Inspection on 21/06/05 for St Moritz

This inspection was carried out on 21st June 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 Moritz 30/08/06

St Moritz 15/12/05

St Moritz 16/12/04

St Moritz 23/07/04

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 St Moritz 8 Mitten Road Bexhill-on-Sea East Sussex TN40 1QL Lead Inspector Mike Flint Unannounced 21 June 2005 14:00 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 Moritz H59-H10 S21382 St Moritz V223444 250405 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service St Moritz Address 8 Mitten Road Bexhill-on-Sea East Sussex TN40 1QL 01424 731150 None None Mr Steven Alexandrou 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) Mr Steven Alexandrou Care Home 3 Category(ies) of Learning Disability (LD), 3. registration, with number of places St Moritz H59-H10 S21382 St Moritz V223444 250405 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum number of residents to be accommodated is three (3) 2. The people accommodated will be aged between eighteen (18) and sixty-five (65) years on admission Date of last inspection 16 December 2004 Brief Description of the Service: St. Moritz is a semi-detached property located in a quiet residential area of Bexhill-on-Sea within easy walking distance of the town centre shops. There is a well-tended private garden to the rear with a large, timber garden room, used for meetings, training and office work.The home is registered for three (3) adults with learning disabilities. Accommodation is provided on two floors, which includes the owners living accommodation. The home is furnished and decorated to a high standard.The well-equipped kitchen, dinning room and lounge are used communally. Residents have their own, discrete bathroom and toilet facilities. Accommodation for a further eight (8) adults with learning disabilities is provided at the owners’ second home at Lucerne House, next door but one. A people carrier vehicle is shared between the two homes. St Moritz H59-H10 S21382 St Moritz V223444 250405 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place during an afternoon in June, when there were no service users in residence. There have been no residents at St. Moritz for approximately one year. The home is also the private residence of the owner and her husband, the registered manager, who live on site. In speaking with the owner, she confirmed that she and her husband are both due to retire shortly. The registration of St. Moritz as a residential care home is to be maintained for the time being, providing respite, or short-term placements only. 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. St Moritz H59-H10 S21382 St Moritz V223444 250405 Stage 4.doc Version 1.20 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 Moritz H59-H10 S21382 St Moritz V223444 250405 Stage 4.doc Version 1.20 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) 2, 3, 4, 5 People who are referred to the home are fully assessed enabling decisions to be taken in respect of the home’s ability to meet individual resident’s needs. EVIDENCE: Pre-admission assessments are undertaken for any newly referred residents. Social care assessments are obtained from the funding Authorities. Together, these documents form the basis of the individual resident’s plan. The resident and next of kin are also involved in this process, wherever possible. Specific dietary, or cultural needs and preferences are acknowledged and met; the home does not offer a place to someone whose needs it cannot meet. Introductory visits can be arranged and prospective service users are provided with the opportunity to meet and spend time with the other residents. The home currently provides respite or short stay accommodation only. For this purpose, individual service contracts are received from funding Authorities. Residents are provided with copies of the Terms and Conditions of their stay, including the plan for personal support, according to their care needs. St Moritz H59-H10 S21382 St Moritz V223444 250405 Stage 4.doc Version 1.20 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) 7, 8, 9, 10 Personal support in this home is offered in such a way as to promote and protect residents’ privacy, dignity and independence. EVIDENCE: Residents are encouraged to make choices in their daily lives and participate in daily household tasks, with support from staff. Wherever their right to make decisions is limited, this is risk assessed. Resident satisfaction survey questionnaires have been introduced. Risk assessments are recorded as part of the individual care plan for all activities that are undertaken outside the home. Residents receive advice and guidance from the manager and staff about their personal safety. The home has a missing persons policy and procedure. Residents have access to their personal files should they request this and are informed of the home’s policy on confidentiality, to be found in the home’s Statement of Purpose and Service Users Guide. Information shared in confidence with the manager or staff is only passed on to a relevant third party if the situation dictates this. Staff are informed of the home’s confidentiality policy during induction training. St Moritz H59-H10 S21382 St Moritz V223444 250405 Stage 4.doc Version 1.20 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, 14, 15 Links with the local community are good, supporting and enriching the residents’ social lives and their opportunities for recreational activity. EVIDENCE: A variety of daily activities are available for residents to choose from. These include day centre activities and leisure outings. Each resident has the opportunity to spend a proportion of the week, engaged in off-site activities, if they choose to do so. A further education tutor, employed at the home, specifically supports the home’s aim to encourage community links and promote social inclusion e.g. attendance at local the Church and fact finding excursions. Pub visits are arranged with staff and there are evening and weekend leisure activities, including day trips to France. Residents’ interests are reflected in their individual programme of activities. Relatives are welcome to visit and weekend trips with transport home can be arranged. Family links and friendships are supported; the choice of whom they see, and when, is respected. The home has policies on personal friends visiting the home and residents have a responsibility to inform duty staff when making arrangements to entertain friends. St Moritz H59-H10 S21382 St Moritz V223444 250405 Stage 4.doc Version 1.20 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 health needs of residents are satisfactorily met with evidence of multidisciplinary working with the Community Learning Disability Teams and local GP practices. EVIDENCE: An assigned key worker and the resident, working together, carry out assessment and care planning. The goals, agreed through this process, form the basis of that resident’s day-to-day life-style. Wherever possible, residents are encouraged to exercise control over their own lives, subject to risk assessment. Residents’ health care needs are assessed and recorded with the home receiving support from the local GP practices and Community Learning Disability Team, as required. Chiropody visits and regular health checks are carried out for all residents. Staff have received training in the administration of medicines. The dispensing pharmacist visits the home on a quarterly basis. No resident has responsibility for his or her own medicines. A record of medicines administered is kept up to date. St Moritz H59-H10 S21382 St Moritz V223444 250405 Stage 4.doc Version 1.20 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, 23 The home has a satisfactory complaints system, whereby residents concerns, or views are listened to and acted upon. EVIDENCE: Staff are trained to respond positively to residents’ comments, concerns, or complaints. Helpful and user-friendly formats have been produced and are left out in the entrance vestibule for residents, or visitors to the home, should they wish to record any comments. Residents are encouraged to discuss issues with their key worker, or manager. Details of the complaints procedure are included in the terms and conditions of residence and in the Service Users Guide. The home has a whistle-blowing policy that ensures residents, or their families will not be victimised for making a complaint. Staff have received training on abuse and the protection of vulnerable adults. There is policy guidance for staff concerning the appropriate responses to challenging behaviour. Satisfactory records are kept of all monies, managed on behalf of residents e.g. pocket monies. St Moritz H59-H10 S21382 St Moritz V223444 250405 Stage 4.doc Version 1.20 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, 26, 29, 30 The overall standard of the environment within this home is very good, providing residents with an attractive and homely place to live. EVIDENCE: The home has a communal lounge and a kitchen/ diner, which are each furnished and equipped to a commendably high standard. The premises are well maintained and comply with the requirements of the local fire service and Environmental Health Department. Resident’s private rooms are decorated and furnished to a good standard. Bedroom doors are lockable and are of a type may be overridden by staff in an emergency. Suitable lighting, heating and ventilation are provided. The premises do not have level access throughout and would be unsuited to a person with restricted mobility. The home is kept very clean and tidy. St Moritz H59-H10 S21382 St Moritz V223444 250405 Stage 4.doc Version 1.20 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) 31, 32, 36 No staff are currently employed to work at St. Moritz and the evidence is therefore taken from previous inspections. EVIDENCE: Staff at the home are employed on the basis of their experience of working with vulnerable younger adults. A staff handbook includes details of the terms and conditions of employment, information regarding a general code of working practice and the disciplinary/ grievance procedures to be followed. The staff job descriptions define roles and responsibilities. The home does not employ volunteer workers. Basic induction training for staff includes the use of videos and self-assessment questionnaires. The induction and foundation training that meets the National Training Organisation’s (NTO) specification is being introduced. St Moritz H59-H10 S21382 St Moritz V223444 250405 Stage 4.doc Version 1.20 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) 37, The home is well managed and efficiently run, ensuring the health, safety and welfare of residents as far as reasonably practicable. EVIDENCE: The registered manager of St. Moritz has achieved the NVQ award at level 2 and has undertaken periodic training in keeping with the National Training Organisation’s (NTO) specification. Strategies are in place for enabling staff, residents and visitors to voice their suggestions, concerns, or complaints and affect the way the service is delivered. An annual development plan for the home has been produced. The home’s written policies and procedures are comprehensive and well documented. They cover all aspects of running the care home and are readily available for staff advice and guidance. Handbooks have been produced for both staff and residents. In keeping with the NTO’s specification, the owner and manager ensure that staff training includes safe working practices i.e. first aid, health and safety, risk assessment and food hygiene. St Moritz H59-H10 S21382 St Moritz V223444 250405 Stage 4.doc Version 1.20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 x 3 x x 3 3 Standard No 11 12 13 14 15 St Moritz x 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 x x x 3 Version 1.20 Page 16 H59-H10 S21382 St Moritz V223444 250405 Stage 4.doc 16 17 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x 3 3 x 3 x St Moritz H59-H10 S21382 St Moritz V223444 250405 Stage 4.doc Version 1.20 Page 17 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 Good Practice Recommendations St Moritz H59-H10 S21382 St Moritz V223444 250405 Stage 4.doc Version 1.20 Page 18 Commission for Social Care Inspection 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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