CARE HOME ADULTS 18-65
Somerville Gardens (54) 54 Somerville Gardens Leigh On Sea Essex SS9 1DF Lead Inspector
Valerie Buckle Unannounced Inspection 23rd February 2006 11:00 Somerville Gardens (54) DS0000015476.V283840.R01.S.doc Version 5.1 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.V283840.R01.S.doc Version 5.1 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.V283840.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Somerville Gardens (54) Address 54 Somerville Gardens Leigh On Sea Essex SS9 1DF 01702 480473 01702 480473 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) www.mencap.org.uk Royal Mencap Society 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.V283840.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 14th June 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 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.V283840.R01.S.doc Version 5.1 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 over two hours and thirty minutes. The registered manager assisted in the process of the inspection and three residents talked about their life living at the home. A tour of the house took place and time was spent looking at some records and documents. The two requirements from the last inspection had been mentioned and the two good practice recommendations are being processed. What the service does well: What has improved since the last inspection? What they could do better:
The broken cupboard doors in the kitchen need to be repaired. The bath panel is shabby and needs to be repainted, planned improvements to the home include putting the Service Users Guide onto a DVD, as well ass written, with photographs and person-centred information about the house. Somerville Gardens (54) DS0000015476.V283840.R01.S.doc Version 5.1 Page 6 A new file with the residents’ profiles and which includes everything about the home has been implemented, this is to be used for staff induction and residents. 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) DS0000015476.V283840.R01.S.doc Version 5.1 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 Somerville Gardens (54) DS0000015476.V283840.R01.S.doc Version 5.1 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): 3,5 54 Somerville Gardens provides effective information for prospective residents to decide whether the home can meet their needs and aspirations. Assessments are detailed and reflect the needs of the residents. All residents are provided with a contract and statement of terms and conditions within the home. EVIDENCE: The home provides information to prospective residents about the services and facilities available. Prospective residents visit the home several times, stay to tea, meet the other residents living at the home and stay for a weekend before making a decision about living there. All the residents living at the home are involved in this process and consulted on their opinions whether they think the new resident could fit in. All the residents living at the home have been provided with a revised terms and conditions and contract with the home which reflect the new Minimum Standards for adults in care homes. Residents’ contracts were signed and dated. Somerville Gardens (54) DS0000015476.V283840.R01.S.doc Version 5.1 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): 9 Residents are supported to take risks as part of an independent lifestyle. EVIDENCE: It was evident that residents are involved in all aspects of running the home. Two residents living at the home have participated in risk assessment training accompanied by three staff and all received certificates. Residents expressed that they enjoyed the day and will be involved in the process of future training courses. All risk assessments seen had been revised and updated. One resident’s file evidenced a number of risk assessments, one of which included behaviour monitoring and strategies for staff on how to deal with issues arising which arise sometimes throughout the night. Staff discuss residents’ needs at regular staff meetings and risk assessments are reviewed as needs of residents change. Two residents spent time showing their person-centred plans and discussing the contents which showed personal
Somerville Gardens (54) DS0000015476.V283840.R01.S.doc Version 5.1 Page 10 family photographs and of them involved in various activities and visits to places of interest. Somerville Gardens (54) DS0000015476.V283840.R01.S.doc Version 5.1 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): These standards were all met at the last inspection. EVIDENCE: These standards were not inspected at this inspection but it was evidenced during the process of inspection that the atmosphere in the home was very relaxed, friendly and person-centred, two residents were seen completing daily tasks and then listening to music, singing along to the music and dancing, both residents appeared very settled and commented that they were very happy and comfortable living at the home and said staff were kind and friendly. Another resident relaxing in her room watching TV said she liked to spend time quietly in her room and expressed that she is very happy living at the home, said the staff are very kind and caring and she is satisfied with her lifestyle. Somerville Gardens (54) DS0000015476.V283840.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 21 A procedure is in place for dealing with death and dying and supporting residents who are ill. EVIDENCE: The organisation has a policy and procedure in place for death and dying and supporting residents who are ill. The policy of the home is to provide extra care and support in times when residents are ill and staff support them back to good health. The manager of the home gave examples of two residents who became ill and extra support was given in washing, dressing, feeding and encouraged by staff for a number of months until they both recovered and were able to maintain their regular routines and lifestyles. Somerville Gardens (54) DS0000015476.V283840.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were assessed and met at the last inspection. EVIDENCE: It was noted that during the course of the inspection a notifiable incident which occurred in January 2005 was raised and discussed which concerned a new member of staffs’ misuse of work-time. This incident has been reported to the Commission. The matter has been investigated by an independent manager and an action plan is in place. Somerville Gardens (54) DS0000015476.V283840.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were assessed and met at the last inspection. EVIDENCE: It was noted that since the last inspection, plans have taken place and the office has moved upstairs, and a less able resident downstairs to the large room which was the office. The resident spoken to said she was very happy about the move and liked her new bedroom. During the course of the inspection two improvements were identified, the bath panel was shabby, the paintwork was chipped, this will need repainting, and the broken cupboard doors in the kitchen need repairing. The home continues to provide a comfortable place to live and was seen to be clean, furnished and well maintained. Somerville Gardens (54) DS0000015476.V283840.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were assessed and met at the last inspection. EVIDENCE: It was noted that at least 50 of staff, including the manager, are working on NVQ training. Training is planned for new staff which includes POVA, protect and respect, and respond and respects. The manager of the home continues to manage the home well and ensures the residents are kept safe and well. Somerville Gardens (54) DS0000015476.V283840.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 The home is well run and the manager fully involves the residents in the development of the home. EVIDENCE: The home has undertaken a quality assurance monitoring programme which covers the management and organisation of the home. This includes the views of the residents, their families, and professionals involved in the care of the residents, a quality review has been carried out and a report of the findings is available. Residents living at the home are fully involved in the running of the home and are consulted and enabled to live an independent lifestyle with support of staff. Somerville Gardens (54) DS0000015476.V283840.R01.S.doc Version 5.1 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 X 3 3 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X 3 X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X 3 X X 3 X X X X Somerville Gardens (54) DS0000015476.V283840.R01.S.doc Version 5.1 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. 1 2 Standard YA1 YA1 Regulation Requirement Timescale for action 30/04/06 30/04/06 24(i) Repaint bath panel. 23(o) (10) 24(i) Repair cupboard doors in kitchen 23(o) (10) 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.V283840.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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