Inspection on 01/12/05 for The Homestead

This inspection was carried out on 1st December 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Homestead 04/01/07

The Homestead 12/11/04

The Homestead 26/04/04

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 Homestead (The) (Sidlow) The Homestead Reigate Road Lower Duxhurst Sidlow Surrey RH2 8QH Lead Inspector Cathy Clarke Announced Inspection 1st December 2005 09:30 Homestead (The) (Sidlow) DS0000013680.V270625.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 Homestead (The) (Sidlow) DS0000013680.V270625.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. Homestead (The) (Sidlow) DS0000013680.V270625.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Homestead (The) (Sidlow) Address 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) The Homestead Reigate Road Lower Duxhurst Sidlow Surrey RH2 8QH 01293 774740 Surrey Oaklands NHS Trust To be confirmed Care Home 9 Category(ies) of Learning disability (9), Sensory impairment (1) registration, with number of places Homestead (The) (Sidlow) DS0000013680.V270625.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The age/age range of the persons to be accommodated will be: 40-65 YEARS 1 named person over 65 years of age may be accommodated under the category LD(SI) (E). 14th June 2005 Date of last inspection Brief Description of the Service: The Homestead is a home for 9 people with a learning disability in a rural area on the outskirts of Reigate and Redhill. The home is detached and set back from the main road (A217) and provides kitchen, dining area, living room, a conservatory and 9 single bedrooms. The garden is spacious, providing an area for dining outdoors. The home has a range of transport available and there is ample parking space to the front of the property. Homestead (The) (Sidlow) DS0000013680.V270625.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over 4 hours and was the second inspection to be undertaken by the Commission for Social Care Inspection year April 2005 to March 2006. Cathy Clarke, Lead Inspector for the service, carried out this inspection and Mr Sumesh Drepaul was present as the representative for the establishment. A full tour of the premises took place, documents inspected included care plans, staff records, training certificates and policies and procedures. There were four service users in the home at the time of inspection. Some service users were unable to communicate verbally, their body language and non-verbal communication skills were observed during the inspection. This was a positive inspection. The inspector would like to thank the management and staff for their time, assistance and hospitality during this inspection. What the service does well: What has improved since the last inspection? Staffing numbers have improved and the home is continuing to recruit further numbers of permanent staff. Three bedrooms have been redecorated and new furniture has been purchased for two of the service users. A new carpet has been laid in one of the bedrooms. New furniture is on order for the dining room, conservatory, and lounge. Homestead (The) (Sidlow) DS0000013680.V270625.R01.S.doc Version 5.0 Page 6 Fire extinguishers have been removed from propping open doors and are stored appropriately. The home was very clean and there were no mal odorous smells. The manager informed the inspector that a letter has been forwarded to the Commission for Social Care Inspection outlining the service users finances and details of the person responsible for auditing such accounts within the NHS Trust. 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. Homestead (The) (Sidlow) DS0000013680.V270625.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 Homestead (The) (Sidlow) DS0000013680.V270625.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): 1,5 Comprehensive information regarding the home is available for prospective service users and planned assessments are undertaken prior to moving into the home. EVIDENCE: The statement of purpose and service user guide must be reviewed and updated to include the new title of the organisation and to change the section in the complaints procedure which refers to the National Care Standards Commission. Each service user has a written contract entitled Client Summary 1 April 2005 – 31st March 2006 outlining the charges for the service. The finance director and the manager of the home sign the contract. The support agreement outlines the terms and conditions of stay within the home. Please see requirements section of this report. Homestead (The) (Sidlow) DS0000013680.V270625.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, Care plans and risk assessments are clear and set out the achievements made by service users. EVIDENCE: Care files sampled showed much improvement in the organisation of the records, which are now clearly indexed. A current photograph is on file and a service user profile. There is a separate moving and handling risk assessment. One of the care plans sampled contained a very clear set of guidelines to minimise challenging behaviour. Comprehensive person centred plans are in place as well as a key worker system. Homestead (The) (Sidlow) DS0000013680.V270625.R01.S.doc Version 5.0 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): 12,14 Service users take part in age and peer appropriate activities. EVIDENCE: During the inspection four service users were out at day centre placements and the other four were at home. One of the service users likes to express herself through her artwork and was taking part in art therapy during the morning of the inspection. Four service users were taken out in the transport to do some shopping and have lunch out. Service users like to take part in many activities and outings including, trips to the cinema, local pubs, shopping and shows. Recently attending a rock and roll evening at a theatre. One of the service users likes to work at a nearby farm and another is supported by day centre staff to undertake activities in the local community. Day care staff are NHS Trust employees and the manager has confirmed that they have the necessary checks in place. It was felt that one of the service users might respond to being spoken to in his language and an interpreter was brought into the home to speak with him. Homestead (The) (Sidlow) DS0000013680.V270625.R01.S.doc Version 5.0 Page 11 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, The assessed healthcare needs of service users are met and the service has a good relationship with local healthcare professionals. Health action plans are to be introduced shortly. EVIDENCE: Personal support is offered with dignity and privacy. Service users are addressed by their preferred names and key workers know the service users likes and dislikes. Care files sampled showed that service users are regularly reviewed by the care management service and one service user has recently been referred to a behavioural therapy specialist who has drawn up clear guidelines for minimising challenging behaviour. As a result there has been a notable decrease in the number of incidents reported to CSCI. Check ups with General Practitioners, Dentists, Opticians and Dieticians are undertaken regularly. The Community team for people with learning disabilities have reviewed service user needs. Homestead (The) (Sidlow) DS0000013680.V270625.R01.S.doc Version 5.0 Page 12 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 Staff have received training in the protection of vulnerable adults using the Surrey Multi Agency Approach procedures therefore ensuring that staff are aware of any potential signs of abuse. A complaints policy and procedure is in place. EVIDENCE: One vulnerable adult investigation has been closed since the last inspection and there been no further referrals. No complaints have been received by the service. Guidelines for minimising challenging behaviour are in place. Homestead (The) (Sidlow) DS0000013680.V270625.R01.S.doc Version 5.0 Page 13 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): 24,30 The layout of the home is suitable for it’s stated purpose. It is accessible, safe and well maintained. The home was found to meet service users’ individual and collective needs in a comfortable and homely way. EVIDENCE: Since the last inspection three bedrooms have been redecorated, furniture has been ordered for the dining room, lounge and conservatory. The blinds in the conservatory have been cleaned and the carpet in one of the service users bedrooms has been replaced. The kitchen was clean and tidy and fridge and freezer temperatures were within limits. Open packets of foodstuffs must be stored in containers. Colour coded chopping boards for different foodstuffs in use. The freezer was well stocked and the food in the fridge was appropriately stored. There is a cracked tile above the sink in one of the service users bedrooms and this must be maintained. The home was very clean and tidy and there were no mal odorous smells. Please see requirements section of this report. Homestead (The) (Sidlow) DS0000013680.V270625.R01.S.doc Version 5.0 Page 14 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 Staff have received training appropriate to the roles in which they work. The service is actively seeking to recruit more permanent staff to work at the home. EVIDENCE: Two members of staff were interviewed as part of the inspection process and their recruitment files were sampled. One member of staff commenced with the service in October this year and has confirmed that she has undergone an induction programme of learning both internally with the manager and with the provider. Staff files sampled contained job descriptions, health questionnaires, two references, a candidate assessment form, and a copy of the staff members passport and drivers licence. Staff have attended mandatory training and the latest member of staff employed holds NVQ Level 3 and would like to undertake NVQ Level 4. Training folders sampled including copies of certificates for fire safety training, medication, driving assessments, basic food hygiene, health and safety induction, manual handling, and first aid at work certificate. Staff have been issued with a code of practice and each member of staff has an individual training plan. Homestead (The) (Sidlow) DS0000013680.V270625.R01.S.doc Version 5.0 Page 15 There are currently six staff vacancies and the manager informed the inspector that the service is actively recruiting more permanent employees. Bank and agency staff used by the service regularly work at the home. Homestead (The) (Sidlow) DS0000013680.V270625.R01.S.doc Version 5.0 Page 16 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): 37,38,39,41,42 There is an open and inclusive management style and staff work well as a team. The health, safety and welfare of service users is promoted and protected by the policies and procedures, which underpin the care provided. EVIDENCE: The manager must forward outstanding documentation to the Commission for Social Care inspection (CSCI) required for his registration. The manager of the home has made improvements to the décor and cleanliness of the home. Record keeping has improved and clear care plans and risk assessments are in place. There is an open and inclusive style of management and staff were seen to interact well with the manager. Surveys have been conducted with service users, relatives and visitors a copy of the completed outcomes is to be forwarded to CSCI. Homestead (The) (Sidlow) DS0000013680.V270625.R01.S.doc Version 5.0 Page 17 Policies and procedures are currently under review and as new policies are developed the old ones are replaced. Workplace risk assessments are regularly conducted together with fire alarm tests. Fire doors were checked in November 2005. Portable fire appliances have also been checked and the fire extinguisher has been removed from propping open the manager’s office door. A fire evacuation drill was performed in October. Please see recommendations. Homestead (The) (Sidlow) DS0000013680.V270625.R01.S.doc Version 5.0 Page 18 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 2 X X X 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 X 14 3 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score 3 3 3 X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Homestead (The) (Sidlow) Score 3 3 X X Standard No 37 38 39 40 41 42 43 Score 2 3 3 X 3 3 X DS0000013680.V270625.R01.S.doc Version 5.0 Page 19 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA1 Regulation 6 (a) (b) Requirement The statement of purpose and service user guide must be reviewed and updated to include the new title of the organisation and to change the section in the complaints procedure which refers to the National Care Standards Commission. The furniture on order for the dining room, conservatory and lounge must be provided as stated. This has been given an extended timescale to allow delivery of the items. Open packets of foodstuffs must be stored in a sealed container. The cracked tile above the sink in one of the service users bedrooms must be replaced. The manager must forward outstanding documentation to the Commission for Social Care inspection (CSCI) required for his registration. Timescale for action 31/01/06 2 YA24 16 (2) (c) 28/02/06 3 4 YA24 YA24 23 (2) (l) 23 (2) (b) 31/12/05 31/01/06 5 YA37 8 (1) (a) 31/12/05 Homestead (The) (Sidlow) DS0000013680.V270625.R01.S.doc Version 5.0 Page 20 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 YA39 Good Practice Recommendations It is recommended that a copy of the outcome of surveys conducted with service users, relatives and visitors be forwarded to CSCI. Homestead (The) (Sidlow) DS0000013680.V270625.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Homestead (The) (Sidlow) DS0000013680.V270625.R01.S.doc Version 5.0 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. 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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