Inspection on 25/08/05 for Aeolian House

This inspection was carried out on 25th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Aeolian House 30/09/09

Aeolian House 01/11/07

Aeolian House 11/12/06

Aeolian House 05/01/06

Aeolian House 07/10/04

Aeolian House 21/04/04

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

CARE HOME ADULTS 18-65 Aeolian House Horsham Road Cranleigh Surrey GU6 8DZ Lead Inspector Lesley Garrett Announced 25 August 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. Aeolian House H58 S13545 Aeolian House V234670 250805 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Aeolian House Address Horsham Road, Cranleigh, Surrey, GU6 8DZ 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) 01483 276561 Royal Mencap Society Mencap National Centre, 123 Golden Lane, London, EC1Y 0RT Kerry Louise Elliot Care Home (CRH) 8 Category(ies) of Learning disability over 65 years of age (LD(E)), registration, with number 1 of places Sensory impairment (SI), 1 Learning disability (LD), 8 Aeolian House H58 S13545 Aeolian House V234670 250805 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 Residents may be admitted to the home from the age of 40 years. One person may be over 65 years of age. Date of last inspection 07 October 2004 Brief Description of the Service: Aeolian house is a care home for adults with a learning disability. The home is a large Edwardian detached house on the outskirts of the village of Cranleigh. All bedrooms are for single occupancy, three on the ground floor, and seven on the first floor. There is a large lounge/dining room and a sitting room that can be used as a quiet room or for ironing. The kitchen is spacious and there are two bathrooms and a downstairs shower room. The home is situated in its own grounds, laid mainly to lawn. There is adequate parking at the front of the property. A bus stop is a few minutes walk away and it is some considerable walking distance into the village of Cranleigh. Aeolian House H58 S13545 Aeolian House V234670 250805 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 three and a half hours and was the first inspection to be undertaken in the Commission for Social Care Inspection year April 2005 to March 2006. Lesley Garrett, Lead Inspector for the service, carried out the inspection. Kerry Elliot, registered manager represented the establishment. A full tour of the premises took place. The inspector saw most of the residents and spoke with three of them. A pre-inspection questionnaire and a number of comment cards were also used to write this report. This was a positive inspection and the inspector would like to thank the residents and manager at Aeolian House for their time, assistance and hospitality during this inspection. The service users will be referred to as residents in this report as this is their preferred title. What the service does well: There was a relaxed and happy atmosphere in the home with the residents busy preparing for their day. The residents that the inspector spoke with all said they enjoyed living at the home. One stated that although she enjoyed living there eventually she would move back to London. Another resident told the inspector that he was responsible for the garden and had grown a lot of the flowers from seeds. Another was keen to tell about his birthday party that had been organised by the home at a local hotel, which he had thoroughly enjoyed. While the inspector was there the fire alarm went off caused by burnt toast. All the residents left the building without any fuss or panic and demonstrated to the inspector that they knew exactly what to do. Aeolian House H58 S13545 Aeolian House V234670 250805 Stage 4.doc Version 1.30 Page 6 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. Aeolian House H58 S13545 Aeolian House V234670 250805 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Aeolian House H58 S13545 Aeolian House V234670 250805 Stage 4.doc Version 1.30 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 standard(s) 2 All residents are assessed prior to admission to the home and therefore know their needs can be met. EVIDENCE: The manager stated that all prospective residents are sent an application form to complete prior to admission. At the same time the manager sends out to them their service user guide and the last CSCI report. The resident is then invited to the home for afternoon tea to meet the manager, staff and residents. If all goes well there can be longer visits and they can stay for the weekend. These visits allow the manager to see if all the residents can live together. The manager then requests a full needs assessment, signed contract and written agreements from the care manager and this then enables the manager to write some basic care plans to cover for the first forty-eight hours. On admission more formal plans are written in consultation with the resident. The manager showed the inspector the paper work that had already been compiled for a resident they were expecting to be admitted soon. Aeolian House H58 S13545 Aeolian House V234670 250805 Stage 4.doc Version 1.30 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 standard(s) 6 & 7 There is a clear care planning system in place, which provides the staff with the information they need to meet the resident’s needs. Residents are encouraged to make their own decisions and are supported by the staff to do so. EVIDENCE: The inspector saw that all personal plans are generated by the resident. The manager stated that discussions take place with the resident and their key worker or the manager and the plans are then generated on the computer. This system allows them to be easily updated when needed and the resident can be present. The manager stated that all residents could verbalise their needs making the review process easier. The plans are reviewed every three months with their key worker and more often if needed. The care manager does annual reviews with the resident. The staff sign to say they have read the plans and they are also signed and agreed with the resident. The plans also contain adequate risk assessments. The manager stated that there are resident meetings every week and these are all documented. They always discuss the menus for the following week. Aeolian House H58 S13545 Aeolian House V234670 250805 Stage 4.doc Version 1.30 Page 10 The residents need some help with their finances but they are taken to the bank when needed and a small amount of their money is kept at the home for them to have access to when required. The transactions are all documented. Aeolian House H58 S13545 Aeolian House V234670 250805 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13 & 17 Residents that are able have found appropriate jobs and are part of the local community. The meals are varied and are chosen by the residents. EVIDENCE: Two of the residents work for Sainsbury’s and one trains other members of staff on how to collect and move the trolleys. They also work in a kitchen as a volunteer and two residents also work in the Oxfam shop as volunteers. Some of the residents attend the community group, which organises different activities such as badminton, swimming and computer skills. The residents that the inspector spoke to al said they enjoyed their work and different activities. All residents are part of the local community and know a lot of people in Cranleigh village. All have discount cards, which enable them to use the swimming pool and gym for half price. Some of the residents attend the local church. There is a bus, which goes to the village but the home also access to transport for the residents use, and they had recently spent a day at the seaside. The manager stated that all residents can vote and the home and their family enable them to exercise their right to do so. Aeolian House H58 S13545 Aeolian House V234670 250805 Stage 4.doc Version 1.30 Page 12 All menus are discussed with the residents and they chose the food. One resident is out on a Wednesday and does not have the main meal. The residents chose this day to eat fish, as they know that particular resident does not like it. All residents have their day when they help in the kitchen. One resident is looked after by the dietician at the hospital and knows and understands their special diet. Aeolian House H58 S13545 Aeolian House V234670 250805 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 The health needs of the residents are well met with evidence of good multi disciplinary working taking place. EVIDENCE: All residents are patients of the local health centre and they know their G.P. well. The doctor will also visit the home if any of the residents are unwell and cannot get to the practice. They have regular health checks and medication is also reviewed regularly and the home informed of changes. The residents all have they own dentist, which they can access easily. Community eye care visits the home twice a year to do eye tests and there is a chiropodist at the health centre, which they visit on a regular basis. Aeolian House H58 S13545 Aeolian House V234670 250805 Stage 4.doc Version 1.30 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 standard(s) 23 Staff has knowledge of Adult Protection, which protects residents from abuse. EVIDENCE: The manager had the 2005 copy of the Surrey multi agency procedures and told the inspector that it was the procedures they are told to use and staff have had training. However the MENCAP policy and procedures are not in line with these procedures and therefore this will be a requirement at the end of the report. The manager stated that all staff had training and more was scheduled for October. There has been no issues or complaints received by the home for adult protection issues. Aeolian House H58 S13545 Aeolian House V234670 250805 Stage 4.doc Version 1.30 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 standard(s) 24 The home is comfortable and safe and has a homely environment where the residents make choices about their choice of decorating and furniture. EVIDENCE: The home is detached and is in a road with similar properties. There is a purpose built ramp at the front for easy access and handrails. There is a large garden at the rear. Since the last inspection there have been new carpets in the lounge, hall, stairs and landing and new sofas and chairs in the lounge. The manager told the inspector that the residents chose everything. The sofas and chairs are big and soft and the residents that the inspector spoke with said they were comfortable. The home is about to have a new kitchen fitted in about four weeks time. The landlords of the home are also about to decorate inside and out and again the residents can choose the paint for the inside. Aeolian House H58 S13545 Aeolian House V234670 250805 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 Mandatory training takes place but no funding has been granted for the home to put staff into the NVQ training programme. EVIDENCE: The manager told the inspector that the home organises a full induction and all mandatory training takes place. However there has been no NVQ training and the home will not comply with 50 of the staff being trained by the end of 2005. This has been a requirement before and there have been recruitment problems, which the home is trying to address along with MENCAP. The home does have two members of staff who could now do the training but no funding is available. This will be a requirement at the end of the report. Aeolian House H58 S13545 Aeolian House V234670 250805 Stage 4.doc Version 1.30 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 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) 42 The health and safety of the residents are protected by the homes system of training and checking. EVIDENCE: The manager told the inspector that all staff has had manual handling training but they do not use any mechanical aids, as all residents are independent and mobile. The fire alarms are tested weekly and they were activated due to burning toast while the inspector was at the home and she witnessed the evacuation of the home and all staff and residents knew exactly what they had to do. All staff has had first aid training and the boxes are located in the kitchen, the sleeping room and there is one that is taken in the car when that is used. All windows have restrictors and taps have thermostatic valves and the water temperatures are checked weekly. The fridges and freezers were checked. Temperatures are taken daily and all food is labelled and dated. Aeolian House H58 S13545 Aeolian House V234670 250805 Stage 4.doc Version 1.30 Page 18 Infection control training has taken place and the staff has good knowledge of these issues and gloves and aprons are worn when appropriate. Paper towels are also available. Aeolian House H58 S13545 Aeolian House V234670 250805 Stage 4.doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score x 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x x Standard No 11 12 13 14 15 16 17 x 3 3 x x x 3 Standard No 31 32 33 34 35 36 Score x x x x 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Aeolian House Score x 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x 3 x x H58 S13545 Aeolian House V234670 250805 Stage 4.doc Version 1.30 Page 20 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. 1. Standard 23.1 Regulation 13(6) Requirement Timescale for action 8/8/05 2. 32.6 18(c)(i) The registered persons shall ensure that their own policy on abuse is in line with the Surrey multi agency procedure. The registered persons are to 8/8/05 advise CSCI how they will achieve NVQ status by the end of 2005 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 Good Practice Recommendations Aeolian House H58 S13545 Aeolian House V234670 250805 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Aeolian House H58 S13545 Aeolian House V234670 250805 Stage 4.doc Version 1.30 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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