Inspection on 08/11/06 for Jericho

This inspection was carried out on 8th November 2006.

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

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

Other inspections for this house

Jericho 15/02/06

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 Key Unannounced Inspection 8th November 2006 09:00 Jericho DS0000014587.V314935.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 Jericho DS0000014587.V314935.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. Jericho DS0000014587.V314935.R01.S.doc Version 5.2 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) Miss Carmen Benea Care Home 6 Category(ies) of Learning disability (6), Learning disability over registration, with number 65 years of age (1) of places Jericho DS0000014587.V314935.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th February 2006 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. L’Arche, which is a voluntary organisation, owns the home and the responsible individual is Mr. Chris Bemrose. The registered manager is Ms. Carmen Benea Jericho DS0000014587.V314935.R01.S.doc Version 5.2 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 until 4.45pm during which time all of the service users living in the home had returned from their day activities and were able to speak to the inspector. A tour of the home was undertaken, during which the communal areas were seen and service users were happy to show the inspector their private bedrooms. The inspector spoke to the staff members on duty and observed their interactions with service users. The main meal of the day was being prepared and menus and food records were seen. Three care plans and the assessments for one service user “test driving” the home were seen and all contained current and comprehensive information. Two new staff members had joined the home and their recruitment records were complete, staff training and supervision records were also seen. Records for the running of the home were seen including fire records, complaints book, accident and incident forms and maintenance checks and all were in good order. Prior to the visit, the inspector spent time planning by reading the last two reports and any communication or correspondence concerning the home and held telephone conversations with the parent of a service user and a senior care manager involved with the home. Both made very positive comments. Comments cards received back from families also praised the care offered in the home. The Registered Manager Ms. Benea had completed and returned a preinspection questionnaire and information from this document has also been used to inform the visit. Ms. Benea was present in the home to receive feedback. The inspector thanks everyone who helped during the visit. What the service does well: Jericho offers a homely, comfortable and safe environment for the people who live there and service users say they are happy in the home. Service users access a variety of community and leisure facilities activities and are supported to receive good healthcare services. Jericho DS0000014587.V314935.R01.S.doc Version 5.2 Page 6 Families, service users and other professionals speak highly of the home and a senior care manager said, “ L’Arche is a very committed organisation and Jericho has a lovely warm friendly feel to it. People are well supported by the organisation and there is such an involvement with service users within it. It is a very inclusive organisation and when I visited the home people were treated very well and were very happy. 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. Jericho DS0000014587.V314935.R01.S.doc Version 5.2 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.V314935.R01.S.doc Version 5.2 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): 234 Quality in this outcome is Good. This judgement has been made using available evidence including a visit to the service. Prospective service users have their needs assessed and are supported to visit or undertake a short stay in the home prior to moving in. EVIDENCE: During the visit there was a service user from another L’Arche home “test driving” the service by staying there on a two weeks trial basis. Good background information was in place and the service user had brought their care plan and communication book with them in order to guide the staff team to their current daily support needs. The staff on duty said that a great deal of preparation work had taken place with the service user, their family and the people currently living in the home, prior to the visit, in order to ensure that the group would be compatible. During the trial period a support worker from the service user’s present home was visiting them on a regular basis in order to help with any anxieties and aid with routines and communication issues. Jericho DS0000014587.V314935.R01.S.doc Version 5.2 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): 6789 Quality in this outcome is Good. This judgement has been made using available evidence including a visit to the service. The support needs of service users are recorded in a plan of care, risks are assessed and the staff team are aware of the wishes of the people they support. EVIDENCE: Care plans are very detailed and contain comprehensive information to guide the staff team about the individual needs of each service user. The plans have been complied with input from service users and show that the home practices a very “person centred” approach to support. Each person has personal goals agreed and daily recording books show how day-to-day activities are linked to the development choices of each person. The plans contain risk assessments and communication needs and are updated and reviewed on a regular basis. In order to ensure that service user needs are understood, there are pictorial prompts and weekly routines diaries in place and the staff team and service users are all attending Makaton sign language lessons together. A staff member said, “ we aim to make this a very inclusive environment and there is a real consideration of people’s needs. Jericho DS0000014587.V314935.R01.S.doc Version 5.2 Page 10 We try to manage behaviours in a positive manner by diversion or turning the behaviour into something positive. We are all learning Makaton together and it has really improved communication with people”. Jericho DS0000014587.V314935.R01.S.doc Version 5.2 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 Quality in this outcome is Excellent This judgement has been made using available evidence including a visit to the service.Service users have access to a variety of community based activities and educatiopn oppoprtunities and are offered fresh, home cooked meals. EVIDENCE: From evidence gained from daily records, talking to service users and the staff team, it is clear that the people living in the home have access to a wide variety of educational and social activities. During the visit people were coming home from day care facilities and said that they had enjoyed their day. One person works in a charity shop and another has just begun working in an animal rescues centre. One person who had been out shopping for new clothes and said they were very happy because they were going to the airport the next day to fly to Scotland to visit their family. A service user said “ I really like it here, I go to college twice a week and go to church, clubs, discos and to the gym to do exercises”. Jericho DS0000014587.V314935.R01.S.doc Version 5.2 Page 12 Care plans and daily records show that personal and sexual relationship issues are addressed and people can access support from the local Learning Disability Community Team if required. The parent of a service user said that they were always made welcome and was very complimentary about the care and support offered in the home. A variety of fresh, home cooked meals are available and special diets are catered for. Alternative meals can be provided and during the visit people were making their own packed lunches ready for the next day. Records show that a different service user chooses the menu each day and is included in cooking the meal and people also enjoy parties with friends and often go out to eat. Nutritional needs are assessed and recorded in the care plans. Jericho DS0000014587.V314935.R01.S.doc Version 5.2 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 21 Quality in this outcome is Good. This judgement has been made using available evidence including a visit to the service. The emotional and healthcare needs of service users are recorded and met by the home working with a variety of healthcare professionals. EVIDENCE: In order to ensure that the emotional and healthcare needs of service users are met the home works with a number of healthcare professionals including the local learning disability community team and records of visit are kept in the care plans and daily recording books. Medication is securely stored in a locked cabinet in the office and guidelines are posted on the cabinet to assist the staff team in carrying out the correct procedures. All staff receive training in the administration of medication during their induction period and during conversation showed an awareness of their responsibilities. Medication was in good order and the medication recording sheets were all signed an up to date. Jericho DS0000014587.V314935.R01.S.doc Version 5.2 Page 14 Recently there has been the death of a service user in the home and the L’Arche organisation has clear policies in place on how service users, families and the staff team will be supported at this time. The manager of the home Ms. Benea said that procedures where in place whereby if any service user was admitted to hospital they would not be left alone and would be supported by L’Arche staff twenty four hours a day Jericho DS0000014587.V314935.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 23 Quality in this outcome is Good. This judgement has been made using available evidence including a visit to the service. Service users and their families can be confident that their complaints will be recorded and acted upon and that the staff are aware of adult protection issues. EVIDENCE: There is a pictorial complaints procedure displayed in the home and a service user’s family member said that they would feel confident that any complaint would be taken seriously and acted upon. No formal complaints have been recorded in the last year. The complaints procedure will need to be updated to reflect the change in address of the Commission. A “grumbles” book is also in use for day-to-day concerns from service users and people also have an opportunity to speak about their feelings and anxieties at the weekly house meeting. All staff members receive training in the protection of vulnerable adults from abuse and this forms part of their induction period. There are comprehensive adult protection procedure guidelines posted within the home and the staff on duty were aware of their responsibilities should they suspect any form of abuse had taken place. Jericho DS0000014587.V314935.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 25 28 30 Quality in this outcome is Good. This judgement has been made using available evidence including a visit to the service. The home offeres a clean, homely, well-maintained and comfortable environment for the people who live there EVIDENCE: Jericho offers a homely, comfortable and well-maintained environment and service users say they are very happy living there. Communal areas are attractively decorated, very homely and clean and hygienic throughout. Recently a new kitchen has been fitted, some rooms redecorated and some carpets have been replaced in bedrooms and on the hall and stairs Service user’s private bedrooms are warm and comfortable and contain lots of personal belongings such as televisions, music systems, pictures and photographs of families and friends. A window frame, which was rotting at the last visit, has now been replaced and water temperatures are tested and recorded regularly and kept at a safe level. Jericho DS0000014587.V314935.R01.S.doc Version 5.2 Page 17 A service user said, “ I like my room, I went to the shops to choose things myself and I get help to clean my sink and floor”. Jericho DS0000014587.V314935.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 33 34 36 Quality in this outcome is Good. This judgement has been made using available evidence including a visit to the service. The people living in the home are supported by a committed, caring and well-trained staff team EVIDENCE: The ethos of the L’Arche organisation is one of community in that staff teams live in the same house alongside service users involved in the same lifestyle and activities. The service users in Jericho said that the staff were kind and caring and one person said, “ The staff are very kind. If I feel unhappy sometimes, they are kind and sit and talk to me.” All new team members attend an extended induction period, during which time they undertake all mandatory training and records show that other training such as an introduction to learning disability, managing challenging behaviour and understanding autism are also attended. The staff records for two new members of staff were seen and both contained all of the required documentation including current Criminal Bureau Checks and two references. During the induction period weekly supervision sessions are held with the manager of the home and records show that after that time regular six-weekly sessions are held for all of the staff team. Jericho DS0000014587.V314935.R01.S.doc Version 5.2 Page 19 Weekly house meetings are also held, which include both the staff team and service users and minutes are kept on file. Jericho DS0000014587.V314935.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 38 39 41 42 Quality in this outcome is Good. This judgement has been made using available evidence including a visit to the service. The home is run by a competent and caring manager and records are in good order. EVIDENCE: Ms. Benea has now completed the registration process, has recently been confirmed as the Registered Manager and is undertaking the NVQ4 Registered Manager’s Award. Families, service users and the staff on duty were very complimentary about Ms. Benea and said that they found her management style friendly, caring and inclusive. The L’Arche organisation has an annual quality assurance process in place, which gains the views of families, service users and professionals involved with the home and outcomes are collated and published. Jericho DS0000014587.V314935.R01.S.doc Version 5.2 Page 21 Where the home hold monies on behalf of service users, records are kept up to date with receipts held on file. Random visit are carried out by the organisation’s senior management to ensure that standards are upheld. The cash envelope for one service user was checked and was correct. Records for the running of the home were seen and these included incident and acccident forms. Fire records, maintenance checks and water temperatures and all were current and in good order. The insurance certificate was out of date but Ms Benea said that the new one was at the L’Arche office and the electrical appliance tests were diaried in for 9/10/06. Ms. Benea said that she would inform the Commission when these were completed. Outstanding Requirements regarding the environment had been met and no Requirments were made as a result of this visit Jericho DS0000014587.V314935.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 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 3 25 3 26 X 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 x 32 3 33 3 34 3 35 x 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 4 14 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 3 3 X 3 3 x Jericho DS0000014587.V314935.R01.S.doc Version 5.2 Page 23 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. Refer to Standard Good Practice Recommendations Jericho DS0000014587.V314935.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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. 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