Inspection on 19/04/07 for Summerview

This inspection was carried out on 19th April 2007.

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 found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Summerview 04/04/08

Summerview 15/12/05

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 19th April 2007 10:00 Summerview DS0000049099.V327577.R01.S.doc Version 5.2 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.V327577.R01.S.doc Version 5.2 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.V327577.R01.S.doc Version 5.2 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.V327577.R01.S.doc Version 5.2 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 15th December 2005 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. The home was first registered in August 2004 The Service User Guide and Statement of Purpose are available and are updated as required. The residents and their representatives are provided with this information and it is displayed for reference along with current Commission for Social Care Inspection reports too. At the time of this report the homes fees for current service users ranged from £458.78 to £1773.75 per week, but are variable as an increase of approximately 2.5 is applied annually. Summerview DS0000049099.V327577.R01.S.doc Version 5.2 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 one day 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 on the day of inspection. The manager and two members of staff were spoken with. Twenty two National Minimum Standards were inspected on this occasion, Nineteen overall outcomes were met and three requirements are 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. Further feedback was also received from service users and staff through survey and discussion. Responses have been included in the relevant sections of the report. A preinspection questionnaire was provided on this occasion and other reports and correspondence provided by the staff on duty were used as evidence to inform this report also. What the service does well: What has improved since the last inspection? Care documentation in the home has 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 previously 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. All service users all have comprehensive plans. All the groups’ managers meet on a monthly basis and a service user forum for all the groups’ service users is now in place. This was highlighted at the previous inspection also. Summerview DS0000049099.V327577.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Summerview DS0000049099.V327577.R01.S.doc Version 5.2 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.V327577.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. 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: There have been no new admissions to the home since June 2003. Assessment documentation inspected at previous inspections was noted to be detailed and included all the elements to meet this standard. This file has since been archived. One service user spoken to confirmed that they could make informed choices with regards to how they choose to meet their needs and aspirations, such as holidays and the decoration in the home along with daily routines. Assessment documentation was last updated in July 2004 Summerview DS0000049099.V327577.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. 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. These need to be more specific. EVIDENCE: Care plans for two service users were assessed. These were noted to be detailed in respect of service users’ care needs with clear specific instructions for staff to meet the assessed needs. Risk assessments are carried out for all service users. Those inspected were not all detailed enough or included specific strategies for minimising or preventing risk of injury or harm to service users. The home uses the Person Centred Planning system to ensure service users needs are met. Service users are involved in the formation and review of their care plans. Summerview DS0000049099.V327577.R01.S.doc Version 5.2 Page 10 Staff respect service users’ right to make decisions, and that right is limited only through the assessment process, involving the service user, and as recorded in the individual Service User Plan. 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. One service user confirmed this indicating activities such as shopping and cleaning. Summerview DS0000049099.V327577.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. 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. Summerview DS0000049099.V327577.R01.S.doc Version 5.2 Page 12 EVIDENCE: At the time of the inspection, none of the service users were undertaking any paid employment but one undertook a 13 week placement prior to taking up a paid position and another was working for a charity . Service users are encouraged and supported to access a wide variety of training and educational colleges, including computer studies, arts and crafts, English, History and cooking. Only two service users at the time of this inspection were at college. Copies of learning agreements, which have been drawn up with the service user and the college, were seen at previous inspections, and kept in each service user’s file. Staff encourage and enable service users to gain access to all the local community facilities. Regular visits were noted to the shops, cinemas, theatres, pubs and restaurants, local libraries and local clubs. All service users have been included in the voters’ register. The home operates an open visitors policy. Service users are encouraged to maintain links with their friends and family. 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. This was confirmed by one service user. Mail is delivered directly to the service users, who generally ask the staff to read and explain any correspondence. From observations at the start of the day staff were seen to interact with one service user in a positive manner and he appeared relaxed and comfortable. One service user who has a baby monitor was discussed previously from a rights point of view and documentation regarding consent and choice. This was seen but needs specific information including. Service users choose the menu plan and assist in preparing meals. The weekly menu is chosen on Thursday for the following week with the assistance of pictures. The menu is displayed in the kitchen with a task rota for preparing and clearing up after meals. Alternative meals are available if required. Nutritional records were seen and are maintained on each service user’s file. Summerview DS0000049099.V327577.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Arrangements are generally in place to ensure that the health care needs of service users are identified and met. Some omissions and recording issues with reference to medication administration were evident. 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 hair styles. Although on most weekdays this is governed by their daily activities at college and day centres. All the service users are supported by staff to access all relevant community health services and appropriate records maintained. Service users’ consent to medication has been obtained and recorded in their care plans. One service user is administered insulin. A full risk assessment was previously seen to have been carried out by the specialist diabetes nurse with instruction for staff to take blood sugar levels regularly, these can be Summerview DS0000049099.V327577.R01.S.doc Version 5.2 Page 14 faxed to the specialist nurse for any observations weekly. The home maintains close relationship with the specialist nurse and any medical conditions are overall managed effectively. The home uses a predispensed system for the administration of tablet medication. Medication administration records (MAR) were seen to highlight some shortfalls in completion and the documenting of omissions but did contain medication profiles for medication taken as and when required (PRN). All transcribed medication should be done correctly and two signatures should evidence the checking of the same. This was discussed with the manager on the day of inspection and the necessary actions required to correct this. Summerview DS0000049099.V327577.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home has effective procedures in place to ensure that service users are protected from abuse, neglect and self harm. EVIDENCE: No complaints have been made since the last inspection. The home has an appropriate complaints procedure and record book which is divided into complaint, investigation and outcome. Compliments are recorded also. The home has appropriate Adult Protection and Whistle Blowing policies and procedures and a copy of the Local Authority’s Protection of Vulnerable Adults Procedures. Both polices are discussed with staff during their induction process and training in protection of vulnerable adults is planned for 2007, however the majority of staff in the home have had required POVA training and updates are planned. Summerview DS0000049099.V327577.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Summerview was clean, bright and well maintained and provided the service users with homely and comfortable surroundings. Future improvements are planned and some have already been made to the décor of the home. EVIDENCE: The home is a large 3 storey detached domestic style house situated in Westcliff on Sea, close to the seafront and Hamlet Court shopping area and restaurants. The premises were seen to be clear, bright and airy and furnished and decorated to an adequate standard. The proprietor is currently having all homes in the group surveyed with a view to fully refurbishing the same. Summerview DS0000049099.V327577.R01.S.doc Version 5.2 Page 17 The home’s bedroom space remains unchanged and continues to meet legislative requirements. Some were looking tired and one requires a carpet replacing but this is all being considered as part of the group’s refurbishment review. Service users’ bedrooms were seen to be decorated and furnished according to the needs and wishes of the service users. Bedrooms have been personalised to each individual service users taste. There are 3 bathrooms and 4 toilets which are sufficient to meet the needs of the service users. One bathroom was due for repair as was non functional on the day of inspection. The home provides a large lounge, separate dining room and a large kitchen for the service users. A medium size accessible garden is available to the rear of the home. This has been landscaped and planted None of the service users living in the home at the time of the inspection required any disability equipment or adaptations to the home’s environment. The home was seen to be clean and tidy throughout. The home has a small laundry equipped with a large butler sink, washing machine and tumble dryer. It is accessible and meets the needs of the service users. Summerview DS0000049099.V327577.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Quality in this outcome area is poor This judgement has been made using available evidence including a visit to this service. The procedures for the recruitment and training of staff do not always have safeguards in place to offer protection to people living in the home. The home does have an effective and competent staff team. EVIDENCE: The staff duty rota provided evidence that staff are employed in sufficient numbers to meet the needs of the people who live at the home. Staff do not work excessive hours without appropriate off duty time. Care staff are supported by experienced nursing staff some of whom provide regular in house training, supervision and support which covers how to manage illnesses and conditions associated with learning disabilities. Of the staff records reviewed it was noted that some shortfalls were evident and documentation was incomplete and checks were missing in some cases. The inspector was informed that Criminal Record Bureau checks have been obtained but those available to inspect were not all satisfactory. There was some evidence of inductions and job descriptions and current contracts were noted to not be signed or dated in some places, in some cases. The process regarding agency and volunteer recruitment should the need arise, and CRB Summerview DS0000049099.V327577.R01.S.doc Version 5.2 Page 19 checks was discussed. Attention should be paid when recruiting, to addresses for references, bank account details, incomplete application forms, comprehensive work history, permissions to work and proof of identity. The manager was advised that staff members must not start work at the home until all relevant recruitment checks have been completed, especially CRB’s. The manager was also advised of current immigration requirements and regulations and the recruitment checks required. He was advised to inspect other staff personnel records to ensure that the home was compliant with legal requirements. Some National Insurance numbers were not evidenced. The registered person ensures that there is a staff training and development programme which meets the Sector Skills Council workforce training targets and ensures staff fulfil the aims of the home and meet the changing needs of service users’. All staff receive supervision on a two monthly basis. The format was seen to be appropriate, and staff have been given copies of the proprietors grievance and disciplinary procedures. Summerview DS0000049099.V327577.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. 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 current registered manager holds the NVQ in Management and Care and has many years experience of the service user group. During this and previous inspections he has 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 completed the registered managers award. Staff previously spoken with previously said the manager was easy to talk to and always supportive. He has now attained internal promotion within the company. He does however still oversee the running of Summerview. The Summerview DS0000049099.V327577.R01.S.doc Version 5.2 Page 21 present acting manager was present on the day of inspection and has applied for registration. He has worked in care and management settings for the last 27 years. He commenced as manager at Summerview in Jan 2006 and has still to complete his NVQ level 4 registered managers award. The acting manager said that quality questionnaires have been introduced for relatives and pictorial questionnaires for service users are available and hopes to involve staff and relatives to assist service users in completing them. Relatives meetings are held on a monthly basis. Monthly visits by the proprietors representative under Regulation 26 of the Care Homes Regulations are being carried out. All the groups’ managers meet on a monthly basis and a service user forum for all the groups’ service users is now in place. The manager previously stated that he feels that information gained from all the various sources will form the basis for a formal system for monitoring the home’s and the group’s quality of service provision. The dissemination of this information to the CSCI is progressive. The home has policies and procedures in place covering all aspects of Health & Safety in the home and the manager was aware of his duties regarding Health & Safety in the home, in house health and safety audits are undertaken which is considered good practice. Risk assessments were being completed for safe working practices and regular testing is carried out for the home’s fire alarms, emergency lighting, fire fighting equipment, hot water temperatures, fridge and freezer temperatures. Safety certificates were obtained for gas, electric and fire alarms. Summerview DS0000049099.V327577.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 3 X Summerview DS0000049099.V327577.R01.S.doc Version 5.2 Page 23 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. 1 Standard YA9 Regulation 13 (4) (b) Requirement The registered person must ensure that comprehensive risk assessments are carried out and reviewed regularly for all service users, including specific details within individualised plans of care 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. This with specific reference to medication recording errors Recruitment records required by regulation for the protection of service users and for the effective and efficient running of the business must be maintained, up-to-date and accurate. Timescale for action 29/07/07 2 YA20 13 (2) 17 (1) 12 (1) – (4) 13 (4) 14 (2) 29/07/07 3 YA34 17 (3) (a) & (b) 29/07/07 Summerview DS0000049099.V327577.R01.S.doc Version 5.2 Page 24 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.V327577.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Summerview DS0000049099.V327577.R01.S.doc Version 5.2 Page 26 - 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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