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Inspection on 19/01/06 for The Yellow House

Also see our care home review for The Yellow House for more information

This inspection was carried out on 19th 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 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The Yellow House continues to provide a warm and family type environment for residents. All six residents who were spoken to stated that they were happy with the care they were receiving and got on well with the staff. Staff who were spoken to also said that they were happy working in the home and felt well supported. The home is managed in an open and friendly manner. The staff team remains stable.

What has improved since the last inspection?

The home has achieved a good level of NVQ training and to date seventy-five per cent of the staff are now trained to NVQ Level 2 or 3. The manager completed the Registered Managers Award in November 2005. It is hoped that the extension next door will be completed in the next couple of months and this will provide additional communal space for the current residents. Medication records are now being signed more accurately. Residents care plan reviews are now signed and dated. The residents survey forms have been expanded to include more relevant questions and they will be conducted twice a year.

What the care home could do better:

The home needs to ensure that bedding is not stored around boilers, as this can cause a fire hazard. It was agreed that the uneven carpet in the lounge room is to be replaced once the extension has been completed. Staff supervisions are being carried out, however this needs to occur at least six times a year.

CARE HOME ADULTS 18-65 The Yellow House 156/158 Sackville Road Hove BN3 7AG Lead Inspector Merle Blakeley Unannounced Inspection 19th January 2006 12:45 The Yellow House DS0000014257.V278266.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 Yellow House DS0000014257.V278266.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 Yellow House DS0000014257.V278266.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Yellow House Address 156/158 Sackville Road Hove BN3 7AG 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) 01273 727211 Mrs Gwen Wells-Brown Mrs Wells-Brown Donna Hunt Care Home 12 Category(ies) of Learning disability (12) registration, with number of places The Yellow House DS0000014257.V278266.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The number of people accommodated must not exceed twelve (12) The people accommodated will be aged between 18 and 65 years on admission 12th August 2005 Date of last inspection Brief Description of the Service: The Yellow House is a privately owned small care home that is registered to provide care and support for up to ten adults aged between 18 to 65 years who have learning disabilities. The home is run as a family type home. The home is comprised of two semi-detached houses, which have been converted for there current use. Accommodation is provided over two floors and includes ten single rooms. The home no longer has shared rooms. There are five bedrooms located on the ground floor and these are more suited to people who may have some mobility problems. Communal areas within the home include the dining room, lounge, quiet room and outside patio. The home is close to local transport, shops and other amenities. The proprietor has recently purchased an adjoining property and later this year it will be converted to provide an additional five single rooms with en suite facilities. Additional communal spaces will also become available once the building work has been completed. The Yellow House DS0000014257.V278266.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Unannounced Inspection was carried out over a period of four hours on 19th January 2006. The inspection process included informal talks with six residents, two staff, the manager and the proprietor, document reading and a tour of the premises. There are currently nine residents living at The Yellow House. What the service does well: What has improved since the last inspection? What they could do better: The home needs to ensure that bedding is not stored around boilers, as this can cause a fire hazard. It was agreed that the uneven carpet in the lounge room is to be replaced once the extension has been completed. Staff supervisions are being carried out, however this needs to occur at least six times a year. The Yellow House DS0000014257.V278266.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 Yellow House DS0000014257.V278266.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 Yellow House DS0000014257.V278266.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): 1&5 The home has produced a service users guide. All residents receive a contract. EVIDENCE: The home has produced a brief service users guide, which outlines the services the home provides. There are a number of items in the guide, which need to be updated to reflect the changes that have taken place. Contracts are provided for residents once they have moved into the home. The Yellow House DS0000014257.V278266.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): 7&9 Support is provided to assist residents in making decisions. Risk assessments are carried out. EVIDENCE: The manager stated that the home would provide support and assistance to any resident that needed help in making decisions. All residents are able to make their own choices and their wishes are taken into consideration about how they wish to live and run their lives. It was stated that the home tries to promote the independence of all residents. Residents are supported as much as possible to take responsible risks. Risk assessments are carried out by the home to ensure that any risks are identified and discussed with the resident. The manager felt that the staff team have a very good working knowledge of resident’s needs and capabilities and therefore can assist residents and give them the required support they need. Most of the current residents are fairly independent. The Yellow House DS0000014257.V278266.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): 12, 13 & 14 All of the residents are involved with external activities and enjoy leisure activities when they can, they are also out and about in the community on a daily basis. EVIDENCE: Most of the residents attend local day care centres or colleges several times a week and here they are involved with learning IT skills, cookery, art & craft and exercises. Within the home residents are offered a number of activities such as cooking, dancing, play station, crafts and games and puzzles. Most of the residents have TV’s, DVD players and stereo equipment in their own rooms, where they are able to watch the films/programmes they prefer. All residents are out and about in the community on a daily basis some are able to go out on their own whilst others need support from staff. Residents also go out with their relatives and friends. Several residents like to go out to the local pubs and clubs and staff also take residents out when they can. The Yellow House DS0000014257.V278266.R01.S.doc Version 5.1 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): 19, 20 & 21 Resident’s healthcare needs are met. Medication is administered correctly. All residents have had their wishes recorded as regards to illness and dying. EVIDENCE: Residents have access to their choice of GP and other specialist services. Two residents are currently being supported in the areas of physiotherapy and anger management. One of the residents is eighty-one and has more frequent reviews to ensure that the home can continue to meet her needs. A chiropodist and optician visit the home. Medication records were viewed and were found to be in order. All residents have had their wishes recorded as regards to illness and dying. These wishes need to be recorded in their care plans. Most of the residents have family members who would be involved, however it is particularly important to record the wishes of those residents who have no relatives at all. The Yellow House DS0000014257.V278266.R01.S.doc Version 5.1 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): 22 The home has a complaints policy and procedure. EVIDENCE: The home has produced a complaints policy and procedure, which has not changed since the last inspection. The home has not received any formal complaints. The Yellow House DS0000014257.V278266.R01.S.doc Version 5.1 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): 26, 27 & 29 Residents live in individual accommodation. There are sufficient toilets and bathrooms. The home has been assessed by a qualified occupational therapist. EVIDENCE: All bedrooms within the home are now for single use only. Bedrooms were seen to be comfortable and personalised with residents choosing the own décor and furniture. New floor coverings have been provided for the small lounge and dining room area. All bedrooms contain en suite facilities and there are two separate bathrooms within the home. The home has been assessed by an occupational therapist and two recommendations were made. Both of these recommendations have been carried out. No further adaptations are currently needed. The Yellow House DS0000014257.V278266.R01.S.doc Version 5.1 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): 31, 32 & 36 The home employs a stable staff team. Seventy-five per cent of the staff have obtained NVQ qualifications. The home needs to ensure that staff receive supervision at least six times a year. EVIDENCE: The home has a very stable staff team of eight who provide a friendly and caring environment for residents. One new member of staff has recently joined the team. During the morning shift there are two staff on duty and two employed for the afternoon shift. There is one sleep-in night staff member employed. On the day staff were seen to interact with residents in a positive and supportive manner. Since the last inspection the home has achieved seventy-five per cent of staff qualified to NVQ levels 2 & 3, which is very commendable. The manager stated that staff supervisions were currently being carried out and recorded on a quarterly basis. Several supervision records were viewed. The home needs to ensure that supervision sessions are increased to at least six times per year. The Yellow House DS0000014257.V278266.R01.S.doc Version 5.1 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): 37, 38, 39 & 42 The manager has completed the Registered Managers Award (RMA). The home is run in an open and friendly manner. There were no major health & safety concerns raised on the day. EVIDENCE: In November 2005 the manager successfully completed the Registered Managers Award. She has been working at the home for several years now and has gained a lot of skills and experience during this time. The home is managed in an open, friendly and caring manner. Residents who were spoken to said that they felt comfortable talking to the manager and they would go to her if they had any queries or concerns. Staff that were spoken to stated that they were happy in their jobs and felt the home was running well. A health and safety tour was carried out and two minor items were identified. The carpet in the main lounge room requires relaying and the manager stated that this would be occurring when the extension next door was completed. The home must also not store blankets so close to the boiler, as this could become a fire hazard. Overall the home was found to be clean and tidy. The Yellow House DS0000014257.V278266.R01.S.doc Version 5.1 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 Standard No Score 1 2 2 X 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 3 27 3 28 X 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 X 34 X 35 X 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 3 3 3 3 3 X X 3 X The Yellow House DS0000014257.V278266.R01.S.doc Version 5.1 Page 17 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. 2. Standard YA42 YA36 Regulation 23(2) m 18(c) Requirement Timescale for action 19/01/06 To provide more suitable storage facilities for bedding. That all staff receive supervisions 19/03/06 sessions at least six times per year. 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 Yellow House DS0000014257.V278266.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection East Sussex Area Office 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 Yellow House DS0000014257.V278266.R01.S.doc Version 5.1 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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