Inspection on 19/09/07 for Shores (The)

This inspection was carried out on 19th September 2007.

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

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

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

CARE HOME ADULTS 18-65 Shores (The) 46 Brixey Road Poole Dorset BH12 3EZ Lead Inspector Tracey Cockburn Unannounced Inspection 19th September 2007 10:00 Shores (The) DS0000069854.V347735.R01.S.doc Version 5.2 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 Shores (The) DS0000069854.V347735.R01.S.doc Version 5.2 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. Shores (The) DS0000069854.V347735.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Shores (The) Address 46 Brixey Road Poole Dorset BH12 3EZ 01202 730653 01202 730653 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 Eve Mary Went t/a Harbour Care Mrs Gwendoline Anne Dale Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Shores (The) DS0000069854.V347735.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC to male service users whose primary care needs on admission to the home are within the following category: Learning disability (Code LD) The maximum number of service users who can be accommodated is 3. 2. Date of last inspection New Service first registered April 2007 Brief Description of the Service: The Shores is a care home registered to provide care to people with a Learning Disability. The home was first registered in April 2007 for 3 people; this was increased to 4 in August 2007. The registered provider has a number of other homes in the area. The home is detached with parking space at the front and a garden to the rear. There is a room with en suite on the ground floor and a further 3 bedrooms on the 1st floor. The communal rooms consist of a lounge, kitchen, and dining area. There is an office on the ground floor as well as a cloak room. The is public transport into the centre of town. The weekly fees are determined on an individual basis but currently are £1400.00 per week. For further information on fees and contracts the office of fair trading has a website: www.oft.org.uk Shores (The) DS0000069854.V347735.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first key inspection since the home registered with the commission in April 2007. Since the home registered it has increased its registered number form 3 to 4. An unannounced visit was made to the home, no one was home therefore a call was made to the manager to arrange a time to visit and review documentation. The person living in the home was not available and did not wish to meet with the inspector, however a survey form was completed and provided information used during the inspection. At present there is 1 person living in the home long term and 1 person who has regular respite care. The registered manager Mrs Gwen Dale continues to work with the company but there is a new manager who started work in September 2007. Throughout the inspection the person who was the acting manager was available and able to give advice. What the service does well: People who live in the service have their needs assessed and their aspirations acknowledged. People who live in the service have contracts, which detail their rights. People are able to make decisions about their lives. People are able to live the life they want to with support and be part of the local community. Healthy meals are seen as an important part of living in the service. People in the service say they are support in the way they prefer and have their physical and emotional needs met. People feel listened to and staff have the training they need to safeguard people living in the home. The home is very comfortable and people say they are proud to live there. The home is clean. Staff receive the training they need to do the job well and the people living in the home are supported and protected by a good recruitment process. Management understand their job and responsibilities to ensure the home is well run in the interests of the people living there. The health, safety and welfare of people living in the home are central to what the service does well. Shores (The) DS0000069854.V347735.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Shores (The) DS0000069854.V347735.R01.S.doc Version 5.2 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 Shores (The) DS0000069854.V347735.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2,5 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People have their individual needs assessed which means the home is able to decide whether they can meet their needs or not. Individual contracts are given to people when they move into the home, which means they know their rights. EVIDENCE: 1 file was reviewed during the inspection. The funding authority completed a care management assessment before the person moved into the home. There was a personal care plan in place for the person living in the home. This detailed goals, hopes and dreams for the future. The acting manager said that the personal plan is discussed with the person living in the home. The person has not signed this plan. The person responded positively in the survey form regarding being involved in care planning. The person had a contract with the home. A copy was seen on the persons file. The individual did not sign the contract. Shores (The) DS0000069854.V347735.R01.S.doc Version 5.2 Page 9 Funding was clearly broken down into accommodation, household expenditure, administration, activities, transport and staffing. The contract was in a format, which would be accessible to the person living in the service. Shores (The) DS0000069854.V347735.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who live in the service have their needs, wishes and aspirations recorded which means that the staff understand the people who live in the service and require support. EVIDENCE: There was a detailed plan for the person living in the home. This contained information on their views of the home good and bad, their hopes and dreams for the future. Things they want to change, their money, leisure, family/friends and day activities. This plan is reviewed monthly with the person’s key worker. There was detailed guidance for the key worker on the monthly meetings, which take place and how they are recorded. The person who has recently moved into the home has yet to set goals for the future. This was an agenda item to be discussed with the person at the next meeting. Shores (The) DS0000069854.V347735.R01.S.doc Version 5.2 Page 11 The plan also contained information on support the individual was receiving from a psychologist. Risk assessments were in place and dated 19/07/07. There was also a record of the person’s strengths and needs. Strengths were identified as friendly, outgoing, good communicator. Needs were identified as support with budgeting, support with maintaining relationships and support with personal care. The acting manager said that the plan is in a format, which the person can understand. There is detailed information on the guidance for staff on how to support the individual in meeting their personal care needs. The individual does not sign this. In the returned survey form the individual stated that they are sometimes able to make decisions in their daily lives. The individual also answered positively that they are able to do what they want during the day, in the evenings and at the weekends. Records demonstrate that people living in the service are able to make decisions about activities they participate in and whom they invite round. Risk assessments are detailed and reviewed monthly when a monthly report is completed. The home has a written procedure on what to do if there are any unexplained absences from the home. Shores (The) DS0000069854.V347735.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People are able to participate in activities, which interest them in the community and have relationships with whom they want. People are also encouraged to consider healthy eating as part of their independent lifestyle. EVIDENCE: There is good recording of activities taking place for the individual living in the home. There is an activity chart, which has the regular activities, which take place during the week such as college and work. There is also clear recording of other activities such as visiting family and friends and going out on trip or shopping for specific items such as birthday presents. There was evidence of staff supporting people who use the service in accessing service in the local community such as clubs. In the survey form returned the individual was positive about the support received from staff to access Shores (The) DS0000069854.V347735.R01.S.doc Version 5.2 Page 13 activities such as in the evening and at weekends. There are 2 staff on duty throughout the day for currently 1 person living in the service. There was evidence in the individual’s care plans of interests, hobbies and activities being pursued; this was confirmed in the survey form. There was evidence in the daily records that the person living in the home is able to see the people that are important to them such as family and friends. There was also evidence in the records and in discussion with the acting manager that the person is able to have friends round and see them in privacy of own room. As the person living in the service was not around during the inspection it was difficult to establish whether their rights are respected. However evidence in the daily records and in conversation with the acting manager would suggest that the individual is able to exercise their rights. The person stated in their survey that they are able to be on their own when they want to be. The home follows the Food Standards Agency, Safer food better business guidance. The menu plan on the fridge was varied with meals such as roast pork, tuna bake and jacket potato. All staff have received training in food hygiene. The cupboards were well stocked with tinned and dried goods. The fridge and freezer were also well stocked with fresh foods and frozen meat. The person living in the home is responsible for making their own breakfast and packed lunch. This is recorded daily. Shores (The) DS0000069854.V347735.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Information is recorded clearly so that both people living in the home and staff who support them understand how support and care is provided. EVIDENCE: The personal care plan details how the person living in the home likes to be supported. The plan details the flexibility in when the person gets up and goes to bed depending on the activities happening each day such as work placements which require an earlier start than at the weekends when there was evidence of more flexibility in the person is able to get up later at a time which suits them. Records demonstrated appointments being kept with the psychologist and dentist. Each month a report is completed with the individual, which covers, behaviour, general health, activities and action to be followed up such as establishing a good hygiene routine. Shores (The) DS0000069854.V347735.R01.S.doc Version 5.2 Page 15 At the time of this inspection the individual living in the service was not on any medication. However the home does have a policy and procedure and staff have received training in handling medication. Shores (The) DS0000069854.V347735.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People are given the information they need to express their concerns and systems are in place to act upon them. EVIDENCE: The service has a complaints procedure, which the person living in the home said they have access to. It is written in a format, which is accessible. At the time of the inspection there had been no complaints made about the service. There is a safeguarding adults policy in place and all staff have received training in this area. At the time of the inspection there had been no safeguarding adults referrals or investigations. Shores (The) DS0000069854.V347735.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. People live in a home, which is decorated and furnished to a very high standard, and systems are in place to ensure that the home is clean and hygienic. EVIDENCE: The home is suitable for its stated purpose, namely providing accommodation, care and support to young adults with a learning disability. The home is well maintained; the communal areas are comfortable, bright, airy and clean. The home is in a residential street and is similar to other houses in the road. There is public transport to the town centre. The furnishings throughout the home are comfortable and modern. The kitchen is well equipped. Shores (The) DS0000069854.V347735.R01.S.doc Version 5.2 Page 18 At the time of registration in April 2007 the premises met the requirements of the local fire service and environmental health department. A tour of the home was undertaken and the environment was clean and free from any offensive odours. The laundry room is separate from where food is prepared and stored. The floor of the laundry room has an impermeable finish and there are handwashing facilities. Staff have received training in infection control. Shores (The) DS0000069854.V347735.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. People who work in the home receive the training they need to do the job well and recruitment practice ensures that the people who live in the home are protected. EVIDENCE: The person living in the service commented positively on the support received by staff. There is a thorough recruitment procedure in place, which ensures that staff only start work once a Criminal Records bureau check and POVA 1st check have been undertaken. There was an exploration of any gaps in employment on the file looked at. New staff complete induction, which includes philosophy of care, management structure, confidentiality, fire procedures and health and safety. The new member of staff had also completed mandatory training such as first aid, moving and handling, infection control. There was no evidence of the person being involved in the recruitment process at this time. Shores (The) DS0000069854.V347735.R01.S.doc Version 5.2 Page 20 There was evidence on the file that the person had been given information on the General Social Care council code of conduct. There were also 2 written references on the file. The service has good training in place for staff, which includes training on total communication. The acting manager was clear that training is not only linked to the aims and objectives of the home but also to the needs of the people living in the home. There was evidence that the psychologist would be attending a staff meeting to provide support and training on aspects of care. Shores (The) DS0000069854.V347735.R01.S.doc Version 5.2 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home is managed by people who understand their roles and responsibilities. EVIDENCE: At the time of the inspection the new manager had only started that day. However in discussion with the new manager his application to register with the commission was about to be submitted. The manager they have appointed has been registered before and has experience of working within the learning disability service. The acting manager will continue to work in the service and given continuity to a developing service. Shores (The) DS0000069854.V347735.R01.S.doc Version 5.2 Page 22 The new manager has undertaken the necessary qualifications. The service is new but has a quality assurance process in place and has just sent out questionnaires to relevant parties. Staff have received appropriate mandatory training, such as moving and handling, fire safety, first aid, food hygiene and infection control. There is an up to date fire risk assessment in place. Following a visit from the fire safety officer on 27/06/07 under the Regulatory Reform (fire safety) order 2005 the service was found to be satisfactory. The fire officer also visited on 16/07/07. Fire drills and testing of equipment was found to be up to date. The home also has appropriate insurance in place. During the inspection a bean bag was found to be behind the sofa next to an electrical socket which could be a potential fire hazard when this was pointed out to the acting manager it was removed immediately. Shores (The) DS0000069854.V347735.R01.S.doc Version 5.2 Page 23 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 Standard No Score 1 X 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 x Shores (The) DS0000069854.V347735.R01.S.doc Version 5.2 Page 24 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 YA6 Regulation 15 (2)(b) (c) Requirement The registered provider must demonstrate that people living in the service are involved in the reviews of their care plans and sign them. Timescale for action 30/11/07 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 Shores (The) DS0000069854.V347735.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © 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 Shores (The) DS0000069854.V347735.R01.S.doc Version 5.2 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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