Inspection on 13/10/06 for Spectrum Support Services

This inspection was carried out on 13th October 2006.

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

Spectrum Support Services 27/08/08

Spectrum Support Services 09/11/05

Spectrum Support Services 14/06/05

Spectrum Support Services 16/11/04

Spectrum Support Services 05/04/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Spectrum Support Services 8 Southwater Road St Leonards-On-Sea East Sussex TN37 6JS Lead Inspector Jeanette Denereaz Key Unannounced Inspection 13th October 2006 10:00 Spectrum Support Services DS0000047513.V308917.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 Spectrum Support Services DS0000047513.V308917.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. Spectrum Support Services DS0000047513.V308917.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Spectrum Support Services Address 8 Southwater Road St Leonards-On-Sea East Sussex TN37 6JS 01424 447318 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) Spectrum Support Services Limited Ms Nicola Jane Booth Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Spectrum Support Services DS0000047513.V308917.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum number of residents to be accommodated is three (3) younger adults with learning difficulties within the Autistic Spectrum. 9th November 2005 Date of last inspection Brief Description of the Service: Spectrum Support Services 8 Southwater Road is registered for three younger adults with learning disability within the Autistic Spectrum specialising in persons diagnosed with Asperger’s. The building is a terraced three storey Victorian house. It is situation in St Leonard’s on sea and is a short distance from local amenities, shops and railway station. The house has a kitchen, lounge and dining area on the ground floor, bedrooms, bathroom, toilet and office on the upper floors. It has a small terraced garden to the rear of the property. The current scale of fees range from £1246.30 To £1275.11 Spectrum Support Services DS0000047513.V308917.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulations 2001, uses the term ‘service user’ to describe those living in care home settings. For the purpose of this report, those living at Spectrum Support Services are referred to as ‘residents’. This report reflects a key inspection based on the collation of information received since the last inspection and an unannounced site visit conducted by an Inspector on the 13th October 2006 starting at 10.00am and leaving at 1.00pm. The site visit included a tour of the premises and an examination of various records including medication, care and staffing records. The Inspector met with the Registered manager, staff member and the Responsible Individual. The Staff member was spoken to briefly, as she was on her way out supporting a resident in the community. During this site inspection visit, the inspector met both of the residents briefly, one was on his way out and the other was feeling ‘down’ and not wanting to talk to anyone. It should be noted the residents have a diagnosis of Asperger’s syndrome and communication can be difficult. However, the resident did greet the inspector and exchanged a few words about his placement at Spectrum Support Services. He stated it was nice, but not like living at home with his family. Both residents’ families were sent the CSCI’s Relatives/Visitors comment cards prior to this inspection visit, and they gave praise to the staff and the service. “An excellent care home, with staff who go out of their way to help our son. We are particularly pleased at the calibre of the staff”. What the service does well: What has improved since the last inspection? The manager and the staff team have grown in confidence. The home continues to have a clear philosophy that is a specialised service, offering support to young adults with a diagnosis of Asperger’s syndrome. Spectrum Support Services DS0000047513.V308917.R01.S.doc Version 5.2 Page 6 The back garden has been improved with the paving relayed and a decking area has been created at the top of the garden, with shallow steps installed. At the last inspection there were no requirements or recommendations. 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. Spectrum Support Services DS0000047513.V308917.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 Spectrum Support Services DS0000047513.V308917.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4 & 5 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. The statement of purpose and service user guide clearly says what service will be offered. Prospective service users can be confident their needs will be assessed, and the home will meet their needs and aspirations EVIDENCE: At the present time there are two residents living a Spectrum Support Services and a third person is in the progress of moving in. The inspector was informed that the initial contact came from the perspective’s mother, as he is still living at home with his family. He and his care manager have visited on numerous occasions and all these visits and correspondence are recorded. The prospective resident is very eager to move into the home, he has been offered an over-night stay but he has refused. The home will be supporting the resident to continue with his college placement at Plumpton College. The resident who was not in residence at the last inspection came from a hospital placement and the registered manager visited the resident at his home and in the hospital. The hospital and the resident’s parents felt a visit and over-night stay was deemed not to be in the resident best interest, however, the register manager brought the home’s brochure, statement of purpose and service user’s guide to give the young man to read to give him a good insight into Spectrum Support Services. Spectrum Support Services DS0000047513.V308917.R01.S.doc Version 5.2 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): 6,7 & 9 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. The registered manager and staff demonstrate their knowledge of the individual residents, and are aware of the complex needs of the residents and encourage them to have an independent lifestyle as far as possible. EVIDENCE: The continues to promote risk taking as a valuable part of life and residents do go out alone and have various daily activities in the community. There was an incident that was reported to the CSCI, when a resident was going home to visit his family and was getting the coach from Victoria Coach Station. He did not arrive, but was found in London. The management team have investigated this incident and risk assessed, and there are now new guidelines for the staff when supporting this resident when travelling to stay with his family. Spectrum Support Services DS0000047513.V308917.R01.S.doc Version 5.2 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): 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. The home’s links the local community are good and enrich residents’ lives socially and educationally. The manager and staff team are enthusiasm and are always looking for new ideas to enrich the residents’ lives. EVIDENCE: The residents’ interest are varied, however, because they are young men and having a diagnosis of Aperger’s syndrome they can spend much time in their bedrooms or in the home. However, they are encouraged to get out into the community and other professionals such as an art therapist and a life skills counsellor also support them. The prospective resident will be coming with a full programme of activities, and the home has committed to ensure his programme of activities continues. Spectrum Support Services DS0000047513.V308917.R01.S.doc Version 5.2 Page 11 When residents are at home they are encouraged to prepare their own meals and snacks, and during this inspection the resident at home did prepare his own lunch. In September the residents when on a holiday to the Isle of Wight, and the manager said it was very successful, and the two residents got on well together. Spectrum Support Services DS0000047513.V308917.R01.S.doc Version 5.2 Page 12 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 & 20 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Residents receive personal support appropriate to their physical, emotional and healthcare needs. EVIDENCE: All residents are registered with local GP and health checks are regularly carried out and All personal and healthcare needs are well documented, including a full review for the prospective resident. The residents receive, when requested or needed, support from the Community Mental Health Team (CMHT) The medication files and storage were inspected and found to be in order. All staff have had the relevant training and are all deemed to be competent in the administrating of medication to the residents. Spectrum Support Services DS0000047513.V308917.R01.S.doc Version 5.2 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 & 23 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives’ complaints would be taken seriously and investigated. The staff have the knowledge and understanding to take the correct action to safeguard residents from abuse. EVIDENCE: Since the last inspection there has been one complaint made by a resident’s relative, the resident has now left the service. The complaint was regarding the weight gain of the resident and the assumed unhealthy meals within the home. The complaint was investigated and the relative was responded to inline with the home’s policy and procedures for dealing with concerns and complaints. The inspector saw the process and the letter from the relative thanking the home for dealing with her concern and the conclusion that the home does offer healthy meals, but the resident was choosing to eat too much, and not exercising enough. There was evident that the home does encourage healthy eating, with another resident reduced his weight whilst he was living at Spectrum Support Services. The manager and the staff team have a good understanding about the protection of vulnerable adults and what action they would take if they saw or were told of any form of abuse within the home. Spectrum Support Services DS0000047513.V308917.R01.S.doc Version 5.2 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): 24,25,26,27,28 & 30 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. The overall standard of the environment including the décor and furnishing are good and provide a homely and attractive place for residents to live. EVIDENCE: The inspector accompanied by the manager, undertook a full tour of the home including all communal areas, including the kitchen, bathrooms the garden and the unoccupied bedroom. The home was found to be very clean and homely. Spectrum Support Services DS0000047513.V308917.R01.S.doc Version 5.2 Page 15 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): 33,34 & 35 Overall the quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. The staff employed have the skills and experience to meet residents needs and support them. However, the registered manager must ensure that recruitment references from the last two employers of the candidate are taken up and if the information is not clear clarification is sort from the referee, thus safeguarding the residents. EVIDENCE: The staff team at Spectrum Support Services are well established, and only one staff member has left, and one has started since the last inspection. The inspector had met most of the staff team at previous inspection visits. The newest staff member was not on duty during this inspection visit. The inspector reviewed the staff files and were found to be in order, except the newest staff member did not have two returned references, this was discussed with the manager, the staff’s previous employer was a care home that has now closed, but he had a good reference from other employer and his CRB and POVA clearance had been received. Training continues to be an important aspect to of the home and all staff have undertaken induction and mandatory training. Spectrum Support Services DS0000047513.V308917.R01.S.doc Version 5.2 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 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): 37,39 & 42 Overall the quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. The manager has a good understanding, clear development plan and vision for the home. The health and safety records relating to the home are kept in good order. EVIDENCE: It was evident once again at this inspection that Spectrum Support Services continues to grow from strength to strength. The management and staff team are more confident in their roles and this was seen through the recent referrals coming to the home. The health and safety documentation was inspected and found to be in order, with regularly maintenance and service contracts of equipments and appliances in place. Evidence through this inspection visit and from the information given in the Pre- Inspection Questionnaire the home’s comprehensive policies and procedures are in place and are reviewed and updated regularly. Spectrum Support Services DS0000047513.V308917.R01.S.doc Version 5.2 Page 17 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 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Standard No 11 12 13 14 15 16 17 Score Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 33 34 35 36 3 3 X 3 X X 3 3 X 3 3 3 X 3 3 3 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Version 5.2 Page 18 Spectrum Support Services DS0000047513.V308917.R01.S.doc 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. 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. Refer to Standard Good Practice Recommendations Spectrum Support Services DS0000047513.V308917.R01.S.doc Version 5.2 Page 19 Commission for Social Care Inspection East Sussex Area Office 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. 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