Inspection on 23/01/06 for The Thimbles

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 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 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 Thimbles 26/06/07

The Thimbles 30/09/05

The Thimbles 06/01/05

The Thimbles 18/08/04

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 Thimbles 80 Barnham Road Barnham Bognor Regis West Sussex PO22 0ES Lead Inspector Mrs K Allen Unannounced Inspection 23rd January 2006 02:45p The Thimbles DS0000014793.V277454.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 Thimbles DS0000014793.V277454.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 Thimbles DS0000014793.V277454.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Thimbles Address 80 Barnham Road Barnham Bognor Regis West Sussex PO22 0ES 01243 555808 01243 555808 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) None United Response Miss Deborah Marie Thomson Care Home 3 Category(ies) of Learning disability (3) registration, with number of places The Thimbles DS0000014793.V277454.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 3 persons in the category LD Date of last inspection 30th September 2005 Brief Description of the Service: The Thimbles is a care home registered to provide accommodation and personal care for up to three residents with a learning disability, aged between eighteen and sixty-five. The home is a detached cottage located within the village of Barnham, near to local amenities and public transport. Residents share a lounge but all have single rooms on the first floor, one with en-suite. All areas of the home are accessible to residents including the small courtyard garden. The Thimbles DS0000014793.V277454.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Prior to the inspection a review was made of the contact between the home and the Commission for Social Care Inspection (CSCI) since the last inspection. This included an analysis of incident reports and those of other statutory bodies such as the fire service. The inspection took place from 2.45pm over three hours. During the inspection all three residents were spoken to as well as the member of staff on duty. In addition, a tour of the premises was made and a number of records were seen. Residents said they liked being at the home, that it was warm and comfortable. 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 Thimbles DS0000014793.V277454.R01.S.doc Version 5.1 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 Thimbles DS0000014793.V277454.R01.S.doc Version 5.1 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): None EVIDENCE: No new residents have moved into the home since the last inspection. The Thimbles DS0000014793.V277454.R01.S.doc Version 5.1 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 the following standard(s): 6, 7, 8 & 9 Residents know their assessed needs and goals are reflected in their individual plan. They make decisions about their lives with assistance if necessary and participate in all aspects of life in the home. Residents are supported to take risks as part of an independent lifestyle. EVIDENCE: All residents had a written care plan which they had signed up to. They gave details of current needs and how these were met. Residents knew what was in their care plan and they were involved in drawing them up. They were reviewed regularly. Residents talked about their life at the home and in doing so it was clear that they were able to make decisions about such things as how to spend their time, going out, who to spend time with as well as seeing family. One person had changed courses at college and was pleased about this. An advocacy service is available to residents and one person had an advocate to help with plans to move to more independent living. One resident manages their own money and the others do so with some assistance. Residents are involved in all aspects of the home. This includes domestic tasks as well as decision-making, for example agreeing the menu. They have a The Thimbles DS0000014793.V277454.R01.S.doc Version 5.1 Page 9 weekly meeting together with staff and discuss things such as holidays and outings. They also participate in the recruitment of staff. There is a good system of risk assessment, which ensures that residents continue to try new things and develop their skills. Areas that have been subject to risk assessment include going out alone, staying in the house alone, swimming, horse riding and using public transport. The Thimbles DS0000014793.V277454.R01.S.doc Version 5.1 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): 11, 14, 15 & 16 Residents have opportunities for personal development and engage in appropriate leisure activities. They have appropriate personal and family relationships and their rights are respected in their daily lives. EVIDENCE: Residents attend college courses and are active around the house, both of which enable them to develop new skills. They have training in helping to select staff and some attend an advocacy group. One person takes the minutes of house meetings and another is responsible for all recycling from the home. A record is kept of individual residents spiritual needs and wishes and one person attends church regularly. Residents are encouraged and supported to pursue their own interests. They enjoy swimming, horse-riding, trips to local places of interest as well as meals out and visits to the local pub. Everyone has an annual holiday often with friends other than those they live with. Two people spent time away with family over the Christmas period and one person stays with family every other weekend. The Thimbles DS0000014793.V277454.R01.S.doc Version 5.1 Page 11 Residents have access to all areas of the home and a key to their own bedroom, which staff only enter when invited. One person prefers to keep his door locked at all times and this is respected. Residents can choose to be alone and this is also accepted although staff would ensure the person did not become isolated. Residents and staff have mutual respect for each other and a homely and relaxed atmosphere has been created. The responsibilities taken by residents regarding housekeeping tasks are clear. They said they enjoyed doing their jobs and evidently took a pride in doing them well. The Thimbles DS0000014793.V277454.R01.S.doc Version 5.1 Page 12 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 & 20 Residents receive personal support in the way they prefer. They control their own medication as far as they are able and they are protected by the homes procedures for dealing with medication. EVIDENCE: All residents are able to care for themselves although they may need prompting, encouragement or supervision. Details of their care needs are written down and residents said that they received the support they needed. Routines are flexible with regard to bathing, getting up etc. Residents choose their own clothes, hairstyle etc and were all well presented. Two residents need to take medication and both are able to administer it themselves. They are provided with safe storage in their rooms and both staff and residents sign when it has been taken. The Thimbles DS0000014793.V277454.R01.S.doc Version 5.1 Page 13 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): 23 Residents are protected from abuse. EVIDENCE: There is a written procedure for staff to follow should they receive an allegation of abuse. This procedure was familiar with the member of staff on duty who was also aware of her responsibilities towards vulnerable adults. The arrangements for handling resident’s money include financial records of all transactions and safe storage of personal money and valuables. The Thimbles DS0000014793.V277454.R01.S.doc Version 5.1 Page 14 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, 25, 27, 28, & 30 Residents live in a homely and comfortable environment. Their bedrooms suit their needs and promote their independence. There are sufficient toilets and bathrooms for resident’s needs and suitable outdoor space. The home is clean and hygienic. EVIDENCE: The house is a listed building yet suitable for it’s stated purpose. It is in a good location for shops, public transport and other amenities and is accessible to all residents. It is well furnished and maintained. Residents have their own bedrooms, which they said they liked. They are all of a good size and well furnished in ways which reflect individual personalities. All residents have their own key to their room. One room has an en-suite bathroom and there is a communal bathroom and separate toilet. Both are fitted with suitable locks. There is separate accommodation for staff who sleep on the premises. Laundry facilities are provided away from food preparation areas. The home was clean throughout. The Thimbles DS0000014793.V277454.R01.S.doc Version 5.1 Page 15 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): None EVIDENCE: The Thimbles DS0000014793.V277454.R01.S.doc Version 5.1 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, 39 & 42 There is no registered manager. Resident’s views inform the development of the home although the views of others could assist this process further. The health, safety and welfare of residents is promoted and protected. EVIDENCE: The current manager, who has been working at the home for some time, is studying for National Vocational Qualification (NVQ) Level 4 and has applied to become the registered manager. There is no written annual development plan for the home. However, the views of residents are sought on a daily basis and through a weekly meeting. In addition, some belong to a self-advocacy group which feeds back to the home thereby informing any changes which may be needed. Relevant family members are invited to annual reviews of residents. A manager from United Response carries out a monthly visit on the conduct of the home. The views of visiting professionals or others involved in the home are not routinely sought. Training is provided for staff in areas such as safe lifting, first aid, food hygiene and fire safety. The Thimbles DS0000014793.V277454.R01.S.doc Version 5.1 Page 17 Good systems are in place for the maintenance of equipment, monitoring water temperatures and maintenance of the premises. Risk assessments are carried out and accidents are recorded. Residents were familiar with and confident about the fire procedures. The Thimbles DS0000014793.V277454.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 X 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 X 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 3 28 3 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 3 3 3 X LIFESTYLES Standard No Score 11 3 12 X 13 X 14 3 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 X x 2 X 2 X X 3 x The Thimbles DS0000014793.V277454.R01.S.doc Version 5.1 Page 19 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 Quality assurance measures should be further developed. 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