Inspection on 04/01/06 for Albany House

This inspection was carried out on 4th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 2 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 31/10/06

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 Annie Taggart Unannounced Inspection 22nd December 2005 02:00 Albany House DS0000014348.V274980.R01.S.doc Version 5.1 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.V274980.R01.S.doc Version 5.1 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.V274980.R01.S.doc Version 5.1 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 Phillipa 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.V274980.R01.S.doc Version 5.1 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 4th July 2005 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. Phillippa 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.V274980.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced visit was carried out at 9.15am and lasted for five hours, which covered both the early and late shifts at the home. During the course of the visit the inspector spent time talking with all of the residents who were in the home, staff members and a visitor. A tour of the building was undertaken during which all-communal rooms and all but two bedrooms were seen, the residents occupying these rooms were out and had locked their doors. The inspector saw lunch being prepared and served and time was spent inspecting the medication system. Six care plans and six staff files were seen along with other documentation and records for the running of the home. Prior to the visit, the last two inspection reports were read along with any other correspondence and documentation relating to the home. The owner/manager of the home Mrs. Solan was off duty but came to the home to assist with the visit. What the service does well: What has improved since the last inspection? What they could do better: To ensure the safety of residents at all times, the medication system should be reviewed and hot water temperatures should be risk assessed and regulated to a safe level throughout the home. Albany House DS0000014348.V274980.R01.S.doc Version 5.1 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. Albany House DS0000014348.V274980.R01.S.doc Version 5.1 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.V274980.R01.S.doc Version 5.1 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): 12345 There is sufficient information available to enable prospective clients about the facilities available in the home. Needs are assessed, visits to the home encouraged and people receive a contract of terms and conditions. EVIDENCE: The Statement of Purpose and Service User Guide set out the aims and objectives of the home and give prospective clients a clear understanding of the facilities available. The documents were reviewed and updated in 2005. Prospective clients receive a comprehensive assessment of need, which is carried out in conjunction with families and other healthcare professionals, and the home also carries out a skills assessment for each person. People confirmed they had visited the home before moving in and some people said that they had left for periods of time and then been assisted to settle in again on their return. Some clients said it was very important whom they lived with and the manager confirmed the need to ensure the compatibility of the client group. Each client receives a copy of a contract setting out the terms and conditions of residency and a copy of the document is included in the Service User Guide. Albany House DS0000014348.V274980.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 7 8 9 10 The health and social care needs of each person is documented in a plan of care, risks are assessed and clients are involved in the running of the home. EVIDENCE: Each client has a plan of care in place, which has been generated from the assessment process. Six care plans were seen and all contained detailed information on the health and social care needs of each person, all had also been reviewed and updated on a monthly basis. Each person also receives a six monthly review to ensure that the home is still meeting his or her needs. People are involved in the daily running of the home and are consulted about any proposed changes. One person helps in the kitchen each day and said that they really enjoyed being involved with washing up and serving meals. Other people said that they had helped to decorate the home for Christmas. Care plans contain risk assessments and risk reduction plans are documented. The people living in the home said that it was very important to them that their lifestyle choices are respected. Staff members were friendly, respectful Albany House DS0000014348.V274980.R01.S.doc Version 5.1 Page 10 and calm in their dealings with clients and one person said, “ It’s brilliant here and we can do as we want”. The home has a confidentiality policy and all documentation regarding clients is kept securely in the office. Albany House DS0000014348.V274980.R01.S.doc Version 5.1 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 the following standard(s): 11 12 13 14 15 16 17 The people living in the home have opportunities for personal development and can access the local community and leisure facilities. Lifestyle choices are respected and the home provides a variety of freshly cooked food. EVIDENCE: There is evidence of clients being able to access opportunities for personal development and people are treated in an age appropriate and respectful manner. Some people access regular day-care facilities and one person helps in the home. Two people were out at day-care during the visit. People said that they accessed the community freely and went to visit friends, to the local pub and shops and one person said they were involved with the local football club. A visitor was very complimentary about the home and said that they were always made very welcome. They also stated that their relative was able to choose how they spent their time. Albany House DS0000014348.V274980.R01.S.doc Version 5.1 Page 12 Some people said that because of their anxieties they did not like going out into the community and that their wishes are also respected. The home has books, games, videos and music equipment available and the manager organises some min-bus outings in better weather. The home offers a variety of fresh, home cooked meals and clients are offered alternatives and snacks. The inspector saw lunch, which was a mixed grill being prepared and served and the food, was of ample portions and attractively served. One person chose to have fish as an alternative and two sweets were available. There were also snacks and “nibbles” available in the dining room. Most bedrooms also have tea- making facilities in place. The home can cater for special diets and concerns about nutritional needs are referred to a dietician. All of the people in the home were very complimentary about the food provided and all said that they had received wonderful Christmas meals. Albany House DS0000014348.V274980.R01.S.doc Version 5.1 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 the following standard(s): 18 19 20 21 Personal support needs are documented and physical and emotional needs are met. There are risks associated with the administration and recording of medication. EVIDENCE: Many of the people living in the home do not require help with personal care needs but where support is required it is documented in the plan of care and agreed with the individual client. There is evidence of input from a variety of healthcare professionals including the community mental health team, psychiatrists, doctors and district nurses. Clients receive routine medical screening and during the visit one person was being supported to attend a regular medication review. The home has an agreement with a local pharmacy and there are in-house policies and procedures in place regarding the storage and administration of medication. However during the visit there were errors noted both in the administration system and in the medication recording charts. It is a requirement that the medication system is reviewed and updated and that staff who administer medication receive accredited training. Wherever possible people would be supported to remain in their own home until the end of their lives and the manager said that a multi disciplinary Albany House DS0000014348.V274980.R01.S.doc Version 5.1 Page 14 decision would be made should this situation arise. Some people have last wishes documented in their care plans. Albany House DS0000014348.V274980.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 23 The people living in the home can be confident that their concerns will be listened to and acted upon and policies, procedures and staff training are designed to protect clients from abuse. EVIDENCE: The home has a complaints procedure in place a copy of which is included in the Statement of Purpose and Service User Guide. There have been no formal complaints recorded since the last visit but concerns from residents with outcomes had been recorded in the daily recording book. Both the people living in the house and a visitor said they would feel comfortable in making a complaint and said that they were confident that their concerns would be listened to and acted upon. There is an abuse and a whistle blowing policy in place and all staff members have received training by watching a training video and through discussion during appraisal. The staff spoken to were aware of the policies and procedures and were aware of their responsibilities should they suspect an abuse had taken place. Albany House DS0000014348.V274980.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 25 26 28 30 The home offers a comfortable, clean and homely environment and private bedrooms are pleasant and have been personalised. There are risks to people of scalding by water temperatures being too hot EVIDENCE: The home is light and airy and attractively decorated. There is sufficient communal space including a large smoking lounge and there is a wellmaintained garden, which is easily accessible to people in better weather. There is a programme of replacing old windows with double glazed units underway and the manager said there was also a written plan in place to fit radiator covers in the very near future. Private bedrooms are warm, homely and contain good quality furnishings and fittings. Rooms are comfortable and have been personalised with pictures, televisions and personal belongings and all of the people living in the home said that they were very happy with their personal space. There are kettles and tea making facilities in most rooms and one person who does not like going out said they were very happy because they had a view of the sea to look at. Albany House DS0000014348.V274980.R01.S.doc Version 5.1 Page 17 Although there are temperature regulator valves fitted to water outlets, the hot water in some bedrooms was at an unacceptably high level. This was reported to the manager who immediately telephoned a plumber. To ensure the safety of the people in the home a requirement has been made regarding the safety of hot water and temperatures should be tested and recorded weekly. The home was pleasant, clean and hygienic and clients said that they were helped to keep their rooms clean on a daily basis. Albany House DS0000014348.V274980.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 32 33 34 35 36 Staff members are aware of their roles and responsibilities and receive training and support. People are protected by the home’s recruitment procedures and residents say that their needs are met. EVIDENCE: Staff members were aware of their responsibilities and each person received a job description and was introduced to policies and procedures during the induction period. Most of the staff training takes place in-house by the use of video and training records are kept on file. Training includes protection from abuse and some staff have also attended the management of challenging behaviour. As previously stated all staff should also attend accredited training in the administration of medication. The manager said that currently 50 of the staff team hold NVQ 2 or above. The files of six members of staff were seen and all contained the required documentation including application forms, current Criminal Bureau Checks and two references. There is evidence of staff supervision and appraisal taking place and staff say they are well supported, Albany House DS0000014348.V274980.R01.S.doc Version 5.1 Page 19 The people living in the home said that the staff team were very kind and caring. One person said, “Staff here always want to help you”. Another person said, “It’s nice living here, the food is very good and the staff are lovely”. Albany House DS0000014348.V274980.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 38 39 40 41 42 43 The home is run in the best interests of the people living there and the staff team benefit from good leadership and support. Policies and procedures are regularly reviewed and updated and financial procedures are robust. EVIDENCE: The owner/manager of the home has many years experience working in the care field and has good relationships with the staff team and other professionals involved with the home. Mrs. Solan holds the City and Guilds 325/3 Advanced Management of Care and has also completed the Registered Manager’s Award. The people living in the home said that the home was run in a way that made them feel involved and respected and the staff on duty spoke highly of the manager. There is an annual quality assurance system in place, which includes satisfaction surveys from clients, families and other professionals and the Albany House DS0000014348.V274980.R01.S.doc Version 5.1 Page 21 replies are collated and published by the manager. The replies contained very positive comments about the home and about the service provided. The manager said that she does not provide a written financial plan for the home but as the owner/manager is aware of the needs of the home and prioritises spending as needed. Records are kept of monies held on behalf of clients and are signed by both staff members and the client when expenditure is undertaken. Records for the running of the home were seen including health and safety, fire and maintenance records. All were in good order but the current gas certificate could not be located during the visit. Mrs. Solan said she would forward a copy to the inspector when it was found. As previously stated, to ensure the safety of people at all times, medication records should be improved and water temperatures recorded weekly. Albany House DS0000014348.V274980.R01.S.doc Version 5.1 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 3 2 3 3 3 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 1 25 3 26 3 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 3 3 3 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 3 3 3 3 3 3 3 3 Albany House DS0000014348.V274980.R01.S.doc Version 5.1 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 YA20 Regulation 13 (2) Requirement The administration and recording of medication should be reviewed and updated and staff should receive accredited training. To ensure the safety of residents, water temperatures should be kept at a safe level and tested and recorded weekly. Timescale for action 30/01/05 2 YA24 13 (4) 06/01/06 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.V274980.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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 Albany House DS0000014348.V274980.R01.S.doc Version 5.1 Page 25 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!