Inspection on 03/08/05 for Aldwick Residential Care Home

This inspection was carried out on 3rd August 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.

Other inspections for this house

Aldwick Residential Care Home 28/01/09

Aldwick Residential Care Home 26/02/08

Aldwick Residential Care Home 05/03/07

Aldwick Residential Care Home 06/01/06

Aldwick Residential Care Home 29/09/04

Aldwick Residential Care Home 17/06/04

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 Aldwick Residential Care Home 92-94 Aldwick Road Bognor Regis West Sussex PO21 2PD Lead Inspector Gill Davis Announced Weednesday, 3 August 2005, 10.00am, V233515 rd 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. Aldwick Residential Care Home H60-H11 S14352 Aldwick residential care home V233515 030805 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Aldwick Residential Care Home Address 92-94 Aldwick Road, Bognor Regis, West Sussex, PO21 2PD 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) 01243 865569 Mr A.K.& Mrs. P. Sewpaul Mr Ashok Kumar Sewpaul CRH 27 Category(ies) of MD(E)-27, MD-27 registration, with number of places Aldwick Residential Care Home H60-H11 S14352 Aldwick residential care home V233515 030805 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Only service users aged 40-65 years of age may be admitted in the category mental disorder, excluding learning disablility or dementia (MD) Date of last inspection 17 July 2004 Brief Description of the Service: Aldwick Residential Care Home is a care home registered to accommodate up to twenty-seven service users who have a mental disorder, eleven of whom may be over the age of sixty-five years. The premises are made up of two terraced house, which have been joined together internally and extended for its current use. The accommodation consists of eleven single and eight double bedrooms located on the ground, first and second floors. The dining room and a lounge are located on the ground floor, whilst a second lounge, a hairdressing room and small smoking room are located on the first floor. The care home is located in the town of Bognor Regis close to the seafront and local shops and amenities. Mr and Mrs Sewpaul are the registered providers, whilst the registered manager is also Mr Sewpaul. Aldwick Residential Care Home H60-H11 S14352 Aldwick residential care home V233515 030805 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection, the first of two inspections (minimum) that an inspector must make in a year, took place during the day of the 3rd of August 2005. Prior to the inspection day the Manager had filled out a pre-inspection questionnaire and information from that has been used to inform this report. Comment cards were given to the residents and their relatives/visitors to find out what they think of the care provided at Aldwick Residential Care Home. No responses have been received to date. The aim of this inspection was to find out how the home cared for the residents and the residents’ opinions as to how well the home did this. During that time the inspector toured the building, talked to two residents in the privacy of their rooms and spoke to others in the various communal areas in the two houses. One said, “ I have been offered the choice of living in sheltered accommodation but I prefer to live here – I feel safe and there is a safety net of support around me. I’m happy here, I have friends”. Another person said, “I’m happy here – yes the girls are very nice”. The home was homely and provided comfortable surroundings for the residents to enjoy. Records were examined at random and policies and procedures sampled. All the Residents appeared to be content and spoke well of the home and the staff members who worked there. The Commission has received no complaints. Five had been made to the Manager since the last inspection and these had been resolved satisfactorily. From the information available the inspector considered that the Manager and Staff of Aldwick continue to encourage the residents’ independence and confidence and provide a good standard of care to vulnerable people. One requirement has been made following this inspection. Aldwick Residential Care Home H60-H11 S14352 Aldwick residential care home V233515 030805 Stage 4.doc Version 1.30 Page 6 What the service does well: What has improved since the last inspection? The outside of the buildings has been repainted and all the windows to the rear of the property have been replaced with fire resistant double-glazing and this includes some patio doors to the ground floor. Some areas within the houses have been redecorated and some carpets have been replaced. A new, metal cupboard specifically for the storage of medications has been purchased Aldwick Residential Care Home H60-H11 S14352 Aldwick residential care home V233515 030805 Stage 4.doc Version 1.30 Page 7 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. Aldwick Residential Care Home H60-H11 S14352 Aldwick residential care home V233515 030805 Stage 4.doc Version 1.30 Page 8 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 Aldwick Residential Care Home H60-H11 S14352 Aldwick residential care home V233515 030805 Stage 4.doc Version 1.30 Page 9 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) 2.3.4. Each person has had their emotional and physical needs and goals identified and are assured that the home will be able to meet their needs. EVIDENCE: Most of the residents have lived at the home for many years. The statement of purpose and service user’s guide are available to inform any person enquiring of services available. ‘Taster’ visits would be encouraged to ensure that the home was suited to their needs and that the prospective resident would be compatible with the existing residents. A random selection of personal files contained information about each individual, the manager and his senior carers have undertaken a thorough assessment of need to make sure that the home will be providing the support and guidance that each person requires and wants. Aldwick Residential Care Home H60-H11 S14352 Aldwick residential care home V233515 030805 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6.7.8. The residents are given opportunities to contribute to all aspects of their lives including their care plans. EVIDENCE: The residents’ needs, preferences and choices in all aspects of their lives were evident in the written care plan. A relative of one of the residents said, “they understand his condition – they have this humanity and allow him to be himself” All areas of risks are identified and a detailed risk assessment drawn up to allow the residents to be as independent as possible. Aldwick Residential Care Home H60-H11 S14352 Aldwick residential care home V233515 030805 Stage 4.doc Version 1.30 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 standard(s) 11.12.13.14 All residents are supported in their personal development to be able to take part in a variety of appropriate activities as part of the local community. EVIDENCE: Each of the residents has an individual activities programme, which identifies activities to promote their personal development, e.g. attendance at a day centre, college or place of work and their chosen leisure pursuits. The residents are supported to take part to the full in all that they choose to do by the staff members. Art and Crafts and Exercise to Music is provided on a bi-weekly basis. This is becoming more popular with the residents as time progresses. Other sources of entertainment are also provided on a one to two monthly basis. Aldwick Residential Care Home H60-H11 S14352 Aldwick residential care home V233515 030805 Stage 4.doc Version 1.30 Page 12 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. The residents are supported to maintain their independence, and their physical and emotional needs are monitored and met appropriately. EVIDENCE: Detailed care plans contain information regarding the preferences of the residents and any health issues there might be. Close working with visiting Psychiatric Nurses ensures that any mental health issues are addressed in a timely fashion. Aldwick Residential Care Home H60-H11 S14352 Aldwick residential care home V233515 030805 Stage 4.doc Version 1.30 Page 13 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. All residents are protected from abuse, self neglect and self harm. EVIDENCE: During the course of conversation the residents agreed that they felt that they were listened to and would be able to go to a member of staff if they were worried or wanted to complain. There was evidence that all matters brought to the attention of the staff members were dealt with promptly. Regular resident meetings have been introduced and the group giving them the opportunity to have input into the management of the home. Some staff members have not received training in the area of the Protection of Vulnerable Adults and a requirement has been made at this inspection to address this issue. Aldwick Residential Care Home H60-H11 S14352 Aldwick residential care home V233515 030805 Stage 4.doc Version 1.30 Page 14 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) 24.25.27.28.30. The home provides a comfortable and safe environment where the residents can lead their chosen lifestyle. There is a good standard of hygiene and cleanliness EVIDENCE: A tour of the home revealed that the residents were provided with bedrooms that suited their individual needs and wishes. There are a sufficient number of bathrooms and toilets to make sure that the residents’ privacy and comfort is met. Those residents who share a bedroom told the inspector that they liked sharing their room and they were good friends with the person they shared with. The communal rooms are comfortably furnished and provide a variety of areas for the residents to use. The home was clean throughout and there were no unpleasant odours. Aldwick Residential Care Home H60-H11 S14352 Aldwick residential care home V233515 030805 Stage 4.doc Version 1.30 Page 15 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) 32.33.34. The residents are protected by the homes recruitment policy and practices and supported by appropriately trained staff members. EVIDENCE: A random selection of staff files was looked at including the most recently appointed member of staff. All the required security checks had been carried out and evidence of identity and qualifications were also on file. Appropriate induction training had been undertaken with the newest members of staff. Two senior careers are currently undergoing NVQ4 and other in-house training in service related topics had been undertaken by the remaining staff members including those who had been working at the home for a long period of time. Aldwick Residential Care Home H60-H11 S14352 Aldwick residential care home V233515 030805 Stage 4.doc Version 1.30 Page 16 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) 37.38.40.41. The home is managed in a safe, competent and accountable manner, which takes into consideration the residents’ views. EVIDENCE: The manager has many years of experience in working with people with mental health issues and is a Registered Mental Nurse. He has completed the Registered Managers award. One relative said, “ It is a good thing to have a trained nurse who understands the residents’ conditions”. There was evidence that supervision of staff members was taking place making sure that the staff members are aware of the importance of promoting and protecting the health, safety and welfare of the residents, this was further reinforced by training, and good policies and procedures. Aldwick Residential Care Home H60-H11 S14352 Aldwick residential care home V233515 030805 Stage 4.doc Version 1.30 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 x 3 3 3 x Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x 3 3 x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 x x x Standard No 31 32 33 34 35 36 Score x 3 3 3 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Aldwick Residential Care Home Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 3 x x H60-H11 S14352 Aldwick residential care home V233515 030805 Stage 4.doc Version 1.30 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 23 Regulation 13(6) Requirement The registered person must make arrangements, by training staff, to prevent service users being harmed or suffering abuse or being placed at risk of harm or abuse Timescale for action Action plan to be provided by 30th of September with details of how this requiremen t shall be met 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 Good Practice Recommendations Aldwick Residential Care Home H60-H11 S14352 Aldwick residential care home V233515 030805 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection 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 Aldwick Residential Care Home H60-H11 S14352 Aldwick residential care home V233515 030805 Stage 4.doc Version 1.30 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. 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