Inspection on 07/11/08 for Serenity House

This inspection was carried out on 7th November 2008.

CSCI found this care home to be providing an Adequate service.

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.

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Extracts from inspection reports are licensed from CQC, this page was updated on 30/01/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Serenity House 40 the Quadrangle Eastleigh Hampshire SO50 4FW     The quality rating for this care home is:   one star adequate service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Chris Johnson     Date: 0 7 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 24 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 24 Information about the care home Name of care home: Address: Serenity House 40 the Quadrangle Eastleigh Hampshire SO50 4FW 02380766008 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Miss Tracy Jane Moore Type of registration: Number of places registered: care home 3 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users to be accommodated is 3. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD). Date of last inspection Brief description of the care home Serenity House was registerd as care home on 2nd May 2008. The home has provision to accomodate a maximum of three people with learning disbilities. The home is a domestic property with accommodation arranged over two floors. There are three bedrooms, two located on the first floor and one located on the ground floor. Communal areas on the ground floor consists of a combined lounge and dining room and kitchen. There is a small toilet and separate shower room next to the kitchen and a bathroom on the first floor. The home is located on the outskirts of Eastleigh Town centre and is close to shops and other amenities. Care Homes for Adults (18-65 years) Page 4 of 24 Over 65 0 3 Care Homes for Adults (18-65 years) Page 5 of 24 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The purpose of this inspection was to assess what the outcomes are for people who use this service and how well the home is doing in the meeting of all key National Minimum Standards. This was the first inspection of the service since it was registered in May 2008. The home has not yet become operational and no one has lived at the home. The findings of this report are based on different sources of evidence. These included a visit to the home on the 7th November 2008 , an Annual Quality Assurance Assessment document (AQAA) completed by the provider prior to the visit and evidence gathered during the registration process. The manager was given one days notice prior to the visit. This was to ensure her availability, as currently there is not anyone living at the home. Care Homes for Adults (18-65 years) Page 6 of 24 During this visit we looked around the home including bedrooms and all communal areas of the home. We talked to the provider/manager and examined some records and written documentation. Due to the fact that no one has lived at this home and that the home does not employ any staff it was not possible to assess several of the outcome areas or seek feedback from other professionals. Neither was it possible to fully assess whether policies and procedures would be carried out in practice. This means that none of the outcome areas can receive a rating of more than adequate. The provider reported that weekly fees to live at the home would be in the region of eight hundred and fifty pounds sterling per week. This information was obtained at the time of the inspection. Members of the public may wish to obtain more up to date information from the care home. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 24 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 24 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People referred to this home would have their needs assessed prior to admission so that the individual and the home could be sure that the home is right for them and will meet their needs. Evidence: The provider stated in the AQAA that, people would only be admitted after a full assessment had been undertaken and that this would include the opportunity for people to visit the home before making a decision. They told us that, The home will not place someone whose needs it cannot meet. The home has a Statement of purpose and a Service User Guide to let people who are considering moving into this home know the aims and objectives of the home and the type of support that the home can provide. We looked at a copy of the Service User Guide whilst at the home. This had been written in large print. The manager told us that she had produced an alternative pictorial version of this guide. A copy was not however available at the home at the time of the visit. We discussed with the provider the importance of making sure that information is made available to people in a format Care Homes for Adults (18-65 years) Page 10 of 24 Evidence: that is suitable to their needs. Care Homes for Adults (18-65 years) Page 11 of 24 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. It was not possible to assess these standards as no one has lived at at this home since it was registered in May 2008. Evidence: The provider stated in the AQAA that, people would be involved in all aspects of decision making regarding their care and support needs. They also said that people living at the home would be encouraged to be involved in decision making within the home and that there would be regular house meetings. During our visit to the home we saw that there was secure storage facilities to store peoples files and the home had a written policy regarding confidentiality. Care Homes for Adults (18-65 years) Page 12 of 24 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. It was not possible to assess these standards as no one has lived at at this home since it was registered in May 2008. Evidence: The provider stated in the AQAA that, We specialise in motivating and encouraging service users to develop hobbies and skills, training, employment and religious needs. We encourage friends, outings and sport. We encourage service users to take part in writing menus. They have a choice on where and when to eat. Care Homes for Adults (18-65 years) Page 13 of 24 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. It was not possible to assess these standards as no one has lived at at this home since it was registered in May 2008. Evidence: The provider told us in the AQAA that, staff would provide flexible support to maximise peoples privacy, dignity and Independence. They also said that people would have a choice where possible of which staff would work with them and that they would be supported with their health care needs. Care Homes for Adults (18-65 years) Page 14 of 24 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has written procedures in place for the protection of people that would live there. As no one has lived at at this home since it was registered in May 2008, assessment of the effectiveness of the level of protection that the home offers people could not be fully made. Evidence: During the registration process the provider was able to demonstrate to us that they had appropriate policies and procedures relating to safeguarding people that would live at the home. The homes Statement of Purpose and Service User Guide contain copies of the homes complaints procedure. In the AQAA the provider stated that, Staff and the manager listen and act on the concerns and views of the service users and others before they develop into problems and formal complaints. This is why we intend to hold weekly meetings where service users are encouraged to have their say on the running of the house. During our visit we saw that the home has written policies and procedures regarding Care Homes for Adults (18-65 years) Page 15 of 24 Evidence: safeguarding people and this included procedures for the safe management of peoples finances. The manager demonstrated that she was aware of her responsibility for reporting abuse and has received training in previous employment. Care Homes for Adults (18-65 years) Page 16 of 24 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is clean and tidy. As no one has lived at at this home since it was registered in May 2008 and that bedrooms are not at present fully furnished, assessment of the effectiveness of these standards could not be fully made. Evidence: During the visit to the home we had the opportunity to see all bedrooms and communal areas of the home. The home is a domestic property with accommodation arranged over two floors with the first floor being reached by staircase. There are three bedrooms, two located on the first floor and one located on the ground floor. Communal areas on the ground floor consists of a combined lounge and dining room and kitchen. There is a small toilet and separate shower room next to the kitchen and a bathroom on the first floor. The home is located on the outskirts of Eastleigh Town centre and is close to shops and other amenities. Care Homes for Adults (18-65 years) Page 17 of 24 Evidence: We previously carried out a visit to the home as part of the registration process. It was identified then, that the garden was in need of renovation. The provider has told us that when people move in to the home they will be involved in the design and re landscaping of the garden. Also at the time of registration none of the radiators were low surface temperature radiators and none of the radiators had safety covers fitted. We received written confirmation from the provider prior to registration to confirm that all the radiators in the house had been fitted with covers. At this visit to the home we found that none of the radiators had covers fitted. The provider explained that they had been removed to be painted and said that they would be replaced as soon as this had been completed. Bedrooms have only been basically furnished. The provider has told us in writing that she will supply new bedroom furnishings should people not prefer to bring their own furniture when they move in. The provider has also provided us with a written undertaking that each person moving into the home will be risk assessed and if required window restrictors and Thermostatic Mixer Valves will be fitted to minimise the risk of falls from windows and scalding. During the registration process we were also supplied with written protocols describing how infection control procedures would be followed. We noted at this visit to the home that the bathroom door would not close properly this was pointed out to the provider and they agreed to rectify this. It is advised that the provider implements regular checks of the building to ensure that maintenance issues are highlighted and can be attended to promptly. Care Homes for Adults (18-65 years) Page 18 of 24 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. It was not possible to assess these standards as no staff have been employed to work at the home since it was registered in May 2008. Evidence: We saw evidence during the registration process that the home had policies and procedures in place for the recruitment and induction of staff. The AQAA stated that the home had a, Comprehensive induction process. It also told us that staff would be selected to meet peoples needs, that the ratios of staff to service users would be determined by peoples assessed needs. We were unable to test this out due to the fact that the home had not employed any staff. Care Homes for Adults (18-65 years) Page 19 of 24 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. As no one has lived at at this home since it was registered in May 2008, assessment of the effectiveness of these standards could not be fully made. There are management systems in place to indicate that the home would run safely and in peoples best interests. Evidence: The registered manager/ provider has completed the Registered Managers Award and is currently undertaking an NVQ level four in care. We saw during our visit that the home had different tools for assessing the quality of service that it would provide. These included surveys to seek the views of people living at the home, friends, relatives and other stakeholders such as health and social care professionals. We know from documentation supplied to support the registration application that the Care Homes for Adults (18-65 years) Page 20 of 24 Evidence: home has service contracts and certificates for the fire alarm system, emergency lighting, gas safety and electrical installations. During the visit to the home we looked at the fire log book and it was noted that the provider had not been testing the equipment regularly. The provider stated that she was aware of the importance of carrying out regular tests and that these would be done once people had moved into the home. It will be important however for the provider to be certain that all equipment is working correctly prior to anyone moving into the home. Information received at the time of registration and in the AQAA provided evidence that the home has appropriate policies and procedures for the wellbeing of people who will live there. However it was not possible to assess whether policies and procedures would be carried out in practice as no one has lived at the home. Care Homes for Adults (18-65 years) Page 21 of 24 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 22 of 24 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 23 of 24 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 24 of 24 - 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!