Inspection on 15/02/06 for Jericho

This inspection was carried out on 15th February 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 found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Jericho 08/11/06

Jericho 25/07/05

Jericho 11/01/05

Jericho 21/07/04

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 Jericho 188 Hawthorn Road Bognor Regis West Sussex PO21 2UX Lead Inspector Mrs A Taggart Unannounced Inspection 15th February 2006 02:30p Jericho DS0000014587.V282051.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 Jericho DS0000014587.V282051.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. Jericho DS0000014587.V282051.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Jericho Address 188 Hawthorn Road Bognor Regis West Sussex PO21 2UX 01243 869002 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) L`Arche (Registered Office) Post Vacant Care Home 6 Category(ies) of Learning disability (6), Learning disability over registration, with number 65 years of age (1) of places Jericho DS0000014587.V282051.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th July 2005 Brief Description of the Service: Jericho is a care home registered to accommodate six service users with a learning disability. The property is a detached house situated in a residential area in the town of Bognor Regis, West Sussex. The accommodation is arranged on three floors, with service users living on the ground and first floors. Staff members occupy rooms on the first and second floors. The home is owned by L’Arche, which is a voluntary organisation, and the responsible individual is Mr. Chris Bemrose. The registered managers post is currently vacant, the home being managed by the acting manager Carmen Benea. Jericho DS0000014587.V282051.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced visit was carried out at 2.30pm and lasted for 2.5 hours. During the visit a tour of the home was undertaken and all accommodation including service user’s bedrooms and communal areas were seen. The inspector met with all of the service users as they came in from day care activity and spent a longer time talking to one person and a potential new service user who was visiting the property. Records for the running of the home were seen including staff files and care plans with any specific issues discussed with the staff on duty. Health and safety, medication and maintenance records were also seen and were in good order. The acting manager was away on a training course and the inspector was assisted in gaining information by Geoffrey Wycherly and Meghan Zack who were working in the home at the time of the visit. What the service does well: What has improved since the last inspection? What they could do better: Risk assessments should be carried out regarding hot water temperatures and measures put in place to ensure safety. Risk assessments should also be carried out with regards to the support people get to keep their sinks clean and Jericho DS0000014587.V282051.R01.S.doc Version 5.1 Page 6 hygienic. Consideration should be given to replacing some windows, which are in a very poor condition, especially the one identified in a service user’s bedroom. 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. Jericho DS0000014587.V282051.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 Jericho DS0000014587.V282051.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): 134 There is accessible information available to ensure that potential new residents have the information they need to make a choice. Visits to the home to assess the facilities are encouraged EVIDENCE: The home has produced an accessible format Statement of Purpose using pictures of the home and day care facilities and this is made available to any prospective resident and their families. The inspector met with a prospective resident who was visiting the L’Arche homes prior to making a choice about the moving in. The person said that they had been made very welcome, had enjoyed meeting with new people and now would arrange for a stay over a weekend or short break to further sample the service before making a decision. The person said that their family was involved and had told them about the suitability of the home but that they were free to make the choice. Jericho DS0000014587.V282051.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 7 8 9 10 Needs are assessed and residents are supported to make decisions and to be as independent as possible. EVIDENCE: Each resident has a plan of care in place, which sets out information to guide the staff team of their health and social care needs. The plans are generated from the assessment process and there is evidence that the documents are reviewed and updated on a regular basis. There is also evidence available to show that residents are involved in making decisions and in identifying goals for their future development. Each person has a daily recording book in place, which details daily activities and their relationship to agreed goals and families are involved in six monthly formal reviews. A resident said that they liked being involved with helping in the house and said that they really enjoyed doing their own ironing. Jericho DS0000014587.V282051.R01.S.doc Version 5.1 Page 10 Risk assessments are in place for each person and these include both environmental and personal risks with a plan detailing how these risks can be minimised. The L’Arche organisation has a confidentiality policy in place and documentation is safely stored in the office of the home. Jericho DS0000014587.V282051.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): 11 12 13 14 15 16 17 The people living in the home have opportunities for personal development, are involved in their local community and take part in a variety of leisure activities. EVIDENCE: The people living in the home attend a variety of educational and employment opportunities including college, working in a charity shop and attending a horticultural project. During the visit colleges were closed for half term and people were happily working in the garden with support from staff. People said they especially enjoyed eating the toasted marshmallows that were on offer. There is evidence that people are also very much part of their local community and attend pubs, clubs, discos, local café’s and shops. One person said that they enjoyed swimming and going to the club. Residents are also very involved in the wider L’Arche community where they attend meetings, worship together and share holidays with residents in other homes. People also choose whether or not they wish to attend church. Records Jericho DS0000014587.V282051.R01.S.doc Version 5.1 Page 12 show that residents are also very involved with their families and often go for weekend breaks or holidays with their parents. The home has a mandate, which sets out the ethos of living together and sharing responsibility and a copy of this is included in the Service User Guide. House meetings are held each week, which enables residents to air their views and opinions. Food records show that a variety of fresh, home cooked meals are available, with one person choosing the menu each day. Alternatives including vegetarian meals are also available and people often have the opportunity to eat out. Residents said they were happy with the food provided. Jericho DS0000014587.V282051.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): 18 19 20 Personal and healthcare needs are assessed and recorded and people receive good healthcare services. The recording and administration of medication is in good order. EVIDENCE: Care plans detail the personal care needs of each person and say how that support will be offered. Records show that the home involves a variety of healthcare professionals including the community learning disability team and doctors, dentists, regular health checks and psychiatrists and outcomes for residents are good. The home has an agreement with a local pharmacy and a monitored dose system is in use. Staff members receive training during their induction period and there are written guidelines in place to give further specific information regarding the people in the home. Medication was securely stored in the office and recording was found to be in good order. At the present time there are no residents who self-medicate but a staff member said that risk assessments would be carried out if any future resident wished to do so. Jericho DS0000014587.V282051.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 23 Residents are protected by the policies, procedures and work practices in the home. EVIDENCE: There is an accessible format complaints procedure posted in a communal area of the home. No formal complaints have been recorded since the last visit but there is evidence that smaller concerns and “grumbles” from residents are recorded and acted upon. One resident was quite clear about whom they would speak to if they were unhappy or angry. Since the last visit copies of the updated complaints procedure have been sent to families to ensure they are aware of the complaints process. The home has a comprehensive policy and guideline folder detailing issues on the protection of vulnerable adults from abuse with a flow chart of accountability for staff to follow. All staff members receive training as part of their induction and foundation and the staff on duty were aware of their responsibilities should they suspect an abuse had taken place. Jericho DS0000014587.V282051.R01.S.doc Version 5.1 Page 15 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 25 26 29 30 Generally the home was in good order but to ensure the protection of residents at all times water temperatures should be at a safe level and support needs for bedroom cleanliness re assessed. EVIDENCE: The home offers a warm, comfortable and attractive environment for the people who live there and communal areas are bright and clean. Resident’s bedrooms have been personalised to reflect the personality and interests of each person and televisions and music equipment is in place. Since the last visit one resident has been supported to choose a new armchair and carpet and there is a plan in place to re-carpet the hall, stairs and landing and also one resident’s bedroom. During the visit the kitchen was being measured for complete re-fitting and refurbishment. Hand rails, grab handles and other equipment is in place to aid mobility and Mr. Wycherly said that one resident was awaiting a physiotherapy assessment to look at the potential need for aids and adaptations. Jericho DS0000014587.V282051.R01.S.doc Version 5.1 Page 16 Bedrooms were generally clean and tidy but some sinks were dirty and also lime scaled with flannels, toothbrushes and nailbrushes dirty and unhygienic. To ensure that residents are protected from infection, risk assessments should be carried out regarding the level of support needed by each person with regard to keeping their rooms hygienic. The water in some taps was too hot, which again produces risk to residents and a requirement has been made with regards to the safety of hot water outlets. Some of the window frames in the home have been replaced but others are in a bad condition and one, which was in a resident’s bedroom, was particularly identified to Mr. Wycherly as needing prompt attention. Jericho DS0000014587.V282051.R01.S.doc Version 5.1 Page 17 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): 31 32 33 34 35 36 The people living in the home are supported by a committed, caring and welltrained staff team. EVIDENCE: The home has now had a stable staff team for some time and residents say that they are kind and caring. All staff members receive a detailed job description detailing roles and responsibilities and many have worked in other parts of the L’Arche organisation. There is an extended induction and foundation package in place, which includes specific training in the needs of people with a learning disability and managing challenging behaviour. Staff records contained all of the required documentation including Criminal Bureau Checks and two references and there are notes available to show that regular supervision and appraisal takes place. There is a comprehensive staff-training programme in place, which includes access to the NVQ award through a local college. Jericho DS0000014587.V282051.R01.S.doc Version 5.1 Page 18 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 38 41 42 The home is currently being run by a capable and competent acting manager. Records are in generally in good order but action needs to be taken regarding water temperatures, bedroom hygiene and rotting window frames. EVIDENCE: The acting manager of the home is currently applying for registration and at the time of the visit was away carrying out training specific to the manager’s role. Both staff and residents at the home spoke highly of the acting manager and said that she was competent and caring. Records for the running of the home were seen including health and safety audits, electrical appliance testing, fire equipment maintenance and staff training incident and accident forms and medication records and all were current and in good order. As previously stated to ensure the protection of residents at all times, Risk assessments should be carried out regarding the safety of hot water temperatures, support needs should be re-assessed regarding support needs Jericho DS0000014587.V282051.R01.S.doc Version 5.1 Page 19 of residents in keeping their rooms hygienic a window should be replaced in an identified resident’s bedroom and consideration given to replacing other windows in the home that are in a poor condition. Jericho DS0000014587.V282051.R01.S.doc Version 5.1 Page 20 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 3 2 X 3 3 4 3 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 1 25 3 26 3 27 X 28 X 29 3 30 2 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 3 X X 3 1 x Jericho DS0000014587.V282051.R01.S.doc Version 5.1 Page 21 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 2 Standard YA24 YA42 13 (4)(a) Regulation 23 (2) (b) Requirement The badly rotting window in one identified resident’s room should be made good Risk assessments should be carried out and action taken to ensure that water temperatures are kept at a safe level to ensure that residents are not at risk from scalding. To ensure that residents are protected form infection, sinks and personal hygiene items should be kept clean and hygienic at all times Timescale for action 31/03/06 28/02/06 3 YA24 13 (3) 28/02/06 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 YA24 Good Practice Recommendations Consideration should be given to replacing or repairing other window frames in the house that are in poor condition. Jericho DS0000014587.V282051.R01.S.doc Version 5.1 Page 22 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 Jericho DS0000014587.V282051.R01.S.doc Version 5.1 Page 23 - 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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