Inspection on 21/12/05 for Santosa

This inspection was carried out on 21st 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

Santosa 08/01/09

Santosa 07/01/07

Santosa 12/09/05

Santosa 10/02/05

Santosa 23/09/04

Santosa 29/01/04

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 Santosa Anvil Corner Holsworthy Devon EX22 6NR Lead Inspector Antonia Reynolds Unannounced Inspection 21 December 2005 09:15 st Santosa DS0000022023.V252673.R01.S.doc Version 5.1 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 Santosa DS0000022023.V252673.R01.S.doc Version 5.1 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. Santosa DS0000022023.V252673.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Santosa Address Anvil Corner Holsworthy Devon EX22 6NR 01409 254434 01409 254434 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) Atlas Project Team Limited Mr Paul Hewitt Mrs Michelle Ann Fleming Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Santosa DS0000022023.V252673.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Five service users with a learning disability aged 18 - 65 Mrs Fleming to complete Registered Manager`s Award and NVQ 4 in Care by 4th November 2006. 12th September 2005 Date of last inspection Brief Description of the Service: Santosa is a care home providing personal care and accommodation for five people, aged 18 - 65, with learning disabilities who may demonstrate behaviours that challenge services. It is owned by the Atlas Project Team Limited, which is a private sector The home was opened in 2000 and is a detached bungalow. This home is located in a rural setting, therefore provides transport for service users to access shops, pubs, and other amenities. All the homes bedrooms are single and one of these has en suite toilet and shower facilities. There are separate lounge and dining rooms, as well as a large sunroom, which is designated as a smoking area. The home has a very large garden, with parking facilities. All areas are accessible to the service users. Santosa DS0000022023.V252673.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place between 9.15am and 11.45am on Wednesday, 21st December 2005. The Deputy Manager, Dawn Bond and the Area Manager, Tim Stevens were present throughout the visit. A tour of part of the premises took place as well as observation and discussions with the four service users and three of the four staff on duty. 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. Santosa DS0000022023.V252673.R01.S.doc Version 5.1 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 Santosa DS0000022023.V252673.R01.S.doc Version 5.1 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 User Guide available for prospective service users with details of the services the home provides, enabling an informed decision about admission. EVIDENCE: No new service users have been admitted to the home since the last inspection. However, the organisation has a detailed admissions procedure where all prospective service users are assessed prior to admission by the senior management team within the organisation. Santosa DS0000022023.V252673.R01.S.doc Version 5.1 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): 7 and 8 Service users are enabled to participate in, and make decisions about, all aspects of their lives. EVIDENCE: Discussion with service users, staff and the Area Manager, as well as observation, confirmed that service users were enabled as much as possible to make decisions about their lives and participate in all aspects of life in the home. Staff were fully aware of the needs of each person and confirmed that information contained within the care plans provided them with the detail they needed to provide consistency. Service users confirmed that they have accounts with a local Building Society and, when they need to withdraw money, they are supported to do this by the staff. Santosa DS0000022023.V252673.R01.S.doc Version 5.1 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): 11, 14, 15, 16 and 17 Service users can learn life skills, attend college, participate in any community and leisure activities, choose their own daily routines and enjoy a healthy diet of their choice. EVIDENCE: Discussions with service users, staff and the Area Manager, as well as observation, showed that personal development opportunities and independent living skills were actively encouraged and developed. One of the methods of encouragement was a development incentive programme where service users were paid for tasks achieved. Service users were enabled to attend suitable courses at local further education colleges and participate in various activities both inside and outside the home. Service users were supported to go shopping and take part in leisure pursuits of their choice, unless the risk assessment indicated otherwise. It was evident, through observation during the inspection, that service users considered this to be their home and were empowered to make decisions, in negotiation with the staff team. The home provided two cars for use by the service users which enabled different activities to take place at the same time. Staff were not expected to use their own cars to transport service users. Santosa DS0000022023.V252673.R01.S.doc Version 5.1 Page 10 Service users confirmed that they have a choice of meals, chose the menu and participated in shopping and meal preparation. Service users had access to the kitchen and were involved in all the domestic activities in the home. Service users were aware of their own dietary needs. Service users were encouraged and facilitated to keep in touch with, and see, family and friends, and the home ensured this happened by providing staff support and transport, at no cost to the service users or their families. Service users were able to keep small animals or fish and were encouraged to take responsibility for them. Following consultation with the service users, the home had acquired a cat, and it was evident that the service users were very fond of her. Santosa DS0000022023.V252673.R01.S.doc Version 5.1 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 and 19 Service users can be confident that personal support is provided in the way, and at the time, that service users want and need. Health care needs are addressed as soon as they are identified. EVIDENCE: Discussion with service users, as well as observation, showed that personal and health care needs were being met. Recent events have highlighted the staff team’s ability to manage difficult situations and respond sensitively to service users’ changing emotional health needs. It was clear that timings were flexible and the choice of the service user. Discussion with the Area and Deputy Managers confirmed that external professional advice and guidance was sought when necessary from local health care professionals or social services. Previous inspections have confirmed that visits to and from health care professionals take place in private but staff are always present to facilitate communication and because of the needs of the service users. Santosa DS0000022023.V252673.R01.S.doc Version 5.1 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 and 23 Service users are protected from abuse, neglect and self-harm. Service users can be confident that complaints are always dealt with seriously and any concerns from service users will be listened to and acted upon immediately. EVIDENCE: The home had a complaints procedure and staff and management always responded immediately to any issues raised by service users or their relatives. Neither the home nor the Commission for Social Care Inspection have received any complaints regarding the service since the last inspection. Regular house meetings were held where any issues or concerns were raised and dealt with immediately, although service users can raise any issue at any time. The Area Manager was well aware of adult protection issues and procedures and training has been undertaken, or is planned, for all staff members. Santosa DS0000022023.V252673.R01.S.doc Version 5.1 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, 27, 28 and 30 The standard of the environment is very good, providing service users with an attractive and homely place to live. EVIDENCE: The home was comfortable, safe, clean and well maintained. It was evident that service users felt ‘at home’ in the environment, the home had been decorated for Christmas, and the service users were looking forward to it. The home’s lounge and dining rooms were comfortably furnished and there were plans to extend the lounge room. There was also a large sunroom that was the designated smoking area. Only one bedroom was seen during this visit. Decoration is ongoing, with the bathroom and an en suite shower room being the most recently decorated, and all the rooms were decorated to a good standard. The home is in a rural setting and two vehicles were provided to enable service users to access local amenities with staff support. The home had one bathroom containing a bath with over bath shower, toilet and wash hand basin, which was shared by three service users. However, whilst the 5th bedroom remains vacant, the service users were able to use the en suite shower facility, which was proving a popular addition. There was plenty of outdoor space in the garden, which was well maintained. Santosa DS0000022023.V252673.R01.S.doc Version 5.1 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 and 35 Service users benefit from high staffing levels and a well supported and supervised staff team, creating a calm, relaxed and pleasant atmosphere in the home. EVIDENCE: The Deputy Manager confirmed that there were usually three or four staff on duty during the day and one waking night staff. On the day of inspection, there were four staff members on duty. The organisation operates an ‘on call’ system whereby members of the management team are available both in and out of office hours and the staff team confirmed that this worked well. Unannounced inspections have also shown that the senior Managers within the organisation respond promptly to crises when needed. Two staff members who had been recruited in the last six months confirmed that they had received induction training and attended a course on strategies for crisis intervention, and other training had been undertaken or was planned. The organisation had a training officer who maintained an overview of what the organisation required, as well as ensuring that individual staff members received the training they needed. Training records had been sent to the Commission for Social Care Inspection which confirmed that all staff attended training courses, including National Vocational Qualifications. Training included induction, emergency first aid, health and safety, food hygiene and adult protection as well as training specifically related to the service users, such as Santosa DS0000022023.V252673.R01.S.doc Version 5.1 Page 15 behavioural management courses and strategies for crisis intervention including defusion/distraction techniques as well as physical restraint. Discussions with the service users and staff, as well as observation, indicated that staff understood their roles and responsibilities and the advice, guidance and support of other professionals was sought when necessary. Santosa DS0000022023.V252673.R01.S.doc Version 5.1 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): 38 and 42 The management approach of the home is open and positive and provides clear leadership, with the management team believing in leading by example. Providing quality care is the focus of the organisation. Service users’ rights, health, safety and welfare are protected and promoted. EVIDENCE: The Registered Manager has been away from work for a few weeks due to personal reasons but the management of the home was being overseen by the Area Manager, Tim Stevens, and the Deputy Manager, Dawn Bond. Lines of accountability were clear and the organisation has a management structure that enables it to cover absences when required, and provide an effective ‘on call’ system to support staff. The organisation has introduced a ‘trainee management’ scheme over the last two years and this has worked well. The members of management and staff who were spoken with confirmed that they are consulted and included in any decisions regarding the running of the home. Monthly provider visits are being carried out and copies of the reports sent to the Commission for Social Care Inspection. No health and safety issues were identified during the visit. Santosa DS0000022023.V252673.R01.S.doc Version 5.1 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 X 3 X 4 X 5 X X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 3 X X LIFESTYLES Standard No Score 11 3 12 X 13 X 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 X X X 3 X X X 3 X Santosa DS0000022023.V252673.R01.S.doc Version 5.1 Page 18 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Santosa DS0000022023.V252673.R01.S.doc Version 5.1 Page 19 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 Santosa DS0000022023.V252673.R01.S.doc Version 5.1 Page 20 - 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!