Inspection on 24/01/06 for Daubeney House

This inspection was carried out on 24th January 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 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 20/06/05

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 Mrs L Riddle Unannounced Inspection 24th January 2006 02:15p Daubeney House DS0000039774.V279418.R01.S.doc Version 5.1 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 Daubeney House DS0000039774.V279418.R01.S.doc Version 5.1 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. Daubeney House DS0000039774.V279418.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Daubeney House Address Bersted Street Bognor Regis West Sussex PO22 9QE 01444 459517 01444 453413 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) Sussex Oakleaf Housing Association Limited Ms Lynda Peggy Strange Care Home 10 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (10), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (1) Daubeney House DS0000039774.V279418.R01.S.doc Version 5.1 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). 24th January 2006 Date of last inspection Brief Description of the Service: Daubeney House is a care home registered to provide accommodation and personal care for up to ten people between the ages of eighteen and sixty five years who have mental disorders. The registration provides for one of the ten persons to be over the age of sixty five. The service is provided by Sussex Oakleaf Housing Association Ltd, and the Registered Manager is Mrs Lynda Strange. The Responsible Individual operating on behalf of the organisation is Mrs Tracey Faraday-Drake. The property is a large detached house, situated in a quiet residential area near to the town centre of Bognor Regis. Accommodation for residents is on ground and first floors. A second floor provides additional office space and staff sleep-in accommodation. All resident’s rooms are for single occupancy only and have en-suite facilities. A TV lounge, quiet lounge and open plan dining room/kitchen provide communal space for residents at ground floor level. There is a spacious garden to the rear of the house and an enclosed garden area in the centre of the building. Daubeney House DS0000039774.V279418.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out over a period of three and three quarter hours by one inspector as part of the yearly inspection process. Prior to the inspection the previous inspection report was read along with other documents and correspondence relating to the home. Some records and documents were examined during the inspection and a tour of the premises was undertaken. During the inspection six residents were spoken with in order to obtain some sense of what it is like to live in Daubeney House. Discussion also took place with the deputy manager and duty support worker. The registered manager was not present for this inspection. What the service does well: What has improved since the last inspection? There were no requirements or recommendations arising from the previous inspection report. The home continues to be efficiently managed and a good standard of care provided. Daubeney House DS0000039774.V279418.R01.S.doc Version 5.1 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Daubeney House DS0000039774.V279418.R01.S.doc Version 5.1 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 Daubeney House DS0000039774.V279418.R01.S.doc Version 5.1 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 needs and aspirations of prospective resident’s are assessed to ensure that the home will be the correct placement for the individual. EVIDENCE: Files examined showed that each resident’s needs had been thoroughly assessed in relation to all aspects of care. These included physical health care needs, mental health, social, emotional and spiritual needs. The written detail was seen to be very comprehensive and provided the basis upon which the subsequent care plans were developed. Daubeney House DS0000039774.V279418.R01.S.doc Version 5.1 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 Residents know that their individual care plans reflect their assessed and changing needs as well as their personal goals. EVIDENCE: Three care plans were examined at random. They showed clearly what action is required by staff to help meet the assessed needs of residents and to help the individuals to achieve their short and long-term goals and aspirations. The plans include any specific arrangements agreed with residents about their dayto-day activities and care as well as any specialist arrangements, which may be in place. Care plans do not currently include the individual resident’s consent to medication and a recommendation is made in respect of this. Residents spoken with were very aware of their care plans and confirmed that they are regularly consulted about them and attend reviews. One resident said, “yes, I know about my care plan it’s discussed with me. We have reviews with my psychiatrist and social worker”. Daubeney House DS0000039774.V279418.R01.S.doc Version 5.1 Page 10 Risk assessments had been undertaken in relation to individual residents and their activities such as smoking. Daubeney House DS0000039774.V279418.R01.S.doc Version 5.1 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): 16, 17 The daily routines and house rules promote independence, individual choice and freedom of movement. EVIDENCE: There is an accepted rule that staff and other residents do not enter a resident’s room unless invited to do so. When a fairly new resident to the home was seen to be about to open a bedroom door, the deputy manager quietly reminded and explained to her that this is not acceptable. Residents spoken with confirmed that they have their own bedroom door and front door keys. A resident was also able to confirm that mail is not opened prior to it being given out but staff will help them if they need it. It was observed that there was a lot of interaction between staff and residents and it was evident that residents felt very comfortable with staff, enjoying friendly banter, laughing and joking together. Residents have comfortable rooms with generous space and can retreat to these whenever they wish to be alone and private. There is also an alternative quiet lounge to the main TV Daubeney House DS0000039774.V279418.R01.S.doc Version 5.1 Page 12 lounge so residents have a choice of communal space. They said that they can have visitors whenever they wish at all reasonable times. Residents are helped to make decisions about their daytime activities and to put some structure into their days but the final decision is theirs. Menus were seen and these are planned on a five-week rotating basis. They showed that meals provide variety and a healthy balance as well as a daily vegetarian alternative to the main meal. Residents usually have a snack style lunch of their choice and a main cooked meal in the evening. One resident now cooks for himself in the ‘training kitchen’ as part of a rehabilitative process which may see him move on to more independent living. He plans his own meals and shops for himself. Another resident also does this on three days each week. Staff continue to give whatever support or advice is needed. Residents asked, said that the food is good and plentiful. The evening meal looked appetising and very generous helpings were seen to be served. It was noted that different residents sat down to eat at different times as they pleased rather than being expected to all sit down together. Staff provide support and encouragement where special diets are needed, but again, the final decision as to whether diets are adhered to rests with the individual. Daubeney House DS0000039774.V279418.R01.S.doc Version 5.1 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): 19, 20 The healthcare needs of residents are assessed and there are arrangements in place to address these. EVIDENCE: All residents are registered with GPs in the locality of the home. It was confirmed by some of those spoken with that they can make their own appointments if they wish and attend independently. However one or two said that they prefer a member of staff to accompany them. They can choose to see the doctor without a staff member present if they wish. Additional support is provided by the Community Mental Health Team and residents have access to such services as dentists, opticians and chiropodists in the local community as they were able to confirm. All matters relating to the healthcare of residents is recorded in their individual plans of care. Residents are enabled to take control of their own medications but this is done in a series of stages if it happens. Risk assessments had not been undertaken in respect of all residents to demonstrate how a decision had been made in respect of whether or not they should take control of their own medication. A recommendation has been made in respect of this. Two or three residents Daubeney House DS0000039774.V279418.R01.S.doc Version 5.1 Page 14 were taking their own medicines but attending the office to do so where they could be observed. They may eventually progress to keeping the medication themselves but no one had achieved that stage to date. Medicines were seen to be stored securely in a locked cupboard and records maintained to provide an audit trail from the time they are received until disposal. Staff had received training in the safe handling of medicines. Daubeney House DS0000039774.V279418.R01.S.doc Version 5.1 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 Residents know how and to whom they should complain. EVIDENCE: The home has a clear complaints procedure, which is included in the Service Users Guide. Residents asked were aware of the procedure and said they understood it and knew who to complain to if the need arose. This was illustrated by a resident who said, “I would tell Lyn or Jo if I had a complaint, I know they would listen” and another who said, “I could tell anyone here if I had a problem or complaint, they would all take it seriously”. Daubeney House DS0000039774.V279418.R01.S.doc Version 5.1 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): 24,30 The home’s premises are suitable for its stated purpose, accessible, safe and well maintained. EVIDENCE: The home is conveniently situated within very easy walking distance of the town centre and local bus routes. The premises were found to be clean and fresh, well maintained, bright, cheerful and spacious. The home was warm and comfortably furnished with good quality furnishings in all areas. Residents are able to have their own furniture and personal possessions around them if they wish and this was very evident in the rooms seen. They also choose their own décor. The home meets the requirements of the local fire service and environmental health department and there are reports to verify this. The laundry is suitably sited away from areas where food is prepared or served. The equipment was seen to be suitable and residents are able to use the facilities themselves with or without staff support. The area was clean and tidy and there are hand-washing facilities provided. The home has policies and procedures in place for the control of infection. The deputy manager said that Daubeney House DS0000039774.V279418.R01.S.doc Version 5.1 Page 17 She will access some specific training for staff in relation to the control of infection. Daubeney House DS0000039774.V279418.R01.S.doc Version 5.1 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 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): 32,33 Residents are cared for by staff who are competent and experienced to understand and meet their individual needs. EVIDENCE: The home has an active training programme which means that staff have the necessary skills and competencies to care for the residents and meet their individual needs. They have opportunities to undertake National Vocational Qualification training and more than 50 have achieved this in levels 2 and above. One staff member said she has almost completed level 4. Other training is provided including a comprehensive induction for new staff, which meets Sector Skills Training specifications. Training in mental health related topics is also provided as training records examined, demonstrated. Staff spoken with said that they very much enjoy working in the home. They were observed to speak to the residents as equals and clearly had a good understanding of each resident’s needs. Relationships between staff and residents appeared to be very relaxed and there was a happy and warm atmosphere in the home. Staff considered that they receive clear direction from the manager and good training opportunities. They presented as being well motivated and committed to providing the best possible care for the residents. Duty rotas examined, observations made and discussion with the deputy manager and support staff confirmed that staffing levels are appropriate to Daubeney House DS0000039774.V279418.R01.S.doc Version 5.1 Page 19 provide a good level of care for the residents. They said that they are able to give residents individual attention and spend quality time with them both within and outside of the home. This was also confirmed by residents. Daubeney House DS0000039774.V279418.R01.S.doc Version 5.1 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 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): 42 The health, safety and welfare of residents and staff is as far as possible, protected and promoted. EVIDENCE: Training records examined showed that staff are kept up to date with training in health and safety topics such as fire safety, food hygiene, first aid and moving and handling (inanimate objects). Residents do not require assistance with moving or handling. The home has a comprehensive health and safety policy. Risk assessments are in place relating to individual residents and to the home’s premises and work practices. Daubeney House DS0000039774.V279418.R01.S.doc Version 5.1 Page 21 Window restrictors are fitted to all windows above ground floor level and the hot water in areas used by residents is controlled within safe limits by regulating valves. All accidents and incidents are recorded and reported to the appropriate Bodies if necessary. Daubeney House DS0000039774.V279418.R01.S.doc Version 5.1 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 Standard No Score 1 N/A 2 3 3 N/A 4 N/A 5 N/A INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 N/A ENVIRONMENT Standard No Score 24 3 25 N/A 26 N/A 27 N/A 28 N/A 29 N/A 30 3 STAFFING Standard No Score 31 N/A 32 4 33 3 34 N/A 35 N/A 36 N/A CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 N/A N/A N/A N/A LIFESTYLES Standard No Score 11 N/A 12 N/A 13 N/A 14 N/A 15 N/A 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score N/A 3 3 N/A N/A N/A N/A N/A N/A 3 N/A Daubeney House DS0000039774.V279418.R01.S.doc Version 5.1 Page 23 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. 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 2 Refer to Standard YA6 YA20 Good Practice Recommendations Resident’s care plans should contain their consent to medication. Risk assessments should be carried out to determine each resident’s ability to take control of his/her medications or not. Daubeney House DS0000039774.V279418.R01.S.doc Version 5.1 Page 24 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 Daubeney House DS0000039774.V279418.R01.S.doc Version 5.1 Page 25 - 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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