Inspection on 23/01/06 for The Lighthouse

This inspection was carried out on 23rd January 2006.

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

The inspector 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

The Lighthouse 28/06/07

The Lighthouse 07/09/05

The Lighthouse 23/02/05

The Lighthouse 08/07/04

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 The Lighthouse 65 Hillfield Road Selsey Chichester West Sussex PO20 0LF Lead Inspector Mrs L O`Donnell Unannounced Inspection 23rd January 2006 02:00 The Lighthouse DS0000014782.V278563.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Lighthouse DS0000014782.V278563.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Lighthouse DS0000014782.V278563.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Lighthouse Address 65 Hillfield Road Selsey Chichester West Sussex PO20 0LF 01243 601602 01243 601632 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) Dignity Group Limited Ms Carol Ann Chivers Care Home 9 Category(ies) of Learning disability (9) registration, with number of places The Lighthouse DS0000014782.V278563.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th September 2005 Brief Description of the Service: The Lighthouse is a care home registered to provide personal care for up to nine Service Users in the category Learning Disability. It is a detached property located within the village of Selsey and is close to both local amenities and the seafront. The property has been adapted for its current use. The accommodation is provided in nine single rooms which are located on the ground and first floors. The lounge and dining room are located on the ground floor. The home has its own private garden which is well maintained. The service is owned by The Dignity Group. The Lighthouse DS0000014782.V278563.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an Unannounced Inspection which took place during the afternoon of 23 January 2006. Prior to the inspection the Inspector reviewed the previous inspection report and any other communication received. During the inspection the Inspector reviewed some records but spent the majority of the time speaking with residents and staff. Residents spoke enthusiastically about life within the home and the educational and leisure opportunities available to them. Staff were observed to be accessible and approachable and residents were relaxed with them. The home has a friendly and welcoming atmosphere and is clearly run in the best interests of the residents, who play a full and active role in this. Comments from residents included, ‘I love living here’, ‘it’s a lovely home and I enjoy living here.’ What the service does well: What has improved since the last inspection? What they could do better: The quality assurance and audit monitoring tool should be further developed to include feedback from relatives and other interested stakeholders, and to include an annual development plan for the home. The Lighthouse DS0000014782.V278563.R01.S.doc Version 5.1 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Lighthouse DS0000014782.V278563.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Lighthouse DS0000014782.V278563.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Procedures are in place to ensure that a full assessment is undertaken for any prospective resident. EVIDENCE: It has not been possible to fully assess this standard at this and previous inspections as the residents at the home have lived there for some time. A new resident has moved into the home since the last inspection. They have however transferred from one of the supported living schemes run by the Registered Provider and were therefore known to the staff team. The resident brought with her, her care plan which outlines in detail her individual care needs. In addition staff have continued to review and assess her needs with support from the Community team for People with Learning Disabilities. The resident confirmed that she felt that she had settled well into the home and enjoyed living there. The Lighthouse DS0000014782.V278563.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 9 All residents have an individual care plan in place which reflects their assessed needs and personal goals and objectives. The home has a risk management strategy in place which enables residents to take responsible risks as part of an independent lifestyle. EVIDENCE: The care plans of two residents were reviewed with them during the inspection. The residents were able to confirm that the care plans were an accurate assessment of their needs and that the goals and objectives had been agreed with and by them. Both care plans were seen to include details of personal, health and social care needs. The Lighthouse DS0000014782.V278563.R01.S.doc Version 5.1 Page 10 The residents also confirmed that the care plans are reviewed regularly and that they have a more formal six-month review to which they invite those people they wish to attend, i.e. key worker, relatives, social workers. Although the care plans are kept within the office residents have access to them. In addition copies of the reviews and other information is given to the residents who keep these within their own rooms. Residents spoke about their key workers and the support they provide to them. Risk assessments are included within the care plans. These cover areas of identified risk and what action is necessary to minimise the risks. It was clear through discussions with residents that they are supported to live as independent a lifestyle as they are able to do, with support and training from staff as needed to enable this. The Lighthouse DS0000014782.V278563.R01.S.doc Version 5.1 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, 14, 15, 17 Residents have opportunities to maintain and develop social and independent living skills Residents are able to access a variety of leisure activities Residents are able to maintain family links and friendships Residents enjoy a balanced and varied diet. EVIDENCE: In discussion with residents it was clear that they have a number of opportunities for social and personal development, both at the home and through college courses. On arrival at the home the Inspector was met by one of the residents who advised that this was his ‘budgeting day’ which is spent going to bank or post office to withdraw money to go shopping, cleaning his room, doing washing ironing and any other jobs as identified within his care plan. He was also The Lighthouse DS0000014782.V278563.R01.S.doc Version 5.1 Page 12 observed to use the homes computer, using programmes for literacy and numeracy. Other residents spoke about the variety of college courses they enjoy. One resident spoke about the paid work that she enjoys whilst another spoke about the new voluntary job that she has recently started in the village and is evidently enjoying. Through care plans and discussions with residents and staff it was clear that residents enjoy a variety of leisure activities. These included swimming, walking, cinema, going to cafes and pubs. The Lighthouse DS0000014782.V278563.R01.S.doc Version 5.1 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 Personal support is provided as residents prefer and require. EVIDENCE: All residents are independent in respect of personal care, and this is reflected within their care plans. It was clear through discussions with residents and staff and through observations made during the inspection that staff only prompt and encourage residents with their personal care. Residents were able to confirm that daily routines within the home i.e. getting up/going to bed, bathing etc, were flexible and in accordance with their personal wishes. The Lighthouse DS0000014782.V278563.R01.S.doc Version 5.1 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 the following standard(s): 22, 23 There is a clear and accessible complaints procedure within the home. Residents are protected from abuse. EVIDENCE: There is a complaints procedure in place, which has been provided to each resident. The Registered Manager records any complaints or concerns in a designated book, along with action taken and outcomes. It was noted that no complaints had been received since the last inspection. It was clear during the inspection that residents find all of the staff accessible and approachable and were seen to discuss a variety of things within them during the day. Residents confirmed that if they had any issues or concerns they would talk to the staff about them and were confident that the staff would listen to them and take appropriate action. There is also a policy and procedure in place in respect of adult protection. It was evident through records seen that the Registered Manager and staff have developed a close working relationship with the Community Team for People with Learning Disabilities, who provide support as and when necessary. The Inspector was invited to an adult protection strategy meeting last year, which demonstrated that the Registered Manager and staff team take any concerns seriously and take the appropriate action in accordance with the procedures in place. The Lighthouse DS0000014782.V278563.R01.S.doc Version 5.1 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 the following standard(s): 30 The home is clean and hygienic EVIDENCE: On the day of inspection, as at previous inspections, the home was bright, clean and tidy. There are policies and procedures in place in respect of infection control. The laundry room is sited separately with direct access, therefore dirty laundry is not taken through any food storage, preparation or eating areas. Residents are supported to do their own washing and ironing, as was seen during the inspection. Residents confirmed that they also took responsibility for ensuring that their rooms and other areas of the home were kept clean and tidy. The Lighthouse DS0000014782.V278563.R01.S.doc Version 5.1 Page 16 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): These standards were assessed as met at the last inspection. EVIDENCE: There is a stable staff team at the home. The Lighthouse DS0000014782.V278563.R01.S.doc Version 5.1 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39, 42 There is a quality assurance and monitoring system in place. The health, safety and welfare of residents and staff is promoted and protected. EVIDENCE: The views of the residents living at the home are obtained in a variety of ways, including resident meetings, questionnaires and care plan review meetings. It was clear throughout the inspection that residents are able to discuss any aspect of life within the house with either the Registered Manager or any staff member when they wish to do so. However the Registered Provider should ensure that the views of relatives, advocates and any other stakeholders in the community are also sought and taken into consideration. The Registered Provider should also ensure that there is an annual development plan in place. The Registered Manager did advise that management meetings are held. The Lighthouse DS0000014782.V278563.R01.S.doc Version 5.1 Page 18 There is a health and safety policy and procedure in place. Staff receive training in safe working practice areas. All records seen in relation to the maintenance and servicing of equipment were up to date. Risk assessments are in place. All accidents and incidents are recorded and the Commission is notified of these as required. The Lighthouse DS0000014782.V278563.R01.S.doc Version 5.1 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X 3 X LIFESTYLES Standard No Score 11 4 12 X 13 X 14 3 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X X X X X 2 X X 3 X The Lighthouse DS0000014782.V278563.R01.S.doc Version 5.1 Page 20 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. 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. 1 Refer to Standard YA39 Good Practice Recommendations The views of family, friends, advocates and other stakeholders should be sought on how the home is achieving goals for residents. An annual development plan for the home should be further developed, based on a systematic cycle of planning-action-review reflecting aims and outcomes for residents. 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