249988.R01.S.doc Version 5.0 Page 9 Residents’ records are accurate and confidential. The inspector found that staff were clear when information given to them in confidence must be shared with the manager or others. 51 Norton Road DS0000014148.V249988.R01.S.doc Version 5.0 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 the following standard(s): 11,12,13,15,16 and 17. Residents are enabled to maintain and develop social and independent living skills. They are part of the local community. Visitors are made welcome. Residents’ rights are respected. Meals and mealtimes promote the well being of residents. EVIDENCE: Residents said that they are able to go out, and staff said that they are accompanied by staff as needed. Several attend day centres and said that they like the range of activities there. Staff said that residents’ spiritual needs are met, both by going out to church and by visits to the home by church figures as needed. Day centres give opportunities for further education. One resident works in a dog grooming parlour. The manager helps residents with finance/benefit issues as needed. 51 Norton Road DS0000014148.V249988.R01.S.doc Version 5.0 Page 11 Staff said that as a group they are aware of the range of community resources and specialist organisations close to the home and gave a range of examples. The home has its own car and this is used for the benefit of residents. The staffing in the home at evenings and weekends is flexible enough to meet the wishes of residents for activities. Residents said that visitors are made welcome and given a cup of tea and this was confirmed by staff. Staff said that they enter bedrooms only with the resident’s permission. Mail is not opened without agreement. Staff were seen to talk with residents and not just with each other. Residents were seen to choose whether to be alone or in company. Residents said that they liked the meals served and records inspected confirmed that an up to date and detailed record of meals served is kept, with a clear record of alternatives given. Staff confirmed that special diets are provided as needed, and that residents choose where they eat. The home’s kitchen was neat and tidy. 51 Norton Road DS0000014148.V249988.R01.S.doc Version 5.0 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 the following standard(s): 19,20 and 21. Residents’ healthcare needs are met. Medication systems are satisfactory. The home has older residents whose needs it will need to address on an ongoing basis. EVIDENCE: Records inspected showed that arrangements to meet the healthcare needs of residents are thorough. Residents said that they are usually taken by staff to appointments with health professionals, and staff come in to the appointment where needed. Medicine administration records checked were fully recorded, and the home has internal systems to ensure this. Two residents currently self medicate and they have had a risk assessment concerning this. They have a secure facility in their room in which keep drugs. Staff said that they have had suitable training. The home has two residents over the age of 65, and they both have one key worker who is aware that their care plans should be reviewed monthly and does so. The manager has rewritten local guidance on care of the elderly and this is well written. Minor amendments were made during the inspection. The home is arranging training for staff in caring for older people. The home keeps details of the action to be taken by staff in the event of the death of a resident to ensure that the residents’ wishes are met. 51 Norton Road DS0000014148.V249988.R01.S.doc Version 5.0 Page 13 51 Norton Road DS0000014148.V249988.R01.S.doc Version 5.0 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 and 23. The home has suitable systems for dealing with complaints. The home’s systems and procedures are designed to protect residents in the event of abuse or allegations of abuse. EVIDENCE: The home has a suitable complaints policy available to residents. Residents said that they were aware of their right to raise issues with the manager. One complaint has been made to the home in the past year and examination of the complaints log showed that it had been satisfactorily dealt with. No complaints have been made to the Commission of Social Care inspection concerning the running of the home. Staff said that they have received training in adult protection and records inspected confirmed this. Adult protection policies are suitable, having been updated since the last inspection. 51 Norton Road DS0000014148.V249988.R01.S.doc Version 5.0 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 and 30. The home is generally well maintained. Some items need attention. Communal areas and bedrooms are well presented. Laundry facilities are suitable. EVIDENCE: The home is a large building on four floors, with a small area to the front and a small garden area on two levels to the rear. The premises are safe bright cheerful and airy. They are in keeping with the local community, and being so centrally sited in the town offer good access to local facilities. The home is generally well maintained with a system for dealing with items needing attention. One window in a residents’ bedroom did not close easily and the catch was missing. All the bedrooms have en suites and one appeared to need venting to the external air and other extracts need to be checked. The home has sufficient communal areas, and these are well furnished and decorated, with lighting which is domestic in nature. Bedrooms are personalised and a resident said that they had chosen the colour of their room. Residents confirmed that they have keys to their rooms. Residents can bring in their own possessions into the homes and records inspected showed that an inventory of these items is kept. 51 Norton Road DS0000014148.V249988.R01.S.doc Version 5.0 Page 16 The home has a laundry facility which is suitably equipped. Residents said that they help with their own washing. The home was clean and tidy throughout and a cleaner was working in the home during the inspection. 51 Norton Road DS0000014148.V249988.R01.S.doc Version 5.0 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): 34 and 36. The recruitment systems need some review. Supervision frequency needs review. EVIDENCE: The home’s recruitment systems are generally robust but the papers of the one staff member appointed since the last inspection of this standard did not contain proof of identity or a photograph. Staff confirmed that they are given copies of the General Social Care Council code of conduct. Those records inspected showed that staff are supervised regularly, but not at the recommended frequency of at least six times a year. Staff said that they have annual appraisals. 51 Norton Road DS0000014148.V249988.R01.S.doc Version 5.0 Page 18 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): 38,40, and 41. The management approach of the home creates an open and inclusive atmosphere. Procedures are thorough and comprehensive. Records are well kept. EVIDENCE: Residents are consulted informally and through residents’ weekly meetings. Residents said that they find the staff and manager friendly and helpful. Staff have regular minuted meetings and copies of the minutes were made available to the inspector. Staff said that they are able to put forward ideas for improving the delivery of the service. Since the last inspection the home has reviewed its procedures and this process is ongoing. Staff confirmed that the procedures are available to them. It is recommended that the manager sign the procedures. Those records inspected were found to be well kept. Residents have access to their records. The security of access to one office could be reviewed. 51 Norton Road DS0000014148.V249988.R01.S.doc Version 5.0 Page 19 51 Norton Road DS0000014148.V249988.R01.S.doc Version 5.0 Page 20 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 3 3 X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X 3 X 3 X 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X X 2 X 2 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 51 Norton Road Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score X 3 X 3 3 X X DS0000014148.V249988.R01.S.doc Version 5.0 Page 21 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 Standard YA2424 YA42 Regulation Requirement Timescale for action 30/11/05 03/10/05 23(2)(b)&(p) Address maintenance items identified at the inspection. 19(b)(1) Have all required records on a recently recruited staff member. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard YA36 YA40 YA41 Good Practice Recommendations It is recommended that formal recorded supervision is given to all staff at least six times a year. The manager sign the policies and procedures. The security of an office be reviewed. 51 Norton Road DS0000014148.V249988.R01.S.doc Version 5.0 Page 22 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. Extracts may not be used or reproduced without the express permission of CSCI 51 Norton Road DS0000014148.V249988.R01.S.doc Version 5.0 Page 23 - 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. 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