Inspection on 25/05/05 for Lynton

This inspection was carried out on 25th May 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Lynton 30/09/09

Lynton 19/04/09

Lynton 22/04/08

Lynton 16/04/07

Lynton 06/11/06

Lynton 03/11/05

Lynton 20/09/04

Lynton 29/04/04

Lynton 22/07/03

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 Lynton London Road Ashington West Sussex RH20 3JS Lead Inspector Mrs G Davis Announced 25 May 2005, 09:30 V220510 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. Lynton H60 H11 S14618 Lynton S220510 250505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Lynton Address London Road, Ashington, West Sussex, RH20 3JS 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) 01903 893406 01903 893406 N/A Care Management Group Limited Ms Clare Evans Care Home 3 Category(ies) of LD Learning Disability 3 Both registration, with number of places Lynton H60 H11 S14618 Lynton S220510 250505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Lynton is a care home registered to accommodate three adults with a learning difficulty. The home is owned by Care Management Group Ltd, a private company, and the registered manager is Ms Clare Evans.It is located in the village of Ashington, West Sussex which has a small shop, post office and public houses. There is limited public transport to and from the village. The premises consist of a two-storey detached house similar to surrounding properties with good-sized frontage to the main road and a small, secluded back garden.There are two bedrooms on the first floor and one on the ground floor with en-suite facilities. Lynton H60 H11 S14618 Lynton S220510 250505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection, the first of two inspections (minimum) that an inspector must make in a year, took place during the day of the 25th of May and the evening of the 8th June 2005. During those times the inspector toured the building, talked to the three residents, one in the privacy of his room and the others in the garden where they were enjoying the sun and also spoke to the staff members who were on duty on each day. Before the inspection took place some comment cards on how well the care home met the residents’ needs were given out. Two from the residents and two from relatives were received. All were positive, although one relative was unsure of how adequate the staffing levels were. The inspector was able to prove during the course of the inspection that the home provided enough staff members on duty at all times to make sure that the residents were safe and content. Additional staff members had recently been recruited and would be employed as soon as the security checks to prove their suitability had been cleared On previous inspections the need for the kitchen to be refurbished was highlighted and requirements made. Although some small improvements have been made, the fabric of the kitchen remains poor and in need of replacement. Despite the fact that the décor of the home is shabby and in need of refreshing the home was attractive and homely and provided comfortable surroundings for the residents to enjoy. Records were examined at random and residents and staff members were spoken with to find out what it was like to live at Lynton, how well the home cared for the residents, and the residents’ opinions on how well the home did this. All the Residents were in the garden enjoying the sunshine and were eager to talk about some of the things they had been doing. It was obvious from their enthusiasm and the way that they acted with the staff members that they felt relaxed and at home and enjoyed life to the full. At the time of the inspection there were no visitors. The Commission has received no complaints and any made to the Manager had been resolved appropriately. From the information available at the time of inspection the inspector considered that the Manager and Staff of Lynton support the residents to lead lifestyles that maximise their opportunities for more independence and confidence and provide a good standard of care to vulnerable people. No new requirements were made following this inspection. Lynton H60 H11 S14618 Lynton S220510 250505 Stage 4.doc Version 1.30 Page 6 What the service does well: What has improved since the last inspection? What they could do better: The kitchen is in a poor state and in need of refurbishment. (See Requirement 1) Many areas of the house are in need of some redecoration. (See Recommendation 1) Lynton H60 H11 S14618 Lynton S220510 250505 Stage 4.doc Version 1.30 Page 7 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. Lynton H60 H11 S14618 Lynton S220510 250505 Stage 4.doc Version 1.30 Page 8 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 Lynton H60 H11 S14618 Lynton S220510 250505 Stage 4.doc Version 1.30 Page 9 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) 1.4.5. All prospective residents have a number of opportunities to make an informed choice about whether they want to live at Lynton and those that choose to do so have a written contract/statement of terms and conditions with the home that they or their representative has agreed to. EVIDENCE: The home provides a comprehensive Statement of Purpose and Service User Guide to all prospective residents, their families and their Care Managers. A copy of the recently reviewed documents was given to the inspector on the day of inspection. The service user guide is written using text and symbols to make it possible for the residents to understand its content. Everybody concerned with the prospective resident is encouraged to visit as often as they like and a three-month trial period is used to allow the new resident to settle in and make sure that they are happy with the situation. A review of the placement takes place every six-months and where possible the resident is fully involved and contributes to any changes to the care plan that might be made. A signed contract was seen on each of the resident’s personal files. None of the residents were able to speak to the inspector about their experiences on admission - either because their disability precluded it or that they were unwilling to talk to the inspector. Lynton H60 H11 S14618 Lynton S220510 250505 Stage 4.doc Version 1.30 Page 10 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) 6.7.8.9. The residents are given opportunities to contribute to all aspects of their lives including their care plans and are supported to lead an independent lifestyle. EVIDENCE: All of the care plans were examined and were found to be very comprehensive and included details of each individual’s interests, preferences and educational opportunities. They had been reviewed on a monthly basis including the risk assessments that had been compiled to manage the areas of vulnerability of the resident. Each person had recently taken part in a six-month review of their placement and had contributed to the process. Their views on personal development had been minuted and demonstrated that age/peer and cultural interests are followed. Lynton H60 H11 S14618 Lynton S220510 250505 Stage 4.doc Version 1.30 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 standard(s) 11.12.13.14.16.17 All residents are supported in their personal development to be able to take part in a variety of appropriate activities as part of the local community. EVIDENCE: Each of the residents has an individual activities programme, which identifies activities to promote their personal development, e.g. where appropriate attendance at a day centre or college and their chosen leisure pursuits. The residents are supported to take part to the full in all that they choose to do by the staff members and wherever possible opportunities available to each person are identified to promote personal growth in independence. As part of that move towards greater autonomy residents are encouraged to take responsibility for helping in daily living tasks and chores e.g. assisting with the meal and clearing up afterwards. Friendships with their peers are Lynton H60 H11 S14618 Lynton S220510 250505 Stage 4.doc Version 1.30 Page 12 encouraged and the home had held a barbeque very recently and had entertained a number of friends from the local neighbourhood. The registered provider has equipped the home with its own Multi Person Vehicle and this is used every day to take the residents out. The residents told the inspector of a holiday that they had enjoyed in Clacton recently and of outings to the beach to play football and the pub where they enjoy a game of pool. A menu was available, which demonstrated that a balanced and nutritious diet was being provided. The main meal is cooked in the evening and on the evening of inspection a homemade Lasagne had been prepared by one of the support workers and smelled appetising as it cooked. The residents are consulted about their favourite foods and take-aways and meals out are occasionally taken. All of the residents are entered onto the electoral roll but only one of them chose to vote recently. Lynton H60 H11 S14618 Lynton S220510 250505 Stage 4.doc Version 1.30 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 standard(s) 18.19.20. The residents are supported to increase their independence and their physical and emotional needs are monitored and met appropriately. EVIDENCE: Detailed care plans contain information regarding the preferences of the residents and any health issues there might be. Each care plan and the associated risk assessments are reviewed on a monthly basis and the placement is reviewed with resident, their family and care manager every sixmonths. The views of the residents regarding the support they require are documented. There are no residents self-medicating at present. The medication was stored and administered and recorded appropriately. Lynton H60 H11 S14618 Lynton S220510 250505 Stage 4.doc Version 1.30 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 standard(s) 22.23. All residents are protected from abuse, self neglect and self harm. EVIDENCE: During the course of the inspection the inspector was able to observe interaction between a senior member of staff and a resident who was upset and angry. This demonstrated that the residents felt comfortable about approaching a member of staff if they were worried or wanted to complain. There was evidence that all matters brought to the attention of the staff members were dealt with promptly and on one occasion the manager of the home had acted as an advocate for one of the residents at his, his family’s and his care manager’s request. The residents are supported to manage their own personal allowance and it is banked in their own individual bank accounts. Resident meetings help the group to iron out small issues and give them the opportunity to have input into the management of the home. Lynton H60 H11 S14618 Lynton S220510 250505 Stage 4.doc Version 1.30 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 standard(s) 24. 25. 27. 30 The home provides a comfortable and safe environment where the residents can lead their chosen lifestyle. EVIDENCE: A tour of the home revealed that each of the residents was provided with a bedroom of generous proportion that suited their individual needs and wishes. They had been furnished in a style that reflected the occupants’ interests and preferences. One of the bedrooms has an en-suite bathroom and the two other residents have the shared use of the central bathroom. This bathroom is in need of some fresh decoration but offers suitable privacy and facilities. The communal rooms have had some new and comfortable furniture and provide a homely environment for the residents to use. Overall the décor is adequate but shows inevitable signs of wear and tear, in particular the paintwork is in need of redecoration. There was a good overall standard of cleanliness that was marred only by the ageing kitchen, which had some areas of wood rot visible. This has been the Lynton H60 H11 S14618 Lynton S220510 250505 Stage 4.doc Version 1.30 Page 16 subject of an ongoing requirement from the Commission for Social Care Inspection and although some small repairs had been undertaken the kitchen is still in need of significant refurbishment. Lynton H60 H11 S14618 Lynton S220510 250505 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32. 34. 35. 36 The residents are protected by the homes recruitment policy and practices and supported by appropriately trained and supervised staff members. EVIDENCE: A random selection of staff files was looked at including the most recently appointed member of staff. All the required security checks had been carried out and evidence of identity and qualifications and supervision notes were also on file. Appropriate induction training had been undertaken with the newest member of staff. Other in-house training in service related topics had been undertaken by the remaining staff members. Since the manager has been in post she has introduced robust systems and a large number of policies and procedures. These are introduced to the staff team via supervision and monthly team meetings, which are minuted. The manager receives regular supervision from her line manager who is always available if required. Lynton H60 H11 S14618 Lynton S220510 250505 Stage 4.doc Version 1.30 Page 18 Previous difficulties with staffing numbers have now been overcome and recent recruitment has provided a satisfactory number of staff, making sure that the home is appropriately staffed at all times. Lynton H60 H11 S14618 Lynton S220510 250505 Stage 4.doc Version 1.30 Page 19 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) 38. 40. 41. 42. 43 The home is managed in a safe, competent and accountable manner, which takes into consideration the residents’ views. EVIDENCE: Each month an audit of the home is undertaken by the responsible person and the views of the residents are always sought as part of this procedure. Meetings also give the residents the opportunity to give vent to their opinions. The manager has years of experience in working with people with learning disability and is undertaking the registered managers award. She receives regular supervision from her line manager. Regular supervision of staff members makes sure that the staff members are aware of the importance of promoting and protecting the health, safety and welfare of the residents, this is further reinforced by regular training, and good policies and procedures. Lynton H60 H11 S14618 Lynton S220510 250505 Stage 4.doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 x x 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 4 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x 3 x x 2 Standard No 11 12 13 14 15 16 17 3 3 3 3 x 3 3 Standard No 31 32 33 34 35 36 Score x 3 x 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Lynton Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x 3 x 4 3 3 3 H60 H11 S14618 Lynton S220510 250505 Stage 4.doc Version 1.30 Page 21 Yes , as below 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. 2. Standard 23 Regulation YA24 Requirement The kitchen must be refurbished Timescale for action Action Plan 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 24 Good Practice Recommendations Redecoration of the central bathroom and other communal areas. Lynton H60 H11 S14618 Lynton S220510 250505 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection 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 Lynton H60 H11 S14618 Lynton S220510 250505 Stage 4.doc Version 1.30 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. 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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