Inspection on 07/09/05 for The Lighthouse

This inspection was carried out on 7th September 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

The Lighthouse 28/06/07

The Lighthouse 23/01/06

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 Lynne ODonnell Unannounced Wednesday 7 September 2005, 1:00pm th 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. The Lighthouse H60-H11 S14782 The Lighthouse V246473 070905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The Lighthouse Address 65 Hillfield Road, Selsey, Chichester, West Sussex, PO20 0LF 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) 01243 601602 Dignity Group Ltd Ms Carol Ann Chivers Care Home 9 Category(ies) of PC Care Home only 9 registration, with number of places The Lighthouse H60-H11 S14782 The Lighthouse V246473 070905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23 February 2005 Brief Description of the Service: The Lighthouse is a care home registered to provide personal care for up to nine Service User’s 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 seven 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 H60-H11 S14782 The Lighthouse V246473 070905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an Unannounced Inspection which took place over five hours during the afternoon and early evening. Lifestyle choices and opportunities formed the focus of the inspection and the inspector was able to speak at length with the residents about these. Staff were also available to speak with. A sample of records was also seen including care plans, medication records, and resident meeting minutes. It was clear throughout the inspection that the staff team work towards ensuring positive outcomes for residents who live at the home. The staff team are competent and effective and it was clearly demonstrated that they are able to both individually and as a team, meet the assessed needs of the residents. What the service does well: What has improved since the last inspection? What they could do better: The Registered Manager and staff team provide a consistently high standard of care at the home. The Lighthouse H60-H11 S14782 The Lighthouse V246473 070905 Stage 4.doc Version 1.40 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 H60-H11 S14782 The Lighthouse V246473 070905 Stage 4.doc Version 1.40 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 The Lighthouse H60-H11 S14782 The Lighthouse V246473 070905 Stage 4.doc Version 1.40 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 The home is able to meet the needs of the current residents. EVIDENCE: Through records seen and discussions with residents and staff it was clear that the assessed needs of the current residents are being met. The staff have appropriate skills and experience to achieve this. In addition access to other health professionals is arranged as necessary Staff were observed to communicate effectively with all residents. Independent advocacy support is available to all residents. The Lighthouse H60-H11 S14782 The Lighthouse V246473 070905 Stage 4.doc Version 1.40 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 All residents have a care plan in place, which records their assessed needs and personal goals and objectives. Residents are supported to make their own decisions about their lives. Residents are fully involved and participate in all aspects of life within the home. EVIDENCE: The care plans for four residents were seen and reviewed. These provided detailed information as to the needs of the residents and how these are to be met. Aims and objectives are agreed with the residents at their six monthly reviews. It was clear from the care plans seen that residents are involved in the care planning process, along with relatives and other professionals with the agreement of the resident. The Lighthouse H60-H11 S14782 The Lighthouse V246473 070905 Stage 4.doc Version 1.40 Page 10 It was very clear through discussions with residents that they are able to make their own decisions about all aspects of their lives, with support from staff as required. Residents were seen to talk with staff about a variety of things from health care to college courses. Residents manage their finances with support as necessary. Individual records are kept for each resident with regards to income and spending, with residents deciding how their money is spent. Residents meetings are held within the home. However discussions with residents and staff and observations made showed that residents are continuously consulted on and involved in all aspects of life at the home. The Lighthouse H60-H11 S14782 The Lighthouse V246473 070905 Stage 4.doc Version 1.40 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 All residents have opportunities for developing independent living skills. Residents are able to participate in educational and employment activities. Residents are able to access the local community and facilities. Residents are able to enjoy a variety of leisure activities. Residents are supported to maintain family links and friendships. Daily routines within the home promote the individual choice of the residents. A varied and healthy diet is promoted within the home. EVIDENCE: These lifestyle standards formed the focus of this inspection. The Inspector was able to speak at length with the residents about the opportunities available to them and the activities they enjoy. The Lighthouse H60-H11 S14782 The Lighthouse V246473 070905 Stage 4.doc Version 1.40 Page 12 Residents are able to develop independent living skills both within the home and through college courses. Residents are encouraged to look after their own rooms, do their laundry and participate in meal preparation and cooking. Two residents advised that they particularly enjoyed cooking with comments such as ‘I love cooking and helping with the meals’. There are a variety of college courses available for residents. Three residents were able to show the Inspector their certificates of achievement which they had received for the completion of their college courses in the previous term. Two residents spoke of interviews that they were going to be attending to discuss further educational options for them. One resident has a voluntary job, which she enjoys and the Inspector was able to speak with her about what this involved. Another resident was able to advise the Inspector of her meetings with ‘Breakaway’, a supported employment agency that assists people in getting work opportunities and she was looking forward to starting work soon. All residents talked about the use they make of the local community and amenities i.e. shops, cafes, pub, cinema, library. A number of residents have their own interests and hobbies that they are able to pursue. Several residents spoke about their families and friends with whom they have regular contact either by phone and/or visits and holidays. Several residents have enjoyed holidays this year with others having holidays arranged for the near future. Residents have been on holidays supported by the staff team from the home and also on holidays with family. It was clear through talking with residents that daily routines are determined by resident choice and preferences. Residents choose whether they want to spend time in the lounge or dining area or garden or if they prefer to spend time on their own within their rooms. All rooms are personalised and lockable with residents having their own keys. Menus are agreed with residents who are encouraged and supported to shop, prepare and cook meals. Snacks are available at any time and residents were observed to make their own snacks and drinks throughout the day. The main meal of the day is served in the early evening. If however residents preferred to have an alternative to the main meal they can choose something else as was seen during the inspection. Residents and staff have also grown a variety of vegetables in the garden, which are used for meals. The Lighthouse H60-H11 S14782 The Lighthouse V246473 070905 Stage 4.doc Version 1.40 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) 19, 20 The health care needs of residents are assessed, monitored and met. Medication is stored and administered appropriately. EVIDENCE: Each resident has a daily report form in their care plans which is completed in respect of all aspects of their daily lives including any medical or health related issues, these include any changes in health, doctors or other health professional appointments and the outcomes of these. All medication is stored securely and administration records were up to date. Mrs Chivers, the Registered Manager, confirmed that the policy and procedure in relation to medication has been reviewed as recommended at the time of the last inspection. Each resident has a medication profile on which information in relation to current medication, check ups, blood tests etc is recorded. The Lighthouse H60-H11 S14782 The Lighthouse V246473 070905 Stage 4.doc Version 1.40 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) These standards were not assessed at this inspection. EVIDENCE: The Lighthouse H60-H11 S14782 The Lighthouse V246473 070905 Stage 4.doc Version 1.40 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, 28 The home provides a safe and comfortable environment. Residents bedrooms suit their needs and promote their independence. A range of comfortable accessible shared spaces is provided within the home. EVIDENCE: All residents rooms are single occupancy with four of the rooms having ensuite facilities. The home is within walking distance of the seafront and local shops and amenities. Public transport is nearby and the home does have its own transport which is in the process of being replaced. Residents are able to personalise their rooms. One resident advised the inspector that she was very happy with her room. The Lighthouse H60-H11 S14782 The Lighthouse V246473 070905 Stage 4.doc Version 1.40 Page 16 There is a light, well-furnished lounge which was well used during the day and evening. Adjacent is a dining room with access to the well-maintained gardens. Residents have access to the kitchen and are able to prepare drinks and light snacks and meals as they wish. The Lighthouse H60-H11 S14782 The Lighthouse V246473 070905 Stage 4.doc Version 1.40 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) 33, 35, 36 Residents at the home are supported by an effective staff team. Staff receive training appropriate to meeting the needs of the residents. Appropriate supervision procedures are in place for staff. EVIDENCE: Staff were observed to be accessible and relaxed with residents and are able to communicate effectively with them and each other. Through the key worker system in operation staff are able to develop positive relationships with the residents they support and through this are able to meet individual needs and wishes. Residents were seen to go to staff to discuss various issues with them. The staff team at the home is a stable one with no current need for agency staff. Any staff absence due to leave or illness is always covered within the existing staff team. Residents were observed to be relaxed with staff and the home generates a friendly, homely environment. The Lighthouse H60-H11 S14782 The Lighthouse V246473 070905 Stage 4.doc Version 1.40 Page 18 Through records seen and discussions with staff it was clear that there are suitable arrangements in place to provide support and supervision to all members of the staff team. Supervision training has been provided for one member of staff who will take on responsibility in this area for other staff. The Lighthouse H60-H11 S14782 The Lighthouse V246473 070905 Stage 4.doc Version 1.40 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 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) 37, 38, 41 The Registered Manager is suitably qualified and experienced to run the home. The management approach of the home creates an open and inclusive atmosphere. Records are kept securely and are up to date. EVIDENCE: The Registered Manager holds a relevant management qualification and has a number of years experience in managing a home. In addition she undertakes periodic training to maintain and update her knowledge. Residents and staff are encouraged to be fully involved in the day to day running of the home both on a formal basis through arranged meetings and supervision and informally in general discussions throughout the day. The Lighthouse H60-H11 S14782 The Lighthouse V246473 070905 Stage 4.doc Version 1.40 Page 20 The ethos of the home is to ensure that the residents form the focus of all aspects of the service delivery and this was clear through observations made during the inspection. All records seen as part of the inspection were kept securely and were up to date and in good order. The Lighthouse H60-H11 S14782 The Lighthouse V246473 070905 Stage 4.doc Version 1.40 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x 3 x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x x 3 x x Standard No 11 12 13 14 15 16 17 4 4 3 3 3 4 3 Standard No 31 32 33 34 35 36 Score x x 3 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Lighthouse Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 x x 3 x x H60-H11 S14782 The Lighthouse V246473 070905 Stage 4.doc Version 1.40 Page 22 No 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 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 Good Practice Recommendations The Lighthouse H60-H11 S14782 The Lighthouse V246473 070905 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection Ridgeworth House Liverpool Gardens Worthing BN11 1RY National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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