Inspection on 18/02/06 for Zacchaeus

This inspection was carried out on 18th February 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 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

Zacchaeus 28/10/06

Zacchaeus 09/09/05

Zacchaeus 16/12/04

Zacchaeus 12/07/04

Similar services:

Insight - Eastchurch

Southfields

Thorndene

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 Zacchaeus 37 Servite Close Bognor Regis West Sussex PO21 2DE Lead Inspector Mrs A Taggart Unannounced Inspection 18th February 2006 10:00 Zacchaeus DS0000014866.V283087.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 Zacchaeus DS0000014866.V283087.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. Zacchaeus DS0000014866.V283087.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Zacchaeus Address 37 Servite Close Bognor Regis West Sussex PO21 2DE 01243 828532 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) L`Arche (Registered Office) Mrs Hanna Lizakowska - Campkin Care Home 5 Category(ies) of Learning disability (5), Learning disability over registration, with number 65 years of age (0) of places Zacchaeus DS0000014866.V283087.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The total number of service users should not exceed five persons at any one time 9th September 2005 Date of last inspection Brief Description of the Service: Zacchaeus is a care home providing personal care and accommodation for five adults with learning difficulties. The home is one of three homes operated by the LArche organisation in West Sussex. The building is owned by The Servite Housing Association and consists of two adjoined semi-detached houses. There is a communal lounge, a dining room and a kitchen. Private accommodation for service users consists of five single bedrooms. The house is located in a cul-de-sac in a residential area of Bognor Regis, close to shops and other amenities. Zacchaeus was first registered with the previous registration authority in July 1989. The Responsible individual is Kathleen OGorman and the registered Manager is Mrs Hanna Lizakowska-Campkin. Zacchaeus DS0000014866.V283087.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced visit was carried out at 3pm in order to meet with residents who were out at day care. The inspector had visited the home during the previous week, but as it was the half-term week everyone was out for the day. During the visit, the inspector met with the four people currently living in the home and spent a longer time chatting to two of them. A tour of the premises was undertaken during which all communal and resident’s bedrooms were seen. Care plans, health records, menus and other documentation regarding the care of residents were seen, with any issues raised being discussed with the staff members on duty. The main meal of the day was being prepared and residents were having warm drinks and snacks on their return. The Registered manager was not present but the staff on duty were able to provide most documents and records except for staff recruitment files. No new staff have been recruited since the last visit, when all files were in good order. In the absence of the manager Kathleen Morrissey and Russell Snowden assisted with the visit. What the service does well: The home offers a warm, homely and comfortable environment for the people who live there. There is evidence of residents being given choice and being supported to be involved in decisions made about their lives. A wide range of community and educational opportunities are available and residents say they enjoy the food. Families and friends are made welcome and the residents say that staff are kind and friendly. Zacchaeus DS0000014866.V283087.R01.S.doc Version 5.1 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. Zacchaeus DS0000014866.V283087.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 Zacchaeus DS0000014866.V283087.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): 234 Prospective new residents have their needs assessed and are invited to visit the home in order to ensure it meets their needs and aspirations. EVIDENCE: There is currently a vacancy in the home and a prospective resident has undergone an assessment of their needs and has visited to meet with the people currently living in the home and to see the facilities available. The inspector had met with the prospective resident on a recent visit to another L’Arche home and the person had confirmed that they and their family had been given accessible information and had been invited to visit the homes and sample the L’Arche day care facility. A plan is in place for the person to now spend a week- end or short stay in the home in order to further ascertain if the home meets their needs. Zacchaeus DS0000014866.V283087.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): 6789 To ensure that their assessed needs are met, residents have a comprehensive plan of care in place and are supported in a way that provides opportunities for independence and participation. EVIDENCE: Each person living in the home has a comprehensive plan of care in place, which includes agreed goals for personal development. Many of the goals such as day care and leisure activities have been produced in a pictorial or symbols format so that people can see from day to day what they are doing. There is evidence that residents are involved in making decisions about their own lives and people confirmed that they were involved in choosing their activities and leisure pursuits. People take a share in the upkeep of their private rooms and the general running of the home and house meetings are held every week to discuss any issues or requests. One resident said that they liked cleaning their room and working in the garden. Zacchaeus DS0000014866.V283087.R01.S.doc Version 5.1 Page 10 There is evidence available to show that residents are supported to be as independent as possible and are provided with a level of personal care support in a way they wish it to be given. Risk assessments both personal and environmental are in place and are regularly reviewed. As good practice the care plan format should be reviewed to ensure that there is a place to easily identify monthly updates. Each person has a daily recording book in place, which gives a good overview of their needs and wishes and keeps the staff team informed of daily changes and developments. Zacchaeus DS0000014866.V283087.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): 11 12 13 14 15 16 17 The people living in the home are supported to engage in a variety of activities and pursuits and are part of their local community. Families and friends are made welcome and there is a range of fresh, healthy food available. EVIDENCE: Care plans; diaries and personal records show that the residents living in Zacchaeus are involved in a wide variety of educational and social activities including being involved in their local community. People confirmed that they attend day care facilities and colleges and all were cheerful and happy on their return home, saying that they had enjoyed their day. Examples of social activities available are pubs, clubs, eating out, visiting friends, week- ends and holidays both with the L’Arche group and families and going to shows or cinema. One person said they liked swimming best and during the visit some people were getting ready to go to a club. Zacchaeus DS0000014866.V283087.R01.S.doc Version 5.1 Page 12 Residents say that their rights are respected and they are made aware of their responsibilities through talking to staff members and being made aware of the house mandate, which identifies the rules for communal living. The main meal of the day was being prepared, which was freshly made meatballs and spaghetti with lots of fresh vegetables. A different person chooses the menu each day and the house has produced a pictorial menu book to give people new ideas. Records show that a variety of fresh, wholesome food is available and there was a large bowl of fruit in the dining room. When people are at day care facilities they usually take a packed lunch and are assisted to prepare it for themselves. One person needs a special diet and records show that this is catered for. Zacchaeus DS0000014866.V283087.R01.S.doc Version 5.1 Page 13 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 19 20 Residents receive personal care in an appropriate manner and the home involves a variety of healthcare professionals to ensure that physical and emotional needs are met. Medication is in good order but could be further improved. EVIDENCE: There is written evidence to show that residents are involved in deciding how their personal care will be provided and outcomes are recorded. There is evidence of the home being supported by a range of healthcare professionals including local doctors, the community learning disability team, psychiatrists and district nurses. Residents are supported to attend regular healthcare checks including chiropody and optician visits. All visits are recorded with outcomes detailed to inform the staff team of any changes. There is also evidence of the staff team being observant around resident’s changing healthcare needs and taking appropriate action. Zacchaeus DS0000014866.V283087.R01.S.doc Version 5.1 Page 14 The home has an agreement with a local pharmacy and a monitored dose system is in place. All staff members who administer medication receive training during their induction period and there is a list of medication handlers posted on the medication cabinet. Medication was found to be appropriately stored and records were in good order. A homely remedies policy is in place agreed by a G.P. To improve the system a format should be developed to ensure that signed records are kept of medication taken from the home for holidays and taken to day care facilities. Zacchaeus DS0000014866.V283087.R01.S.doc Version 5.1 Page 15 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 23 Residents can be confident that their views will be listened to and staff are aware of policies and procedures designed to protect vulnerable adults from abuse. EVIDENCE: There is an accessible version of the complaints procedure posted in the home and residents said that they would go to the manager if they had a concern. No formal complaints have been recorded since the last visit but smaller concerns and “grumbles” from residents have been recorded along with the actions taken to resolve the issues. During the last year a number of complaints had been made by residents about the behaviour displayed by one of their peers. This has now been suitably concluded in that the person has moved to more independent living. People said that the house was now “nice and quiet” and they were happy with that. All staff members receive training in the protection of vulnerable adults from abuse during their induction period and the people on duty were aware of their responsibilities should they suspect an abuse had taken place. The L’Arche organisation has produced a comprehensive policy and procedure manual with a clear flow chart showing levels of responsibility and a copy is held in the home. Zacchaeus DS0000014866.V283087.R01.S.doc Version 5.1 Page 16 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 26 28 30 The home provides a safe, warm and comfortable environment for the people who live there. Bedrooms have been personalised and are clean and hygienic. EVIDENCE: Communal areas are attractively furnished in a homely manner and have books, videos, music equipment and televisions in place and some of the resident’s art- work is displayed on the walls. The kitchen has recently been completely refurbished and both residents and staff members said they were really pleased with the change. Private bedrooms have been personalised to reflect the interests and hobbies of the people living there and are bright, cheerful and clean. One resident has recently been assisted in purchasing a new armchair for their room and another has a new carpet. People said they were very happy with their rooms and some people went up to listen to music or tidy up their rooms on their return home. The staff on duty said that funding had been agreed to replace some furniture and carpets and to ensure safety in the event of a fire, a magnetic closure has been fitted to the room of one resident who likes to keep their door open. Zacchaeus DS0000014866.V283087.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): 31 32 33 34 35 36 A competent, committed and well-trained staff team who are aware of their roles and responsibilities supports the residents in the home. EVIDENCE: All staff members receive a job description and undertake an induction and foundation training programme specifically designed to provide mandatory and additional training in the needs of adults with a learning disability. At the present time there is a stable staff team who are aware of the needs of the people they support and who have built up good relationships and networks with other L’Arche homes. Each staff member has training and development plan in place and examples of training undertaken include infection control, management of challenging behaviour, the history of learning disability and Makaton. As the manager was not available during this visit, staff files were not available but the staff on duty were able to confirm that no new staff had been recruited since the last visit, when all records were in good order. There was however, a list of Criminal Bureau Check numbers posted in the office and the inspector was also able to see a copy of staff training records. Zacchaeus DS0000014866.V283087.R01.S.doc Version 5.1 Page 18 Staff members confirmed that they received regular formal supervision from the manager relating to work issues and also all staff have access to individual supports systems within the organisation where they can air their views and concerns. Zacchaeus DS0000014866.V283087.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): 37 38 40 41 The home is run by a caring and committed manager in an open and inclusive manner. Records are in good order and there is a commitment to providing a safe environment. EVIDENCE: The Registered Manager was not available during the visit but both residents and staff members spoke highly of her and said she was caring and committed and ran the home in an open and inclusive manner. It was not possible to confirm if Mrs. Lizakowska- Campkin has as yet begun appropriate management training and this will be assessed at the next visit. Records for the running of the home were seen including insurance, fire equipment checks and training, health and safety and maintenance checks and electrical appliance testing. All were in good order and as recommended at the last visit, water temperatures are being recorded weekly and a magnetic closure has been fitted to the room of resident who likes to keep their door open. There is a full monthly health and safety audit carried out to ensure that the home is safe and that maintenance is up to date. Zacchaeus DS0000014866.V283087.R01.S.doc Version 5.1 Page 20 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 3 3 3 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 X 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 3 X x 3 3 X Zacchaeus DS0000014866.V283087.R01.S.doc Version 5.1 Page 21 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. 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 YA20 Good Practice Recommendations There should be complete and clear records of all medicines received, administered and leaving the home. Zacchaeus DS0000014866.V283087.R01.S.doc Version 5.1 Page 22 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 Zacchaeus DS0000014866.V283087.R01.S.doc Version 5.1 Page 23 - 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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