Inspection on 14/06/05 for 54 Somerville Gardens

This inspection was carried out on 14th June 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 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

54 Somerville Gardens 14/06/07

54 Somerville Gardens 23/02/06

54 Somerville Gardens 25/01/05

54 Somerville Gardens 04/10/04

54 Somerville Gardens 28/01/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Somerville Gardens (54) 54 Somerville Gardens Leigh-on-Sea Essex SS9 1DF Lead Inspector Sarah L Meddle Unannounced Tuesday 14 June 2005 at 9.10am th 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. Somerville Gardens (54) I56 S15476 Somerville Gdns V232065 140605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Somerville Gardens (54) Address 54 Somerville Gardens Leigh on Sea Essex SS9 1DF 01702 480473 01702 480473 H.3046@mencap.org.uk Royal Mencap Society 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) Mrs Angela Armstrong CRH Care Home 6 Category(ies) of LD Learning Disability (6) registration, with number of places Somerville Gardens (54) I56 S15476 Somerville Gdns V232065 140605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Adults with a learning disability aged 18 -65. Number six (6). Date of last inspection 25th January 2005 Brief Description of the Service: 54 Somerville Gardens provides care for up to six adults with learning disabilities. The premises consist of a large detached house in a residential street in Leigh on Sea. There are five bedrooms on the first floor and one on the ground floor. There are plans for one service user to move to the large downstairs office and the office to be moved upsatirs. There is a bathroom and toilet ion the first floor, and a shower and toilet on the ground floor. There is a large kitchen and living/dining room. The garden is adequately sized. The home is within easy walking distance to the local shops and public transport. The home has pleasant sea views. Somerville Gardens (54) I56 S15476 Somerville Gdns V232065 140605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was a routine unannounced visit to the home and took place when three residents (service users) and two staff were available. The visit lasted throughout the morning and lunchtime period. The house was toured which included the living/dining room, kitchen, bedrooms and two people living in the home were chatted with. The registered manager and another member of staff were on duty. What the service does well: What has improved since the last inspection? What they could do better: The home needs to carry out a good method of getting views of all people involved at the home including residents at the home, staff, GP, Nurse, day service staff, for example via a Quality Assurance system. They should make sure all residents at the home are given a copy of a new contract – these have up to date information relating to room occupancy, care planning and so on and have relevance to the National Minimum Standards that are expected in a Care Home for Adults with Learning Disabilities. Somerville Gardens (54) I56 S15476 Somerville Gdns V232065 140605 Stage 4.doc Version 1.30 Page 6 The organisation and manager have been told about these two things on a number of visits by the CSCI and it is hoped that this will be dealt with before the next routine inspection. 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. Somerville Gardens (54) I56 S15476 Somerville Gdns V232065 140605 Stage 4.doc Version 1.30 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 Somerville Gardens (54) I56 S15476 Somerville Gdns V232065 140605 Stage 4.doc Version 1.30 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, 4 and 5 54 Somerville Gardens provides effective information for prospective service users to decide whether the home can meet their needs. Assessments are detailed and reflect the needs of the service users. EVIDENCE: The home provides information to prospective service users about the services and facilities available at Somerville Gardens. One person interested in moving into the home has already visited the home. They have gone for a meal with one service user and one staff. Service users have been consulted on their opinions of the prospective resident and whether they think the person could move in. A revised statement of purpose reflecting that there is a service user aged over 65 has been developed and sent to the CSCI, although the Manager was unable to locate this during the inspection. All service users living at the home have been provided with a statement of terms and conditions called a Licence Agreement although none of these reflect the new National Minimum Standards for adults in care homes. Somerville Gardens (54) I56 S15476 Somerville Gdns V232065 140605 Stage 4.doc Version 1.30 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 and 10 The home effectively supports service users to control the decisions in their lives. Service users are encouraged to maintain their independence within an effective risk managed process. Paperwork is up to date and relevant. EVIDENCE: It was pleasing to note that the home demonstrated that service users are involved in all aspects of the running of the home. The home has secured the services of an advocate to support service users make decisions in their lives. This includes one service user who is planning to move to a downstairs bedroom. The plan to enable a prospective service user to move in has included the views of the current group of resident service users being taken into consideration. One service user spent time presenting their person centred plan for inspection and discussing the contents showing personal photographs of family and of them enjoying various activities. This service user discussed the process as the ‘keyworker sits with you and talks you have a cup of tea and write down likes and what you can do’. Somerville Gardens (54) I56 S15476 Somerville Gdns V232065 140605 Stage 4.doc Version 1.30 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 and 17 The home effectively enables service users to maintain appropriate and fulfilling lifestyles. Nutritious and varied meals are available. Appropriate paperwork is in place and well kept. EVIDENCE: Service users at the home attend formal day services and adult education classes to study subjects such as reading, writing and painting for example, if they wish. Staff at the home support their attendance should this be required. One service user spoken with stated they enjoy socialising at a local PHAB club, going out for lunch and is on the waiting list to start horse riding. Family and friends are made welcome and relationships are encouraged and supported. Meals provided are of good quality and relevant records are kept. The menus are devised on a daily basis depending on service user choice. Special diets are well catered for. Somerville Gardens (54) I56 S15476 Somerville Gdns V232065 140605 Stage 4.doc Version 1.30 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 and 20 54 Somerville Gardens provides good personal and healthcare support to individuals living at the home. Where possible service users are supported to maintain independence and autonomy regarding this. Paperwork to evidence good work by staff is well maintained. EVIDENCE: Documents held for each service user was well kept and showed that the home supports the service users with their personal and healthcare needs, this includes documenting health care appointments and of any changing needs such as progressing confusion or dietary advice for example. It was clear that staff at the home are aware and alert to any changes in service users healthcare needs and contact the relevant people to assist such as social workers and advocates. The home has a key worker system in place and service users can choose the member of staff where practicable. Two service users are encouraged to sign their own medication administration record (MAR) sheets but none currently retain their medication. MAR sheets were well maintained. Somerville Gardens (54) I56 S15476 Somerville Gdns V232065 140605 Stage 4.doc Version 1.30 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 and 23 The home responds well to service users comments and assures service users that they will be safeguarded from harm, abuse or neglect. EVIDENCE: The home maintains a complaint log. A recent complaint made by a service user has been resolved satisfactorily. No complaints have been received by the CSCI. The Manager has recently attended training in protection of vulnerable adults and other staff are booked to attend. The Manager stated she was confident that staff were aware of signs and symptoms of abuse. Somerville Gardens (54) I56 S15476 Somerville Gdns V232065 140605 Stage 4.doc Version 1.30 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, 28, 29 and 30 The home provides sufficient space and facilities to meet service user needs. EVIDENCE: The home is presented as clean and attractive. Service users are encouraged to decorate and furnish their rooms according to their own wishes. There are plans to change the downstairs office into a bedroom and move the office upstairs. There are a few alterations the home wishes to put in such as a wash hand basin and move the call system upstairs. This change will enable staff to have their own washing and changing facilities. Somerville Gardens (54) I56 S15476 Somerville Gdns V232065 140605 Stage 4.doc Version 1.30 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) 32, 33, 34, 35 and 36 The home provides and maintains an effective staff team, which demonstrates the ability to meet the stated purpose of the home and meets the needs of the service users who live at the home. EVIDENCE: The core team of staff have worked at the home for some time. One new member of staff started at the beginning of June. Paperwork for this person was in good order. Whilst the new member of staff has had no previous experience, they appear to have settled in well and is motivated and booked on training. Supervision of staff takes place every six weeks. The manager confirmed that she also receives supervision. Training opportunities are good and staff are booked onto various courses such as first aid, people moving people loads, epilepsy and fire safety for example. Somerville Gardens (54) I56 S15476 Somerville Gdns V232065 140605 Stage 4.doc Version 1.30 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, 39, 40, 41, 42 and 43 The Manager and staff ensures that the home continues to fulfil its stated aims and objectives. The general running of the home is inclusive and based on the needs and wishes of the service users. Policies and procedures are explicit of the organisations expectations of the management of paperwork. The home has not undertaken gathering the views of all interested people in the conduct of the home and service delivery. EVIDENCE: It was clear that the home is well run and that health, safety and welfare of the service user is maintained. Records are well maintained on each individual service user reflecting visits to health care professionals, for example. Good safety practices were apparent such as clear fire exits, safety signs and relevant documents well maintained. Somerville Gardens (54) I56 S15476 Somerville Gdns V232065 140605 Stage 4.doc Version 1.30 Page 16 Quality assurance monitoring has taken place by the organisation covering the management and organisation of the home. This has not included the views of interested parties such as family members or the service users day service provider and health care professionals for example. The Manager explained that she is in discussion with a senior Manager within the organisation and that a quality review will be carried out in the near future with a report of the findings made available. Somerville Gardens (54) I56 S15476 Somerville Gdns V232065 140605 Stage 4.doc Version 1.30 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 3 3 x 3 2 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 x 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 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 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Somerville Gardens (54) Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 1 3 3 3 3 I56 S15476 Somerville Gdns V232065 140605 Stage 4.doc Version 1.30 Page 18 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA5 Regulation 5 Timescale for action Service users to be provided with 31/12/05 up to date contract/terms and conditions reflecting National Minimum Standards. 30/10/05 Implement and maintain an effective system of quality maintaining for reviewing and improving the quality of care provided and conduct of the home. A report of the findings to be available to interested parties and a copy to be sent to the CSCI. This is a repeat requirement. Requirement 2. YA39 24 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. Refer to Standard YA32 YA37 Good Practice Recommendations 50 of care staff to be trained to NVQ Level 2 by 2005. The Manager to achieve NVQ Level 4 in Care by 2005. Somerville Gardens (54) I56 S15476 Somerville Gdns V232065 140605 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection Kingswood House Baxter Avenue Southend-on-Sea SS2 6BG 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 Somerville Gardens (54) I56 S15476 Somerville Gdns V232065 140605 Stage 4.doc Version 1.30 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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