Inspection on 03/01/06 for 51 Norton Road

This inspection was carried out on 3rd January 2006.

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 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 28/09/05

51 Norton Road 07/03/05

51 Norton Road 18/01/05

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 Norton Road Hove East Sussex BN3 3BF Lead Inspector Lucy Green Announced Inspection 3rd January 2006 10:00 51 Norton Road DS0000014148.V276518.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.V276518.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.V276518.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.V276518.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 28th September 2005 Date of last inspection Brief Description of the Service: 51 Norton Rd is registered to provide residential 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. 51 Norton Road DS0000014148.V276518.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulations 2001, uses the term ‘service user’ to describe those living in care home settings. For the purpose of this report, those living at 51 Norton Road are referred to as ‘residents’. This announced inspection took place over three hours on 03 February 2006. This is the second inspection of this financial year and therefore this report should be read in conjunction with the report from the unannounced inspection carried out on 28 September 2005. The purpose of this inspection was to assess compliance with the requirements of the previous inspection and to generally monitor care practices at the home. A partial tour of the premises took place, care, medication, training and health and safety records were inspected. The Inspector joined the residents for the lunchtime meal. Four residents, two staff, the Manager and Deputy Manager were spoken with individually during the inspection. To gain wider feedback, the CSCI sent comment cards out to residents, relatives, visitors and professionals who have contact with the service. At the time of this report, fifteen of these had been returned. What the service does well: The home has an experienced team of staff who clearly enjoy their work at the home and have a good relationship with the residents. Residents were observed approaching staff and requesting support without hesitation. The home has a relaxed and friendly atmosphere and it is evident that the philosophy at 51 Norton Road is to create a ‘home’ for the people who live there. Meals are varied, balanced and well presented offering both choice and variety. Residents access a range of activities, both inside and outside the home. Residents spoken with confirmed that they enjoyed trips out to town, attending a wide range of day services and clubs and group sessions, such as art and photography. One resident has a part-time job at a local dog parlour. Staff invest a lot of time in supporting residents to book meaningful holidays. For two residents this has involved trips abroad. Residents are supported with their personal routines as necessary and one resident confirmed that this support was carried out with dignity and respect. Bedrooms have been personalised to reflect individual tastes and preferences and residents were clearly proud to show-off their rooms. All residents spoken 51 Norton Road DS0000014148.V276518.R01.S.doc Version 5.0 Page 6 with expressed satisfaction with the service they received and common comments were; “staff are very nice”, “I’m very happy here”, and “people are respectful of my space”. Positive feedback was also received from the local General Practitioner, who stated; “ this facility provides excellent service for its clients and links well with ourselves”. Similar compliments were received from relatives; “I would like to place on record how very please I am that my daughter is a resident at Norton Road” and “I am very pleased and satisfied with the care my daughter receives at this care home”. 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.V276518.R01.S.doc Version 5.0 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 51 Norton Road DS0000014148.V276518.R01.S.doc Version 5.0 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 Residents are protected by an admission process which assesses ability to meet needs and compatibility with other residents. EVIDENCE: The home has not had any new admissions in the last twelve months. The home does however currently have one vacancy and a prospective resident has been identified to move into 51 Norton Road. The Inspector examined the assessment information for this person. There was documentary evidence that a thorough assessment process had been undertaken prior to this person coming to live at the home. Information had been gathered from a variety of sources and a copy of the latest Social Care Assessment was on file. The resident has visited the home on several occasions to meet with the other residents and staff to ensure the home meets their expectations. These visits have included the opportunity for the resident to stay overnight. A record of these visits was in place and therefore it was possible to track the number and success of these visits. 51 Norton Road DS0000014148.V276518.R01.S.doc Version 5.0 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 Residents influence and make choices about all aspects of their lives. The care planning process enables residents to retain and develop independence. EVIDENCE: The Inspector viewed the care plans for three residents and all were found to contain detailed information about how care should be delivered. There was evidence that residents had been consulted about how they receive support and the emphasis of care planning was to retain and where possible, develop independence. It was evident that residents have much control over their lives and the way they spend their time. Residents are able to get up, go to bed and have their meals at times which suit them. Four residents showed the Inspector their bedrooms and all confirmed that they had chosen the décor and furniture in their rooms. Throughout the inspection process, residents were observed requesting drinks and being offered choice as a matter of routine. At lunchtime, residents were given a choice of food available and the opportunity to prepare it for themselves. 51 Norton Road DS0000014148.V276518.R01.S.doc Version 5.0 Page 10 Some residents at 51 Norton Road use alternative communication systems, such as Makaton. There was information in the care plan about individual’s communication methods and how individuals express their feelings. Training records identified that staff had attended training in such areas and the Deputy Manager confirmed that they have regular update sessions through the Community Learning Disability Team. Throughout the inspection, staff were observed communicating effectively with the residents. 51 Norton Road DS0000014148.V276518.R01.S.doc Version 5.0 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): 12 & 17 Residents are supported to lead healthy and fulfilling lives. Residents benefit from a range of nutritious and well-balanced meals. EVIDENCE: The residents at 51 Norton Road continue to lead active lives. An activity timetable is in place for all residents, which shows that they participate in a range of appropriate and fulfilling activities. Evidence gathered from care plans, discussions with residents and staff revealed that residents access a range of external courses and day services. The home runs three internal activity groups, which include photography, art and knitting. At the time of the inspection, several residents were observed taking part in the art group. One resident has a part-time job in a local dog parlour. The residents are also involved in the running of the home and consequently residents have used the review process to request time to be built into their schedules for undertaking household tasks. During the inspection, two residents assisted staff with the food shopping and reported that they enjoyed participating in this task. 51 Norton Road DS0000014148.V276518.R01.S.doc Version 5.0 Page 12 Several residents access a range of evening activities, including attending a variety of social clubs. The Manager reported that staffing levels are flexible according to activity programmes. Meals at 51 Norton Road are discussed at weekly residents’ meetings and consequently a menu is drawn up in consultation with residents and reflect the meals they wish to have. The menu displayed showed a range of varied and well-balanced meals. The Inspector spoke with four residents individually and all reported that they liked the food prepared and that their favourite meals were included on the menu. One resident commented that the “food is lovely, I especially like the eggs, bacon and sausages that we have on a Saturday”. Another resident has drink and snack making facilities in their bedroom and they stated that they really enjoyed the freedom and independence that this allows. On the day of inspection, the Inspector joined the residents for their lunchtime meal. The meal of quiche, salad and crisps was appetising and well-presented. Staff eat with the residents in the dining room and the mealtime was observed to be a relaxed and friendly occasion. 51 Norton Road DS0000014148.V276518.R01.S.doc Version 5.0 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 & 20 Residents benefit from the provision of flexible and respectful support. Residents are protected by the systems in place to manage medication. EVIDENCE: It was observed during the inspection that personal care is provided with dignity and respect. The three care plans viewed contained support plans to guide staff in the delivery of care. Residents spoken with confirmed that staff provide the necessary support, whilst respecting their independence and privacy. Medication is stored, dispensed and administered appropriately. The Manager confirmed that staff were only permitted to administer medication after they had received relevant training and supervision. Two residents administer their own medication and appropriate risk assessments for this activity are in place. One of the residents showed the Inspector the locked cabinet in their bedroom where the medication is kept. It was recommended that the medication records include a list of specimen signatures to enable easy identification of who administered medication. It was also recommended that dates are written on the Medication Administration Record (MAR Sheet), again to facilitate an easy audit. 51 Norton Road DS0000014148.V276518.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): These standards were not assessed at this inspection, please refer to the report from the unannounced inspection carried out on 28 September 2005. EVIDENCE: 51 Norton Road DS0000014148.V276518.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 & 30 Residents benefit from a clean, comfortable and well maintained home. EVIDENCE: 51 Norton Road is a large four storey property which is situated in Hove, a short walk from public transport links and local amenities. The home is well maintained and provides residents with sufficient private and communal space to meet their needs. Level access is provided by way of a passenger lift. At the time of the inspection, the home was found to be clean and tidy throughout. Resident accommodation is provided in ten single bedrooms with ensuite facilities. Bedrooms have been decorated and furnished to reflect individual tastes and preferences. Communal space comprises of a large lounge and a kitchen / dining area. The external grounds offer patio areas. Assisted bathroom and toilet facilities are provided throughout the home. 51 Norton Road DS0000014148.V276518.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 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): 32, 33 & 35 Residents benefit from an experienced and dedicated team of staff who know how to support them effectively. EVIDENCE: At the time of the inspection, the Manager reported that the home was fully staffed. The rota indicated that staffing levels were flexible and respondent to the number of residents at home and activities going on. In addition to care staff, activity organisers and the Managers work some hours on a supernumerary basis. The Manager confirmed that current staffing levels were sufficient to meet the needs of the residents currently living at 51 Norton Road. Staff reported that minimum staffing levels typically provide three staff in the morning, two staff in the afternoon/evening and one waking person at night. Either the Manager or Deputy Manager are on-call if neither are working on shift. The atmosphere in the home was observed to be calm and relaxed on the day of the inspection and there were sufficient staff on duty to meet the needs of the residents. As part of the inspection process, comment cards were sent to relatives and visitors of the home. At the time of this report five such comment cards had been returned and all stated that they felt there were sufficient staff on duty when they visited the home. 51 Norton Road DS0000014148.V276518.R01.S.doc Version 5.0 Page 17 Feedback received from residents, relatives and professionals expressed satisfaction with the way staff delivered care. One resident told the Inspector; “the staff are very nice” and a relative commented; “on visits we have always been made welcome and find the staff very friendly and helpful.” Staff training is ongoing at 51 Norton Road and at the time of the inspection it was reported that 71 of the staff team had completed National Vocational Level (NVQ) 2 or above. In addition to mandatory training, the home has accessed a number of role specific courses including training in: Makaton, management of epilepsy, Protection of Vulnerable Adults and a course in ageing and falls. New staff to 51 Norton Road undertake appropriate induction training, including the Learning Disability Award Framework (LDAF) course, where staff are new to supporting people with learning disabilities. An induction booklet for one new member of staff was viewed and found to have been completed. 51 Norton Road DS0000014148.V276518.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): 37, 39 & 42 Residents benefit from an inclusive, well-managed home and safely run home. EVIDENCE: The Manager has been in post for the past two years. Prior to becoming the Manager at 51 Norton Road, she was the Deputy Manager at another service run by the Frances Taylor Foundation. There was documentary evidence that the Manager holds an NVQ Level 4 in Care and Management and that she attends regular training updates. Staff spoken with confirmed that the Manager is both supportive and approachable. One staff member who has been in post since the service opened, stated that they had noticed improvements at the home, since this Manager has been in post. The home has a number of systems in place to gain feedback about the service and to include residents in the running of the home. Residents’ meetings are conducted on a weekly basis and the minutes of these meetings were viewed. An annual questionnaire is sent to residents which allows them the opportunity 51 Norton Road DS0000014148.V276518.R01.S.doc Version 5.0 Page 19 to provide anonymous feedback about the service. Other than the comment cards sent to relatives, visitors and professionals as part of the inspection process, the home does not have its own mechanism for gaining formal feedback from relatives and it is required that this be introduced. Monthly monitoring visits are also carried out on behalf of the Registered Provider and records of these visits are forwarded to the Commission for Social Care Inspection each month. The home has a number of systems in place to ensure the health, safety and welfare of residents, staff and visitors are protected. As such, there was evidence that regular checks of the environment and equipment are undertaken to ensure risks are identified and appropriately controlled. Staff receive training in fire safety and regular fire drills are conducted. It was however identified that fire training is currently being provided on an annual basis and this needs to be updated to every six months. 51 Norton Road DS0000014148.V276518.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 X 3 X 3 X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 x 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 3 X 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 51 Norton Road Score 3 X 2 X Standard No 37 38 39 40 41 42 43 Score 3 X 2 X X 2 X DS0000014148.V276518.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 Standard YA39 Regulation 24 Requirement That the home introduce formal systems of gathering feedback from relatives, visitors and professionals to the home. That all staff receive the appropriate level of fire training. Timescale for action 01/04/06 2 YA42 23(4) 01/03/06 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 YA20 Good Practice Recommendations That a list of specimen signatures is kept at the front of the medication administration records (MAR sheets). That actual dates are recorded on the MAR sheets. 51 Norton Road DS0000014148.V276518.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.V276518.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. 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!