Inspection on 07/09/06 for Care at Stennings

This inspection was carried out on 7th September 2006.

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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Care at Stennings 04/12/07

Care at Stennings 25/10/05

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:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

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 Mrs K Allen Key Unannounced Inspection 7th September 2006 13:20 Care at Stennings DS0000047546.V309432.R01.S.doc Version 5.2 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 Care at Stennings DS0000047546.V309432.R01.S.doc Version 5.2 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. Care at Stennings DS0000047546.V309432.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Care at Stennings Address Stennings Brookview Copthorne West Sussex RH10 3RZ 01342 719388 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) Ms Susan Margaret Snelling Mrs J Day Miss Fiona Baines Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Care at Stennings DS0000047546.V309432.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th October 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 DS0000047546.V309432.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Prior to the inspection a review was made of the contact between the home and the Commission for Social Care Inspection (CSCI) since the last inspection. This included an analysis of incident reports and those of other statutory bodies such as the fire service. The manager completed a pre-inspection questionnaire. The inspection took place from 1.20pm over four and a half hours. During the inspection five residents were seen as two were on holiday and there was one vacancy. One relative was spoken to in the company of her daughter. A discussion was held with the person in charge of the home on the day of the inspection as well as the owners and the deputy manager. In addition a number of records were seen. Residents said it was “good” at the home and two gave it “10 out of 10”. One requirement has been made to establish a quality assurance system. What the service does well: What has improved since the last inspection? What they could do better: A quality assurance system must be established in order that the home continues to be run in the best interests of residents. Care at Stennings DS0000047546.V309432.R01.S.doc Version 5.2 Page 6 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 DS0000047546.V309432.R01.S.doc Version 5.2 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 Care at Stennings DS0000047546.V309432.R01.S.doc Version 5.2 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 The outcome for residents is good. A full assessment of their needs is made prior to them coming to live at the home. EVIDENCE: Written assessments were available for the person who has most recently moved into the home. They included an assessment by the local social services department and the home. Good information was obtained including all aspects of the persons needs and aspirations, for example health care, personal care and methods of communication. Care at Stennings DS0000047546.V309432.R01.S.doc Version 5.2 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 & 10 The outcome for residents is excellent. Residents needs are reflected in an individual care plan and they are assisted to make their own decisions. Support is given to them so that they take risks as part of an independent lifestyle. EVIDENCE: All resident have a written care plan which is reviewed at least annually. However, it was recognised that needs change particularly when someone first comes to the home in which case the care plan is reviewed frequently. Residents are involved in drawing up their care plan and supported in this by a member of staff designated as key worker. Four residents use an advocacy service and the group meet together periodically. Staff encourage everyone to make decisions. These can be about where to go to college, what to eat, how to spend leisure time and how they would like their room decorated. Residents were proud of their achievements stressing the areas of their life which they manage independently. A good system is in place for risk assessments for example regarding people going out alone, using the shower and telephone, administering medication, handling money as well as aspects of behaviour which may make the resident vulnerable to abuse or exploitation. Care at Stennings DS0000047546.V309432.R01.S.doc Version 5.2 Page 10 Residents know that information is kept on them and that it is private. One person was assisted to complete his daily record and another explained that no one saw her details, as they were “personal”. All records are safely stored and confidentiality is respected. Care at Stennings DS0000047546.V309432.R01.S.doc Version 5.2 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 the following standard(s): 12, 13, 15, 16 & 17 The outcome for residents is excellent. They take part in appropriate activities and are part of the local community. They maintain family links, friendships and personal relationships. Residents rights are respected and responsibilities recognised in their daily lives. A healthy diet is offered and residents enjoy their meals. EVIDENCE: Residents attend colleges in the local area. One person had just enrolled at a new college and was supported in doing this although he said he was “nervous and there were a lot of students”. A good programme was available at the college including drama, IT and independent living skills. Good use was made of a notice board in the conservatory to inform residents about local facilities such as clubs, events and advocacy services. They enjoyed using the local shops and one person said he visited the local pub where he met up with people he knew. All residents had contact with their family. One person was away on holiday with their parents, another was collected by their mother for a long weekend and another goes home every weekend. A visitor said that she was always Care at Stennings DS0000047546.V309432.R01.S.doc Version 5.2 Page 12 welcome at the home and kept informed of things that were important in her daughter’s life. Two people at the home were in a relationship and it was evident that this was accepted and supported by all concerned. All residents have a key to their room and to the front door. They receive their mail directly and staff address them by the name they prefer. There was a good rapport between staff and residents with both parties respecting each other’s position in the home. It had been recognised that some residents may want to be a friend of staff and this had been openly discussed with staff agreeing guidelines to ensure that appropriate boundaries were maintained. Everyone has unrestricted access to the home and grounds. Healthy eating is promoted at the home and each resident has their own budget for purchasing food, which they then cook with assistance if necessary. Everyone at the home is quite young and therefore mealtimes are flexible to fit in with their routines, activities and outings. This means that they rarely sit down together for a meal but are more likely to eat with just one or two people, thus making for relaxed mealtimes. Care at Stennings DS0000047546.V309432.R01.S.doc Version 5.2 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 the following standard(s): 18, 19 & 20 The outcome for residents is good. They receive good personal support and their health needs are met. They are protected by the home’s procedures regarding the administration of medication. EVIDENCE: Residents mainly care for themselves but assistance is given when required. One person described how she was supervised as she suffered from seizures and another said that he was able to use the bath himself. Routines are flexible although care plans ensured that personal hygiene was monitored if necessary. Everyone was dressed in their own style and said how they enjoyed clothes shopping, sometimes accompanied by staff. One person had a football shirt of his favourite team which he had purchased from the supporters shop. All residents have a designated member of staff who acts as their key worker. They ensure that attention is paid to health care, support is given to access services and they provide consistency of care. Residents knew who their key worker was and what they could offer them. Good records are kept of all appointments with health professionals. These included continence advice, psychiatric services, speech therapy as well and general health monitoring though optician, dentist and GP. One person Care at Stennings DS0000047546.V309432.R01.S.doc Version 5.2 Page 14 described how she recently went to the dentist with a member of staff and obviously felt supported in doing so. Three people manage their own medication and the rest is administered by staff. They are trained in safe practice and there is a good system in place. Storage is safe and individual residents have their own place to keep their medicines safely, in their rooms. Good records are kept of current medication, when it is received, administered and disposed off. Care at Stennings DS0000047546.V309432.R01.S.doc Version 5.2 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): 22 & 23 The outcome for residents is good. Their views are listened to and acted upon and they are protected from abuse. EVIDENCE: There is a clear written complaints procedure and records show that this has been used on two occasions recently, by residents. Both complaints were resolved to their satisfaction and good records kept. A draft procedure was seen which has been drawn up using symbols so that it is more accessible to residents. The manager stated that a procedure in picture format is currently used by residents. The home has it’s own policy and procedure on adult protection as well as the West Sussex Multi Agency procedures. An incident occurred approximately one year ago and records showed that it was appropriately investigated and dealt with, including referral to the local social services department. Care at Stennings DS0000047546.V309432.R01.S.doc Version 5.2 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 & 30 The outcome for residents is good. They live in a homely, comfortable and safe environment which is clean and hygienic. EVIDENCE: The home is suitable for its purpose and in keeping with the local surroundings. It provides good communal space. Residents have a choice of two lounges and dining rooms as well as kitchens. All areas are accessible and used by all residents. The décor was good although at the time of the inspection communal areas were being re-decorated. The most recent fire report made three recommendations and these are currently being implemented. All residents have their own room either with en-suite facilities or their own separate bathroom. As previously stated, they have all been decorated in the last six months with the involvement of the occupants. The premises are clean throughout and laundry facilities are sited away from food preparation areas. The laundry is fitted with good equipment including a washing machine which can deal with soiled linen. Residents use it and suitable safety measures are in place. Care at Stennings DS0000047546.V309432.R01.S.doc Version 5.2 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): 32, 34 & 35 The outcome for residents is good. They are supported by staff who are competent and trained. They are protected by the homes recruitment procedures. EVIDENCE: Residents were relaxed in the company of staff. They said they were kind “you only have to ask and they will help you”. They listened to residents and were encouraging. The manager and deputy were described as “open” and approachable. Good training is provided which included induction training, adult protection, food hygiene, first aid, medication and ‘person centred planning’. Two people have National Vocational Qualifications (NVQ). The recruitment procedure includes checking people’s identity, obtaining two references and a Criminal Records Bureau check. In addition, previous employment is checked and a record of the interview kept. Residents are involved informally in the process and meet any prospective staff member prior to them being appointed. All staff have access to the General Social Care Councils code of conduct and are subject to six months probation. Care at Stennings DS0000047546.V309432.R01.S.doc Version 5.2 Page 18 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 & 42 The outcome for residents is adequate. The home is well run although there is no quality assurance system in place. The health and safety of residents is protected. EVIDENCE: The manager has been registered since August 2005 and she has previous experience in a similar environment. She has obtained NVQ level 4. She is clear about her role and liaises closely with the owners of the home. She is described as open and has embarked on a programme of development. This includes increased opportunities for residents to learn new and more life skills towards independence. The owners confirmed that they had not implemented the requirement to establish a quality assurance system although it was their intention to do so. Staff receive training in health and safety procedures and have access to the homes policies for all areas of their work. Regular checks are made on services to the home as well as fire fighting equipment. Good arrangements are in place for the safe storage of hazardous chemicals, which are kept in a locked cupboard. Care at Stennings DS0000047546.V309432.R01.S.doc Version 5.2 Page 19 Serious accidents or incidents are recorded. All checks are monitored by the owners of the home on a monthly basis. Everyone at the home, including residents and visitors are clear about who is responsible and confirmed that they are very responsive. One resident said “if something gets broken we just ask Susan and she fixes it for us”. Care at Stennings DS0000047546.V309432.R01.S.doc Version 5.2 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 4 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 X 4 4 LIFESTYLES Standard No Score 11 X 12 3 13 4 14 X 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 4 x 3 X 2 X X 3 X Care at Stennings DS0000047546.V309432.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? Yes 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 A quality assurance system must be established Timescale for action 28/02/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Care at Stennings DS0000047546.V309432.R01.S.doc Version 5.2 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. Extracts may not be used or reproduced without the express permission of CSCI Care at Stennings DS0000047546.V309432.R01.S.doc Version 5.2 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. 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