Inspection on 17/08/05 for Southfields Residential Home

This inspection was carried out on 17th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Southfields Residential Home 03/01/07

Southfields Residential Home 03/01/06

Southfields Residential Home 23/02/05

Southfields Residential Home 08/09/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Southfields Residential Home 349 High Road Trimley St Martin Felixstowe, Suffolk IP11 0RS Lead Inspector John Goodship Announced 17 August 2005 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. Southfields Residential Home I54 - I04 S24490 Southfields V232101 050817 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Southfields Residential Home Address 349 High Road Trimley St Martin Felixstowe Suffolk IP11 0RS 01374 277778 01394 277778 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) Royal Mencap Society Mr Leslie Clifford Care Home 4 Category(ies) of LD Learning Disability (4) registration, with number of places Southfields Residential Home I54 - I04 S24490 Southfields V232101 050817 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: NONE Date of last inspection 23/02/05 Brief Description of the Service: Southfields home is registered to care for four adults with Learning Disabilities, one of them over 65 years old.The home, in a converted private bungalow set in a large garden, is situated in the Trimley villages next to the coastal town of Felixstowe. All four bedrooms are single.There are shops and other facilities in the villages as well as access by bus and train to both Felixstowe and Ipswich. Southfields Residential Home I54 - I04 S24490 Southfields V232101 050817 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was an announced inspection and was the first of the current inspection year. The manager was in attendance. Two parents came to talk to the inspector. They were very appreciative of the care given by the home, but were concerned about the state of the garden. This is covered under the Environment section. The oldest resident was at home all day, and 2 others arrived from day services in the afternoon. All 4 had lived in the home since it opened in 1995. Comment cards were returned by 3 relatives. All were complementary. What the service does well: What has improved since the last inspection? What they could do better: There were no requirements from the standards inspected on this visit. A recommendation has been made about the redecoration of a bathroom. Southfields Residential Home I54 - I04 S24490 Southfields V232101 050817 Stage 4.doc Version 1.40 Page 6 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. Southfields Residential Home I54 - I04 S24490 Southfields V232101 050817 Stage 4.doc Version 1.40 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 Southfields Residential Home I54 - I04 S24490 Southfields V232101 050817 Stage 4.doc Version 1.40 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) 1,2,3,4. Prospective residents can expect to be given information and opportunities to assure themselves that the home will be right for them. EVIDENCE: All residents had lived in the home since it opened in 1995. One service user had lived there previously when it was his family’s home. One resident was due to transfer to a care home providing nursing care a few days after the inspection. There had been several reviews of this resident’s needs over 12 months with the resident, the family and the funder. The home had arranged for staff to accompany and stay with this person to make sure they were settled. The home would be using Mencap admission procedures to fill the vacancy. These procedures and the information available to prospective residents met the standards required. The home was well equipped with specialist equipment and furniture to meet the needs of the residents. Southfields Residential Home I54 - I04 S24490 Southfields V232101 050817 Stage 4.doc Version 1.40 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 standard(s) 6,7,9. Residents are supported to lead as independent a life as possible, with regular reviews of their care needs ensuring that appropriate plans for their development are agreed with them. EVIDENCE: The home conducted regular reviews of residents’ care needs. The parents of one resident described the most recent review meeting with their relative. They were pleased that the resident was able to take part and was showing interest in the review. Some residents had limited ability to make decisions but were supported to do so as far as they were able. Risk assessments had been completed for all aspects of hazards inside and outside the home, and for all activities. 2 service users visited local day centres each day during the week. 1 visited twice a week with day care provided in the home by a designated worker. One resident had been unhappy with their day service arrangements, but the opening of a new facility at the centre had changed their mind. Southfields Residential Home I54 - I04 S24490 Southfields V232101 050817 Stage 4.doc Version 1.40 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,15,16. Residents can expect to be supported in accessing any activities they wish. EVIDENCE: Some parents described how pleased they were that their relative had attended their wedding anniversary party recently. One resident was worried that they were living too far from their relative for easy visiting. This worry had manifested itself in behavioural changes. Appropriate health professionals had been involved to provide advice on how to manage and reduce these episodes. There had been lengthy discussions with the funder about one resident receiving direct payments, but there was still no outcome. Southfields Residential Home I54 - I04 S24490 Southfields V232101 050817 Stage 4.doc Version 1.40 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20. Residents are assured that their health needs are monitored and action taken to meet them. EVIDENCE: The manager discussed in detail the management of the health care of one resident. It was clear from this, and from the care plan, that staff were able to closely monitor the behaviour, bowel movements, mood and mobility of this person to maintain their health, and to spot changes which required medical intervention, before it became an emergency hospital admission. Although this person had been admitted to hospital several times last year, no further admission had been necessary since January 2005. Medication training had been given to all staff, once in-house by the manager, then by the supplier. Certificates were inspected. A sample of MAR charts were inspected and showed that all administrations had been signed for. Southfields Residential Home I54 - I04 S24490 Southfields V232101 050817 Stage 4.doc Version 1.40 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22,23. Residents are protected from abuse and harm, by the proper procedures and by the open ethos of the home. EVIDENCE: No complaints had been made to the home since the last inspection. Relatives confirmed they could talk to staff about any concerns without difficulty. The home was fully up-to-date with the POVA Regulations. Southfields Residential Home I54 - I04 S24490 Southfields V232101 050817 Stage 4.doc Version 1.40 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,26,27,29. Residents can enjoy comfortable and safe facilities, personalised as they wish, to suit their needs. EVIDENCE: Two relatives were concerned that the extensive garden was getting somewhat out of hand round the edges. They were also concerned with the closeness of a willow tree to the house. The manager was able to report that an inspection by a tree expert had said that the tree was not a danger. The manager had also made arrangements for the tall, broad hedge on one side to be cut by a contractor. The home kept grass pathways clear for the residents to move round the garden at all times. A bathroom accessed by 2 residents from their rooms was in need of some redecoration. The side panel on the bath had been split to access the plumbing for regular checks, and this had also raised the vinyl flooring. Residents’ rooms were well decorated and personalised. Appropriate bathing, and moving, equipment, was installed. Southfields Residential Home I54 - I04 S24490 Southfields V232101 050817 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32,33,34,35,36. Residents can expect a stable and well-trained staff, at appropriate levels, who can communicate with them and understand their needs. EVIDENCE: 4 staff had completed NVQ Level 2, and one had started on Level 3. This gave a 50 coverage of the staff. The recruitment of the newest staff member had been carried out according to the Regulations, with the required identification documents and application information. Staff files held a record of supervision sessions. Southfields Residential Home I54 - I04 S24490 Southfields V232101 050817 Stage 4.doc Version 1.40 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 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) 37,40,41,42,43. The management of the home, and its systems, supports and protects the residents. EVIDENCE: The manager is registered with the CSCI. He has one unit to finish, before completing his NVQ Level 4 in Care. The atmosphere in the home was cheerful and positive with staff showing good working relationships and motivation, and good communication with residents. The home followed Mencap’s comprehensive policies and procedures. All records were completed and stored appropriately. The Home is visited monthly as part of Mencap’s quality assurance programme, and the manager can access specialist advice and support. Staff training programmes cover key areas of health and safety, including food hygiene, fire training, and COSHH. Southfields Residential Home I54 - I04 S24490 Southfields V232101 050817 Stage 4.doc Version 1.40 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 3 3 3 4 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 2 x 3 x Standard No 11 12 13 14 15 16 17 3 3 x x 3 3 x Standard No 31 32 33 34 35 36 Score x 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Southfields Residential Home Score x 4 3 x Standard No 37 38 39 40 41 42 43 Score 3 x x 3 3 3 3 I54 - I04 S24490 Southfields V232101 050817 Stage 4.doc Version 1.40 Page 17 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 Regulation NONE Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 27 Good Practice Recommendations The registered person should arrange for the shared bathroom to be re-decorated and the flooring made safe. Southfields Residential Home I54 - I04 S24490 Southfields V232101 050817 Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection 5th Floor St Vincent House Cutler Street Ipswich IP1 1UQ 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 Southfields Residential Home I54 - I04 S24490 Southfields V232101 050817 Stage 4.doc Version 1.40 Page 19 - 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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