Inspection on 06/01/06 for Aldwick Residential Care Home

This inspection was carried out on 6th January 2006.

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

The inspector 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 03/08/05

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 Mrs Gill Davis Unannounced Inspection 6th January 2006 11:00 Aldwick Residential Care Home DS0000014352.V276580.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 Aldwick Residential Care Home DS0000014352.V276580.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. Aldwick Residential Care Home DS0000014352.V276580.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Aldwick Residential Care Home Address 92-94 Aldwick Road Bognor Regis West Sussex PO21 2PD 01243 865569 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) Mr Ashok Kumar Sewpaul Mrs Premila Sewpaul Mr Ashok Kumar Sewpaul Care Home 27 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (27), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (27) Aldwick Residential Care Home DS0000014352.V276580.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Only services users aged 40-65 years of age may be admitted in the category mental disorder, excluding learning disability or dementia (MD). 3rd August 2005 Date of last inspection 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 houses, 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 A Sewpaul are the registered providers, whilst Mr Sewpaul is also the registered manager. Aldwick Residential Care Home DS0000014352.V276580.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced, the second of two inspections (minimum) that an inspector must make in a year, and took place during the day of the 6th of January 2006. Senior Care Manager Ms L. Nichols assisted the inspector throughout the inspection 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. Where standards previously inspected were fully met, with no changes in care practice and the opinions of the residents, this report will reflect that. During that time the inspector toured the building, talked to three residents in the privacy of their rooms and spoke to others in the various communal areas in the two houses. One said, “ I’m happy here” Another person said, “They made me feel very welcome-my health has improved” 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 apart from one query raising doubts about the circumstances regarding an injury sustained by one of the residents. On investigation the inspector found that the staff at the home had acted appropriately in all aspects of the situation. Since the last inspection it had been recorded that three residents had complained to the Manager regarding the food, these had been resolved satisfactorily and a new menu had been introduced. One resident confirmed that she liked the food provided and said “ the food is good and has seemed to improve just recently so it’s even better” However a number of residents told the inspector that they would like more fresh fruit available. It was noted that this subject had been raised at the last residents meeting according to the minutes. A number of the residents undertake a structured activity programme and inhouse activities such as a weekly exercise class was popular. 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. Three recommendations have been made following this inspection. What the service does well: Aldwick Residential Care Home DS0000014352.V276580.R01.S.doc Version 5.1 Page 6 The home has a feel of a family home and provides comfortable surroundings for the residents. The staff group are in the main stable. This provides a static situation where staff members have acquired a depth of knowledge of each individual’s needs. On observation it appeared that they offer discreet supportive care with a respect for the differences of individuals. Encouragement of the independence of each person is carried out in an individual way. Detailed care plans with explicit risk assessments are in place to support this. The good relationship between staff members and residents is evident in all the activities that take place. There are good policies and procedures in place for the guidance of the staff members and protection of the residents. The Manager and his staff maintain good links and relationships with visiting professionals enhancing the overall care that the residents get. 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. Aldwick Residential Care Home DS0000014352.V276580.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 Aldwick Residential Care Home DS0000014352.V276580.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): 1. 5. 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. A statement of terms and contract was provided for each person. Aldwick Residential Care Home DS0000014352.V276580.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): 9. 10. 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, “We have no complaints about the care provided at the home” All areas of risks are identified and a detailed risk assessment drawn up to allow the residents to be as independent and as safe as possible. Confidentiality is observed and all records are stored appropriately. Aldwick Residential Care Home DS0000014352.V276580.R01.S.doc Version 5.1 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 the following standard(s): 15.16.17. 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. Full and descriptive care plans contain information regarding the person’s chosen lifestyle and all civic rights are promoted and facilitated. Art and Crafts and Exercise to Music are 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. At the residents’ request there have been recent adjustments to the menus to include meals that are suited to the season. All of the residents were of the opinion that the food provided was very good and the only negative feedback concerned the lack of fresh fruit. Aldwick Residential Care Home DS0000014352.V276580.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): 20. 21. 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. There are appropriate arrangements in place for the storage, administration and disposal of medication. The medication is stored in a metal locked cupboard however a double locked cupboard is required for the storage of controlled drugs. The home currently provides care for nine people who have exceeded the age of 65 whilst resident at the home. Consequently the staff members have developed knowledge and expertise in all aspects of care of the older person including caring for those who are at the end of their lives. The families of anyone who is terminally ill are encouraged to be as involved in their care as they would wish. The home does not appear to have a formal policy regarding the care of residents as they are ageing, ill or dying and the manager should provide one for the guidance of the staff group. Aldwick Residential Care Home DS0000014352.V276580.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. 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. All staff members have now received training in the area of the Protection of Vulnerable Adults. Aldwick Residential Care Home DS0000014352.V276580.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): 26. 29. 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. Despite the growing age of the resident group all continue to be self-caring and there is no one who requires an aid to help them with their mobility. Aldwick Residential Care Home DS0000014352.V276580.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): 31.35.36. The residents are protected by the homes recruitment policy and practices and supported by appropriately trained staff members. EVIDENCE: There is a clear staffing structure. Two senior careers are currently undergoing NVQ4 and two other staff members NVQ level II. The remaining staff members including those who had been working at the home for a long period of time had undertaken other in-house training in service related topics. Mrs L. Nichols, Senior Care Manager reported that she and her colleagues were well supported by Mr Sewpaul. Both Senior Care Managers appeared to be well respected by the staff group and residents alike. Supervision is carried out but not recorded in a formal manner. Aldwick Residential Care Home DS0000014352.V276580.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): 39.42.43. 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. Resident meetings are held and the minutes evidenced that information was acted upon. The staff group have undertaken health and safety and first aid training. A new Health and Safety Policy has been introduced. The home is suitably staffed at all times. Aldwick Residential Care Home DS0000014352.V276580.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 3 2 X 3 X 4 X 5 N/A 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 X 25 X 26 X 27 X 28 X 29 N/A 30 N/A STAFFING Standard No Score 31 3 32 X 33 X 34 X 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X 3 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 2 2 X x 3 X X 3 3 Aldwick Residential Care Home DS0000014352.V276580.R01.S.doc Version 5.1 Page 17 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. Standard Regulation 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 2 3 Refer to Standard 20 21 36 Good Practice Recommendations The registered person should provide a double locked cupboard for the storage of controlled drugs The registered person should provide a policy re the practice and care to be provided to the dying resident Formal supervision of care staff members should be carried out on a bi-monthly basis and the outcomes recorded Aldwick Residential Care Home DS0000014352.V276580.R01.S.doc Version 5.1 Page 18 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. 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