Inspection on 28/02/06 for St Martin`s House

This inspection was carried out on 28th February 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 Martin`s House 07/12/06

St Martin`s House 17/10/05

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 Martin`s House 3 Irvine Road Littlehampton West Sussex BN17 5LA Lead Inspector Ms J Hartley Unannounced Inspection 28th February 2006 10:15 St Martin`s House DS0000014737.V275335.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 Martin`s House DS0000014737.V275335.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 Martin`s House DS0000014737.V275335.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service St Martin`s House Address 3 Irvine Road Littlehampton West Sussex BN17 5LA 01903 716306 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) Mr Liam Connell Mrs Eileen Connell Mr Liam Connell Care Home 3 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (3) of places St Martin`s House DS0000014737.V275335.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th October 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 Martin`s House DS0000014737.V275335.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection was carried out over a period of two hours. The inspector examined information held on the service file since the last inspection in October 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 the registered manager. The inspector undertook a tour of the premises and looked at the care plan. Various record books, policies and procedures were also examined. This report should be read in conjunction with the report of the announced inspection held on 17th October 2005. All the key standards, which should be inspected in a twelve-month period, are covered in these two reports 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 Martin`s House DS0000014737.V275335.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 Martin`s House DS0000014737.V275335.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): 2, 4 Prospective service users’ needs are assessed prior to admission. They would also be given the chance to visit the home prior to moving in. Standard One was inspected during the last inspection and found to have been met. EVIDENCE: An assessment by social services was received by the home prior to the current resident being admitted. The current care plan for the resident was seen and found to be up to date. Mrs Connell said that if they have any other admissions the prospective resident would be welcome to visit the home prior to admission. St. Martins does not accept emergency admissions. St Martin`s House DS0000014737.V275335.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): 8, 10 The current resident is able to participate in the day-to-day running of the home. Information is handled confidentially. Standards Six, Seven and Nine were inspected during the last inspection and were found to have been met. EVIDENCE: Mr and Mrs Connell do not have any staff so it is not possible for the resident to take part in staff selection or staff meetings. As the home is run like a family home, the resident is given opportunities to participate in the general running of the home. For example helping with the garden, choosing what to eat etc. Mrs Connell holds an informal house meeting once a month. At present this is not recorded but she plans to start recording the meetings. The home has a confidentiality policy in place. The service user’s records were seen to be accurately recorded, secure and confidential. The resident said that he feels that Mr and Mrs Connell keep his confidences. St Martin`s House DS0000014737.V275335.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): 15, 16 The resident is supported din having appropriate relationships. The resident’s rights are respected and he is encouraged to be as independent as possible. Standards Twelve, Thirteen and Seventeen were inspected at the last inspection and were found to have been met. EVIDENCE: The resident said that his friends are welcome to visit him. He often goes out with one of his friends. Records seen confirm this and show that the resident is supported in visiting his family when he wants to. He is able to choose whom he wants and doesn’t want to see. He said he is given many opportunities to visit people outside of the home, through social activities with Mr and Mrs Connell and going out by himself. The resident’s independence is promoted in many different ways. He is encouraged to prepare his own breakfast and lunch, he is supported in cleaning his room and keeping it tidy. He is able to open his own post and has a key to the door. He goes out independently, for which there is a risk assessment in place. St Martin`s House DS0000014737.V275335.R01.S.doc Version 5.1 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 the following standard(s): 19 The resident’s physical and emotional needs are met by the home and community health services. Standard Eighteen was inspected during the last inspection and was found to have been met. The current service user does not have any medication so Standard Twenty is not applicable to this service. EVIDENCE: The resident is supported in taking care of his own health care. He is able to make his own appointments and take himself to them. His health needs are met through community health services such as GP, dentist and optician. St Martin`s House DS0000014737.V275335.R01.S.doc Version 5.1 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 the following standard(s): 23 The resident is protected from abuse, neglect and self-harm by the home’s policies and procedures. Standard Twenty-Two was inspected at the last inspection and was found to have been met. EVIDENCE: The home has robust procedures in place regarding Adult Protection, including a whistle blowing policy. The resident is able to manage his own finances. He signs for his personal allowance each week. The records seen were accurate and up to date. St Martin`s House DS0000014737.V275335.R01.S.doc Version 5.1 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 the following standard(s): 24, 26 St. Martin’s House is clean, hygienic, homely and comfortably furnished. Decoration is generally good, Standard Thirty was inspected at the last inspection and was found to have been met. EVIDENCE: The home’s premises are suitable for its stated purpose. It is in a residential street close to the local amenities of the town. St. Martins House has a homely environment and communal areas were found to be clean tidy and free from offensive odours. Furnishings are comfortable and homely. Grounds were seen to be tidy and accessible to service users. The worn furniture that was seen in the resident’s sitting room has been replaced. The resident’s bedroom and sitting room showed plenty of evidence if his own personal interests and hobbies. He has his own drawings on the wall. St Martin`s House DS0000014737.V275335.R01.S.doc Version 5.1 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 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): Standards Thirty-Four and Thirty-Five were inspected at the last inspection and were found to have been met. Standards Thirty- one, Thirty- Two, Thirty-Three and Thirty-Six are not applicable to this service as there is no staff team. Mr and Mrs Connell run the service themselves. EVIDENCE: St Martin`s House DS0000014737.V275335.R01.S.doc Version 5.1 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 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 St. Martins House is a well run home with experienced managers. The resident feels that his views are listened to and taken seriously. Standard Forty-Two was inspected at the last inspection and was found to have been met. EVIDENCE: Mr and Mrs Connell have been running St Martins for a number of years. Mrs Connell is currently doing her NVQ4 in Care, and will be starting her Registered Managers Award in November. She says she feels she has benefited from taking the NVQ. The resident feels that Mr and Mrs Connell take his views seriously. The home seeks constant informal feedback from the resident. House meetings are held monthly and can be used as a forum for seeking the resident’s views. There is no formal quality assurance system in place. St Martin`s House DS0000014737.V275335.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 N/A 32 N/A 33 N/A 34 X 35 X 36 N/A CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X 3 X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 N/A X 3 X 2 X X X X St Martin`s House DS0000014737.V275335.R01.S.doc Version 5.1 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. 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 YA8 Good Practice Recommendations It is recommended that monthly house meetings be recorded. St Martin`s House DS0000014737.V275335.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection Worthing LO 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 Martin`s House DS0000014737.V275335.R01.S.doc Version 5.1 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. 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