Inspection on 16/01/06 for Strawberry Fields

This inspection was carried out on 16th 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

Strawberry Fields 11/06/07

Strawberry Fields 20/09/05

Strawberry Fields 04/01/05

Strawberry Fields 03/08/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

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Seabourne House

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Dovedale Court

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

CARE HOME ADULTS 18-65 Strawberry Field Courtwick Lane Wick Littlehampton West Sussex BN17 7PD Lead Inspector Mrs K Allen Unannounced Inspection 16th January 2006 09:00 Strawberry Field DS0000052523.V277453.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 Strawberry Field DS0000052523.V277453.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. Strawberry Field DS0000052523.V277453.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Strawberry Field Address Courtwick Lane Wick Littlehampton West Sussex BN17 7PD 01903 733395 01306 885080 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) Corich Community Care Limited Mrs Karen Brown Care Home 10 Category(ies) of Learning disability (10), Mental disorder, registration, with number excluding learning disability or dementia (10) of places Strawberry Field DS0000052523.V277453.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Up to 10 male and/or female service users between the ages of 18 and 65 years in the category of learning disability may be accommodated. No persons under 18 years of age or over 65 years of age may be admitted. Up to 6 male and/or female service users between the ages of 18 and 65 years in the category of mental disorder (MD) may be accommodated. A maximum of ten service users may be accommodated. Date of last inspection 20th September 2005 Brief Description of the Service: Strawberry Field is registered to accommodate up to ten people with a learning disability aged between 18-65. The home is situated in Wick, Littlehampton on a shared site with another home belonging to the same organisation. It is a purpose built home with all residents’ accommodation on the ground floor. There is a large lounge and two small dining rooms as well as substantial outside space. All bedrooms are single occupancy and have en-suite facilities. The premises are some way from local amenities although the home has it’s own transport. Attached to the home is a building used for recreational and educational activities that is shared with two other homes belonging to Corrich Community Care Ltd. Strawberry Field DS0000052523.V277453.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Prior to the inspection a review was made of the contact between the home and the Commission for Social Care Inspection (CSCI) since the last inspection. This included an analysis of incident reports and those of other statutory bodies such as the fire service. The inspection took place from 9am over six and a half hours. During the inspection all of the residents were seen in communal areas. Three staff were interviewed as well as the manager. A visiting doctor gave her views on the home. In addition a number of records were seen. Due to the nature of the resident’s learning difficulties it was not possible to obtain their personal views of the service. 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. Strawberry Field DS0000052523.V277453.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 Strawberry Field DS0000052523.V277453.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 EVIDENCE: Strawberry Field DS0000052523.V277453.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): 7&9 Residents make decisions about their lives, with assistance. They are supported to take risks as part of an independent lifestyle. EVIDENCE: All of the staff spoken to said how important they felt it was for residents to make their own choices. They recognised that this was limited by resident’s understanding however they ensured assistance was given whenever possible. For example, residents were consulted about the drinks they preferred, the meal they wanted, what they wore, if they wished to do any activity as well as if they wanted to go out. Staff used pictures, symbols and signs to communicate with residents. The manager confirmed that she was introducing a more detailed pictorial system of communication to further assist residents. A good system of risk assessments is in place. It covers individual and group activity including, for example, use of the garden, travelling in the minibus, road safety, using the trampoline and using the bathroom. A procedure is in place should any resident leave the home alone although staff provide good supervision which lessens the chances of this happening. Strawberry Field DS0000052523.V277453.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): 17 Residents are offered a healthy diet and enjoy their meals and mealtimes. EVIDENCE: A suitable menu is provided and residents are offered a choice at each mealtime. Special diets are catered for and the menu takes into account the need for healthy eating. Meals are served in two dining rooms to reflect different needs of residents, some of who respond better in a quieter environment. Staff assist residents at the meal table and aids are provided to enable them to feed themselves. Residents weight is monitored and staff ensure that they have enough to drink. Strawberry Field DS0000052523.V277453.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): 18, 19 & 20 Residents receive personal support in the way they require it. Their health needs are met and they are protected by the home’s medication procedures. EVIDENCE: Staff were clear about their responsibilities when giving personal support particularly regarding the need for privacy and dignity. They enable residents to maintain as much independence as possible. For example, one person was able to bath himself although he suffered from epilepsy, so staff provided discreet supervision. All residents have en suite bathrooms with locks and staff confirmed that these were used. No one at the home currently requires equipment to aid their mobility or other activities although physiotherapists are consulted as needed. Staff ensure continuity of care through a ‘key worker’ system, written individual care guidelines and partnership with parents. Residents have a written health care assessment and records showed that they attended appointments with the doctor, optician and chiropodist on a regular basis. Appointments with a dentist were more difficult since the practice, which had until recently provided a service to residents has now closed. The manager confirmed that she was trying to address this problem on behalf of residents. Records are kept of any concerns staff may have about a residents health however it is unclear from records what action is subsequently taken. For Strawberry Field DS0000052523.V277453.R01.S.doc Version 5.1 Page 11 example, one resident was said to have “bleeding gums” and another to have “grazed his elbow” and there were no records stating what action had been taken. Staff were able to describe what was done and the manager was confident that both matters had been dealt with. A visiting GP confirmed that resident’s health care needs were well looked after and that staff at the home always followed her advice. No service users are able to manage their own medication. Up to date records are kept of each resident’s prescribed medication and good records are kept of all medicine given to them. Medicines are stored safely and senior staff are trained in its administration. Strawberry Field DS0000052523.V277453.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 EVIDENCE: Strawberry Field DS0000052523.V277453.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): 24, 25, 28 & 30 Residents live in a comfortable and safe environment adapted to their needs. Their bedrooms suit their needs and the shared space complements this. The home is clean and hygienic. EVIDENCE: The premises are suitable for it’s stated purpose and well maintained. It is kept light and airy as well as clean. All areas are accessible to residents. However, all but communal areas are kept locked due to the nature of resident’s behaviour, which could endanger themselves or others. All bedrooms are connected to a monitor, which can be switched on when a resident is alone in their room. Staff were clear that this is only used for the safety of residents and not for general surveillance. The home has it’s own transport and is within easy reach of the local town. Furnishings are specially designed to minimise wear and tear and there are limited soft furnishings such as curtains and cushions. Comfortable, yet hardwearing soft chairs are provided with washable coverings. All residents have their own room on the ground floor. They are of sufficient size and have en suite bathrooms. Shared space consists of a large lounge and two smaller dining rooms. In addition, residents have use of the activity centre which is attached to the home. There is no quiet lounge for those who need a calmer environment and Strawberry Field DS0000052523.V277453.R01.S.doc Version 5.1 Page 14 staff said that some residents take themselves out to the spacious corridor for this reason. The home meets the recommendations of the local fire service and a recent visit by the Environmental Health Department reported the home to be “fully meeting requirements”. Outdoor space includes an enclosed courtyard and large secure garden. Staff have good facilities which are separate from residents accommodation. A person is employed to keep the home clean. There are good laundry facilities away from food preparation areas and handwashing facilities are provided. Staff receive training in infection control. There is a contract for the collection and disposal of clinical waste however, the containers situated outside of the home were overflowing. The manager confirmed that this was due to the changes of collection over the Christmas period and that it was being dealt with. Strawberry Field DS0000052523.V277453.R01.S.doc Version 5.1 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): 32, 34, 35 & 36 Residents are supported by competent staff. They are protected by the recruitment procedure, and staff are appropriately trained and supervised. EVIDENCE: Staff were patient and understanding with residents. They showed them respect at all times and were knowledgeable about their individual personalities and behaviour. They communicated well with residents and were motivated. One member of staff described working at the home as “excellent”. Three staff have National Vocational Qualifications (NVQ) at Level 3 and four others are about to start this training. One person is due to commence Level4. A good procedure is followed for the recruitment of new staff and CRB clearance is obtained before the person starts work. However, there are occasions when there is an undue delay in obtaining a CRB check in which case staff may start work but are supervised at all times. There is a written training and development programme and records show that staff attend at least five training days per year. Staff receive induction training which is recorded. Formal supervision is regularly given to all staff including the manager. Strawberry Field DS0000052523.V277453.R01.S.doc Version 5.1 Page 16 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, 41 & 42 Resident’s benefit from a well run home. It is run in their best interests although a more rounded quality assurance system could further inform this. Resident’s rights are protected by the homes record keeping policy and practice. The health, safety and welfare of residents is promoted and protected. EVIDENCE: The manager is experience and qualified with NVQ Level 4. She has overall responsibility for the home in line with her Job Description. There is an annual development plan and steps have been taken to inform this by quality assurance measures. For example, a questionnaire was given to parents in 2004 to seek their views of the service and an audit of the home was carried out by senior managers in 2005. Any matters that arouse were followed up and a record made of this. The views of other people, such as health professionals or advocates have not been sought. The manager confirmed, however that discussions were soon to be held in order to develop the quality assurance system. Strawberry Field DS0000052523.V277453.R01.S.doc Version 5.1 Page 17 Policies and procedures have recently been reviewed and updated as necessary. Records are kept securely and up to date. Safe working practices are followed and include training on infection control, first aid and fire safety. Maintenance contracts are in place for the upkeep of heating, lighting and fire fighting equipment. A person is employed to undertake day-to-day maintenance so that repairs are carried out promptly. There is a written health and safety policy and a good system of risk assessment. Strawberry Field DS0000052523.V277453.R01.S.doc Version 5.1 Page 18 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 3 25 3 26 X 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 X 3 X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X 3 3 x Strawberry Field DS0000052523.V277453.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? No 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 2 Refer to Standard YA39 YA19 Good Practice Recommendations The quality assurance measures should be developed A record should be made of any action taken following concerns about a resident’s health. Strawberry Field DS0000052523.V277453.R01.S.doc Version 5.1 Page 20 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 Strawberry Field DS0000052523.V277453.R01.S.doc Version 5.1 Page 21 - 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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