Inspection on 09/06/05 for The New Inn

This inspection was carried out on 9th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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 no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The New Inn 10/10/05

The New Inn 24/10/04

The New Inn 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 New Inn Lewes Road Ridgewood Uckfield, East Sussex TN22 5SL Lead Inspector Elaine Green Unannounced 9 June 2005 10:00 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 New Inn H59-H10 S41154 The New Inn V229489 090605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The New Inn Address Lewes Road Ridgewood Uckfield East Sussex TN22 5SL 01825 765425 None None Ridgewood Care Services 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) Lynne Ashcroft acting manager Care Home 6 Category(ies) of Learning Disability (LD), 6. registration, with number of places The New Inn H59-H10 S41154 The New Inn V229489 090605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. That no more than six (6) service users are to be accommodated. Date of last inspection 20 October 2004 Brief Description of the Service: The New Inn is a community based home offering a caring, family environment to six service users with learning disabilities. The New Inn is in Ridgewood, on the outskirts of Uckfield in East Sussex. This is part of the Sussex Weald on the edge of the Ashdown Forest. Uckfield has a railway station, buses linking the local towns and villages, cinema, library and leisure centre. There are churches in the local area. College facilities, for students with learning disabilities, are centred in Ringmer and classis can be accessed in the neighbouring towns. The property is a two-storey building, originally a piublic house, offering accomodation on two floors. There are at present 6 bedrooms, five with ensuite facilities and the owners are currnetly planning to increase this to 8. Two of the three bedrooms have assisted bathing facilities. There is a combined lounge/dining area on the ground floor, and a quiet room on the first floor. The garden area is accesible for all service users. comprising of a lawned area, small vegetable plot, green house and summer house/craft room. The experienced staff at the New Inn endeavour to provide a homely and safe environment where service users are encouraged to reach their potential. The New Inn H59-H10 S41154 The New Inn V229489 090605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was spread over two days and took place on the 09.06.05 for 4 hours and the 15.06.5 for 2 hours. Three care plans were inspected, two service users and two members of staff interviewed in addition to the manager/owner. Service users observed were being supported to engaged in a range of activities and the inspector ate lunch with the service users and staff present on the day. The home was clean and homely service users were seen to come and go during the day both with the staff and independently. What the service does well: What has improved since the last inspection? 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. The New Inn H59-H10 S41154 The New Inn V229489 090605 Stage 4.doc Version 1.30 Page 6 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 New Inn H59-H10 S41154 The New Inn V229489 090605 Stage 4.doc Version 1.30 Page 7 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) 1,2,3,4. The manager ensures comprehensive assessments are made in full consultation with the service user to ensure informed choices are made prior to admission. EVIDENCE: The most recent service user to be admitted to the home had made several day visits and stayed overnight prior to admission giving him the opportunity to meet other service users and staff and have opportunity to see what the home had to offer him. Comprehensive pre admission reports, service user history and assessments had been sought by the manager in order for her to assess as accurately as possible the service users needs and whether or not the New Inn could meet them. The manager and 3 senior members of staff all made visits to the service user pre admission for assessment purposes also to give him the opportunity to get to know them before making a decision. Regular reviews are held with the service user. The New Inn H59-H10 S41154 The New Inn V229489 090605 Stage 4.doc Version 1.30 Page 8 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) 6,8. The home has a robust and comprehensive review and assessment process that fully involves the service users in individual planning and all aspects of running the home. EVIDENCE: Residents meetings take place monthly to consult with residents on a range of issues relating to the running of the home and to give them the opportunity to raise any issues of their own. Every service user has a monthly meeting with their key worker to review their current activity programme and individual plan. The service users I spoke to confirmed that they knew what their plans included and that they had agreed to them. One service user told me that he had recently changed his plan at his own request to suit his current needs and that he participated in the running of the home by going shopping for food, cleaning his room etc. A copy of his plan was on his bedroom wall in his own writing. Other issues discussed at these meetings include staffing, menu planning, trips out and shopping and all are minuted. Some of the service users participate in the feeding of the house pets others chose not to but all had been consulted before they had been bought. An activity and task timetable is displayed in the kitchen. The New Inn H59-H10 S41154 The New Inn V229489 090605 Stage 4.doc Version 1.30 Page 9 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) 12,14,15,17. The home supports the service users to access a range of appropriate activities both within the home and the local community and to develop appropriate relationships. Service users are offered a varied healthy diet in a conducive environment. EVIDENCE: Three service users access local colleges to persue areas of personal interest and development. Other activities supported by staff of the New Inn include rambling, going to the pub, going to the leisure centre, games evenings, watching TV, gardening, pet care, cooking and one resident goes to the local church independently. Service users are encouraged to interact and supported to do so. Aromatherapy and music sessions are provided fortnightly. Two service users go out independently and have their own signing in and out book this was observed during the inspection. All service users are encouraged to have contact with their family where it is appropriate to do so and visitors are welcomed into the home. All service users participate in choosing the menu and are supported to include healthy options to ensure a balanced diet. On the day of the inspection it was noted that there was a choice of three dishes at lunchtime all of which were well presented and the environment relaxed and informal. The New Inn H59-H10 S41154 The New Inn V229489 090605 Stage 4.doc Version 1.30 Page 10 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) 20 The procedure for signing for medication needs reviewing. Whilst the home has robust induction training, policies and procedures to guide staffing the administration of medication it is not being consistently followed. EVIDENCE: Gaps in the signing for lunchtime medication were apparent, albeit the medication had been administered, where the medication had been omitted the reason for this had not been recorded. The home has a comprehensive induction in the administration of medication including what each medication is for and it’s contra-indications. The New Inn H59-H10 S41154 The New Inn V229489 090605 Stage 4.doc Version 1.30 Page 11 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) 23 The procedure for making an adult protection alert needs revising to ensure that it conforms to current East Sussex and Brighton and Hove Multi Agency Adult Protection Procedure Policy and Guidance. EVIDENCE: The procedure for making an adult protection alert did not include informing the Community Learning Disability Assessment Team in the first instance and being guided by them in respect of how an Adult Protection Alert should be investigated, or CSCI in line with the East Sussex Brighton and Hove Multi Agency Adult Protection Policy Procedure and Guidance The home provides all staff with adult protection training from an external training company in addition they provide a training video. The policy on recognising abuse is comprehensive. The New Inn H59-H10 S41154 The New Inn V229489 090605 Stage 4.doc Version 1.30 Page 12 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) 24,25,26,28,30. The home provides service users with a clean, comfortable, homely and safe environment to live in. It accommodates personal needs and lifestyles whilst promoting independence. EVIDENCE: The home has a family homely feel, it was clean, presentable and maintained in good order. Service users are involved in choosing the decoration of the home and in the daily cleaning, each having their own tasks. One service user has all his own furniture and he often changes it around he also has a key to his room. All the bedrooms seen were personalised with family photo’s, pictures, posters, calendars, activity timetables, sensory equipment, service users own furniture, bedding and choice of wall paper/colour of paint etc. All areas of the house are accessible to service users although some with staff support. The lounge downstairs is divided into and area for watching TV and a dining area that can also be used for games etc. The upstairs lounge is used as a quiet room were service users can socialise away from the TV, this room is used for music sessions and service user / key worker meetings. The garden is available to service users it has a small summer house plus garden furniture. All staff receive food hygiene training coloured chopping boards were in use in the kitchen. The New Inn H59-H10 S41154 The New Inn V229489 090605 Stage 4.doc Version 1.30 Page 13 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) 31,32,34,35,36. The home recruits and trains the staff team to meet the needs of the service users who benefit from the competencies of a staff team which itself is well supported. EVIDENCE: All appropriate checks are in place before staff are deployed within the home. Staff are given a comprehensive induction and training package covering all the homes policy’s and procedures this is signed and dated by the staff member and their supervisor. Staff receive training in areas that benefit individual service users e.g. Makaton and the group as a whole. Staff have monthly supervision which is documented and 6 monthly appraisals where any gaps in training and knowledge are identified. There is a line of delegation within the home and staff are clear about their roles and responsibilities as specified in their job descriptions. Staff are involved in a key worker system. Outcomes of monthly service user meetings are discussed within supervision. New staff co-key work with experienced staff until such time as the manager feels they have the relevant skills needed to do it themselves. Staff interviewed said they felt supported by the management of the home and confident that they can approach either their line manager or the home manager if they had any problems or any suggestions to make. They said they felt valued that their opinion mattered. The New Inn H59-H10 S41154 The New Inn V229489 090605 Stage 4.doc Version 1.30 Page 14 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) 39,40 The home ensures that service users views are sought as part of the quality monitoring system. EVIDENCE: Records examined showed that service users views are sought on a range of issues both in residents meetings and in key worker meetings both held on a monthly basis. Daily records also showed that service users views were being record there as well. Service users interviewed stated that th3ey felt that the staff listened to them and that they can exercise personal choice in all aspects of their daily living, while being expected to take responsibility for their actions. They have meetings where they can say how they feel about things and make suggestions. The New Inn H59-H10 S41154 The New Inn V229489 090605 Stage 4.doc Version 1.30 Page 15 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 3 4 3 4 x Standard No 22 23 ENVIRONMENT Score x 1 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x 3 x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 x 3 x 3 Standard No 11 12 13 14 15 16 17 x 3 x 3 3 x 3 Standard No 31 32 33 34 35 36 Score 3 3 x 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The New Inn Score x x 2 x Standard No 37 38 39 40 41 42 43 Score x x 3 3 x x x H59-H10 S41154 The New Inn V229489 090605 Stage 4.doc Version 1.30 Page 16 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 YA20.4 Regulation 13(2) Requirement Medication is administered following the correct procedure. Procedure for signing for mediction to be reviewed. Local Adult Protection Policies and Procedures to be obtained and followed. Adult Protection Alert Procedure to be updated to include informing the local Assessment Team and CSCI. A Registered Managers application is recieved by CSCI Timescale for action Immediate 2. YA23.2 13(6) 18.07.05 3. YA37 8 30.09.05 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 The New Inn H59-H10 S41154 The New Inn V229489 090605 Stage 4.doc Version 1.30 Page 17 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. Extracts may not be used or reproduced without the express permission of CSCI The New Inn H59-H10 S41154 The New Inn V229489 090605 Stage 4.doc Version 1.30 Page 18 - 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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