Inspection on 21/11/06 for Newhaven

This inspection was carried out on 21st 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

Newhaven 10/07/07

Newhaven 06/12/05

Newhaven 28/06/05

Newhaven 07/12/04

Newhaven 17/05/04

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

CARE HOME ADULTS 18-65 Newhaven 27 Highfield Road Bognor Regis West Sussex PO22 8BQ Lead Inspector Mrs A Taggart Key Unannounced Inspection 21st November 2006 09:00 Newhaven DS0000048427.V314997.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 Newhaven DS0000048427.V314997.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. Newhaven DS0000048427.V314997.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Newhaven Address 27 Highfield Road Bognor Regis West Sussex PO22 8BQ 01243 867919 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) alliedcaremh@aol.com Allied Care (Mental Health) Ltd Mrs Jacolene Slabbert Care Home 7 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (7) of places Newhaven DS0000048427.V314997.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Only service users in the category Mental disorder (MD) under 65 years may be admitted. A maximum of one named service user in the category MD (E) may be accommodated. 6th December 2005 Date of last inspection Brief Description of the Service: Newhaven is registered to accommodate seven service users between the ages of eighteen and sixty-five years who have experienced a mental disorder, excluding learning disability or dementia. There are two additional conditions of registration in that (1) only service users in the category mental disorder (MD) under sixty-five may be admitted, and (2) a maximum of one named service user in the category MD (E) may be accommodated. Newhaven is situated in a residential road in Bognor Regis. The building has three storeys; the second floor is used as office space. Service users are accommodated in five single rooms and one double room on the ground and first floors. There is a passenger lift between the ground and first floor, however this is not operational and is kept locked. There is a communal lounge and dining room area leading to a garden at the back of the building. There are two bathrooms and one separate toilet on the first floor. The laundry room is accessed from the outside of the building. Allied Care (Mental Health) Ltd owns the care home. Mr Aslam Dahya is the responsible individual on behalf of the company. Mrs Jacolene Slabbert is the Registered Manager responsible for the day-to-day management of Newhaven. Newhaven DS0000048427.V314997.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 9.30am and lasted for 3.5 hours. The inspector went back the next day from 3pm to 4pm to look at staff files and service user’s money records. Prior to the visit the inspector read the last two reports and any other documentation and correspondence relating to the home. A pre-inspection questionnaire was sent to the manager and survey forms and comment card were sent to service users, families and other professionals involved with the home. The inspector also spoke to the father of one service user via a telephone call. During the visit the inspector spoke with all of the five service users currently living in the home, to a counsellor visiting a service user and an NVQ assessor working with a staff member. The inspector made a tour of the home, saw lunch being prepared and spoke with the staff on duty. Three care plans were tracked with any relevant issues being discussed with the service user or staff team and records for the running of the home were seen including staff files, fire records, health and safety and maintenance records. All were current and in good order. The manager of the home Mrs. Slabbert had completed and returned the preinspection questionnaire and information from this document has also been used to inform the report. Mrs. Slabbert was present to assist with information and received feedback. Current Fees are £620 to £1,500 per week. The inspector thanks everyone who helped during the visit. What the service does well: Newhaven offers a homely, comfortable and well-maintained environment for the people who live there. Service users say they have access to good medical care and say that their lifestyle choices are respected and supported. To ensure that the needs of service users are met, the home works with a variety of other professionals including mental health teams and a counsellor and both service users and families are very complimentary about the commitment, skills and kindness of the registered manager and the staff team. People have access to a variety of community and educational facilities and say they receive both fresh, home cooked food and meals out. Newhaven DS0000048427.V314997.R01.S.doc Version 5.2 Page 6 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. Newhaven DS0000048427.V314997.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 Newhaven DS0000048427.V314997.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): 1245 Quality in this outcome is Good. This judgement has been made using available evidence including a visit to the service. Prospective service users and their families have the information they need in order to decide if the home can meet their needs. EVIDENCE: The Statement of Purpose and Service user Guide have recently been updated to reflect the new address of the Commission and service users confirmed that they had received the new copy. The pre-admission assessments for three service users were seen and all contained comprehensive information in order to ensure that the needs of people could be met by the home. Service users said that they had been able to visit the home prior to making a choice about whether to move in and contracts containing the terms and conditions of residency are in place. As good practice, the service user as well as the manager of the home should sign the contracts. Newhaven DS0000048427.V314997.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): 6 7 8 and 9 Quality in this outcome is Good. This judgement has been made using available evidence including a visit to the service. In order to ensure that the home meets individual needs, care plans are comprehensive, regularly reviewed and updated and development goals agreed with service users. EVIDENCE: For each person living in the home there is a comprehensive and personcentred care planning process in place and the plans have been developed from the pre-admission assessments and information from care managers and other professionals. Three care plans were seen and all contained good background information, personal, emotional and healthcare support needs and were in a format that was easily understood by the staff team supporting people. There were also daily reports written leading to monthly reviews where goals for development had been agreed with service users. Newhaven DS0000048427.V314997.R01.S.doc Version 5.2 Page 10 Risk assessments had been completed and where this leads to potential restrictions on choice for people this was agreed and documented . Service users confirmed that they were involved in the running of the home and said that their choices and decisions were respected. Newhaven DS0000048427.V314997.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 Good. This judgement has been made using available evidence including a visit to the service. In order to ensure that service users have access to a variety of opportunities, the home supports people to access the local community and leisure and educational facilities. EVIDENCE: Most of the people living in the home are very independent and said that they do not wish to be involved in organised or structured activities. However people do have access to a variety of community activities such as visiting the library, pubs, clubs and cinemas and one person said he really enjoyed going horse riding. Service users were going to the bank or to the shops during the visit and one person said that he liked working in the garden. Some people also access college courses in order to develop their interests and skills and one person enjoys going regularly to the gym. Newhaven DS0000048427.V314997.R01.S.doc Version 5.2 Page 12 Relationships with families and friends are encouraged and service users confirmed that any of their visitors are made welcome. Rights and responsibilities are discussed in the house meetings and minutes are agreed. The father of one person said that his son was very happy that all service users had agreed to keep the house non-smoking and this was respected. A service user said, “ It’s a good place here and the staff are very kind and helpful but it is still living in a care home. In the future I want to live independently in a flat of my own and I see a counsellor on a regular basis to help me to develop with this. The food here is good and I can make things for my self if I want to. I really like my room and because I was once a painter and decorator, they have let me do it all myself and choose everything. I even laid the carpet”. Newhaven DS0000048427.V314997.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 Quality in this outcome is Good. This judgement has been made using available evidence including a visit to the service. Service users have access to good medical care and are supported to be as independent as possible EVIDENCE: It is clear from looking at records and talking to service users, that the home works with a variety of other professionals to ensure that people’s healthcare needs are met. Service users said they had access to local doctors, the community mental health team and psychiatrists and psychologists. Records also show that people regularly attend the dentist and see a chiropodist on a regular basis. Individual agreements were in place regarding how personal care issues are addressed and service users are encouraged to be as independent as possible. During the visit a counsellor, who was visiting a service user said that the manager and staff team worked with service users in a very structured and pro-active manner and she also made other positive comments about the home. Newhaven DS0000048427.V314997.R01.S.doc Version 5.2 Page 14 There are policies and procedures in place regarding the storage and administration of medication and all of the staff team have received accredited training. Medication was securely stored and Medication Administration Record sheets were all current and in good order. Newhaven DS0000048427.V314997.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. The homes policies, procedures and staff training are designed to protect service users from risk of abuse and complaints are recorded and acted upon. EVIDENCE: The home has a complaints procedure, a copy of which is included in the Statement of Purpose and posted on the ground and first floor of the building. Service users were aware of the procedure and said that they would feel confident in making a complaint. Two formal complaints from service users have been recorded in a complaints log, the manager has investigated both and the outcomes have been fed back to the complainants. Family members also said that they felt confident that any complaint would be treated seriously and acted upon. One person said, “ I spoke to the manager about something my son was not very happy about, she acted on it straight away and he is fine now”. All of the staff team have attended training in the protection of vulnerable adults from abuse and those on duty had an awareness of their responsibilities should they suspect that any abuse had taken place Newhaven DS0000048427.V314997.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 27 28 and 30 Quality in this outcome is Good. This judgement has been made using available evidence including a visit to the service. The home offers a homely, comfortable and clean environment and service users say they are happy with their private rooms. EVIDENCE: Newhaven offers a homely comfortable and warm environment for the people who live there. The large lounge/dining room is attractively furnished and overlooks a pleasant garden, which one of the service users said he enjoys helping to maintain. There are sufficient bathrooms and toilets and the home was clean and hygienic throughout. Water temperatures are tested and recorded on a weekly basis and the outlets in service user’s rooms were at a safe level. Private bedrooms are light, airy and well decorated and have been personalised with belongings and furniture personally bought by service users. One person said that he had chosen all of his furniture and fittings and had decorated his room himself. He was very pleased with the results. Newhaven DS0000048427.V314997.R01.S.doc Version 5.2 Page 17 Newhaven DS0000048427.V314997.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 34 35 and 36 Quality in this outcome is Excellent. This judgement has been made using available evidence including a visit to the service. Service users are supported by a competent and well-trained staff team and robust recruitment procedures are in place. EVIDENCE: Staffing rotas show that there are sufficient numbers of staff available to meet the needs of current service users and on both days of the visit there was the manager, deputy manager and two care staff present. Service users, families and other professionals were very complimentary about the staff team and said that they were kind and caring. An NVQ assessor who was present and visits the home on a regular basis said, “ It is always a very relaxed atmosphere and the home is always very clean. The staff try to promote people’s rights and dignity and they treat service users with respect. The staff are also keen to do their NVQ training and I observe that there are good relationships with the people they support. There is a robust recruitment process in place and the three staff files seen contained all of the necessary documentation including Criminal Bureau Checks and two references. Newhaven DS0000048427.V314997.R01.S.doc Version 5.2 Page 19 The manager of the home Mrs. Slabbert shows a high commitment to the training and development of the staff team and researches training courses that are relevant to the client group the home is supporting. Training records show attendance at all mandatory training, managing challenging behaviour, dealing with Aspergers and personality disorder training, sexuality and mental health awareness. The deputy manager and senior carers also attend management training relevant to their roles and responsibilities. 80 of the staff team hold NVQ 2 or above Newhaven DS0000048427.V314997.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 and 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 in the best interests of service users by a competent and caring manager, good policies and procedures are in place and records are in good order. EVIDENCE: The home is run by a committed and competent manager and service users, families, professionals involved with the home and the staff team are all very complimentary about her open and inclusive management style. A quality assurance process had been started. Questionnaires have been sent to service users, families and other people involved with the home and many have been returned. Mrs. Slabbert said she is now going to collate the responses and use the outcomes to form a development plan for the home. Most of the people living in the home manage their own money, but where cash is kept on behalf of people, records are kept of transactions and signed Newhaven DS0000048427.V314997.R01.S.doc Version 5.2 Page 21 for by the service user and the manager. The cash system for one service user was seen to be correct. A service user said that the home helped him with budgeting his money. Mrs. Slabbert has worked hard to improve and update systems in the home and the staff team were aware of where policies and procedures could be found. Records for the running of the business were seen including, incidents and accidents, fire equipment and staff fire training, electrical appliance tests and maintenance books and all were current and in good order. No requirements were made as a result of this visit. Newhaven DS0000048427.V314997.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 3 2 3 3 X 4 3 5 3 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 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 4 36 3 3 3 3 3 x LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 3 3 X 3 3 x Newhaven DS0000048427.V314997.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 Newhaven DS0000048427.V314997.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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