Inspection on 09/01/06 for Shakespeare House

This inspection was carried out on 9th January 2006.

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

Shakespeare House 28/06/07

Shakespeare House 19/08/05

Shakespeare House 08/09/04

Shakespeare House 13/05/04

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

CARE HOME ADULTS 18-65 Shakespeare House 34 Pier Road Littlehampton West Sussex BN17 5LW Lead Inspector Mrs Jennifer Wright Unannounced Inspection 9th January 2006 10:30 Shakespeare House DS0000014712.V271875.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 Shakespeare House DS0000014712.V271875.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. Shakespeare House DS0000014712.V271875.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Shakespeare House Address 34 Pier Road Littlehampton West Sussex BN17 5LW 01903 723164 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 Susan Elizabeth Howes Mrs Susan Elizabeth Howes Care Home 3 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (2), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (1) Shakespeare House DS0000014712.V271875.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Only service users in the MD (mental disorder, past or present) category under 65 years may be admitted to the home. 19th August 2005 Date of last inspection Brief Description of the Service: Shakespeare House is a care home registered to accommodate up to 3 residents in the category of younger adults, with an additional condition that 1 of the residents could be in the category of older persons. It is a 3 storied terraced property located in Littlehampton, near to the river and the sea. The service is owned and managed by Mrs. Susan Howes. The Manager has received a satisfactory enhanced Criminal Records Bureau check. Shakespeare House DS0000014712.V271875.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, the second of a minimum of two statutory visits that an inspector must make to each care home during the course of a year. The first inspection, which was also unannounced, was undertaken earlier in the year. At this inspection the Inspector looked at any standards that were not looked at during the previous inspection, as well as any outstanding issues from the last report or concerns raised about the home since the last inspection. The reader is advised to look at the reports of both inspections for a fuller picture of the home. During this inspection the Inspector examined records of care being provided to residents; as well as records of any accidents, issues, concerns or complaints, to make sure that the residents at Shakespeare House are being taken care of. The inspector talked to the two residents currently accommodated at the home. The Manager was present throughout the inspection. At this inspection Shakespeare House was audited against the National Minimum Standards for Younger Adults. All of the elements in each of the standards assessed were met. The Inspector would like to thank everyone who cooperated with her on the day of this inspection. What the service does well: The home was seen to have a dedicated Manager, who runs the home with the support of an equally enthusiastic member of staff. It was evident that they both work hard to improve the quality of life of those in their care. Care Plans are satisfactory and contain all the information needed to care for the people who live at Shakespeare House. There is just one member of staff besides the Manager, which means that the residents always know the person on duty. The home is located in the town centre and residents attend a variety of activities and local community events. Residents are encouraged and supported to live as full a life as they are able. Residents told the Inspector that they are regularly consulted about the daily running of the home. Records, including care plans were seen to be up to date, and safely stored. Shakespeare House DS0000014712.V271875.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. Shakespeare House DS0000014712.V271875.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 Shakespeare House DS0000014712.V271875.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 Residents and their families or representatives have the information they need to make an informed choice about Shakespeare House, and are suitably assessed before placement. EVIDENCE: Each resident is given a Statement of Purpose and Service Users Guide and a Contract when they enter the home. Most of the residents have family, or a Social Care Worker or a solicitor, who act on their behalf. The Manager assesses all residents prior to their being accepted by the home Shakespeare House DS0000014712.V271875.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): 7 Residents make decisions about their lives with assistance as needed. EVIDENCE: Residents told the Inspector that the Manager encourages them with anything they like to do. One resident was recently given a subscription to a local sports centre, as a Christmas present from the Manager, to encourage his love of football. Shakespeare House DS0000014712.V271875.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): These standards were not assessed on this occasion, however these standards were met at the last inspection. EVIDENCE: Shakespeare House DS0000014712.V271875.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): 21 The ageing, illness and death of a resident are handled with respect, and as the individual would wish. EVIDENCE: Shakespeare House has not yet experienced a death, however the Inspector was assured that every resident would be able to have the sort of funeral that they would prefer, and that family or friends would be offered a spare bedroom, if available, or a comfortable chair in the residents room, at the end of their life. Having spoken with the Manager, it would appear that Shakespeare House would treat residents who are dying, and their family and friends with respect, care and sensitivity. Shakespeare House DS0000014712.V271875.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 and 23 Residents feel their views are listened to and acted upon. All complaints are recorded. EVIDENCE: Comments received from the residents at Shakespeare House were that they felt their opinions were sought, and that they were listened to. There were no complaints recorded at the time of the inspection. Shakespeare House DS0000014712.V271875.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 and 30 Residents live in a homely, comfortable, clean and safe environment, EVIDENCE: Records of maintenance work carried out at Shakespeare House showed the premises to be safe for the people who live there. The bedrooms and communal areas are nicely decorated to make Shakespeare House a really homely place. Shakespeare House was found to be clean and hygienic throughout, on the day of inspection. Shakespeare House DS0000014712.V271875.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): 33 Residents are supported by an effective staff team. EVIDENCE: Both the residents spoke very highly of the Manager and the staff member, who have been at the home a long time. They said “they could not praise them enough”, and felt really supported by them both. Shakespeare House DS0000014712.V271875.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): 38, 40, 41 and 43 Residents benefit from a well run home, and from the ethos, leadership and management approach of the home. Resident’s rights and best interests are safeguarded by the home’s policies and procedures, and record keeping. The residents benefit from competent and accountable management of the service. EVIDENCE: It is apparent that the needs of the residents are uppermost at Shakespeare House, and that the Manager and the member of staff ensure that resident’s rights and best interests are safeguarded at all times. Records of ongoing assessments of residents, etc were available to the Inspector who saw that reviews are held at regular intervals, and that these are recorded appropriately. Mrs. Howes takes an active interest in the health and well being of the residents at her home. The Inspector was assured that all the persons administering medication had received the appropriate training. Fire records were examined and these showed regular fire training. Insurance was seen to be up to date, and there Shakespeare House DS0000014712.V271875.R01.S.doc Version 5.0 Page 16 is a business and financial plan for the home, which would be available to the Commission for Social Care Inspection upon request. Shakespeare House DS0000014712.V271875.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Shakespeare House Score X X X 3 Standard No 37 38 39 40 41 42 43 Score X 3 X 3 3 X 3 DS0000014712.V271875.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Shakespeare House DS0000014712.V271875.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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