Inspection on 28/06/05 for Newhaven

This inspection was carried out on 28th June 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 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 21/11/06

Newhaven 06/12/05

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 Jo Hartley Announced 28 June 2005, 09:30 th 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. Newhaven H60-H11 S48427 Newhaven V224175 280605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Newhaven Address 27 Highfield Road, Bognor Regis, West Susses, PO22 8BQ 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) 01243 867919 Allied Care (Mental Health) Ltd Care Home (CRH) 7 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (MD), (7) of places Newhaven H60-H11 S48427 Newhaven V224175 280605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 Only service users in the category Mental Disorder (MD) under 65 years may be admitted. 2 A maximum of one service user in the category MD(E) may be accommodated. Date of last inspection 7th December 2004 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 Andre Slabbert is the acting manager responsible for the day-to-day management of Newhaven. Newhaven H60-H11 S48427 Newhaven V224175 280605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The announced inspection was carried out over a period of five hours. The inspector read information held on the service file since the last inspection in December 2004, and read the previous two inspection reports. Comment cards were received from four relatives/visitors and from one service user. During the inspection the inspector spoke to three service users, and two members of staff. The inspector undertook a tour of the premises and looked at three care plans and three staff files. Various record books, policies and procedures were also examined. What the service does well: 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 H60-H11 S48427 Newhaven V224175 280605 Stage 4.doc Version 1.30 Page 6 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 Newhaven H60-H11 S48427 Newhaven V224175 280605 Stage 4.doc Version 1.30 Page 7 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) 2, 5 Prospective service users’ individual aspirations and needs are assessed prior to admission and form the basis of individual care plans. Every service user has a written contract or statement of terms and conditions within the home. EVIDENCE: Service users’ files seen on the day of the inspection held records of assessments undertaken prior to admission to the home. CPA’s, (Care Programme Approach), were also seen in individual files. These had been used to develop individual service user plans. Each service user has a signed contract on file. During the tour of the home it was noted that copies of the terms and conditions of the home were pinned on notice boards in service users rooms and on a notice board in the hall. Newhaven H60-H11 S48427 Newhaven V224175 280605 Stage 4.doc Version 1.30 Page 8 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, 9 Assessed needs and goals of individual service users are reflected in their care plans. Reviews of care plans and risk assessments are not clearly recorded. Service users are encouraged and assisted to make decisions about their lives and to take risks as part of an independent lifestyle. EVIDENCE: All service user files inspected held individual care plans generated from preadmission assessments and CPA’s. Potential restrictions on choice and freedom were clearly stated with reasons they were in place. One service user spoken to confirmed that restrictions on his care plan had been discussed with him, and that he had agreed to these. Risk assessments seen on files were appropriate to individual needs and clearly stated area of risk and action to be taken to minimise the risk. The acting manager said that the home holds in-house reviews of care plans every three months. The care plans inspected appeared to be recent and upto date but the home has no method of recording this. Reviews of care plans and risk assessments and any changes made, should be clearly recorded and dated. Newhaven H60-H11 S48427 Newhaven V224175 280605 Stage 4.doc Version 1.30 Page 9 One service user currently uses an advocate; information on accessing advocacy services is readily available for other service users. The home has a key-worker system in place for service users. Residents meetings are held every six to eight weeks. A resident said that she feels able to say what she wants at these meetings and that staff listen to her. Newhaven H60-H11 S48427 Newhaven V224175 280605 Stage 4.doc Version 1.30 Page 10 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) 12, 13, 14, 15, 16, 17 Service users take part in appropriate activities and are a part of the local community. They are supported in maintaining links with family and friends. Service users rights are respected and responsibilities recognised in their daily lives. A healthy diet is provided by the home and service users enjoy the meals provided. EVIDENCE: Care plans show that service users are encouraged to take up education, participate in the local community and participate in appropriate activities. Two service users are currently attending college courses with support from staff. Service users spoken to said some of them go to church regularly and they take part in various activities including bowling, cinema, swimming and going to the local beach. Newhaven H60-H11 S48427 Newhaven V224175 280605 Stage 4.doc Version 1.30 Page 11 Comment cards received from visitors and family said that the home welcomes visitors at any time. One resident said that staff are helping her to plan a trip to visit a friend. Care plans indicated that most service users have keys to their rooms and to the front door. For those who don’t, reasons and risk assessments were recorded in their files. Service users are encouraged to take part in the daily running of the home. A washing up rota was seen in the kitchen and residents said that they help with other chores around the home. Staff were seen interacting with service users and using their preferred form of address. Comment cards received from relatives indicated that relatives are happy with the care provided at Newhaven. One person commented that their relative receives “excellent care” and that the staff are “kind and caring”. Service users spoken with said that they enjoy the food and are involved in choosing the menu each week. Menus seen on the day of the inspection provided a healthy balanced diet. Since the last inspection worktops and cupboards in the kitchen have been replaced. Food in the fridge was seen to be stored appropriately and clearly labelled. Newhaven H60-H11 S48427 Newhaven V224175 280605 Stage 4.doc Version 1.30 Page 12 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) 19 Service users’ physical and emotional health needs are met. EVIDENCE: Individual health needs were seen to be recorded in care plans; appointments with health professionals, outcomes and recommendations were clearly evidenced. A chiropodist visits the home when needed. A counsellor visits the home every week and is available for both staff and residents. Newhaven H60-H11 S48427 Newhaven V224175 280605 Stage 4.doc Version 1.30 Page 13 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) 23 Policies, procedures and staff training help to protect service users from abuse, neglect and self-harm. EVIDENCE: A copy of the West Sussex Multi-Agency Policy for the Protection of Vulnerable Adults was seen in the staffroom. Policies and procedures regarding adult protection and whistle blowing were seen to be comprehensive. Staff spoken to said they had received training about adult abuse. They had a good understanding of procedures to follow if they suspect abuse. Staff training records showed that staff have attended a two-day course on conflict management. Newhaven H60-H11 S48427 Newhaven V224175 280605 Stage 4.doc Version 1.30 Page 14 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, 29, 30 Newhaven has a homely environment that is clean, hygienic, comfortable, well decorated and free from offensive odours. Specialist equipment is provided in one bathroom to assist people to bathe independently. EVIDENCE: On the day of the inspection the home was seen to be clean, well decorated and homely. The lounge/dining room had been recently decorated and several rooms had new flooring. The front door has an entry-key pad system and the home is alarmed at night. Since the last inspection one bathroom has been fitted with equipment such as grab-rails to assist service users who may have difficulty getting in and out of the bath unaided. The home was seen to be clean, hygienic and free from offensive odours. The laundry facilities are accessed from the outside of the building. The floor and walls of the laundry do not have impermeable finishes and are not readily cleanable. This needs to be addressed. The score for this standard reflects this one issue. Newhaven H60-H11 S48427 Newhaven V224175 280605 Stage 4.doc Version 1.30 Page 15 On the day of the inspection the rest of the home met the standard. Policies and guidance regarding infection control were seen. Newhaven H60-H11 S48427 Newhaven V224175 280605 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 Staff at Newhaven receive the training needed to meet the needs of the service users. EVIDENCE: Evidence was seen on staff files that staff undertake a six-week induction period when they join the company. Training certificates for various courses including health and safety, fire training, food hygiene, infection control and conflict management were seen on staff files. A yearly training plan was also seen. The acting manager has reinstated staff meetings and supervisions, both of which occur every six to eight weeks. Staff said that they find both useful and appreciate the support they provide. The acting manager and staff said that Allied Care provide a counsellor who visits the home once a week to offer support to both staff and service users. Staff spoken to said they find this advantageous to their practice and work with the service users in the home. Newhaven H60-H11 S48427 Newhaven V224175 280605 Stage 4.doc Version 1.30 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 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) None of the above standards were inspected during this inspection. EVIDENCE: Newhaven H60-H11 S48427 Newhaven V224175 280605 Stage 4.doc Version 1.30 Page 18 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 3 x x 3 Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x 3 2 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Newhaven Score x 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x x x H60-H11 S48427 Newhaven V224175 280605 Stage 4.doc Version 1.30 Page 19 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 30 Regulation 13 Requirement The floor finish needs to be made impermeable. Floor and walls of the laundry need to be made readily cleanable for infection control purposes. Care plans are to be reviewed at least every six months and updated to reflect changing needs; agreed changes to be recorded and actioned. Timescale for action 28/09/05 2. 6 15 28/09/05 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 Good Practice Recommendations Newhaven H60-H11 S48427 Newhaven V224175 280605 Stage 4.doc Version 1.30 Page 20 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 Newhaven H60-H11 S48427 Newhaven V224175 280605 Stage 4.doc Version 1.30 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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