Inspection on 16/03/06 for Summerhill

This inspection was carried out on 16th March 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

Summerhill 29/05/07

Summerhill 18/11/05

Summerhill 08/03/05

Summerhill 21/10/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Summerhill 211 Manchester Drive Leigh On Sea Essex SS9 3ET Lead Inspector Helen Laker Unannounced Inspection 16th March 2006 10:00 Summerhill DS0000049112.V277300.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 Summerhill DS0000049112.V277300.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. Summerhill DS0000049112.V277300.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Summerhill Address 211 Manchester Drive Leigh On Sea Essex SS9 3ET 01702 475146 01702 475146 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) SummerCare Homes Ltd Tina Louise Jones Care Home 6 Category(ies) of Learning disability (5), Learning disability over registration, with number 65 years of age (1) of places Summerhill DS0000049112.V277300.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Personal care to be provided to 6 residents with a learning disability. Maximum number to be cared for 6 (six). The age of the service users will be between 18 and 65 years. Accommodation and personal care to be provided for a maximum of 1 service user who is over the age of 65 years. Date of last inspection Brief Description of the Service: Summer Hill is owned and managed by Summer Care Ltd. The home provides accommodation on two floors for six people, who have a learning disability, one of whom is over 65 years of age. The home has four single and one double bedroom. Rooms are decorated to individual taste. A large kitchen, adjoining dining area and comfortable lounge provide pleasant communal accommodation. The home has an enclosed garden to one side of the house. A small amount of parking is available on the other side of the building. Summerhill DS0000049112.V277300.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine, unannounced inspection which took place over three hours with one inspector in the home. There was a tour of the premises and grounds and an inspection of records and documentation. Time was spent discussing the care of the six service users and four were spoken with. The manager and two members of staff were spoken with. Twenty National Minimum Standards were inspected on this occasion, twenty overall outcomes were met and there were three recommendations detailed in the full report. Discussion of the inspection findings took place with the manager at the end and throughout the inspection and guidance was given and the inspector is assured that these will be met at the next inspection. What the service does well: What has improved since the last inspection? Very comprehensive pen portraits of all service users have been compiled for agency staff and other professionals were seen which is seen as proactive good practice. Also the home has a new initiative in place in the form of a suggestion box and undertakes themed service user meetings. The health and safety of service users is protected with specific refererence to to ensuring adequate recruitment checks have been made particularly for any agency staff employed to work in the home and that they comply with relevant legislation and up to date records have been obtained. The health and safety of service users is maintained with reference to ensuring full copies and not just the front page of all safety certificates are available for inspection. Summerhill DS0000049112.V277300.R01.S.doc Version 5.1 Page 6 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. Summerhill DS0000049112.V277300.R01.S.doc Version 5.1 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 Summerhill DS0000049112.V277300.R01.S.doc Version 5.1 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): 1,3,4 Present and prospective service users and their supporters are given adequate information about the home so that they can make informed choices. Each service user has a contract directly with the home if privately placed or a statement of terms and conditions if funded by social services. EVIDENCE: The home has produced its statement of purpose and service users guide. The service users guide has been developed to a format which is suitable for the service users. Additional charges include, clothing, toiletries, hairdressing, taxis and contributions to some activities. Training records indicated staff have attended a wide range of training. Care plans indicated the home caters for individual needs. Interaction between staff and service users was noted to be good. The manager informed that prospective service users are invited to visit the home as often as they wish, have meals and stay overnight, prior to making a decision to move into the home. This was seen for the homes most recent admission and comprehensive notes were documented. Summerhill DS0000049112.V277300.R01.S.doc Version 5.1 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): 8,10 Service users know their assessed and changing needs, they can make decisions and participate in all aspects of the home. Each service user has an individual plan and service users are supported to take risks as part of an independent lifestyle via a process of assessment. EVIDENCE: Service users have regular meetings where they discuss their daily living activities in the home. They are structured and are also themed. The manager said that she operates an open door policy for service users to attend staff meetings. A new initiative is that of a suggestion box for service users and at the time of this inspection was welcomed highly by service users. Service users do meet and comment on prospective staff. Certain policies and procedures have been produced specifically in service user friendly format. The proprietors have comprehensive policies and procedures regarding confidentiality. Confidentiality is covered in the staff induction programme Service users have access to their files which are held securely in the home’s office. Staff respect information given by service users in confidence, and handle information about service users in accordance with the home’s written policies and procedures and the Data Protection Act 1998, and in the best interests of the service user. Summerhill DS0000049112.V277300.R01.S.doc Version 5.1 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): 11,14 Service users are encouraged and supported with opportunities for personal development by way of access to a wide variety of training and educational colleges, day centres and overall their rights and responsibilities are recognised in their daily lives. EVIDENCE: Care plans fully detailed that service users are encouraged to develop their personal life skills. All have a training day each week in the home where they practice and improve the daily living skills. Service users are encouraged and supported to pursue their own interests and hobbies. Service users have a choice of what entertainment is brought into the home. Service users have regular group trips and annual holidays. However they have to pay for their holidays as the cost is not included on the homes fee structure. Summerhill DS0000049112.V277300.R01.S.doc Version 5.1 Page 11 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): 20,21 Minor discrepancies with medication administration and documentation were identified. Good arrangements are in place to ensure that the health care needs of service users are identified and met and to ensure that the ageing, illness and death of service users needs are identified and met should the occasion arise. EVIDENCE: Service users provide written consent for staff to manage their medication. The home uses a pre-dispensed system for the administration of tablet medication. Advice was given regarding medication safety when service users were not in the home. Some minor discrepancies were found with medication records being completed correctly One service user prescribed medication to be taken as and when required did not have appropriate timescales completed. Staff receive training by the local pharmacist. The manager stated she would address this urgently as it was highlighted at the homes previous inspection. Service users wishes on death and dying have been sensitively obtained and recorded in individual careplans. As the home is a learning disability home and all the service users are quite young deaths in the home are very few and none have happened in the time the present manager has been in post. Summerhill DS0000049112.V277300.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): NOT INSPECTED EVIDENCE: NOT INSPECTED Summerhill DS0000049112.V277300.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): NOT INSPECTED EVIDENCE: NOT INSPECTED Summerhill DS0000049112.V277300.R01.S.doc Version 5.1 Page 14 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): 31,32,33,34,36 The procedures for the recruitment and training of staff generally have safeguards in place to offer protection to people living in the home. This needs to be addressed with supernumerary staff employed to work in the home on an induction field work basis also. This relates directly to another part of the company Summercare. The home has an effective and competent staff team. EVIDENCE: Summerhill DS0000049112.V277300.R01.S.doc Version 5.1 Page 15 Staff are issued with detailed job descriptions. Staff spoken with demonstrated a clear understanding of their roles and responsibilities. From observations throughout the inspection it was clear that staff had developed good relationships with the service users. All staff were in receipt of the General Social Care Council’s code of practice and a copy was on display. Staff throughout the day were seen to care for the service users in a sensitive and unhurried manner. At the time of the inspection one member of staff has achieved NVQ level 3, one was now training at NVQ level 4 and another had already achieved it. Staff rotas indicated at least two staff on duty during the day and one on sleep in duties at night. Staff are employed on a ratio of one member of staff to three service users during the day. Additional staff are rotaed when required. Vacancies, sickness and holidays are covered by a mixture of bank and agency staff. Staff files examined for Summerhill’s core staff show that appropriate procedures were in place for recruitment and contained all the information to meet this standard. The home uses agency staff and clarification of appropriate recruitment is now available to inspect and up to date. All staff receive a detailed induction programme on commencing employment in the home. (Although not totally directly associated with the home it was of concern to note that a supernumerary member of staff, was working who was training and being inducted to work in another part of the company relating to supported living. The manager had had no input or sight of any records relating to this member of staff or been party to any of the appropriate checks required. The member of staff stated that they had not yet undertaken mandatory training and had had no previous care work experience. The manager stated that she would highlight these issues to the manager in charge of this member of staff at the company’s next management meeting, and ensure in future any extra staff placed in the home she is aware of their background and legislative recruitment checks such as references and CRB’s) The home’s manager commenced employment in August 2004. She has commenced a programme of supervision and appraisals which ensure staff have individual supervision on a two monthly basis. Previous inspections highlight that staff meetings are being held on a regular basis and staff not able to attend are required to read and sign a copy of the minutes. Staff issued with written information regarding the home’s grievance procedure and there are policies in place for dealing with aggression. Summerhill DS0000049112.V277300.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, 38, 40, 41, 42, 43 There is leadership, guidance and direction to staff and the home has in place practices that promote and safeguard the health, safety and welfare of the people using the service. EVIDENCE: The registered manager holds NVQ level 4 and is has completed training on the required management modules. She has over thirteen years experience with the client group of which five years have been at a senior level. The manager holds regular staff and service users meetings where staff and service users are encouraged to participate in the decision making process of the home. Staff spoken previously said the manager was “really lovely”, and involves staff in everything and this was reiterated at this inspection The home has policies and procedures in place to meet this standard. Staff are required to familiarise themselves with the policies and procedures. The manager said service users would not be able to understand the whole range of policies and procedures, but those directly involving service users are developed in a user friendly pictorial format. Summerhill DS0000049112.V277300.R01.S.doc Version 5.1 Page 17 The home’s records were seen to be well maintained and held securely in the office. Risk assessments were seen to be in place regarding the premises and safe working practises. Health and Safety checks were carried out on a monthly basis. Certificates for the electrical installation, were available in part and the full document must be available for inspection. This was actioned on the day of inspection. Regular weekly tests are carried out for hot water temperatures, fire alarms and emergency lighting. Regular fire drills are carried out and names of staff and service users attending were recorded. The homes employer’s liability certificate was up to date and displayed. It is judged that procedures are in place to ensure appropriate management of the business and there was no evidence to suggest that the home is not financially viable. Summerhill DS0000049112.V277300.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 3 2 X 3 3 4 4 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 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X 4 X 3 LIFESTYLES Standard No Score 11 3 12 X 13 X 14 3 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 3 3 4 X 3 3 3 3 Summerhill DS0000049112.V277300.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 YA20 YA34 Good Practice Recommendations As required medication must specify specific timescales on MAR charts. The registered proprietor must ensure the health and safety of service users is protected with specific reference to to ensuring adequate recruitment checks have been made for any supernumerary staff employed to work in the home even if under supervision, and to which the receiving home manager has been party, and that they comply with relevant legislation. The manager should be provided with copies of her own supervision notes to keep on file. 3 YA36 Summerhill DS0000049112.V277300.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Summerhill DS0000049112.V277300.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. 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