Inspection on 20/12/05 for Sharea

This inspection was carried out on 20th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Sharea 22/12/08

Sharea 24/01/08

Sharea 12/09/07

Sharea 31/08/06

Sharea 07/07/05

Sharea 10/11/04

Sharea 18/05/04

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Thorndene

Insight - Eastchurch

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Magenta

Seabourne House

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Dovedale Court

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

CARE HOME ADULTS 18-65 Sharea Sharea 69 Reigate Road Hookwood Surrey RH6 0HL Lead Inspector Kenneth Dunn Unannounced Inspection 20th December 2005 10:00 Sharea DS0000013783.V261480.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 Sharea DS0000013783.V261480.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. Sharea DS0000013783.V261480.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Sharea Address Sharea 69 Reigate Road Hookwood Surrey RH6 0HL 01293 776248 01293 776248 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) The Avenues Trust Limited William Smith Care Home 6 Category(ies) of Learning disability (6), Learning disability over registration, with number 65 years of age (1), Physical disability (6), of places Physical disability over 65 years of age (1), Sensory impairment (6) Sharea DS0000013783.V261480.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The age/age range of the persons accommodated will be 18-64 years. Persons may be accommodated who have both a learning disability (LD) and a physical disability (PD). 1 (one) person within the category LD(E) or PD(E) may be accomodated over the age of 65 years. 7th July 2005 Date of last inspection Brief Description of the Service: The home is registered as a care home only within the service user category: Learning disability (LD) and Learning disability over 65 years of age with sensory impairment (SI). The home is registered to accommodate a maximum of six Service Users.Avenues Trust Limited manages the home. It is a large detached bungalow with extensive grounds to the front and rear and is situated on as busy main road, south of Reigate town centre. Sharea aims to provide a safe and homely environment that enables Service Users to develop to their maximum potential and where they are treated with dignity and respect. Service Users are very much an integral part of the homes operation despite their profound disabilities. The home provides a good standard of accommodation to its four male and two female Service Users. Sharea DS0000013783.V261480.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report is of the second inspection of the Home by the Commission for Social Care Inspection within the regulatory framework of the Care Standards Act 2000 for the year 2005/6. The Home’s performance was measured against the National Minimum Standards for Care Homes for Younger Adults. A tour of the premises took place and care, training and Health and Safety records were inspected. 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. Sharea DS0000013783.V261480.R01.S.doc Version 5.0 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 Sharea DS0000013783.V261480.R01.S.doc Version 5.0 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): Standard 1, 2, 3, 4 & 5 were assessed on the last inspection. EVIDENCE: For information on these standards please refer to the report of 7th July 2005. Sharea DS0000013783.V261480.R01.S.doc Version 5.0 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): Standard 6, 7, 8, 9 & 10 EVIDENCE: For information on these standards please refer to the report of 7th July 2005. were assessed on the last inspection. Sharea DS0000013783.V261480.R01.S.doc Version 5.0 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): Standard 11, 12, 13, 14,15,16 & 17 were assessed on the last inspection. EVIDENCE: For information on these standards please refer to the report of 7th July 2005. Sharea DS0000013783.V261480.R01.S.doc Version 5.0 Page 10 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): Standard 18, 19, 20 & 21 were assessed on the last inspection. EVIDENCE: For information on these standards please refer to the report of 7th July 2005. Sharea DS0000013783.V261480.R01.S.doc Version 5.0 Page 11 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 The service is currently meeting both of the assessed standards. The manager was able to demonstrate that residents were being appropriately protected and that residents’ were safeguarded from abuse. EVIDENCE: The complaint procedure was compliant with statutory requirements. Records demonstrated there had been no formal complaint received by the home or the regulator within the last twelve months. Service Users are well protected by the companies training policies and procedures with regard to the protection of vulnerable adults. Up to date training in the Protection of Vulnerable Adults is in place and is part of the company’s ongoing commitment to staff training. Sharea DS0000013783.V261480.R01.S.doc Version 5.0 Page 12 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27 28, 29 & 30 The home was fully decorated and ready for the Christmas holidays. However the overall standard of décor and equipment in this home remains very poor and no improvement has been made to try and comply with the requirements from the previous inspection. EVIDENCE: The staff group and the manager have made an excellent effort in decorating the home in preparation for the festive season. Unfortunately all of the requirements made during the previous inspection were still outstanding and as follows, Interior redecoration has been carried out in a haphazard fashion and as such is of poor quality and is institutional in appearance. The kitchen is worn, unsightly and hazardous with broken and unsafe doors and worktops on the units The upstairs bathroom sanitary ware does not match. The bath and hand basin are green and the toilet is white. The toilet fitting is unsightly with a wooden casing surrounding the soil pipe, which is stained and difficult to clean. The downstairs toilet has been replaced with a white unit that does not match the existing sanitary ware. The installation of the toilet unit has not been completed and the area surrounding the toilet bowl is unsightly and unhygienic. Sharea DS0000013783.V261480.R01.S.doc Version 5.0 Page 13 The communal lighting in the home is unsatisfactory and does not provide sufficient adequate lighting for people with visual disability. In addition to the overall poor standards of the interior of the home the exterior of the house gives an impression of dilapidation and poor mantaince. The frontage of the house and the drive way is over grown and rutted and does not create a good impression. The boundary fence to the right of the home has collapsed and could present a potential risk to the service users. The rear terrace was covered with moss and had weeds growing through the paving. There is also an ongoing issue with the homes septic tank and the drainage of the site. The problem with the tank is between the service and a newly built property to the rear of the property. On the day of the inspection the service was being surveyed in an attempt to resolve these issues. The manager has contacted and made repeated representation to the landlords of the home in an effort to remedy the issues with the property. The manager produced copies of letters and e-mails that he made in an effort to comply with the requirements previously made by the CSCI. Presently only the kitchen has received any attention and it has been proposed that it will be replaced early in the New Year. The registered provider must ensure that the landlords undertake to carryout all remedial work on the home and ensure that all requirements are fully completed within the timescale given in this report. Sharea DS0000013783.V261480.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, 34, 35 & 36 The staff group and a well-planned approach to training and development of the workforce meet the support needs of residents. EVIDENCE: Recruiting staff to permanent posts has proved to be very difficult for this service on account of the location of the home, which is in a rural setting with very limited public transport. One member of staff informed the inspector that if there are gaps in the rota they are covered from within the staff group working extra shifts and a high use of agency staff. In an effort to alleviate the staffing issue the manager is interviewing potential staff to fill all of the homes vacancies. Staff can access regular training updates and are conversant with the needs of residents with sensory impairment and physical or learning disabilities. Members of staff spoken to during the inspection confirmed that they could access training and development through the organisation or NVQ training. There is a key worker system in place and new staff have received induction training. Sharea DS0000013783.V261480.R01.S.doc Version 5.0 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 The home is managed in an open and inclusive atmosphere, creating a homely place to live for the service users. EVIDENCE: The service is clearly a home, it has ongoing environmental issues but the manager and his team are very dedicated to ensuring that the service users receive a high quality of care. The manager explained that it is the ethos of the home to ensure that the service users are fully supported in their everyday lives and can enjoy a lifestyle that is as community based as possible. Sharea DS0000013783.V261480.R01.S.doc Version 5.0 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 1 1 1 1 1 1 1 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 2 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Sharea Score X X X X Standard No 37 38 39 40 41 42 43 Score 3 X X X X X X DS0000013783.V261480.R01.S.doc Version 5.0 Page 17 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 YA24 Regulation 16 (1)(g) Requirement It is required that the kitchen is refurbished as soon as possible. Please provide an action plan for refurbishment. This requirement has been carried over from the 7thof July 2005 and must now be considered for immediate action. It is required that the kitchen is refurbished as a matter of urgency and the broken, unsightly and unhygenic units are replaced. This requirement has been carried over from the 7thof July 2005 and must now be considered for immediate action. It is required that the upstairs bathroom sanitary ware is replaced, as the current equipment does not match. The bath and hand basin are green and the toilet is white. The toilet fitting is unsightly with a wooden casing surrounding the soil pipe, which is stained and impossible to clean. This requirement has been DS0000013783.V261480.R01.S.doc Timescale for action 20/12/05 2. YA24 23(2)(bd)(p) 20/12/05 3. YA24 23(2)(bd)(p) 20/12/05 Sharea Version 5.0 Page 18 4. YA24 23(2)(bd)(p) 5. YA24 23(2)(bd)(p) carried over from the 7thof July 2005 and must now be considered for immediate action. It is required that the installation of the toilet unit is completed and the area surrounding the toilet bowl that is unsightly and unhygenic is made good. Also that the hand basin in the downstairs toilet is replaced with one that matches the current toilet bowl. This requirement has been carried over from the 7thof July 2005 and must now be considered for immediate action. It is required that the communal lighting in the home that is unsatisfactory and does not provide sufficient adequate lighting for people with visual disability, be replaced as soon as possible. This requirement has been carried over from the 7thof July 2005 and must now be considered for immediate action. 20/12/05 20/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Sharea DS0000013783.V261480.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Sharea DS0000013783.V261480.R01.S.doc Version 5.0 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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