Inspection on 26/09/05 for Sandbourne House

This inspection was carried out on 26th September 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Sandbourne House 23/09/09

Sandbourne House 13/09/07

Sandbourne House 27/09/06

Sandbourne House 25/01/06

Sandbourne House 23/03/05

Sandbourne House 08/02/05

Sandbourne House 18/02/04

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 Sandbourne House 1 Sandecotes Road Parkstone Poole Dorset BH14 8NT Lead Inspector Stephanie Omosevwerha Unannounced Inspection 26th September 2005 10:00 Sandbourne House DS0000004080.V254467.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 Sandbourne House DS0000004080.V254467.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. Sandbourne House DS0000004080.V254467.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Sandbourne House Address 1 Sandecotes Road Parkstone Poole Dorset BH14 8NT 01202 742284 01202 742284 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) Mrs Helen Vivien Somerville Mrs Janet Lesley Young Miss Lisa Toms Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Sandbourne House DS0000004080.V254467.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd March 2005 Brief Description of the Service: Sandbourne House accommodates 8 adults, with a purpose of providing care and support to residents who have a learning disability. It is owned by Mrs Helen Somerville and Mrs Janet Young. The registered manager is Miss Lisa Toms and she works in the home full time. The home was first registered in 1997, and the majority of the residents have lived there since it opened. It is a large family style house in a residential area of Lower Parkstone. The shopping areas of Parkstone are walking distance away and there is accessible public transport to the towns of Poole and Bournemouth. The house comprises of a lounge, separate diner and kitchen, bathroom, separate WC and each resident has their own bedroom. 4 of the bedrooms have en-suite facilities. Through the kitchen is an office, staff sleeping in room, shower and toilet. The home has a well-kept garden. The home is staffed 24 hours of the day, with at least two staff on duty when the service users are at home, except at night when only one sleep in member of staff is needed. There is no structured day care provided by the registered owners, as all the current residents attend day centres run by different agencies. Sandbourne House DS0000004080.V254467.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was an unannounced inspection of the home and took place over 6 hours. It was carried out as part of the planned inspection programme for care homes undertaken by CSCI and to address the requirements and recommendations made at the previous inspection. During the inspection all communal rooms were seen and a sample of 4 service users bedrooms were viewed. Sandbourne House have recently promoted the deputy manager to manager and she was present throughout the day. The inspector also had the opportunity to speak with 4 residents both on an individual and collective basis, 1 member of care staff and the responsible individual. A sample of records was checked including care plans, service user files, financial records, risk assessments and staffing records. A sample of policy and procedures were also read such as policies for recruitment and admission. Previous inspection reports were taken into account and reports from monthly monitoring visits carried out by the responsible individual. What the service does well: Sandbourne House provides a comfortable and homely environment that clearly reflects the lives of the people who live there. Service users commented to varying degrees on the care and support they received during the inspection. The comments were very positive and none expressed any unhappiness or concerns. Observations made during the visit indicated that service users shared good relationships with staff, and that staff were knowledgeable and understanding of each person’s needs and preferences. Personal care was provided in a supportive way with staff being mindful of service users privacy and dignity. Service users had good access to local health care services and professionals. Service users enjoyed participating in a wide range of daytime, social and leisure activities and spoke enthusiastically about their holiday in the summer. Sandbourne House has been assessed through previous inspections as a service, which consistently achieves good outcomes for service users. It has a good track record of compliance with Regulations and National Minimum standards and this was further evident from this inspection as all the requirements and recommendations made at the previous inspection had been carried out. Sandbourne House DS0000004080.V254467.R01.S.doc Version 5.0 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. Sandbourne House DS0000004080.V254467.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 Sandbourne House DS0000004080.V254467.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 4. The home gave careful consideration about whether they could meet the needs of any prospective service users based on a professional assessment, meeting the service users and information provided by the family. Introductory visits and a trial period were offered to ensure service users had time to settle in and determine whether the placement was suitable for their needs. EVIDENCE: During the inspection a sample of 4 residents’ individual files were case tracked. There was evidence on these of community care assessments and care plans provided by a care manager. The home has a written admission procedure that states, “before admission a full physical and educational/social assessment will be carried out.” The home currently has one vacancy and the manager discussed the admission process with the inspector. It was evident from discussion that careful consideration had been given to whether the home could meet the service users needs, e.g. issues such as staffing and risk assessments had been taken into account. The home had been liaising with the care manager of a prospective new resident. They had been provided with written assessments and had also had the opportunity to meet the service user’s family to obtain additional information. There was evidence that the service user had the opportunity to visit the home as the service user was visiting the home for tea on the day of the inspection. The admission procedure specifies all new Sandbourne House DS0000004080.V254467.R01.S.doc Version 5.0 Page 9 admissions are subject to a three-month trial period “to allow the resident time to settle in, allow for them to make up their minds about their new home and to determine whether the placement is suitable for the client’s needs”. Sandbourne House DS0000004080.V254467.R01.S.doc Version 5.0 Page 10 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 and 9. Service users’ individual plans clearly identify their assessed needs and these are regularly reviewed with service user participation to reflect any changes/personal goals. Service users were able to make decisions about their daily lives ensuring they were happy with their day-to-day care. The home has appropriate policies and procedures in place for assessing and managing risks, which are based on enabling service users to take responsible risks rather than preventing them from doing so. EVIDENCE: A sample of four residents’ files was viewed as part of the inspection. Service users needs were identified clearly including physical and mental health, communication, work/occupation, personal care, domestic tasks, personal relationships, mobility, social life and financial. Some residents had signed their plans to evidence their participation in the process. Staff also sign to confirm they have read the care plans and are aware of each service users needs. There was further evidence of regular reviews as plans had been amended in January 2005 and July 2005. Sandbourne House DS0000004080.V254467.R01.S.doc Version 5.0 Page 11 There was evidence that service users were working towards and achieving personal goals and examples included one service user no longer needing to wear incontinence pads but being supported by staff to regularly use the toilet, another service user had lost weight and was pleased to show the inspector a photograph showing how much weight she had lost. The home has also begun to work with service users to produce person centred plans. The inspector was shown an example of this. The plan contained personal information including service users likes and dislikes and further information about significant events in their lives. This plan was in picture format to make it fully accessible to the service user and enable them to significantly contribute to their own personal plans. Service users spoken with during the inspection commented to varying degrees on the care and support they received; the comments were very positive and none expressed any unhappiness or concerns. There was evidence that service users were consulted on a regular basis and encouraged to make decisions about their lives. Regular residents meeting were held in the home and the inspector was shown the minutes of these. Issues such as outings, staffing, health and safety and complaints had been discussed. Residents told the inspector they were supported to make decisions about their lives on a regular basis, e.g. service users had chosen how their room was decorated, one service user had stayed home from the day service to attend a friend’s funeral, other service users had recently started an art course which they had chosen to do. One resident currently attends the Poole Forum (a local self advocacy group), however, the inspector recommended that the home would benefit from finding out additional information about local advocacy groups that could offer service users support if necessary. All service users have their own bank accounts and are supported to manage their own finances. A sample of financial records was sampled and these were up-to-date and accurate. It was recommended, however, that cards and pin numbers were kept separately to enhance security. The registered proprietor is currently appointee for 3 residents and their savings books were not available in the home for inspection. The home must, therefore, keep records of all service users monies in the home in order that these can be inspected on request. There was evidence that risks were well managed in the home. Consideration had been given and risk assessments formulated on a variety of potential hazards e.g. radiators, windows, and water temperature. The assessments showed suitable actions had been taken to minimise risk such as fitting restrictors to windows and valves to taps to ensure a safe water temperature. Individual risk assessments were also completed e.g. trips and falls, cooking, medication and finances. There was evidence that service users were supported to take responsible risks e.g. freedom to access the local community and utilise public transport as appropriate. Sandbourne House DS0000004080.V254467.R01.S.doc Version 5.0 Page 12 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): 12, 13, 14 and 16. Each resident has a suitable weekly activity programme that varies according to individual need. Service users regularly access the facilities in the local community and participate in a wide range of social and leisure activities. Individual rights are respected and responsibilities in the home are clearly understood and recognised by the service users. EVIDENCE: All service users were out at their usual day time activities at the beginning of the inspection except one service user who had stayed home to attend a friend’s funeral. Individual care plans showed that service user attended activities including local day services, adult education classes and work placements. Two service users came back from an art class they had just started and chatted enthusiastically about their day to the inspector. There was further evidence that service users had good links with their local Sandbourne House DS0000004080.V254467.R01.S.doc Version 5.0 Page 13 community and residents told the inspector that they used the local shops and post office. Service users spoke positively about the leisure activities the home provided. They gave examples of recent trips that included a ride on a steam train, a visit to a local farm and a trip to “Monkeyworld”. They also said they enjoyed lunches out sometimes at local pubs/cafes. In the summer they made use of a beach hut and they had enjoyed a holiday to Croyde Bay. Service users were also able to pursue their own interests in the home such as listening to music and watching TV. Service users reported that their privacy was respected and that they could spend time alone in their rooms or socialise in the communal areas of the home. Responsibilities for household chores were clearly set out in individual plans, e.g. laying the table, making simple snacks, making drinks, washing up and using the washing machine. Residents explained they generally took care of their own rooms and also participated in domestic tasks around the home e.g. hoovering. Sandbourne House DS0000004080.V254467.R01.S.doc Version 5.0 Page 14 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 and 19. Personal care was carried out sensitively in a way that promoted service users choice and independence. Service users had good access to healthcare services ensuring that all their physical and emotional needs are well met. EVIDENCE: Personal care needs were clearly documented on individual care plans. These varied with some residents being independent only requiring occasional verbal prompting to those residents that were more dependent on staff assistance. There was an emphasis on supporting service users to do what they could e.g. “X can take her shoes off and put clothes into wash basket”. Residents indicated that they received the care they needed and they were treated with dignity and respect. Health care needs were also clearly set out taking into account service user physical and mental health needs. Records showed service users had good access to healthcare services such as attending clinics for hearing or breast screening and access to healthcare professionals such as dentists, opticians and chiropodists. Good records were kept of service users current medication and further information about health conditions such as epilepsy was available in the home. Sandbourne House DS0000004080.V254467.R01.S.doc Version 5.0 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. Service users were offered regular opportunities to raise concerns ensuring any potential issue was dealt with swiftly before it became a more serious problem. EVIDENCE: The inspector was shown a copy of the home’s complaints procedure that is also available in a format suitable for service users. Service users are offered further opportunities to raise any concerns and there was a regular item for discussing complaints at the residents meeting, which was evident on the minutes seen by the inspector. The home keeps a complaint log, however, no complaints have been received concerning the service. Sandbourne House DS0000004080.V254467.R01.S.doc Version 5.0 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. Sandbourne House is comfortable and homely and clearly reflects the lives of the people who live there. EVIDENCE: All communal areas were viewed as part of the inspection and a sample of 4 resident’s rooms were seen. Communal rooms consisted of a lounge, dining room and kitchen. They were seen to be clean and bright and decorated in an attractive, homely way. Service users were observed to have unrestricted use of all communal areas throughout the inspection. Bedrooms had been individually personalised and residents confirmed they had been able to choose the décor. There was plenty of space for personal items and service users told the inspector they like their rooms. Sandbourne House DS0000004080.V254467.R01.S.doc Version 5.0 Page 17 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): 34. The home has a robust recruitment procedure that provides service users opportunities to feedback on candidates ensuring staff are employed that are suitable and have an understanding of adults with learning disabilities. EVIDENCE: The home’s recruitment procedure was examined. This consisted of placing an advert, sending out application forms and job descriptions, giving prospective candidates the opportunity for an informal visit to the home to meet the residents who were then able to give feedback on the applicant. Interviews were then carried out with reference to equal opportunities. Successful applicants were then appointed subject to satisfactory references and a clear enhanced CRB and POVA check. A sample of 3 staff files was viewed. All records were complete with relevant references and CRB checks in place. Staff received terms and conditions and were appointed subject to a 3 month probationary period. There was evidence that a review was carried out after 3 months and the employee was then either made permanent or the probationary period extended if necessary. Copies of the General Social Care Council’s codes of conduct and practice were available to all staff. Sandbourne House DS0000004080.V254467.R01.S.doc Version 5.0 Page 18 Staff spoken with told the inspector they enjoyed their work and residents also spoke positively about the staff. Observations made during the visit indicated that service users shared good relationships with staff, and that staff were knowledgeable and understanding of each person’s needs and preferences. Sandbourne House DS0000004080.V254467.R01.S.doc Version 5.0 Page 19 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. The registered manager has been promoted from within the home so has a good understanding of how the home is run. She is committed to training and keeping herself informed so she can competently carry out her role. EVIDENCE: The deputy manager has been promoted since the previous inspection of the home and is now the registered manager. She has completed her NVQ Level 4 in care successfully and is currently undertaking her registered managers award. Since the last inspection she has built in a regular session each month to update herself on current legislation and information regarding best practice to ensure she is informed. She is supported in her role by the responsible individual who is an experienced manager. The Responsible Individual now undertakes regular monthly monitoring visits and reports and sent to CSCI. Sandbourne House DS0000004080.V254467.R01.S.doc Version 5.0 Page 20 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 3 X Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 2 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X X X 3 X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Sandbourne House Score 3 3 X X Standard No 37 38 39 40 41 42 43 Score 3 X X X X X X DS0000004080.V254467.R01.S.doc Version 5.0 Page 21 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. 1 Standard YA7 Regulation 17 Requirement The registered provider must keep a record of all service users’ finances in the home. Timescale for action 30/11/05 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 2 Refer to Standard YA7 YA7 Good Practice Recommendations It is recommended that additional information be found out about local advocacy groups and the services they provide. It is recommended that bankcards and pin numbers be kept separately to enhance security. Sandbourne House DS0000004080.V254467.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Sandbourne House DS0000004080.V254467.R01.S.doc Version 5.0 Page 23 - 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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