Inspection on 31/01/06 for 51a Chapel Park Road

This inspection was carried out on 31st January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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 3 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 19/07/05

51a Chapel Park Road 22/02/05

51a Chapel Park Road 12/10/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

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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 51a Chapel Park Road 51a Chapel Park Road St Leonards-on-sea East Sussex TN37 6JB Lead Inspector Jeanette Denereaz Unannounced Inspection 31st January 2006 13:00 51a Chapel Park Road DS0000021408.V270327.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 51a Chapel Park Road DS0000021408.V270327.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. 51a Chapel Park Road DS0000021408.V270327.R01.S.doc Version 5.0 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 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) East View Housing Management Ltd Sheena Swann Care Home 1 Category(ies) of Learning disability (1) registration, with number of places 51a Chapel Park Road DS0000021408.V270327.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum number of residents to be accommodated is one (1) Date of last inspection 19th July 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 DS0000021408.V270327.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, the second in the year running from April 1st 2005 to March 31st 2006. The inspection took place between 13.00 and 14.30. The overall focus of the inspection was to meet with the staff on duty and reviewing the progress of the requirements from the previous inspection, and a full tour of the home was undertaken. Unfortunately the service user in residence and the staff member on duty were not at home at the time of this inspection. The service user has a very full programme of activities and was out in the community. The inspector did meet with the service user at the last inspection, and he indicated clearly that he was totally satisfied with the care he was receiving from EVH. Also since the last inspection the team leader who had responsibility for the home has left, and in the interim period the manager from 51 Chapel Park Road is overseeing the home. Therefore time was spent with the manager, reviewing a number of records, policies, procedures, requirements from the previous inspection and other documentation As this report was made following the second unannounced visit, and does not cover all the standards, therefore for the reader to make a judgment about the home, it is recommended that a copy of the last inspection report of the 19th July 2005 also be obtained to have a clearer picture of the home. What the service does well: What has improved since the last inspection? What they could do better: 51a Chapel Park Road DS0000021408.V270327.R01.S.doc Version 5.0 Page 6 At previous inspections it was discussed and required that arrangements are made to secure the resident’s finances and safeguard the resident and the staff supporting him, with outcomes to secure control and choice over his monies and access to his personal financial records. The home should advocate or obtain the services of an advocate to act on his behalf, supported by his care manager. The inspector was informed that there has been a review meeting, and this issue was on the agenda, but the service user’s parents refused the discuss the matter. The staff must ensure that all visitors sign in the visitors book at all times, the inspector observed that her signature was the last in the book from her visit which was over six months ago. 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 DS0000021408.V270327.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 51a Chapel Park Road DS0000021408.V270327.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): The key standard 2 was inspected at the last inspection on the 19th July 2005 and was fully met. EVIDENCE: 51a Chapel Park Road DS0000021408.V270327.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): The key standards 6,7 & 9 were inspected at the last inspection on the 19th July 2005 and were fully met. EVIDENCE: 51a Chapel Park Road DS0000021408.V270327.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): The key standards 12,13,15,15 & 17 were inspected at the last inspection on the 19th July 2005 and were fully met. EVIDENCE: 51a Chapel Park Road DS0000021408.V270327.R01.S.doc Version 5.0 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 the following standard(s): 18,19 & 20 The service user’s health and care needs are very well managed and take into account his individual preferences and needs. EVIDENCE: The service user has a 1:1 service and lives in a flat alone, and all his personal support is tailored to his needs. The service user was not present at his inspection, but he was interviewed at the last inspection on the 19th July 2005, where he indicated that he was receiving the personal support as preferred. The young man has many hobbies and interests and it was evident he is supported to have a full and interesting life. The service user does not administer his own medication; the staff are all fully trained in the storing and administration of medication. The medication held in the home was inspected and found to be in order. 51a Chapel Park Road DS0000021408.V270327.R01.S.doc Version 5.0 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 the following standard(s): 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 Inspector continues to have concerns with the arrangements 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 or obtain the services of an advocate to act on his behalf, supported by his care manager. The inspector was informed that at the service user’s recent review meeting the arrangements for his personal financial was on the agenda, but his parents refused to discussed this matter. 51a Chapel Park Road DS0000021408.V270327.R01.S.doc Version 5.0 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 the following standard(s): 24 The key standard 30 was inspected at the last inspection on the 19th July 2005 and was fully met. EVIDENCE: At this inspection the inspector had a tour of the flat, and there were minor areas of maintenance that need attention, including the front door. The door had large gaps around the panelling, however, there is an inner door to the hallway and there were no drafts. If the door was to continue to deteriorate it could become unsafe and not secure. 51a Chapel Park Road DS0000021408.V270327.R01.S.doc Version 5.0 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 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): 35 The service user’s quality of life is enhanced by the support of an enthusiastic and trained staff team. EVIDENCE: The staff tend to work alone on a 1:1 bases with the resident, but the manager 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 as now left the service. The manger of 51 Chapel Park Road is over seeing the home, and has removed all the confidential files relating to staff to the locked facilities in 51 Chapel Park Road, she confirmed that she has undertaken supervision with the staff team. 51a Chapel Park Road DS0000021408.V270327.R01.S.doc Version 5.0 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 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 & 41 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, and his views are taken into account at all times. There is a need for all visitors are to sign the visitors book at all times to ensure the safety of the resident. EVIDENCE: At the present time the home is managed by the manager, of 51 Chapel Park Road who also has the responsibility for the other facility housed in the upstairs flat which is supported living scheme for one male service user. There is ongoing consultation between the CSCI and the Senior Management of EVH with regards to the registration of EVH managers. Part of the consultation has been the three services within 51 Chapel Park Road. The inspector signed in the visitor’s book, and found that her signature was the last person to sign in the book, when she visited the home over six months 51a Chapel Park Road DS0000021408.V270327.R01.S.doc Version 5.0 Page 16 ago; this indicates that visitors have not been the signing of the book since July 2005. The resident was not at home during this inspection, but there is evidence that his care plans and daily planner board meet his interests and wishes. He enjoys many hobbies and activities including watching videos and DVDs, playing the drums and working on a computer, and all the necessary equipment needed are available in the flat. 51a Chapel Park Road DS0000021408.V270327.R01.S.doc Version 5.0 Page 17 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 X X X X Standard No 22 23 Score X 1 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 51a Chapel Park Road Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score 2 X 3 X 2 X X DS0000021408.V270327.R01.S.doc Version 5.0 Page 18 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 Requirement Timescale for action 01/06/06 2. YA24 3. YA37 16(2)(i)20 It is required that arrangements Sch 4 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, or obtain the services of an independent advocate on his behalf with support from his care manager. This is a requirement from previous inspection. 13(4)(a) It is required that the 01/04/06 23(2)(a) responsible individual should 39h ensure the home is well maintained and safe, this to include the repair or replacement of the front door. 8, 9 It is required that the 01/06/06 Responsible Individual ensures that there is a registered manager in the home. This is a requirement from previous inspections. 51a Chapel Park Road DS0000021408.V270327.R01.S.doc Version 5.0 Page 19 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 YA41 Good Practice Recommendations It is recommended that the Responsible Individual ensure that all visitors sign the visitor’s book. 51a Chapel Park Road DS0000021408.V270327.R01.S.doc Version 5.0 Page 20 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 51a Chapel Park Road DS0000021408.V270327.R01.S.doc Version 5.0 Page 21 - 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. 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