Inspection on 12/12/05 for Highviews

This inspection was carried out on 12th December 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

Highviews 07/12/07

Highviews 30/01/07

Highviews 04/07/05

Highviews 10/01/05

Highviews 13/07/04

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Insight - Eastchurch

Southfields

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Seabourne House

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Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Highviews 47 Saltdean Drive Saltdean Brighton East Sussex BN2 8SD Lead Inspector Glynis McLeod Unannounced Inspection 12th December 2005 12:45 Highviews DS0000014262.V258428.R01.S.doc Version 5.0 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 Highviews DS0000014262.V258428.R01.S.doc Version 5.0 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. Highviews DS0000014262.V258428.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Highviews Address 47 Saltdean Drive Saltdean Brighton East Sussex BN2 8SD 01273 390610 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) Mr Driss Zemouli Miss Niki Clarke Mr Driss Zemouli Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Highviews DS0000014262.V258428.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of service users to be accommodated is six (6) Service users should be aged between nineteen (19) and sixty-five (65) years on admission 4th July 2005 Date of last inspection Brief Description of the Service: Highviews is registered as a care home for up to six service users with mild to moderate learning disabilities; it does not provide nursing care. The home is a well-appointed detached property situated in a quiet residential area of Saltdean, close to shops, transport routes and other local amenities. There are three well-furnished communal areas in the home, including a quiet/music room. To the rear of the property is a large garden with an attractive fishpond. Grab rails and ramps have been installed leading to the house and garden, and there are also grab rails in the toilets and bathrooms. A bath chair is available if necessary. Parking is easily available on the forecourt and on the road outside. Highviews DS0000014262.V258428.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection, which was unannounced, took place over two hours and was one of two inspections required over the year. Management cover at the time of the inspection was being provided by the joint owner, who is registered manager of Highview’s sister home, The Seagulls. A tour of the premises took place and records relating to care, staffing, training and administration were inspected. Four of the residents, one staff member and the owner were spoken to. The inspector would like to thank the residents and staff for their hospitality and assistance during the inspection. What the service does well: What has improved since the last inspection? What they could do better: The home needs to add some information to its adult protection policy so that staff are clear they have to contact the social services agency if they have any concerns about a resident who may be at risk. The social services’ contact details need to be included, as well. Highviews DS0000014262.V258428.R01.S.doc Version 5.0 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. Highviews DS0000014262.V258428.R01.S.doc Version 5.0 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 Highviews DS0000014262.V258428.R01.S.doc Version 5.0 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): The manager appropriately assesses prospective residents. Consultation with other professionals and families ensures that a clear picture of residents’ needs and wishes is available before admission. EVIDENCE: The home has not admitted any new residents since the last inspection, but the owner advised that an initial care plan would now be completed upon admission as recommended at the last inspection. This will ensure that staff are aware of a new resident’s needs, likes and dislikes and can help them to settle in the home more quickly. Highviews DS0000014262.V258428.R01.S.doc Version 5.0 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 All residents have care plans that are up-to-date and reflect their health, personal and social care needs. EVIDENCE: Care plans of all the residents were examined and found to contain all the necessary information. The daily recording has improved since the last inspection and more detailed information of the residents’ activities is now on file. Residents sign their own care plans and keep a copy of their daily timetable, which is colourful and easy to understand. Risk assessments for environmental factors, challenging behaviour, and for specific risks, such as going out alone, were all in place. Residents were aware of who their key worker was and said they could change them if they didn’t get on with them. Highviews DS0000014262.V258428.R01.S.doc Version 5.0 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 the following standard(s): 17 Meals are nutritious, varied and pleasantly presented with options always available. EVIDENCE: The home operates a four-week rolling menu with alternative options available at every meal. Mealtimes are flexible and residents decide themselves what they wish to eat. They also help with the shopping, food preparation and washing-up according to a rota. One resident has successfully followed a weight loss diet and is eating much more healthily as a result. She was very pleased with her success and appreciative of staff helping her to stick to her diet. All residents spoken to said they liked the food at the home and enjoyed cooking. Highviews DS0000014262.V258428.R01.S.doc Version 5.0 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 the following standard(s): The key standards were assessed at the previous inspection. None of the other standards were assessed at this inspection. EVIDENCE: Highviews DS0000014262.V258428.R01.S.doc Version 5.0 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 the following standard(s): 23 Adult protection policies and procedures are in place and give staff guidelines on how to ensure the safety and well-being of residents. EVIDENCE: Staff have undertaken adult protection training with the local authority and a social worker from the learning disability team has visited the home and provided some training for staff on how to recognise abuse and how to complete adult protection alert forms. The home also has whistleblowing and challenging behaviour policies in place. Although the owner and staff were aware that they needed to contact social services if they had any concerns about residents being at risk, a recommendation was made that the adult protection policy should include contact details of the social services agency and make it clear that they are the lead authority in adult protection investigations. Highviews DS0000014262.V258428.R01.S.doc Version 5.0 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 the following standard(s): The key standards were assessed at the previous inspection. None of the other standards were assessed at this inspection. EVIDENCE: Highviews DS0000014262.V258428.R01.S.doc Version 5.0 Page 14 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, 35 and 36 The home employs sufficient numbers of trained and experienced staff to ensure that residents’ needs are properly met. The training programme covers all core training and other relevant learning disability training. The home liaises effectively with the local authority training department and identifies individual training needs for staff; in this way the home ensures that residents benefit from being cared for by properly trained staff who have a good knowledge of their needs. Staff are properly supervised to ensure they are competent in their roles. EVIDENCE: The home has a stable and experienced staff group that has built up strong relationships with the residents over several years. All the staff, bar one, have achieved their NVQ2 and one staff member is registered to start her NVQ3 next year. Two staff are on duty during the day and one sleeps-in at night. The owners provide 24-hour management cover. Staff meetings take place every two months and are recorded; staff are given the opportunity to bring ideas and suggestions to the meetings and are updated on new policies and procedures and care plans. Staff are also supervised every two months and receive an annual appraisal. Highviews DS0000014262.V258428.R01.S.doc Version 5.0 Page 15 Since the last inspection, where a requirement was made that the home must provide equality training, staff have been booked on a local authority equality awareness course early in 2006. Recent training has included first aid and working with epilepsy. The staff member spoken to confirmed that training was offered and that she had found the NVQ2 training very valuable. Records are kept of all training undertaken and the owners complete an annual training needs assessment for all staff. Highviews DS0000014262.V258428.R01.S.doc Version 5.0 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 and 39 The manager is experienced and capable, and runs the home efficiently and effectively. The home ensures that residents, their families and other professionals are invited to comment on how the home is run. The owners also regularly monitor and review the service they are providing to ensure that it is run in the best interests of the residents. EVIDENCE: The manager has now completed his Registered Manager’s Award and his NVQ 4 in care. His professional background is in the area of environmental health and he therefore has a good understanding of health issues. He has approximately nine years experience of managing care homes and substantial experience as a care worker before that. The owners work together to provide a clear sense of direction and run the home in a very professional manner. Since the last inspection, the home has improved its quality assurance and monitoring systems and has recently undertaken a full audit of its services. Residents and families are given questionnaires to complete and resident meetings are held. One questionnaire from a relative commented on the Highviews DS0000014262.V258428.R01.S.doc Version 5.0 Page 17 improvement in her relative’s appearance and said she appeared to be happy in the home. Recent questionnaires that were looked at confirmed that people were very satisfied with the service. Full risk assessments of the premises are in place, and policies and procedures are reviewed annually. Residents’ development is linked to the care plan reviews with goals being set for the coming year. Highviews DS0000014262.V258428.R01.S.doc Version 5.0 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 3 x x x Standard No 22 23 Score x 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 x x x x Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score x 3 x x 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Highviews Score x x x x Standard No 37 38 39 40 41 42 43 Score 3 x 3 x x x x DS0000014262.V258428.R01.S.doc Version 5.0 Page 19 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. 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 YA23 Good Practice Recommendations The adult protection policy should include contact details of the social services agency and make it clear that they are the lead authority on adult protection. Highviews DS0000014262.V258428.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Highviews DS0000014262.V258428.R01.S.doc Version 5.0 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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