Inspection on 20/09/05 for Strawberry Fields

This inspection was carried out on 20th September 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

Strawberry Fields 11/06/07

Strawberry Fields 16/01/06

Strawberry Fields 04/01/05

Strawberry Fields 03/08/04

Similar services:

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Insight - Eastchurch

Southfields

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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 Announced 20 September 2005 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. Strawberry Field H60 H11 S52523 Strawberry Field V244720 200905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Strawberry Field Address Courtwick Lane, Wick, Littlehampton, West Sussex, BN17 7PD 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 733395 NA NA Corich Community Care Limited Mrs Karen Brown Care Home 10 Category(ies) of LD Learning Disability - 10 registration, with number of places Strawberry Field H60 H11 S52523 Strawberry Field V244720 200905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. 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. 2. No persons under 18 years of age or over 65 years of age may be admitted Date of last inspection 04 January 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 bedrooms being single occupancy and having ensuite facilities. Attached to the home is a building used for recreational and educational activities that is shared with two other homes belonging to the organisation. Strawberry Field is owned by Corich Community Care Limited. The Responsible Individual acting on behalf of the organisation is Mrs S Coren and the Registered Manager is Mrs Karen Brown. Strawberry Field H60 H11 S52523 Strawberry Field V244720 200905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was undertaken on Tuesday 20th September 2005 and was an announced inspection. The Inspector was in the home from 8am to 1.15pm. Prior to the inspection comment cards were sent to relatives. Six comment cards were received. On the day of the inspection all of the residents were seen however discussions with them were limited due to communication difficulties. A period of observation was undertaken in the lounge area and in the activity area. The Inspector also looked around the home and examined a sample of care plans and staff records. One member of staff was interviewed. What the service does well: What has improved since the last inspection? What they could do better: The Registered Providers must ensure that there is evidence of the applications of Criminal Record Checks made prior to employment of new members of staff. New members of staff should only be employed before the Criminal Record Check comes through in exceptional circumstances and as long as a check has been made against the Protection of Vulnerable Adults Register and there is written evidence of this. Strawberry Field H60 H11 S52523 Strawberry Field V244720 200905 Stage 4.doc Version 1.40 Page 6 A requirement has been made in respect of this matter. The Registered Providers must provide an action plan to the Commission by the 26th October 2005 that gives details of how they will comply with the requirement. 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 H60 H11 S52523 Strawberry Field V244720 200905 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Strawberry Field H60 H11 S52523 Strawberry Field V244720 200905 Stage 4.doc Version 1.40 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 standard(s) 2, 4, 5. Prospective residents needs are assessed prior to admission and they have an opportunity to visit the home. Work is still in progress to ensure that all residents, relatives or representatives have a signed contract. EVIDENCE: From the sample of care plans examined it was demonstrated that a prospective resident’s needs are assessed prior to admission. This also includes an assessment of the person’s needs undertaken by a Social Worker and assessments from Health Professionals. This makes sure that the person does not move into a home that does not have the right facilities or cannot meet their needs. The Inspector was informed that at least four visits were made to a prospective resident to observe behaviour and to develop a relationship prior to admission. The prospective resident was supported to visit the home. Members of staff from the previous placement supported the resident once admitted. New admissions will be on a trial period and a review of the placement will be undertaken after twenty-eight days. A recommendation was made at the last inspection for the contract and terms and conditions to be signed by the resident or their relative/representative. The Registered Manager confirmed some progress with this but work is still in progress to undertake this work. Strawberry Field H60 H11 S52523 Strawberry Field V244720 200905 Stage 4.doc Version 1.40 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 standard(s) 6, 7, 8, Individual care plans provide good information about each resident. The Registered Manager and members of staff make every effort to ensure that an individual’s needs and choices are promoted and respected. Residents are supported to make decisions and relatives are consulted and kept informed about the care and support required and provided. EVIDENCE: Residents are unable to be consulted about their needs and have limited ability to make choices and decisions about their lives. Therefore members of staff rely on information gained through observation of residents, from information provided by relatives and other professionals to guide them on how what support and assistance to provide. During the period of observation it was noted that members of staff assisted residents to choose where they spent their time and what activity they wanted to be involved in. The Inspector examined a sample of two individual care plans. Care plans seen provided good clear information about the abilities and disabilities of the residents and how they should be supported. Strawberry Field H60 H11 S52523 Strawberry Field V244720 200905 Stage 4.doc Version 1.40 Page 10 Good guidelines were in place for members of staff to follow when working with residents inside and outside of the home who maybe at risk to themselves or to other people through inappropriate behaviour. Relatives were asked through comment cards if they were kept informed of important matters and consulted about the care their relatives receive. Four out of the six relatives who responded said that they were kept informed. One said mostly and one said they were not. Five out of the six who responded said that they were consulted and one said mostly. A relative said, “He has received excellent care to which he has responded very well indeed.” Strawberry Field H60 H11 S52523 Strawberry Field V244720 200905 Stage 4.doc Version 1.40 Page 11 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) 11, 12, 13, 14, 15, 16. Activities and personal development for residents at Strawberry Field are excellent. They are well managed, creative and provide a variety of stimulation and interest for residents living in the home. Residents are supported to maintain contact with relatives. EVIDENCE: An activities co-ordinator is employed to work in the home. The activity centre is attached to the home so service users have good access to facilities. Residents are supported to access a wide range of activities in the community. Trips to concerts, theatres, shops, cafes etc are organised on a regular basis. Within the home there is T.V and music equipment and games available. The courtyard is used for ball games etc and residents have free access to this. From the sample of care plans examined it was evident that residents are supported to maintain contact with their relatives and are supported to phone them on a regular basis. A record is kept of the residents preferred form of address. Strawberry Field H60 H11 S52523 Strawberry Field V244720 200905 Stage 4.doc Version 1.40 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 standard(s) The Standards in this section were not assessed at this inspection. EVIDENCE: Strawberry Field H60 H11 S52523 Strawberry Field V244720 200905 Stage 4.doc Version 1.40 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 standard(s) 22. 23. There is an appropriate complaints procedure. Residents are protected from harm. EVIDENCE: There is a written complaints procedure that would mostly be accessed by the resident’s relatives or representatives. Four out of the six relatives who responded through comment cards indicated that they had been made aware of the complaints procedure, two had not. It is recommended therefore that the Registered Manager ensure that all relatives receive a copy of the complaints procedure. The home has a copy of the West Sussex Multi Agency Adult Protection Procedures. From training records examined it was evident that members of staff have received training in abuse awareness and the procedures to follow. There are systems in place to ensure that physical and verbal aggression by a service user is understood and dealt with appropriately. Members of staff are fully trained in the use of physical intervention and appropriate records are kept. Strawberry Field H60 H11 S52523 Strawberry Field V244720 200905 Stage 4.doc Version 1.40 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 standard(s) 24, 25, 26, 27, 28, 29,30. Strawberry Field provides residents with an attractive comfortable home that is safe and well maintained. Residents’ rooms are individually decorated and provide a comfortable space for each resident. Sufficient toilets and bathrooms are provided. The communal space within the home is comfortable; the outside space is safe and accessible. EVIDENCE: Strawberry Field is a purpose built home and meets all the current standards. The Inspector looked around the home and observed that the home is well maintained and residents’ bedrooms are furnished to a high standard and are very individual. All have en-suite facilities. The home was very clean on the day of the inspection. The residents’ privacy is respected in bathrooms, toilets and bedrooms by using a magnetic locking device. This necessitates members of staff and residents, where able, wearing a magnetic key. Strawberry Field H60 H11 S52523 Strawberry Field V244720 200905 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33,34. Staffing levels in the home are appropriate for the needs of the residents. The recruitment procedures and practices do not fully protect residents. EVIDENCE: The staffing levels on the day of the inspection were sufficient to meet the needs of the residents. A member of staff confirmed that six or seven support workers work on every shift. In addition to this the home employs a cook (Mon-Frid), an activities co-ordinator, domestic staff and extra one to one staff for two service users. Five out of the six relatives who responded to the inspection through questionnaires said, “that there are always sufficient numbers of staff on duty.” A relative said, “ Staff at Strawberry Field have been excellent and very supportive.” A sample of records was examined relating to five new members of staff employed since the last inspection. For two out of the five members of staff there was no written evidence of a Criminal Record Application being made or a check against the Protection of Vulnerable Adults Register (POVA first check) before starting to work in the home. Another member of staff had started working in the home before the Criminal Record Check Disclosure had come through and there had been no references received for this person. Strawberry Field H60 H11 S52523 Strawberry Field V244720 200905 Stage 4.doc Version 1.40 Page 16 The Registered Providers must only allow members of staff to work in the home if a satisfactory Criminal Record Disclosure has been received and there is written evidence of this or in exceptional circumstances after the receipt of a written POVA first check. A requirement has been made in respect of this matter. Strawberry Field H60 H11 S52523 Strawberry Field V244720 200905 Stage 4.doc Version 1.40 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 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, 38. The Registered Manager is experienced and has the skills required to undertake the work. There is clear leadership and direction to members of staff that ensures residents receive a good quality of care and lead varied and fulfilling lives. EVIDENCE: The Registered Manager has the necessary qualifications, experience and competencies to run the home. Time was spent with the Registered Manager on the day of the inspection during the period of observation. It was apparent that residents had a good relationship with the Manager and clear guidance and support was provided to members of staff. Strawberry Field H60 H11 S52523 Strawberry Field V244720 200905 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x x x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 4 4 4 4 3 3 x Standard No 31 32 33 34 35 36 Score x x 3 1 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Strawberry Field Score x x x x Standard No 37 38 39 40 41 42 43 Score 3 3 x x x x x H60 H11 S52523 Strawberry Field V244720 200905 Stage 4.doc Version 1.40 Page 19 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 34 Regulation 19 (1) (b) (c) Requirement The Registered Providers must only allow members of staff to work in the home if a satisfactory Criminal Record Disclosure has been received and there is written evidence of this or in exceptional circumstances after the receipt of a written POVA first check Timescale for action 28th September 2005 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 22 Good Practice Recommendations It is recommended therefore that the Registered Manager ensures that all relatives receive a copy of the complaints procedure. Strawberry Field H60 H11 S52523 Strawberry Field V244720 200905 Stage 4.doc Version 1.40 Page 20 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 Strawberry Field H60 H11 S52523 Strawberry Field V244720 200905 Stage 4.doc Version 1.40 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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