Inspection on 14/06/07 for 54 Somerville Gardens

This inspection was carried out on 14th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

54 Somerville Gardens 23/02/06

54 Somerville Gardens 14/06/05

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 Hannington Unannounced Inspection 14th June 2007 09:45 Somerville Gardens (54) DS0000015476.V341266.R01.S.doc Version 5.2 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 Somerville Gardens (54) DS0000015476.V341266.R01.S.doc Version 5.2 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. Somerville Gardens (54) DS0000015476.V341266.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Somerville Gardens (54) Address 54 Somerville Gardens Leigh On Sea Essex SS9 1DF 01702 480473 F/P 01702 480473 H3046@mencap.org.uk www.mencap.org.uk Royal Mencap Society 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) Mrs Angela Armstrong Care Home 6 Category(ies) of Learning disability (6), Learning disability over registration, with number 65 years of age (6) of places Somerville Gardens (54) DS0000015476.V341266.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd February 2006 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 six bedrooms at the home, four are on the first floor, a planned move has taken place and two residents bedrooms are now on the ground floor. The office has been moved upstairs to the first floor. There is a bathroom and toilet on 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) DS0000015476.V341266.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The site visit was a key unannounced inspection and took two hours to complete. This visit looked at all the key standards and the two requirements made from the last inspection. Prior to this surveys were sent out by CSCI to relatives, residents, GP, consultant, staff and anyone else who came into contact with the home. A further hour was spent gathering information from these surveys. A number of documents were looked at during the site visit and random samples of records, policies and procedures were inspected. During the inspection three residents were spoken with and one member of staff. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Somerville Gardens (54) DS0000015476.V341266.R01.S.doc Version 5.2 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Somerville Gardens (54) DS0000015476.V341266.R01.S.doc Version 5.2 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Assessments are in place and to a good standard. EVIDENCE: All residents at Somerville Road have been in placement for some years and no recent admissions have taken place. Paperwork evidenced that all aspects of an individuals life are taken into consideration whilst assessing, additionally there was evidenced to suggest that consultation had gone ahead with individual residents. Care plans reflected assessments. Somerville Gardens (54) DS0000015476.V341266.R01.S.doc Version 5.2 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6,7,8, and 9. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is excellent in promoting individual residents to be proactive in choice allowing them to some extent to mould the service they receive and how the home operates according to their individual needs. EVIDENCE: Care plans evidenced that each section had attached a format written in the preference of the individual in this case it had been the use of photographs and pictures. Individual residents had signed for these pieces of work and been encouraged to make comments about that particular aspect of their care plan or assessment in a section provided marked ‘any other comments.’ Which they actively did make comments and requests. Ongoing reviews of risk assessments were evident and in one resident file a thorough fire risk assessment was in place. This consisted of a layout of the home using photographs to identify different areas, fire exits and gave the individual a good understanding of the risks and procedures expected. Risk assessments were from a positive point of view trying to encourage and enable individuals rather than being restrictive and if individuals cold not carry out certain tasks due to safety, then an infringement of rights would be put into Somerville Gardens (54) DS0000015476.V341266.R01.S.doc Version 5.2 Page 9 place. In past inspections and speaking with individual clients it was evident that they had been included in training alongside the staffing group. Residents also confirmed that they had interviewed for new staff in the past. Additional to care plans, pieces of work containing life histories are in place and are based on person centred planning. Within the office area a poster the home has reminder to staff that this work was ‘live and on going’ rather than a piece of work completed and finished. Paperwork held in general for residents was individualised and reflective of how people want and chose to live their lives. Somerville Gardens (54) DS0000015476.V341266.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,15,16 and 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Each individual of the home has access to good varied activities that is built into their week and weekends. Contact with family and friends are encouraged. Meals, choice of foods and dietary requirements are to a good standard. EVIDENCE: All individuals within the home used the local community on a daily basis and activities were arranged around ordinary pursuits available to any of the general public and the more traditional services and clubs available. It was nice to note that some residents considered themselves retired and that staff respected this choice but is still creative in finding interesting leisure pursuits for them to access. Three residents spoken with on the day of inspection felt that they had their wishes respected in terms of achieving their goals and wishes. All of the residents go on regular individualised breaks away from the home ranging from visits abroad, concerts at Wembley and weekends away at holiday camps. All residents are encouraged to invite friends round for meals and staff ensure that residents who have family (not necessarily near by) have Somerville Gardens (54) DS0000015476.V341266.R01.S.doc Version 5.2 Page 11 the chance to visit as much as possible. Overall the residents of Somerville Road lead a varied and full life. All residents are encouraged to partake in the daily routines of the home and awareness is raised as to why tasks are carried out. Some residents have been on training courses alongside staff and all residents have a 1-1 day with staff to encourage daily life skills. Meals are to a good standard and residents informed me that meals are what they chose and liked. Residents spoken with informed me that they opened their own mail and that they had phones available to make calls in private. Somerville Gardens (54) DS0000015476.V341266.R01.S.doc Version 5.2 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18,19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides good personal and healthcare support to individuals living at the home. The home has a good medicines procedure in place. EVIDENCE: Documentation evidenced that resident’s views in how they wish to be supported with personal care are recorded. Residents spoken with informed me that they had choice in when and how they chose to do things. The home has a key worker system in place and service users can choose the member of staff they wish to work with. Good policy, procedures and guidelines are in place for medication. The home administers resident’s medication and residents spoken with informed me that they preferred this. Medications were booked in and disposed of correctly and MAR sheets were well maintained with no admissions. Any changes to medication are thoroughly checked using GP’s and consultants and having appropriate documentation in place to evidence this. Somerville Gardens (54) DS0000015476.V341266.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home has an excellent approach to complaints and how to enable individual residents to comment on issues within the home. The home is seen to promote the protection of residents within Somerville Road. EVIDENCE: Alongside a good homes policy and procedures around complaints, within individual’s folders a complaints procedure in a user-friendly format was in place and signed for by the individual. Additionally the home has devised a sheet called ‘Grumbles’ in which any concerns, unhappiness or worries are recorded and addressed, and this could be to do with any issue within the home. These ‘grumbles’ are either responded to by a member of staff or taken to a staff or residents meeting, or an official complaint maybe recorded whichever action would be appropriate to resolve and deal with the issue in hand. These sheets were actively used and evident that the home was proactive in listening and seeking individual’s views on how they felt about issues within the home. Residents spoken with were clear about how to complain and felt staff took their concerns seriously. The home is clear in its responsibilities regarding any POVA (protection of vulnerable adults) issues. The member of staff spoken with on the day on inspection was aware of procedures relating to protection and induction incorporated core training and basic protection training information. Additionally they were booked on a POVA training course. Somerville Gardens (54) DS0000015476.V341266.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides good space and facilities to meet resident’s needs. EVIDENCE: The home is odour free, clean, homely, attractive and well maintained. Residents are encouraged to decorate and furnish their rooms according to their own wishes. General redecoration and renewal of paintwork is needed in communal areas. Somerville Gardens (54) DS0000015476.V341266.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32,34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides and maintains an effective staff team. EVIDENCE: The member of staff on duty during the site visit has been in post for six months. Through discussion they evidenced that the homes recruitment process, inductions are to a good standard. Before being offered a post a CRB and all necessary checks had been obtained. Induction is to a good standard and shadowing the more established members of the team is part of this process. Residents informed me that they had ‘sat on’ in staff interviews to help select new members of staff. The home has achieved its 50 of staff NVQ trained. Core training was evident as on going, as was ‘client led’ specialised and POVA (protection of vulnerable adults) training. The majority of the team have worked at the home for some time. Supervision takes place every six weeks, team meetings and handovers are all regular and in place. Somerville Gardens (54) DS0000015476.V341266.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is able to provide and demonstrate a clear vision and good understanding of the principles of care. EVIDENCE: Somerville gardens is a well run home which is inclusive of residents views and wishes. The home actively supports residents to be part of the way in which the service continues to mould itself. Residents spoken with informed me that they felt they are encouraged to be part of the decision-making and felt they were listened to. The health and safety of both residents and staff are maintained to a high level. Somerville Gardens (54) DS0000015476.V341266.R01.S.doc Version 5.2 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 4 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 4 X X 3 X Somerville Gardens (54) DS0000015476.V341266.R01.S.doc Version 5.2 Page 18 Are there any outstanding requirements from the last inspection? NO 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Somerville Gardens (54) DS0000015476.V341266.R01.S.doc Version 5.2 Page 19 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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) DS0000015476.V341266.R01.S.doc Version 5.2 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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