Inspection on 11/10/05 for Shinewater Court

This inspection was carried out on 11th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Shinewater Court 05/11/07

Shinewater Court 18/07/06

Shinewater Court 13/06/05

Shinewater Court 12/10/04

Shinewater Court 01/06/04

Similar services:

Thorndene

Sutton Lodge Nursing Home

Wingham Court

Bethany Lodge

17 John Street

Red Oaks

Clare House Nursing Home

Broad Oak Manor Nursing Home

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

CARE HOME ADULTS 18-65 Shinewater Court Milfoil Drive North Langney Eastbourne East Sussex BN23 8ED Lead Inspector Nigel Thompson Announced Inspection 11th October 2005 09:30 Shinewater Court DS0000021212.V258230.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 Shinewater Court DS0000021212.V258230.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. Shinewater Court DS0000021212.V258230.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Shinewater Court Address Milfoil Drive North Langney Eastbourne East Sussex BN23 8ED 01323 769196 01323 460279 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 Disabillities Trust Miss Carol Wade Care Home 31 Category(ies) of Physical disability (31) registration, with number of places Shinewater Court DS0000021212.V258230.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users to be accommodated is thirtyone (31). Service users are aged 18 - 65 years on admission. Only adults with a physical disability are to be accommodated. Date of last inspection 13th June 2005 Brief Description of the Service: Shinewater Court is owned, managed and staffed by the Disabilities Trust and was opened in 1988. It is registered with the Commission for Social Care Inspection and provides residential care and support for up to 31 people with a physical disability, aged from 18-65 years of age, on admission. The premises are purpose built and are designed to a high specification, with wheelchair access throughout. Service user accommodation comprises of a bed-sitting room, with full en-suite facilities or a spacious, self-contained flat. An alarm call system, television and telephone points are fitted as standard. There are several large communal areas, a spacious café style dining room and a choice of three shared kitchens. Throughout the complex there are electric doors and a lift provides access to the lower ground floor. Independence is promoted within the home and service users are encouraged and enabled to make choices and take decisions affecting their day-to-day living. Meals are prepared on the premises by the experienced chef and cook and are varied, balanced and nutritious. Other facilities provided include a fully equipped Activities Centre, with a range of computers and adaptations, a mini bus, a physiotherapy room and a large, safe and secluded garden. Shinewater Court DS0000021212.V258230.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over six hours in October 2005. It found that all of the National Minimum Standards that were assessed had been met or partially met and the overall quality of care provided was good. Service users spoken to during the inspection expressed satisfaction with the home, the staff and the service provided. On the day of the inspection there were twenty eight residents living at the home. The inspection involved a tour of the premises, examination of the homes records, discussion with management and consultation with three staff and five service users. The focus of the inspection was on the quality of life for people who live at the home. In order that a balanced and thorough view of the home is obtained, this inspection report should be read in conjunction with the previous inspection reports. What the service does well: Shinewater Court is an established, well managed and well maintained service that continues to provide high quality care and accommodation for people with a physical disability. Effective systems are in place for the admission and ongoing care of service users. Individual care plans developed from comprehensive pre-admission assessments ensure that an individual’s needs are met in a structured and consistent manner. Service users are directly involved in developing and reviewing their individual care plans. They maintain control of their plan and are encouraged and enabled to direct their own care. All service uses are provided with a copy of the ‘Charter of Service User Rights’, which forms the basis of care provision at Shinewater Court and underpins the ethos of the home and the work undertaken there. The manager and staff work hard to create an open and inclusive atmosphere within the home, with the emphasis on service user consultation. A good example of this being the elected ‘Service User forum’, which has been developed to represent the interests and views of service users. A member of the forum sits on the interview panel and participates in the recruitment process for new staff. An extensive range of social, educational and leisure activities is available in the home, which clearly reflects individual interests and preferences. Shinewater Court DS0000021212.V258230.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. Shinewater Court DS0000021212.V258230.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 Shinewater Court DS0000021212.V258230.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): 1&5 Documentation, including a comprehensive ‘Statement of Purpose’ and ‘Service Users’ Guide’ ensures that prospective service users and their relatives have sufficient information about the home and the services provided. EVIDENCE: Comprehensive information is made available to all prospective service users, their relatives and associated care managers. A generic information pack, provided by the Disabilities Trust contains various, easily accessible inserts with service specific details relating to Shinewater Court. It was noted that the home’s informative ‘Statement of Purpose ‘ and ‘Service User Guide’ are accurate, up to date and well maintained. All new service users are provided with a ‘Service User Contract’, which includes full details of the room to be occupied, fees payable, terms sand conditions of occupancy and required period of notice. It was noted that the contract is signed by the service user and the registered manager, to acknowledge understanding and confirm agreement of the stated terms and conditions. The manager confirmed that a written, formal contract is also drawn up between the Trust and the local authority, responsible for funding the placement. Shinewater Court DS0000021212.V258230.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&9 Service users are enabled and supported to take acceptable risks and encouraged to make decisions about their day to day living. The systems for service user consultation and participation are good, with a variety of opportunities provided for individuals to be directly involved in many decision making processes and aspects of life within the home. EVIDENCE: Independence is promoted in the home, within a risk management framework. Personal and environmental risk assessments are carried out and regularly reviewed. It was noted that service uses are directly involved in the process of completing their individual risk assessments and where appropriate (eg. regarding the use of cot sides) the service user is asked to sign a consent form. Shinewater Court DS0000021212.V258230.R01.S.doc Version 5.0 Page 10 It was evident that service users continue to be directly involved in their individual care planning and maintain control and possession of their plan. The manager described how service users are encouraged and enabled to direct staff as to how their own care is provided. Since the previous inspection, as required, there has been a notable improvement in the documenting of communication between the home and the social worker, in relation to a service user who is unsettled and wishes to move out of the home. Although there has been little actual progress since the last inspection, there is evidence of a full review and several meetings having taken place and efforts are clearly continuing to meet the service user’s needs and to achieve the agreed objectives. Meanwhile, the service user is being kept aware of developments and any practical assistance and emotional support is being provided, as necessary. Shinewater Court DS0000021212.V258230.R01.S.doc Version 5.0 Page 11 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): 13 & 16 Family and community links are good and support and enrich service users’ social opportunities. EVIDENCE: As previously documented, the independence of service users, inside and outside the home, is promoted within a risk management framework. Service users work with a member of staff to clean and maintain their flat or room. Hoists, on overhead tracking, enable staff to provide personal care and support on a one-to-one basis. The purpose built environment, with level access and specialist equipment and adaptations, including electric wheelchairs and electronic doors, enable independent and unrestricted movement throughout the home and grounds. The manager confirmed that, where appropriate, links with family and friends are encouraged and supported and many service users enjoy regular contact with their relatives. Shinewater Court DS0000021212.V258230.R01.S.doc Version 5.0 Page 12 Service users, who choose to are enabled and supported to participate in the local community, including visiting the local library, shops, cafes and restaurants and attending the church of their choice. Several service users attend local, part time college courses, depending on individual interests. Courses include literacy and numeracy, cooking and computer graphics. External local community groups, including a disabled children’s charity hold regular meetings at Shinewater Court. Drama, arts and story telling groups visit the home on a regular basis and a local school put on an annual Christmas Carol Concert. One service user continues to enjoy working, in a voluntary capacity, as a teaching assistant in the local primary school. Although, unfortunately, once again it was not possible to meet personally with any service users’ relatives during the inspection, comment cards received expressed, without exception, a high level of satisfaction with the home, the manager and staff and the care services provided: ‘SeeAbility provides a very high quality of care and support to our son’. As part of their initial information pack, all service users are provided with a copy of the Trust’s comprehensive ‘Charter of Service User Rights’. Shinewater Court DS0000021212.V258230.R01.S.doc Version 5.0 Page 13 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 & 19 Staff have developed positive relationships with service users and demonstrate a sound understanding of their care and support needs. EVIDENCE: As previously documented, all service uses are provided with a copy of the ‘Charter of Service User Rights’. The manager confirmed that this charter forms the basis of care provision at Shinewater Court and underpins the ethos of the home and the work undertaken there. Service users spoken with during the inspection were aware of their rights and had clear expectations of the staff and the service and support they received. Service users are fully supported and enabled to exercise control over their lives and maintain maximum levels of independence and individuality. During the inspection, staff were observed interacting with service users in a professional and respectful manner. Nursing care is not provided by the home, although service users are enabled to access health care professionals including district nurses, physiotherapists or occupational therapists, as required. At the time of the inspection, service users were observed receiving physiotherapy. Shinewater Court DS0000021212.V258230.R01.S.doc Version 5.0 Page 14 All service users are provided with a key to their private accommodation. Service users are provided with opportunities for social, communication and independent living skills. An Independent Living Co-ordinator continues to works closely with individual service users to agree and set both short and long term goals. Progress is monitored and achievements recorded in their individual care plan. Shinewater Court DS0000021212.V258230.R01.S.doc Version 5.0 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 Service users are safeguarded from abuse through robust policies, procedures and relevant staff training. EVIDENCE: Robust policies and procedures are in place for the protection of vulnerable adults, within the home. All new staff receive specific training on this subject, as part of their structured induction programme. On-going refresher training in adult protection is provided for all staff four times a year. Thorough staff recruitment procedures ensure the protection of service users by obtaining appropriate references and undertaking all necessary CRB and POVA checks. An on-going issue at Shinewater Court is the constant but necessary balance to be maintained between an individual’s basic human rights and the acceptable level of risk and duty of care that the service has to the vulnerable adult. The manager provided some typical examples of this difficult and sensitive area, including service users wishing to visit a night club, often unescorted, or wanting to entertain ‘random’ visitors in their room. It is acknowledged that the rights of the individual, including risk taking, is fundamental to the ethos of the home, however the health, safety and welfare of service users is paramount. Shinewater Court DS0000021212.V258230.R01.S.doc Version 5.0 Page 16 The importance of documenting identified risks and associated strategies (agreed with individual service users and staff) was discussed with the manager. Shinewater Court DS0000021212.V258230.R01.S.doc Version 5.0 Page 17 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, 29 & 30 The service is accessible, safe and clean and is clearly suitable for it’s stated purpose. Service users benefit from pleasant accommodation that is comfortable, well maintained and decorated to a satisfactory standard. Service uses benefit from specialist equipment, provided as required, to maximise their independence. EVIDENCE: Environmental standards at Shinewater Court remain largely unchanged and the premises continue to be safe and well maintained. All areas within home and grounds are level and wheelchair accessible and have been thoughtfully designed and developed to meet service users’ individual and collective needs All service users’ individual rooms have been adapted with ceiling mounted tracking for hoists. Flats and bed-sitting rooms are all fitted with full en-suite facilities and are comfortably furnished and decorated to reflect individual tastes and preferences. Shinewater Court DS0000021212.V258230.R01.S.doc Version 5.0 Page 18 Service users have responsibility for their personal environment and, where appropriate, work with support staff to maintain their private accommodation. Infection control systems, including sluicing facilities, are in place and levels of cleanliness and hygiene are high throughout the home. Dispensers for alcohol based hand cleaners are situated throughout the unit. A planned programme of repair and renewal is in place. Shinewater Court DS0000021212.V258230.R01.S.doc Version 5.0 Page 19 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): 36 The current system for providing and recording formal staff supervision is unsatisfactory. EVIDENCE: It is evident from documentation that was examined and through discussions with members of staff and the manager that formal supervision is not currently being provided, as required. Meetings with team leaders were described as ‘random’, ‘unstructured’ and ‘informal’ and are generally not recorded. There was documentary evidence that senior staff, including Heads of Department and Team Leaders had not received formal supervision since April 2004. The manager acknowledges that this is unsatisfactory, particularly considering the demanding nature of the work, in meeting the assessed high dependency and often complex needs of service users. To ensure compliance with this Standard, it is required that the situation is addressed as a priority. If necessary, specific ‘refresher’ training for senior staff is to be provided in all aspects of formal supervision. Shinewater Court DS0000021212.V258230.R01.S.doc Version 5.0 Page 20 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, 38, 40 & 42 Service users and staff benefit from the manager’s calm, open and approachable style of leadership and clear and positive sense of direction. Service users benefit from up to date policies and procedures relating to health and safety, which staff are aware of and adhere to. EVIDENCE: The established manager is competent and experienced. She is currently undertaking a foundation degree course, in health and social care, the first year of which comprises the Registered Manager’s Award (RMA). The atmosphere of the home remains relaxed, friendly and welcoming. Staff, spoken to during the inspection felt valued and supported by the manager and senior staff team. They confirmed the manager’s calm, open and approachable style of leadership and clear and positive sense of direction. Shinewater Court DS0000021212.V258230.R01.S.doc Version 5.0 Page 21 Continuous quality assurance and self-monitoring takes place at Shinewater Court and the Disabilities Trust remains clearly committed to maintaining and raising standards of care and achieving the aims, objectives and stated purpose of the home. A senior manager from the Trust continues to carry out monthly quality assurance visits to the home and their subsequent report, covering all aspects of the service, provides useful feedback for the manager. In addition to this quality monitoring visit, the registered manager carries out a self-assessment audit of the home at least once a year and managers from the Trust’s Quality Assurance Division attend the home, every six months, to speak with service users and staff and monitor levels of satisfaction. The manager confirmed that the health, safety and welfare of service users and staff is of paramount importance within the home and staff training is provided in many aspects of safe working practices, including moving and handling; food hygiene; fire safety and first aid. All staff training is recorded. Environmental risk assessments are regularly reviewed. COSHH assessments and guidelines are in place. Temperature regulators are fitted to all hot water outlets, accessible to service users. All accidents, incidents and injuries are recorded and reported, as required. Shinewater Court DS0000021212.V258230.R01.S.doc Version 5.0 Page 22 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 3 X X X 3 Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X 3 3 LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X X X X X 2 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Shinewater Court Score 3 3 X X Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X 3 X DS0000021212.V258230.R01.S.doc Version 5.0 Page 23 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. 1. Standard YA36 Regulation 18 (2) Requirement It is required that all care staff receive recorded, formal supervision at least six times a year. Timescale for action 31/10/05 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 Shinewater Court DS0000021212.V258230.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Shinewater Court DS0000021212.V258230.R01.S.doc Version 5.0 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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