Inspection on 14/06/05 for Touchstones

This inspection was carried out on 14th June 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

Touchstones 14/11/06

Touchstones 24/01/06

Touchstones 24/11/04

Touchstones 06/07/04

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

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

CARE HOME ADULTS 18-65 Touchstones 11 Shakespeare Road Worthing West Sussex BN11 4AL Lead Inspector Hilary Church Announced Tuesday, 14 June 2005 V224009 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. Touchstones H60 H11 S14800 Touchstones V224009 140605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Touchstones Address 11 Shakespeare Road, Worthing, West Sussex, BN11 4AL 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) 01903 230409 Mrs Joy Eileen King Sean Wilson Care home only (PC) 19 places Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (MD) 19 places of places Mental disorder, excluding learning disability or dementia - over 65 years of age (MD(E)) 7 places Touchstones H60 H11 S14800 Touchstones V224009 140605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 Only service users 18-65 years on age in the category mental disorder (MD) excluding learning disability or dementia may be admitted. 2 Only seven service users in the category MD(E) may be accomodated at any one time. Date of last inspection 24th November 2004 Brief Description of the Service: Touchstones is a private care home registered to accommodate up to twelve residents with a mental disorder, aged 18 to 65 and seven residents with a mental disorder over 65 years of age. The property comprises of two private dwellings that have been re-developed into a single detached property. Accommodation is provided over two floors and includes a garden and some outbuildings to the rear of the property. The home is located close to Worthing Town Centre and seafront. The Registered Provider is Mrs J King and the Registered Manager is Mr Sean Wilson. Touchstones H60 H11 S14800 Touchstones V224009 140605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection, one of two required under the Commission for Social Care Inspection was planned to observe the morning’s activities of the residents and discuss the outcomes for residents. Six residents and eight relatives/visitors feedback forms were received prior to the inspection taking place and without exception, all gave very positive comments about the home. The manager was present and three other members of staff. A number of residents were in the lounge room socialising with each other and the general ambiance of the home was relaxed and homely with residents enjoying each others company or spending time in their rooms. One resident enjoying the garden told the inspector that she felt very much at home there. Mr Wilson is in the process of collecting information to update a number of documents including the Statement of Purpose and Service Users Guide, which in due course will be forwarded to all interested parties. The Statement of Purpose and Service Users Guide gives information on how the home is run and how changes can be made to improve residents lives there. During the inspection, seven residents were spoken with privately whilst residents made general comments in the lounge. Four of these residents’ records examined to see if all care was being provided. All residents were able to give a clear account of their life at Touchstones and without exception all comments were enthusiastic. It was clear that residents are encouraged to say what they like or don’t like about the home. The members of staff gave high praise for the support received from their manager and the care plans showed that care is provided as required. There were no requirements or recommendations made at this inspection. What the service does well: Touchstones provides a warm, homely and friendly environment where the resident’s collective and individual needs are central to all its activities. Staff enable residents, by listening to their comments or proposes for any changes that would improve their lives and by providing individual care. From visitors feedback forms, residents comments and observing staff at work, it was clear that the outcomes for residents are good with staff committed to treat residents with respect and dignity and support them to maximise their full potential. Touchstones H60 H11 S14800 Touchstones V224009 140605 Stage 4.doc Version 1.30 Page 6 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. Touchstones H60 H11 S14800 Touchstones V224009 140605 Stage 4.doc Version 1.30 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 Touchstones H60 H11 S14800 Touchstones V224009 140605 Stage 4.doc Version 1.30 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) 1, 2, 3, 4, 5. A full assessment is provided according to the needs of the individual with all relevant parties involved and taking into account the needs of the other residents. Care plans are well documented and continually updated to support the care needs of the residents. Residents are kept fully informed about the way care and services are provided and have received contracts and the necessary documents relating to the home. EVIDENCE: The manager informed the inspector of the arrangements made to enable a resident to be integrated effectively into the home. This was confirmed by the care plan. Four care plans were examined to see if they matched the way the residents were living their lives. All of the records accurately reflected the care being provided, the risk levels supported and the future aspirations to be achieved. Touchstones H60 H11 S14800 Touchstones V224009 140605 Stage 4.doc Version 1.30 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, 9, 10 All residents had an individual care plan set out for staff to follow. Some residents are managing some or all of their medication. Staff are meeting the health care needs of the residents in a respectful manner. EVIDENCE: Four care plans gave clear information of the care needed with good risk assessments to inform staff how to minimise risks. The newly revamped care plans gave excellent information on the care provided, the aspirations agreed and the person or persons responsible for the work involved. The resident had participated in all aspects of their care plans and signed their agreements to these. All records and information about residents is kept under locked conditions and only shared on a need-to-know basis with the resident concerned, families other professionals. Staff were observed speaking to and treating residents with respect. Staff knocked on doors before entering and spoke to residents in a caring manner. Residents’ comments included “staff are absolutely wonderful” and on the care provided “It (Touchstones) has been a lifeline to me”. Residents run their own residents meetings and feedback their comments to the manager. Touchstones H60 H11 S14800 Touchstones V224009 140605 Stage 4.doc Version 1.30 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 standard(s) 11, 12, 13, 14, 15, 16, 17. Residents have the opportunity to pursue and take part in group and individual activities both inside and outside the home with each other and other friends and enjoy activities within the local community. EVIDENCE: The meal being served at the time of the inspection was well cooked, plentiful and offered a good choice of dishes. Records showed that resident’s leisure activities and personal family contacts were being maintained. The visitors book showed a high number of visitors coming into the home and observed one resident’s brother joining the residents for lunch. It was clear that the resident’s lives did match the written records and from the work identified on the care plans and the comments made by the members of staff on duty, each resident was being provided with opportunities to develop their individual lives through a wide variety of activities, contacts from their peer group and families and the responsibilities they had been encouraged to take both in and outside the home. One resident confirmed that her confidence had been much improved by being encouraged and supported to take responsibility for planning and running the residents meetings. Touchstones H60 H11 S14800 Touchstones V224009 140605 Stage 4.doc Version 1.30 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 standard(s) 18, 19, 20, 21 The outcomes for residents were met. None of the residents require physical personal care but all require support to some degree. EVIDENCE: Four care plans were examined and all of these showed evidence of updated emotional health care needs with strategies to meet these. An assessment is made to identify the extent of the resident’s ability to manage his or her own medication. Medication sheets were completed accurately and the pharmacist had assisted the manager with providing a new system for storing, handling and disposal of drugs to ensure it met the Medicines Act 1968, guidelines from the Royal Pharmaceutical Society and the requirements of the Misuse of Drugs 1971. All revamped care plans showed the wishes of the resident in the event of their own death. Touchstones H60 H11 S14800 Touchstones V224009 140605 Stage 4.doc Version 1.30 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 standard(s) 22, 23 Residents are protected from abuse; self harm or neglect and were involved in all discussions on all aspects of their daily lives. EVIDENCE: Residents meetings are held regularly according to the wishes of the residents but from records seen, were monthly and run by a resident nominated to listen and act on the views of other residents. The West Sussex County Council Adult Protection Procedures was available in the home and staff had received training on this in induction. A member of staff confirmed that she was aware of the process when talking to the inspector. The manager displayed a Reporting and Recording flow chart in the event of an allegation of abuse to ensure complete protection of all residents. Touchstones H60 H11 S14800 Touchstones V224009 140605 Stage 4.doc Version 1.30 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 standard(s) 24, 25, 26, 27, 28, 29, 30. The communal areas and resident’s bedrooms provided good outcomes for residents. Specialist equipment was not required as no residents had physical needs. The home was clean and hygienic. EVIDENCE: The sizes of communal and individual rooms was not included in the Statement of Purpose and Service Users Guide as per Schedule 2 but the manager agreed to include this information when updating these documents. The inspector noted that there were a number of different sized communal rooms providing for different activities. The music room had been recently redecorated. All areas were seen to be clean and welcoming and a number of bathrooms were present throughout the building. Resident’s rooms were of a good size and decorated in individual styles with personal items arranged according to their wishes. It was clear that any additional furniture to display items was encouraged and agreed to allow the residents complete autonomy of the use of their room. Touchstones H60 H11 S14800 Touchstones V224009 140605 Stage 4.doc Version 1.30 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 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, 33, 34, 35, 36. Staff are recruited, trained and supervised according to robust procedures where residents individual and group needs are central to the process. EVIDENCE: The resident’s care plans showed the skilled and training required by staff to maintain and develop all aspects of daily living. Four care plans were examined and it was seen that the support required was being provided. Two staff records were examined and it was clear that good recruitment procedures are in place to ensure new members of staff complement the existing staff group. The manager and staffing contracts showed that staff are supported to achieve and currently three members of staff are completing National Vocational Qualification level three with specialist modules relating to mental health care needs. The relaxed atmosphere between the manager, the members of staff and the residents was apparent throughout the inspection. Touchstones H60 H11 S14800 Touchstones V224009 140605 Stage 4.doc Version 1.30 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 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, 39, 40, 41, 42, 43. The management style benefits and protects residents whose views are respected whilst acknowledging their rights as individuals to have control over their lives. EVIDENCE: The manager is well qualified to run the home and the care staff told the inspector that he is very supportive and approachable. The care plans demonstrated all aspects health; safety and welfare needs were being met with periphery records well maintained. Staff training is provided to complement the skills required. Financial records showed that resident’s rights are being protected and to ensure every resident has the opportunity for a holiday, the home own two large caravans in Selsey that are available to everyone. Touchstones H60 H11 S14800 Touchstones V224009 140605 Stage 4.doc Version 1.30 Page 16 The quality assurance questionnaire has provided an insight into residents’ views and provided an opportunity to consider group and individual activities. At the time of the inspection, all residents had chosen to spend the morning as they wished. Some chose to go out, have lunch, a visitor, socialise with each other or just enjoy their rooms or the tranquil garden with its well-kept landscaped gardens and well stocked fishpond. Throughout the inspection process, it was clear that the home’s responses to suggestions are excellent. Touchstones H60 H11 S14800 Touchstones V224009 140605 Stage 4.doc Version 1.30 Page 17 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 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Touchstones Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 3 H60 H11 S14800 Touchstones V224009 140605 Stage 4.doc Version 1.30 Page 18 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. 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 Touchstones H60 H11 S14800 Touchstones V224009 140605 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection 2nd Floor, Ridgeworth House Liverpool Gardens Worthing, West Sussex 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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