Inspection on 13/10/05 for Sutton Leaze

This inspection was carried out on 13th October 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 Leaze 04/01/07

Sutton Leaze 02/06/05

Sutton Leaze 07/09/04

Sutton Leaze 20/04/04

Sutton Leaze 31/07/02

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 Leaze Eastbourne Road Seaford East Sussex BN25 4BB Lead Inspector Jon Wheeler Announced Inspection 13th October 2005 2:00 Sutton Leaze DS0000021234.V249434.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 Leaze DS0000021234.V249434.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 Leaze DS0000021234.V249434.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Sutton Leaze Address Eastbourne Road Seaford East Sussex BN25 4BB 01323 894301 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) Southdown Housing Association Limited Vacant Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Sutton Leaze DS0000021234.V249434.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users to be accommodated is five (5). Service users must be aged between eighteen (18) and sixty five (65) years on admission. Only service users with a learning disability are to be accommodated. Date of last inspection 2nd June 2005 Brief Description of the Service: Sutton Leaze is part of the Southdown Housing Association and is registered to provide accommodation and care to five adults who have a learning disability. The home recently changed its name from Sutton Fields to Sutton Leaze. The home is an attractive wooden construction bungalow, which is set back from the main road in to Seaford. The location of the home offers easy access to Seaford town centre. The home has two vehicles, and public transport links are within walking distance. Each service user has their own bedroom, which is decorated to their individual preference. Four of the bedrooms have en-suite facilities. One bedroom with en-suite facilities is a large, spacious room in the attic. There are two lounge areas, a conservatory and a kitchen/dining room. There is one communal bathroom located on the ground floor. A secure and well-maintained garden is situated at the rear of the property. The home does not provide level access throughout, however the current service users are mobile and are able to move freely around the house. Service users do not attend formal day care, but access a wide range of services offered by local colleges, organisations and the home itself. Sutton Leaze DS0000021234.V249434.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The announced inspection took place on 13 October 2005, starting at 2.00pm and lasting for three hours. Those key standards not inspected this time were covered in the unannounced inspection of 2 June 2005. The Manager of the service, who is currently in the process of registering with the Commission, was not able to be at the service during the inspection, so delegated to the deputy manager, who is a skilled and experienced practitioner. The inspection process included talking to the deputy manger and two staff members, reading care plans, policies and records and checking the storage, administration and recording of medication. Two service users were able to describe their experiences in the home. Due to their learning disabilities, three of the service users were not able to clearly articulate their views, but were observed being supported by staff. What the service does well: What has improved since the last inspection? The service has reviewed and updated all risk assessments to ensure service users are able to safely access a wide range of activities and opportunities. Sutton Leaze DS0000021234.V249434.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 Leaze DS0000021234.V249434.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 Leaze DS0000021234.V249434.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. Robust policies and procedures ensure adequate assessments prior to prospective new service users moving in to the home. EVIDENCE: Whilst no new service users had moved in to the home for a number of years, the deputy manager was able to describe in detail the policy and procedure for the assessment of prospective new service users. The policy outlines the process of identifying the needs of prospective service users, to ensure those needs can be met in the home. Sutton Leaze DS0000021234.V249434.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9. Service users’ needs and their required support are clearly documented in their care plans. Service users are consulted about all aspects of the home and are supported to make decisions in all aspects of their lives. Clearly assessed and managed risks enable service users to undertake a wide range of activities. EVIDENCE: Each service user has a care plan, which contained comprehensive information and clearly outlined their preferences, goals, likes and dislikes, details of their form of communication and the support they require. There was documentary evidence that the care plans had been reviewed and updated to reflect any changes in needs. There is a weekly tenants’ meeting, to provide them with an opportunity to raise any issues or comment on the way the home is run. At the meeting, forthcoming activities are discussed and service users take it in turns to choose which member of staff will support them on their Saturday outing. Of particular note is the use of pictures and photographs to help service users communicate effectively and to make informed choices in all aspects of their lives. Sutton Leaze DS0000021234.V249434.R01.S.doc Version 5.0 Page 10 Service users also play a role in a range of household tasks such as doing their laundry, cleaning and food preparation. There was documentary evidence of risk assessments for the service users in relation to a wide range of activities and opportunities in the home and in the local community. There was evidence that risk assessments had been reviewed and updated to reflect any changes in activities or needs. Sutton Leaze DS0000021234.V249434.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16. Service users are supported to take part in a wide range of activities to lead fulfilling lives, meet their needs and ensure their personal development. They are supported to maintain positive relationships with family and friends. The ethos of the homes promotes the right of service users to make choices in all aspects of their lives. EVIDENCE: Service users access a wide range of meaningful and fulfilling activities that meet their individual needs and preferences. Service users access educational, vocational and leisure activities, which include college courses, horse riding, walking trips, massage, music, sports, trips to the theatre, pubs, cafes and hydrotherapy. Service users spoken with confirmed that they were able to choose their activities and that they were able to access a wide range of facilities in the local community including shops and leisure facilities. Staff were able to describe in detail the range of activities that individual service users enjoyed doing. Staff are innovative and flexible in ensuring that service users access the activities which they enjoy and that meet their needs. Sutton Leaze DS0000021234.V249434.R01.S.doc Version 5.0 Page 12 All the service users had either been on two holidays this year, or are going to go on a second holiday shortly. Two of the service users spoken with said they had enjoyed their holiday. Staff reported that all the service users had enjoyed their time away on holiday. Service users are supported to maintain relationships with their families and friends. There was documentary evidence in care plans that service users are able to have visitors in the home, are supported to regularly visit their families and friends, as well as maintaining contact by telephone or letters. Feedback from relatives confirmed that they are made welcome when they visit the home. All relatives who provided feedback said that they felt the service users are well looked after in the home. The ethos of the home and organisation values the rights, choices and independence of the service users. Service users are encouraged and supported to make decisions in all aspects of their lives. This includes the activities they do, where possible which staff support them, what they wear and what they eat and what time they go to bed and get up. Staff were observed providing sensitive and dignified support to enable service users to make choices. Sutton Leaze DS0000021234.V249434.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): 18, 19, 20. Staff provide sensitive and dignified support to meet the individual needs and preferences of the service users. Service users are supported to access a range of health services to meet their physical and emotional health. The health and well-being of service users is safe-guarded by robust policies and medication being stored, dispensed and recorded appropriately. EVIDENCE: Staff were observed providing dignified, friendly and sensitive care to the service users. In conversation, staff were respectful about the service users, as well as being concerned for their well-being and caring to ensure they are supported to lead as fulfilling lives as possible. There was documentary evidence that service users are supported to access a range of health services to ensure their physical and emotional health needs are met. Staff were knowledgeable about the health needs of the service users and also how as a staff team they could help manage those needs. All the service users are registered with a local General Practitioner. Medication is dispensed in a monitored dosage system and is kept securely locked. Medication is dispensed and signed by one staff member and is witnessed and signed by another. All staff receive appropriate training before Sutton Leaze DS0000021234.V249434.R01.S.doc Version 5.0 Page 14 they dispense medication. The records demonstrated that all medication had been dispensed and signed for accurately. Sutton Leaze DS0000021234.V249434.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): 22, 23. Service users are able to raise concerns and complaints. They are protected from abuse by robust policies and procedures and with staff receiving appropriate training. EVIDENCE: The home has an accessible complaints procedure, which uses pictures to make it more accessible for service users. Two minor complaints had been received, which had been investigated and dealt with effectively. Service users are supported to raise concerns in a variety of ways including using the complaints procedure, raising issues at the tenants meetings or talking to staff. Where service users are not able to clearly articulate their concerns, staff use their experience and observation to note if service users appear unhappy. Any issues raised are then discussed within the staff team to seek any clarification and a resolution. All staff receive training about adult protection as part of their induction. There is an adult protection policy in the home. Staff were able to describe how they would raise any issues or concerns they may have about the well-being and protection of the service users. Sutton Leaze DS0000021234.V249434.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, 26, 27, 28, 30. Service users live in a clean and tidy home which provides a comfortable and relaxed environment. The home is kept in good decorative order and offers sufficient communal space. There are sufficient en-suite, bathroom and toilet facilities that meet the needs of the service users. The home provides a range of adaptations to meet the needs of the service users. The home is kept clean and tidy. EVIDENCE: The home was clean and tidy at the time of the announced inspection. There is a homely and comfortable environment, with sufficient communal space and bathing and toilet facilities. Four of the five bedrooms have en-suite facilities and there is a bathroom and toilet on the ground floor. There are two small lounges and a large comfortable conservatory. There is a large kitchen/dining area, with a small utility room with the laundry area coming from the kitchen. There was evidence of an on-going maintenance programme to ensure the building is kept in good condition. There was evidence that the organisation is taking steps to rectify some damp which is in the downstairs bathroom. Sutton Leaze DS0000021234.V249434.R01.S.doc Version 5.0 Page 17 The service users’ bedrooms have been attractively decorated to take account of the service users’ individual needs and preferences. Sutton Leaze DS0000021234.V249434.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): 31, 32, 33, 34, 35, 36. Service users needs are met by a caring, skilled and dedicated staff team who are clear about their roles and responsibilities. There is an effective staff team, in sufficient numbers who are well trained and well-supported. Robust employment procedures provide protection for the service users. EVIDENCE: Staff were able to describe in detail their roles and responsibilities and those of their colleagues. Staff were able to describe how their roles support the ethos of the home and organisation to enable service users to exercise their rights, make choices and maximise their independence. There was evidence of a well-trained, skilled and knowledgeable staff team providing effective and consistent care to the service users. One of the service users, and feedback from two relatives stated that staff are caring and professional in their work. Staff were observed providing skilled and sensitive care to the service users, in line with the support guidelines in individual care plans. Five of the twelve care staff have relevant NVQs, with two others currently doing a course. There was documentary evidence of a range of on-going training courses for all staff, including first aid, fire training, crisis intervention and moving and handling. Whilst there was documentary evidence that some staff had done food hygiene training, some had not done so recently. The Sutton Leaze DS0000021234.V249434.R01.S.doc Version 5.0 Page 19 organisation ensures all new staff complete a three day induction training course when they commence employment. There are sufficient staff on each shift, to meet the needs of the service users. The service is fully staffed, although there is some use of relief staff who regularly work in the service, to cover annual leave and staff sickness. Staffing is provided flexibly to ensure service users can access activities at various times of the day and evening on all days of the week. It was confirmed by the deputy-manager that the organisation has a robust recruitment procedure, and that the manager has documentary evidence that CRB checks, references and photographic identification for new staff is taken. Documentary evidence supported the comments of staff that they receive regular supervision. The staff spoken with said they felt well supported with regular supervision and team meetings. Sutton Leaze DS0000021234.V249434.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 38, 40, 41, 42. The home is run with a clear ethos and sense of values, which respects the rights and choices of the service users. Service users are protected by up to date policies, procedures and records as well as a wide range of health and safety checks. EVIDENCE: There is a clear ethos and sense of direction from the organisation, which is put in to practice by the management team and staff in the home. Staff reported that the manager and deputy manager are approachable and supportive. There was documentary evidence that records required by regulation and policies were up to date and accurate. Staff were able to describe how a range of policies worked in practice. The service has a range of health and safety checks, including regular tests of the fire alarm and systems and checks on the water temperatures. There was Sutton Leaze DS0000021234.V249434.R01.S.doc Version 5.0 Page 21 documentary evidence of a staff member undertaking monthly a walk-through of the home to check health and safety issues. The home has an on-going maintenance plan to ensure any required work is completed. All chemicals were safely stored in the home. Fire equipment had recently been checked. Sutton Leaze DS0000021234.V249434.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 X 3 LIFESTYLES Standard No Score 11 4 12 3 13 3 14 4 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Sutton Leaze Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score X 3 X 3 3 3 X DS0000021234.V249434.R01.S.doc Version 5.0 Page 23 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Sutton Leaze DS0000021234.V249434.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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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