Inspection on 25/10/05 for Care at Stennings

This inspection was carried out on 25th 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Care at Stennings 04/12/07

Care at Stennings 07/09/06

Care at Stennings 10/05/05

Care at Stennings 06/10/04

Care at Stennings 10/05/04

Care at Stennings 19/01/04

Similar services:

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Insight - Eastchurch

Southfields

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Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Care at Stennings Stennings Brookview Copthorne West Sussex, RH10 3RZ Lead Inspector Ms E Southall Announced Tuesday, 25 October 2005 th 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. Care at Stennings H60-H11 S47546 Care at Stennings V247846 251005 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Care at Stennings Address Stennings, Brookview, Copthorne, West Sussex, RH10 3RZ 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) 01342 719388 Ms Susan Margaret Snelling and Mrs Joy Day Post Vacant Care Home 8 Category(ies) of Learning disability (LD) - 8 Both registration, with number of places Care at Stennings H60-H11 S47546 Care at Stennings V247846 251005 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: N/A Date of last inspection 10th May 2005 Brief Description of the Service: Stennings is a home for up to eight younger adults with learning disabilities situated in the village of Copthorne, on the outskirts of Crawley, West Sussex. The premises are two large detached houses situated at the end of a residential close. The houses are connected by a conservatory, and form one residential unit which offers comfortable and well-equipped accommodation. Attractive gardens surround the property and there is good access to local transport, leisure and shopping facilities. Care at Stennings H60-H11 S47546 Care at Stennings V247846 251005 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced and began at 11.00am. It took place over the next six hours. The two Inspectors, Elaine Southall and Judith Chandler, Regulation Manager, were able to spend time with four of the six current residents, who had been given an explanation as to why we were visiting the home and were keen to share their experiences. Judith Chandler spent time with the mother of one resident, who had been written to by the manager informing her that the inspection was taking place and inviting her to meet with an inspector if she wished to. Three members of staff were on shift. The Inspectors spoke with the home’s manager, Fiona Baines. The two providers of the service, Susan Snelling and Joy Day, were also present for most of the time the Inspectors were in the home and spent time with both of them. The residents were very happy to show the Inspectors round their home. What the service does well: What has improved since the last inspection? A more structured and comprehensive staff training plan is now in place. The recent recruitment of a new manager, together with re-organisation of the management structure has resulted in much clearer communication and better definition of roles and responsibilities in the home. Monitoring of practice has improved. Care at Stennings H60-H11 S47546 Care at Stennings V247846 251005 stage 4.doc Version 1.40 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. Care at Stennings H60-H11 S47546 Care at Stennings V247846 251005 stage 4.doc Version 1.40 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 Care at Stennings H60-H11 S47546 Care at Stennings V247846 251005 stage 4.doc Version 1.40 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) 2, 3 & 5. Assessments of need are carried out to a high standard. Staff training is focussed upon the specific needs of the residents. Individual contracts are signed by the resident. EVIDENCE: All written assessments are completed to a very high standard. Copies seen in case files contain very detailed information about each resident’s specific needs, strengths, thoughts and feelings about their own lives. The manager of the home, Fiona Baines, told an inspector that all new staff now follow the Learning Disability Award Framework accredited induction and foundation course. NVQs will be accessed once this has been achieved. Core training courses are provided by the local Care Training Consortium. Staff files contain certificates of completed training. Residents files contain a copy of their individual contract, which they have signed. Ms Baines told the Inspectors that thought is being given to a system that would enable the residents to look after their own key documents. Care at Stennings H60-H11 S47546 Care at Stennings V247846 251005 stage 4.doc Version 1.40 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, 7, 8, & 9. Care planning continues to be carried out to a particularly high standard. Residents and their families are fully involved at every stage. Residents make decisions about their lives, supported by detailed risk assessments. They are fully involved in all aspects of life in the home. EVIDENCE: Care plans include detailed assessments of every aspect of the resident’s life, which are regularly reviewed and updated. Risk assessments provide the base for specific individual care guidelines for staff. Care plans are regularly reviewed and the resident is fully involved at every stage. The relative who spoke with an Inspector said that her son has lived at the home for two years and she feels he is very settled and enjoys life in the home. He spends time with her each week and she said that she is always made welcome and kept involved in significant events in his life. She felt that his key worker was committed to supporting him and had a good overview of his needs. Residents are involved in the domestic life of the home, and with staff support take responsibility for the cleaning of their rooms and their personal laundry. Care at Stennings H60-H11 S47546 Care at Stennings V247846 251005 stage 4.doc Version 1.40 Page 10 One resident was clearly very proud of how clean and tidy his room was when he showed it to the Inspector. He told her that each resident has one cleaning day and one washing day every week. Ms Baines told the Inspectors that a prospective new member of staff had recently been interviewed for an hour by the residents, as part of the formal interview procedure. Residents receive specialist independent transport training from an external provider. Care at Stennings H60-H11 S47546 Care at Stennings V247846 251005 stage 4.doc Version 1.40 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, 15, 16 & 17. The people who live at Stennings enjoy full and varied lives. Every opportunity is provided for them to take part in activities which promote their independence, development and participation in the local community. EVIDENCE: Each resident has a structured weekly plan which can include a wide variety of educational, work and life skills activities. Current residents attend courses at local Further Education colleges. They told the Inspectors that they enjoy courses that include brickwork, carpentry, horse riding and Makaton. One has a job at the local Sainsbury’s store. In leisure time, trips to the pub and the cinema are enjoyed and the Inspectors saw photos of residents, family, friends and the staff having a good time at a summer barbecue. Preparations were being made for a Halloween party and residents had been to Crawley that morning to assist them in planning their Christmas shopping. Care at Stennings H60-H11 S47546 Care at Stennings V247846 251005 stage 4.doc Version 1.40 Page 12 A resident told the Inspector how much he had enjoyed the summer holiday at Camber Sands. He said that the group had stayed at Pontin’s, and that he thought that: “It was good there”. All the residents’ families live locally to the home and have regular contact with their son /daughter. A relative told an Inspector that her son has a wide range of activities and is encouraged to learn new things. The atmosphere in the home felt purposeful and happy with a lot of fun being had. It was good to see residents enjoying each other’s company. A Men’s Group is currently being run by an external facilitator, where personal relationships, respect and the setting of clear boundaries are discussed. Residents are included in meal planning and have staff assistance in making their chosen meals. The home has two domestic sized kitchens. This enables residents to work with staff in meal preparation. Residents have access to a kitchen at all times if they wish to make a drink. Risk assessments are completed where this is required. Care at Stennings H60-H11 S47546 Care at Stennings V247846 251005 stage 4.doc Version 1.40 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19, & 21. The residents at Stennings are largely self-caring. In depth assessment of need and care planning ensure that individual support or encouragement is provided where necessary and that health and emotional needs are closely monitored and well managed. EVIDENCE: Care plans are very detailed and give clear direction for staff about each resident’s preferences about any support or guidance that they need. Ms Baines told an Inspector that she is introducing Person-Centred planning and Individual Lifestyle Plans. Residents who spent time with the Inspectors were clearly confident in speaking about their thoughts and feelings about their needs. They understood the role of their keyworker in their life – one telling an Inspector that he likes to go out all the time, and that he looks for support in being able to do this, although he is aware that staff have to take the needs of all the residents into account. Records seen, discussion with a relative, and observation of staff conversations with residents showed that the management of the serious illness and recent death of a resident have been handled with openness and sensitivity. Care at Stennings H60-H11 S47546 Care at Stennings V247846 251005 stage 4.doc Version 1.40 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 & 23 Arrangements for residents of the home to make their opinions and any concerns known are satisfactory. Good records are kept of any incident when residents may be at risk of harm. Adult Protection training is being provided for all staff. EVIDENCE: Residents who spent time with the Inspectors were clear that they can speak to the manager and staff at the home if they have any concerns or worries. The Event Book records all serious incidents and cross-referenced with individual records seen in case files. Three core staff have recently completed Adult Protection training and Ms Baines plans that all staff in the home will have access to the training. Records seen show that robust procedures are in place for responding to any suspicion of abuse, including whistle blowing, in order to ensure the safety and protection of the residents. Care at Stennings H60-H11 S47546 Care at Stennings V247846 251005 stage 4.doc Version 1.40 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 27, 28 & 30 Stennings provides comfortable and well-equipped accommodation for the people who live there. EVIDENCE: The home at Stennings is based around two large detached houses that have been joined together by a conservatory. This means that the residents have free access to two lounge areas, dining rooms, kitchens and laundry rooms. All residents have ensuite bathrooms or a private bathroom close to their bedroom. The relative who spoke with an Inspector said that her son has all his possessions in his room and is able to use it when he wishes. He showed an Inspector his room, which reflected his personality and interests. All parts of the home were comfortable and appropriately decorated and furnished. One lounge seemed less personalised and age appropriate than the other and the manager acknowledged that this was under review. This was not however below the required standard. Care at Stennings H60-H11 S47546 Care at Stennings V247846 251005 stage 4.doc Version 1.40 Page 16 Residents were satisfied with their bedrooms and confirmed that they are private spaces that they can use when they wish. They do not have locks on the doors but have a lockable space in a wardrobe. People said that other people could only go into their room if they are invited. The residents who showed the Inspector round were proud of their home Residents were able to talk about fire drills and what they had to do if the alarm went off. Care at Stennings H60-H11 S47546 Care at Stennings V247846 251005 stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 34, 35 & 36. The staff group at Stennings is emerging from an unsettled period and is benefiting from a more robust recruitment procedure and a structured training plan. EVIDENCE: Following an unsettled period in the staff team, a new manager has been recruited and new systems and procedures introduced that have clarified the roles and responsibilities of staff in the home. Staff records show that a more robust recruitment procedure is now in place, however care must be taken that written evidence is available to show that all necessary checks have been completed before new staff begin work in the home. New staff now follow the Learning Disability Award Framework accredited induction and foundation course. Core training courses are provided by the local Care Training Consortium. Staff files contain certificates of completed training. A new supervision framework is being introduced. The relative who spoke with an Inspector felt that her son had not suffered as a result of the staff changes. Care at Stennings H60-H11 S47546 Care at Stennings V247846 251005 stage 4.doc Version 1.40 Page 18 Care at Stennings H60-H11 S47546 Care at Stennings V247846 251005 stage 4.doc Version 1.40 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 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, & 43 Residents benefit from the full involvement of the proprietors in the running of the home. The recruitment of a new manager and a review of the systems and procedures will reinforce the continuing client-centred focus of the home. EVIDENCE: The recruitment of a new manager to the home has marked the establishment of clearer and more open lines of communication and management responsibility. Monitoring of practice in the home is now carried out by the providers and the manager, who are all committed to introducing a clearer professional framework for the care of the residents. This will better demonstrate the high quality of the care provided for the residents at Stennings. Residents at Stennings made it clear to the Inspectors that they enjoy living at the home, and that their views are always taken seriously. Care at Stennings H60-H11 S47546 Care at Stennings V247846 251005 stage 4.doc Version 1.40 Page 20 Care at Stennings H60-H11 S47546 Care at Stennings V247846 251005 stage 4.doc Version 1.40 Page 21 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 4 3 x 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 4 4 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 4 x 4 3 x 4 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 x 2 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Care at Stennings Score 3 3 x 3 Standard No 37 38 39 40 41 42 43 Score x 3 3 x x x 3 H60-H11 S47546 Care at Stennings V247846 251005 stage 4.doc Version 1.40 Page 22 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 34 Regulation 19 Requirement Written evidence must demonstrate that all neccessary checks have been carried out before new staff begin work in the home.(Previous timescales of November 2004 & May 2005 not met) Timescale for action Ongoing for all new staff. 25/10/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Care at Stennings H60-H11 S47546 Care at Stennings V247846 251005 stage 4.doc Version 1.40 Page 23 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 Care at Stennings H60-H11 S47546 Care at Stennings V247846 251005 stage 4.doc Version 1.40 Page 24 - 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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