Inspection on 23/11/05 for The Summers

This inspection was carried out on 23rd November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Summers 27/09/08

The Summers 19/09/07

The Summers 23/08/06

The Summers 09/06/05

The Summers 30/09/04

The Summers 15/06/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

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Magenta

Seabourne House

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Dovedale Court

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 The Summers The Summers Yeend Close West Molesey Surrey KT8 2NA Lead Inspector Kenneth Dunn Announced Inspection 23rd November 2005 10:00 The Summers DS0000060466.V261360.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 The Summers DS0000060466.V261360.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. The Summers DS0000060466.V261360.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Summers Address The Summers Yeend Close West Molesey Surrey KT8 2NA 020 8979 4689 020 8941 0468 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) Kingston & Wimbledon YMCA Mrs Barbara Chater Care Home 28 Category(ies) of Learning disability (4), Mental disorder, registration, with number excluding learning disability or dementia (2), of places Physical disability (28), Physical disability over 65 years of age (5) The Summers DS0000060466.V261360.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. Adults aged over 35 - 65 years of age. Physical disability (28), Physical disability over 65 years of age (5) The age range of the service users in Flat 4 may be from 25 years for respite care Of the 28 service users accommodated, up to 2 may fall within the category MD Of the 28 service users accommodated, up to 4 may fall within the category LD 9th June 2005 Date of last inspection Brief Description of the Service: The Summers is a large purpose built detached property located near the town centre of West Molesey, Surrey. The service provides a good standard of accommodation and facilities for up to 28 adults with physical disability, some over 65 years and a maximum of 5 service users with learning disabilities. All current bedrooms are single and are set across two floors. All bedrooms sizes exceed the NMS. The home has a private garden and parking for several cars at the front. The service is owned by the YMCA and managed on a day to day basis by Mrs Barbara Chater who is directly employed by Surrey Social Services. The home accommodates both male and female service users. There is only one lift to the upper floor of the home. The Summers DS0000060466.V261360.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the second inspection that has taken place this year 2005/2006. The inspection was announced and therefore the residents and staff were aware that the inspector was visiting. The manager was present throughout the inspection and the inspector was given plenty of opportunity to speak to several residents and staff who were on duty. Records were also seen. The atmosphere in the home was relaxed. Residents were freely accessing many different areas of the home. The home was clean and tidy and there were adequate staff on duty. The inspector wishes to thank all those involved in providing the information in this report and in particular the residents, the relatives, the manager, the provider and the staff present. 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 Summers DS0000060466.V261360.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection The Summers DS0000060466.V261360.R01.S.doc Version 5.0 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 the following standard(s): 1, 2 & 4 The Summers was found to be operating effectively in respect of these standards. The availability of information about the home is good and designed to assist prospective service users to make an informed choice as to whether the home would be a suitable place to live. EVIDENCE: The Summers DS0000060466.V261360.R01.S.doc Version 5.0 Page 8 In line with a requirement from the previous inspection the manager has reviewed and revised the homes procedures for the admittance into the home of all potential new service users. The policy is now more robust to ensure that the home is going to meet all of the needs of the potential service users. Sampling of care plans provided evidence that the home has established a sound process of assessing residents’ needs and aspirations. During the inspection the inspector was able to witness the process in action, two senior members of staff were reviewing the needs of a new referral to see if the home could meet his complex needs. The manager must ensure that the statement of purpose contains details of the assessment process and the criteria for admittance into the home. The Summers DS0000060466.V261360.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 The manager and staff demonstrated a good understanding of the resident’s health and personal care needs, and comments received by the inspector inferred that these were being well met. EVIDENCE: All of the residents had care plans and a detailed needs assessment. Residents were aware that service user plans were in place and that they contained detailed information about them, their needs and aspirations. The care plans included all aspects of personal support and health care needs. All residents receive one full review annually, the manger explained that this however was flexible and if there was a need the review process can be more frequent depending on any changes in the residents care needs. The Summers DS0000060466.V261360.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): Standards 11, 12, 13, 14, 15 & 17 were assessed on the last inspection. EVIDENCE: For information on these standards please refer to the report of 9th June 2005. The Summers DS0000060466.V261360.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): Standards 18, 19 & 20 were assessed on the last inspection. EVIDENCE: For information on these standards please refer to the report of 9th June 2005. The Summers DS0000060466.V261360.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): Standards 22 & 23 were assessed on the last inspection. EVIDENCE: For information on these standards please refer to the report of 9th June 2005. The Summers DS0000060466.V261360.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 The Summers meets the majority of standard 24, every effort has been made to ensure that the home is homely and comfortable. However there are issue over the security and possible safety of the service users. EVIDENCE: The home is large purpose built and there has been considerable efforts made to ensure that it retains a homely and comfortable feel. However there are aspects concerning the safety and security of the residents that the manager must address. On the day of the inspection the inspector walked straight into the building and asked if the manager was available, the inspector was not asked to identify himself but was informed that he should go straight up to the office, at no time was any identification asked for or for the visitors book to be signed. In light of this and other incidents of reported thefts from the residents rooms the manager must review the overall security of the building ensuring that access to the home is restricted, the residents must be assured of their ease of access but all visitor must be screened before being admitted into the building. The Summers DS0000060466.V261360.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): Standards 33, 34, 35 & 36 were assessed on the last inspection. EVIDENCE: For information on these standards please refer to the report of 9th June 2005. The Summers DS0000060466.V261360.R01.S.doc Version 5.0 Page 15 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): Standards 37, 38, 39, 40, 41 & 42 were assessed on the last inspection. EVIDENCE: For information on these standards please refer to the report of 9th June 2005. The Summers DS0000060466.V261360.R01.S.doc Version 5.0 Page 16 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 1 2 X 3 X Standard No 22 23 Score X X 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 1 X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Summers Score X X X X Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000060466.V261360.R01.S.doc Version 5.0 Page 17 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 & 2 Regulation 4, 5 & 6 Requirement The manager must ensure that the statement of purpose contains details of the assessment process and the criteria for admittance into the home. The manger must conduct a full review of the security of the building, specifically the ease of access to the main entrance of the home. Timescale for action 01/01/06 2 YA24 16 & 23 23/11/04 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The Summers DS0000060466.V261360.R01.S.doc Version 5.0 Page 18 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 The Summers DS0000060466.V261360.R01.S.doc Version 5.0 Page 19 - 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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