Inspection on 24/01/06 for Touchstones

This inspection was carried out on 24th 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Touchstones 14/11/06

Touchstones 14/06/05

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 Mr D Bannier Unannounced Inspection 24th January 2006 10:00 Touchstones DS0000014800.V274542.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 Touchstones DS0000014800.V274542.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. Touchstones DS0000014800.V274542.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Touchstones Address 11 Shakespeare Road Worthing West Sussex BN11 4AL 01903 230409 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) Mrs Joy Eileen King Mr Sean Wilson Care Home 19 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (19), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (7) Touchstones DS0000014800.V274542.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Only service users 18-65 years of age in the category mental disorder (MD) excluding learning disability or dementia may be admitted Only seven service users in the category MD(E) may be accommodated at any one time 14th June 2005 Date of last inspection 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 DS0000014800.V274542.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and started at 10am. It took place over four hours. The inspector spoke to four residents and to one of the staff on duty. The registered manager showed the inspector round some parts of the care home. Some records were also seen. The inspector looked at what information new residents are given to help them to decide if they want to live there. The inspector also looked at how the manager decides if the care home is suitable for the new resident and is able to care for them in the way they want. In addition, the inspector looked at the training staff get so they know how to care for people with mental illnesses. The inspector also looked at how the manager finds out what residents thinks about the home and where, if any, improvements could be made about how the home is being run. What the service does well: What has improved since the last inspection? Several areas of the care home have been redecorated since the last inspection. This means that the environment is clean, homely and pleasant for residents. Touchstones DS0000014800.V274542.R01.S.doc Version 5.1 Page 6 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 DS0000014800.V274542.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 Touchstones DS0000014800.V274542.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 and 2 The home’s statement of purpose needs to be amended to include the sizes of residents’ private accommodation. The manager has developed an appropriate means of assessing the needs of new residents. EVIDENCE: A statement of purpose and a service users’ guide have been drawn up for new residents to read so that they have the necessary information to make an informed choice about where they live. However, the information provided does not include the size of each bedroom, which is required by current legislation. The inspector looked at the care records of three residents. Each record included a comprehensive assessment of the resident’s care needs, including a brief description of their previous history and a mental health diagnosis. This will enable the manager to draw up a plan of the care each resident needs. Touchstones DS0000014800.V274542.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): 6 A plan of care has been drawn up with each resident, which includes agreed personal goals. Other key standards were fully met at the last inspection. EVIDENCE: Care records showed that a plan of care has been developed with each resident. This includes personal goals, which are reviewed and agreed regularly with each resident. This means that staff know what level of care each resident requires so that their needs are met in a way, which has been agreed with them. Residents spoken to were very complementary about the care provided. They told the inspector “this is the best care home in Worthing”, “staff are very approachable,” “I am very happy here.” Staff on duty were able to demonstrate that they understood the needs of each resident. They also knew what was required to them to ensure residents’ needs have been met. Touchstones DS0000014800.V274542.R01.S.doc Version 5.1 Page 10 Touchstones DS0000014800.V274542.R01.S.doc Version 5.1 Page 11 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 in this section were not assessed on this occasion. Key standards were fully met at the last inspection. EVIDENCE: Touchstones DS0000014800.V274542.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 A plan of care has been drawn up with each resident, which includes agreed personal goals. Some minor amendments are needed to ensure personal support is provided to each resident in the way they prefer and require. Other key standards were fully met at the last inspection. EVIDENCE: Care records showed that a plan of care has been developed with each resident. This includes personal goals, which are reviewed and agreed regularly with each resident. The inspector advised the manager to ensure care plans also include clear instructions or directions to staff with regard to how residents’ needs are to be met. This is to ensure consistency and continuity of care. For example, records included phrases such as that staff should “support” a resident. The manager was advised that care plans should include information to staff about how each individual should be supported, including frequency and the level of support required. This means that staff will be clear about the level of care each resident requires so that their needs are met in a way, which has been agreed with them. Touchstones DS0000014800.V274542.R01.S.doc Version 5.1 Page 13 Touchstones DS0000014800.V274542.R01.S.doc Version 5.1 Page 14 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 in this section were not assessed on this occasion. Key standards were fully met at the last inspection. EVIDENCE: Touchstones DS0000014800.V274542.R01.S.doc Version 5.1 Page 15 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 and 30 The care home has been decorated and furnished in a comfortable and homely fashion. It was also clean and hygienic. EVIDENCE: The inspector visited all the communal areas of the care home. He also saw several bedrooms with the permission of the resident who was being accommodated there. Several of the communal areas had been redecorated since the last inspection, including two lounges and the residents’ kitchen. These areas had been tastefully decorated and furnished to ensure residents were living in a comfortable and homely environment. Several residents told the inspector that they were expecting to have their bedrooms decorated as well. It was clear from discussion with them that every effort had been made to ensure any disruption or inconvenience would be kept to a minimum. Residents had also been asked to choose colours and styles of their liking. Touchstones DS0000014800.V274542.R01.S.doc Version 5.1 Page 16 Areas of the home that were visited had been kept to a good standard of cleanliness and hygiene. This means that the care home is comfortable and safe for residents who live there. Touchstones DS0000014800.V274542.R01.S.doc Version 5.1 Page 17 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): 35 and 36 Appropriate steps have been taken to ensure residents needs have been met by trained staff. All staff have received support and supervision in their work with residents. Other key standards were fully met at the last inspection. EVIDENCE: Staff training records showed that staff have received induction training. This means that staff have been provided with appropriate information regarding the work expected of them within the first six weeks of starting work. They are introduced to the residents and are informed about fire procedures. In addition the care home has employed the services of an external trainer to provide further induction training. This covers the Core Induction Standards as required by Skills for Care, including the principles of good care practices. Staff have also received mandatory training including food hygiene, health and safety and fire safety training. However, the manager was unable to confirm that staff received foundation training within the first six months of their employment. This would provide staff with a basic understanding of the needs of people who have mental illnesses and an understanding of how they should be met. It is recommended Touchstones DS0000014800.V274542.R01.S.doc Version 5.1 Page 18 that the manager take the necessary steps to ensure such training is provided. This will ensure all staff have the necessary knowledge and skills to meet the needs of residents. The records of two staff were looked at. This showed that they have received supervision and support from the manager on a regular basis. These sessions include discussion points about their work and agreed work to be undertaken by the supervisee. It also includes identifying areas of development and training required by the supervisee. The inspector recommended that the format used for supervision is amended to ensure the work of the individual member of staff is linked to the stated aims of the care home and the philosophy of care. Two staff are currently undertaking the National Vocational Qualification (NVQ) at Level 3, which also includes knowing how to care for people with mental illnesses. Touchstones DS0000014800.V274542.R01.S.doc Version 5.1 Page 19 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): 39 The provider has made arrangements to ensure residents’ views underpin any self -monitoring, review and development carried out in the care home. Other key standards were fully met at the last inspection. EVIDENCE: Records seen showed that registered provider has visited home visited monthly basis in order to monitor the care and services provided. They also showed that residents and staff are spoken to during such visits. This is to find out if the home is being run in a way that suits them and also meets their needs. Residents told the inspector that they were very happy with the way is being run. One resident said, “It is the best care home in Worthing”. The inspector learnt that a residents meeting is held every month. A resident who also arranges the agenda chairs it. This resident told the inspector that the manager is also invited to attend and residents’ views are listened to. Minutes seen showed that residents are given opportunities to talk about the Touchstones DS0000014800.V274542.R01.S.doc Version 5.1 Page 20 way the home is run and are able to give the manager ideas and suggestions to make improvements. For example residents are asked regularly for suggestions regarding activities and outings and also for menu suggestions. The manager has also conducted a satisfaction survey by asking residents to complete questionnaires about the way the care home is being run. A report has been produced to identify where the care home is working well and also where improvements are needed. However, the report did not include any evidence with regard to what action has been taken to address the improvements identified. It is recommended that, when the survey is conducted again, the report includes an action plan to confirm what will be done and by whom to make improvements with, where necessary, dates by which improvements should be made. Touchstones DS0000014800.V274542.R01.S.doc Version 5.1 Page 21 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 3 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 x ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 x STAFFING Standard No Score 31 x 32 x 33 x 34 x 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 x x x x LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 x 16 x 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 x x x x x 3 x x x x Touchstones DS0000014800.V274542.R01.S.doc Version 5.1 Page 22 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 YA1 Regulation 6 Requirement The registered person shall revise the statement of purpose and notify the Commission and any such revision within 28 days. Timescale for action 27/02/06 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 2 3 Refer to Standard YA18 YA35 YA36 Good Practice Recommendations It is recommended that care plans are amended to include specific direction to staff with regard to how identified care needs are to be met. It is recommended that all staff receive foundation training to Skills for Care specification within six months of appointment. It is recommended that staff supervision include helping them to translate the home’s philosophy and aims into their work with individual residents. Touchstones DS0000014800.V274542.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Worthing LO 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. Extracts may not be used or reproduced without the express permission of CSCI Touchstones DS0000014800.V274542.R01.S.doc Version 5.1 Page 24 - 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. 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