Inspection on 02/06/05 for Sutton Leaze

This inspection was carried out on 2nd June 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 13/10/05

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 Unannounced 2 June 2005 08:30 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. Sutton Leaze Version 1.10 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 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 (LD) registration, with number 5 of places Sutton Leaze Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum number of service users to be accommodated is five (5). 2. Service users must be aged between eighteen (18) and sixty five (65) years on admission. 3. Only service users with a learning disability are to be accommodated. Date of last inspection 7 September 2004 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 Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection started at 8.30 am and involved talking to service users and staff. The inspection process also included observing staff providing care and support to service users; reading care plans, policies and records; looking round the home environment and looking at the storage, administration and recording of medication. The manager has been appointed since the last inspection and is in the process of applying for registration with the Commission. What the service does well: What has improved since the last inspection? The home has appointed a permanent manager. The organisation has worked hard to monitor the practice in the home to ensure it continues to provide a good quality service to the service users. Sutton Leaze Version 1.10 Page 6 What they could do better: 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. Sutton Leaze Version 1.10 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 Sutton Leaze Version 1.10 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) 3. A skilled and knowledgeable staff team is able to identify and meet the needs of the service users. EVIDENCE: In talking to service users and staff, observing them working together and reading the care plans, daily records and documentation, it was clear that the home is able to identify and meet the needs of the service users. Service users spoken to said that they were able to do a wide range of activities which they chose and which met their needs. Staff were able to describe in detail the individual needs of each of the service users and how those needs are consistently met. There was documentary evidence of varied and innovative activities to meet the individual needs of the service users. Sutton Leaze Version 1.10 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. Care plans identify the individual needs of each service user and clearly show how those needs are met. Service users are supported to make choices in all aspects of their lives and they play an active part in the home. The safety of service users was not adequately addressed, as not all risk assessments were up to date. EVIDENCE: There was documentary evidence that there were regular reviews of individual service user’s care plans. They had detailed information about the backgrounds, needs and preferences about the service users. There were also detailed support plans to enable staff to provide consistent and specific support to help service users meet their needs. Staff were observed helping service users make decisions in various aspects of their lives, including what to eat and wear, what activities to do and how much support they needed for specific tasks. Talking to staff and reading policies and procedures demonstrated that the ethos of the home is based on supporting service users to exercise as much choice and control as they are able in all aspects of their lives. Sutton Leaze Version 1.10 Page 10 There was documentary evidence of weekly meeting for service users, where they choose activities, plan their menus and discuss any issues affecting the home. The daily activity sheet demonstrated that service users regularly take part in cooking, cleaning and shopping. There were risk assessments addressing a wide range of activities based in the home and for activities in the community. Some of the risk assessments had not been reviewed and updated for nearly two years. Sutton Leaze Version 1.10 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) 11, 12, 13, 14, 15, 16, 17. Service users are supported to take part in a wide range of activities to 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. The home provides a healthy and varied diet, which meets the individual needs and preferences of service users. EVIDENCE: Talking to service users and staff and reading care plans and the daily planner demonstrated that service users are supported to 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. Sutton Leaze Version 1.10 Page 12 Service users confirmed that they 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, can visit people and maintain contact with families and friends by telephone or letters. The ethos of the home is based on developing the independence of all the service users. This was illustrated by talking to service users and staff and reading care plans and policies. Service users are encouraged to make decisions in all aspects of their lives and to pursue interests and activities that meet their individual needs and preferences. Service users said that the food in the home is good. They plan their menus each week, which take account of personal choice and dietary requirements. Once a week service users are able to choose to get a meal from a take away. Sutton Leaze Version 1.10 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. 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 and sensitive support to service users. Staff were able to describe in detail the individual support required by each service user. All service users are registered with a local G.P. There was documentary evidence of service users accessing a wide range of health services to meet their individual needs, including speech and language therapy, physiotherapy and specialists to address specific physical and learning disabilities. 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 they dispense medication. The records demonstrated that all medication had been dispensed and signed for accurately. Sutton Leaze Version 1.10 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. Service users are able to raise concerns. There are policies procedures to ensure the protection of service users from abuse or harm. Service users’ money is kept securely and income and expenditure is accurately recorded. EVIDENCE: There is a complaints procedure in the home, although no complaints had been received recently. Service users are supported to express their concerns in a variety of ways, to take account of any communication difficulties they may have. Staff are vigilant to a variety of communication methods used by service users and also recognise and record any discernable changes in the service users. All staff receive training about adult protection as part of their induction. There is an adult protection policy in the home, which staff were able to describe. The manager was aware of the requirements and responsibility under the Protection Of Vulnerable Adults (POVA) guidelines. All service users have their petty cash kept securely and separately from other users’ money. The petty cash tins are checked every day, with all income and expenditure recorded. Two of the tins were checked during the inspection and the money was found to be accurately recorded and stored securely. Sutton Leaze Version 1.10 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. Service users live in a clean and tidy home which provides a friendly and relaxed environment. The home offers a comfortable and relaxed environment that 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: 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. The service users’ bedrooms have been attractively decorated to take account of the service users’ individual needs and preferences. Sutton Leaze Version 1.10 Page 16 Staff reported that the service users do not currently require adaptations, although their needs are regularly reviewed and adaptations would be provided if required. The home was clean and tidy at the time of the unannounced inspection. Sutton Leaze Version 1.10 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) 31, 32, 33, 35, 36. There is a skilled and enthusiastic staff team who are clear of their roles and responsibilities. The staff are well trained and receive regular support and supervision to ensure they carry out their jobs effectively and meet the range of needs of the service users. EVIDENCE: Staff were able to describe in detail their roles and responsibilities and those of their colleagues. They were observed providing skilled, sensitive and dignified support to the service users. There is a mix of experienced and new staff, with two of the new staff reporting that they are well supported by the existing staff team. The new staff described in detail the thorough induction programme they completed when they started work in the home. Two experienced staff reported that they were able to access a range of ongoing training courses. There was documentary evidence of a range of training courses for all staff to access. All staff spoken with said they receive regular supervision and attend weekly staff meetings. Sutton Leaze Version 1.10 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) 38, 39, 40, 42. There is a clear ethos in the home and within the organisation, which values and respects the rights, choices and independence of the service users. Service users are supported to raise issues and concerns. Policies and procedures in the home are reviewed regularly to protect the interests and rights of the serviced users. The home has systems and policies in place to address the health and safety of service users and staff. EVIDENCE: The staff and service users were able to talk about the clear ethos and values of the home and the organisation as a whole, which respects the rights, choices and independence of the service users. Service users and staff reported that the manager is supportive and approachable. The ethos of the home and the organisation ensures that the service users’ views are paramount in the way the service is reviewed, monitored and Sutton Leaze Version 1.10 Page 19 operated. Each service user has a regular review of their service and there are weekly tenants meetings to address issues affecting the home. Service users confirmed that they are asked their opinions about all matters affecting the home. There was documentary evidence of a range of regular health and safety checks including fire equipment, weekly tests of the fire safety systems, regular fire drills and checks on water temperatures. However, during the inspection, a fire door to the main lounge was propped open. 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 x 3 x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 Sutton Leaze Score 3 3 Standard No 24 25 26 27 28 29 Version 1.10 Score 3 3 3 3 3 3 Page 20 8 9 10 LIFESTYLES 3 2 x Score 30 STAFFING 3 Standard No 11 12 13 14 15 16 17 4 3 3 4 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x 3 3 3 x 2 x Sutton Leaze Version 1.10 Page 21 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. 2. Standard 9 42 Regulation 13 (4) (b, c) 23 (4) Requirement Risk assessments are reviewed and updated. Fire doors are not propped open. Timescale for action 2.8.05 27.4.05 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 Good Practice Recommendations Sutton Leaze Version 1.10 Page 22 Commission for Social Care Inspection 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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