Inspection on 20/06/05 for Daubeney House

This inspection was carried out on 20th June 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

Daubeney House 16/10/07

Daubeney House 05/03/07

Daubeney House 24/01/06

Daubeney House 18/11/04

Daubeney House 24/06/04

Similar services:

1 Marten Road

Three Gables

Aldwick House

49 Glendale

The Springs Community

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

CARE HOME ADULTS 18-65 Daubeney House Bersted Street Bognor Regis West Sussex PO22 9QE Lead Inspector Jennifer Wright Announced Monday, 20 June 2005 V225274 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. Daubeney House H60 H11 S39774 Daubeney House V225274 200605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Daubeney House Address Bersted Street, Bognor Regis, West Sussex, PO22 9QE 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 865651 Sussex Oakleaf Housing Association Limited Ms Lynda Peggy Strange Care Home only (PC) 10 Category(ies) of Mental Disorder, excluding learning disablility or registration, with number dementia (MD) 10 places of places Mental Disorder, excluding learning disability or dementia - over 65years of age (MD(E)) 1 place Daubeney House H60 H11 S39774 Daubeney House V225274 200605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 A maximum of one (1) person in the category MD(E) (mental disorder excluding learning disability over 65 years). Date of last inspection 18th November 2004 Brief Description of the Service: Daubeney House is a care home registered to accommodate up to ten residents in the category of Young Adults with mental disorder. The service is provided by Sussex Oakleaf Housing Association Ltd, and the Registered Manager is Mrs Lynda Strange. The Responsible Person operating on behalf of the organisation is Mrs Tracey Faraday-Drake. The property is a large detached house, providing accommodation across three floors. It is situated in a quiet residential area near to the town centre of Bognor Regis. There is a spacious garden to the rear of the house and an enclosed garden area in the centre of the building. Daubeney House H60 H11 S39774 Daubeney House V225274 200605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection, the first of a minimum of two statutory visits that an inspector must make to each care home during the course of a year. A second inspection, which will be unannounced, will be undertaken later in the year. During this inspection the Inspector toured parts of the building, including the kitchen, the dining room, the lounge the quiet room and a resident’s bedroom. All were found to be satisfactory. Many of the residents were out on the day of inspection, but the inspector was able to speak to two residents, both of whom spoke well of the Manager and the staff members at Daubeney House. In addition to the Manager, four staff members were also spoken to on the day of inspection about how they find working at Daubeney House. All four staff members told the Inspector that they enjoyed their work, and felt supported by the Manager and Sussex Oakleaf Housing Association Limited. The Inspector examined records about care being provided to residents; as well as discussing any accidents or concerns or complaints, to make sure that the residents at Daubeney House were being taken care of. All records examined were found to be in order and up to date. The Care Plans were extremely well written and contained all the information needed to look after the residents. Staff training was ongoing and it was noted that the majority of staff were either National Vocational Qualification (NVQ) trained or were about to complete their training. The training records of all staff were well documented and up to date. Staff members were being supervised by the Manager, who had made detailed notes of the sessions. The building has recently undergone some major refurbishment both inside and out, and was seen to be clean and welcoming. All Health and Safety issues were up to date, and no recommendations or requirements were made at this inspection. At this inspection Daubeney House was audited against the National Minimum Standards for Younger Adults. All the elements in each of the standards assessed were met. Two were exceeded. The Inspector would like to thank everyone who co-operated with her on the day of this inspection. Daubeney House H60 H11 S39774 Daubeney House V225274 200605 Stage 4.doc Version 1.30 Page 6 What the service does well: What has improved since the last inspection? What they could do better: The residents and staff members spoken to on the day of inspection felt that Daubeney House was “doing very well” and could think of nothing that could be done better. A staff member told the Inspector that a new” link-worker” system is to be introduced shortly, which should be of benefit to both residents and staff members. Daubeney House H60 H11 S39774 Daubeney House V225274 200605 Stage 4.doc Version 1.30 Page 7 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. Daubeney House H60 H11 S39774 Daubeney House V225274 200605 Stage 4.doc Version 1.30 Page 8 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 Daubeney House H60 H11 S39774 Daubeney House V225274 200605 Stage 4.doc Version 1.30 Page 9 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, 2, 3, 4, 5 Residents and their families have the information they need to make an informed choice about Daubeney House, and are suitably assessed before placement. EVIDENCE: Each resident is given a Statement of Purpose and Service Users Guide and a Contract when they enter Daubeney House. Most of the residents have family, or a solicitor, who are able to act on their behalf. A member of staff assesses all residents before they join the home. The records of these assessments were seen by the Inspector, and found to be very detailed. The Manager informed the Inspector that it is important that all residents fit in with others living in the home. Daubeney House H60 H11 S39774 Daubeney House V225274 200605 Stage 4.doc Version 1.30 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8, 9, 10 Residents take part in the running of the home, and are able to make their own decisions, supported by staff members. Examples of this include activities, food, holidays and outings. Residents are encouraged to maintain independence whenever possible, and are fully involved in all aspects of their care planning. Resident’s needs are carefully monitored, and care plans are regularly reviewed by the staff at Daubeney House. Daubeney House H60 H11 S39774 Daubeney House V225274 200605 Stage 4.doc Version 1.30 Page 11 EVIDENCE: Care plans were seen to be comprehensive, and to reflect the needs of residents. They were very detailed and well presented, and contain a complete record of the individual, including assessments from other agencies. Residents are encouraged to take part in outside activities and many go out independently to clubs and outings. The Manager informed the Inspector that staff would go with residents if they feel that the resident is unable to participate without support. One resident has a part-time job, and a member of staff was taking this resident to their place of work on the morning of the inspection. All personal information with regard to residents was seen to be securely stored. Daubeney House H60 H11 S39774 Daubeney House V225274 200605 Stage 4.doc Version 1.30 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 14, 15, 16, 17 The residents seen appeared happy with their lifestyle at Daubeney House. The Manager informed the Inspector that all residents are encouraged to keep in contact with their family and friends and to have control over their daily tasks. Where possible residents share in the day-to-day domestic tasks in the home as part of their independence skills training. The activities that service users attend are determined by their individual needs and care plans. Meals are well planned and provide a variety of choice. Fresh home cooked food is provided. EVIDENCE: A support worker was taking one resident to her place of work as the Inspector arrived at the home. Another resident told the Inspector about a recent holiday that he had enjoyed. The Manager informed the Inspector that residents have opportunities to meet people and join in activities outside of the home, and that risk assessments are undertaken to ensure the well being of the resident. These activities include Drop-in Centres, the Gym, Industrial Therapy, College, shopping and games and videos. Daubeney House H60 H11 S39774 Daubeney House V225274 200605 Stage 4.doc Version 1.30 Page 13 Some residents are involved in the day-to-day chores within the home. Daubeney House has a training kitchen, where some residents are encouraged to learn how to cook. Both residents spoken to on the day of inspection praised the food at Daubeney House. Although the majority of the resident were not present to speak with on the day of inspection, the inspector examined a range of records and discussed resident’s lifestyles with the staff. All was seen to be satisfactory. Daubeney House H60 H11 S39774 Daubeney House V225274 200605 Stage 4.doc Version 1.30 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19, 20, 21 The resident’s health, personal and social care needs are well met through good staff training. All procedures for medication involve a thorough assessment of the resident. All staff members administering medication have been appropriately trained. EVIDENCE: Medication is stored safely and records were well kept with regard to the administering and disposing of all medication. There was evidence that staff members have received appropriate accredited training in medication. Daubeney House has not had to deal with a death as yet. However, there are policies and procedures in place should such a thing happen. Daubeney House H60 H11 S39774 Daubeney House V225274 200605 Stage 4.doc Version 1.30 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 standard(s) 22, 23 The Manager informed the Inspector that all staff, residents and their families are aware of the complaint’s procedure, and know how to complain. Staff members are aware of the Adult Protection Procedures and of the policies and procedures with regard to Whistle Blowing. EVIDENCE: Residents confirmed to the Inspector that “they know who to go to if they are unhappy with anything”. The Manager confirmed that staff members have access to a Whistle Blowing Policy and to the guidelines on how to refer any abuse, or suspicions of abuse. The staff members, who the Inspector spoke with on the day of inspection, were clearly aware of the need to support residents at all times from all forms of abuse, and of what action they would take if they felt it to be necessary. Daubeney House H60 H11 S39774 Daubeney House V225274 200605 Stage 4.doc Version 1.30 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 standard(s) 24, 25, 26, 27, 28, 29, 30 On the day of inspection Daubeney House appeared clean and well maintained, and the location of the home is suitable for the residents who live there. There is a large kitchen/diner/lounge plus a separate “quiet room” for residents to use. In addition to the garden there is a central courtyard, which is much used by residents. EVIDENCE: During the course of the inspection much of the home was visited to ensure that the environment was safe and comfortable for people who live there. One resident offered to show the Inspector their room, which was quite large, and clearly reflected the resident’s personality and interests. It was noted that the resident had brought personal possessions into the home, including small items of furniture, ornaments and photographs. The resident told the Inspector that they were very pleased with their room. A second resident said that they really liked the quiet room, as there was no television in there. On the day of inspection, Daubeney House was seen to be clean and tidy and in good repair throughout. There was evidence that the home had been redecorated recently, and much of the furniture was new. Daubeney House H60 H11 S39774 Daubeney House V225274 200605 Stage 4.doc Version 1.30 Page 17 Records were available to show that the home is maintained to a satisfactory standard. There is a central sitting area with a BBQ, which, the Inspector was told, is used a great deal by both residents and staff. Daubeney House H60 H11 S39774 Daubeney House V225274 200605 Stage 4.doc Version 1.30 Page 18 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 There are sufficient staff members employed to ensure that residents receive the support that they need. The home has a sound recruitment policy, and all required checks are made. Sussex Oakleaf Housing Association is very committed to training, and there was evidence that all staff members receive the appropriate support and supervision. It was seen that policies and procedures are in place to ensure that residents are protected. EVIDENCE: Staff members spoken to on the day of inspection were able to give a clear picture of the needs and preferences of the residents. They were clearly enthusiastic about working at Daubeney House and for Sussex Oakleaf Housing Association. Staff members spoken to said that they “work as a team” and “feel well supported.” On the day of inspection there were sufficient staff members on duty. Staffing records were examined and it was seen that all necessary procedures had been followed, with regard to recruitment of staff, including ensuring that all staff members have received Criminal Records Bureau enhanced checks, so that they are safe to work with vulnerable people. Records were seen to be kept in a locked cabinet. Daubeney House H60 H11 S39774 Daubeney House V225274 200605 Stage 4.doc Version 1.30 Page 19 Records showed that all staff members had received the appropriate training, and that supervision was being carried, out and notes kept. The Inspector was told by a staff member of a new “link worker” system, that is to be introduced shortly, and another said that “there are always new things coming along”. Everybody who the Inspector talked with on the day of inspection spoke very highly of Daubeney House. Daubeney House H60 H11 S39774 Daubeney House V225274 200605 Stage 4.doc Version 1.30 Page 20 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, 40, 41, 42, 43 It is apparent that the needs of the residents are uppermost at Daubeney House, and staff members ensure that resident’s rights and best interests are safeguarded at all times. Reviews are held at regular intervals and these were seen to be recorded. All records and policies and procedures are well maintained, and showed that all Fire and Environmental Health requirements had been met, and that all equipment is serviced regularly, thus ensuring that Daubeney House is a safe environment for the people who live and work there. In-house training, plus external courses and good policies and procedures ensure that the health, safety and welfare of residents is promoted. Daubeney House H60 H11 S39774 Daubeney House V225274 200605 Stage 4.doc Version 1.30 Page 21 EVIDENCE: The Manager informed the Inspector that there are regular staff meetings where minutes are taken. In addition the Inspector was told of regular resident’s meetings, with a record made of things discussed. Daubeney House is run in the best interest of the residents, and staff members told the Inspector that they enjoyed working at Daubeney House and that they felt well supported by the manager. Daubeney House H60 H11 S39774 Daubeney House V225274 200605 Stage 4.doc Version 1.30 Page 22 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 3 3 3 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 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 4 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Daubeney House Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 3 H60 H11 S39774 Daubeney House V225274 200605 Stage 4.doc Version 1.30 Page 23 Are there any outstanding requirements from the last inspection? NO 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 Daubeney House H60 H11 S39774 Daubeney House V225274 200605 Stage 4.doc Version 1.30 Page 24 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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