Inspection on 09/08/06 for 9 Portland Road

This inspection was carried out on 9th August 2006.

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 3 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 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 9th August 2006 10:30 9 Portland Road DS0000014167.V296909.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.V296909.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.V296909.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 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.V296909.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 2nd November 2005 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 £271.00 per week. 9 Portland Road DS0000014167.V296909.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection was carried out over a period of eight hours on 9th August 2006. As well as this site visit information was also gained from a pre-inspection questionnaire, five returned service user feedback forms, informal talks with five residents, three staff and the deputy manager. The site visit consisted of a tour of the premises, looking at the particular needs of four residents and observing staff interactions with residents. The outcomes for residents living at 9 Portland Road are very positive. What the service does well: What has improved since the last inspection? What they could do better: The service needs to record their own initial assessments of prospective residents, which details how they will meet the persons needs The home must carry out more regular reviews on all residents who self medicate. This requirement was made during the last inspection. One resident had not had his medication risk assessment reviewed since November 2005. Certain areas of the home need refurbishing particularly the kitchen area where residents cook 9 Portland Road DS0000014167.V296909.R01.S.doc Version 5.2 Page 6 on a daily basis. Worktops and cupboards are in poor condition and need replacing. Wallpaper in the hallway is peeling away and needs repairing. The office flooring is also in a very poor state. 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 DS0000014167.V296909.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.V296909.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home does not record its own assessments. EVIDENCE: Before a prospective resident moves into 9 Portland Road a very detailed CPA assessment is received. The home will then base their decision on this assessment as to whether they can meet this persons needs. The home does not actually record their own assessment of the prospective resident. The service will need to look into redesigning the initial assessment form so that it records why the home feels it can meet a persons needs. Trial periods are not offered. 9 Portland Road DS0000014167.V296909.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 at least once during a 12 month period. 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. The home maintains informative care plans. Residents feel they can make some decisions about their lives. Residents are supported to take responsible risks. EVIDENCE: A number of residents care plans were viewed. The information they contained was informative, relative and up-to-date. Regular reviews and risk assessments are carried out and individual daily diaries are maintained. Residents are directly involved with their care plans and reviews. Staff assist and support residents to make informed choices and decisions about their lives, within there given risk assessments. During talks with some of the residents it was evident that they are able to make their own choices and decisions. Residents are also supported and encouraged to take responsible risks, as this remains an important part of promoting their independence and self confidence. Risk assessments involve both the resident and their link worker. 9 Portland Road DS0000014167.V296909.R01.S.doc Version 5.2 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 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. Residents have access to appropriate activities and they are part of the community. Residents are encouraged to maintain family links. Staff respects Resident’s rights. Residents choose the meals they prefer to eat. EVIDENCE: Some of the residents attend regular activities outside of the home, whilst other residents prefer to go out when they wish. Trips to the cinema, shops and local cafes are organised and residents are encouraged and supported to go out and about in the community whenever possible. Several residents have been on holiday this year. Some chose to go on an organised holiday away and others chose day trips. Keeping in contact with family and friends is important and the home encourages residents to maintain these links. Staff take one of the residents out to visit her relatives. Some residents are able to visit family members who live locally. Relationships are also supported. 9 Portland Road DS0000014167.V296909.R01.S.doc Version 5.2 Page 11 Staff were seen to treat residents with respect. Resident’s privacy is also maintained. All residents have freedom of movement and there are no restricted areas. During their daily meetings residents decide on the menu for the week. To encourage independence and promote daily living skills residents are responsible for cooking a main meal each day for the rest of the house. Staff try to ensure that residents receive a balanced diet and they will also assist residents with cooking. Lunch times are very informal and residents help themselves to a variety of options such as salads, soups, sandwiches etc. Residents who were spoken to stated that the meals in the home met their needs and there were always options available. 9 Portland Road DS0000014167.V296909.R01.S.doc Version 5.2 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Most residents carry out their own personal care. Resident’s healthcare needs are met. Risk assessments for residents who self medicate need more frequent reviews. EVIDENCE: Most of the residents living in the home are independent and do not require personal care from staff. Staff mainly need to prompt residents and assist them with running baths. During this visit the inspector was able to have an informal chat with one of the residents in their room. The room appeared very unkempt and the bedding was soiled. It is acknowledged that residents are encouraged to be as independent as possible and to have their privacy respected, however staff still need to be aware of the general hygiene of resident’s bedrooms. Care plans show that residents are having their healthcare needs met by the home. Residents have access to a number of healthcare professionals and the community mental health teams provide very good support and advice. Currently none of the residents have any serious healthcare concerns. Two residents have diabetes and they appear proactive in maintaining their health. Medication records were checked and they were found to be in order. Medication is securely stored within the office. All staff attended medication 9 Portland Road DS0000014167.V296909.R01.S.doc Version 5.2 Page 13 training in 2005. It was noted that the residents who are self medicating have not had their risk assessments updated since 2005. The home must ensure that these risk assessments are reviewed on a regular basis to ensure that residents are still able to manage their own medicines. 9 Portland Road DS0000014167.V296909.R01.S.doc Version 5.2 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 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 accessible complaints policy and procedure. A policy and procedure on adult protection has been produced. EVIDENCE: The home has produced an easy to read policy and procedure about how residents can make a complaint. Two internal complaints had been made and both had been investigated. These complaints have been similar to the ones that were made during the last inspection and it involves the same two residents. Staff have worked with both residents and it is felt that the situation is now resolved. An adult protection alert did arise from this complaint. It was investigated and closed. Staff attend regular updated training in the protection of vulnerable adults. All staff undergo CRB checks before commencing employment. 9 Portland Road DS0000014167.V296909.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Some areas of the home require refurbishing. The home is kept reasonably clean and tidy. EVIDENCE: The environment at 9 Portland Road continues to be an area, which needs improving. Since the last inspection the basement dining room has been refurbished and redecorated and it now looks much brighter and more homely for both residents and staff who eat in there. There are still areas within the home that require attention. The kitchen area where residents and staff cook is looking very shabby. Several kitchen panels need repairing and work top surfaces are very worn. Hallway walls have paint peeling off them and they are in need of redecoration. The flooring in the office is in a very bad condition and needs replacing. Overall the home was clean and tidy although one resident’s room was seen to be in need of a spring clean. 9 Portland Road DS0000014167.V296909.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 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 employs a stable, dedicated and experienced staff team. Staff are well supported and receive a good level of training. EVIDENCE: The home employs a very experienced staff team, which includes five project workers, a part-time ancillary worker, the manager and deputy manager. All the current staff have worked at the home for a number of years and they provide residents with support and encouragement. Three of the staff were interviewed during the day and all said that they continued to be happy working at 9 Portland Road. It was evident that staff are committed in their work to support people who have mental health difficulties. Four staff have obtained NVQ Level 3 and both the manager and deputy manager are currently completing the NVQ Level 4 award. A number of staff recruitment files were viewed and they were found to contain all the required information. Recent staff training has included support planning, drug and alcohol awareness, suicide awareness, assertiveness training, counselling skills and food hygiene. There are a number of core skills training courses that other staff still need to attend and these include medication training, first aid and fire training. 9 Portland Road DS0000014167.V296909.R01.S.doc Version 5.2 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 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 managed by competent staff. The home has a robust quality assurance system. Overall the health & welfare of residents is protected. EVIDENCE: At this time the manager is on secondment to another Brighton Housing Trust project until December 2006 and this was agreed with the CSCI in July 2006. The deputy manager is currently managing the home and he has taken over this role several times during the past few years. He has also completed the CSCI procedures to be a registered manager. The home is managed in a friendly and relaxed manner and residents who were spoken to felt the deputy manager was very approachable and they would be able to go to him if they had any concerns. Both the manager and the deputy manager hope to complete their NVQ Level 4 training relatively soon. 9 Portland Road carries out an effective quality assurance programme, which includes resident satisfaction surveys that are carried out internally and by an 9 Portland Road DS0000014167.V296909.R01.S.doc Version 5.2 Page 18 external body. Various audits and desktop reviews are also carried out. Each year Brighton Housing Trust produces a development plan and an annual review. Regulation 26 visits are carried out and recorded by the managers of 9 Portland Road and the other Brighton Housing Trust home 57 Sackville Gardens. Following the tour of the premises there were no major issues raised regarding the health and safety of residents and staff. Six of the nine residents smoke in their bedrooms and risk assessments have been carried out and these are reviewed on a regular basis. The home stated that it does encourage ‘safe smoking’ within the house. It was noted that the last fire safety training was carried out in July 2004. It was stated that this training is due to be carried out in September 2006. Fire drills are carried out twice a year. Hot water temperatures are regularly checked. As stated previously there are areas within the home that need refurbishing and redecorating, however these do not present risks at the moment to residents. 9 Portland Road DS0000014167.V296909.R01.S.doc Version 5.2 Page 19 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 2 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 2 25 X 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 X 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 2 X 3 X X X X 3 X 9 Portland Road DS0000014167.V296909.R01.S.doc Version 5.2 Page 20 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. Standard YA20 Regulation 13(2) Requirement That risk assessments are carried out and regularly reviewed on all residents who self medicate. Previous Requirement 2. YA2 14(1)(d) That the home updates its initial assessment forms to include information about how they will meet the needs of a prospective service user. 22(2)(b)(d) That the home redecorates and refurbishes the areas in the kitchen, hallways and office. 09/10/06 Timescale for action 09/08/06 3. YA24 09/02/07 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 Refer to Standard YA18 YA35 Good Practice Recommendations That staff remain vigilant regarding the cleanliness and hygiene of certain service users rooms. That remaining staff complete their core skills training. 9 Portland Road DS0000014167.V296909.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection East Sussex Area Office 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 DS0000014167.V296909.R01.S.doc Version 5.2 Page 22 - 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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