Care Home: 166 Tarring Road

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What the care home does well People are receiving support in the environment of a family home in whcih they are receiving levels of one to one support which are maximising their opportunities to develop their life skils. This is also providing a consistent level of care and support. People living in the home are fully supported to make their own decisions and to influence how their care and support is being provided. The home is well managed to ensure that consistent care is provided, and that people are supported in being a valued member of the community. What has improved since the last inspection? People continue to be supported to develop their life skills and to be supported emotionally to overcome day to day challenges. What the care home could do better: No requirements were made at this visit. Key inspection report Care homes for adults (18-65 years) Name: Address: 166 Tarring Road 166 Tarring Road Worthing West Sussex BN11 4HG     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Edward McLeod     Date: 0 6 0 4 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 25 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 25 Information about the care home Name of care home: Address: 166 Tarring Road 166 Tarring Road Worthing West Sussex BN11 4HG 01903208110 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mrs Helen O`Mahony Name of registered manager (if applicable) Mrs Helen O`Mahony Type of registration: Number of places registered: care home 2 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users to be accommodated is 2 The registered person may provide the following category of service only: Care home only (PC) to service users of the following gender: Either whose primary care needs on admission to the service are within the following category : Learning disability (LD) Date of last inspection Brief description of the care home 166 Tarring Road is a care home registered to provide personal care and accommodation for two people with a learning disability, although only one person is accommodated. It is in a residential area of Worthing, West Sussex and within walking distance of the town centre with all of its amenities. The premises consist of a three storey end of terrace house with a small rear garden. The owner lives on the premises and the person accommodated has her own room and lives as part of the family. Fees are 1335 pounds per month. The provider advises that the service provides practical Care Homes for Adults (18-65 years) Page 4 of 25 Over 65 0 2 Brief description of the care home support and advice for the one person accommodated, and does not plan to offer the service to others. Care Homes for Adults (18-65 years) Page 5 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The inspection visit was arranged to update our assessment of the homes compliance with the key national minimum standards for Care Homes for Adults (18-65). In preparation for our visit we looked at all the information that we have received or asked for since the last key inspection and this has included: - The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. - Surveys returned to us by people using the service. - The previous key inspection and annual service reviews. Care Homes for Adults (18-65 years) Page 6 of 25 - Relevant information from other organisations and what other people have told us about the service. The visit was undertaken at four p.m. on 6th April 2010 by one inspector, who was on the premises for one and a half hours. At the visit we spoke with the provider and the person receiving a service. We sampled care and health care records and staff recruitment and training records. Records relating to complaints and health and safety were also sampled. Care Homes for Adults (18-65 years) Page 7 of 25 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 25 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they or people close to them have been involved in. Evidence: We are told in the AQAA that there have been no new admissions in past 12 months, and that Mrs OMahony does not plan to offer the service to any new service users in the future. A Care Quality Commission (CQC) survey form which was completed and returned by the service user tells us that they were asked if they wanted to move into this home and that they received enough information about the home so they could decide if it was the right place for them before they moved in. The AQAA tells us that the one service user accomodated is funded by a local authority, and has a copy of the agreement specifying the arrangements made. Care Homes for Adults (18-65 years) Page 10 of 25 Evidence: At our visit we have found that the assessment of the needs of the person accomodated has continued to be updated. Care Homes for Adults (18-65 years) Page 11 of 25 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in all aspects of life in the home. This is because they are offered opportunities to participate in the day to day running of the home and enable them to influence key decisions. Evidence: At our visit we found that risk assessments which form part of the care plan are in place. We also found that regular reviews are being carried out by the placing Care Homes for Adults (18-65 years) Page 12 of 25 Evidence: authority and records of these reviews were sampled. Reviews sampled indicated that the service user is well-settled in the placement and continues to benefit from Mrs OMahonys support. At our visit we found the service user to be more self-confident than at the previous visit, which indicates that the support received is helping them to develop and extend their skills. We spoke with a social worker who had recently visited the home to review the care provided and who advised us that they believe that very good care is being provided. The CQC survey form completed and returned by the service user tells us that they usually make the decisions about what they do each day, and that the provider always listens to them and acts on what they say. We found that people are receiving care in the relaxed environment of a family home, and have consistent levels of one to one support which maximise their opportunities to develop their life skills. Care Homes for Adults (18-65 years) Page 13 of 25 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in adtivities that are appropriate to their age and culture and are part of their local commmunity. The care home supports them to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected. People have healthy meals and snacks, and have opportunites to develop thier social, emotional, communication and independent living skills. This is because the home supports their personal development. People choose and participate in suitable leisure activities. Care Homes for Adults (18-65 years) Page 14 of 25 Evidence: The CQC survey form completed and returned by the service user tells us that they do what they want to do during the day, in the evening, and at the weekend, and that the home makes me feel secure. The AQAA tells us that the service user enjoys going out with friends, and takes independent holidays with them. We talked with the service user about their interests and they told us that they regularly attend things they enjoy such as bingo, going to pubs with friends, and taking part in social clubs and sports clubs. The service user continues to develop thier skills, for example by attending a literary skills course at a local college, and by regularly practising computer skills on their computer at home. The service user is supported to practise their religion, and the AQAA tells us they belong to a local church and sing in the choir. We found that people living in the home are supported to make good use of facilities in the local community and to enjoy an active lifestyle. The service user told us they are being supported to maintain contact with their family - for example, earlier on the day of our visit they had been to visit their mother. We looked at records for meals provided in the home, and the service user told us they enjoyed the meals in the home. Menus seen and discussion with the service user indicated that a healthy diet and food that the service user enjoys is being provided. Care Homes for Adults (18-65 years) Page 15 of 25 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met. If people take medicine they manage it themsleves if they can. If they cannot manage their medicine the home supports them with it in a safe way. Evidence: We are told in the AQAA that the service user has become relatively independent in self care, and this was evident from talking with the service user who had just completed some food shopping without prompting. The provider tells us in the AQAA that my individual approach enables the service user to be involved in making decisions on a day to day basis and maintain (their) daily living skills. The provider tells us in the AQAA about how the service users emotional health needs are met, for example we discuss imprtant things that happen in the service users life Care Homes for Adults (18-65 years) Page 16 of 25 Evidence: every day. If she hits a big problem during the day she can come home and talk it out with me. This helps her control her temper in situations which annoy her. The CQC survey form completed and returned by the service user tells us that personal support is always done very well. We found that people in the home are receiving a consistent level of individualised care and support which they contribute to and which ensures their physical and emotional health needs are met. The service user is accessing the medical support they are in need of, such as an annual health check and appointments with opticians and dentists. Support is being provided for them for the safe administration of medicines. Care Homes for Adults (18-65 years) Page 17 of 25 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. If people have concerns about their care they or people close to them know how to complain. Their concern is look into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. Evidence: The CQC survey form completed and returned by the service user tells us that they have someone to speak to if they are not happy, and they know how to make a complaint. We looked at the complaints record, and noted that no complaints had been recorded since our previous visit. The service user has been provided with a personal alarm, and is supported by the provider to talk through situations that have occurred in their day to day life - which has helped them develop a better sense of safety balanced with acceptable risks. Support is given to assist the service user manage their finances, and we sampled records held for this. Care Homes for Adults (18-65 years) Page 18 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. Evidence: At our visit we noted that the premises are being well maintained, and are comfortable and homely. We found the areas we visited in the home to be clean and furnishings and decoration were found to be of a good standard. The service user has a bedroom which reflects their interests and independent lifestyle, for example there is a television, music system and computer. The CQC survey form completed and returned by the service user tells us that the home is always fresh and clean. Care Homes for Adults (18-65 years) Page 19 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have safe and appropriate support as there are enough competent and trained staff on duty at all times. They have confidence in the staff because checks have been done to make sure that they are suitable. Peoples needs are met by appropriately trained staff. Evidence: The provider tells us in the AQAA of the arrangements in place so that in the event of her illness care and support would be provided by appropriate persons. At our visit we found that CRB checks had been obtained for the provider and for the person who would provide relief care if needed. We found that Mrs OMahony has continued to update her knowledge and skills, and recent certificates for having undertaken training in health and safety, risk assessment, and food hygiene awareness were seen. Mrs OMahony told us she would be updating her first aid certificate in June 2010. The CQC survey form completed and returned by the service user tells us they are always treated well. Care Homes for Adults (18-65 years) Page 20 of 25 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have confidence in the care home because is is run and managed appropriately. Peoples opinions are central to how the home develops so that the home has appropriate ways of making sure they continue to get things right. The environment is safe for people because health and safety practices are carried out. Evidence: The provider has a lot of experience in caring for people with a learning disability and in managing a business. In the AQAA Mrs OMahony tells us that I operate in a manner which is supportive yet structured for the service user. Training certificates seen indicated that Mrs OMahony has continued to update her knowledge and skills. Care Homes for Adults (18-65 years) Page 21 of 25 Evidence: The home is well managed and the provider is ensuring that people receive consistent care and continue to develop their life skills. While speaking to Mrs OMahony and the service user we noted that they are ease and relaxed in each others company, and there was therefore a good atmosphere in the home. In the CQC survey form we received the service user tells us that Ive been in this home for nearly 23 years and Im very happy here. We are told in the AQAA by Mrs OMahony that my whole service revolves around providing practical support and advice for my one service user. A feature of the individualised service provided is the extent to which the service users suggestions and preferences are followed and supported. We found from records provided that fire alarm tests done every month. Mrs OMahony told us that the service user had described to her what she would do in the case of fire. At our visit we also looked at records for medicines and menus, and a log of significant events, appointments and discussions with the service user. The AQAA advises us of the most recent services, inspections or tests carried out on fire equipment, the heating system, and gas appliances. The AQAA tells us that there are arrangements in place for preventing and managing the spread of infection. The home has a current insurance certificate which is designed for nursing homes and care homes. Care Homes for Adults (18-65 years) Page 22 of 25 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 23 of 25 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 24 of 25 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 25 of 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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