Inspection on 24/05/05 for Summerview

This inspection was carried out on 24th May 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Summerview 04/04/08

Summerview 19/04/07

Summerview 15/12/05

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 24 May 2005 09.30 a.m. 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. Summerview I56 I06 S49099 Summerview V223603 240505 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Summerview Address 35 Pembury Road, Westcliff on Sea, Essex, SS0 8DU 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) 01702 348310 01702 348310 SummerCare Homes Ltd Kevin Patrick Sean Hart CRH 6 Category(ies) of LD registration, with number of places Summerview I56 I06 S49099 Summerview V223603 240505 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 23rd November 2004 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 I56 I06 S49099 Summerview V223603 240505 Stage 4.doc Version 1.20 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 six 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 five were out and one was spoken to about life at Summerview. The manager and one member of staff were spoken with. Twenty seven National Minimum Standards were inspected on this occasion, twenty seven overall outcomes were met and there were two requirements 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: Records and care documentation in the home were improving and this needs to continue so that staff are provided with essential information to assist them in understanding the needs and wishes of the service users. Care plans do not presently document physical care needs and associated goals and interventions. Choices and rights of service users need to be maintained and promoted, particularly with regard to one service user who makes use of a baby monitor. Summerview I56 I06 S49099 Summerview V223603 240505 Stage 4.doc Version 1.20 Page 6 The CSCI should be informed of any results arising from formal and informal quality audit and monitoring within the home. Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Summerview I56 I06 S49099 Summerview V223603 240505 Stage 4.doc Version 1.20 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 Summerview I56 I06 S49099 Summerview V223603 240505 Stage 4.doc Version 1.20 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 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 had been no new admissions since the last inspection. Assessment documentation inspected at previous inspections was noted to be detailed and included all the elements to meet this standard. 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 has been updated in July 2004 Summerview I56 I06 S49099 Summerview V223603 240505 Stage 4.doc Version 1.20 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8,9 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: 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 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 was missing. There was evidence of service user involvement and that reviews are held on a regular basis. The manager 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” Summerview I56 I06 S49099 Summerview V223603 240505 Stage 4.doc Version 1.20 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 devising menus, shopping and cleaning Summerview I56 I06 S49099 Summerview V223603 240505 Stage 4.doc Version 1.20 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 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: At the time of the inspection, none of the service users were undertaking any paid employment but one undertook a voluntary placement. Service users are encouraged and supported to access a wide variety of training and educational colleges, including computer studies, arts and crafts and English. Copies of learning agreements, which have been drawn up with the service user and the college, were seen 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. Summerview I56 I06 S49099 Summerview V223603 240505 Stage 4.doc Version 1.20 Page 12 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 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 from a rights point of view and documentation regarding consent and choice. 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 I56 I06 S49099 Summerview V223603 240505 Stage 4.doc Version 1.20 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 standard(s) 18,19,20 Good arrangements are in place to ensure that the health care needs of service users are identified and met. 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. None of the admissions to Accident & Emergency were due to accidents. 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 faxed to the specialist nurse for any observations. The home uses a predispensed system for the administration of tablet medication. Medication administration records (MAR) were seen to highlight minor shortfalls in completion and the documenting of omissions but did contain medication profiles for medication taken as and when required (PRN). Summerview I56 I06 S49099 Summerview V223603 240505 Stage 4.doc Version 1.20 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 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: 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 July, August and September 2005 Summerview I56 I06 S49099 Summerview V223603 240505 Stage 4.doc Version 1.20 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 standard(s) 24,25,26,27,28,29,30 Summerview was clean, bright and well maintained and provided the service users with homely and comfortable surroundings. Limited improvements have 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 a good standard. The home’s bedroom space remains unchanged and continues to meet legislative requirements. 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. 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. Summerview I56 I06 S49099 Summerview V223603 240505 Stage 4.doc Version 1.20 Page 16 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 I56 I06 S49099 Summerview V223603 240505 Stage 4.doc Version 1.20 Page 17 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) 34,35,36 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: 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 evidenced their eligibility to work in the United Kingdom (for overseas nationals). 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 I56 I06 S49099 Summerview V223603 240505 Stage 4.doc Version 1.20 Page 18 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: The 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 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 was discussed. Summerview I56 I06 S49099 Summerview V223603 240505 Stage 4.doc Version 1.20 Page 19 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, he has commenced in house safety health and safety audits 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 I56 I06 S49099 Summerview V223603 240505 Stage 4.doc Version 1.20 Page 20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 x 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 3 3 Standard No 31 32 33 34 35 36 Score x x x 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Summerview Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x I56 I06 S49099 Summerview V223603 240505 Stage 4.doc Version 1.20 Page 21 YES 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 6 Regulation 15 (1) Requirement The registered manager develops and agrees with each service user an individual plan of care. This with reference to including plans of care to meet service users physical needs including interventions and goals The daily routines and house rules promote independence, individual choice and freedom of movement, subject to restrictions agreed in the individual Plan and Contract (subject to Standards 2 and 6 if necessary). This with reference to using baby monitors. Timescale for action 2nd August 2005 2. 16 12 (4)(a) 2nd August 2005 3. 4. 5. 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 CSCI should be informed of any results arising from formal and informal quality audit and monitoring within the I56 I06 S49099 Summerview V223603 240505 Stage 4.doc Version 1.20 Page 22 Summerview 2. 35 home. National insurance numbers should be evidenced as part of the recruitment process Summerview I56 I06 S49099 Summerview V223603 240505 Stage 4.doc Version 1.20 Page 23 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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