Inspection on 13/06/05 for Shinewater Court

This inspection was carried out on 13th June 2005.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Shinewater Court 05/11/07

Shinewater Court 18/07/06

Shinewater Court 11/10/05

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 Eastbourne East Sussex BN23 8ED Lead Inspector Nigel Thompson Unannounced 13 June 2005 09:30 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 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 Stationary 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 H59-H10 S21212 Shinewater Court V218032 040505 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Shinewater Court Address Milfoil Drive Eastbourne East Sussex BN23 8ED 01323 769196 01323 460279 Telephone number Fax number Email 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 Disabilities Trust Miss Carol Wade Care Home 31 Category(ies) of Physical difficulty (PD) 31 registration, with number of places Shinewater Court H59-H10 S21212 Shinewater Court V218032 040505 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum number of service users to be accommodated is thirty one (31). 2. Service users are aged eighteen (18) to sixty five (65) years on admission. 3. Only adult service users with a physical disability are to be accommodated. Date of last inspection 12 October 2004 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 or 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 H59-H10 S21212 Shinewater Court V218032 040505 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over seven hours in June 2005. It found that twenty eight of the twenty nine National Minimum Standards that were assessed had been 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. A tour of the premises took place and documentation, including service user and staff files was inspected. A handover from the morning staff to the afternoon shift was observed. Three of the staff on duty and five of the twenty eight service users were spoken to. 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. 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. The manager and staff work hard to create an open and inclusive atmosphere within the home. An extensive range of social, educational and leisure activities is available in the home, which clearly reflects individual interests and preferences. Staff receive effective induction and foundation training, regular supervision and are clearly valued and supported by the manager. Shinewater Court H59-H10 S21212 Shinewater Court V218032 040505 Stage 4.doc Version 1.20 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Shinewater Court H59-H10 S21212 Shinewater Court V218032 040505 Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection Shinewater Court H59-H10 S21212 Shinewater Court V218032 040505 Stage 4.doc Version 1.20 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 standard(s) 2, 3 & 4 The admission procedure is comprehensive and thorough, ensuring that service users are admitted only on the basis of a full and comprehensive needs assessment, undertaken by people competent to do so. EVIDENCE: Although no admissions to Shinewater Court have been made since the previous inspection, the admission procedure remains the same. Clear admission criteria and a thorough pre-admission assessment of each prospective service user, which incorporates a comprehensive breakdown of all personal, emotional and social care needs, ensures that all identified needs can be met. Any specialist equipment and adaptations are provided, as required. Pre-admission assessment forms that were viewed contained the individual’s medical history and diagnosis, specific care issues including mobility, nutritional needs, physiotherapy requirements and personal care needs. Before deciding whether to move in, prospective service users have the opportunity to visit the home to look around, meet existing service users and staff and generally get a feel for the place. Shinewater Court H59-H10 S21212 Shinewater Court V218032 040505 Stage 4.doc Version 1.20 Page 9 Details of the individual’s ‘skills of daily living’, interests, relationships and social interaction are also recorded, along with any adaptations or specialist equipment necessary. The manager confirmed that such resources would need to be in place prior to admission. The manager confirmed that introductory visits to the home are encouraged, enabling prospective service users to look around and meet with members of staff and existing service users. A review of all new placements is carried out after six weeks, to establish if the service user is settling in and whether or not their care needs can be met. Subsequent reviews are held after three months, then at six monthly intervals thereafter. Shinewater Court H59-H10 S21212 Shinewater Court V218032 040505 Stage 4.doc Version 1.20 Page 10 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 standard(s) 6, 7 & 8 Service users’ care plans are developed from a comprehensive assessment of an individual’s needs and enable staff to meet such needs in a structured and consistent manner. 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: High quality care plans have been developed for each service user and are clearly and directly linked to the individual’s assessed needs. Service users’ individual plans that were inspected were found to be accurate, well maintained, and to include all personal and social care needs, as well as any specific or specialist requirements. It was evident that service users are directly involved in the assessment process and their individual care planning and noted that they continue to maintain control and possession of their plan. Shinewater Court H59-H10 S21212 Shinewater Court V218032 040505 Stage 4.doc Version 1.20 Page 11 The manager described how service users are encouraged and enabled to direct their own care. This was later confirmed, during a discussion with a service user in her flat: ‘It’s not their care – it’s mine!’ Individual care plans are reviewed every six months unless there are any significant issues or changing needs. During the inspection, it was noted that one service user was not happy to be living at Shinewater Court. At her last review, in February 2004, she had expressed dissatisfaction with the service, she felt that she didn’t need to be there and wished to move to a more independent setting, nearer her father. The manager confirmed that the individual’s emotional needs are currently not being met. It was, however, clear from discussion with the service user that her personal care needs, as directed by her, are being met and she has no complaints or problems regarding the staff or the level of care that she receives. However there has been a clear lack of effective communication between the home and the social worker and no evidence of any real development or progress since the last review. The level of any practical assistance and emotional support provided for this service user has been less than could be expected. Following discussion with the manager, an ‘overdue’ review is to be held and hopefully a satisfactory outcome can be achieved. Shinewater Court H59-H10 S21212 Shinewater Court V218032 040505 Stage 4.doc Version 1.20 Page 12 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 standard(s) 12, 14, 15 &17 Links with the community are good and support and enrich service users’ social and educational opportunities. Activities and leisure opportunities provided within the home are both appropriate and well managed. The meals provided are of a high standard, balanced and nutritious, offering both choice and variety and catering for special dietary needs. EVIDENCE: Shinewater Court H59-H10 S21212 Shinewater Court V218032 040505 Stage 4.doc Version 1.20 Page 13 Independence is promoted within the home. Service users are provided with opportunities for social, communication and independent living skills. As previously documented, many service users express their independence by directing others as to how their care is delivered. An Activities Centre, fully equipped with a range of computers and adaptations, provides a supervised, stimulating and social environment for service users to engage in appropriate recreational and leisure interests. Service users are encouraged and enabled to attend their chosen place of worship. Several service users have been attending local, part time college courses, depending on individual interests. Courses include literacy and numeracy, cooking and computer graphics. One service user continues to work, in a voluntary capacity, in a nearby primary school. Service users, who choose to are enabled and supported to participate in the local community, including visiting local shops, cafes and restaurants. Shinewater Court H59-H10 S21212 Shinewater Court V218032 040505 Stage 4.doc Version 1.20 Page 14 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 standard(s) 18, 19 & 20 Staff have a sound understanding of the care and support needs of service users, many of whom express their independence by directing others as to how their care is delivered. Policies and procedures for the control and administration of medication are effective with clear and comprehensive systems being in place to ensure service users’ medication needs are met. EVIDENCE: Shinewater Court H59-H10 S21212 Shinewater Court V218032 040505 Stage 4.doc Version 1.20 Page 15 As previously documented, the independence of service users, both inside and outside the home, is promoted within a risk management framework. The manager confirmed that service users continue to exercise a high level of control over their lives and are encouraged and supported to do so. The majority of service users have an electric wheelchair, which clearly increases their independence and freedom of movement. 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. All service users are provided with a key to their private accommodation. During the inspection, staff were observed interacting with service users in a professional and respectful manner. 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. All service users maintain responsibility for controlling and administering their own medication, within a risk management framework. There are satisfactory storage arrangements for the medicines and all service users have a lockable facility in their room. A community pharmacist visits the home every three months and reviews all aspects of the storage, administration, recording and disposal of medication. A record is maintained of all medicines received into the home. Shinewater Court H59-H10 S21212 Shinewater Court V218032 040505 Stage 4.doc Version 1.20 Page 16 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 standard(s) 22 The open and inclusive atmosphere within the home enables service users, staff and visitors to feel able to express any concerns, confident that they will be listened to. EVIDENCE: Since the previous inspection, the home’s complaints procedure has been reviewed and updated, as required and a copy is now displayed in the entrance foyer. Service users and members of staff spoken to confirmed that they would have no hesitation in speaking to the manager about their concerns or making a complaint if necessary and each person was confident that they would be listened to. ‘I have only ever had to make one complaint to the manager and it was dealt with straight away’. ‘The manager and team leaders are all very approachable and have always got time for you’. Shinewater Court H59-H10 S21212 Shinewater Court V218032 040505 Stage 4.doc Version 1.20 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 standard(s) 24, 25, 26, 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: Shinewater Court is purpose built and the premises continue to be safe and well maintained. All areas of the home 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 Shinewater Court H59-H10 S21212 Shinewater Court V218032 040505 Stage 4.doc Version 1.20 Page 18 facilities and are comfortably furnished and decorated to reflect individual tastes and preferences. 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, with five bed sitting rooms due to be redecorated and refurbished each year. A programme of replacing exterior doors and window frames throughout the premises is ongoing, with Phase 2 having just been completed. Shinewater Court H59-H10 S21212 Shinewater Court V218032 040505 Stage 4.doc Version 1.20 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34, 35 & 36 There are sufficient trained and competent staff on duty at all times to meet the assessed, complex and often high dependency needs of the service users. Thorough recruitment procedures help to ensure the safety and protection of service users. Effective supervision and training has resulted in high staff morale and an enthusiastic and motivated workforce with a sound understanding of the support needs of the service users. EVIDENCE: Shinewater Court H59-H10 S21212 Shinewater Court V218032 040505 Stage 4.doc Version 1.20 Page 20 In addition to the TOPSS induction and foundation programmes, all staff receive training, from external providers, in a wide range of appropriate and relevant skills, including moving and handling, first aid, food hygiene, fire safety and resuscitation. A staff training programme is in place, based on identified, individual training needs and service requirements. Included in the programme are such topics as ‘Understanding spina bifida’ and ‘Understanding depression’. Staff spoken to during the inspection were clearly aware of their own role and responsibilities. Thorough and robust recruitment and selection procedures are in place. Staff files that were inspected were found to be well maintained and contained all necessary recruitment details, including satisfactory written references and Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) checks. A representative of the ‘Service Users’ Forum’ who has taken part in many staff interviews spoke of her experiences: ‘Some people can’t even look me in the eye when I ask them a question – they don’t tend to get much further!’ The process for formal staff supervision remains the same with the registered manager supervising the heads of departments and team leaders, who in turn, through a ‘cascade’ process, provide formal supervision for all other members of staff in the home. Senior staff receive specific training in providing effective supervision. All staff receive an annual appraisal, the ‘Personal Development Review’ (PDR) and formal supervision every two months. Shinewater Court H59-H10 S21212 Shinewater Court V218032 040505 Stage 4.doc Version 1.20 Page 21 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 39, 41 & 42 Staff are aware of and adhere to up to date policies and procedures relating to health and safety, ensuring the health, safety and welfare of service users and staff. Service users benefit from continuous quality assurance and self-monitoring that takes place at Shinewater Court. EVIDENCE: The Disabilities Trust is clearly committed to maintaining and raising standards of care and achieving the aims, objectives and stated purpose of the home. Shinewater Court H59-H10 S21212 Shinewater Court V218032 040505 Stage 4.doc Version 1.20 Page 22 The manager confirmed that the health, safety and welfare of service users and staff continues to be of paramount importance and environmental risk assessments are regularly reviewed. 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, 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. 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. Where there is no score against a standard it has not been looked at during this inspection. 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 Shinewater Court H59-H10 S21212 Shinewater Court V218032 040505 Stage 4.doc Version 1.20 Page 23 CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 3 3 x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 2 4 x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 x x 3 3 Standard No 11 12 13 14 15 16 17 x 3 x 3 3 x 3 Standard No 31 32 33 34 35 36 Score 3 2 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x 3 x 3 3 x Shinewater Court H59-H10 S21212 Shinewater Court V218032 040505 Stage 4.doc Version 1.20 Page 24 No 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 7 Regulation 12 (2) Requirement It is required that service users right to make decisions is respected and that they be assisted and supoorted in doing so. Timescale for action 31.07.2005 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Shinewater Court H59-H10 S21212 Shinewater Court V218032 040505 Stage 4.doc Version 1.20 Page 25 Commission for Social Care Inspection 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 H59-H10 S21212 Shinewater Court V218032 040505 Stage 4.doc Version 1.20 Page 26 - 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. 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