Inspection on 01/02/06 for Summon Bonum

This inspection was carried out on 1st February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Summon Bonum 07/03/07

Summon Bonum 02/12/04

Summon Bonum 22/06/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Summon Bonum Summon Bonum 56a St Marychurch Road Torquay Devon TQ1 3JE Lead Inspector Graham Thomas Unannounced Inspection 1st February 2006 09:30 Summon Bonum DS0000018436.V269068.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Summon Bonum DS0000018436.V269068.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Summon Bonum DS0000018436.V269068.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Summon Bonum Address Summon Bonum 56a St Marychurch Road Torquay Devon TQ1 3JE 01803 293512 NONE 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) Mrs Jenny Whitney Mrs Jenny Whitney Care Home 9 Category(ies) of Learning disability (9), Learning disability over registration, with number 65 years of age (9) of places Summon Bonum DS0000018436.V269068.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Persons with a Learning Disability and an additional Mental Disorder up to and over 65 years can reside at the Home. 3rd August 2005 Date of last inspection Brief Description of the Service: Summon Bonum provides residential care for up to nine adults with learning disabilities up to and over the age of 65, some of whom may have additional mental health problems. The house is a Victorian villa set in its own gardens close to local shops, and half a mile from Torquay town centre. The homes emphasis is on promoting independence among the service users, and encouraging them to develop their skills, follow their own interests, and value and encourage each other. Seven bedrooms are single, one double. Service users are encouraged to use public transport, and the home uses its people carrier for outings of all sorts. Summon Bonum DS0000018436.V269068.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of this unannounced visit was to complete the inspection of key standards for this inspection year and monitor progress in respect of the one outstanding recommendation. The Inspector toured communal areas of the building and visited some individual rooms. Discussion took place with five service users individually and in groups. The inspector also spoke with The Registered Provider and three staff members including the Registered Provider’s daughter who assists in the management of the home. Various documents including a sample of care plans were examined. What the service does well: What has improved since the last inspection? What they could do better: Individual risk assessments need to be more clearly identifiable in the care planning records. All the required recruitment checks must be undertaken for prospective staff. Summon Bonum DS0000018436.V269068.R01.S.doc Version 5.1 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. Summon Bonum DS0000018436.V269068.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Summon Bonum DS0000018436.V269068.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: None of the above standards was inspected on this occasion Summon Bonum DS0000018436.V269068.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 9 Service users are supported to take appropriate risks though the recording system needs some clarification EVIDENCE: A recommendation made at the last inspection concerning risk assessments was reviewed. The findings from the last inspection remain substantially unchanged. The home encourages service users to take responsible risks within the framework of a system of regularly reviewed risk assessments. It is recommended that recording systems should be modified to make risk assessments a clearly identifiable element of the care plan. These were seen on individual files. Summon Bonum DS0000018436.V269068.R01.S.doc Version 5.1 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14 and 15 Service users’ individual lifestyle choices are respected and supported by Summon Bonum’s staff and managers. EVIDENCE: From the point of arrival at the home it was evident that service users were following individual routines relating to their individual age, needs and preferences. One service user with advancing dementia was being assisted to participate domestic routines. Another was hovering. Other service users were taking breakfast, the routine for which is flexible and individual. Some service users had left to attend day activities. Two were supported to attend medical appointments during the inspection. Discussion with service users staff and managers confirmed that a range of activities take place. Some service users participate in a knitting circle. Minibus trips were discussed as well as local courses in art, music, pottery and IT. One service user spoke proudly of his achievement of an NVQ award in food hygiene. At the time of inspection the home’s management were considering the use of Age Concern day services for older service users. Trips into the local Summon Bonum DS0000018436.V269068.R01.S.doc Version 5.1 Page 11 community for shopping and leisure are commonplace. Service users spoke enthusiastically about Christmas celebrations at a local restaurant. Records of visits and discussion with service users showed that the home supports family contact in a flexible way. Phone facilities are made available to service users. One relative invites groups to her home and this is supported and facilitated by the management and staff. One service user is able to travel part of the way home by public transport and this has been well managed. Summon Bonum DS0000018436.V269068.R01.S.doc Version 5.1 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 the following standard(s): EVIDENCE: None of the above standards was inspected on this occasion Summon Bonum DS0000018436.V269068.R01.S.doc Version 5.1 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 the following standard(s): EVIDENCE: None of the above standards was inspected on this occasion Summon Bonum DS0000018436.V269068.R01.S.doc Version 5.1 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 the following standard(s): 24 Service users benefit from comfortable and homely surroundings. EVIDENCE: Service users benefit from accommodation in a large, comfortably furnished Victorian villa within easy walking distance of local shops and not far from Torquay town centre. Visits are facilitated by parking for up to nine cars on a flat gravelled and paved area. There are level and easily accessible gardens for service users’ use. Regular maintenance upgrading and refurbishment were evident. Since the last inspection, for example, some carpets have been replaced. The furnishings and décor are homely and domestic in character. The ground floor is well designed for accessibility, and the less mobile service users have their bedrooms on the ground floor. Environmental risk assessments and hazard analyses have been seen. All parts of the home seen during this inspection were clean and free from offensive odours. Summon Bonum DS0000018436.V269068.R01.S.doc Version 5.1 Page 15 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): 32 and 34 Service users are supported by competent, qualified staff who are positively motivated towards meeting individual needs. Whilst service users are generally well protected by the home’s recruitment procedures, risk is posed by shortfalls in some checks. EVIDENCE: Of the twelve current staff members, five hold an NVQ qualification at level two or above. The Assistant Manager stated that a further six staff were signed up for the course. During the inspection it was evident that staff were positively motivated and respected the individuality and dignity of service users. Those staff with whom the inspector spoke were knowledgeable about individuals’ particular needs and preferences. The Registered Provider and Assistant Manager have a commendably positive attitude to the development of their own and their staff’s understandings and skills. A staff induction training system in line with national training standards is in place. Staff also attend other short courses relevant to the needs of service users. These include person centred awareness training and dementia. The Assistant Manager also described training in medication from Plymouth University which is linked top NVQ competencies. Staff files generally demonstrated a sound recruitment procedure including a formal application, a requirement for two references, interview and criminal records checks. In one instance there was no records of an UK Criminal Records Bureau check for a part-time worker from abroad. Prospective staff Summon Bonum DS0000018436.V269068.R01.S.doc Version 5.1 Page 16 meet with service users from whom feedback is sought as part of the recruitment process. The above indicates that Summon Bonum is a generally well-run home. Summon Bonum DS0000018436.V269068.R01.S.doc Version 5.1 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 Service users benefit from a service managed by well qualified and highly motivated managers. EVIDENCE: The home is managed jointly by Mrs. Whitney, the Registered Provider and her daughter who acts as Assistant Manager. The Assistant Manager has completed the NVQ4 / Registered Manager’s Award and Mrs. Whitney is close to completion. In addition, the Registered Provider has a Diploma in Advanced Care Management and a counselling qualification. Both mother and daughter display commendable enthusiasm for personal development and in this regard present very positive role models to their staff. Discussion about short courses which had been attended, turned quickly to the opportunities this presented for improving the lives of service users. Summon Bonum is well maintained and was free from any obvious safety hazards on inspection. Service users were following individual routines according to their needs and personal preferences. Staff were well motivated and knowledgeable about individual service users and their needs. Service Summon Bonum DS0000018436.V269068.R01.S.doc Version 5.1 Page 18 users’ individual changing needs were being addressed with aids and adaptations as well as additional staff support. Summon Bonum DS0000018436.V269068.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 X 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 X 23 X ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 x STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X 3 X X X X X X Summon Bonum DS0000018436.V269068.R01.S.doc Version 5.1 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 YA34 Regulation 19 Requirement The Registered Provider must ensure that CRB / POVA checks are undertaken for all newly recruited staff. In the case of those recruited from abroad these must include a UK CRB check. Timescale for action 01/03/06 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 YA9 Good Practice Recommendations Risk assessments should be clearly identified as a separate element of the care planning system Summon Bonum DS0000018436.V269068.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Summon Bonum DS0000018436.V269068.R01.S.doc Version 5.1 Page 22 - 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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