Inspection on 07/02/06 for Aldeburgh House

This inspection was carried out on 7th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Aldeburgh House 12/06/07

Aldeburgh House 20/07/05

Aldeburgh House 09/02/05

Aldeburgh House 28/06/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Aldeburgh House 66 Seaview Avenue West Mersea Colchester Essex CO5 8BX Lead Inspector Neal Wolton-Harragan Unannounced Inspection 7th February 2006 1:55 Aldeburgh House DS0000050959.V282610.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 Aldeburgh House DS0000050959.V282610.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. Aldeburgh House DS0000050959.V282610.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Aldeburgh House Address 66 Seaview Avenue West Mersea Colchester Essex CO5 8BX 01206 384392 01206 386659 aldeburgh@consensushealthcare.org www.caringhomes.org Consensus Healthcare Ltd 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 Anne Margaret Parmenter Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Aldeburgh House DS0000050959.V282610.R01.S.doc Version 5.1 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) 20th July 2005 Date of last inspection Brief Description of the Service: Aldeburgh House is a home providing care and accommodation to 8 adults with learning disabilities. Previously owned by Aitch Care Homes Ltd, the home was first registered in March 2004 and is managed by Mrs Anne Parmenter. Aldeburgh House is now part of Consensus Health Care following a take over of Aitch Care Homes in late 2005. 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 DS0000050959.V282610.R01.S.doc Version 5.1 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 second 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 21 of the 43 standards were looked at; 20 of these were met and one was unmet. All of the key standards for the service have been assessed in this inspection year. During the inspection, three members of staff were spoken with, as well as five service users. Service users appeared at ease with the care staff and were happy to talk to the Inspector, giving positive feedback about life in the home. Interactions between staff and service users, observed during this inspection, were positive. What the service does well: 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. Aldeburgh House DS0000050959.V282610.R01.S.doc Version 5.1 Page 6 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 Aldeburgh House DS0000050959.V282610.R01.S.doc Version 5.1 Page 7 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): 5 Each service user had an individual statement of terms and conditions with the home. EVIDENCE: Examined service user records gave evidence that each person living in the home now had an individual statement of terms and conditions of residence and these were signed by the individual service user concerned. Aldeburgh House DS0000050959.V282610.R01.S.doc Version 5.1 Page 8 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 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: Records examined at this inspection showed that individuals continued to contribute to the construction of their own service user plans 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 users contributed to the decision making process for all aspects of life at the home, from menu development to deciding what activities could be pursued, through individual conversations and group meetings. The service user records examined showed that comprehensive assessments had been undertaken and were regularly reviewed. risk Aldeburgh House DS0000050959.V282610.R01.S.doc Version 5.1 Page 9 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, 14 & 17 Service users had opportunities for personal development and were able to take part in age, peer and culturally appropriate activities. Service users were offered a healthy diet and were able to enjoy meals and mealtimes. EVIDENCE: The examination of service user records, and discussions with staff, gave evidence that all those living at Aldeburgh House had full and varied activity programmes. Service users attended various education and work type placements throughout the week, as well as having the opportunity to participate in a wide range of social and leisure activities at evenings and weekends. Discussions with staff, the Registered Manager and service users showed that service users contributed to the development of menus at Aldeburgh House and helped with some cooking tasks. Records showed that a balanced diet was offered with a good variety of meals across the week. Service users prepared their own breakfast, usually cereal Aldeburgh House DS0000050959.V282610.R01.S.doc Version 5.1 Page 10 and toast, lunch was a snack meal and the main cooked meal of the day was in the evening. On most occasions, there was a choice of two cooked main course dishes, although alternatives were readily available. Aldeburgh House DS0000050959.V282610.R01.S.doc Version 5.1 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): 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: Records showed that service users contributed to the development of their own individual plans and were supported in ways they chose. Individual records showed that physical and emotional needs were met and services of healthcare professionals brought in where needed. No one living at Aldeburgh House retained, administered or controlled their own medication at the time of this inspection, although some service users were being taught what their medications were. The examination of records at Aldeburgh House showed that appropriate policies and procedures were in place for dealing with medications. Aldeburgh House DS0000050959.V282610.R01.S.doc Version 5.1 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 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. Service users were supported to access advocacy services. Aldeburgh House DS0000050959.V282610.R01.S.doc Version 5.1 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, 25, 26, 27, 28 & 29 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. EVIDENCE: Service users were happy to show the Inspector their rooms and took pride in how they were kept. Each service user had their own key to their room and a number chose to keep their doors locked when they were out of their rooms. All rooms had en-suite toilet facilities, six having the benefit of en-suite baths or showers. There were ample shared bathrooms offering a choice of showers or baths. Aldeburgh House DS0000050959.V282610.R01.S.doc Version 5.1 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 areas were not assessed at this inspection. EVIDENCE: Although these standards were not assessed at this inspection, all were assessed as being met at the inspection of July 20th 2005 and details can be found in the report of that visit. Aldeburgh House DS0000050959.V282610.R01.S.doc Version 5.1 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): 43 Service users did not benefit from accountable management of the service. EVIDENCE: Although the home was well managed by the Registered Manager, there was no evidence of regular visits by the Responsible Individual since ownership of the home changed. It is the responsibility of the proprietors to ensure that the Responsible Individual undertakes monthly, unannounced visits and that reports of these are sent to the Commission for Social Care Inspection as well as kept at the home. Aldeburgh House DS0000050959.V282610.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 X 3 X 4 X 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 3 26 3 27 3 28 3 29 3 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 X 14 3 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X X X X X X X 1 Aldeburgh House DS0000050959.V282610.R01.S.doc Version 5.1 Page 17 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 YA43 Regulation 26 Timescale for action The Responsible Individual must 30/04/06 ensure that monthly, unannounced visits are undertaken and reported upon. Requirement 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 Aldeburgh House DS0000050959.V282610.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road 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 DS0000050959.V282610.R01.S.doc Version 5.1 Page 19 - 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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