Inspection on 08/11/05 for Overcliff

This inspection was carried out on 8th November 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

Overcliff 03/10/06

Overcliff 20/05/05

Overcliff 07/12/04

Overcliff 14/05/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Overcliff 329 Babbacombe Road Torquay Devon TQ1 3TB Lead Inspector Peter Wood Announced Inspection 8th November 2005 09:30 Overcliff DS0000018406.V265626.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 Overcliff DS0000018406.V265626.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. Overcliff DS0000018406.V265626.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Overcliff Address 329 Babbacombe Road Torquay Devon TQ1 3TB 01803 292276 01803 200796 Allison@overcliff.wanadoo.co.uk 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) Rotel Ltd Mr Paul Whitehead Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Overcliff DS0000018406.V265626.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Mr Paul Whitehead must attain the qualifications required by CSCI (currently the Registered Manager Award and NVQ 4 in care) within twelve months. 20th May 2005 Date of last inspection Brief Description of the Service: Overcliff is a large house set on a hillside on the Babbacombe road in Torquay. Care is provided for up to twelve residents with Learning Disabilities. Access at the front of the Home is up several flights of steps with some railings to a sun terrace. Access at the back of the Home is through a car parking area and garden, down steps through a patio area. There is a self-contained flat below the home, which is counted as one of the bedrooms. The ground floor of the main house has a dining room, kitchen and lounge with three single bedrooms with wash hand basins, an office, and two sleeping-in rooms for staff, a bathroom and shower room with toilet. Stairs lead to the first floor that comprises of six further single bedrooms with wash hand basins, a double bedroom, a laundry, two bathrooms and a separate toilet. Overcliff DS0000018406.V265626.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and took place on a weekday in November 2005. A tour of the whole house was undertaken, including being shown residents’ bedrooms by their proud occupants. Consultations took place with the recently-registered manager and the responsible individual (the previous manager) who had kindly attended to assist with the inspection. Discussions of various lengths took place with all staff on duty, but a considerable amount of time was spent discussing with residents, all of whom are now well known, including enjoying lunch with those who were at home at the time. Samples of relevant documentation including that relating to client assessment and care planning, staffing and health and safety were examined, as was the system of looking after clients’ cash and the medication administration system. Comment cards were received from most residents and three relatives. The preinspection questionnaire and the responsible individual’s monthly reports also formed part of the inspection. What the service does well: What has improved since the last inspection? No requirements for improvement had been made at the last inspection, though a recommendation concerned minor improvements to decoration, particularly in the corridors which do not benefit from much natural light. That recommendation has been, and continues to be, acted upon. Corridors have now been re-painted and light fittings are in the process of replacement. The home continues to provide a high standard of care to its residents in very pleasant surroundings. Overcliff DS0000018406.V265626.R01.S.doc Version 5.0 Page 6 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. Overcliff DS0000018406.V265626.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 Overcliff DS0000018406.V265626.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): 1, 2, 3, 4 The company and home provide sufficient information to allow prospective residents, parents and sponsoring authorities to make an informed choice as to whether this home can meet the needs of prospective residents. Prospective residents are able to have a trial visit to ensure compatibility. EVIDENCE: The Home has an updated Statement of Purpose and a Service User Guide. These are made available to all residents and relatives and the Commission. These documents are in a format designed to be understandable by all residents in the Home. These provide a clear description of the services offered. The documentation in respect of the two recently admitted residents was audited to evidence the very detailed assessments undertaken to identify prospective residents’ needs prior to admission. Both new residents and their carers had been able to visit the home several times before making a decision to move in. This was an excellent introduction to the home. Residents are assisted in realising their aspirations as much as possible. Overcliff DS0000018406.V265626.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, 10 The home is good at meeting the assessed and changing needs of residents and gives them appropriate choices. EVIDENCE: The documentation in respect of the two recently admitted residents was audited to evidence the full part they play in their assessments and care plans. This was further confirmed from residents’ comments. They are consulted on all aspects of life in the home, from menus to individual risks and the degree of support necessary. Some residents, for example, travel great distances by bus on their own thereby gaining independence. A suitable risk assessment and philosophy “to enable residents to do things, not to provide an excuse for them not to do things” underpins this activity. Residents trust that the management and staff act in their (i.e. residents’) best interests, including maintaining confidentiality within the professional community, including the learning disability team. Overcliff DS0000018406.V265626.R01.S.doc Version 5.0 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 the following standard(s): 11, 12, 13, 14, 15, 16, 17 Residents have considerable opportunities to engage in a range of activities from paid jobs to leisure activities as part of the local community to assist their personal development. Meals are nutritious and varied, and important social occasions for the residents. EVIDENCE: All residents have appropriate activities to undertake most days, at the dedicated day centre also operated by Rotel, or other day centres. Some residents have paid jobs while others engage in what used to be termed “therapeutic work”. One resident proudly told me that she was to go to London for a conference on getting paid work for people with learning disabilities, which is what she wants most of all. Residents are enabled to have opportunities to maintain and develop social, emotional, communication and independent living skills and continue to enjoy a range of activities. The home encourages every individual to express his or her own opinions, (where they need any encouragement!) as has been very clearly demonstrated during each of my visits to this home. The home encourages friendships and family contact. The menu plan indicated the care taken to provide variety in meals whilst taking into account resident’s preferences. Overcliff DS0000018406.V265626.R01.S.doc Version 5.0 Page 11 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, Residents appeared to be and indicated to me that they feel safe and well supported living at this home. They are respected and are encouraged and enabled to have as much control over their lives as possible. EVIDENCE: Staff provide sensitive and flexible personal support to maximise residents’ privacy, dignity, independence and control over their lives. Residents health and personal care needs were met appropriately. The home has its own individual good policies and procedures regarding the receipt, storage, administration and disposal of medication, dissimilar from other homes in the group. The management and staff of this home sees the home very much as part of the local circle of support for people with learning disability, alongside (other) professionals such as GPs and particularly the team of various professionals in the learning disability team. Residents reported that they received as much support as they wished and needed. Records confirm that residents’ physical, mental and emotional health needs are assessed and attended to appropriately. Overcliff DS0000018406.V265626.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, 23 Complaints and suggestions from residents, relatives or other visitors to the home are treated seriously. Residents are listened to and issues resolved promptly. EVIDENCE: The Home had an appropriate complaints procedure and had policies and procedures in place to ensure the protection of residents. In practice, most complaints are resolved before they reach the stage of a formal complaint. Staff have attended Adult protection training. Staff have a good understanding of the residents and their communication methods, and all have undertaken total communication training. Residents reported that here is their home “I like it here” and are confident through experience that their views are welcomed, encouraged, listened to and acted on. Overcliff DS0000018406.V265626.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): 24, 25, 26, 27, 28, 29, 30 Residents live in a pleasant home that is well-maintained and comfortable and provides sufficient facilities to meet their needs. EVIDENCE: The house has been quite well adapted for use as a care home. The home currently has no need for specialist equipment, but would obtain such as necessary. Though built on a steep slope there is good vehicular and pedestrian access to the rear. Pedestrian access to the front has been improved with the installation of railings and lights to the long flight of steps. The accommodation has sufficient space and is appropriately furnished and decorated. The corridors have recently been painted and lighting is in the process of being renewed which has brightened them up. The home has always been clean and hygienic on my visits. Overcliff DS0000018406.V265626.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): 31, 32, 33, 34, 35, 36 Residents are cared for by well-trained and motivated staff in sufficient numbers to meet the needs of those currently living in the home. Recruitment processes protect vulnerable residents. EVIDENCE: Staff at this home appear to be very happy in their work and have very good relationships with the residents. Residents in turn said that they liked the staff, describing them as very kind and caring. Staff are properly recruited, well trained and supported. The staffing rota and observation on the day of inspection evidences that there are sufficient numbers on duty. Staff files include evidence of two references being obtained as well as CRB checks, terms and conditions, job description and photographic identification. Residents play an important part in staff recruitment by the use of a resident’s questionnaire and residents sitting in on part of the candidates’ interview. Potential staff work alongside existing staff for a short period before being confirmed in post. This process, which exceeds the minimum standards, helps to ensure that only staff who can successfully work with this client group are appointed. Training records including NVQ, First Aid, food hygiene and fire safety. The amount of training undertaken since the last inspection ensuring that they have the skills to care for people with learning disabilities exceeds the minimum standards. Overcliff DS0000018406.V265626.R01.S.doc Version 5.0 Page 15 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, 42, 43 This is a good, well-managed home for people with mild to moderate learning disabilities, some with additional physical disabilities. The company and its senior management team, recently strengthened by the appointment of this home’s previous manager, sets a high standard which this home meets. EVIDENCE: The home’s staff team strive to provide a stimulating, safe environment that respects and protects residents’ rights and best interests. The recently registered manager is sufficiently qualified, competent and experienced to run the care home and is well supported by the strengthened headquarters’ management team and by well-trained and motivated staff team at the home. Together, there is a wealth of qualified, competent and experienced people to meet the stated purpose, aims and objectives of this care home. The health, safety and welfare of service users are promoted and protected. One particular example was given in which staff tenaciously pursued medical specialists to diagnose a previously undiagnosed condition, going beyond what would normally be considered their duty of care. Overcliff DS0000018406.V265626.R01.S.doc Version 5.0 Page 16 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 3 3 3 x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 4 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 4 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 4 4 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Overcliff Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 4 3 DS0000018406.V265626.R01.S.doc Version 5.0 Page 17 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. 1. Refer to Standard YA24 Good Practice Recommendations The only recommendation is to continue the programme of decoration to enhance the quality of life for the residents. Overcliff DS0000018406.V265626.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Overcliff DS0000018406.V265626.R01.S.doc Version 5.0 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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