Inspection on 12/06/07 for Addington House

This inspection was carried out on 12th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Addington House 15/06/06

Addington House 14/11/05

Addington House 04/10/04

Addington House 17/05/04

Similar services:

Ashlong House

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Edenvale

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Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Addington House Addington House 62 Addington Road Sanderstead South Croydon Surrey CR2 8RB Lead Inspector Jean Stuart Key Unannounced Inspection 12th June 2007 1:30pm Addington House DS0000039907.V340299.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 Addington House DS0000039907.V340299.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. Addington House DS0000039907.V340299.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Addington House Address 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) Addington House 62 Addington Road Sanderstead South Croydon Surrey CR2 8RB 020 8651 9132 020 8651 9132 Beaconcaregroup@AOL.COM Addington House Limited Shaun Fegan Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Addington House DS0000039907.V340299.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th June 2006 Brief Description of the Service: Addington House opened in March 2003. The home is situated on the main road in a suburban part of Sanderstead; the home is registered for the provision of support to six service users with learning disabilities. At present the home has six service users all of whom are diagnosed Autistic Spectrum. The home offers six bedrooms; four with en suite facilities, a comfortable lounge and a large garden. The home is within easy reach of Croydon by bus and a short walk to Sanderstead. Addington House DS0000039907.V340299.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 on the afternoon of the 12 June, over four hours. The inspection included discussions with people living there, and staff. Records were examined and the premise inspected. Four survey forms were returned from residents and two from relatives. People living at the home reported that “ it is good living here, and “it is fun”. A relative reported residents “in their care are well looked after”. The current range of fees charged is £1200 to £2200 per week. What the service does well: What has improved since the last inspection? What they could do better: Addington House provides a good service, however individual risk assessments for residents must be reviewed to include how risk is managed. In the absence of the manager staff files were not available and good practice recommendations set at the random inspection 22 February 2007 could not be checked. An arrangement is required to ensure the CSCI can access staff files. Addington House DS0000039907.V340299.R01.S.doc Version 5.2 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Addington House DS0000039907.V340299.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 Addington House DS0000039907.V340299.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 excellent. This judgement has been made using available evidence including a visit to this service. An appropriate admissions process is in place, a thorough assessment of peoples needs and aspirations are carried out before they move in. EVIDENCE: Prospective residents have an assessment from the Care Management team. The senior carers confirmed that families are fully involved in drawing up a comprehensive document. This was confirmed by evidence on file. The assessment focuses on achieving positive outcomes for people, including meeting the ethnicity and diversity needs of the individual. Three residents returned survey forms. One person said they wanted to move to “another home but the funding panel said no”. All residents agreed that they have been asked if they wanted to move into the home, and had received enough information about the home so that they could decide if it was the right place for them. No other person has moved into the home since the last inspection. Addington House DS0000039907.V340299.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Care plans are developed with the people using the service, individuals control their own lives, and direct the service. Care plans are regularly reviewed. Staff are fully committed in supporting residents to lead purposeful and fulfilling lives. EVIDENCE: Residents have satisfactory person centred care plans, which focuses on the individual’s personal preferences. Individuals are involved in the planning of their care. The plan for one person was not on file and key worker statements were not up to date. Staff have the skills and ability to support people. Key worker time is available on a one to one basic to encourage the ongoing developement of the residents care plan. Addington House DS0000039907.V340299.R01.S.doc Version 5.2 Page 10 A resident spoke of their time at college and friends, also enjoyment from going fishing, this was reflected on the file. The individual understood the information in the care plan. Residents sign documents concerning their rights and responsibilities in relation to individual activities. The risk assessments state possible triggers these however require further details on how to manage the situation. Recent guidelines had been drawn up for one resident. Staff have signed to show that they had read this guidance. A copy of the guidance was not available. To ensure that staff have appropriate information to complete their role, the file must hold information applicable to the persons current situation. Risk assessments prevent residents’ from being harmed. Folders had many old documents, all old information should be archived. Addington House DS0000039907.V340299.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home promotes the individual’s rights to live ordinary and meaningful life, both in the home and the community. Individuals are involved in the domestic routines of the household. People have a full and stimulating life appropriate to the individual needs. EVIDENCE: Residents have a full and stimulating life. The service encourages varied opportunities for people using the service. Residents spoke about helping in the house, going to college, a trip to the cinema, a meal out, and seeing friends. Residents are integrated in to community life. The varied interests of residents were reflected on care plans and in each of the individual’s daily journal. In survey forms residents reported that they can do what they want during the day and in the evening. Addington House DS0000039907.V340299.R01.S.doc Version 5.2 Page 12 Residents have an opportunity to develop and maintain important personal relationships. A resident reported that they keep their bedroom door locked, this means the room is private. Staff promote rights and choices, protects individuals, supporting them to make informed choices. The residents decide upon menus. Residents reported that they choose the food. One person reported that they like the home “because the food is good”. The location of the evening meal reflected residents’ wishes, one resident chose to have the meal in their bedroom, and other people sat in the garden and the dining room. Outcomes for the people using the service are positive. Addington House DS0000039907.V340299.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 excellent. This judgement has been made using available evidence including a visit to this service. The home’s medication policies and procedures provide guidance to staff and protect residents from harm. Residents receive effective personal and health care support based on individual needs and preferences, which ensures a better quality of life. EVIDENCE: Resident’s health care needs are documented in their care plan. Personal support is responsive to the preferences of the individual. All residents are registered with a local G.P. Residents emotional well-being is also attended to and a record was seen of input by a psychiatrist. Staff are alert to changes in behaviour and general well being, and understand the action to be taken. To ensure residents’ needs are met additional one to one staff are employed. Addington House DS0000039907.V340299.R01.S.doc Version 5.2 Page 14 The home works closely with external professionals, and families to support the individual. The home has an effective medication policy and procedure. Care staff have the acquired accredited training. Addington House DS0000039907.V340299.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 welcomes complaints and suggestions about the service. People feel safe and secure in the service provided by Addington House. Staff had a very caring manner to residents. EVIDENCE: Individuals feel safe and well supported and are able to state their concerns to staff. As seen during this visit all staff know the importance of taking peoples view seriously and responding to the issues raised. Three residents returned survey forms and all said they would know how to make a complaint “sometimes”. One survey form stated that there are so many people (professionals) involved with their care “I don’t know who to turn to”. One residents expressed no concerns about the home and reported that if there was an issue they will “speak with the key worker”. A recent complaint by a resident was investigated in line with the complaint procedure. The CSCI was kept informed of this issue. All complaints are dealt within the prescribed timescale. This lack of clarity about how to complain suggests that the home must speak with residents, and if required go through the complaint procedure with them. Also consider other ways to address a complaint, for example the use of an advocate. Addington House DS0000039907.V340299.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 excellent. This judgement has been made using available evidence including a visit to this service. The living environment is appropriate to the needs of people who live there. Bedrooms are personalised. The home is clean and hygienic. It is well maintained and provides comfortable, safe accommodation. EVIDENCE: The service provides accommodation in a safe and homely fashion. People have single bedrooms, and a large lounge. Furnishings and fittings are good quality and are domestic in nature. The home has a planned maintenance and renewal programme for the fabric and decoration of the premises. Addington House DS0000039907.V340299.R01.S.doc Version 5.2 Page 17 Individuals were proud of their bedroom Family photographs were around the individuals’ bedroom. The home is clean and hygienic. Residents reported “Staff at this home clean all the time. It is very good”. Two people reported that the home is always fresh and clean, a third person said “maintenance is unreliable”. There were no issues raised on the day of inspection. Addington House DS0000039907.V340299.R01.S.doc Version 5.2 Page 18 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. Competent, qualified and appropriately trained staff support people. Staff files were not available to the deputy manager. Verbal information confirmed that a satisfactory recruitment process is completed. EVIDENCE: People who use the service report highly of staff and the work they do “they help me do what I want”. Management prioritise training and facilitate staff members to undertake training. Staff are informed of training opportunities. Two staff confirmed that they had recently received safeguarding adults training and dealt with the issue of challenging behaviour and how it can be managed. On the random inspection 22 February 07 it was reported that eight staff have attended training on Croydon’s Council’s Protection of Vulnerable Adults training, this process will continue. Individual training records were not seen. Addington House DS0000039907.V340299.R01.S.doc Version 5.2 Page 19 The senior carer spoke of the procedure followed when recruiting staff. References are collected, Criminal Record Bureau checks are completed and a comprehensive induction completed. It was not possible to check issues outstanding from the previous inspection as staff files were not available. The organisation must find a way of ensuring that the CSCI can access staff files. Staff spoke of receiving regular supervision and regular staff meetings. Records of the meeting were seen Three survey forms were received from residents. Two residents reported that staff always treat the well, a third person reported they are treated well “sometimes” but was not available to comment on this. Addington House DS0000039907.V340299.R01.S.doc Version 5.2 Page 20 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 excellent. This judgement has been made using available evidence including a visit to this service. The views of residents who use the service and staff are listened to, valued and reflected in the development of the home. The home’s health and safety policies promote peoples safety. EVIDENCE: The senior carer was able to demonstrate a clear vision and a sense of direction. Equality and diversity issues are given priority and all individuals are encouraged to achieve their goals with staff support if required. The service has a good understanding of equal opportunity issues. Addington House DS0000039907.V340299.R01.S.doc Version 5.2 Page 21 Staff have regular team meetings , these provide time to discuss residents needs. Records of meetings were seen. Each year an audit is completed of the service. Each person is given the opportunity to state their views on the service. From this review the development of the service is planned. A monthly audit is completed by the organisation. The home proactively monitors its health and safety performance and consults specialist agencies as required. Addington House DS0000039907.V340299.R01.S.doc Version 5.2 Page 22 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 4 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 2 23 4 ENVIRONMENT Standard No Score 24 4 25 4 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 x 32 2 33 X 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 x 2 4 LIFESTYLES Standard No Score 11 x 12 4 13 4 14 x 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 x 4 x 4 X X 3 x Addington House DS0000039907.V340299.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No 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 YA9 Regulation 13(4)(b) Requirement Timescale for action 30/09/07 2. 3. YA22 YA34 22(2) 18(1)(a) The home must ensure that individual risk assessments are reviewed to include how risks are managed. The home must ensure there is a 31/07/07 clear and effective complaint procedure. The home must ensure the CSCI 30/09/07 can access staff files. 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 YA34 YA32 Good Practice Recommendations It is recommended that staff personnel information and staff supervision and training records are kept separate. It is recommended that staff files include a record of staff training including the dates of when staff attended the training. It is recommended that the member of staff and the registered manager keeps these records up to date. Addington House DS0000039907.V340299.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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 Addington House DS0000039907.V340299.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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