Inspection on 03/11/05 for Lynton

This inspection was carried out on 3rd November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Lynton 30/09/09

Lynton 19/04/09

Lynton 22/04/08

Lynton 16/04/07

Lynton 06/11/06

Lynton 25/05/05

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 Ms E Southall Unannounced Inspection 3rd November 2005 2.00 Lynton DS0000014618.V255049.R01.S.doc Version 5.0 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 Lynton DS0000014618.V255049.R01.S.doc Version 5.0 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. Lynton DS0000014618.V255049.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Lynton Address London Road Ashington West Sussex RH20 3JS 01903 893406 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) Care Management Group Limited Ms Clare Evans Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Lynton DS0000014618.V255049.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Up to 3 male and / or female Service Users in the category learning disabliity may be admitted. Only persons between the ages of 18 - 65 years may be admitted / accomodated. 20th September 2005 Date of last inspection Brief Description of the Service: Lynton is a care home registered to accommodate three adults with a learning difficulty. It is a detached house situated in the village of Ashington, West Sussex, which has a small shop, post office and pub. There is good access to leisure and educational facilities in nearby towns. The home is owned by the Care Management Group Ltd. Lynton DS0000014618.V255049.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that began at 2.00pm and took place over the next three hours. The Inspector was able to spend time with all three residents when they returned home from college. She made a tour of the home, spoke with the manager Clare Evans and a senior support worker on shift, and examined resident’s files and a sample of records. The three men who live at Lynton are provided with a very high standard of care with their own wishes and feelings placed at the centre of the arrangements made for their lives. Two told the inspector that they like living at Lynton and the third appeared very comfortable and content with his home. What the service does well: What has improved since the last inspection? What they could do better: The process of refurbishment should include new and safer cooking appliances in the kitchen, together with replacement of the outdated bathrooms, in order that the quality of the accommodation provided for reaches the highest overall standard. Lynton DS0000014618.V255049.R01.S.doc Version 5.0 Page 6 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 DS0000014618.V255049.R01.S.doc Version 5.0 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 Lynton DS0000014618.V255049.R01.S.doc Version 5.0 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): 2, 3 & 5 The assessment of individual need of each resident is completed to a commendably high standard. The assessment process clearly demonstrates that the home can meet the needs of the people who live there. All residents have a contract in place. EVIDENCE: Resident’s files contain copies of placing authority care plans and social work specialist assessments. Following admission, staff work closely with each resident on two lists to establish their individual strengths/wants/needs and likes/dislikes. The outcome of this process is used to inform the individual action plan, which is reviewed and updated each month, according to need. All assessments have been signed by the resident and give a clear picture of their individual priorities. Resident’s files contain a copy of the terms and conditions of their accommodation in the home – the Resident’s Agreement – which is signed by the resident, his next of kin, and a representative of the home. Lynton DS0000014618.V255049.R01.S.doc Version 5.0 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 Assessment of individual need, including risk assessment, is carried out to a particularly high standard and residents are fully involved at every stage. They participate in all aspects of life in the home. EVIDENCE: The review care plan demonstrates the process used at Lynton to plan the care of each resident. Copies were seen in case files, and the residents keep their own copy in their room. The detailed plan addresses every assessed need and personal goal of the resident and is reviewed formally every six months, although in practice care needs are reviewed on an ongoing basis each month, with the full involvement of the resident at every stage. The plan includes a pen portrait of each person, and their views on “Where I am going” in their life. The plans are of a commendably high standard. All care guidelines are based upon the residents own individual support requirements. One resident’s plan contains his request that in the morning: “I will ask when I want to shave”. He has also asked that staff don’t prevent him from having a cigarette if he has followed his agreed guidelines, and that he isn’t crowded while he is eating, as he prefers quiet at mealtimes. He also asks Lynton DS0000014618.V255049.R01.S.doc Version 5.0 Page 10 that; “Whilst I’m communicating I do not want staff to finish my sentences for me.” During the inspection the Inspector observed that staff are sensitive to the specific communication needs of this resident, and help him to share his thoughts and feelings with others without speaking for him. The resident’s activity plans include one day each week at home when they are responsible for cleaning their rooms and their personal laundry. They also take a share in cleaning the communal areas of the home. One resident told the inspector that he is responsible for checking the fridge and freezer temperatures each day. Two of the residents told the inspector about plans that are being discussed at the moment for them to change rooms. One spoke of how his mobility needs will need to be taken into account. The other told the Inspector of plans for a change to his accommodation in the home that could improve his independence skills. Both were fully involved in planning for their future. Files contained detailed and up-to-date risk assessments that support the residents in manage their independence safely. Lynton DS0000014618.V255049.R01.S.doc Version 5.0 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 The residents at Lynton enjoy a wide range of social, leisure and community activities that are appropriate to their own needs and choices. EVIDENCE: Each resident has an individual activity programme. They discuss things that they would like to do at the weekly residents meeting, and plans can be changed on the day if necessary. Leisure outings have been enjoyed to London, Thorpe Park, Chessington, the cinema, the pub and the beach. All three men spent a week in Spain in October and the home took part in the local carnival in the summer on a float with a ‘hospital’ theme. Staff are helping one resident to access a local St John’s Ambulance group. The residents all attend a local College of Further Education on four days each week, where they are taking courses that include IT, equine studies and bricklaying. One resident told the Inspector of his hopes that his skills in bricklaying may lead to work with the Hillcrest Care maintenance team. The residents were planning to attend a party that evening with friends in the local neighbourhood, where one was looking forward to being the DJ. Lynton DS0000014618.V255049.R01.S.doc Version 5.0 Page 12 All visit their family regularly – two were due to make visits at the weekend, and all are going home for Christmas. The grandmother of one resident had been invited to join the resident’s meeting as she was visiting at the time. The Inspector saw the minutes of the meeting, which included written comments from those present – she said that it had been; ”Very interesting to learn the resident’s comments etc.” The residents themselves wrote: “Nice house” and “Had time two” [talk and chat]. Clare Evans told the Inspector that residents attend the Care Management Group Christmas party, held for residents of all the homes in the group, and for which new clothes are a priority. The Inspector saw a DVD recording of the last CMG annual resident’s forum, and enjoyed seeing the participation of the residents in an event that was clearly focussed upon their needs. Lynton DS0000014618.V255049.R01.S.doc Version 5.0 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 Resident’s views are central to the planning for their care. Their physical and emotional needs are continually monitored and well met. EVIDENCE: As already noted, care planning addresses every area of need and the resident is fully involved at every stage and consulted about their preferences in the way that they are cared for by staff. Files contain detailed health records, including a medication profile and weight chart. The manager told the Inspector of specific support that has been sought via the local GP and Community Team for People with Learning Difficulties to help with the management of a resident who is on the autistic spectrum. Lynton DS0000014618.V255049.R01.S.doc Version 5.0 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): 23 Arrangements for the protection of residents from abuse, neglect and selfharm are satisfactory. EVIDENCE: Written records and discussion with staff showed that practice in the home recognises the specific vulnerabilities of each resident and that satisfactory training and procedures are in place that safeguard their welfare at all times. Lynton DS0000014618.V255049.R01.S.doc Version 5.0 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): 25, 26, 27, 28 & 30 Lynton provides a homely and comfortable environment. EVIDENCE: Two of the residents were happy to show the Inspector their bedrooms, both of which were spacious, well furnished and equipped, and gave a clear sense of the personality of the occupant. Both residents told the Inspector of the possibility of them exchanging their rooms in a plan that is clearly taking into account the independence of one and the mobility needs of the other. The home is currently undergoing a process of refurbishment and redecoration of the communal areas. Progress so far has resulted in attractive and well decorated accommodation which is furnished and equipped to the highest standard. Provision of a new oven and hob in the kitchen will complete the project and promote the independence of the residents. Replacement of the outdated shared bathrooms will ensure that all areas of the accommodation at Lynton are of the highest standard. Lynton DS0000014618.V255049.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 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, 35 & 36 The staff team at Lynton are sufficient in numbers and skills to meet the needs of the residents. EVIDENCE: The manager told the Inspector that new staff receive in-house and TOPPS induction programmes when they are assessed after two weeks and three months. This is followed by a six-month probationary review and then annual appraisals. A comprehensive staff training plan is provided by the Care Management Group. Courses available in 2005 have included communication skills, keyworking and the keywork role, and the dignified management of conflict. Discussion with staff confirmed that training in core skills, including first–aid, fire safety and adult protection is provided as part of the induction procedure supported by further training and routine refresher courses. The staff team has a good mix of age and gender, and all receive regular supervision each month. The roles and responsibilities of the staff are clear. Lynton DS0000014618.V255049.R01.S.doc Version 5.0 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 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, 40, 41 & 43 The home is run in a safe and competent manner, with regular monitoring procedures in place. The way that the home is managed promotes the resident’s rights and best interests at all times. EVIDENCE: The management approach at Lynton has established an atmosphere that is open, positive and accountable. Clare Evans is well qualified for her role and is well supported by the management structure within the Care Management Group. The Service User Guide to the home focuses upon the rights of the residents and what they may expect from the staff in order to protect and promote their best interests. Procedures for the review and monitoring of practice in the home are thorough and of a particularly high quality. Lynton DS0000014618.V255049.R01.S.doc Version 5.0 Page 18 Monthly monitoring visits are made to the home and a detailed and comprehensive report is completed. The visitor always seeks the views of the residents and checks are made of the premises and all logs and records. The Care Management Group carries out an annual monitoring exercise and the Inspector saw a copy of the 2005 Resident’s Questionnaire Response. As already noted, residents at Lynton are to be seen on the DVD of last year’s Care Management Group annual resident’s forum obviously enjoying being part of a meeting which gives every opportunity for residents to have their say about the care that they receive and to make suggestions about changes they would like to see happen in their homes. Lynton DS0000014618.V255049.R01.S.doc Version 5.0 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 4 3 x 3 Standard No 22 23 Score x 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 4 4 4 x Standard No 24 25 26 27 28 29 30 STAFFING Score x 3 3 3 3 x 3 LIFESTYLES Standard No Score 11 4 12 4 13 3 14 4 15 3 16 4 17 Standard No 31 32 33 34 35 36 Score 3 3 3 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Lynton Score 4 3 x x Standard No 37 38 39 40 41 42 43 Score 4 4 4 4 4 x 4 DS0000014618.V255049.R01.S.doc Version 5.0 Page 20 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 Lynton DS0000014618.V255049.R01.S.doc Version 5.0 Page 21 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. 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