Inspection on 04/07/05 for Highviews

This inspection was carried out on 4th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Highviews 07/12/07

Highviews 30/01/07

Highviews 12/12/05

Highviews 10/01/05

Highviews 13/07/04

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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 4 July 2005 10:30 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. Highviews H59-H10 S14262 Highviews V224765 040705 Stage 4.doc Version 1.30 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 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 (LD) 6 registration, with number of places Highviews H59-H10 S14262 Highviews V224765 040705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum number of service users to be accommodated is six (6). 2. Service users should be aged between nineteen (19) and sixty-five (65) years on admission. Date of last inspection 10 January 2005 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. It is a wellappointed 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 premises and on the road outside. Highviews H59-H10 S14262 Highviews V224765 040705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection, which was unannounced, took place over four and a half hours and was one of two inspections required over the year. The manager was on holiday at the time of the inspection and the joint owner, who is registered manager of Highview’s sister home, The Seagulls, was providing management cover. A tour of the premises took place and records relating to care, medication, staffing and maintenance were inspected. Four of the residents, one staff member and the owner were spoken to. Residents and staff also joined in with a group discussion with the inspector. 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 ensure that, when a new resident is admitted, an initial care plan is provided for staff so that they are aware of that person’s needs, likes and dislikes and can help them to settle in the home more quickly. Highviews H59-H10 S14262 Highviews V224765 040705 Stage 4.doc Version 1.30 Page 6 The home also needs to arrange further training for staff, particularly around equal opportunities, to ensure that residents’ needs and rights are fully protected. Accurate records of all training undertaken by staff should be kept. 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 H59-H10 S14262 Highviews V224765 040705 Stage 4.doc Version 1.30 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 Highviews H59-H10 S14262 Highviews V224765 040705 Stage 4.doc Version 1.30 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) 2 and 4 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. Prospective residents are given many opportunities to visit the home and meet with staff and other residents before moving in so that they become familiar with the home and can decide if they would like to live there. EVIDENCE: Highviews has a core group of residents who have lived at the home for several years. The last person moved in around 18 months ago and records showed that assessments from the social worker and the hospital had been obtained prior to admission. The resident had also met the manager and visited the home before moving in so that they were familiar with staff and other people living there. The care plan is drawn up during the first month after the resident has been admitted. In the interim, staff currently rely on the social care assessment and the manager’s verbal instructions on how to care for a new resident. To ensure that new residents are kept safe, and are helped to settle in quickly, it is recommended that staff are provided with a written initial care plan so that they are aware of the needs and preferences of new residents. Highviews H59-H10 S14262 Highviews V224765 040705 Stage 4.doc Version 1.30 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) 7 and 9 Staff are good at assisting residents to make decisions and giving them opportunities to take control of their own lives. Staff also support residents to take responsible risks, such as going out alone, to enable them to live as independent a lifestyle as possible. EVIDENCE: In the group discussion, residents confirmed that they were encouraged to make decisions about their lives; examples they gave were that staff let them decide where they went on holiday and also let them choose what colour they wanted their rooms redecorated. Residents who had restrictions identified in their care plans were aware of the reasons why they were in place. Staff assist residents to manage their own money and help them to budget and save. General risk assessments, such as for the environment and moving and handling, are completed for all residents. Staff work individually with residents on personal safety issues and particular risks are identified on care plans. Highviews H59-H10 S14262 Highviews V224765 040705 Stage 4.doc Version 1.30 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) 12, 13, 14, 15 and16 Residents are encouraged to continue their education and participate in social activities both within the home and in the community, thus providing both lifelong learning opportunities and stimulating and creative activities. EVIDENCE: All residents, apart from one, attend day centres or college between one and five days a week. Residents said they really enjoyed the activities and courses they took part in; one resident said she liked attending a craft club because she ‘met all her friends’ there. Staff also provide informal support with literacy and numeracy skills. Residents are also involved in activities in the local community. Some attend church and the choir; others visit the library and local shops, or go swimming. All residents enjoy a pub lunch every week and go out on day trips. A recent holiday to Bournemouth was considered by both staff and residents to have been a great success. A day trip to France has been organized for the summer and a barbecue for residents and families is also in the process of being arranged. Highviews H59-H10 S14262 Highviews V224765 040705 Stage 4.doc Version 1.30 Page 11 Staff assist residents to say in touch with their families and friends, helping them to write letters and providing lifts to meet their friends if required. A visitor to the home on the day of the inspection said she was always made welcome and given a cup of tea. Residents confirmed that staff treat them with respect, knocking on their doors before entering and letting them have their privacy if they wish to be alone. Staff were observed to engage fully with residents, sharing jokes and joining in good-humoured banter. Residents were relaxed and at ease with their carers. Highviews H59-H10 S14262 Highviews V224765 040705 Stage 4.doc Version 1.30 Page 12 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 and 20 Residents’ health, personal and emotional care needs are identified and their preferences are respected, enabling them to retain independence and control over their lives. Medication policies and procedures are clear and comprehensive, and regular monitoring of medication issues means that residents receive their prescribed medication correctly. EVIDENCE: Residents said they were allowed to go to bed and get up when they wanted, and that they had a choice of who worked with them. Residents had clearly developed close relationships with their keyworkers and all commented on how much they liked their worker. Residents have access to a wide range of health services, including dentists, opticians and chiropodists, and staff normally support residents when attending these and other healthcare appointments. Medication policies and procedures were all in place and medicines were properly stored and secured. Records examined were all in order and all staff had undertaken medication training courses. Highviews H59-H10 S14262 Highviews V224765 040705 Stage 4.doc Version 1.30 Page 13 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 are given clear guidelines on how to make a complaint, and their views are listened to. EVIDENCE: The home’s complaint’s policy is clear and simple to understand and is given to all residents. There is a more detailed version available for families and professionals. Residents said they could complaint to their keyworker or the manager but ‘never had to’. Highviews H59-H10 S14262 Highviews V224765 040705 Stage 4.doc Version 1.30 Page 14 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 and 30 The home is safe, well-maintained, clean and hygienic. Residents live in comfortable, well-decorated surroundings and have access to all parts of the building and the garden. EVIDENCE: The home is situated in a pleasant residential area and is in keeping with the surrounding houses. It is within walking distance of local shops, transport routes and other local amenities in Saltdean. Inside, the atmosphere is homely and comfortable, and décor and furnishings are of a high standard, particularly in the communal lounges. There is a ramp to the secure back garden, which has a large fishpond and decking area. The home has a nosmoking policy, and a designated smoking area has therefore been made available outside the laundry area at the back of the building. Care staff are responsible for keeping the home clean, and residents, too, help out with chores, maintaining a high standard of cleanliness in the home. Regular refurbishment and maintenance of the property is undertaken; one bedroom has just had laminated flooring fitted and there are plans to decorate the front of the property and several of the bedrooms. Residents were proud of their Highviews H59-H10 S14262 Highviews V224765 040705 Stage 4.doc Version 1.30 Page 15 bedrooms and said they liked being able to decorate them as they wished ‘with posters’ and their own possessions. Highviews H59-H10 S14262 Highviews V224765 040705 Stage 4.doc Version 1.30 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 The home’s training programme offers a basic induction course for new staff and includes core training in first aid and food hygiene. 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. The home has not yet managed to arrange equal opportunities or race equality training but the manager advised that this issue is in hand. EVIDENCE: The home has a dedicated training budget and provides a basic induction course for all staff followed by further nationally recognized induction training. A training plan has been drawn up for 2005-2006, and courses either planned or already undertaken include: protection of vulnerable adults, mental health, and dementia awareness. All staff, apart from the latest person to join the team, have undertaken NVQ 2 training, and two staff members are hoping to do their NVQ 3 in the coming year. From the examination of records, it was noted that staff have yet to undertake equal opportunities and race equality training, and a requirement was made that such training must be provided. It is important that staff are aware of the particular needs and rights of disabled people who are especially vulnerable. A recommendation was also made that the home should keep accurate records of all staff training undertaken. Highviews H59-H10 S14262 Highviews V224765 040705 Stage 4.doc Version 1.30 Page 17 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) 42 Staff training in core health and safety subjects, along with regular checks of the environment and systems in the premises, and the relevant policies and procedures, ensures that the home is safe and secure for residents, staff and visitors. EVIDENCE: Records showed that gas and electrical equipment had been regularly serviced and that core training in manual handling and fire safety had been provided. Risk assessments for safe working practices had been completed and policies and procedures relating to health and safety were in place. Safety notices were prominently displayed around the home to remind staff and residents about keeping safe and to provide guidelines on how to deal with particular safety issues, such as fire or first aid emergencies. Highviews H59-H10 S14262 Highviews V224765 040705 Stage 4.doc Version 1.30 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 3 x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 3 x Standard No 31 32 33 34 35 36 Score x x x x 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Highviews Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x H59-H10 S14262 Highviews V224765 040705 Stage 4.doc Version 1.30 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 35 Regulation 13 (6) and 18 (1)(c)(i) Requirement Training must be provided in: race equality, equal opportunities, disability equality, and infection control. Timescale for action 31.12.05 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 2 35 Good Practice Recommendations An initial care plan should be drawn up to cover the first month of a new residents stay at the home. Records of all staff training undertaken should be maintained. Highviews H59-H10 S14262 Highviews V224765 040705 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection 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 H59-H10 S14262 Highviews V224765 040705 Stage 4.doc Version 1.30 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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