CARE HOME ADULTS 18-65
Aeolian House Aeolian House Horsham Road Cranleigh Surrey GU6 8DZ Lead Inspector
Cathy Clarke Unannounced Inspection 5th January 2006 10:00 Aeolian House DS0000013545.V260660.R01.S.doc Version 5.0 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 Aeolian House DS0000013545.V260660.R01.S.doc Version 5.0 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. Aeolian House DS0000013545.V260660.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Aeolian House Address Aeolian House Horsham Road Cranleigh Surrey GU6 8DZ 01483 276561 01999 999999 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) Royal Mencap (Housing & Support Services) Kerry Louise Elliot Care Home 8 Category(ies) of Learning disability (8), Learning disability over registration, with number 65 years of age (1), Sensory impairment (1) of places Aeolian House DS0000013545.V260660.R01.S.doc Version 5.0 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. 25th August 2005 Date of last inspection 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 to the front of the premises. A bus stop is a few minutes walk away. It is some considerable distance into the village of Cranleigh. Aeolian House DS0000013545.V260660.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 3 hours and was the second inspection to be undertaken in the Commission for Social Care Inspection year April 2005 to March 2006. Cathy Clarke, Regulation Inspector, carried out this inspection Kerry Elliot; Registered Manager was present as the representative for the establishment. A tour of the premises took place and documents inspected included, medication administration records, staff records, policies and procedures. One service user was spoken to during the inspection. This was a positive inspection. The inspector would like to thank the staff and service users for their time, assistance and hospitality during this inspection. What the service does well: What has improved since the last inspection?
The house has been decorated inside and out since the last inspection. The registered manager stated that it was a well-organised and planned programme involving all of the service users. One of the service users decided to spend Christmas in Aeolian House and thoroughly enjoyed it. Lots of relatives visited the home over the Christmas period. Some of the service users went away for Christmas to relatives. Staff have attended first aid training and a well woman programme. Aeolian House DS0000013545.V260660.R01.S.doc Version 5.0 Page 6 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 DS0000013545.V260660.R01.S.doc Version 5.0 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 Aeolian House DS0000013545.V260660.R01.S.doc Version 5.0 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): These standards were not inspected as part of this inspection. EVIDENCE: Aeolian House DS0000013545.V260660.R01.S.doc Version 5.0 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): 7, Service users are empowered to make decisions and choices in their day-today lives. EVIDENCE: Service users have regular meetings with staff and there is an open and inclusive atmosphere in the home. The recent programme of redecoration has given service users the opportunity to choose the colours that they prefer in the home. One of the rooms has turned out to be very bright but the registered manager has stated that they are to tone this down with pictures and blinds. One of the service users spoken to during the inspection stated that he liked to do pottery and that all of the service users enjoy various crafts. When the home organises fund raising events the service users like to be fully involved. They are planning to hold a cocktail party in the near future. Aeolian House DS0000013545.V260660.R01.S.doc Version 5.0 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): These standards were not inspected during this inspection. EVIDENCE: Aeolian House DS0000013545.V260660.R01.S.doc Version 5.0 Page 11 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 Policies and procedures are in place for the administration, storage and recording of medication. EVIDENCE: One service user self medicates and staff sign his medication administration record (MAR). There is a medication file, which contains the signatures of all staff trained to administer medication. Each service user has a current photograph on file. There is a separate medication profile folder, which gives staff information regarding the medication that service users are receiving. Any letters from the service users general practitioner (GP) is stored in this file. All of the MAR charts were correctly signed and dated. The blister packs for the am medicines were checked and two packs had problems with sealing the back of the blister packs. The registered manager informed the inspector that she has been returning these to the pharmacy for readjusting and resealing. The controlled drugs cabinet is on the wall and the key is kept in a separate and secure place. Please see requirements section of this report.
Aeolian House DS0000013545.V260660.R01.S.doc Version 5.0 Page 12 Concerns, Complaints and Protection
The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 The service has a corporate policy and procedure in place for the protection of vulnerable adults. A process is in place for making a complaint. EVIDENCE: There have been no complaints since the last inspection. Several family members had taken the time to compliment the service in Christmas cards and letters to the home. One of the families had written to thank the home for organising a special 60th birthday party for one of the service users. Another had stated “Thank you for all your hard work this and every year”. The home has a corporate policy and procedure in place for safeguarding adults and the registered manager stated that this is in keeping with the Surrey Multi Agency procedures. Staff are booked to attend a Surrey MultiAgency training programme on “Safeguarding Adults” in February 06. Aeolian House DS0000013545.V260660.R01.S.doc Version 5.0 Page 13 Environment
The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 There is a homely feel to the premises and much of the home has been redecorated since the last inspection. There is one safety issue, which must be resolved. EVIDENCE: The home has one small house sign, which is attached to a tree on the entrance to the drive. A more prominent and visible sign is required. The home has been completely redecorated since the last inspection. The flooring in the kitchen is to be taken up and replaced. The company has agreed to this work because the flooring has risen in places. This work has been scheduled for completion. The bathroom upstairs has been decorated in a very bright colour, which is to be toned down with the use of accessories. The handle and lock, which has become detached from the chest freezer, must be replaced and a new lock must be fitted. The home is clean and tidy and there were no mal odorous smells. Please see requirements section of this report. Aeolian House DS0000013545.V260660.R01.S.doc Version 5.0 Page 14 Staffing
The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 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): These standards were not inspected as part of this inspection. EVIDENCE: Aeolian House DS0000013545.V260660.R01.S.doc Version 5.0 Page 15 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 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 The management style of the home is open and inclusive and service users views are listened to and acted upon. EVIDENCE: The registered manager is nearing completion of the NVQ Level 4 Registered Managers Award. There are five staff in total, including the manager and two have been forwarded to a college to undertake their NVQ training. Regular team and service user meetings are held and staff seen during the inspection were able to approach the manager with any problems. Service users like to attend a local advocacy group and the local church. There is a questionnaire that is given to service users. The Head Office sends out a survey to relatives and the registered manager stated that she thought that the survey was also sent to care managers and health care professionals. An annual statistical report is kept on file. Aeolian House DS0000013545.V260660.R01.S.doc Version 5.0 Page 16 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 X X X Standard No 24 25 26 27 28 29 30
STAFFING Score 2 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Aeolian House Score X X 2 X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X X X DS0000013545.V260660.R01.S.doc Version 5.0 Page 17 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) Timescale for action Blister packs must be returned to 31/01/06 the Pharmacy where readjusting of the tablets has become necessary due to problems with the packaging. The property must affix a house 28/02/06 sign, which is situated in a prominent place. The freezer, which is stored in the through room, must have a locking handle affixed to it. 31/01/06 Requirement 2 YA24 23 (1) (a) 3 YA24 13 (4) (a) 23 (2) (c) RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Aeolian House DS0000013545.V260660.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Surrey Area Office 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
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