Inspection on 19/07/05 for 51a 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

51a Chapel Park Road 04/01/07

51a Chapel Park Road 31/01/06

51a Chapel Park Road 22/02/05

51a Chapel Park Road 12/10/04

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Southfields

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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 51a Chapel Park Road 51a Chapel Park Road St Leonards-on-sea East Sussex TN37 6JB Lead Inspector Jeanette Denereaz Unannounced 19 July 2005 14:00 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. 51a Chapel Park Road H59-H10 S21408 51a Chapel Park Road V231384 190705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 51a Chapel Park Road Address 51a Chapel Park Road St Leonards-on-sea East Sussex TN37 6JB 01424 204033 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 1 Category(ies) of Learning disability (LD) 1 registration, with number of places 51a Chapel Park Road H59-H10 S21408 51a Chapel Park Road V231384 190705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum number of residents to be accommodated is one (1) Date of last inspection 22 February 2005 Brief Description of the Service: 51a Chapel Park Road is a registered service for one service user with learning disabilities. It is a self-contained one bedroom flat with a separate kitchen and bathroom. The flat is next door to 51 Chapel Park Road another registered service for people with learning disabilities, but has a separate entrance to the main building. East View Housing (EVH) manages both services. The flat is situated in a residential area of St Leonards on sea. It is a short distance from local amenities and shops and has easy access to public transport. 51a Chapel Park Road H59-H10 S21408 51a Chapel Park Road V231384 190705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place between14.00 and 15.30 with the inspector made very welcome to the home. At present the home is occupied by a young man with Autism and he is receiving 1:1 support. The inspector is familiar with the service hence a number of judgements were made from previous knowledge, confirmed by observation and talking with the service user and the support worker on duty during this inspection. The home at present does not have a registered manager, but the team leader is running the home and she will in due course be applying to the CSCI to become the registered manager. The resident had just returned from Hastings shopping and had purchased a DVD and went into his bedroom to watch it. He was very engrossed in the film, but did indicate that he enjoyed living at 51a Chapel Park Road. It was evident from the inspector’s observation and discussions with the resident and the staff member that he is totally involved in all decision-making. What the service does well: What has improved since the last inspection? The home now has a procedure for the reporting and recording of all aggregations, incidents of abuse and complaints and staff have had instructed in the use of this. 51a Chapel Park Road H59-H10 S21408 51a Chapel Park Road V231384 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. 51a Chapel Park Road H59-H10 S21408 51a Chapel Park Road V231384 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 51a Chapel Park Road H59-H10 S21408 51a Chapel Park Road V231384 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 & 2 A prospective service user would be provided with a good level of written information about the service. EVIDENCE: The resident now living at 51a Chapel Park Road has been there for over 2 years and seems very settled. However, if a new resident was to move in, they would have access to suitable written information to inform them of the service and what it is like to live at 51a Chapel Park Road in the form of a statement of purpose and service user guide. 51a Chapel Park Road H59-H10 S21408 51a Chapel Park Road V231384 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 & 10 The service user’s care and support needs are well managed enhancing his independence and overall quality of life. EVIDENCE: The resident told the inspector that he enjoyed living at 51a`Chapel Park Road and the staff were kind to him. Whilst his care plan was not inspected on this visit, previous experience indicated that the standard and depth of recording is very good. The flat is designed around the resident, and is full of his interests. He has a notice-board which indicates which member of staff will be supporting him. He was very excited about his trip to Edinburgh and the details including his ticket to the tattoo were on display for his reference. It is evident that he is consulted on all aspects of his life and the inspector observed discussions between the resident and the staff member regarding where is wanted to watch his new DVD, which confirmed he is totally involved in all decisionmaking. 51a Chapel Park Road H59-H10 S21408 51a Chapel Park Road V231384 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) 11,12,13,14,15,16 & 17 The service user has every opportunity to live a fulfilled, responsible, valued and socially active life. EVIDENCE: The service is excellent in promoting the development of the resident’s personal, social and educational skills. His days are full of activities out in the community and when at home his has many interests which, mostly are related to programmes he has seen on the television and videos. He has an interest in African drumming, professional wrestling, outer space adventure videos/DVDs and computer skills, and his family have bought him his own computer which is set up for him in the lounge. The refrigerator, freezer and food cupboards were inspected and found to be full of food, fresh foods including salads, fruit and vegetables. The menus are varied and are compiled with the resident, he is also involved all the shopping. 51a Chapel Park Road H59-H10 S21408 51a Chapel Park Road V231384 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) The service user’s health and care needs are very well managed and take into account his individual preferences and needs. EVIDENCE: It was evident that the resident is treated as an individual and that this is respected in care giving and support. However, these standards were not inspected at this time. 51a Chapel Park Road H59-H10 S21408 51a Chapel Park Road V231384 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 service user is protected as far as possible from the risk of harm or abuse, however the staff and service user are vulnerable when using the cash card belonging to a third person. EVIDENCE: The resident lives in a home that belongs to the EVH organisation, and all the staff receive awareness training on abuse to vulnerable adults. The home now has a complaints bookand there was one entry from the resident’s mother regarding the cleanliness of the home. The team leader had ensure the home was now at all times is clean and dust free, but it was evident that she had acknowledged the compliant or informed the resident’s mother what actions had been taken. It has been recommended that for the safety of information the complaints book should be a substantial book where pages are numbered and cannot be removed. The Inspector has concerns with the arrangement that are in place for the service user to access his personal allowance with staff using a (cash card) belonging to a third person. It is required that arrangements are made to secure the individual’s finances and safe guard the service user and staff. with outcomes to secure control and choice over his monies and access to his personal financial records. The home should advocate on his behalf with support from care management. 51a Chapel Park Road H59-H10 S21408 51a Chapel Park Road V231384 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) 24,25,26,27 & 30 The service user enjoys living at 51a Chapel Park Road, it is safe, nicely decorated, well maintained and homely. EVIDENCE: It was evident during this inspection the home is clean and hygienic. The Inspector undertook a tour of the home and found it be homely, warm and comfortable. The Inspector was invited to view the resident’s room, which, is well decorated and furnished, reflecting his hobbies and interests. He was watching his new DVD he had purchased during his visit to Hastings town earlier in the day The resident is encouraged to use the kitchen and he is supported to prepare and cook his meals and make drinks. 51a Chapel Park Road H59-H10 S21408 51a Chapel Park Road V231384 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 & 32 The service user’s quality of life is enhanced by the support of an enthusiastic Staff team. EVIDENCE: The staff tend to work alone on a 1:1 bases with the resident, but the staff member informed the inspector that there is always support at hand, and the team do met regularly. All staff undertake the EVH induction and training programme, which includes the Learning disability framework award (Ldfa) an award especially designed for staff working with people with learning disabilities, with progression onto NVQ qualifications. The team leader who had the overall responsibility of the home in the absence of a registered manager was not on duty during this inspection, and therefore all confidential files relating to staff were locked away and available for inspection. 51a Chapel Park Road H59-H10 S21408 51a Chapel Park Road V231384 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 & 43 The ethos and management of the home makes it and enjoyable place for the service user to live. He is safe in the home, being well maintained. EVIDENCE: At the present time the home is managed by the team leader, who also has the responsibility for the other upstairs flat which is supported living scheme for one male service user. The team leader confirmed at the last inspection that she would in time be making application to become the registered manager, however, this has not happened to date. The home was found to be conducted in an open and friendly manner with staff supported to carry out their roles. All health and safety documentation were in place, and records confirmed they were in order. 51a Chapel Park Road H59-H10 S21408 51a Chapel Park Road V231384 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 3 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 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 x x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 51a Chapel Park Road Score x x x x Standard No 37 38 39 40 41 42 43 Score 2 3 x x x x 3 H59-H10 S21408 51a Chapel Park Road V231384 190705 Stage 4.doc Version 1.40 Page 17 Are there any outstanding requirements from the last inspection? Yes 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 YA23 Regulation 16(2)(i)20 See Schedule 4 Requirement It is required that arrangements are made to secure the individuals finances and safe guard the resident and staff. With outcomes to secure control and choice over his monies and access to his personal financial records. The home should advocate on his behalf with support from his care. This a requirement from the last inspection 22/2/05. It is required that the Responsible Individual ensures that there is a registered manager in the home. This is a requirment from the last inspection 22/2/05. Timescale for action 1/12/05 2. YA37 8, 9 1/12/05 51a Chapel Park Road H59-H10 S21408 51a Chapel Park Road V231384 190705 Stage 4.doc Version 1.40 Page 18 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 YA22 Good Practice Recommendations It is recommended that the homes complaints books is in a format of a numbered page book, in which pages cannot be removed. Also it is recommended that when a complaint is made the complainant is acknowledged and informed of actions and outcomes. 51a Chapel Park Road H59-H10 S21408 51a Chapel Park Road V231384 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. 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