Inspection on 18/11/05 for Summerhill

This inspection was carried out on 18th November 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

Summerhill 29/05/07

Summerhill 16/03/06

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 18 November 2005 10:00 am th 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. Summerhill I56-I06 S49112 Summerhill V241591 181105 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Summerhill Address 211 Manchester Drive Leigh on Sea Essex IG2 7JD 01702 475146 01702 475146 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) SummerCare Homes Ltd Tina Jones CRH Care Home 6 Category(ies) of LD Learning disability (5) registration, with number LD (E) Learning disability - over 65 of places Summerhill I56-I06 S49112 Summerhill V241591 181105 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 Personal care to be provided to 6 residents with a learning disability 2 Maximum number to be cared for 6 (six). 3 The age of the service users will be between 18 and 65 years. 4 Accommodation and personal care to be provided for a maximum of 1 service user who is the age of 65 years. Date of last inspection 8th March 2005 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 I56-I06 S49112 Summerhill V241591 181105 Stage 4.doc Version 1.40 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 four 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, as all six were out. The manager and one member of staff were spoken with. Twenty six National Minimum Standards were inspected on this occasion, twenty four overall outcomes were met and there was one requirement and two 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? What they could do better: Minor discrepancies with medication storage and administration were identified. The registered proprietor must ensure the health and safety of service users is protected with specific refererence to to ensuring adequate recruitment checks have been made for any agency staff employed to work in the home and that they comply with relevant legislation and must ensure the health and safety of Summerhill I56-I06 S49112 Summerhill V241591 181105 Stage 4.doc Version 1.40 Page 6 service users with reference to ensuring full copies and not just the front page of all safety certificates are available for inspection. 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 I56-I06 S49112 Summerhill V241591 181105 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 Summerhill I56-I06 S49112 Summerhill V241591 181105 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) 2,5 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: Service users care plans evidenced service users were admitted to the home following a detailed assessment. Each service user has been issued with a contract of the terms and conditions of residence. The contract has been developed in a pictorial format. Summerhill I56-I06 S49112 Summerhill V241591 181105 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) 6,7,9 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: Two service users care plans were inspected. Both have been developed into person centre planning. These were found to be detailed in all aspects of each in individual service users health and personal care, training and activities. Both care plans were signed by the service users. Comprehensive risk assessments were in place. Daily records were of a good standard. Care plans are regularly revived. There was evidence of service user involvement and that reviews are held on a regular basis. The home has comprehensive risk assessments in place covering all aspects of service users care and activities. The home has an appropriate missing persons procedure. Summerhill I56-I06 S49112 Summerhill V241591 181105 Stage 4.doc Version 1.40 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 standard(s) 12,13,15,16,17 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: This standard remains unchanged since the last inspection. Service users attend day centres and local education and training facilities and partake in a wide variety of practical and leisure activities, details of which are recorded in care notes. All service users were out on the day of inspection. All service users are encouraged and supported to access the local community facilities including visits to local pubs, restaurants, cinemas, library and clubs. The home uses local public transport and taxis to access local facilities. All service users are included in the local voters register The home has an open visitors policy. Service users are able to meet their family and friends in the privacy of their own rooms or in one of the communal areas. Evidence from care plans and the home’s risk assessing processes evidenced that service users’ independence and freedom of movement is encouraged. Service users are encouraged by staff to make their own choices whenever Summerhill I56-I06 S49112 Summerhill V241591 181105 Stage 4.doc Version 1.40 Page 11 possible. Very comprehensive pen portraits for agency staff and other professionals were seen which is seen as proactive good practice. Service users choose their menus. A wide range of food is on offer for breakfast including a cooked breakfast. Service Users generally take packed lunches when attending day centres. The main meal is taken in the evening. Alternatives to the main menu can be provided on request. Nutrition records are maintained for each service users. Summerhill I56-I06 S49112 Summerhill V241591 181105 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) 18,19,20 Good arrangements are in place to ensure that the health care needs of service users are identified and met. Minor discrepancies with medication storage and administration were identified EVIDENCE: Service users care plans overall detail each individual’s needs in respect of personal care. All service users can manage their own personal hygiene with prompting from staff. They can choose time of retiring at nights and getting up in the morning and choice of their own clothing and hairstyles. Although on most weekdays this is governed by their daily activities at college and day centres. Staff support service users to access all the appropriate community health facilities. Full details are recorded in care plans. Service users provide written consent for staff to manage their medication. The home uses a predispensed system for the administration of tablet medication. Advice was given regarding medication safety when service users were not in the home. Some discrepancies were found with medication storage and medication records were found to be 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. Summerhill I56-I06 S49112 Summerhill V241591 181105 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 The home has effective procedures in place to ensure that service users are protected from abuse, neglect and self harm. EVIDENCE: The home has an appropriate complaints policy and procedure. This has been developed in a pictorial format for the service users. The home has appropriate abuse and whistle blowing policies and procedures and a copy of the Essex County Council procedure. All staff have planned training with regards to managing aggression and challenging behaviour and POVA. Summerhill I56-I06 S49112 Summerhill V241591 181105 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 Summerhill was clean, bright and well maintained and provided the service users with homely and comfortable surroundings. Noticeable improvements have been made to the décor of the home internally and externally. EVIDENCE: The home is a large detached domestic style house in keeping with other properties in the area. It is located close to local shops and transport and is in walking distance from the main shopping area of Leigh on Sea. The house was seen to be furnished and decorated to a good standard. Redecoration and purchase of new furnishings was evidenced. The front driveway has been retarmaced also. The bedroom accommodation meets the National Minimum Standards. The service users bedrooms were seen to be well decorated and personalised to each service users personal taste. All bedrooms are lockable and service users have indicated whether they wish to have key. The home has sufficient bathroom and toilet facilities to meet the standard. Summerhill I56-I06 S49112 Summerhill V241591 181105 Stage 4.doc Version 1.40 Page 15 The home has a large kitchen diner plus a separate dinning room. There is a large comfortable furnished lounge. Laundry facilities are domestic in style. Staff are provided with suitable sleep in facilities. At the time of the inspection no service user required alterations to the building and a specialist chair was being considered for one service user. Hand rails were fitted to the bathroom for safety. The home was clean and tidy throughout. The laundry area was small but contained suitable domestic equipment accessible to service users. Appropriate policies and procedures were in place in respect of infection control. Summerhill I56-I06 S49112 Summerhill V241591 181105 Stage 4.doc Version 1.40 Page 16 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) 34,35 The procedures for the recruitment and training of staff have safeguards in place to offer protection to people living in the home. This needs to be addressed with agency staff employed to work in the home also. The home has an effective and competent staff team. EVIDENCE: Staff files examined 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 was not available to inspect and discussed with the home’s manager. All staff receive a detailed induction programme on commencing employment in the home. A training plan was available which identified mandatory and specialist training. Summerhill I56-I06 S49112 Summerhill V241591 181105 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) 39,42 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: There was evidence of various quality systems in place. The proprietor’s representative informed at the previous inspection that there are plans to include service users in the monthly Regulation visits. There is a sub group of managers who examine quality issues on a regular basis. Questionnaires have been issued to all service users and their families. The proprietors have achieved “ Investors in People”. 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. However certificates for the electrical installation, emergency lighting and fire alarms were only available in part and the full document must be available for inspection. Regular weekly tests are carried out for hot water Summerhill I56-I06 S49112 Summerhill V241591 181105 Stage 4.doc Version 1.40 Page 18 temperatures, fire alarms and emergency lighting. Regular fire drills are carried out and names of staff and service users attending were recorded. Summerhill I56-I06 S49112 Summerhill V241591 181105 Stage 4.doc Version 1.40 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 x 3 x x 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 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 x 3 3 x 3 4 3 Standard No 31 32 33 34 35 36 Score x x x 2 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Summerhill Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x I56-I06 S49112 Summerhill V241591 181105 Stage 4.doc Version 1.40 Page 20 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 20 Regulation 13 (2) 17 (1) 12 (1) – (4) 13 (4) 14 (2) Requirement The registered person must ensure that there is a policy and staff adhere to the procedures for the receipt of recording, storage, handling administration and disposal of medicines, and service users are able to take responsibility for their own medication if they wish, within a risk management framework. Timescale for action 28th December 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 34 Good Practice Recommendations The registered proprietor must ensure the health and safety of service users is protected with specific refererence to to ensuring adequate recruitment checks have been made for any agency staff employed to work in the home and that they comply with relevant legislation. The registered proprietor must ensure the health and safety of service users and comply with relevant legislation. This with reference to ensuring full copies and not just the fornt page of all safety certificates are available for inspection. I56-I06 S49112 Summerhill V241591 181105 Stage 4.doc Version 1.40 Page 21 2. 42 Summerhill Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea SS2 BG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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