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Inspection on 09/11/05 for Spectrum Support Services

Also see our care home review for Spectrum Support Services for more information

This inspection was carried out on 9th November 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home continues to have a clear philosophy that it is a specialised service, offering support to young adults with a diagnosis of Asperger`s. The home aims to enable residents to gain experiences and skills to move on to more independent living. This has been achieved with a resident returning to University and now living in the community. At the last inspection the resident in question had made an application to university, but had decided he was not ready. But with the support of this service, his family and other professionals he has now taken up his place at a London University.

What has improved since the last inspection?

The requirement from the last inspection required the manager to review the home`s procedures to ensure that all complaints are responded to within 28 days, and a comprehensive record is kept with details of the any investigations, actions taken and outcomes. These procedures are now in place and all staff are trained in their use.

What the care home could do better:

There are no requirements or recommendation following this inspection.

CARE HOME ADULTS 18-65 Spectrum Support Services 8 Southwater Road St Leonards-On-Sea East Sussex TN37 6JS Lead Inspector Jeanette Denereaz Unannounced Inspection 9th November 2005 09:50 Spectrum Support Services DS0000047513.V261180.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 Spectrum Support Services DS0000047513.V261180.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. Spectrum Support Services DS0000047513.V261180.R01.S.doc Version 5.0 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.V261180.R01.S.doc Version 5.0 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. 14th June 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. Spectrum Support Services DS0000047513.V261180.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, the second in the year running from April 1st 2005 to March 31st 2006. The inspection took place between 9.50 and 11.50. The overall focus of the inspection was on meeting with the member of staff on duty who on this occasion was the Responsible Individual for the service, and reviewing the progress of the requirements from the previous inspection, and a full tour of the home. Time was spent meeting the member of staff, inspecting a number of records, policies, procedures and other documentation. Only one resident was at home, but unfortunately he refused to talk to the inspector. As this report was made following the second unannounced visit, and does not cover all the standards, therefore for the reader to make a judgment about the home, it is recommended that a copy of the last inspection report of the 14th June 2005 also be obtained to have a clearer picture of the home. What the service does well: What has improved since the last inspection? What they could do better: There are no requirements or recommendation following this inspection. Spectrum Support Services DS0000047513.V261180.R01.S.doc Version 5.0 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. Spectrum Support Services DS0000047513.V261180.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 Spectrum Support Services DS0000047513.V261180.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): All these standards were inspected at the last inspection on the 14th June 2005, and were fully met. EVIDENCE: Since the last inspection the home now has a vacancy, and there have been referrals made but following the initial assessments and interviews, the management found the prospective residents not compatible with the other residents or the service. Spectrum Support Services DS0000047513.V261180.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): All these standards were inspected at the last inspection on the 14th June 2005, and were fully met. EVIDENCE: Spectrum Support Services DS0000047513.V261180.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): 14 & 15 Residents continue to have an active and rewarding lifestyle into which they have good inputs. The home is very welcoming, and visitors, family and friends would be made welcome. EVIDENCE: The residents’ interests are varied and they have many interests, however, they are both young men and can spent much time in their bedrooms. The staff support the residents to become as independent as possible and seek outside interests and activities. There has been incident with one resident becoming very fond of a fem ale staff member, and professional support was sort, and the feedback was that the home and the staff member dealt with the situation in wholly professional and mature manner. Spectrum Support Services DS0000047513.V261180.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): 21 The situation of ageing and death is not paramount for residents at this time, but the home is aware that ageing, illness, death and bereavement could affect residents. EVIDENCE: The home has collated information regarding bereavement, and following the death of a previous resident’s parent, the home is prepared to support the residents if and when this situation happens. When the resident left the service in September, the home felt this lost as the staff and residents had been together for sometime. Spectrum Support Services DS0000047513.V261180.R01.S.doc Version 5.0 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 the following standard(s): 23 Residents continue to be able to voice concerns and know that these concerns will be listened to and acted upon. EVIDENCE: Since the last inspection the home has revised the procedures for complaints and now ensure that all complaints are responded to within 28 days, and a comprehensive record is kept with details of the any investigations, action taken and outcomes. Spectrum Support Services DS0000047513.V261180.R01.S.doc Version 5.0 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 the following standard(s): 25,26 & 27 Residents have a homely place in which to live where they can relax and be themselves. EVIDENCE: During this and at the previous inspection the inspector toured the home, and found it to be relaxed and a homely environment. All the bedrooms are well furnished, as are the communal areas of the house. There is a bathroom and shower room on the upper floors. It is a spacious house and the staff informed the inspector that the residents use all the rooms, sometimes sit together in the lounge or in their own bedrooms. Spectrum Support Services DS0000047513.V261180.R01.S.doc Version 5.0 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 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): 31,32,33 & 34 A motivated, competent and well-trained staff group supports the residents. EVIDENCE: The staff interviewed at this inspection and the previous inspection on 14th June 2005 were very confident in their roles, and was seen to be supportive and respectful to the residents. During this inspection the inspector viewed staff files and found them to be order, also supervisions records revealed that supervisions are undertaken frequently. Training is an important aspect of the home and all staff have undertaken induction and mandatory training including Fire Training, Health & safety, First Aid and Autism training. Three staff have also registered to undertake their NVQ 3 training. Spectrum Support Services DS0000047513.V261180.R01.S.doc Version 5.0 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 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): 37,40 & 42 Residents at Spectrum Support Services live in a home that is well run by a committed and motivated management team. EVIDENCE: It was evident at this inspection that Spectrum Support Services continues to grow in strength and that the staff and management team are more confident in their roles and with the aims and objectives of the home. The health and safety documentation was inspected and found to be in order, with regularly maintenance and contract service of the equipment and appliances. The home comprehensive policies and procedures are in place and it was evident that they are reviewed and updated regularly. Spectrum Support Services DS0000047513.V261180.R01.S.doc Version 5.0 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 X X X X X Standard No 22 23 Score X 3 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 X 3 3 3 X N/A X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 3 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score 3 3 3 3 X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Spectrum Support Services Score X X X 3 Standard No 37 38 39 40 41 42 43 Score 3 X X 3 X 3 X DS0000047513.V261180.R01.S.doc Version 5.0 Page 17 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.V261180.R01.S.doc Version 5.0 Page 18 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. Extracts may not be used or reproduced without the express permission of CSCI Spectrum Support Services DS0000047513.V261180.R01.S.doc Version 5.0 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. 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!