Inspection on 10/12/07 for Homewood

This inspection was carried out on 10th December 2007.

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

Homewood 13/06/06

Homewood 13/02/06

Similar services:

Insight - Eastchurch

Southfields

Thorndene

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Homewood 15 Shakespeare Road Worthing West Sussex BN11 4AR Lead Inspector Nick Morrison Unannounced Inspection 10th December 2007 10:00 Homewood DS0000064915.V349603.R01.S.doc Version 5.2 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 Homewood DS0000064915.V349603.R01.S.doc Version 5.2 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. Homewood DS0000064915.V349603.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Homewood Address 15 Shakespeare Road Worthing West Sussex BN11 4AR 01903 234457 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) Sutton Court Associates Ltd Faith Anne Hickman Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Homewood DS0000064915.V349603.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th June 2006 Brief Description of the Service: Homewood is a care home registered for up to six service users in the category LD (Learning Disabilities 18-65 years). The establishment is a spacious converted premises situated close to Worthing town centre. Public transport services are easily accessible. Accommodation is provided over two floors and all rooms are single occupancy with en-suite facilities. The service is privately owned and the registered provider is Sutton Court Nursing Associates. Mr N Ramdin is the Responsible Individual on behalf of the organisation. Ms Faith Hickman is the Registered Manager in charge of the day to day running of the home. Homewood DS0000064915.V349603.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report represents a review of all the evidence and information gathered about the service since the previous inspection. This included a site visit that occurred on 10th December 2007 and lasted six hours. During this time the Inspector toured the premises, looked at all service users’ files and spoke with three service users. There was also written feedback provided by six service users, four relatives, one Care Manager and seven members of staff. All records and relevant documentation referred to in the report was seen on the day of inspection. The Inspector spoke with the Manager and three members of staff and also referred to the home’s own self-assessment. What the service does well: What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Homewood DS0000064915.V349603.R01.S.doc Version 5.2 Page 6 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 Homewood DS0000064915.V349603.R01.S.doc Version 5.2 Page 7 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users benefit from having their needs assessed prior to moving into the home. EVIDENCE: The home requires a full care management assessment for each person before they move into the home. In addition to this, the home does it’s own comprehensive assessment. Records showed that all assessments were in place prior to the person moving in and that the Manager of the home had met with people at their previous residence to carry out the home’s assessment. Homewood DS0000064915.V349603.R01.S.doc Version 5.2 Page 8 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users benefit from having clear individual plans in place and from support to take decisions and risks appropriate to their development. EVIDENCE: Care Plans were in place for each person living in the home and were clearly related to the initial assessment and the ongoing information the home had gathered on each person over time. The plans were well written and explained not only what staff needed to do in order to support people well, but also the reasons why. Staff were clear about individual Care Plans. Each plan was continually evaluated and was reviewed every three months and whenever necessary, according to changing needs, in between the three monthly reviews. Homewood DS0000064915.V349603.R01.S.doc Version 5.2 Page 9 Daily records were used for staff to record against the Care Plans. Reviews of Care Plans showed that they were used to help service users develop skills and competencies. The plans emphasised the rights of service users and the importance of them being involved in decisions about their own care and their own lives. Plans contained information on how individual service users made and expressed decisions for themselves. Staff had good training in the various communication systems used by service users in the home and were able to communicate effectively with them. On the day of the inspection visit staff were observed communicating with service users over decisions about activities. The right of service users to make their own decisions was covered in staff induction training and was emphasised throughout the service including staff meetings, support and supervision and policies. Risk assessments were well written. They contained clear information about the identified risks and had appropriate control measures put in place to ensure that all risks were minimised as far as possible. Risk assessments were aimed at encouraging and supporting independence for service users. Homewood DS0000064915.V349603.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users benefit from being part of the community and involved in varied activities. They also benefit from a healthy diet. EVIDENCE: Care Plans contained improved information on the interests of people living in the home and reviews of those plans showed that each person was involved in using the community and was participating in a range of activities. Activities in the home included massage sessions with a visiting masseur, use of computers and use of a cross trainer for physical exercise. Staff also supported people to go out for a walk to local shops or to the beach. Some service users were also supported to go out independently, with clear and relevant risk assessments in place to ensure they were able to this safely. Homewood DS0000064915.V349603.R01.S.doc Version 5.2 Page 11 People in the home made use of a range of community facilities including day services, ten-pin bowling and the sports centre where they were able to take part in yoga and tennis sessions. Service users were also supported to use the local colleges. Feedback from comment cards showed that people living in the home were satisfied with the amount of support they had to use community facilities and to participate in act ivies. People living in the home each have a timetable of activities, which, from observation throughout the inspection visit, were followed. Staff support was managed so that each person had the necessary support to do the activities they wanted to do. Additional staffing was in place where it was needed in order to facilitate activities for people. From observation it was also clear that people were able to choose whether or not to take part in the activities offered to them. There was support for people living in the home to maintain contact with their families. The visiting policy promoted and encouraged visitors. Records showed that people had contact with their families. Records and care plans showed that there was positive and discreet support for people with their relationship needs. Staff in the home were doing g some positive work in supporting and managing the relationships between the different people who live in the home. This was aimed at ensuring that people living in the home felt positive about each other and respected each other. The menu’s showed that the diet was varied and nutritious. People living in the home were able to choose alternatives to the set menu on a daily basis. Records were kept of individual food intake. Food was well stored and food stocks showed that fresh fruit and vegetables were well used in the home. Individual preferences were recorded so that people did not have food they didn’t like. There was sufficient staff support at mealtimes and staff ensured that mealtimes were an enjoyable time for people living in the home. Service users were fully consulted about the menus and different people chose the meals on different days and were also involved in preparing the meals. Homewood DS0000064915.V349603.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users are protected by the home’s medication policy and practices and benefit from having their health and support needs met appropriately. EVIDENCE: The system for administering medication in the home was clear and was stated in the home’s policies. Staff who were involved in administering medication had received good training and demonstrated that they had a good understanding of medication issues. Medication records were clear and up-to-date and all medication was stored appropriately and safely. Care Plans contained information on how people preferred to be supported with their personal care. The files of people living in the home demonstrated that healthcare needs were monitored and that people were supported to use healthcare services as necessary. There were comprehensive records relating to each person’s health. All identified areas of health needs were monitored and recorded on a regular Homewood DS0000064915.V349603.R01.S.doc Version 5.2 Page 13 basis. Where people had used healthcare services there were records detailing any outcomes as a result of the consultation. Staff in the home liaised closely with healthcare professionals in the interests of people living in the home. Homewood DS0000064915.V349603.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users benefit from a clear complaints policy and were protected by the home’s Safeguarding Adults policies and practices. EVIDENCE: The home had relevant policies and procedures in place regarding the protection of vulnerable adults. Staff had received training in the protection of vulnerable people. Good procedures were in place to ensure that service users’ finances were dealt with appropriately and clear records were kept of all transactions where staff supported service users to manage their money, or managed it on their behalf. Service users had written agreements about the support they received with their finances. There was a clear complaints procedure in place that was given to each service user prior to them using the service and was available throughout the home in an accessible format. There had been no complaints in the previous twelve months. Homewood DS0000064915.V349603.R01.S.doc Version 5.2 Page 15 All service users said they were aware of the complaints procedure and who to speak to if they were not happy and that they had been given relevant information prior to using the service. There were clear plans in place for supporting people with difficult behaviours and these appeared to be effective. All service users had a key to their own rooms and were able to lock them when they were out of the home. Homewood DS0000064915.V349603.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users benefit from staying in a comfortable, safe and clean home. EVIDENCE: The home has two lounge areas, one of which is a quieter lounge. There is a large, well-kept garden to the front of the house which is accessible to service users and a small courtyard to the rear. There is also a very large garage to the rear. The home provides a stimulating, safe and comfortable environment for people. The garden area is well designed and is safe and accessible. The service has a plan in place to deal with ongoing maintenance and the appearance of the building shows that this is very effective. Maintenance issues are responded to quickly. Homewood DS0000064915.V349603.R01.S.doc Version 5.2 Page 17 The service aims to maintain a homely feeling in the house and the furniture and fittings are modern, domestic and comfortable. The furniture, carpets and curtains in the home were of very good quality. The home was kept clean throughout. Clear infection control policies were in place and staff were aware of these and of the need to maintain a comfortable and appealing environment for people living in the home. The laundry area was well managed and clean. Homewood DS0000064915.V349603.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users benefit from being supported by competent, trained staff and are protected by the home’s recruitment policies and practices. EVIDENCE: Staff training records showed that people working in the home received a wide range of training opportunities relevant to their work. Training courses covered a range of areas such as risk assessment, abuse, equality and diversity, food hygiene, health and safety, and health and manual handling as well as specific training for the particular needs of people living in the home. The induction programme for new staff was very comprehensive and good records were kept. Staff spoken with were knowledgeable and demonstrated skills and understanding in working with people who have a learning disability. Homewood DS0000064915.V349603.R01.S.doc Version 5.2 Page 19 Training needs were formally identified with the line manager and staff were also supported to attend other courses that came up which they had a particular interest in. The home has a training plan in place and all training is well monitored. Rota’s showed that there were sufficient staff on duty at all times. There were a range of different shift times on the rota to suit the needs and routines of people living in the home. Staffing levels varied according to what service users were doing on different days of the week. There were either two or three staff on duty at each part of the day and one waking night staff each night. Staff spoken with and observed during the inspection visit were conscientious, enthusiastic, skilled and focussed on the needs of people living in the home. They were also very cheerful, which was appreciated by the people living in the home. Staff records kept in the home showed that all necessary pre-employment checks were undertaken prior to each member of staff beginning work in the home. Homewood DS0000064915.V349603.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users benefit from living in a well run home and are protected by the home’s Health and Safety policies and practices. Services users’ views are included in the planning and monitoring of the service. EVIDENCE: The Manager of the home is registered and has demonstrated that she has the skills, knowledge and training to manage the service. In discussion the Manager was able to demonstrate that she has a clear understanding of the issues within the home and is able to manage them effectively. She also has developmental plans in place for the home. Homewood DS0000064915.V349603.R01.S.doc Version 5.2 Page 21 The home has effective quality assurance processes in place that are focussed on the needs and views of people living in the home. These include internal audits, questionnaires for people who live in the home and their representatives as well as input from staff. Questionnaires for service users were produced in an accessible format and all questionnaires could be anonymous. The views of people living in the home were represented in resident meetings and staff meetings also focussed on the needs and views of people living in the home. There was evidence that issues raised by service users in meetings were later acted upon. Health and safety is well managed in the home. All equipment is serviced and checked regularly, maintenance issues are dealt with, incidents and accidents are recorded and regularly audited and good workplace risk assessments were in place. There were no outstanding health and safety issues in the home at the time of the inspection. The home had good workplace risk assessments in place, which were followed by staff. Health and safety checks in the home were thorough and were recorded well. Incident and accident records were kept and were regularly monitored and reviewed. All servicing records were up-to-date. Homewood DS0000064915.V349603.R01.S.doc Version 5.2 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Homewood DS0000064915.V349603.R01.S.doc Version 5.2 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. Refer to Standard Good Practice Recommendations Homewood DS0000064915.V349603.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone Kent ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email:inspection.southeast@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 Homewood DS0000064915.V349603.R01.S.doc Version 5.2 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. 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