Inspection on 27/02/07 for 57 Clarendon Villas

This inspection was carried out on 27th February 2007.

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 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

57 Clarendon Villas 04/02/09

57 Clarendon Villas 26/11/05

57 Clarendon Villas 28/05/05

57 Clarendon Villas 27/01/05

57 Clarendon Villas 26/05/04

57 Clarendon Villas 14/03/03

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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 57 Clarendon Villas Basement Flats Hove East Sussex BN3 3RE Lead Inspector Merle Blakeley Key Unannounced Inspection 27th February 2007 11:00 57 Clarendon Villas DS0000014152.V323689.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 57 Clarendon Villas DS0000014152.V323689.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. 57 Clarendon Villas DS0000014152.V323689.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 57 Clarendon Villas Address Basement Flats Hove East Sussex BN3 3RE 01273 774014 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) clarendonvillas@onetel.com Southdown Housing Association Limited Mr Anthony Lyons Care Home 2 Category(ies) of Learning disability (2) registration, with number of places 57 Clarendon Villas DS0000014152.V323689.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The number of people accommodated must not exceed 2 The people accommodated will be between the ages of 18 and 65 years Date of last inspection 26th November 2005 Brief Description of the Service: 57 Clarendon Villas is a detached house in a residential road in Hove, close to local shops. Buses pass near to the home, and the shops and train station are within easy walking distance. The accommodation for the people who live there is on the ground floor, this comprises of two individual flats. Each has a kitchen, bathroom, bedroom, and sitting room overlooking the front of the house. Each flat has access to the staff sleep-in room. The service is one of several homes in the area run for people with learning disabilities by Southdown Housing Association. There is a small amount of front garden, and, to the rear of the property, the area is concreted. The patio is used in good weather for barbeques. There is a wooden, garden swing seat, herb garden and shed available to the people who live there. The current fees range from £1,500 to £2,00 per week. 57 Clarendon Villas DS0000014152.V323689.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection was carried out over a period of six and a half hours on 27th February 2007. As well as this site visit information was also gained from a returned pre-inspection questionnaire, one residents feedback survey form, attending a staff meeting, informal talks with three staff and the deputy manager and spending time with one of the residents, which included an outing out in Brighton. Document reading was also carried out and a health and safety check was conducted. Staff were also observed interacting with the residents. The deputy manager facilitated the entire inspection. What the service does well: What has improved since the last inspection? What they could do better: No requirements were made during this inspection. 57 Clarendon Villas DS0000014152.V323689.R01.S.doc Version 5.2 Page 6 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. 57 Clarendon Villas DS0000014152.V323689.R01.S.doc Version 5.2 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 57 Clarendon Villas DS0000014152.V323689.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Prospective residents will have their needs assessed. EVIDENCE: Before a potential resident moves into the home an assessment of their needs is carried out. The service has a detailed pre-assessment checklist, which is completed by the manager. The home will incorporate assessments carried out by the person’s social worker plus any relevant information from other professional workers who also have knowledge of the person. During the last inspection the home was required to carry out assessments on both residents by suitably qualified persons. Social workers have now been involved with resident’s reviews and separate reviews of their placements have also been carried out to ensure that the home continues to meet their needs. Both residents have lived at this home for seventeen years. 57 Clarendon Villas DS0000014152.V323689.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Residents receive one to one care and their individual needs and choices are met by the staff team. Staff help residents to achieve a fulfilling lifestyle. EVIDENCE: Residents support plans were viewed and they contained informative and relevant information about how each individual person will have their needs met by the staff. The plans are person centred and where possible the home tries to involve the resident’s families and friends. Reviews of these plans are carried out regularly. Detailed risk assessments have also been produced so that residents are adequately supported in all areas of their lives. Three staff did state that Southdown Housing is very good at looking at each resident’s particular needs. 57 Clarendon Villas DS0000014152.V323689.R01.S.doc Version 5.2 Page 10 As both residents have very limited communication skills, staff were asked how residents make their own decisions and choices. It was stated that both residents make their feelings known by their body language and how they display their feelings. One resident has some verbal communication but the other does not. He has pictorial photos and he makes his choices via these pictures. He also made the decision he did not want to attend a day care centre anymore and the staff respected his decision and he now chooses what he would like to do with staff each day. The staff team appeared very knowledgeable about each resident’s personal needs and goals. Where possible each resident is supported to be as independent as possible. Residents are encouraged to help with the preparation of their meals and generally help with everyday household tasks around their flat. 57 Clarendon Villas DS0000014152.V323689.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Both residents are out and about in the community and enjoy a their own personal activities programme. EVIDENCE: Residents support plans showed that they are provided with a good level of activities. Each resident has his own programme for the week, one of the residents attends a day centre four days a week and he is also enthusiastic about going out to attend other activities during the day. Staff were knowledgeable about his likes and dislikes and his activities are centred around the things he likes to do. The other resident is very selective about who he goes out with for his activities. He enjoys trips out in the car, swimming, shopping etc. On the day of the inspection the resident had chosen to go for a drive and have a take away lunch. The inspector was able to join the resident and a staff member on this trip out to The Marina. It was evident that the resident enjoyed this trip out and the staff member stated that he was at his happiest when he was out and about. Both residents are offered holidays but 57 Clarendon Villas DS0000014152.V323689.R01.S.doc Version 5.2 Page 12 only one of them likes to go away from the home. This resident is supported by two staff throughout the holiday. Both residents are out in the local community on a daily basis. Relationships with family and friends are supported and encouraged where possible. The parents of one of the residents visit him once a week and they also attend his reviews. He also goes home to stay with them during the year. The other resident has irregular visits from his family. The deputy manager said that they recognised how important it was for the residents to maintain family links. He also stated that resident’s rights and their well-being was acknowledged and respected by staff. Both residents have their meals cooked by the staff. Staff support the residents where possible to assist with preparing the meals. Menus are decided by the residents themselves and staff said they felt that the residents received a well balanced diet. One of the residents is on a special diet and staff are very aware of certain foods he is unable to eat. A menu plan was viewed and it appeared to contain a good balance of meals with some take away food included. The other resident knows exactly the kinds of foods he likes and these are all included in his weekly menu. The staff try to ensure that he retains a healthy, balanced diet, as he is prone to liking high calorific foods. The staff team records menus and foods eaten. 57 Clarendon Villas DS0000014152.V323689.R01.S.doc Version 5.2 Page 13 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): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Both residents receive the type of personal support they prefer. Their healthcare needs appear well met. EVIDENCE: Both residents are supported with their personal care in the way that they prefer. Residents are assisted with their baths but they are given time to have their own personal space in the bathroom. Staff try to be as unobtrusive as possible but not be so far away that they cannot assist a resident immediately if it was required. Records showed that both residents have access to several healthcare professionals. Staff stated that they were very sensitive towards any sense of ill being in residents. One of the residents was recently supported to attend a dental appointment. He also sees an optician and speech therapist. The other resident has more specific health needs and staff are vigilant with his healthcare needs. Staff have learnt how to recognise if a certain medical condition is troubling him and how to respond to it. He also sees a physiotherapist, optician, dentist and dietician. Both residents have recently 57 Clarendon Villas DS0000014152.V323689.R01.S.doc Version 5.2 Page 14 undergone thorough health checks. It would be recommended that both residents see a chiropodist to ensure that their feet remain healthy. One of the residents required hospitalisation not long ago, as he became unwell. A staff member was on hand at all times to support him. Resident’s medications are stored securely in their flats and staff administer them. The inspector viewed the medication records and there were no discrepancies. Staff have received training in the safe administration of medicines. 57 Clarendon Villas DS0000014152.V323689.R01.S.doc Version 5.2 Page 15 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): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home policies and procedures protect vulnerable adults. EVIDENCE: The home has produced a complaints policy and procedure. The homes complaints file was looked at and there were no entries. The deputy manager said that a family questionnaire goes out annually, which includes a section about any concerns or complaints. Staff also felt that as they knew both residents so well they would know if either of them was not happy about something, as their displeasure would be reflected in their behaviour towards them. A returned survey also indicated that family members knew how to make a complaint. The home has an adult protection and whistle blowing policy and procedure. There have been no adult protection alerts. All staff have received training in the protection of vulnerable adults. The staff look after resident’s finances. These records were looked at during this visit. The home appears to have a good procedure to track and record resident’s finances. Staff carry out a check each evening to ensure that residents finances are correct at the end of the day. Staff also keep a record of bonus shopping points each resident has. 57 Clarendon Villas DS0000014152.V323689.R01.S.doc Version 5.2 Page 16 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): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in their self-contained own flats. EVIDENCE: During this visit both of the flats were viewed. Each flat has been modified to cater for each resident’s particular needs. Some items within the flat are secured for the health and safety of each resident. A new fridge has been ordered for one of the flats as the current one has become rusty on the bottom of the door. Some cupboard areas in the kitchen require repairing and this is also being organised by the home. The décor in one of the resident’s bedrooms is looking in need of refreshing. Overall the flats were found to be clean and tidy. 57 Clarendon Villas DS0000014152.V323689.R01.S.doc Version 5.2 Page 17 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): 32, 34 & 35 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home has a caring, skilled and committed staff team EVIDENCE: The current staff team have remained relatively stable and they are competent and qualified to support the needs of the residents. The inspector was able to attend part of the staff meeting during the morning and then speak with three staff in the afternoon. Staff were very knowledgeable about each of the residents needs and they appeared to work together well as a team. A large percentage of the staff team have been working at this home for a number of years. Staff who were spoken all stated that they felt the home was well run and that they felt well supported in their roles. There are nine permanent staff who work in the home on a full time and parttime basis. Over 50 of them have obtained their NVQ Level 3 qualification. Another staff member is due to complete this training shortly and another is due to commence training in April 2007. 57 Clarendon Villas DS0000014152.V323689.R01.S.doc Version 5.2 Page 18 Staff recruitment files could not be viewed, as Southdown Housing Association retains all personnel files at their Head Office. A checklist pro-forma sheet has been designed to record which checks have been carried out on each staff member e.g. CRB checks, references, proof of identity. Three of these forms were viewed. Staff were asked about the level of training they received and all responded very positively and said that as a company Southdown Housing Association provided an excellent level of training for staff. Staff training records were viewed and staff have had access to wide variety of training such as mental health, active support, advanced autism, crisis intervention, food hygiene, fire training, medication and the protection of vulnerable adults. Staff spoken to also said that they received regular supervision sessions and regular staff meetings were held. During the day staff were seen to communicate with residents in a caring and supportive manner. 57 Clarendon Villas DS0000014152.V323689.R01.S.doc Version 5.2 Page 19 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): 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run in a friendly and professional manner. The home continues to ensure the health and safety of both residents and staff. EVIDENCE: On the day of this visit the registered manager was on annual leave. He has been the manager of the home for the past six years and he holds NVQ Level 4 and the Registered Managers Award (RMA). The staff team were asked as to whether they felt supported by the manager and all stated that they did, one staff member said he provided ‘calm and service user focussed’ care to the people who lived at 57 Clarendon Villas. The staff on duty were very helpful and the deputy manager facilitated the inspection. 57 Clarendon Villas DS0000014152.V323689.R01.S.doc Version 5.2 Page 20 The home has a quality assurance programme, which includes seeking feedback from relatives on an annual basis. The home might also wish to try to gain feedback from other professionals who are involved with the residents care on a regular basis. The area manager carries out monthly Regulation 26 visits. Staff also hold an ‘in-house’ annual monitoring day where certain standards are reviewed to see if there are any areas that could be improved. Southdown Housing Association carries out various other internal audits. A health and safety check was carried out during this visit and no issues were raised. As in all other Southdowns Association homes the manager is responsible for carrying out ‘walk through’ monthly checks, which cover areas such as fire safety, security equipment, the homes vehicle, appliances, evacuation plan and outdoor areas. Each resident has their kitchen checked on a weekly basis plus smoke detectors and carbon monoxide checks. The home has produced a very thorough fire risk assessment. Fire drills are carried out every six months and staff have received training in fire safety, safe food handling, manual handling and first aid. 57 Clarendon Villas DS0000014152.V323689.R01.S.doc Version 5.2 Page 21 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 3 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 4 33 X 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X 57 Clarendon Villas DS0000014152.V323689.R01.S.doc Version 5.2 Page 22 NO 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. 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 57 Clarendon Villas DS0000014152.V323689.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 57 Clarendon Villas DS0000014152.V323689.R01.S.doc Version 5.2 Page 24 - 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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