Inspection on 15/12/05 for Summerview

This inspection was carried out on 15th December 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

Summerview 04/04/08

Summerview 19/04/07

Summerview 24/05/05

Summerview 23/11/04

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 Summerview 35 Pembury Road Westcliff On Sea Essex SS0 8DU Lead Inspector Helen Laker Unannounced Inspection 15th December 2005 11:00 Summerview DS0000049099.V273292.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Summerview DS0000049099.V273292.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Summerview DS0000049099.V273292.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Summerview Address 35 Pembury Road Westcliff On Sea Essex SS0 8DU 01702 348310 01702 348310 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 Kevin Patrick Sean Hart Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Summerview DS0000049099.V273292.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 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. Date of last inspection Brief Description of the Service: Summerview is a care home which provides accommodation for 6 adults with learning disabilities. The home is situated close to the seafront and within close proximity to the town centre and local community amenities. Service users resident at the home are provided with single bedroom accommodation and access to communal areas including a large lounge area, dining room and garden to the rear of the property. There is limited off road parking but adjacent streets can also be used for this. Summerview DS0000049099.V273292.R01.S.doc Version 5.0 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, as all were out. The manager and was spoken with. Twenty National Minimum Standards were inspected on this occasion, twenty overall outcomes were met and all requirements and recommendations from the last inspection were met. Discussion of the inspection findings took place with the manager at the end and throughout the inspection and guidance was given. What the service does well: What has improved since the last inspection? What they could do better: Records and care documentation in the home have improved and the staff are provided with essential information to assist them in understanding the needs and wishes of the service users. The manager informed the inspector that care plans now document physical care needs and associated goals and interventions. The CSCI have now been informed of any results arising from formal and informal quality audit and monitoring within the home. In terms of what this home could better and that they have met all outstanding requirements it is anticipated that the consistency in the standard already met will continue. Summerview DS0000049099.V273292.R01.S.doc Version 5.0 Page 6 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. Summerview DS0000049099.V273292.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Summerview DS0000049099.V273292.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,4,5 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: The home has produced its Statement of Purpose and Service Users Guide. The service users guide has been produced in pictorial form. The manager said all service users have had the service users guide explained to them. Additional charges include toiletries, clothing. Personal equipment and travelling. The home’s assessment and care planning systems demonstrated that the service users’ care needs are being met. There have been no new admissions to the home since then last inspection but it was evidenced that the most recent service user admitted to the home visited the home on a number of occasions before taking up residence. The manager informed that prospective service users are encouraged to make as many visits as they wish before deciding to live in the home. All service users have been issued with the new pictorial terms and conditions of residence. The manager said that the contract has been discussed with each service user. Those seen were signed by the service users. Summerview DS0000049099.V273292.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,8,10 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: Care plans for one service user was assessed. This was noted to be detailed in respect of service users’ care needs with clear specific instructions for staff to meet the assessed needs. This was evidenced at the last inspection along with risk assessments which are carried out for all service users. Those inspected were seen to be detailed and included strategies for minimising or preventing risk of injury or harm to service users. Specific indication and a care plan for individual physical ailments are now in place. There was evidence of service user involvement and that reviews are held on a regular basis. The manager previously explained that “Person Centred Planning” will be introduced from 1st June 2005. He stated that “This is to ensure service users plans are more exciting and they can take ownership and responsibility for their own self” This is now fully implemented and comprehensive plans were seen. Summerview DS0000049099.V273292.R01.S.doc Version 5.0 Page 10 The registered manager ensures that service users are offered opportunities to participate in the day to day running of the home and to contribute to the development and review of policies, procedures and services. 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. Summerview DS0000049099.V273292.R01.S.doc Version 5.0 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 the following standard(s): 11,14,16 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: Staff enable service users to have opportunities to maintain and develop social, emotional, communication and independent living skills. Service users have their own televisions; some have music centres and DVD players. All service users enjoyed a holiday of their choice in the summer. The manager ensures that services users are kept up to date with information regarding leisure activities available. 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 possible. Mail is delivered directly to the service users, who generally ask the staff to read and explain any correspondence. From observations throughout Summerview DS0000049099.V273292.R01.S.doc Version 5.0 Page 12 the day staff were seen to interact with services users in a positive manner and service users appeared relaxed and comfortable. Summerview DS0000049099.V273292.R01.S.doc Version 5.0 Page 13 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): 21 Good arrangements are in place to ensure that the ageing, illness and death of service users needs are identified and met should the occasion arise. EVIDENCE: 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. Summerview DS0000049099.V273292.R01.S.doc Version 5.0 Page 14 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): Standards 22 and 23 inspected at UI on 24th May 2005 and met ALL MET AT INSPECTION ON 24TH MAY 2005 PLEASE SEE REPORT FOR JUDGEMENT EVIDENCE: ALL MET AT INSPECTION ON 24TH MAY 2005 PLEASE SEE REPORT FOR EVIDENCE Summerview DS0000049099.V273292.R01.S.doc Version 5.0 Page 15 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): Standards 24 to 30 were inspected at UI on 24th May 2005 and met ALL MET AT INSPECTION ON 24TH MAY 2005 PLEASE SEE REPORT FOR JUDGEMENT EVIDENCE: ALL MET AT INSPECTION ON 24TH MAY 2005 PLEASE SEE REPORT FOR EVIDENCE Summerview DS0000049099.V273292.R01.S.doc Version 5.0 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 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 The procedures for the recruitment and training of staff have safeguards in place to offer protection to people living in the home. The home has an effective and competent staff team. EVIDENCE: All staff with the exception of the most recent member of staff working in the home are issued with detailed job descriptions. The manager stated that all staff have been issued with the General Social Care Council’s (GSCC) Standards of Conduct and Practice. Staff are fully aware of the home’s aims and objectives and of their abilities and skill level. The manager felt that he now had a good supportive staff group who were knowledgeable of the service users’ care needs. 2 staff are training at NVQ Level 2 and 3 at NVQ Level 3. Staff rotas showed that staff numbers varied as to how many service users are in the home and when activities are taking place during the day and evening. Two staff employment files were inspected. Both contained job descriptions, evidence of induction training, two references, Criminal Records disclosure (CRB), copy of Passport and photograph. One file for the most recent member of staff did not evidence NI information or a job description but overall records were complete. Summerview DS0000049099.V273292.R01.S.doc Version 5.0 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,40,41,43 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 manager holds the NVQ in Management and Care and has many years experience of the service user group. During this and previous inspections he demonstrated a positive and progressive attitude to his role and a commitment to the effective management of the home and the welfare of the service users. He has now completed the Registered manager’s award. Staff previously spoken with said the manager was easy to talk to and always supportive. The manager operates an open door policy in respect of staff, service users and their families and representatives. Policies and procedures were seen to be appropriate and reviewed at various times between 1999 and 2003. The manager previously informed that part of the manager’s group responsibilities are to review the group’s policies and procedures. This is done on an ongoing basis. Summerview DS0000049099.V273292.R01.S.doc Version 5.0 Page 18 All service users have access to their files. This has been evidenced by their signing for medication, keys and their care plans. All records seen were well maintained and stored securely in the office and a lockable cupboard. The home’s Employers Liability Certificate was displayed. It is judged that procedures are in place to ensure the appropriate management of the business and there was no evidence to suggest the home is not financially viable. Summerview DS0000049099.V273292.R01.S.doc Version 5.0 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 X 3 3 3 Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X 3 X 3 Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 3 12 X 13 X 14 3 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 3 X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Summerview Score X X X 3 Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 3 X 3 DS0000049099.V273292.R01.S.doc Version 5.0 Page 20 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. 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. Refer to Standard Good Practice Recommendations Summerview DS0000049099.V273292.R01.S.doc Version 5.0 Page 21 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. 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