Inspection on 22/11/05 for Sutton Court

This inspection was carried out on 22nd November 2005.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Sutton Court 17/02/09

Sutton Court 23/10/06

Sutton Court 04/07/05

Sutton Court 30/11/04

Sutton Court 20/07/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Sutton Court 69 Chesswood Road Worthing West Sussex BN11 2AB Lead Inspector Beth Tye Unannounced Inspection 22nd November 2005 10:30 Sutton Court DS0000014762.V262953.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 Sutton Court DS0000014762.V262953.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. Sutton Court DS0000014762.V262953.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Sutton Court Address 69 Chesswood Road Worthing West Sussex BN11 2AB 01903 234457 01903 211071 courthomestopenworld.com 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) Sutton Court Nursing Home Limited Mrs Michelle Jane Pretty Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Sutton Court DS0000014762.V262953.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Up to 10 male and/or female service users in the category learning disability may be accommodated Only persons between ages of 18-65 years of age may admitted Date of last inspection 4th July 2005 Brief Description of the Service: Sutton Court is a care home registered to accommodate up to ten people in the category LD (Learning Disabilities 18-65 years). The premises is a converted period house close to Worthing town centre, with access to public transport nearby. Accomodation is provided over two floors and all rooms are single occupancy. The servce is privately owned and the registered provider is Sutton Court Nursing Homes Ltd. Mr Ramdin is the registered proprietor and Ms Michele Pretty is the registered manager in charge of the day to day running of the home. Sutton Court DS0000014762.V262953.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 22nd November 2005. Prior to inspection information held on file was reviewed, including the last two inspection reports and any official documentation relating to the home over the last six months. Sutton Court currently has ten residents and the inspector was able to speak to some of these during the inspection. A tour of the premises was under taken, policies and procedures, health and safety records and medication systems within the home were examined. The manager and owner of the home were available throughout the inspection to assist and provide information as required. What the service does well: What has improved since the last inspection? Since the last inspection the home has had the upstairs landing and hall recarpeted. A new water tank has been fitted in the home. A massage/gravity chair has been purchased for one of the residents to aid in his relaxation. Use of the chair has resulted in a positive outcome for the resident. Some of the communal furniture in the home is due to be replaced in the New Year. Sutton Court DS0000014762.V262953.R01.S.doc Version 5.0 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. Sutton Court DS0000014762.V262953.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 Sutton Court DS0000014762.V262953.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): 2 Individuals needs and aspirations are recorded as part of the care planning process and evidence of contributions from residents, relatives and involved professionals was seen on file. EVIDENCE: Pre-admission information for each resident forms the basis of his or her ongoing care plan. The pre-admission assessment is undertaken by senior staff to ensure the prospective service users needs can be met, and the dynamics within the resident group remain stable. All information relating to the service is clearly written in the Service Users Guide and Statement of Purpose. A contract of Terms and Conditions for each resident is signed on admission, this ensures residents and their families are fully aware of their rights within the home. Sutton Court DS0000014762.V262953.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): 8, 9 & 10 Detailed risk assessments and positive relationships with staff enable residents to make safe choices about their daily lives and increase their independent living skills. Residents attend regular reviews and participate in residents meetings, which allows them to be involved in decisions about the care they receive and the way the home is run. EVIDENCE: The inspector viewed minutes of residents review meetings. Residents attendance at regular reviews allows them to be involved in the decision making about their care and ensures information is up to date and accurate. Residents spoken to by the inspector were vocal about their needs and seemed fully aware of what was going on within the home. Residents are encouraged to make decisions by staff about their lives. Risk assessments seen on file support this process and promote individuals to live as independently as possible. Sutton Court DS0000014762.V262953.R01.S.doc Version 5.0 Page 10 All information relating to residents care is stored securely in the staff office to ensure confidentiality. Sutton Court DS0000014762.V262953.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): 17 Residents within the home are offered a good choice of healthy and balanced meals. All were seen enjoying their food and mealtime. EVIDENCE: The inspector examined menus for the home. Each weekend the residents meet and discuss the meal plan for the forthcoming week and decide what they want to eat in the evenings. Packed lunches are prepared each day for residents who attend college and those who remain at the home are offered a choice for lunch on the day. One resident cooks regularly in the home and will shop and prepare the ingredients as part of an independent living plan. Other residents often get involved in assisting with domestic tasks in the kitchen. All meals eaten are recorded in a log and the inspector noted these were balanced and varied. The kitchen was seen by the inspector and was clean and tidy. Food was well presented and looked appetising. Sutton Court DS0000014762.V262953.R01.S.doc Version 5.0 Page 12 Fridge/freezer temps are recorded daily and colour coded boards are used for food preparation to minimize the risk of infection. Staff have completed food hygiene training and certificates were displayed in the kitchen area. Sutton Court DS0000014762.V262953.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): 20 & 21 Medication is stored and labelled appropriately. The inspector found some gaps in the MAR sheets where staff should sign. A recommendation has been made in respect of this. The home has policies and procedures in respect of illness, death and dying. EVIDENCE: There are policies and procedures in place with regards to the administration of medication and all staff members who administer medication receive appropriate training. Medication is suitably stored in locked cabinets in the office and the home has an agreement in place with a local pharmacy. Some gaps were found in the medication records where staff should have signed off medication following administration. The manager informed the inspector she intended to monitor the records more regularly, to ensure this does not happen in the future. A recommendation has been made and will be monitored at the next inspection. Sutton Court DS0000014762.V262953.R01.S.doc Version 5.0 Page 14 Controlled medication held on the service was checked and found to be in good order. The organisation has policies and procedures in place with regard to the illness and death of a service user. At the time of inspection a resident’s parent had recently died. The inspector concluded the home had supported the resident appropriately and in accordance with their assessed needs and understanding. Sutton Court DS0000014762.V262953.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 The home provides mandatory training for all staff in respect of working with vulnerable adults. EVIDENCE: Adult Protection policies and procedures are available to staff alongside County Procedures and guidelines in the staff office. Staff have completed mandatory training in relation to Protection of Vulnerable Adults. This reduces risk within the home and ensures staff were clear about reporting procedures should suspicion of abuse arise. Sutton Court DS0000014762.V262953.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25 & 30 The landing and hall carpet upstairs has been replaced since the last inspection. The home overall offered a comfortable and clean living space and therefore providing a good outcome for residents. EVIDENCE: There is a large lounge with TV and stereo equipment and separate ‘quiet space’ for residents. The dining room is opposite a light, brightly decorated kitchen, which all residents have access to for cooking and drink making facilities. The furniture in the dining room and lounge is due to be replaced in the New Year. Residents rooms are a good size and furnished in their individual styles with personal possessions and pictures. Some residents rooms are sparsely furnished with nothing on the walls. This was due to repeated damage and the need to keep the residents safe. Where this occurred details were recorded on individual care plans. Sutton Court DS0000014762.V262953.R01.S.doc Version 5.0 Page 17 One resident suffers from seizures during the night and has been provided with foam mats around his bed to minimize injury. A monitor has been placed in his room to alert staff to seizures whilst maintaining his privacy. He has also been brought a massage chair to assist in calming and relaxing him. The manager reported this has worked very positively. All bedrooms have locks on the door and lockable cabinets for residents to store items of value. There are suitable toilets and washing facilities throughout the building. A laundry room provides a large washing machine and tumble dryer. A fire alarm and emergency lighting system is in place throughout the home. Anti-bacterial soap was available at all communal sinks which reduces the risk of cross infection within the home. Sutton Court DS0000014762.V262953.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 36 The inspector could not conclude that supervised staff supported residents’ as the supervision records for staff were not up to date. A requirement has been made in respect of this. Records of daily communications and handovers showed staff are supported on a day to day basis. EVIDENCE: Staff are given clear guidance from the systems in place, to work effectively with the residents. This process would be enhanced by regular supervision, which was found to be overdue. The manager stated she is in the process of ensuring these supervisions are brought up to date. A requirement has been made in respect of this and will be monitored at the next inspection. Sutton Court DS0000014762.V262953.R01.S.doc Version 5.0 Page 19 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): 39, 40 & 43 Residents benefit from a well run home and are safe guarded by the homes policies, procedures and systems. The health, safety and welfare of residents are promoted and protected through good, clear systems and record keeping. The inspector concluded the management of the home was competent and overall committed to the best interests of the service users. EVIDENCE: Residents benefit from a well run home and are safe guarded by the homes policies and procedures. The clear administrative systems promote all aspects of health and safety within the home. The manager and owner monitors these on a regular basis. Sutton Court DS0000014762.V262953.R01.S.doc Version 5.0 Page 20 The inspector examined health and safety records including fire checks, accident book, maintenance checks, regulation 22 reports and risk assessments. All were found to be up to date and in good order (with the exception of hot water temperatures as these were not available) The health, safety and welfare of residents are promoted and protected through good, clear systems and record keeping. The inspector concluded the management of the home was competent and overall committed to the best interests of the service users. Sutton Court DS0000014762.V262953.R01.S.doc Version 5.0 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 X X X Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X 2 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Sutton Court Score X X 3 3 Standard No 37 38 39 40 41 42 43 Score X X 3 3 X X 3 DS0000014762.V262953.R01.S.doc Version 5.0 Page 22 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 36 Regulation 18 Requirement To ensure staff are supervised no less than 6x annually Timescale for action 21/02/06 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 20 Good Practice Recommendations To ensure staff sign all medication sheets and this is monitored on a regular basis by the manager. Sutton Court DS0000014762.V262953.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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 Sutton Court DS0000014762.V262953.R01.S.doc Version 5.0 Page 24 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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