Inspection on 17/10/05 for St Martin`s House

This inspection was carried out on 17th October 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

St Martin`s House 07/12/06

St Martin`s House 28/02/06

St Martin`s House 03/02/05

St Martin`s House 06/09/04

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

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

CARE HOME ADULTS 18-65 St Martins House 3 Irvine Road Littlehampton West Sussex BN17 5LA Lead Inspector Jo Hartley Announced 17 October 2005, 09:30 am 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. St Martins House H60-H11 S14737 St Martins House V247081 171005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service St Martins House Address 3 Irvine Road, Littlehampton, West Sussex, BN17 5LA 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) 01903 716306 Mr Liam Connell Mrs Eileen Connell Mr Liam Connell Mrs Eileen Connell Care Home (CRH) only (PC) 3 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (MD), (3) of places St Martins House H60-H11 S14737 St Martins House V247081 171005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3 February 2005 Brief Description of the Service: St Martins House is a Care Home for Younger Adults providing accommodation for up to three people in the category Mental Disorder. One person is accommodated at present. It is privately owned by Mr. L. and Mrs Eileen Connell. The home is located in Littlehampton close to the sea, shops and other local amenities. The home was opened in 1993 and is a large semi detached property with accommodation for service users on the first and second floors. The home has three single bedrooms each with its own sitting room. There is one bathroom and one shower room upstairs and another bathroom downstairs. The furniture is individual and domestic in character. St Martins House H60-H11 S14737 St Martins House V247081 171005 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The site visit of this announced inspection was carried out over a period of two hours. Prior to the site visit the inspector received, and noted the content of the Pre-Inspection Questionnaire and also read information held on the service file since the last inspection in February 2005, and read the previous two inspection reports, the Service User Guide and the Statement of Purpose. During the inspection the inspector spoke to the service user and Mr Connell. The inspector undertook a tour of the premises and looked at the care plan of the service user accommodated at the home. Various record books, policies and procedures were also examined. 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 Martins House H60-H11 S14737 St Martins House V247081 171005 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection St Martins House H60-H11 S14737 St Martins House V247081 171005 Stage 4.doc Version 1.40 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 standard(s) 1, 2 Prospective service users have the information they need to make an informed choice on where to live. The needs and aspirations of service users are assessed prior to admission. EVIDENCE: The Service User Guide and Statement of Purpose were seen and found to include all the required information. The Statement of Purpose has been updated to include the Terms and Conditions of the home. At present the home has only one service user and is unlikely to admit further service users. A social service assessment was seen for the current service user. St Martins House H60-H11 S14737 St Martins House V247081 171005 Stage 4.doc Version 1.40 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 standard(s) 6, 7, 9 An individual plan of care is in place for the current service user. The service user is encouraged to make decisions about his own life and is supported to take risks. EVIDENCE: The care plan for the current service user was seen to be basic but included the required information. Reviews are now being recorded on the care plan. The service user said that he is able to make choices in his life, including what to wear, when he gets up and goes to bed. He said that he receives a lot of support from Mr and Mrs Connell to make decisions and to live his life as independently as possible. St Martins House H60-H11 S14737 St Martins House V247081 171005 Stage 4.doc Version 1.40 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 standard(s) 12, 13, 17 The current service user is supported and encouraged to take part in appropriate activities and to be part of the local community. Meals are varied and healthy. EVIDENCE: The service user said that Mr and Mrs Connell help him to take part in activities including going out for meals, shopping and attending concerts. He said he is very happy with the things he is able to do. He also said he enjoys the meals provided. Mr and Mrs Connell keep a diary of activities and of meals eaten. This showed that the service user has a varied diet and is supported in being part of the local community. St Martins House H60-H11 S14737 St Martins House V247081 171005 Stage 4.doc Version 1.40 Page 10 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, 19, 20 The service user receives the support with personal care that he needs. Physical and emotional needs are met through community health services. At present there isn’t anyone in the home taking medication, therefore Standard Twenty does not apply. EVIDENCE: The present service user does not require any personal care. Mr. and Mrs. Connell prompt him with personal hygiene matters as required. Records seen, and the service user confirmed, that Mr. or Mrs. Connell take him to the doctor, hospital and social service review appointments. Specialist appointments, such as speech therapy, have been arranged to meet the service user’s health needs. Following a medication review at the beginning of this year, the service user no longer takes any medication; therefore Standard Twenty does not apply at present. St Martins House H60-H11 S14737 St Martins House V247081 171005 Stage 4.doc Version 1.40 Page 11 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 The service user feels that his views are listened to and acted on. EVIDENCE: The home’s complaints procedure was seen on the day of the inspection. The procedure is displayed in the home and explained in the Service User Guide. The service user said that he did not have any complaints, and that he would be happy to talk to Mr. and Mrs. Connell if he had any worries. St Martins House H60-H11 S14737 St Martins House V247081 171005 Stage 4.doc Version 1.40 Page 12 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 St. Martin’s House is clean, hygienic, homely and comfortably furnished. Decoration is generally good, although some furniture in the service user’s bedroom is becoming worn. EVIDENCE: On the day of the inspection the home was found to be clean and tidy and free from offensive odours. The furnishing in communal areas and in the service user’s bedroom was domestic in character. Decoration in communal areas is of a good standard. Some redecoration is needed in the service user’s bedroom and some of the furnishings are beginning to become worn. Mr Connell is currently refurbishing some parts of the home. St Martins House H60-H11 S14737 St Martins House V247081 171005 Stage 4.doc Version 1.40 Page 13 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) 34, 35 No care staff are employed at the home. Mr. and Mrs. Connell both have CRB checks and are appropriately trained to meet the needs of the service user. Mr and Mrs Connell run the home by themselves with no other support staff, therefore Standards Thirty-One, Thirty-Two, Thirty-Three and Thirty-Six are not applicable. EVIDENCE: CRB checks for Mr. and Mrs. Connell were seen on the day of the inspection. No other staff are employed by the home. Evidence was seen that Mrs. Connell is enrolled on a Registered Manager’s Award course, which she will be starting in November 2005. Both Mr. and Mrs. Connell keep their training updated. They have attended courses that include Infection Control, Nutrition, Tissue Viability/Pressure Sores Care, First Aid and Moving and Handling. Certificates were available for inspection. St Martins House H60-H11 S14737 St Martins House V247081 171005 Stage 4.doc Version 1.40 Page 14 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) 42 EVIDENCE: Evidence was seen during the inspection of regular fire drills including full evacuation drills. Fire alarms and emergency lighting are checked monthly. The emergency lights have recently been updated and the central heating boiler has also been replaced. Mrs. Connell has a First Aid certificate. There are processes in place to record accidents and injuries if they occur. Hazardous materials were seen to be stored safely. St Martins House H60-H11 S14737 St Martins House V247081 171005 Stage 4.doc Version 1.40 Page 15 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 x x x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x x x 3 Standard No 31 32 33 34 35 36 Score N/A N/A N/A 3 3 N/A CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 St Martins House Score 3 3 N/A x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x H60-H11 S14737 St Martins House V247081 171005 Stage 4.doc Version 1.40 Page 16 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 24 Good Practice Recommendations Consideration should be given to replacing the furniture in the service users bedroom that is becoming worn, and to redecorating the service users rooms as part of the ongoing refurbishment. St Martins House H60-H11 S14737 St Martins House V247081 171005 Stage 4.doc Version 1.40 Page 17 Commission for Social Care Inspection 2nd Floor, Ridgeworth House, Liverpool Gardens Worthing West Sussex BN11 1RY 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 Martins House H60-H11 S14737 St Martins House V247081 171005 Stage 4.doc Version 1.40 Page 18 - 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!