Inspection on 24/08/05 for Southside House

This inspection was carried out on 24th August 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 15/12/05

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 Somerset BS23 1DP Lead Inspector Catherine Hill Announced 24 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. Southside House D53-D02 S8091 Southside House V232229 24.08.05 stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Southside House Address 44 Severn Road Weston Super Mare North Somerset BS23 1DP 01934 626540 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) Mr Lai Gunaratne Mrs Veronica Bishop Care Home - Personal Care Only 6 Category(ies) of Learning Disability - (6) registration, with number of places Southside House D53-D02 S8091 Southside House V232229 24.08.05 stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate up to 6 persons aged 18 - 64 years. 2. The manager to gain a formal LDAF qualification by June 2006 Date of last inspection 18 March 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 services provided is based 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 D53-D02 S8091 Southside House V232229 24.08.05 stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was carried out in two parts. Records relating to the running of the home were checked as part of the announced inspection earlier the same day of the sister home, Charlton House. The inspector spent a couple of hours in the late afternoon and early evening at Southside House, talking with residents and staff. The inspector spent some time in the lounge with the resident group, and also spoke to some of the residents individually. What the service does well: What has improved since the last inspection? What they could do better: No requirements were made at todays inspection, but the inspector recommended that the manager consider reintroducing the practice of having handover time between the two staff who mainly work in this home. These staff usually work one week on and one week off, and cover long hours. Although records are informative, having time for a verbal handover will help to ensure that staff coming on duty are fully aware of what has happened in their absence and what might be required of them during their shift. Southside House D53-D02 S8091 Southside House V232229 24.08.05 stage 4.doc Version 1.30 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. Southside House D53-D02 S8091 Southside House V232229 24.08.05 stage 4.doc Version 1.30 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 Southside House D53-D02 S8091 Southside House V232229 24.08.05 stage 4.doc Version 1.30 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) 1-5 Residents and their representatives get good information about the home before they move in, and there is a good system in place for the home to get sufficient information about the individual. EVIDENCE: The Service Users Guide has been updated since the last inspection. It has been amended to be more understandable to residents, and pictures have been added where appropriate. People can visit the home as often as they need to before deciding to move in. The residents contract has been updated to make the terms and conditions of residency plainer. Basic toiletries are included in the fees. Residents assessments are now being signed and dated. Southside House D53-D02 S8091 Southside House V232229 24.08.05 stage 4.doc Version 1.30 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) 6-10 Residents support needs are well-documented, and they are given good opportunities to pursue interesting and fulfilling lifestyles. EVIDENCE: Residents care records showed that an entry is made on a daily basis. These notes are supplemented by key workers monthly summaries of any changes or progress. More recent records contained a lot of useful detail, and the tone of the entries was very positive. The care plans sampled included clear information about the support required by each person, and any essential information that is unlikely to change is clearly recorded on the front inside cover of each persons file so that it is not lost. A written policy on residents access to their records will help to show residents that their personal information is being handled properly. Southside House D53-D02 S8091 Southside House V232229 24.08.05 stage 4.doc Version 1.30 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) These standards were not assessed at this inspection. EVIDENCE: Southside House D53-D02 S8091 Southside House V232229 24.08.05 stage 4.doc Version 1.30 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) 18-21 Routines are designed by residents as far as practicable, and allow room for each person to exercise their independence. EVIDENCE: Discussion with residents and staff showed that routines are flexible to take account of individual changing needs. Care plans are kept under regular review and updated as necessary. The individual s own views are taken into account when planning the way that support will be given. Residents felt in control of their care and support. One person expressed a wish to be more independent with their medications. The manager undertook to try giving this person their medicines on a daily basis to self medicate, and to try increasing this if it proves successful. There are not usually staff on duty during the day while residents are out, but a member of staff remains on site if a resident is at home. Southside House D53-D02 S8091 Southside House V232229 24.08.05 stage 4.doc Version 1.30 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 feel listened to, and there are effective systems in place to protect them. EVIDENCE: There is a written complaints procedure that has been updated to include the new CSCI Taunton office address. The inspector suggested that a paragraph is added to this procedure which encourages complainants to talk to staff or the manager in the first instance before approaching CSCI, as many concerns can often be resolved this way. No complaints had been received by the CSCI or the home. Staff have attended an abuse awareness course within the past year or so, and felt confident that any concerns they raised would be taken seriously and dealt with appropriately. Southside House D53-D02 S8091 Southside House V232229 24.08.05 stage 4.doc Version 1.30 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) 24-30 The parts of the environment seen at this inspection are well-suited to residents needs and lifestyles. EVIDENCE: The inspector did not do a full tour of the home but the areas seen were well decorated and maintained, and comfortably furnished. The impression was of a very pleasant and welcoming environment. All areas seen were clean and tidy. There is a large lounge and separate dining room. All bedrooms are single. 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 D53-D02 S8091 Southside House V232229 24.08.05 stage 4.doc Version 1.30 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) 31-36 Staffing policies and procedures protect residents. EVIDENCE: PoVA First- and other identity- checks are being carried out before new staff start work in the home. There is a thorough induction training programme that a senior member of staff goes through with any new staff. Regular updates of statutory training are provided. These include Health and Safety training, manual handling, Basic Food Hygiene, and fire safety awareness courses. The home usually provides two dates for training so that staff can choose which will suit them best. Both staff hold a current first aid certificate. The staff training records sampled showed that each person is getting a good range of relevant training. It is recommended that the manager consider reintroducing the practice of having handover time between the two staff who mainly work in this home. These staff usually work one week on and one week off, and cover long hours. Although records are informative, having time for a verbal handover will help Southside House D53-D02 S8091 Southside House V232229 24.08.05 stage 4.doc Version 1.30 Page 15 to ensure that staff coming on duty are fully aware of what has happened in their absence and what might be required of them during their shift. Southside House D53-D02 S8091 Southside House V232229 24.08.05 stage 4.doc Version 1.30 Page 16 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) 37-43 The home is well managed. Communication is good but might be improved by the reintroduction of a handover period between shifts. EVIDENCE: Veronica Bishop is an experienced manager and has completed the Registered Managers Award. Conversation with residents and the staff member on duty showed that residents have a good deal of say in the running of their home, and regard their relationships with staff as being on an equal footing. There is a strong commitment to making the home even more resident-focused. Staff at Southside House get a lot of autonomy due to the house being separate from the main home, and to the fact that staff work on their own. It is therefore particularly important that support systems are effective. A programme of formal supervision sessions began after the last inspection, but Southside House D53-D02 S8091 Southside House V232229 24.08.05 stage 4.doc Version 1.30 Page 17 has lapsed again over the past few months due to staff absences from Charlton House. The manager is rescheduling one-to-one supervision sessions now for all staff. The owner visits on a regular basis, and some of these visits are unannounced. He talks to residents and staff as part of these visits to ensure that people are happy and the home is running well. A housekeeping check is carried out every month to ensure that all equipment and decoration is in good order, and to check health and safety issues. Fire records and COSHH (Control of Substances Hazardous to Health) records were in good order. Southside House D53-D02 S8091 Southside House V232229 24.08.05 stage 4.doc Version 1.30 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 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x 3 x 3 Standard No 11 12 13 14 15 16 17 x x x x x x x Standard No 31 32 33 34 35 36 Score 2 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Southside House Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 3 D53-D02 S8091 Southside House V232229 24.08.05 stage 4.doc Version 1.30 Page 19 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 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 31 Good Practice Recommendations The manager should consider reintroducing the practice of having a handover period between shift changes. Southside House D53-D02 S8091 Southside House V232229 24.08.05 stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection Riverside Chambers Castle Street Tangier 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. Extracts may not be used or reproduced without the express permission of CSCI Southside House D53-D02 S8091 Southside House V232229 24.08.05 stage 4.doc Version 1.30 Page 21 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!