Inspection on 13/07/05 for Self Unlimited - South Coast

This inspection was carried out on 13th July 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

Self Unlimited - South Coast 07/06/06

Self Unlimited - South Coast 28/11/05

Self Unlimited - South Coast 18/01/05

Self Unlimited - South Coast 03/08/04

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) Walberton Freemans Close Eastergate Lane Walberton Arundel, BN18 0AE Lead Inspector Mrs H Church Unannounced 13 July 2005. V236834 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) Walberton H60-H11 S14424 Care Walberton V236834 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service CARE (Walberton) Address Freemans Close, Eastergate Lane, Walberton, Arundel, West Sussex, BN18 0AE 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) 01243 542714 01243 544796 Mr Michael Keighley Mrs Sarah Shallis Care Home (CRH) 32 Category(ies) of Learning disability over 65 years of age (LE(E)) registration, with number 32, Learning disability (LD) - 32 of places (CARE) Walberton H60-H11 S14424 Care Walberton V236834 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 - Only persons in the category LD (Leraning disability) under 65 years may be admitted. Date of last inspection 18/01/05 Brief Description of the Service: CARE Walberton is a care home registered to accommodate up to thirty-two service users in the category of adults with learning disabilities. The service is made up of two residential cottages, a separate day service and administration block located on the outskirts of Walberton West Sussex.Accommodation is provided in twenty-nine single rooms and three flatlets. Facilities in each cottage include, a large lounge/dining room, kitchen, and a number of sitting rooms. There is a small covered swimming pool to the rear of one of the cottages. Orchards and gardens form the rest of the estate. The service is voluntary owned by Cottage and Rural Enterprises Limited (CARE) and the registered manager is Mrs Sarah Shallis. The Responsible Individual is Mr Michael Keighley. (CARE) Walberton H60-H11 S14424 Care Walberton V236834 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection, one of two required under the Commission for Social Care Inspection was planned to observe the afternoon/early evening activities of the residents and discuss the outcomes for residents. To prepare for this unannounced inspection, previous reports, letters and any formal paperwork sent to the commission of incidents and accidents that had happened to individual residents or had in general affected the smooth running of the home were reviewed. The inspector examined the Statement of Purpose and Service Users Guide to ensure it included updated information on how the home is run and how residents can make any changes they wished to improve their lives there. The manager was not available so the Home Manager from one of the two residential cottages assisted the inspector with the inspection. A number of residents were in the main workshop block following lunch and were able to speak to me about their lives. It was clear from the manner and demeanour of the residents that they felt part of a large family; doing the work they enjoyed to fulfil their lives and socialising both inside and outside the home. All of the residents were happy and relaxed in whatever activity they were undertaking. One resident told the inspector that she was able to live independently in her own flat, furnished and decorated as she wanted with opportunities to earn additional monies and join in the activities she chose. During the inspection, five residents were spoken with privately in the workshops, grounds and accommodation area with a number of other residents seen in general areas when accompanying the Home Manager. The inspector examined resident’s records to obtain a clear account of the care provided. Some of the residents were able to give a clear account of their lives at CARE (Walberton) but without exception all comments were enthusiastic. It was clear that residents are encouraged to say what they like or don’t like about the home. The members of staff gave high praise for the support received from their manager and the clear operational and administrative side of the company. There were no requirements or recommendations made at this inspection. What the service does well: CARE (Walberton) provides a warm, homely and friendly environment where the resident’s collective and individual needs are central to all its activities. It excels in valuing their residents to own it as their own home and live their lives in it to the fullest extent. Every aspect of their care needs is recorded and staff are supported to assist residents to seek out new opportunities to develop (CARE) Walberton H60-H11 S14424 Care Walberton V236834 Stage 4.doc Version 1.40 Page 6 their independence or lead fuller and happier lives. The home is being continually updated and from resident’s comments and observing staff at work, it was clear that the outcomes for residents are good with staff committed to individuality and treat their residents with respect and dignity. 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. (CARE) Walberton H60-H11 S14424 Care Walberton V236834 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) Walberton H60-H11 S14424 Care Walberton V236834 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) 1 to 4 Trial visits are provided according to the needs of the individual and collective needs of the residents. Care plans are well documented and include collective and individual aspirations. Residents have full information of care and services and received contracts and necessary documents relating to the home. EVIDENCE: The enthusiastic comments from all residents on the way they lived their lives from group or individual activities was clear evidence that the home is being run according to the residents needs and wishes. All of the records seen accurately reflected the care being provided, the risk levels supported and the future aspirations to be achieved. Four care plans were examined in full to see if they matched the way the residents were living their lives and their future expectations. Trial visits are recorded with a number of visits of varying lengths being provided according to the needs of the residents. The manager is involved in initial assessments and the home manager is included when appropriate. (CARE) Walberton H60-H11 S14424 Care Walberton V236834 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 to 10 All residents were clearly enthusiastic about the way CARE (Walberton) operates as both a care home and work placement. Independent living is available and residents have full choice about their work, home and social activities. EVIDENCE: Four individual care plans were examined and they all contained extensive information on the care required and provided. There was evidence to show that residents and their representatives have contributed and agreed to the care plans and risk assessments. Residents are encouraged to take identified risks and the staff commitment exceeds this standard. An occupational therapist has assessed those areas proposed as designated for dementia care. Resident’s rooms reflected their varied interests and it was clear from specialist equipment provided that residents are encouraged to take identified risks both inside and outside the home. One resident proudly showed the inspector over her flat which had been furnished and decorated according to her wishes. It was clear that she felt fully supported when needed but was left to choose her own lifestyle and work and social activities. (CARE) Walberton H60-H11 S14424 Care Walberton V236834 Stage 4.doc Version 1.40 Page 10 (CARE) Walberton H60-H11 S14424 Care Walberton V236834 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) 11 to 17 All residents have opportunities for personal development and to take part in activities in the community. Personal activities and relationships are respected and residents’ rights are at the centre of the holistic care provided. Forming new relationships are encouraged with appropriate risk assessments in place. EVIDENCE: Records showed that resident’s leisure activities and personal family contacts were being maintained and had goals set to develop these. Resident’s comments of these aspects of their lives supported the care plans and it was clear that each resident was being provided with extensive opportunities to develop their individual lives through activities, contacts from their peer group and families. This exceeds the standard. One resident had been encouraged to go on her first holiday with fully identified staff support and was now more confident to seek other new activities previously rejected. Another resident had a new programme devised to support his new needs that now gave him more independence and confidence. (CARE) Walberton H60-H11 S14424 Care Walberton V236834 Stage 4.doc Version 1.40 Page 12 Social activities included barbeques and events where families, friends and neighbours in the community could be included. Residents decide the menu for the week and shopping takes place following this meeting. The inspector observed the supper being prepared in one cottage and noted that emphasis is placed on healthy living items of reduced fat or sugar items. From the comments made by two residents, everyone is given a chance to choose the menu or in the case of the resident in the flat, choose her own menu, shop and cook her own meals with reimbursements made for the cost of the food. (CARE) Walberton H60-H11 S14424 Care Walberton V236834 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 to 21 Residents receive personal care and or supervision and are supported to manage their own medication. The system for recording, storing, handling and disposal of drugs met the Medicines Act 1968, guidelines from the Royal Pharmaceutical Society and the requirements of the Misuse of Drugs 1971. EVIDENCE: Four care plans were examined and all of these showed evidence of updated emotional health care needs with strategies to meet residents changing needs. The commission had received appropriate accident/incident reports and statistics of these are well recorded. One resident is taking responsibility for her own medication with staff monitoring this according to policies and procedures. All medication was stored in a locked cabinet in a locked mediation room in the cottage and is only accessed through the senior person on duty. (CARE) Walberton H60-H11 S14424 Care Walberton V236834 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 Residents are protected from abuse; self harm or neglect and were involved in all discussions on all aspects of their daily lives. A complaints process is displayed and available in the Statement of Purpose and Service Users Guide. EVIDENCE: Residents meetings are held regularly and key workers support residents to make their views known at these meetings. It was clear that residents’ views are listened to and acted upon. The West Sussex County Council Adult Protection Procedures was available in the home and staff had received training on this. A member of staff confirmed that she was aware of the process when talking to the inspector. Staff are alert to all aspects of allegations of abuse and immediately invoke the procedures to ensure complete protection of all residents. Resident’s views are considered when choosing holidays, activities or meals. Each resident had been given a free choice of a holiday or given one to one support for special days out where holidays away are inappropriate. One resident loves stately homes whilst another has had her first holiday away. (CARE) Walberton H60-H11 S14424 Care Walberton V236834 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) 24,25,26,27,28,29,30. The communal areas and resident’s bedrooms met all parts of these standards with specialist equipment present in areas where staff are required to assist with resident’s physical needs. EVIDENCE: The lounge/dining room was of a suitable size and decorated, refurbished and arranged to allow all residents to participate in activities. All areas were seen to be clean and welcoming with potted plant arrangements in the entrances. Resident’s rooms were of a good size and decorated in individual styles with personal items arranged according to their wishes. It was clear that any additional furniture to display items was encouraged and agreed according to the use of the specialist equipment. Thermostatic valves are in place to restrict water temperatures to safe levels. Most of the radiators are guarded with a programme in place for completing this work. Risk assessments are in place where these have not yet been fitted. The home was clean and hygienic. (CARE) Walberton H60-H11 S14424 Care Walberton V236834 Stage 4.doc Version 1.40 Page 16 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) 31,32,33,34,35,36. Staff are recruited according to robust recruitment procedures where residents individual and group needs are central to the process. EVIDENCE: The resident’s care plans showed the support required for maintaining and developing all aspects of daily living was being monitored and from the visitor’s comments, this matched the records. Four care plans were examined and it was seen that the support required was being provided. Staff records were not examined on this occasion, as it was clear from the last inspection report that extensive recruitment procedures are in place to ensure new members of staff complement the existing staff group. The home manager told the inspector that a recruitment drive is planned to increase staffing levels where bank staff are currently providing care. Overall, the home have achieved the 50 of staff with National Vocational Qualification level 2 with some staff doing level 3 and other staff waiting for places. The relaxed atmosphere between the home manager, the members of staff and residents was apparent throughout the inspection with residents anxious to be included in every aspect of the inspection. (CARE) Walberton H60-H11 S14424 Care Walberton V236834 Stage 4.doc Version 1.40 Page 17 (CARE) Walberton H60-H11 S14424 Care Walberton V236834 Stage 4.doc Version 1.40 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 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) 37,38,39,41,42,43. The management style benefits and protects residents whose views are respected whilst acknowledging their rights as citizens. EVIDENCE: The care plans demonstrated all aspects health, safety and welfare needs were being met with periphery records well maintained. All residents participated eagerly in the workshop activities and when in their cottage. It was clear that this is the general response to their lives at CARE (Walberton). Throughout the inspection process, it was clear that residents choices were respected in every aspect of their lives from the choice of work, social and community activities their individual style of rooms. The responses to holidays and new developments in their lifestyles and by meeting all other aspects of care, clearly ensures outcomes for residents are very good. (CARE) Walberton H60-H11 S14424 Care Walberton V236834 Stage 4.doc Version 1.40 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 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 4 3 4 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 4 3 3 4 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 (CARE) Walberton Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 x x 3 3 3 H60-H11 S14424 Care Walberton V236834 Stage 4.doc Version 1.40 Page 20 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 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. Refer to Standard Good Practice Recommendations (CARE) Walberton H60-H11 S14424 Care Walberton V236834 Stage 4.doc Version 1.40 Page 21 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. 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