Inspection on 06/12/05 for Newhaven

This inspection was carried out on 6th December 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 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 Ms J Hartley Unannounced Inspection 6th December 2005 18:30 Newhaven DS0000048427.V265323.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 Newhaven DS0000048427.V265323.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. Newhaven DS0000048427.V265323.R01.S.doc Version 5.0 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 Post Vacant Care Home 7 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (7) of places Newhaven DS0000048427.V265323.R01.S.doc Version 5.0 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. 28th June 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 acting manager responsible for the day-to-day management of Newhaven. Newhaven DS0000048427.V265323.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection was carried out over a period of two and a half hours. The inspector examined information held on the service file since the last inspection in June 2005, and read the previous two inspection reports, the Service User Guide and the Statement of Purpose During the inspection the inspector spoke to four service users, and two members of staff. The inspector undertook a tour of the premises and looked at three care plans. Various record books, policies and procedures were also examined. This report should be read in conjunction with the report of the announced inspection held on 28th June 2005. All the key standards, which should be inspected in a twelve-month period, are covered in these two reports 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 DS0000048427.V265323.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Newhaven DS0000048427.V265323.R01.S.doc Version 5.0 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 the following standard(s): 1 The home has a statement of purpose and service users guide which provides the information service users need to make an informed choice about where to live. Standards Two and Five were inspected during the last inspection and were found to have been met. EVIDENCE: The service users guide and statement of purpose seen prior to the inspection were found to be up to date, and to contain all the required information. Newhaven DS0000048427.V265323.R01.S.doc Version 5.0 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 the following standard(s): 6 Assessed needs and goals of individual service users are reflected in their care plans. Standards Seven and Nine were inspected during the last inspection and were found to have been met. 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. Risk assessments seen on files were appropriate to individual needs, clearly stated areas of risk, and action to be taken to minimise the risk. The home is implementing new lifestyle plans that are very thorough and are completed with the service user. Reviews of care plans and risk assessments, and any changes made, are now clearly recorded and dated, as required at the last inspection. Newhaven DS0000048427.V265323.R01.S.doc Version 5.0 Page 9 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): None of the above standards were inspected during this inspection. Standards Twelve, Thirteen, Fourteen, Fifteen, Sixteen and Seventeen were inspected during the last inspection and were found to have been met. EVIDENCE: Newhaven DS0000048427.V265323.R01.S.doc Version 5.0 Page 10 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, 20 Service users receive personal support in the way they prefer and require. Medication policies and procedures are thorough, and safeguard service users. Standard Nineteen was inspected during the last inspection and was found to have been met. EVIDENCE: Service users said that they are able to choose what they wear, and within reason, what time they go to bed. Staff were witnessed providing appropriate support to service users during the inspection. Staff say they give guidance and prompting regarding personal hygiene when needed. Personal support is given in private. Consistency and continuity of support is ensured through allocated keyworkers and care plans that set out likes, dislikes and routines of individual service users. Individual records seen during the inspection show that service users receive additional specialist support and advice as needed from health professionals Newhaven DS0000048427.V265323.R01.S.doc Version 5.0 Page 11 Medication policies, procedures and records were inspected and found to be in good order. The recording was up to date and accurate. Where appropriate service users are supported in administering their own medication. Risk assessments are in place for those who self-medicate, and lockable storage space for medication is provided. At present there are no service users taking controlled drugs. Training records show that staff that administer medication have received appropriate training. All administration is checked by two members of staff. Newhaven DS0000048427.V265323.R01.S.doc Version 5.0 Page 12 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 Service users feel that the manager and staff team are approachable and listen to their concerns. Standard Twenty-Three was inspected during the last inspection and was found to have been met. EVIDENCE: Service users said that they would discuss any concerns or complaints with the manager or staff. They said that everyone is very helpful at the home and they feel that their concerns are taken seriously and acted upon. Service users also said that they have regular house meeting where they can talk about things that are concerning them if they wish. The home has a clear complaints procedure that is available in the Service User Guide. Copies are also on notice boards throughout the home and in service users’ bedrooms. Newhaven DS0000048427.V265323.R01.S.doc Version 5.0 Page 13 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): 30 Newhaven is clean and hygienic throughout. A requirement made at the last inspection regarding the laundry floor has been met. Standards Twenty-Four and Twenty-Nine were inspected during the last inspection and were found to have been met. EVIDENCE: At the time of the inspection Newhaven was found to be very clean, tidy and hygienic throughout. There were no offensive odours detectable. Policies and procedures regarding the control of infection were seen and found to be adequate. Staff receive training on infection control, food hygiene and health and safety. Health and Safety notices were clearly displayed. The laundry facilities are accessed from the outside of the building. Since the last inspection the floor of the laundry has been replaced and is now impermeable and easily cleaned. Newhaven DS0000048427.V265323.R01.S.doc Version 5.0 Page 14 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 The staff team at Newhaven are competent and qualified to meet the needs of the service users at the home. Services users are protected by the homes’ thorough recruitment procedures. Standard Thirty-Five was inspected at the last inspection and was found to have been met. EVIDENCE: Records of staff training and qualifications seen during the inspection indicate that competent and qualified staff supports service users. The home has a comprehensive training programme available to staff which includes courses specific to the needs of service users within the home. Training that staff have undertaken includes Health and Safety courses, Medication, Epilepsy, Adult Protection, Sexuality Awareness, Mental Health, Conflict Management and Equal Opportunities, among others. Evidence was seen that all new staff receive an induction programme within six weeks of employment and a foundation training within six months. Recruitment policies and procedures were inspected and found to be thorough. The manager was not present on the evening of the inspection, and therefore the inspector was unable to view staff files. However, three staff files were examined at the last inspection and were found to hold all the relevant information. Evidence was seen that references, CRB and POVA checks are Newhaven DS0000048427.V265323.R01.S.doc Version 5.0 Page 15 taken up prior to employment commencing. Staff appointments are subject to a three-month probationary period. Newhaven DS0000048427.V265323.R01.S.doc Version 5.0 Page 16 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, 39, 42 There is currently no registered manager at Newhaven. The manager designate has applied to the CSCI for registration. Allied Care (Mental Health) Ltd has recently set up a quality monitoring system for all its homes. The health, safety and welfare of service users are protected by the homes’ working practices and procedures. EVIDENCE: The manager designate, Mrs. Jacolene Slabbert, has applied to CSCI for registration. Allied Care (Mental Health) Ltd has a Quality Assurance manager in post and has recently set up a new quality monitoring system which it is in the process of rolling out. Newhaven DS0000048427.V265323.R01.S.doc Version 5.0 Page 17 Training records seen show that the home provides compulsory training for staff in safe working practices, including moving and handling, First Aid, Fire Safety, Food Hygiene and Infection Control. The home was found to be suitable for its stated purpose, accessible, safe and well maintained throughout. A Fire Service inspection took place in May 2005. Fire extinguishers were tested in November 2005 and electrical appliances were tested in October 2005. Hot water temperatures are restricted. Records of monthly temperature checks were seen and found to be within required safety limits. During the tour of the home it was noted that all radiators have covers, and windows have window restrictors. Newhaven DS0000048427.V265323.R01.S.doc Version 5.0 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 3 X X X X Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Newhaven Score 3 X 3 X Standard No 37 38 39 40 41 42 43 Score 2 X 3 X X 3 X DS0000048427.V265323.R01.S.doc Version 5.0 Page 19 No 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. 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.V265323.R01.S.doc Version 5.0 Page 20 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. Extracts may not be used or reproduced without the express permission of CSCI Newhaven DS0000048427.V265323.R01.S.doc Version 5.0 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. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!