Inspection on 31/10/06 for Albany House

This inspection was carried out on 31st October 2006.

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 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Albany House 09/09/08

Albany House 04/01/06

Albany House 18/01/05

Albany House 27/07/04

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 Albany House 13 Stocker Road Bognor Regis West Sussex PO21 2QH Lead Inspector Mrs A Taggart Unannounced Inspection 29th October 2006 09:30 Albany House DS0000014348.V319604.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 Albany House DS0000014348.V319604.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. Albany House DS0000014348.V319604.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Albany House Address 13 Stocker Road Bognor Regis West Sussex PO21 2QH 01243 822533 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) Mrs Philippa Dawn Solan Mrs Philippa Dawn Solan Care Home 17 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (7), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (8) Albany House DS0000014348.V319604.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. A maximum of 8 persons in the category Mental Disorder, excluding learning disability or dementia MD(E) over the age of 65 years to be accommodated. A total of seventeen service users only may be accommodated. Date of last inspection Brief Description of the Service: Albany House is a care establishment providing accommodation and personal care for seventeen people with mental disorders, four of whom may be over 65 years of age. The Registered Provider/Manager is Mrs. Philippa Dawn Solan. The property is situated close to the sea front and a short walk from Bognor Regis town centre with its shops, train station and other amenities. Albany House consists of two large three-storey houses, which have been linked to form one establishment. The accommodation is provided in seventeen single rooms and there are two lounges and a separate dining room. There is a large garden to the rear of the building which is accessible to service users. Albany House DS0000014348.V319604.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced visit was carried out at 9.30am and lasted for 4.5 hours. During the visit, the inspector spoke to the people living in the home, the staff on duty and observed interactions between the staff team and residents. A tour of the home was undertaken during which all of the communal areas and most bedrooms were seen. Some clients did not want anyone in their rooms and this was respected. The inspector saw lunch, which was the main meal of the day being prepared and served and saw menus and food records. Five care plans were tracked with any resulting issues being discussed with the client or staff group and four staff records were also tracked. Records for the running of the business were seen, including fire records, maintenance books, accident and complaints records, the quality assurance system and a development plan for the home. Prior to the visit the inspector spent time planning the visit and received a completed pre-inspection questionnaire from the manager. The inspector also spoke to two family members on the telephone. Mrs Solan, the owner/Registered Manager was present in the home and received feedback after the visit. The people living in the home prefer to be called clients, and this has been reflected in the report. The inspector thanks everyone who helped during the visit. What the service does well: Albany House is homely and comfortable and the people living there say their choices are respected and that the manager and staff team are supportive, kind and caring. Residents have access to community and leisure facilities and are supported to obtain good healthcare services. The people living in the home are supported to be as independent as possible. A variety of fresh home cooked meals are available and people are given a choice. A comment from a client said, “ this is a brilliant place and ideal for all of the people living here”. Albany House DS0000014348.V319604.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Albany House DS0000014348.V319604.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 Albany House DS0000014348.V319604.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): 1 2 3 and 5 Quality in this outcome area is Good Prospective clients and their families have the information they need to enable them to make a decision about living in the service. Needs are assessed and visits to the home encouraged This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Statement of Purpose and Service User Guide set out the aims and objectives and facilities provided in the home. Pre admission assessments are carried out with involvement with the prospective client, families and healthcare professionals and people are able to visit the home and stay for trial periods if they wish. As recorded at the last visit, the people living in the home said it was very important to them who they lived with and the manager Mrs. Solan said that the compatibility of clients was a major consideration when assessing prospective residents. All of the people living in the home receive a contract, setting out the terms and conditions of residency. Albany House DS0000014348.V319604.R01.S.doc Version 5.2 Page 9 Albany House DS0000014348.V319604.R01.S.doc Version 5.2 Page 10 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 8 and 9 Quality in this outcome area is Good Care plans are in place to ensure that the staff team are aware of the support needs of each client and people say they are treated with respect This judgement has been made using available evidence including a visit to this service. EVIDENCE: For each client, there is a plan of care in place detailing the support need and individual wishes of each person. Although the documents are comprehensive, they could be improved by further detailing some specific lifestyle choices such as personal care support in order to ensure new staff are made aware of individual preferences. The manager Mrs. Solan said that she is working on producing a précis of each care plan for use as a quick reference and for use during staff induction. All of the care plans had been recently reviewed and updated and had been signed by the service user. The people living in the home say that they are treated with respect and consulted about changes or future developments. People said that they help in the home if they wish to do so and one person said that they were still enjoying helping in the kitchen, serving and helping to prepare meals. Albany House DS0000014348.V319604.R01.S.doc Version 5.2 Page 11 Albany House DS0000014348.V319604.R01.S.doc Version 5.2 Page 12 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 14 15 16 and 17 Quality in this outcome area is Good The people living in the home are supported to access the community, have opportunities for personal development and are offered fresh, home cooked meals. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The people living in the home confirmed that their lifestyle choices were respected and the staff members on duty were seen to be friendly and supportive in their dealings with people. One person said that they attended an art class, played musical instruments and went out on their bike and others said that they regularly went out shopping or to pubs, clubs and cafes or to visit their friends. One person said that they did not like going out very much and preferred to be indoors and this choice was respected. Another person said that they went to the shops each day but preferred to work in the kitchen in the home, where they felt useful and valued. Albany House DS0000014348.V319604.R01.S.doc Version 5.2 Page 13 Menus show that a variety of fresh home cooked meals are available, Lunch, which was the main meal of the day was toad in the hole with mixed vegetables and mashed potato and fruit and cream to follow. Three people chose alternative meals and a special diet was catered for. The people living in the home were very complimentary about the food provided and confirmed that they were always offered a choice of meals. Albany House DS0000014348.V319604.R01.S.doc Version 5.2 Page 14 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 and 20 Quality in this outcome area is Good The physical and emotional needs of the current client group are met by the home working in conjunction with other healthcare professionals. The administration of medication system needs to be reviewed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Most of the people living in the home prefer to be independent with regards to personal care being provided and care plans reflect choices and preferences. The home works with a variety of healthcare professionals including local doctors, district nurses and community mental health teams and during the visit a staff member was supporting a client to attend a regular appointment with a dietician. One client said that they were supported by the staff team to cope with their anxieties and showed the inspector written coping strategies that they had been helped to devise, which was kept in their room. At the last visit a requirement was made regarding the storage and administration of medication. Despite accredited training having been recently Albany House DS0000014348.V319604.R01.S.doc Version 5.2 Page 15 undertaken by all staff, an error was noted in that on two occasions, one medication that had been refused by a client, was signed for as being administered. A further requirement has been made regarding medication. A new medication cabinet has been purchased but is not yet in use. Albany House DS0000014348.V319604.R01.S.doc Version 5.2 Page 16 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 and 23 Quality in this outcome area is Good Concerns and complaints are recorded and acted upon and the staff team have an awareness of adult protection procedures. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The complaints procedure is currently being reviewed and updated to change the address of the Commission and Mrs Solan said that the change would also be reflected in the Statement of Purpose. No formal complaints have been received but complaints or concerns from clients were recorded and appropriately acted upon. There was also written evidence in the care plans of complaints from clients also being discussed with care managers and healthcare professionals where appropriate. Staff files show that the staff team regularly update their training in adult protection by use of a training video and the staff on duty showed an awareness of their responsibilities should they suspect an abuse had taken place. One person said, “ I would be very shocked if anything like that happened here but I would report it straight away”. Albany House DS0000014348.V319604.R01.S.doc Version 5.2 Page 17 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 26 28 and 30 Quality in this outcome area is Good Albany House offers a homely and comfortable environment for the people who live there and clients say they are happy with the facilities provided. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is comfortable and homely and offers sufficient communal space for the people who live there. There is a smoking and a non-smoking lounge, large dining room and a well-maintained garden. The programme for covering exposed radiators has now been completed and some bedrooms have been re-decorated. There is an ongoing programme of replacing windows with double-glazed units underway. Private bedrooms have been personalised by the people living in the home and many have a kettle and tea/coffee making facilities in place. The people living in the home said that they had been involved in choosing colours for their rooms, said they were very satisfied with the facilities provided and were happy that the cleaner supported them in cleaning their rooms on a regular basis. Albany House DS0000014348.V319604.R01.S.doc Version 5.2 Page 18 One person said that they were currently discussing the possibility of moving to a downstairs room in order to better meet their healthcare needs. Some people did not want their bedrooms visited and this was respected. A requirement regarding safe water temperatures has been met and there is a record of weekly tests in place. Some clients had additional heaters in their rooms and Mrs. Solan confirmed that these had been PAT tested and were kept at a safe level. As good practice risk assessments should be completed for the use of additional heaters. Albany House DS0000014348.V319604.R01.S.doc Version 5.2 Page 19 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): 31 32 34 and 35 Quality in this outcome area is Good There are sufficient staff members on duty to meet the needs of the current client group and staff training and support are in place. The people living in the home are protected by a robust staff recruitment procedure. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There were three care staff members and a cook on duty on the early shift and two people in the evening with one person at night. As the people living in the home are very independent Mrs. Solan said this number of staff meets the current client’s needs. Each staff member has a job description and during discussion showed an awareness of the needs of the people they are supporting. Staff training files show that mandatory training is updated regularly by the use of training videos and this included protecting vulnerable adults from abuse. In the last six months staff have received accredited medication training from a local pharmacy and certificates are on file. Mrs. Solan said that 50 of the staff team hold the NVQ award in care. Albany House DS0000014348.V319604.R01.S.doc Version 5.2 Page 20 Five staff files were seen and all contained the required documentation including Criminal Bureau Checks and references. Both the people living in the home and families spoken to prior to the visit were very complimentary about the staff team. One person said, “ It’s lovely here, the staff are so nice. If you have a problem or feel unwell you can talk to them at any time. The house is also nice and clean and that’s important to me. Also I can have a lie in, the dinners are good and I go out every day A parent said, “Very pleased, it’s a fine place. We visit every two weeks and the staff are wonderful, friendly and courteous. They discuss problems or worries with you and keep you up to date. The staff on duty confirmed that they received supervision and appraisal and notes were kept on file. Albany House DS0000014348.V319604.R01.S.doc Version 5.2 Page 21 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 38 39 and 41 Quality in this outcome area is Good The home is run by a committed and capable manager who manages the service in the best interests of both service users and the staff team and most records are in good order. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Mrs. Solan works in the home on a daily basis and involves families; healthcare professionals and mental health community teams in order to ensure the needs of the people living in the home are appropriately met. Both the staff team and the people living in the home spoke highly of Mrs Solan’s management style and said that she was approachable, friendly and supportive. The completed Quality Assurance document for 2005/06 was seen and it contained satisfaction surveys from service users, families and other professionals involved with the home. Replies had been collated and published Albany House DS0000014348.V319604.R01.S.doc Version 5.2 Page 22 and Mrs. Solan said that the outcomes were being used to inform an improvement plan for the home. Where the home hold monies on behalf of residents records are kept and receipts gained. During the visit one person came to the office and asked if they could withdraw some of their money. The cash was signed for by two people and Mrs. Solan showed the person how much they still had left in their cash envelope. Records for the running of the home were seen including the fire book, complaints records, maintenance checks and gas certificate and all were current and in good order. As previously recorded in the report a requirement has been made for the medication administration system needs to be reviewed. Albany House DS0000014348.V319604.R01.S.doc Version 5.2 Page 23 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 3 2 3 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 3 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 4 3 3 3 x LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 1 x 3 3 3 X 3 3 x Albany House DS0000014348.V319604.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes 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 The staff training in the administration and recording of medication system should be further reviewed and updated to ensure that errors do not occur Timescale for action 30/11/06 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 Albany House DS0000014348.V319604.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Albany House DS0000014348.V319604.R01.S.doc Version 5.2 Page 26 - 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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