Inspection on 25/11/05 for Storrington

This inspection was carried out on 25th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Storrington 10/09/07

Storrington 29/06/06

Storrington 10/05/05

Storrington 21/10/04

Storrington 15/06/04

Similar services:

Insight - Eastchurch

Southfields

Thorndene

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 Storrington Storrington Hill Road Beacon Hill Hindhead Surrey GU26 6BG Lead Inspector Susan McBriarty Unannounced Inspection 25th November 2005 3:15 Storrington DS0000013804.V269003.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 Storrington DS0000013804.V269003.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. Storrington DS0000013804.V269003.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Storrington Address 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) Storrington Hill Road Beacon Hill Hindhead Surrey GU26 6BG 01428 607606 Robinia Care Limited Ms Lydia Bukowski Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Storrington DS0000013804.V269003.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The age/age range of the persons to be accommodated will be: 18-50 YEARS 30th June 2005 Date of last inspection Brief Description of the Service: Storrington is a detached home situated in the centre of Beacon Hill Village, with easy access to the local community and shopping area. There is good access to the home with plenty of parking spaces available outside the home and within a public parking area provided for shopping. The Home is owned and run by Robinia Care Group plc. Accommodation is provided for five young adults between the ages of 18-50 years that have complex care needs. Each resident has their own bedroom and the home has a communal lounge and a large communal conservatory. Residents also have access to a well maintained garden and patio area Storrington DS0000013804.V269003.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 third during 2005-2006. An enforcement notice was served in July 2005 and a compliance inspection took place on the 28th August 2005 in addition to the unannounced inspections. The enforcement notice had been complied with. The Commission for Social Care Inspection is reviewing the Surrey homes owned and managed by the Robinia Care Group plc as part of a protection of vulnerable adults concern. The review is not yet complete and a report will be provided under separate cover once the review has been concluded. During this inspection the residents were observed having their evening meal and a number of documents were sampled including care plans, financial information, the quality assurance audit and staff supervision details. The residents of the home have complex needs and it was not possible to gain their views of the home without considerable support and planning. What the service does well: What has improved since the last inspection? What they could do better: The organisation had not provided residents with a statement of terms and conditions as had been required from the first inspection of 2005. The manager reported that they were aware that the organisation was working on the documents although they could not confirm when they might be completed. Given the diverse ethnicity of the residents and members of staff in addition to the complex needs of the residents the CSCI consider that training regarding communication is essential. The organisation had recently engaged a specialist service to provide training on intensive communication (interaction) and a requirement is made that the organisation consider ensuring that the full staff team receive the same training in order to benefit the residents. Storrington DS0000013804.V269003.R01.S.doc Version 5.0 Page 6 The organisation had completed a quality assurance audit and the manager had a copy of the action plan although could not confirm how the home might be involved. The requirements made are noted at the end of the report. 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. Storrington DS0000013804.V269003.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 Storrington DS0000013804.V269003.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): 1,2,5 Prospective residents are provided with the information they need to make a decision about moving into the home. Further work is required to ensure that any prospective resident is assessed prior to moving in and that a contract or statement of terms and conditions is provided. EVIDENCE: The statement of purpose had been updated to show that prospective residents would need some mobility in order to access the home in full. A number of files were sampled and it was found that none of the residents had been assessed prior to moving into the home. All the residents had moved together from another home within the same (previous) organisation and none had been re-assessed to ensure their needs could continue to be met in another home. The current organisation has an admission policy and a requirement is made that the home ensures that any future prospective residents are assessed fully including those that might be transferred internally. The manager reported that they were aware that the organisation was working on providing statements of terms and conditions. A date for completion could not be confirmed. A requirement is made that the organisation provide a statement of terms and conditions to each resident in order that they and/or their representative might be clear and to the services provided and the associated cost. Storrington DS0000013804.V269003.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): 9 The residents have complex needs and require staff support in all areas of daily living and the risk assessments assist staff to support the residents appropriately. EVIDENCE: A number of risk assessments were sampled all those seen had been reviewed recently and had been updated where required. The manager reported that the needs of the residents seldom change to any great extent and this enabled the home to provide a stable care plan. Where family members remained in contact the home had asked if they wished to confirm the content of the risk assessments. The residents were unable to sign their own assessments due to the complexity of their needs. Storrington DS0000013804.V269003.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): 13,15,17 Further work is required to ensure the home is able to meet all the standards in particular documenting family contact in order to ensure that ant member of staff might be aware of any barriers to contact and or the regular visit days by family members. EVIDENCE: The home was providing for an all female resident group who have diverse ethnicity. The staff group is also all female with a diverse ethnicity. The home provides transport for the service users for which they have paid a regular sum of money each month. The last payments being made in July 2005, the payments covering a period of four months. The manager reported that the home is now recording mileage for each resident and payments will be based on usage and capped at 50 of any mobility allowance. A number of files were sampled and details had been documented regarding access to activities. In some files the level and or type of contact with family Storrington DS0000013804.V269003.R01.S.doc Version 5.0 Page 11 members had not been recorded and documented. The daily notes did reflect when and how contact was made. A requirement was made that the home record in the care plan the level of contact with family members and any barriers to contact. The manager had received training in communication provided by a specialist activity service. The manager was unable to confirm whether members of the care staff team were to receive the same training. The evening meal was observed during the inspection, the residents were assisted in a dignified manner and one that best met their needs. A member of staff using fresh meat and shellfish had cooked the food without recourse to ready made foodstuff. Ready meals were occasionally provided for lunch to those residents who did not like sandwiches. Previous menus were sampled and were seen to be varied and nutritious. Storrington DS0000013804.V269003.R01.S.doc Version 5.0 Page 12 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 residents physical and emotional health needs were supported by the home and where necessary specialist health services were provided. EVIDENCE: A number of files were sampled, the files documented where specified residents attended specialist health support such as psychiatry. In addition evidence was seen that dental care and other health care needs were met appropriately. Annual health checks with the organisations General Practitioner had been completed, signed and dated. The residents at the home have complex needs and require staff to be present during most if not all health care checks. The residents would not be able to discuss with members of staff the outcome of such checks if they carried out in private. Storrington DS0000013804.V269003.R01.S.doc Version 5.0 Page 13 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 Further work is required to ensure that the organisation protection of vulnerable adults policy is clear and meets local guidelines. EVIDENCE: The policy and procedure used by the organisation is unclear and members of staff might take some time to understand what might be required of them. A requirement is made that the policy and procedure is reviewed and updated inline with local guidelines. Members of staff had received training in the protection of vulnerable adults. Storrington DS0000013804.V269003.R01.S.doc Version 5.0 Page 14 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): These standards were assessed during the inspection of 10th May 2005. EVIDENCE: These standards were not assessed during the inspection of the 25th November 2005. The ground floor communal areas were seen to be clean. Storrington DS0000013804.V269003.R01.S.doc Version 5.0 Page 15 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): 31,32,35,36 Further work is required to ensure the home is able to meet all the standards. EVIDENCE: Job descriptions for both members of the care staff team and the manager were available within the home. The job descriptions provide detail of the basic tasks required of the staff. The staff team has remained the same for a while thereby increasing the level of stability for the residents. The diverse ethnicity of the resident and staff group in conjunction with the complex needs of the residents highlight the need for training in communication. Members of staff receive three levels of communication training leading up to basic Makaton. It could not be confirmed if the care staff were to receive the more intensive communication training as had been provided to the manager. It is required that the home review the communication training provided in order to ensure that adequate training is available. The manager reported that staff received induction training on starting work at the home and refresher courses begin a year later. Once staff have been working with the organisation for a year they are, using the organisation’s eligibility criteria, able to apply for their National Vocational Qualification (NVQ) Level 2/3. None of the staff at the home other than the manager have a qualifying award. The manager stated that three of the members of staff were Storrington DS0000013804.V269003.R01.S.doc Version 5.0 Page 16 due to start their training in early 2006. A requirement is made that the home provide the CSCI with an action plan of how it intends to meet the target of 50 of staff being qualified to NVQ Level 2 by 2005. The manager was unable to confirm if staff had received training in equal opportunities/diversity. A requirement was made that the matter be investigated and a training programme is implemented if not already available. The staff team received regular documented supervision, a number were sampled during the inspection and were found to meet the standard. Storrington DS0000013804.V269003.R01.S.doc Version 5.0 Page 17 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): 39,42 A quality assurance audit had been completed offering enabling the organisation to critically consider the services provided. Health and safety checks for the home had been completed. EVIDENCE: The manager had a copy of the organisations quality assurance audit and the action plan that had been developed form the comments made and information received. The manager was unable to confirm the progress of the action plan of how the home might be specifically involved. A requirement was made that the manager investigate the progress of the action plan in order to understand what actions might be undertaken by the home, if any were required. Small electrical items were due to be tested on the 26th November 2005. A wiring inspection had been completed on the 21st November 2005. Testing for legionella took place on 1st July 2005. Gas safety check was carried out on 28th October 2005. Fire tests and fire training had also been undertaken within the last two weeks. Storrington DS0000013804.V269003.R01.S.doc Version 5.0 Page 18 Fire drills had been recorded and documented; the fire drills took the form of discussions regarding who would do what tasks should the fire alarm sound. Storrington DS0000013804.V269003.R01.S.doc Version 5.0 Page 19 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 2 X X 2 Standard No 22 23 Score X 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 2 16 X 17 Standard No 31 32 33 34 35 36 Score 3 2 X X 2 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Storrington Score X 3 X X Standard No 37 38 39 40 41 42 43 Score X X 2 X X 3 X DS0000013804.V269003.R01.S.doc Version 5.0 Page 20 YES 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 YA5 Regulation 5 (1)(b) (c) Requirement The Registered Person must ensure that the terms and conditions in respect of accommodation, fees and a standard form of contract for the provision of services and facilities is available and kept on the premises for the resident and their representatives. Timescale of 21st June not met. The registered person must ensure that family contact is documented including any barriers to contact. The registered person must inform the CSCI in writing of how it intends to meet the 50 target for qualifying training by 2005. The registered person must review the training regarding communication in order to ensure that service users needs are met. The registered person must investigate whether members of staff have received training in equal opportunities/diversity and implement training if not DS0000013804.V269003.R01.S.doc Timescale for action 31/12/05 2. YA15 15(1)(2) 31/12/05 3. YA32 18(1)(a) 15/12/05 4. YA32 18(1)(a) 31/12/05 5. YA35 18(1)(a) 31/12/05 Storrington Version 5.0 Page 21 provided. 6 YA39 24 The registered manager must investigate the quality assurance action plan to ascertain how the home might be involved. 31/12/05 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 Storrington DS0000013804.V269003.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Storrington DS0000013804.V269003.R01.S.doc Version 5.0 Page 23 - 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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