Inspection on 08/08/07 for 9 Portland Road

This inspection was carried out on 8th August 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

9 Portland Road 09/08/06

9 Portland Road 02/11/05

9 Portland Road 21/06/05

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 9 Portland Road Hove East Sussex BN3 5DR Lead Inspector Merle Blakeley Key Unannounced Inspection 8th August 2007 10:00 9 Portland Road DS0000014167.V345903.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 9 Portland Road DS0000014167.V345903.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. 9 Portland Road DS0000014167.V345903.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 9 Portland Road Address 9 Portland Road Hove East Sussex BN3 5DR 01273 822103 01273 726706 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) Brighton Housing Trust Geraldine O`Haire Care Home 9 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (9) of places 9 Portland Road DS0000014167.V345903.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of service users to be accommodated is nine (9). Service users must be aged 18 years or over on admission. Date of last inspection 9th August 2006 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 at 57 Sackville Gardens, Hove and supported accommodation services in Westbourne Gardens, Leybourne Road, Buckingham Road and Sackville Gardens. 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 fourstorey 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 home does not have a lift installed. The home is located very close to local transport, shops and other amenities. Current fees are £276.42 per week. 9 Portland Road DS0000014167.V345903.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out over a period of six hours on 8th August 2007. As well as this site visit information was also received from a returned Annual Quality Assurance Assessment (AQAA) and feedback forms from two residents. During the visit the inspector was able to spend some time with residents and also talk to several staff and the registered manager who facilitated the inspection. Document reading was also carried out and a health and safety check was conducted. What the service does well: What has improved since the last inspection? What they could do better: No requirements were made during this visit. The inspector has made three recommendations. The home needs to organise people’s support plans so that staff are all using the same format, as currently they are a little confusing to read. Some plans are in paper form and some are kept on the home’s 9 Portland Road DS0000014167.V345903.R01.S.doc Version 5.2 Page 6 computer system. Some people need to have their weights recorded and monitored on a regular basis. Staff need to keep their food hygiene training up to date. 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. 9 Portland Road DS0000014167.V345903.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 9 Portland Road DS0000014167.V345903.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. Thorough assessments are carried on a person out prior to them moving into the home. EVIDENCE: During the last inspection a requirement was made for the services initial assessment form to be updated. The home has recently introduced a new initial assessment form and this was viewed. The information that is provided in this document is very comprehensive. The assessment covers nineteen sections, which include use of support services, housing needs, safety & risk, risks to staff & community, mobility, physical and emotional well being, medication, family, social & leisure, education & training, cultural and life skills. The assessment, which was viewed, was for a prospective resident who is due to move into the home when a current resident moves out into supported living accommodation. As well as this assessment form the home also receives a comprehensive CPA assessment. In the past trial periods have not been offered by the service, however the home is now looking into providing a more formal ‘settling-in’ period, which will be reviewed after three months. 9 Portland Road DS0000014167.V345903.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 good. This judgement has been made using available evidence including a visit to this service. Support plans and reviews are carried out on a regular basis. People are supported to make informed decisions and risks. EVIDENCE: Several care plans/support plans were viewed. The plans are informative and reviews are carried out on a six-monthly basis. Residents are also able to request a review at any time. Although support plans/reviews are carried out the inspector did find that these documents are kept either as hard copies or on the homes computer system. This makes it difficult to case track people as their information is kept in various different places, also some appeared confusing as staff seem to be using different formats. It would be recommended that staff complete their reviews, notes etc in the same formats. The home should also decide as to whether they will store all care documents on the computer or in a hard copy format. Having two different storage systems is time consuming and confusing and it makes it difficult to access information quickly. 9 Portland Road DS0000014167.V345903.R01.S.doc Version 5.2 Page 10 People are encouraged and supported to take informed choices and risks within their daily lives. This area plays an important role for people being able to move on and acquire more independence in their lives. People are also encouraged to set their own goals and take responsible risks in partnership with their link workers. These goals are reviewed regularly by residents and their link worker to see if they still remain attainable and achievable Some of the residents were spoken to during the day. They said they were happy with the care they received and they thought that the staff team were supportive and giving them encouragement to be more independent. They had no concerns and they knew who to go to if they were not happy about things. 9 Portland Road DS0000014167.V345903.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 good. This judgement has been made using available evidence including a visit to this service. People are provided with opportunities to engage in activities outside of the home and they are out and about in the community on a daily basis. Links are maintained with family and friends. Residents choose the meals they eat. EVIDENCE: People continue to be involved with various different activities outside of the home. Some people attend day centres and others prefer to go out and visit friends, go shopping or perhaps go out for meals. Most people are out and about in the community on a daily basis. Instead of going on organised holidays most people preferred to go out on day trips this year. Brighton Housing Trust has developed a comprehensive directory of resources to help people become more involved in meaningful activities. Contact with family and friend’s is strongly supported by the home. All but one of the residents has family members and friends who they either see regularly 9 Portland Road DS0000014167.V345903.R01.S.doc Version 5.2 Page 12 or keep in contact with. One person is supported by a staff member to visit her family. The rights of residents are outlined in the home’s handbook. Staff were seen to interact with people in a respectful and friendly manner. People who were spoken with on the day stated that their privacy is respected. Menus are decided at the weekly house meeting and residents choose the meals they would like. To encourage independence and improve their life skills each resident takes responsibility for cooking a main meal for the rest of the house once a week. The inspector spoke to some of the residents about this and most said they didn’t mind doing it as they felt it had improved their selfhelp skills. The weekly menu was displayed in the kitchen and overall it appeared reasonably well balanced. The home has been trying to encourage people to choose more healthy options in their daily diets. Since the last inspection the kitchen area has been improved with new work surfaces and cupboards. 9 Portland Road DS0000014167.V345903.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. People carry out their own personal care. Healthcare needs are being met. Medication is being appropriately recorded and administered. EVIDENCE: The people who are living at 9 Portland Road are independent enough to carry out their own personal care. Staff mainly support and motivate people to maintain their own personal hygiene. Information viewed in the support plans showed that people have access to a number of healthcare professionals. People are able to choose their own GP’s, dentists etc. The home also supports people to attend appointments if this is requested. The home has good working relationships with the Community Mental Health Team to ensure that continuity of care is provided. Some residents appeared to have lost weight and it will be recommended that the home monitor the all people’s weights on a regular basis. A requirement was made during the last inspection for the home to carry out more regular reviews on people who are self medicating. This is now being 9 Portland Road DS0000014167.V345903.R01.S.doc Version 5.2 Page 14 done and records indicate that these reviews are being carried out on a sixmonthly basis or when needed. The home is also hoping to provide some form of training to people who decide they are able to self-medicate. Medication records were checked and they were found to be in order. All staff have attended medication training. 9 Portland Road DS0000014167.V345903.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 has an effective complaints policy and procedure. No adult protection alerts have been received. EVIDENCE: A clear and comprehensive complaints procedure is incorporated into the Residents Guide Handbook. People are encouraged to bring any complaints to their link workers or to the manager. The homes complaints log was viewed and there was one entry regarding a minor incident between two of the residents. This issue has been resolved, however as there is some past history between these two people the manager stated that they are hoping to move one person to another bedroom in the near future. This situation will suit both residents as they have stated that they would prefer not to have their rooms next to each other. The home has produced a policy and procedure regarding the protection of vulnerable adults. A whistleblowing policy is also available. All staff have received training in the Protection of Vulnerable Adults and refresher courses are attended at regular intervals. No staff member works in the home without receiving a returned CRB check. No Adult Protection Alerts have been received by the home. The home was found to be correctly storing and recording people’s financial transactions. 9 Portland Road DS0000014167.V345903.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, 25 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Improvements have been made to the home. EVIDENCE: During the last inspection a requirement was made for the home to refurbish the kitchen, as it was in a poor state of repair. The kitchen has received refurbishment and now looks a lot better. A new cooker and a dishwasher have been installed; plus there are new work surfaces, and cupboards. The walls have also been redecorated, as have all the hallways within the home. The only area, which requires refurbishing, is the office. The manager stated that the home has received quotes to replace the flooring and to provide more desk space. This work should commence in the near future. Several bedrooms and communal areas were checked and overall the home was found to be clean and tidy. The home employs a part-time cleaner. The home has made some good improvements to the environment. 9 Portland Road DS0000014167.V345903.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 good. This judgement has been made using available evidence including a visit to this service. The home continues to employ a stable, experienced and proactive staff team. 50 of staff hold NVQ qualifications. Suitable recruitment procedures are carried out and staff receive a very good level of training. EVIDENCE: 9 Portland Road has continued to provide a stable staff team who are very experienced and dedicated in their work. The staff team work hard to provide people with support, understanding, encouragement and motivation so that they can lead more confident and independent lives. In the past several people have been able to move on from the home into more independent living accommodation. There are currently four full time and two part-time project workers plus the deputy manager and the registered manager. Four of the staff have obtained the NVQ Level 3 qualification and a further two are to be enrolled onto this course. The deputy manager is currently enrolled onto the Registered Managers Award (RMA). The home carries out all the required checks on people before they commence employment. Four staff recruitment files were viewed on the day and they all contained the correct information. 9 Portland Road DS0000014167.V345903.R01.S.doc Version 5.2 Page 18 The staff team receive a very good level of training. Some courses staff have attended in the last year include understanding self harm, needs assessment & support planning, behaviour management, equal opportunities & antidiscrimination, mental capacity briefing, engaging people in work, learning and meaningful occupation, protection of vulnerable adults, control of medicines and fire training. Several staff need to attend training in food hygiene. The deputy manager has also obtained the Health & Safety Risk Assessors Qualification. Staff also receive regular supervision sessions and annual appraisals. Staff who were spoken to on the day said they continued to be happy working at 9 Portland Road and they felt well supported in their roles. A locum project worker was spoken with and he said the home had a good atmosphere and the staff team were friendly and supportive. A volunteer was also spoken to and he said he had gained some excellent experience whilst working in this home, he said that the staff were supportive and he was enjoying his time working here. 9 Portland Road DS0000014167.V345903.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 well run by a very experienced manager. The home has a good Quality Assurance Programme. The health, safety and welfare of people are protected. EVIDENCE: During the last inspection the manager was on secondment to another Brighton Housing Trust project for six months. She has now returned to 9 Portland Road. The manager has seventeen years experience of working in the care sector and specifically with people who have mental health issues. The home is run in a very open, inclusive and friendly manner. Both residents and staff stated that they found the manager to be very friendly and supportive and they would have no hesitation in going to her if they had any concerns or issues. They felt she would always take a very fair approach to any issue. The 9 Portland Road DS0000014167.V345903.R01.S.doc Version 5.2 Page 20 manager has yet to complete the Registered Managers Award (RMA) and although enrolled on this course she has not had sufficient time to complete the studies due to other work commitments and secondments. The manager did state that she now wishes to complete the course as soon as possible and arrangements have been made for agreed study leave periods The home has an effective Quality Assurance system, which includes monthly Regulation 26 visits, annual resident satisfaction surveys (carried out in May 2007), a Brighton Housing Trust consultancy survey (June 2007) and annual reviews by the Primary Care Trust (PCT). Annual service development plans are also produced. Residents and staff regularly meet for the daily morning meetings and weekly house meetings. A health and safety check was carried out and no major issues were raised. Staff continue to monitor people’s safety when they smoke in their bedrooms and risk assessments have been carried out. All communal areas are now smoke-free. A Fire Risk Assessment was carried out in September 2006 and fire drills are being carried out every two months. Hot water temperatures are checked, however records indicated that some hot water outlets had very low temperatures. The home may need to have the hot water temperatures regulated. Brighton Housing Trust has produced a health and safety checklist. The manager stated that this checklist would be used, as she is aware that a more formal health and safety monitoring check of the home is required. The use of a monthly ‘walk through’ health and safety check was also discussed. The deputy manager has completed the Health and Safety Risk Assessors qualification. 9 Portland Road DS0000014167.V345903.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 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 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 9 Portland Road DS0000014167.V345903.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. 1. 2. 3. Refer to Standard YA6 YA19 YA42 Good Practice Recommendations That people’s care plans are organised to provide information in the same format. That people’s weights are monitored regularly. That staff update their training in food hygiene. 9 Portland Road DS0000014167.V345903.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 9 Portland Road DS0000014167.V345903.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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