Inspection on 08/12/05 for Aldyn Care Home

This inspection was carried out on 8th December 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Aldyn Care Home 14/11/06

Aldyn Care Home 15/07/05

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 Inspection 8th December 2005 09:30 Aldyn Care Home DS0000043596.V261708.R01.S.doc Version 5.0 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 Aldyn Care Home DS0000043596.V261708.R01.S.doc Version 5.0 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. Aldyn Care Home DS0000043596.V261708.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Aldyn Care Home Address 25-27 Canada Grove Bognor Regis West Sussex PO21 1DW 020 7640 2816 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 Babajide Folarin Ademujimi Mr Babajide Folarin Ademujimi Care Home 12 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (12), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (3) Aldyn Care Home DS0000043596.V261708.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Only service users under 65 years of age are to be admitted Total number of persons accommodated must not exceed twelve. Date of last inspection 15th July 2005 Brief Description of the Service: Aldyn is a care home registered to accommodate up to 12 service users in the category of younger adults (18-65) with a mental illness, up to 3 of whom can be over the age of 65. The registered provider is Mr Babajide Folarin Ademujimi, who is also the registered manager. The premises are sited near Bognor Regis town centre, with access to bus and train services, shopping and other community facilities. At the time of this inspection, all residents accommodated were male. Aldyn Care Home DS0000043596.V261708.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was arranged to follow up previous requirements and recommendations which had been made. The inspection lasted 4 hours. The inspector spoke with four residents, two members of staff, and a visiting professional. A partial tour of the premises was made, and records and care plans were sampled. The inspector would like to thank everyone who contributed to the inspection. What the service does well: What has improved since the last inspection? Residents are becoming more confident and taking more initiative in the house – for example, in re-arranging the television room and choosing Christmas decorations. Residents are socialising more with their peers inside and outside of the home, and making more use of local facilities. Regular orders from a local greengrocer are ensuring that more fresh food is available. Improvements to the premises since the previous inspection have included the provision of some new bedroom furniture and beds, some redecoration of bedrooms, and the redecoration and refurbishment of a bathroom. Staffing levels have been increased by the addition of a full time cleaner, thus allowing care staff to be spending more one to one time with residents. Aldyn Care Home DS0000043596.V261708.R01.S.doc Version 5.0 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 DS0000043596.V261708.R01.S.doc Version 5.0 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 Aldyn Care Home DS0000043596.V261708.R01.S.doc Version 5.0 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): 2, 4 Arrangements are in places for admission to the home which include preadmission assessment and visits and overnight stays. EVIDENCE: One set of admission records was sampled. The records indicated that the resident had stayed overnight on separate occasions for one, two or three nights before moving in properly. Pre admission information, assessments and risk assessments were seen on the admission records sampled. Aldyn Care Home DS0000043596.V261708.R01.S.doc Version 5.0 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): 6, 7, 9 Residents are being supported towards a more independent lifestyle. Care plans need to indicate what the resident’s goals and aspirations are. EVIDENCE: Three sets of care plans and care records were sampled, which indicated that plans of care and the review of these are being provided. It was recommended at the last inspection visit that the individual service user plan include how residents will be assisted to meet their aspirations and achieve their goals. While discussion with staff indicated that residents are being supported to develop their confidence and independence, the individual service user plans seen did not indicate what the residents’ goals and aspirations were. Examples were provided of how staff are ensuring that residents’ independence is being promoted, and how residents are exercising more choice in the menus provided, choosing furnishing, decoration and carpets for their bedrooms, and Christmas decorations and planning. Registered manager Mr Ademujimi said that residents had said they’d like a shower room, and at the time of the inspection there was a plan to convert a bathroom into a shower room. Aldyn Care Home DS0000043596.V261708.R01.S.doc Version 5.0 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): 12, 13, 16, 17 Residents are being supported to enjoy their leisure time and make use of local community facilities. A balanced diet is being provided in co-operation with residents. EVIDENCE: Three residents were attending a local day centre on the day of the inspection, and records seen indicated how staff had supported residents to visit the centre and develop a pattern of attendance. One recent development has been that a number of residents have been going to a monthly disco which is giving some of them the opportunity to meet up with old friends, and staff are providing transport for this. Mr Ademujimi said that staff had arranged for more games and puzzles to be bought for the house. Residents are accessing local facilities such as the library, café, pubs, shopping, and going out for walks. Staff said they arranged for residents interested to attend a weekly lunch event in the local community, but that after a few weeks residents no longer wished to attend. Aldyn Care Home DS0000043596.V261708.R01.S.doc Version 5.0 Page 11 During this visit it was evident that residents are taking more initiative than previously towards their communal living. For example, residents had rearranged the television room, and were taking responsibility for housework and shopping. Residents have also been involved in choosing Christmas decorations. On the day of the inspection, the lunch provided was individual pies, fresh mashed potatoes and vegetables, which were carefully prepared and much enjoyed by the residents. The inspector discussed with the cook how residents are supported to eat a healthy diet, and was advised that there are regular orders from a local greengrocer, and that fruit is always on the table. The inspector was advised that after one resident had developed diabetes, other residents decided together to cut out puddings other than yoghurts and occasional treats. Residents are involved in choosing the menus, and where a resident does not like what’s on the menu the cook plans to provide an alternative in advance. Aldyn Care Home DS0000043596.V261708.R01.S.doc Version 5.0 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 the following standard(s): 20, 21 It is recommended that policies and procedures with regard to the ageing, illness and death of a service user be developed. EVIDENCE: Two residents are presently responsible for their own medication, and a lockable place for these medicines in bedrooms is now provided. It was recommended at the previous inspection that a policy and procedure be provided to ensure that residents’ wishes are recorded in the event of them becoming seriously ill or dying. Mr Ademujimi said this had not been commenced. Aldyn Care Home DS0000043596.V261708.R01.S.doc Version 5.0 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 the following standard(s): 23 It is recommended that adult protection procedures should include guidance for staff on the referral of incidents to the police, local authority adult duty team, non-contamination of evidence, and the provider’s responsibility to refer staff to the Protection of Vulnerable Adults register (in accord with guidance provided by the Department of Health). EVIDENCE: Mr Ademujimi advised that adult protection procedures have not been revised as recommended at the previous inspection. Aldyn Care Home DS0000043596.V261708.R01.S.doc Version 5.0 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 the following standard(s): 24, 26 It is required that the registered person ensure that all parts of the home are kept reasonably decorated. EVIDENCE: Improvements to the premises since the previous inspection have included the provision of some new bedroom furniture and beds, some redecoration of bedrooms, and the redecoration and refurbishment of a bathroom. On the day of the inspection work was taking on the redecoration and refurbishment of a further bathroom. The inspector visited three bedrooms and found that some of the furniture and flooring remains in need of replacement, and advises that the provider should ensure that lockable spaces and enough electrical sockets are being provided in bedrooms. It was also noted that a window frame near the back door was in need of replacement or repair. Aldyn Care Home DS0000043596.V261708.R01.S.doc Version 5.0 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 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): 33, 36 The staff team is experienced and receives appropriate training, and are supported in their work with residents by staff meetings, handovers and individual supervision. Staff have a good rapport with residents. EVIDENCE: It was the view of a community psychiatric nurse who talked to the inspector during this visit that the manager and staff at Aldyn were professional in their approach and dealings with the local mental health team. Mr Ademujimi advised the inspector that staffing levels have been increased by the addition of a full time cleaner, thus allowing care staff to spend more one to one time with residents. On the morning of the inspection, the staff complement was two care staff, the registered manager, and the cook. Staffing levels allowed one member of staff to be out shopping with a resident on the morning concerned. Staffing is also being provided for individual activities such as accompanying a resident once a month to visit his mother in London. Staff interviewed said they benefited from the training and individual supervision time provided. Staff said that recent training undertaken had included administration of medication, health and hygiene, food safety, and understanding psychosis. Staff said they also found handovers and staff meetings helpful. The inspector observed that staff have a good rapport with Aldyn Care Home DS0000043596.V261708.R01.S.doc Version 5.0 Page 16 residents, and are encouraging residents to develop their self confidence and independence skills. Aldyn Care Home DS0000043596.V261708.R01.S.doc Version 5.0 Page 17 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): 37, 39, 40, 42 It is a requirement that a system for seeking the views of residents on the service be put in place. It is a requirement that the registered person shall ensure that unnecessary risks to the health and safety of service users are identified and so far as possible eliminated. EVIDENCE: The registered manager Mr Ademujimi is presently undertaking the National Vocational Qualification in care Registered Manager award. Staff interviewed said that during supervision meetings Mr Ademujimi provides helpful advice and support, and highlights for staff what training might be the most useful for them. Mr Ademujimi said that no surveys to seek the views on the service provided of residents or their families, friends or representatives had been carried out. Mr Ademujimi said that improvements to the service suggested by residents were usually taken up, such as the proposal to turn a bathroom into a shower room. Aldyn Care Home DS0000043596.V261708.R01.S.doc Version 5.0 Page 18 No records of environmental risk assessments were available on the day of the inspection. There was therefore no evidence that the provider has sought to assess the safety of the home and identify environmental risks as had been made a requirement at the previous inspection. Discussion with Mr Ademujimi indicated that although recommended at the previous inspection, policies and procedures have not been signed, dated, monitored and reviewed. Aldyn Care Home DS0000043596.V261708.R01.S.doc Version 5.0 Page 19 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 x 3 x Standard No 22 23 Score x 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 3 x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x 2 2 x x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 x 16 3 17 Standard No 31 32 33 34 35 36 Score x x 3 x x 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Aldyn Care Home Score x x 3 2 Standard No 37 38 39 40 41 42 43 Score 3 x 1 2 x 2 x DS0000043596.V261708.R01.S.doc Version 5.0 Page 20 yes 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 YA39 Regulation 24 Requirement It is a requirement that a system for seeking the views of residents on the service be put in place. It is a requirement that the registered person shall ensure that unnecessary risks to the health and safety of service users are identified and so far as possible eliminated. It is required that the registered person ensure that all parts of the home are kept reasonably decorated. Timescale for action 11/03/06 2 YA42 13.4 11/01/06 3 YA24 23.2 11/03/06 Aldyn Care Home DS0000043596.V261708.R01.S.doc Version 5.0 Page 21 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 Refer to Standard YA6 YA23 Good Practice Recommendations It is recommended that the individual service user plan include how residents will be assisted to meet their aspirations and achieve their goals It is recommended that adult protection procedures should include guidance for staff on the referral of incidents to the police, local authority adult duty team, non-contamination of evidence, and the provider’s responsibility to refer staff to the Protection of Vulnerable Adults register (in accord with guidance provided by the Department of Health). It is recommended that the results of service user surveys be published and made available to service users, their representatives, and other interested parties including CSCI It is recommended that the views of family, friends, advocates and stakeholders in the community be sought on how the home is achieving goals for service users 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 as appropriate It is recommended that policies and procedures with regard to the ageing, illness and death of a service user be developed. 3 YA39 4 5 YA39 YA40 6 YA21 Aldyn Care Home DS0000043596.V261708.R01.S.doc Version 5.0 Page 22 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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