Inspection on 25/01/06 for St Andrews House, Exmouth

This inspection was carried out on 25th January 2006.

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

St Andrews House, Exmouth 19/11/08

St Andrews House, Exmouth 01/08/06

St Andrews House, Exmouth 26/07/05

St Andrews House, Exmouth 10/01/05

St Andrews House, Exmouth 22/09/04

St Andrews House, Exmouth 25/03/04

Similar services:

Clouds House

Trevaylor Manor

Closereach

Stallcombe House

Stroud Lodge

The Woodmill

Woodland Vale

Bolealler House

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

CARE HOME ADULTS 18-65 St Andrews House, Exmouth St Andrews Road Exmouth Devon EX8 1AS Lead Inspector Michelle Oliver Unannounced Inspection 25 January 2006 6:00 th St Andrews House, Exmouth DS0000022035.V271947.R01.S.doc Version 5.1 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 St Andrews House, Exmouth DS0000022035.V271947.R01.S.doc Version 5.1 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. St Andrews House, Exmouth DS0000022035.V271947.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service St Andrews House, Exmouth Address St Andrews Road Exmouth Devon EX8 1AS 01395 223737 01395 223536 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) Christian Alliance Housing Association Mrs Ruth Brinsden Care Home 6 Category(ies) of Past or present alcohol dependence (6), Past or registration, with number present drug dependence (6), Mental disorder, of places excluding learning disability or dementia (6) St Andrews House, Exmouth DS0000022035.V271947.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th July 2005 Brief Description of the Service: St. Andrews is one of more than 20 projects managed by Christian Alliance Housing throughout the United Kingdom and is registered to care for up to six younger adults who may be suffering from past or present mental illness, drug or alcohol dependency and find themselves in a position where they can no longer live where they are and need a period of assessment or space to be able to grow. This sometimes necessitates going on to residential care but some can manage areas where they are supported to be independent. The property is a converted former church in a central residential area of Exmouth. The residential home is situated on the ground floor of the building. All rooms are for single occupancy. There is a communal smoking room, lounge, kitchen and dining room. There is also a small laundry for residents use. There are carparking facilities on site. Also managed on the same site, but physically separated, are two sheltered housing units - one on the first floor of the main building and one in an adjacent bungalow. St Andrews House, Exmouth DS0000022035.V271947.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over two hours. The manager was present throughout the inspection. Not all of the standards were assessed at the time of this visit. Those not assessed were looked at during the announced inspection carried out on 26.07.05. Please refer to this report for a comprehensive assessment of the home. The inspector looked around parts of the building and a number of records were inspected. Two care staff and five residents were spoken with. What the service does well: What has improved since the last inspection? 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. St Andrews House, Exmouth DS0000022035.V271947.R01.S.doc Version 5.1 Page 6 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 St Andrews House, Exmouth DS0000022035.V271947.R01.S.doc Version 5.1 Page 7 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): None of these standards were assessed. EVIDENCE: St Andrews House, Exmouth DS0000022035.V271947.R01.S.doc Version 5.1 Page 8 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): YA Standard 6. Residents’ support needs are assessed and they are encouraged and supported to identify the goals they need to achieve. EVIDENCE: The care plans provide information about assessed needs and sets individual goals that encourages independent living skills with clearly written actions for staff to follow to address each goal. The care plans include any associated risks highlighted from the care plans. Any restrictions or limitations on choice or freedom to residents are recorded and risk assessed in individual plans. The individual care plans include behavioural management guidelines for residents who are likely to become aggressive or self-harm. These have been compiled with consultation and advice from other professionals, such as psychologists and nurse specialists. Daily recordings and regular reviews showed that goals were being met. Residents said that regular meetings are held with their link worker and that they are involved in the drawing up and reviewing of their plans of care. St Andrews House, Exmouth DS0000022035.V271947.R01.S.doc Version 5.1 Page 9 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): YA Standard 16 & 17 Residents’ rights are respected by staff at the home. Residents are encouraged to recognise, and supported to accept, responsibilities in their daily lives. EVIDENCE: Five residents said that they are treated as individuals, their wellbeing and independence is supported and their dignity and privacy is respected. All residents have keys to their rooms, and doors are kept locked affording them privacy and “ownership”. Residents said that staff respect their privacy at all times and do not enter their rooms without permission. Residents’ plans of care include agreements which have been reached over daily household tasks. Residents confirmed they have unrestricted access to the home and the grounds. Residents are encouraged to shop, plan and prepare their own breakfast and lunch. Regular residents’ meetings are held during which menus are discussed amongst other things. St Andrews House, Exmouth DS0000022035.V271947.R01.S.doc Version 5.1 Page 10 Residents eat together for the evening meal and each resident takes it in turn to prepare and cook the meal. Records showed that residents are weighed regularly, and their nutritional needs are carefully monitored. St Andrews House, Exmouth DS0000022035.V271947.R01.S.doc Version 5.1 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): YA Standard 20 Residents’ medication is well managed. Some improvement is needed when recording medicines received into the home. Clear, comprehensive arrangements are in place to ensure residents’ medication needs are met. EVIDENCE: Medication records and storage was found to be good. Records are kept of all medications received, administered and leaving the home. The administration records were up to date and generally in good order as was the medication cupboard. Some medication is written on to the medication administration records. When this is carried out it is recommended that two people sign to agree that the prescription has been checked and that the written directions are correct to maintain residents safety. Designated, appropriately trained staff administer medications. The pharmacy carries out 6-monthly checks and regular training for staff. The home has an excellent questionnaire for staff to complete as part of assessing their competencies in relation to the safe handling and administration of medicines. Some residents currently look after their own medication. The decision as to whether a resident looks after their own medication is based on individual needs and abilities to undertake the task. Residents are always involved in this decision-making as well as their care manager and link worker. St Andrews House, Exmouth DS0000022035.V271947.R01.S.doc Version 5.1 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): None of these standards were assessed at the time of this visit. EVIDENCE: St Andrews House, Exmouth DS0000022035.V271947.R01.S.doc Version 5.1 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): None of these standards were assessed at the time of this visit. EVIDENCE: St Andrews House, Exmouth DS0000022035.V271947.R01.S.doc Version 5.1 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): None of these standards were assessed at the time of this visit. EVIDENCE: St Andrews House, Exmouth DS0000022035.V271947.R01.S.doc Version 5.1 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): None of these standards were assessed at the time of this visit. EVIDENCE: St Andrews House, Exmouth DS0000022035.V271947.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 X X X X X X X X St Andrews House, Exmouth DS0000022035.V271947.R01.S.doc Version 5.1 Page 17 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 YA20 Good Practice Recommendations When prescriptions are hand written two people should sign the medication administration record. St Andrews House, Exmouth DS0000022035.V271947.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Exeter Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY 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 St Andrews House, Exmouth DS0000022035.V271947.R01.S.doc Version 5.1 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!