Inspection on 15/12/05 for Southside House

This inspection was carried out on 15th December 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

Southside House 28/01/09

Southside House 27/03/08

Southside House 26/03/07

Southside House 24/08/05

Southside House 18/03/05

Southside House 30/12/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Southside House 44 Severn Road Weston Super Mare North Somerset BS23 1DP Lead Inspector Catherine Hill Unannounced Inspection 15th December 2005 11:50 Southside House DS0000008091.V268469.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 Southside House DS0000008091.V268469.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. Southside House DS0000008091.V268469.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Southside House Address 44 Severn Road Weston Super Mare North Somerset BS23 1DP 01934 626540 NONE 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) Mr Lal Gunaratne Mrs Veronica Bishop Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Southside House DS0000008091.V268469.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. May accommodate up to 6 persons with learning difficulties, aged 18 64 years, requiring personal care only. The Manager to gain a formal LDAF qualification by June 2006 Date of last inspection 24th August 2005 Brief Description of the Service: Southside House provides support for six people with learning disabilities who spend most of their day away from the house. It contains two double bedrooms and two single ones. The emphasis of the service is on a homely approach. The home is located close to the local shops, parks and seafront. It is about a mile away from the town centre. It is also located a short walk away from its ‘sister’ home (Charlton House), with which it shares the manager. Southside House DS0000008091.V268469.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out over the lunchtime and early afternoon, and involved brief visits to the sister home, Charlton House, as well as to Southside House. It focused on how the home is meeting the National Minimum Standards relating to residents personal and health care support. The inspector spoke with two of the residents and looked at several residents personal care records. Care plans and other records provided a very full and detailed picture of the regular health care checks each person has, but the inspector made some recommendations for tightening this system up further. The inspector also did a full tour of the premises, which were generally well furnished, well-equipped, and in a good state of repair. The shower room was in the process of being re-tiled. What the service does well: What has improved since the last inspection? The inspector recommended at the last inspection that the manager should consider reintroducing the practice of having a handover period between shift changes. At todays inspection, the manager said that she has discussed possible rota changes with two of the people who staff this home, and that she is meeting with the three staff who work here after Christmas with the intention of working out rotas that are less demanding on the staff and allow time for a proper handover. Southside House DS0000008091.V268469.R01.S.doc Version 5.0 Page 6 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. Southside House DS0000008091.V268469.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 Southside House DS0000008091.V268469.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): These standards were not assessed at this inspection. EVIDENCE: Southside House DS0000008091.V268469.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): These standards were not assessed at this inspection. EVIDENCE: Southside House DS0000008091.V268469.R01.S.doc Version 5.0 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 the following standard(s): These standards were not assessed at this inspection, but residents comments showed that they are enjoying a full and varied social and vocational life. EVIDENCE: Southside House DS0000008091.V268469.R01.S.doc Version 5.0 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 the following standard(s): 18-19 Residents get regular health checks, and this is well documented, but the system would be further improved by the inclusion of some failsafe mechanisms. EVIDENCE: The care plans sampled included elements relating to residents health care, but focused mainly on already identified health care problems (such as epilepsy) rather than on proactive measures (such as regular health checks). At present, care plans make passing mention of regular checks with a variety of health care professionals, and the health care records show that these appointments are happening on a regular basis. Most of the care plans sampled did not specify how often these checks should happen, and did not include any failsafe mechanism for if the relevant health care professional fails to contact the home with a routine appointment date. However, the homes medical records on each person showed that breast screening, smear tests, routine blood tests, dental appointments etc are being arranged on a regular basis. The manager has diaried some routine checks to remind herself to follow them up if the health care professional omits to contact the home or resident, but not all due health checks are recorded in this way. Southside House DS0000008091.V268469.R01.S.doc Version 5.0 Page 12 Although this is working well at present, a failsafe mechanism should be built into care plans to ensure it continues. The inspector therefore recommended that all routine health care checks (such as breast screening, smear tests, opticians appointments, health and medication reviews, etc) are listed in the care plan with a note of how frequently they should happen, and of who has undertaken responsibility for arranging them. If the resident themselves normally arranges and attends these health checks independently, staff will need to monitor the continued success of this. On each care plan review, staff should check that routine health care appointments have been happening as planned. It is also recommended that the home request a general health check or an appointment at a Well Woman/Well Man clinic on a yearly basis on each residents behalf, and that a record is kept of these requests. The records checked showed that appropriate medical support is sought promptly, and that residents are given the support each person needs to attend these. The medical appointments record includes a code for whether the person was accompanied by staff or attended alone. It also notes if any treatment has been refused on any occasion. Records are kept of the dates of each persons appointments with any healthcare professionals. These showed that residents are regularly attending appointments for routine checks, but did not make clear whether the GP had reviewed their medications on any of these visits. The manager reported that GPs tend to review medications fairly regularly. It is recommended that, when the GP tells staff that they have carried out a medication review or when staff have requested a medication review, this is clearly logged on the homes records. The inspector suggested that it may be useful to add the date of the last smear test and any inoculations to each persons essential information sheet for ease of reference. Some staff are recording the dates on which care plans are drawn up in the column for review dates. This is confusing, and the manager undertook to remind staff to record the date in the proper place. Southside House DS0000008091.V268469.R01.S.doc Version 5.0 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 Residents views are listened to and acted on. EVIDENCE: Both the residents the inspector met today said that they feel confident and comfortable telling staff what they think. They described good relationships with staff and said that staff listen to them. The inspector suggested at the last inspection that the Adult Protection Manager for North Somerset Social Services was informed about a particular situation involving a resident, and that she and the Social Worker were asked to work with the home in drawing up a response strategy for managing this situation. The manager reported that she has tried contacting both professionals on a number of occasions but has not heard back. The inspector recommended that the manager approaches the day-care service for this resident and asks for their input in drawing up a risk assessment/response strategy, and that a copy of this is sent to the social worker with an invitation for her to comment on it. Southside House DS0000008091.V268469.R01.S.doc Version 5.0 Page 14 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): 24-30 The environment is generally well-suited to residents needs and lifestyles, but double rooms do not promote privacy. EVIDENCE: All areas of the home were well decorated and maintained, and comfortably furnished. The impression was of a very pleasant and welcoming environment that is well-suited to its occupants lifestyles. There is a large lounge and separate dining room, both of which have a TV and comfortable seating. Residents had decorated the home beautifully for Christmas. There is a damp patch in the corner of the bathroom ceiling above the door. The manager said that the maintenance man is due to redecorate in here, once he has finished re-tiling the downstairs shower room. Some bedrooms have locks that could prevent staff being able to reach the person in an emergency. The manager is gradually changing these locks over to safety locks. Residents are encouraged to hold their own keys. Southside House DS0000008091.V268469.R01.S.doc Version 5.0 Page 15 The bedroom furniture supplied by the home was in good condition and of reasonable quality. At present, all but one of the bedrooms are used as singles, and reflected the tastes and interests of their occupants. The manager said that she and the owner are currently discussing ways in which they might be able to reduce the number of double bedrooms, as they do not feel these are in keeping with the home s aims to promote residents individuality and independence. Southside House DS0000008091.V268469.R01.S.doc Version 5.0 Page 16 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): These standards were not assessed at this inspection. EVIDENCE: Southside House DS0000008091.V268469.R01.S.doc Version 5.0 Page 17 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): These standards were not assessed at this inspection. EVIDENCE: Southside House DS0000008091.V268469.R01.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 Score x x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score x x x x x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Southside House Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x x x DS0000008091.V268469.R01.S.doc Version 5.0 Page 19 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. Standard Regulation 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 YA18 Good Practice Recommendations All routine health care checks should be listed in the care plan with a note of how frequently they should happen, and of who has undertaken responsibility for arranging them. On each care plan review, staff should check that routine health care appointments have been happening as planned. The home should request a general health check or an appointment at a Well Woman/Well Man clinic on a yearly basis on each residents behalf, and a record should be kept of these requests. When the GP tells staff that they have carried out a medication review or when staff have requested a medication review, this should be clearly logged on the homes records. 2. YA19 Southside House DS0000008091.V268469.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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. 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