Inspection on 11/10/05 for Courtwick Park

This inspection was carried out on 11th 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

Courtwick Park 11/05/10

Courtwick Park 18/03/09

Courtwick Park 29/11/07

Courtwick Park 16/10/06

Courtwick Park 23/06/05

Courtwick Park 17/01/05

Courtwick Park 07/09/04

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

CARE HOME ADULTS 18-65 Courtwick Park Courtwick Lane Wick Littlehampton West Sussex BN17 7PD Lead Inspector Mrs K Allen Unannounced Tuesday 11 October 2005. V246193 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. Courtwick Park H60-H11 S14475 Courtwick Park V246193 111005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Courtwick Park Address Courtwick Lane, Wick, Littlehampton, West Sussex, BN17 7PD 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) 01903 730563 01903 730563 www.info@corich.co.uk Corich Community Care Ltd Miss Susan Anne Hooper Care Home (CRH) 12 Category(ies) of Learning disability (LD) - 12 registration, with number of places Courtwick Park H60-H11 S14475 Courtwick Park V246193 111005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 - Up to twelve male and/or female service users between the ages of eighteen and sixty-five years in the category of learning disability may be accommodated/ admitted. Date of last inspection 23 June 2005 Brief Description of the Service: Courtwick Park is a three storey, detached property owned by Corich Community Care Ltd. They provide a service to twelve people with severe and profound learning disabilities and associated challenging behaviour. Residents all have their own room on the ground or first floor and have access to both floors although there is no passenger lift. There are private grounds which residents can use safely. The home is in a semi rural location although it does have its own transport and is close to the town of Littlehampton. Residents use the neighbouring activity centre (owned by the same company) for some of their activities as well as the local community. Courtwick Park H60-H11 S14475 Courtwick Park V246193 111005 Stage 4.doc Version 1.40 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, which included an analysis of incident reports and those of other statutory bodies such as the fire service. The inspection took place from 11am over six hours. During the inspection all of the residents were seen in communal areas and a discussion was held with the team leader and staff on duty as well as the line manager to the home. In addition a number of records were seen. What the service does well: What has improved since the last inspection? What they could do better: Two references must be obtained on all new staff to ensure they are suitable to work with vulnerable adults. The home should have a copy of the Department of Health’s guidance on managing challenging behaviour as recommended at the last inspection. This should assist the managers at the home in ensuring that staff are acting safely when dealing with residents. The quality assurance system would be improved if it took into account the views of all stakeholders including other professionals involved in residents lives. There should be a record of individual arrangements should any resident become terminally ill or pass away so that their wishes can be complied with. Courtwick Park H60-H11 S14475 Courtwick Park V246193 111005 Stage 4.doc Version 1.40 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. Courtwick Park H60-H11 S14475 Courtwick Park V246193 111005 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 Courtwick Park H60-H11 S14475 Courtwick Park V246193 111005 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) 5 No new residents have been admitted to the home since the last inspection. Each resident has a contract with the home. EVIDENCE: All residents have a copy of the homes Service User Guide which contains details of the service they will receive and how it will be provided, including the fees and room they will occupy. Courtwick Park H60-H11 S14475 Courtwick Park V246193 111005 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) 10 Information on residents is dealt with confidentially. EVIDENCE: There is a written policy on confidentiality which is signed by all the staff. They understood when and what to pass on to other staff and managers. They also knew when to report any concerns. They appreciated that they were in a privileged position with regard to the information they had on residents and that this should be treated with respect and in confidence. Courtwick Park H60-H11 S14475 Courtwick Park V246193 111005 Stage 4.doc Version 1.40 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 17 Residents receive a healthy diet and enjoy their mealtimes. EVIDENCE: The menu is drawn up taking into account the residents likes and dislikes, all of which are known to the cook. For example, one person had a jacket potato instead of roast, as he prefers that. Three meals a day are provided with the main meal usually being in the middle of the day. Staff eat with residents which creates a relaxed atmosphere and means they are able to help them. Residents are, however, encouraged to be independent. For example, some people have their food cut up into bite size pieces so that they can then feed themselves and others have a special plate, which contains the food whilst they also feed themselves. One person did not wish to join the group for dinner, as she is sometimes affected by the noise and this was respected. She ate her meal later in the company staff. Fresh fruit and vegetables are routinely used and residents weight monitored. Special diets are catered for. For example one person has a poor reaction to some foods and therefore these are avoided. Courtwick Park H60-H11 S14475 Courtwick Park V246193 111005 Stage 4.doc Version 1.40 Page 11 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) 20 & 21 Residents are protected by the home’s policies and procedures for dealing with medication. Ageing, illness and death are handled with respect. EVIDENCE: None of the residents are able to administer their own medication. Clear records are kept of resident’s current medication as well as medication received, administered and disposed of. Safe storage facilities are used away from the main living quarters. Senior staff are responsible for giving medication and they have all been trained to do so. Advice is sought from a pharmacist when necessary and records show that staff consult a GP if they are concerned about residents response to any medication. There is a written policy and procedure, signed by staff, in the event of someone becoming terminally ill. In the recent past the home has dealt with this situation satisfactorily however details should be recorded about individuals wishes and/or arrangements should they pass away. Courtwick Park H60-H11 S14475 Courtwick Park V246193 111005 Stage 4.doc Version 1.40 Page 12 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 Residents and relatives views are listened to and acted upon. EVIDENCE: There is a written complaints procedure which is known to staff, relatives and placing authorities. A log book is available to record any complaints although no entries have been made since 2001. If anyone were dissatisfied with any aspect of the service they would be advised of the complaints procedure but also offered the opportunity to resolve the matter with a senior member of staff on duty at the time. This means that issues are dealt with promptly and do not lead to formal complaints. Any matters raised by relatives would be recorded in the notes kept of family contact. Courtwick Park H60-H11 S14475 Courtwick Park V246193 111005 Stage 4.doc Version 1.40 Page 13 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) 25, 26, 28 & 30 Residents’ bedrooms suit their needs and promote their independence. Shared space complements service users individual rooms and the home is clean and hygienic. EVIDENCE: All residents have their own room, two of which are on the ground floor. They are well decorated and furnished. Each one has a wash-hand basin. Residents can help choose their own furniture and some are supported by their parents in doing so. All bedrooms are fitted with suitable locks, which can be overridden by staff. Rooms are well lit and ventilated. There are two lounges for residents to use one of which is designated a quiet lounge as well as a separate dining room. All rooms are well decorated and furnished. The kitchen is off the dining room and a laundry in the basement. There a staff rooms on the second floor which also serve as meeting/private rooms for visitors. The garden is large and secure. A part-time cleaner is employed who keeps the house clean. The laundry is sited away from food preparation areas and hand-washing facilities are Courtwick Park H60-H11 S14475 Courtwick Park V246193 111005 Stage 4.doc Version 1.40 Page 14 available. There is a hot wash on the washing machine to deal with foul laundry. Courtwick Park H60-H11 S14475 Courtwick Park V246193 111005 Stage 4.doc Version 1.40 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34 The homes recruitment policy is aimed at protecting residents however it is not routinely put into practice. EVIDENCE: The home has a written procedure for the recruitment of staff which includes the need to obtain clearance from the Criminal Records Bureau (CRB) as well as two references. Records of the most recently appointed members of staff showed that staff commenced work at the home prior to two references being obtained. Courtwick Park H60-H11 S14475 Courtwick Park V246193 111005 Stage 4.doc Version 1.40 Page 16 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, 39, 40, 41 & 43 Residents benefit from a well run home. Residents representatives views are sought in order that they may influence the development of the home although the views of other professionals would enhance the quality assurance system. Residents rights and best interests are safeguarded by the homes policies, procedures and records. Residents benefit from competent and accountable management arrangements. EVIDENCE: The manager is suitably experienced and has recently obtained a National Vocational Qualification (NVQ) at Level 4 as well as the Registered Managers Award. The line manager and owner of the home carry out quality audits every six months. The information gained is then referred back to the manager for her to take action as indicated by the audit. In addition, relatives of residents are asked to complete a questionnaire each year in order for the management of Courtwick Park H60-H11 S14475 Courtwick Park V246193 111005 Stage 4.doc Version 1.40 Page 17 the home to know their views about the service provided. Consideration is being given to providing families with a newsletter and this would include the outcome and any action agreed following the questionnaires. Local authorities who place people or who are considering placing people at the home do their own audits periodically. All of the information gained will be used in the homes annual development plan. At present the views of other professional are not routinely sought. Policies and procedures are in place and staff sign to say that they have read them. They are readily available to staff and form part of the induction programme when they come to work at the home. These documents are reviewed and updated. Records required by regulation are in place. They are safely stored and up to date. There is no business or financial plan available to the manager of the home however she if free to request investment and expenditure at any point throughout the year. It was reported that this system works well and there is no evidence of a lack of investment. Employee liability insurance is up to date. The lines of accountability are clear and the manager with immediate responsibility for overseeing the home is very familiar with the service the home provides as well as the residents needs. Courtwick Park H60-H11 S14475 Courtwick Park V246193 111005 Stage 4.doc Version 1.40 Page 18 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 x x x 3 Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x x x x 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score x 3 3 x 3 x 3 Standard No 11 12 13 14 15 16 17 x x x x x x 3 Standard No 31 32 33 34 35 36 Score x x x 2 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Courtwick Park Score x x 3 3 Standard No 37 38 39 40 41 42 43 Score 3 x 2 3 3 x 3 H60-H11 S14475 Courtwick Park V246193 111005 Stage 4.doc Version 1.40 Page 19 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 34 Regulation 19 Requirement Two written references must be obtained before making a staff appointment. Timescale for action 11 Oct 2005 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 21 39 Good Practice Recommendations Residents wishes concerning terminal care and death should be recorded. The views of other professionals should be sought as part of the quality assurance system. Courtwick Park H60-H11 S14475 Courtwick Park V246193 111005 Stage 4.doc Version 1.40 Page 20 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 Courtwick Park H60-H11 S14475 Courtwick Park V246193 111005 Stage 4.doc Version 1.40 Page 21 - 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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