Inspection on 04/02/09 for 57 Clarendon Villas

This inspection was carried out on 4th February 2009.

CSCI found this care home to be providing an Excellent service.

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 27/02/07

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

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

Extracts from inspection reports are licensed from CQC, this page was updated on 20/07/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 57 Clarendon Villas Basement Flats Hove East Sussex BN3 3RE     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Nigel Thompson     Date: 0 4 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 27 Information about the care home Name of care home: Address: 57 Clarendon Villas Basement Flats Hove East Sussex BN3 3RE 01273774014 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : clarendonvillas@onetel.com Southdown Housing Association Ltd care home 2 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: 2 The maximum number of service users to be accommodated is 2. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD). Date of last inspection Brief description of the care home 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 Care Homes for Adults (18-65 years) Page 4 of 27 Brief description of the care home £2,000 per week. Care Homes for Adults (18-65 years) Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This key unannounced inspection took place over three and a half hours in February 2009. All of the key National Minimum Standards that were assessed were found to have been met and the outcomes for residents (tenants) and overall quality of care provided was excellent. A residents relative spoken with, as part of the inspection process, expressed satisfaction with the home, the staff and the service provided. The purpose of this inspection was to monitor care practices at the home and the focus was on the quality of life and outcomes for people who live at the home. Care Homes for Adults (18-65 years) Page 6 of 27 On the day of the inspection there were two residents living at the home. The inspection itself involved a tour of the premises, observation of working practices, examination of the homes records and discussion with one resident, one residents relative, two members of staff and the Registered Manager. Information received in the Annual Quality Assurance Assessment (AQAA) and responses from a CSCI service users survey, regarding their views on the home and quality of care provided, now form part of the inspection process and have also been included in this report. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 27 Care Homes for Adults (18-65 years) Page 9 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The thorough admission policy and procedure ensures that residents are admitted only on the basis of a full needs assessment, undertaken by people competent to do so. Prospective residents know that the home is able to meet their individual care and support needs Evidence: Comprehensive and detailed information regarding the home has been produced and is made available to all prospective residents. The quality of the recently updated Statement of Purpose and Service User Guide is further enhanced by the effective use of photographs and diagrams. The manger confirmed that residents continues to maintain a good working relationship with the local Community Learning Disability Team, CLDT, who consequently have a sound understanding and awareness of the suitability of the home and the range and quality of the services provided. Care Homes for Adults (18-65 years) Page 11 of 27 Evidence: Although the two residents are evidently settled and nobody has been admitted to the home since the previous inspection, there is a clear admission policy and procedure in place which includes detrails of the comprehensive assessment which is undertaken. Information incorporated in the assessment includes details of any personal and emotional care and support needs, mobility issues, social and cultural needs and family involvement. In addition to establishing whether the individuals care and support needs can be met within the home, the manager also stressed the importance of ensuring compatibility with existing residents. The manager confirmed that new residents undergo a flexible trial period at the home, followed by a thorough placement review, during which time their suitability and compatibility are fully assessed and it is established whether their identified care and support needs are able to be met. Care Homes for Adults (18-65 years) Page 12 of 27 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Comprehensive, high quality support plans enable staff to meet the assessed needs of residents in a structured and consistent manner. Systems for consultation and participation are effective. Residents are treated with respect and encouraged and enabled to make decisions about their day-to-day living. Evidence: High quality person centred support plans, PCPs, are in place and as previously documented, the effective use of symbols, photographs and diagrams in the plans ensure the assessment and ongoing care planning process is more clearly focused on and accessible to the individual resident. The manager confirmed that residents and, where appropriate, a relative or representative continue to be directly involved in annual care plan reviews. It was evident from plans that were examined that reviews are appropriately recorded Care Homes for Adults (18-65 years) Page 13 of 27 Evidence: and plans are amended appropriately to reflect changing needs or circumstances. Information recorded includes who was present at the review and details of issues discussed and agreed goals. It was noted that any amendments to the care plan are routinely signed and dated by the resident, a relative or advocate and a member of staff. As part of the routine personal assessment residents, risk and the potential for risk is assessed. In accordance with the person centred approach to care planning, it was noted that risks are recorded in the first person and provide evidence of regular and effective consultation with residents. Individuals are clearly enabled and supported to make decisions about many aspects of their life and are made aware of and understand the reasons for specific action being taken. Residents Meetings continue to provide residents with the opportunity to discuss any issues or concerns they may have. Independence and individuality continue to be encouraged and promoted within the home and are reflected in the personalising of residents rooms, the choice of bedclothes and colour schemes and individual preferences for menus and activities. Support plans will include, personal history, likes and dislikes, triggers, communication methods, preferred routines, daily time tables, medical details, health needs, guidelines, risk assessments, significant others information, crisis prevention and intervention information, day service information and skills and abilities. Care Homes for Adults (18-65 years) Page 14 of 27 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are enabled and supported to maintain contact with family and friends as they wish and effective links with the community enrich their social and educational opportunities. They benefit from appropriate recreational and leisure activities and menus that are balanced and nutritious, reflecting their individual likes and preferences. Evidence: Residents indivdual person centred support plans showed that they both continue to be provided with a comprehensive range of activities, based on their identified interests and abilities. Each resident has his own programme for the week, one of the residents attends a day centre four days a week. The other resident is very selective about who he goes out with for his activities and enjoys drives out in the car, swimming and shopping. Care Homes for Adults (18-65 years) Page 15 of 27 Evidence: Both residents enjoy being out in the local community on a regular basis. Relationships with family and friends are supported and encouraged where possible. The manager confirmed that visiting to the home is unrestricted and residents relatives and friends are made welcome at any reasonable time. Staff support the residents, as appropriate, with meal preparation. Menus are based on residents identified preferences and staff said they felt that the residents received a well balanced diet. One of the residents remains on a special diet and staff are very aware of certain foods he is unable to eat. A typical menu plan was examined and found to be generally balanced and nutritious. Care Homes for Adults (18-65 years) Page 16 of 27 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff have developed close and positive relationships with residents and demonstrate an awareness and sound understanding of their individual care and support needs. Residents are protected by clear and comprehensive policies and procedures in place for the control and safe administration of medication. Evidence: In accordance with their personal care plan, residents are fully supported and enabled, as far as practicable, to exercise control over their lives and maintain maximum levels of independence and individuality. During the inspection, both residents were observed being supported in a sensitive, professional and respectful manner by members of staff. Documentary evidence was in place to demonstrate that the health and emotional care needs of residents continue to be met within the home. Individual care plans that were examined were found to contain detailed information, clearly developed through close consultation with and direct involvement of residents and their relatives. Care Homes for Adults (18-65 years) Page 17 of 27 Evidence: Medicines are stored securely in residents individual flats. Medication records examined were found to be acurrate and up to date. Staff have evidently received relevant training in the safe control and administration of medicines. This was confirmed through discussions with staff and supported by training records examined. Comprehensive needs assessments and details of staff intervention and action to be taken, ensures a structured and consistent approach to individual care and support. The Manager confirmed that close and effective working relationships between residents and their key worker ensured that any subtle change in an individuals mood or behaviour can be identified and addressed at an early stage. Both residents are registered with local GPs and have access to other health care professionals, including physiotherapists, psychologists and occupational therapists, as required. It was noted, in care plans that were examined, that all appointments with, or visits by, health care professionals are recorded. Care Homes for Adults (18-65 years) Page 18 of 27 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The open and inclusive atmosphere within the home enables residents, staff and visitors to feel able to express any concerns, confident that they will be listened to and acted upon. Residents are safeguarded from abuse through relevant staff training and robust policies and procedures. Evidence: A clear, comprehensive and accessible complaints procedure is in place. Residents and members of staff spoken to during the inspection confirmed that, should they have a concern or complaint, they would have no hesitation in speaking to the manager and each person was confident that they would be listened to. Policies and procedures relating to safeguarding adults, including whistle blowing are in place and were found to be up to date and well maintained. The manager confirmed that staff are made aware of these and other key policies and procedures as part of their induction and foundation training and they are also reinforced during regular supervision and staff meetings. Care Homes for Adults (18-65 years) Page 19 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service is accessible, safe and clean and remains clearly suitable for its stated purpose. Residents benefit from all necessary specialist equipment and pleasant accommodation that is comfortable, well maintained and decorated to a satisfactory standard. Evidence: As part of my guided tour of the premises, both of the flats were viewed. Each flat has evidently been modified to cater for each residents particular needs. The manager explained that certain items within the flats are secured for the health and safety of each resident. Although evidently necessary, the boarding up of various appliances including televisions and cookers inevitably impacts on the comfortable and homely appearance of the flats and instead there is a stark and functional feel to both apartments. As discussed with the manager, the decor in both flats is looking tired and in need of refreshing. Care Homes for Adults (18-65 years) Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are protected from the homes thorough recruitment policy and procedures and benefit from sufficient trained, competent and supervised staff on duty at all times to meet their assessed care and support needs. Evidence: The manager clearly recognises the importance of a skilled and competent workforce. All new staff receive comprehensive induction and foundation training, the Common Induction Standard, which is compatible with Skills for Care (Formerly TOPSS). In addition to this programme, appropriate core skills training is provided, including first aid, moving and handling, food hygiene and fire safety. This was confirmed through discussions with staff and supported by training records examined: There is always plenty of opportunities for training here. In accordance with company policy, the manager confirmed that formal supervision is provided for all care staff on a regular basis. Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: Through direct observation and discussions with members of staff, it is evident that the manager also operates an open door policy, with staff feeling confident and able to discuss any issues at anytime. The home continues to operate thorough and robust recruitment procedures, to ensure the protection of residents. Individual files, held at the head office, relating to recently appointed members of staff, contain all relevant and necessary information, including two satisfactory references, proof of identity and satisfactory Criminal Record Bureau (CRB) and Protection of Vulnerable Adults (POVA) disclosures. Care Homes for Adults (18-65 years) Page 22 of 27 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from a well managed home, effective quality monitoring systems, thorough health and safety checks and guidelines and efficient record keeping. Evidence: The experienced registered manager has been in his present position for the past eight years and holds NVQ Level 4 and the Registered Managers Award (RMA). From direct observation and through discussions with residents and members of staff, it is clear that the manager continues to demonstrate a positive sense of leadership and direction. He is evidently motivated, approachable and very supportive. The home continues to operate effective quality monitoring systems, including satisfaction questionnaires for residents, their relatives and other visitors to the home. The manager confirmed that the health, safety and welfare of residents and staff remains of paramount importance within the home. Staff training is provided in many Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: aspects of safe working practices, including moving and handling; food hygiene; fire safety and first aid. All staff training is recorded. COSHH assessments and guidelines are in place. Regular fire drills are undertaken and recorded. Temperature regulators are fitted to all hot water outlets, accessible to residents. All accidents, incidents and injuries are recorded and reported, as required. Care Homes for Adults (18-65 years) Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 26 of 27 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 27 of 27 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!