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Inspection on 20/07/05 for Aldeburgh House

Also see our care home review for Aldeburgh House for more information

This inspection was carried out on 20th July 2005.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The manager and the staff team at Aldeburgh House have worked hard to ensure the home is decorated to a high standard and is comfortable for those who live there. Individual bedrooms have been furnished and decorated to reflect the personalities of the occupants and each contained varying amounts of personal items. Much work has been done to develop the skills and independence of service users including organising full activity programs as well as encouraging service users to be involved in daily chores at the home. Service user plans are well constructed, with thorough assessments being completed before someone enters the home and regular reviews while they live there.

What has improved since the last inspection?

Since the last inspection a Quality Assurance system has been put into place. Questionnaires have been sent out with some having been returned at the time of this inspection. A project plan has been developed and Mrs Parmenter stated that it is hoped that an annual quality report will be completed by the end of September 2005.

What the care home could do better:

When service user records were looked at during this inspection it was noted that each person living at the home did not have a signed copy of terms and conditions of residency or any contract. Mrs Parmenter agreed that these should be in place and that it would be attended to.

CARE HOME ADULTS 18-65 Aldeburgh House 66 Seaview Avenue West Mersea Colchester Essex, CO5 8BX Lead Inspector Neal Wolton-Harragan Unannounced 20th July Final 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. Aldeburgh House I56_I05_s50959_Aldeburgh_v219105_UI290605_Stage4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Aldeburgh House Address 66 Seaview Avenue West Mersea Colchester Essex CO5 8BX 01206 384392 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) Aitch Care Homes Limited Mrs Anne Margaret Parmenter Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Aldeburgh House I56_I05_s50959_Aldeburgh_v219105_UI290605_Stage4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. Persons of either sex, under the age of 65 years, who require care by reason of a learning disability (not to exceed 8 persons). Date of last inspection 9th March 2005 Brief Description of the Service: Aldeburgh House is a home providing care and accommodation to 8 adults with learning disabilities. Owned by Aitch Care Homes Ltd, the home was first registered in March 2004 and is managed by Mrs Anne Parmenter. The home is a large two storey property in a residential area close to the sea front at West Mersea. The building has been extensively modernised and renovated to provide accommodation in single rooms with en-suite facilities. The home does not have a lift although accommodation for those with mobility needs is available on the ground floor. There are enclosed well maintained gardens and the home is close to the island facilities. Aldeburgh House I56_I05_s50959_Aldeburgh_v219105_UI290605_Stage4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report follows an unannounced inspection at Aldeburgh House, the first inspection at the home for the 2005/2006 inspection year. Mrs Anne Parmenter, Registered Manager of Aldeburgh House, was at the home throughout the inspection and took an active role in the inspection process. During this inspection 37 of the 43 standards were looked at; 36 of these were met and one was partially met. During the day of inspection, three members of staff were spoken with, as well as four service users and one visiting relative. The visitor, staff and service users spoke well of the home and of its management. Service users appeared at ease with the care staff and were happy to talk to the Inspector. Interactions between staff and service users observed during this inspection were positive. This inspection included a tour of the home, discussions with service users, staff and the home manager, as well as the opportunity to look at records of how people living at Aldeburgh House were supported and how the staff were recruited and trained. What the service does well: What has improved since the last inspection? Since the last inspection a Quality Assurance system has been put into place. Questionnaires have been sent out with some having been returned at the time of this inspection. A project plan has been developed and Mrs Parmenter stated that it is hoped that an annual quality report will be completed by the end of September 2005. Aldeburgh House I56_I05_s50959_Aldeburgh_v219105_UI290605_Stage4.doc Version 1.40 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. Aldeburgh House I56_I05_s50959_Aldeburgh_v219105_UI290605_Stage4.doc Version 1.40 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 Aldeburgh House I56_I05_s50959_Aldeburgh_v219105_UI290605_Stage4.doc Version 1.40 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) 1, 2, 4 & 5. Prospective service users had the information they needed to make an informed choice about where to live and the needs and individual aspirations of prospective service users were assessed prior to admission. Each service user had a written statement of terms and conditions, although not all had been signed. EVIDENCE: The home has redesigned the Statement of Purpose to include pictorial information and is in the process of revising the Service User Guide to make the document more easily understandable by service users. Care records for three service users were examined and found that a comprehensive needs assessment was conducted prior to service users entering the home. These assessments formed the basis of the service user’s initial care plan and contributed to the on-going process of assessment within the home. Service user files also showed that each person living at the home was issued with a contract of residency, however these were not all signed. Aldeburgh House I56_I05_s50959_Aldeburgh_v219105_UI290605_Stage4.doc Version 1.40 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, 8, & 9. Service users knew their assessed and changing needs, and personal goals were reflected in their individual plan. Service users make decisions about their lives, are consulted on, and participate in, all aspects of life in the home and are supported to take risks as part of an independent lifestyle. EVIDENCE: Service user plans examined at this inspection showed that individuals had contributed to their construction and that the contents of the plan had been read to them. Service user records gave details of the individuals contribution to the decision-making process and involvement in the review process. The service user records examined showed that comprehensive assessments had been undertaken and were regularly reviewed. risk Conversations with service users and staff indicated that people living at the home were consulted regarding activities and the day-to-day running of Aldeburgh House, both individually and through service user meetings, and were able to participate in all aspects of life at the home. Aldeburgh House I56_I05_s50959_Aldeburgh_v219105_UI290605_Stage4.doc Version 1.40 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 standard(s) 11, 12, 13, 14, 15 & 16. Service users had opportunities for personal development and were able to take part in age, peer and culturally appropriate activities. Service users were part of the local community, engaged in appropriate leisure activities and had appropriate personal, family and sexual relationships. Service users’ rights were respected and responsibilities recognised in their daily lives. EVIDENCE: Service user records examined gave evidence that each person living at the home had a detailed weekly programme that included work, education and leisure type activities. Service users spoken with on the day of inspection stated that they used community facilities as part of their daily lives and enjoyed the activities on offer. Discussion with service users and staff, as well as the examination of records, showed that service users rights were respected and appropriate personal relationships supported. All service users had keys to their own rooms and some chose to keep their doors locked. Aldeburgh House I56_I05_s50959_Aldeburgh_v219105_UI290605_Stage4.doc Version 1.40 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 standard(s) 18, 19 & 20. Service users received personal support in the way they preferred and required, physical and emotional health needs are met. No service users retained, administered or control their own medication at the time of this inspection and service users were protected by the homes policies and procedures for dealing with medicines. EVIDENCE: Service users spoken with were happy with the way they were supported and this was reflected within the care plans examined. Care plans identified individual needs as well as the choices made by individuals as to how these needs were to be met. Care plans were well detailed, regularly monitored and formally reviewed at four to six month intervals, depending on individual need. There was an ongoing process of assessment, to take account of the changing needs of individuals, and the services of healthcare professionals such as community nurses, speech and language therapists or psychologists were accessed as necessary. None of the service users retained, administered or controlled their own medications at the time of this inspection. This decision was taken on an individual basis for each service user, following a process of need and risk assessment. Aldeburgh House I56_I05_s50959_Aldeburgh_v219105_UI290605_Stage4.doc Version 1.40 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 standard(s) 22 & 23 Arrangements were in place to help protect service users from abuse, neglect and self-harm and their views were listened to and acted upon. EVIDENCE: The home had a robust complaints procedure and this was also presented in a manner that was easy for service users to understand. The adult protection policies and procedures were adequate to protect service users from abuse and, where service users presented with behaviours likely to cause self-harm, these behaviours were identified within their care plans and management strategies devised. Advocacy services were made available to service users. Aldeburgh House I56_I05_s50959_Aldeburgh_v219105_UI290605_Stage4.doc Version 1.40 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 standard(s) 24, 25, 26, 27, 28 & 30. Service users lived in a homely, comfortable and safe environment and had bedrooms that suited their needs and lifestyles, as well as promoting independence. Service users toilets and bathrooms provided sufficient privacy and met individual needs. Shared spaces complemented and supplemented service users individual rooms. The home was clean and hygienic. EVIDENCE: An environmental tour of the home gave evidence that service users lived in a homely, comfortable and safe environment and that individual bedrooms suited service users’ needs and lifestyles and promoted independence. Bathrooms were of a good standard and offered a variety of choices for bathing and showers, in addition to en-suite bathing facilities in six of the eight rooms. All rooms had en-suite toilet facilities. There were sufficient shared spaces throughout the home, and within its grounds, to complement and supplement service users’ individual rooms. Service users spoken with on the day inspection expressed a high level of satisfaction with their individual and communal spaces and bedrooms were individualised by service users. All areas of the home were clean and hygienic. Aldeburgh House I56_I05_s50959_Aldeburgh_v219105_UI290605_Stage4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34, 35 & 36. Service users benefited from clear staff roles and staff were appropriately trained to meet the individual and joint needs of service users. Service users were supported by competent and qualified staff and protected by the homes recruitment policies and practices. Staff were adequately supported and supervised. EVIDENCE: Examination of staff records, as well as discussions with the registered manager and staff, gave evidence that care staff had a good understanding of their roles and responsibilities and that staff were qualified and competent. Staff were employed in sufficient numbers to meet the needs of the service users creating an effective staff team. Staff spoken with on the day of inspection stated that training was regularly made available and the home manager fully supported staff in meeting their training needs. The examination of staff files showed that all staff received regular full support and supervision. Aldeburgh House I56_I05_s50959_Aldeburgh_v219105_UI290605_Stage4.doc Version 1.40 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 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) 37, 38, 39, 40, 41 & 42. The home was well run and service users benefited from the ethos, leadership and management approach of the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures and record keeping at the home was good. The health, safety and welfare of service users was promoted and protected. EVIDENCE: Service users and staff spoken with on the day of inspection were positive about the management style adopted in the home and staff felt able to raise concerns with, or make requests to, the manager. Records examined showed evidence of regular staff and service user meetings being held. The registered manager showed a good understanding of management issues and was working towards the NVQ level 4 in Management and Care. Records examined showed that risk assessments for activities undertaken by staff and service users had been completed. Records showed the health, Aldeburgh House I56_I05_s50959_Aldeburgh_v219105_UI290605_Stage4.doc Version 1.40 Page 16 safety and welfare of service users, staff and visitors was promoted and protected. Record keeping at the home was of a good standard. Aldeburgh House I56_I05_s50959_Aldeburgh_v219105_UI290605_Stage4.doc Version 1.40 Page 17 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 3 3 x 3 2 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 4 4 3 3 x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 x Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Aldeburgh House Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 x I56_I05_s50959_Aldeburgh_v219105_UI290605_Stage4.doc Version 1.40 Page 18 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 Regulation None Requirement Timescale for action 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 YA5 Good Practice Recommendations The registered person should ensure that statements of terms and conditions are signed by service users or their representatives. Aldeburgh House I56_I05_s50959_Aldeburgh_v219105_UI290605_Stage4.doc Version 1.40 Page 19 Commission for Social Care Inspection 1st Floor Fairfax House Colchester Essex CO1 1RJ 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 Aldeburgh House I56_I05_s50959_Aldeburgh_v219105_UI290605_Stage4.doc Version 1.40 Page 20 - 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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