Inspection on 15/07/05 for Aldyn Care Home

This inspection was carried out on 15th July 2005.

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

Aldyn Care Home 14/11/06

Aldyn Care Home 08/12/05

Aldyn Care Home 04/11/04

Aldyn Care Home 12/05/04

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 Aldyn Care Home 25-27 Canada Grove Bognor Regis West Sussex PO21 1DW Lead Inspector Mr E McLeod Unannounced 15 July 2005 V228064 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. Aldyn Care Home H60-H11 S43596 Aldyn V228064 150705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Aldyn Care Home Address 25-27 Canada Grove, Bognor Regis, West Sussex, PO21 1DW 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) 020 7640 2816 Mr Babajide Folarin Ademujimi Mr Babajide Folarin Ademujimi Care Home 12 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (MD) - 12 Both, Mental Disorder, of places excluding learning disability or dementia - over 65 years of age (MD(E)) - 3 Both Aldyn Care Home H60-H11 S43596 Aldyn V228064 150705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1, Only service users under 65 years of age are to be admitted 2, Total number of persons accommodated must not exceed twelve. Date of last inspection 4.11.04 Brief Description of the Service: Aldyn is a care home registered to accommodate up to 12 service users who have suffered from mental disorder, three of whom may be over the age of 65 years of age. There are conditions of registration that only service users under the age of 65 may be admitted, and that the total number of persons accommodated must not exceed 12.The registered provider is Mr. Babajide Folarin Ademujimi, who is also the registered manager.The home is situated in Bognor Regis, close to town centre shopping facilities and train and bus transport. Aldyn Care Home H60-H11 S43596 Aldyn V228064 150705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 4 hours on the 15th July 2005, and was arranged to follow up recommendations and requirements made at the previous inspection. The inspector interviewed four residents and two members of staff, did a partial tour of the premises, and inspected a sample of care records, policies and procedures, and safety records. A telephone discussion with the registered provider and manager Mr Ademujimi was held on the 20th July 2005, during which feedback on the inspection was given. The inspector would like to thank all residents and staff who contributed to the inspection. What the service does well: What has improved since the last inspection? The smoking room and three bedrooms have been redecorated, and new carpets have been laid in several bedrooms. A questionnaire for seeking the views of residents on the service provided has been prepared, but not yet used. Procedures for assisting residents with their finances have been written and made available. Written consent to medication is being sought. Some new policies and procedures have been provided, which are clear and well written. Aldyn Care Home H60-H11 S43596 Aldyn V228064 150705 Stage 4.doc Version 1.30 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. Aldyn Care Home H60-H11 S43596 Aldyn V228064 150705 Stage 4.doc Version 1.30 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 Aldyn Care Home H60-H11 S43596 Aldyn V228064 150705 Stage 4.doc Version 1.30 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 Arrangements should be put in place to minimise all risks identified before a resident is admitted to the home. EVIDENCE: One set of admission records was sampled by the inspector. These indicated that an assessment of needs and risk had been carried out by qualified staff before admission. There was a lack of evidence in the records or care plans to indicate steps being taken to minimise risks identified. Registered provider and manager Mr Ademujimi discussed with the inspector steps that had been taken to minimise some of the identified risks. The statement of purpose for the service has been updated. Aldyn Care Home H60-H11 S43596 Aldyn V228064 150705 Stage 4.doc Version 1.30 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 Care plans need to better reflect residents needs and aspirations, and provide guidance for staff on how these will be achieved. Care plans also need to indicate how assessed risks will be managed by the service. EVIDENCE: Four sets of care plans were sampled by the inspector. Care plans seen were set out well, but did not indicate how residents’ social and developmental needs and aspirations were being assisted. Care records seen did not indicate that there was much in the way of one to one activities taking place with residents. Some structured activities do take place, but these tend to be activities such as assisting with tidying and cleaning bedrooms, and prompts with hygiene. Aldyn Care Home H60-H11 S43596 Aldyn V228064 150705 Stage 4.doc Version 1.30 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) 12, 15 Staff and residents get on well, and residents are encouraged to maintain contact with family and friends. The provider needs to review if enough outings, activities, and one to one support are being provided for residents. EVIDENCE: Residents were observed to interact well with each other and to share a good camaraderie. Residents interviewed talked of how staff assist them to maintain contact with family and friends. The statement of purpose includes a policy for visiting. Residents interviewed said there was a lack of activities and outings being provided. Staff said that trips to Butlins were being discussed with the manager. Four sets of care records for residents covering a seven day period were read by the inspector. Care records seen indicated a lack of planned one to one support activities taking place with residents. Aldyn Care Home H60-H11 S43596 Aldyn V228064 150705 Stage 4.doc Version 1.30 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) 19, 20, 21 Access to support and health services is being provided for residents. Lockable spaces in bedrooms should be provided for residents who administer their own medication. EVIDENCE: Care records seen and interviews with residents indicated that residents are accessing mental health and health care services as appropriate. Records seen indicated that residents’ written consent to medication is now being sought. Staff said that one resident administers his own medication, but did not have a lockable space in his bedroom for the medication. A medication policy and procedure has been written, but not signed or dated. Procedures have been provided in the event of the death of a resident. Guidance for staff on residents suffering serious or terminal illness has not been written yet. Aldyn Care Home H60-H11 S43596 Aldyn V228064 150705 Stage 4.doc Version 1.30 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) 23 Adult protection procedures should include more guidance for staff. EVIDENCE: A vulnerable adults policy has been written and dated, but not signed. Guidance on referring staff for inclusion of the protection of vulnerable adults register is not included, and there is no guidance on circumstances under which incidents should be referred to police, the local social services adult duty team, and CSCI. One set of records relating to the handling of a resident’s money was sampled by the inspector. Aldyn Care Home H60-H11 S43596 Aldyn V228064 150705 Stage 4.doc Version 1.30 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, 30 The programme of improving the decoration and furnishing of bedrooms and bathrooms should continue. EVIDENCE: The grounds and exterior of the property are being kept in good order. Improvements to the premises have included the redecoration of three bedrooms, new carpeting in some bedrooms, and redecoration of the smoking room. Rooms that were seen that have been redecorated had been completed to a good standard. Mr Ademujimi said that planned improvements included the redecoration and refurbishment of bathrooms and toilets, and that quotes had been obtained for this work. The home is clean and hygienic. Aldyn Care Home H60-H11 S43596 Aldyn V228064 150705 Stage 4.doc Version 1.30 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) 35 Staff are being appropriately trained. EVIDENCE: Staff interviewed provided examples of how they are assisting residents to communicate their needs and develop their confidence and independence skills. There was evidence that relevant core skills training and National Vocational qualification training are being provided for staff. Aldyn Care Home H60-H11 S43596 Aldyn V228064 150705 Stage 4.doc Version 1.30 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) 38, 39, 42 The home has a good atmosphere, and residents find the staff and manager approachable and sympathetic. Assessed risks need to be addressed. EVIDENCE: Staff interviewed said they enjoyed working in the home. Interactions between residents and staff observed by the inspector indicate that residents find the staff and manager approachable and sympathetic. Residents indicated that there is a friendly and good atmosphere in the home. Some new policies and procedures have been provided which are dated, but not signed. These include a health and safety policy statement, and health and safety at work. It was not clear if there was a health and safety representative for the home. Records for fire tests, procedures and drills were sampled. Mr Ademujimi said that a format for questionnaires to ask residents for their views on the service Aldyn Care Home H60-H11 S43596 Aldyn V228064 150705 Stage 4.doc Version 1.30 Page 16 have been developed, but not yet circulated. No arrangements are in place to seek the views of relatives, friends and advocates. The inspector asked the manager to review if risks highlighted in individual assessments were being properly addressed. Aldyn Care Home H60-H11 S43596 Aldyn V228064 150705 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 3 2 x 3 x Standard No 22 23 ENVIRONMENT Score x 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x 3 x Standard No 11 12 13 14 15 16 17 x 2 x x 3 x x Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Aldyn Care Home Score x 3 2 2 Standard No 37 38 39 40 41 42 43 Score x 3 2 x x 2 x H60-H11 S43596 Aldyn V228064 150705 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 42 Regulation 13.4 Requirement The registered person shall ensure that unecessary risks to the health and safety of service users are identified and so far as possible eliminated The registered person shall ensure that all parts of the care home are kept reasonably decorated Timescale for action 30th September 2005 28th October 2005 2. 24 23.2 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 20 Good Practice Recommendations It is recommended that the service user, following assessment as able to self administer medication, has a lockable space in which to store medication, to which suitably trained, designated care staff may have access with the service user’s permission. It is recommended that a policy and procedure covering the provider’s guidance in relation to standards 21.1- 21.8 be provided. It is recommended that all policies, procedures, codes of practice and records are signed by the registered manager and are dated, monitored, reviewed and amended. It is recommended that the individual service user plan H60-H11 S43596 Aldyn V228064 150705 Stage 4.doc Version 1.30 Page 19 2. 3. 4. 21 40 6 Aldyn Care Home 5. 23 6. 7. 39 39 include how residents will be assisted to meet their aspirations and achieve their goals It is recommended that adult protection procedures include guidance for staff on when incidents should be referred to the police, local authority adult duty team, and the Protection of Vulnerable Adults register The results of service user surveys should be published and made available to service users, their representatives, and other interested parties including CSCI. The views of family, friends, advocates and stakeholders in the community should be sought on how the home is achieving goals for service users Aldyn Care Home H60-H11 S43596 Aldyn V228064 150705 Stage 4.doc Version 1.30 Page 20 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 Aldyn Care Home H60-H11 S43596 Aldyn V228064 150705 Stage 4.doc Version 1.30 Page 21 - 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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