Inspection on 18/10/05 for Barclay House

This inspection was carried out on 18th October 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

Barclay House 06/08/08

Barclay House 06/09/06

Barclay House 06/05/05

Barclay House 18/10/04

Similar services:

The Royal School for Deaf Children - Westgate College

89 Hastings Avenue

39 Westway

24-26 St John`s Road

David Gresham House

Denecroft

4 Malham Drive

7 - 8 Hawthorn Way (RNIB)

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

CARE HOME ADULTS 18-65 Barclay House Barclay House St Peter`s Road Seaford East Sussex BN25 2HS Lead Inspector Nigel Thompson Announced Inspection 18th October 2005 09:30 Barclay House DS0000032162.V249220.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 Barclay House DS0000032162.V249220.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. Barclay House DS0000032162.V249220.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Barclay House Address Barclay House St Peter`s Road Seaford East Sussex BN25 2HS 01372 755000 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) SeeAbility Mr David Briant Care Home 7 Category(ies) of Learning disability (7), Mental disorder, registration, with number excluding learning disability or dementia (7), of places Sensory impairment (7) Barclay House DS0000032162.V249220.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. That service users may also have a learning disability, mental disorder and/or physical disability 6 May 2005 Date of last inspection Brief Description of the Service: Barclay House is a purpose built home, registered to provide residential care and support for up to seven adults who are blind or partially sighted and who may have additional special needs. The service is situated on a campus, which also includes two sheltered housing units and a day centre. All accommodation for service users is provided on the ground floor and consisits of single rooms with ensuite facilities. Communal areas include a spacious, open plan kithchen and dining room and a large and comfortable lounge. The building is designed specifically for people who have visual impairment problems. It is safe , accessible and fitted throughout with all necessary adaptations and specialist equipment, including assisted baths and hoists. To the rear of the premises, there is a pleasant sensory garden laid to lawn with raised flowerbeds and a patio area. Seaford town centre with its shops and access to bus and rail routes is approximately half a mile away. Barclay House DS0000032162.V249220.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over four hours in October 2005. It found that all of the National Minimum Standards that were assessed had been met or partially met and the overall quality of care provided was good. Service users spoken to during the inspection expressed satisfaction with the home, the staff and the service provided. On the day of the inspection there were nine residents living at the home. The inspection involved a tour of the premises, examination of the home’s records, discussion with the registered manager and consultation with three staff and three service users. The focus of the inspection was on the quality of life for people who live at the home. The home is proposing to utilize two self-contained flats, within the grounds, for the benefit of service users, who have been assessed as requiring more independent living, within the supported framework of residential care. The Commission is currently processing an application to vary the registration and increase the numbers accommodated at Barclay House from seven to nine. In order that a balanced and thorough view of the home is obtained, this inspection report should to be read in conjunction with the previous inspection reports. What the service does well: Barclay House is an established, well managed and well maintained service that continues to provide high quality care and accommodation for people with a sensory impairment. The manager and staff work hard to create an open and inclusive atmosphere within the home, with the emphasis on service user communication and participation. Effective consultation systems are in place and service users are directly involved in developing and reviewing their individual care plans as well as many decision making processes within the home. All service uses are provided with a copy of the ‘Charter of Service User Rights’, which forms the basis of care provision at Barclay House and underpins the ethos of the home and the work undertaken there. Barclay House DS0000032162.V249220.R01.S.doc Version 5.0 Page 6 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. Barclay House DS0000032162.V249220.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 Barclay House DS0000032162.V249220.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): 1, 3 & 5 Documentation, including a comprehensive brochure, ‘Statement of Purpose’ and ‘Service Users’ Guide’ ensures that prospective service users and their relatives have sufficient information about the home and the services provided. EVIDENCE: Information is available to prospective and existing service users in various formats, including large print, Braille and audiotape. The revised and updated Service User Handbook, Statement of Purpose and Service User Guide have been thoughtfully and imaginatively produced to a high standard and are both comprehensive and informative. The manager confirmed that the current brochure is to be reviewed and amended, to include amongst other things the updated contact details for the CSCI. As part of the Service User Handbook, the ‘Charter of Rights and Responsibilities’ details what a prospective service user can expect when moving into Barclay House: ‘….to be involved in your assessment, setting aims and objectives for care plans and programmes and to be involved in reviews.’ Barclay House DS0000032162.V249220.R01.S.doc Version 5.0 Page 9 Each service user is provided with a contract, including a statement of terms and conditions. To acknowledge understanding and agreement with the terms and conditions, there is a section to be signed by the service user and/or a representative and by someone on behalf of SeeAbiility. However it was noted that this section is not routinely completed. This was discussed with the manager and it is recommended that in future all such contracts be appropriately signed. Barclay House DS0000032162.V249220.R01.S.doc Version 5.0 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 the following standard(s): 7&8 The person centred approach to care and effective systems for service user consultation and participation provide opportunities for individuals to be directly involved in many decision making processes and aspects of life within the home. EVIDENCE: The manager confirmed that service users are encouraged and supported to make decisions about their day to day living and there was evidence of effective consultation systems being in place. Monthly service users’ meetings are held and there is a weekly ‘Friday meeting’, involving service users and staff. The meetings have an open agenda and everyone is encouraged to contribute to the discussions. Meetings are well attended and minutes are taken. The home operates a key-worker system and regular one-to-one sessions take place between service users and their individual key-worker. Barclay House DS0000032162.V249220.R01.S.doc Version 5.0 Page 11 This is evidently a successful and effective method of consultation and communication. Service users spoken with during the inspection expressed a high level of satisfaction with the system: ‘I’m very happy with my key-worker. She knows what I need and she helps me a lot’. As previously documented, the ‘Service Users Charter of Rights and Responsibilities’ is issued to all new service users and the manager confirmed that the Charter is fundamental to the ethos of the home: ‘Rights and responsibilities go hand in hand with day to day living, at Barclay House’. Service users are consulted regarding many aspects of their day-to-day living, including menu planning and choosing both individual and collective social, recreational and leisure activities. They are actively encouraged, enabled and supported to participate in daily routines within the home and have the opportunity to partake in decision making, including the choice of furniture and colour schemes for the recently redecorated and refurbished communal lounge. Barclay House DS0000032162.V249220.R01.S.doc Version 5.0 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11 & 14 Positive relationships developed between staff and service users provide staff with awareness and sound understanding of individual social care and support needs. EVIDENCE: Service users have many opportunities for personal development and are encouraged, enabled and supported to access local facilities, including colleges, the leisure centre (gym, swimming and hydro therapy) pubs and restaurants. Some service users also regularly attend the church of their choice. External college courses provide service users with the opportunity to socialise with people outside of Barclay House. One service user is looking forward to celebrating her birthday by inviting college friends to go out to lunch. A senior rehabilitation worker has recently commenced working for the organisation and is clearly motivated and enthusiastic. Individual development is monitored through regular ‘Progress meetings’, which are recorded. Barclay House DS0000032162.V249220.R01.S.doc Version 5.0 Page 13 The day centre, situated in the grounds of Barclay House, provides service users with various opportunities for personal development, including independent living skills, numeracy and keep fit. A team of up to thirty volunteers, working part time throughout the day with regular members of staff, endeavour to meet all service users identified individual and collective social care needs. They support and enable service users to access a wide range of social and recreational activities, including: tandem cycling, reading, gardening and taking part in discussions on current affairs. Barclay House DS0000032162.V249220.R01.S.doc Version 5.0 Page 14 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): These standards were not assessed on this occasion. All key standards were assessed during the previous inspection carried out on 6 May 2005. EVIDENCE: Barclay House DS0000032162.V249220.R01.S.doc Version 5.0 Page 15 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): These standards were not assessed on this occasion. All key standards were assessed during the previous inspection carried out on 6 May 2005. EVIDENCE: Barclay House DS0000032162.V249220.R01.S.doc Version 5.0 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 28 & 30 The service is accessible, safe and clean and is clearly suitable for its stated purpose. Service users benefit from pleasant accommodation that is comfortable, well maintained and decorated to a satisfactory standard. EVIDENCE: Accommodation for service users is provided on the ground floor and is safe, accessible and well maintained. Appropriate adaptations and specialist equipment, including tracking hoists, are provided as necessary, to meet the individual and collective needs of the service users. Independence and individuality continues to be promoted within the home and this is evident from the personalising of service users’ individual rooms, which clearly reflects individual tastes and interests. A Housekeeper is employed in the home and infection control policies and procedures are in place. Levels of cleanliness were found to be high throughout. Washing machines have adapted controls, enabling service users to do their own laundry, with support. Barclay House DS0000032162.V249220.R01.S.doc Version 5.0 Page 17 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, 32, 33 & 36 There are sufficient trained and competent staff on duty at all times to meet the assessed, often complex needs of the service users. Service users benefit from dedicated staff who are well supported and supervised. EVIDENCE: All staff are issued with appropriate and clearly defined job descriptions and are employed in accordance with the General Social Care Council code of conduct. Staff spoken to during the inspection had a sound understanding of their own role and responsibilities and were aware of the roles of colleagues. The manager confirmed that SeeAbility recognises the importance of a skilled and competent workforce. All new staff receive comprehensive induction and foundation training, which is compatible with Skills for Care (Formerly TOPSS). Service specific training is provided covering such topics as learning disability and sensory impairment awareness, positive values and lifestyles and the care and protection of vulnerable adults. Barclay House DS0000032162.V249220.R01.S.doc Version 5.0 Page 18 The manager confirmed that, in accordance with company policy, formal supervision is provided for all care staff on a monthly basis. Staff spoken with during the inspection acknowledged the benefits of effective supervision and confirmed feeling valued and supported by the manager. The current system of staff being on call during the night was discussed. In view of the proposed increase in service user numbers, it is recommended that this issue be reviewed and a named ‘on call’ person clearly identified each night. Barclay House DS0000032162.V249220.R01.S.doc Version 5.0 Page 19 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 & 38 Service users and staff benefit from the manager’s calm, open and approachable style of leadership and clear and positive sense of direction. EVIDENCE: The manager is a qualified Registered Mental Nurse (RMN) and is clearly competent and experienced to run the home. He has been in his current post for six years. Earlier this year he obtained the Registered Manager’s Award (RMA). The manager continues to demonstrate a clear sense of leadership and direction. He is positive and approachable and creates an open and inclusive atmosphere within the home. This was clearly evident from direct observation during the inspection and through discussions with service users and staff. Barclay House DS0000032162.V249220.R01.S.doc Version 5.0 Page 20 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 X 3 X 2 Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 3 X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 X 3 X 3 LIFESTYLES Standard No Score 11 3 12 X 13 X 14 3 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score 3 3 3 x X 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Barclay House Score X X X X Standard No 37 38 39 40 41 42 43 Score 3 3 X X X X X DS0000032162.V249220.R01.S.doc Version 5.0 Page 21 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 Refer to Standard 5 33 Good Practice Recommendations It is recommended that each formal contract be signed by a service user, or their representative and by someone, on behalf of the organisation. It is recommended that the current system for on-call staff be reviewed and that a named ‘on call’ person be clearly identified. Barclay House DS0000032162.V249220.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Barclay House DS0000032162.V249220.R01.S.doc Version 5.0 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!