Inspection on 21/06/05 for 9 Portland Road

This inspection was carried out on 21st June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

9 Portland Road 08/08/07

9 Portland Road 09/08/06

9 Portland Road 02/11/05

9 Portland Road 07/10/04

9 Portland Road 04/05/04

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

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

CARE HOME ADULTS 18-65 9 Portland Road Hove East Sussex BN3 5DR Lead Inspector Merle Blakeley Announced 21 June 2005 10:00 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 9 Portland Road H59-H10 S14167 9 Portland Road V227466 210605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 9 Portland Road Address 9 Portland Road Hove East Sussex BN3 5DR 01273 822103 None None Brighton Housing Trust Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Geraldine OHaire Care Home 9 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (MD), 9. of places 9 Portland Road H59-H10 S14167 9 Portland Road V227466 210605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The number of people accommodated must not exceed 9 2. The people accommodated will be aged 18 years or over on admission Date of last inspection 7 October 2004 Brief Description of the Service: 9 Portland Road provides accommodation, care and support for up to nine adults aged between 18 years to 65 years who have mental health disorders. The home is owned and managed by Brighton Housing Trust who also run another small home for people with mental health disorders in Sackville Gardens, Hove and supported accommodation services in Westbourne Gardens, Leybourne Road, Buckingham Road and Sackville Gardens,Hove. The main purpose of the home is to enable residents to develop personal independence and confidence in their daily lives. The home is situated in an end of terrace four-storey house, where bedrooms are located on the third and fourth floors. All bedrooms are single without en suite facilities. The home would not be particularly suitable for people with mobility problems as there are a lot of stairs and the service does not have a lift. The home is located very close to local transport, shops and other amenities. 9 Portland Road H59-H10 S14167 9 Portland Road V227466 210605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Announced Inspection took place over a period of five hours on 21st June 2005. The inspection process included speaking with several residents, tour of the premises, lunch, document reading and informal discussions with the manager and several staff. Six service user and relative comment cards were returned prior to the inspection. All provided very positive comments about the care the home provides. 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. 9 Portland Road H59-H10 S14167 9 Portland Road V227466 210605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection 9 Portland Road H59-H10 S14167 9 Portland Road V227466 210605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1 & 5 The home has produced an excellent service users guide. There are no formal contracts between residents and Brighton & Hove Housing Trust. EVIDENCE: The service has recently updated and produced an excellent service users guide for residents, which gives comprehensive information about all aspects of living in the home. The booklet is divided into seven sections and covers the areas of resident’s rights, the programme of support, communal living, practical issues, complaints and expectations and boundaries. Each resident keeps a copy of this guide in his or her room. The home has also updated its Statement of Purpose, which is another well-written and very informative document for residents. Brighton & Hove Housing Trust enters into Licensing Agreements with residents and as such there are no formal contracts. Licence Agreements contain information about resident’s rights and duties and once these legal documents are signed residents become Brighton Housing Trust Licensees. 9 Portland Road H59-H10 S14167 9 Portland Road V227466 210605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 & 10 The home maintains comprehensive care plans for residents. All confidential information is securely stored. EVIDENCE: The home continues to maintain very thorough care plans. Each resident has a blue file, which contains their care plan and the residents guide and this file is kept in their rooms. Care plan reviews are regularly carried out between the resident and their key worker. Confidential information is securely locked in filing cabinets in the office. 9 Portland Road H59-H10 S14167 9 Portland Road V227466 210605 Stage 4.doc Version 1.30 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 14 & 17 Residents are provided with opportunities to promote their independence and they are able to participate in appropriate activities. Residents are responsible for choosing their own meals. EVIDENCE: Residents are encouraged and supported to develop their independent living skills and to make positive choices regarding how they spend their time whilst living in the home. Some of the residents require a lot of encouragement to come out of their rooms and join in with the day-to-day life in the home. Other residents enjoy being out and about in the community, so each persons needs are very different and the staff understand and support these varying needs. Residents are able to join local sheltered workshops and support groups, parttime college courses and pursue their hobbies. The home does not have a formal timetable of activities and residents will decide what they wish to participate in; some of these activities can include walks, pubs, cinema, gym and meals out. Some residents are also supported to go on holiday and a day trip to Amsterdam is being organised, which will also include residents from the other home in Sackville Gardens. 9 Portland Road H59-H10 S14167 9 Portland Road V227466 210605 Stage 4.doc Version 1.30 Page 10 The meal menu for the week is decided during the residents meetings, each resident will choose the meals for one day of the week. Staff are responsible for cooking the meals although residents can be involved if they wish. During the inspection one of the residents was seen preparing soup in the kitchen. 9 Portland Road H59-H10 S14167 9 Portland Road V227466 210605 Stage 4.doc Version 1.30 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20 & 21 The overall healthcare needs of resident’s are met. Medication is correctly stored and dispensed. Some residents have expressed their wishes with regards to illness and death. EVIDENCE: The home provides good access to all local healthcare services, which includes local GP’s, CPN’s, dentists, dietician, opticians etc. Staff will accompany residents to appointments if that is their wish. The home has maintained very good links with the local authority Rehab Team who provide support workers to come into the home to work with some of the residents. The home feels that co-working with the Rehab Team has improved the life for many of the residents. Quarterly Management Meetings are also held with this team to provide ongoing advice and support for residents. All medications are securely stored within the office and currently only one resident self medicates and he has been provided with a lockable facility to store his medicines in his room. Some residents have been approached regarding their wishes if they should become ill or terminally ill and these wishes have been recorded in their care plans. 9 Portland Road H59-H10 S14167 9 Portland Road V227466 210605 Stage 4.doc Version 1.30 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 The home has a policy and procedure regarding complaints. EVIDENCE: The complaints policy and procedure for the home contains all the relevant information if a resident should wish to make a complaint. There is a section within the residents guide booklet, which clearly details how complaints can be made and who residents should approach. The home has not received any complaints. 9 Portland Road H59-H10 S14167 9 Portland Road V227466 210605 Stage 4.doc Version 1.30 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 25, 27, 29 Residents are accommodated in single rooms. There are suitable toilets and bathrooms available. The home has yet to be assessed by a qualified occupational therapist. EVIDENCE: Residents have the use of a single room with a hand washbasin; none of the rooms provide en suite facilities. Two bedrooms were viewed and they appeared to provide suitable furniture and fittings for residents. Communal toilets and bathrooms are located on the first and third floor. The toilet on the third floor had been removed and was awaiting a new replacement. The home has yet to be assessed by a qualified occupational therapist for any additional adaptations that may be needed. The dining room in the basement is in need of redecoration, as it is looking somewhat shabby. The manager stated that this year there is a plan to redecorate both the basement area and the ground floor and to address the problem of dampness coming through one of the external walls. One of the residents bedrooms is also due to be redecorated. 9 Portland Road H59-H10 S14167 9 Portland Road V227466 210605 Stage 4.doc Version 1.30 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 34 & 35 The home has an excellent staff team. Staff recruitment information has improved, however there are still some outstanding items from Schedule 2 that must be included. Core skills training for staff is due to be completed this year. EVIDENCE: The home has a very dedicated, experienced and professional staff team who provide a supportive and caring environment for the residents. The staff team work very well together and strive to provide residents with the best possible outcomes for maintaining their mental health status. Two staff members have obtained their NVQ Level 3 Award and two other staff are currently part way through NVQ 3 training. The manager and deputy manager are both currently studying for their NVQ Level 4 Award. As most of the staff team are on NVQ training, only some of the core skills training programme has been completed; the manager is hoping that staff will attend certain additional training courses later on in the year. The recruitment information within staffing files has greatly improved, however the home still needs to provide copies of each staff members proof of identity. CRB checks were viewed for all staff. Residents who were spoken to on the day felt the staff team were friendly and supportive and they felt well cared for. 9 Portland Road H59-H10 S14167 9 Portland Road V227466 210605 Stage 4.doc Version 1.30 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38, 40, 41 & 42 The home is managed in a very positive and inclusive manner. The home has recently updated all its policies and procedures. Records are correctly maintained. Some areas of the home are in need of redecoration and the damp problem is due to be addressed. Overall there are no major health & safety concerns within the home. EVIDENCE: The home is managed in a very positive and supportive manner for residents. Daily morning meetings ensure that residents can discuss any issues or concerns with staff straight away. The home’s polices and procedures have now all been completely updated. The home also maintains all the required records. As discussed previously the basement and ground floor of the property is to be redecorated later in the year and this will certainly brighten up these areas, as they currently do not have a very homely feel to them. An external wall that has been causing damp problems within the home is also due to be repaired. 9 Portland Road H59-H10 S14167 9 Portland Road V227466 210605 Stage 4.doc Version 1.30 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 4 x x x 3 Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x x 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x 3 3 x 2 x Standard No 11 12 13 14 15 16 17 3 3 x 3 x x 3 Standard No 31 32 33 34 35 36 Score x x 3 2 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 9 Portland Road Score x 3 3 3 Standard No 37 38 39 40 41 42 43 Score x 3 x 3 3 3 x H59-H10 S14167 9 Portland Road V227466 210605 Stage 4.doc Version 1.30 Page 17 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. Standard YA29 YA34 Regulation 23(2)(n) Schedule 2 Requirement That the home is assessed by a qualified occupational therapist. Outstanding Requirement. That all staff have proof of identity documents and recent photos on file. Timescale for action 31/8/05 Immediate RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA24 Good Practice Recommendations That the basement and ground floor areas are redecorated and the damp problem with the external wall is rectified. 9 Portland Road H59-H10 S14167 9 Portland Road V227466 210605 Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection Ivy House, 3 Ivy Terrace Eastbourne East Sussex BN21 4QT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 9 Portland Road H59-H10 S14167 9 Portland Road V227466 210605 Stage 4.doc Version 1.30 Page 19 - 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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