Care Home: 4 Burnham Avenue

Similar services:

• Thorndene
• Insight - Eastchurch
• Southfields
• Magenta
• Seabourne House
• 33 St John`s Church Road
• Dovedale Court
• Lyncol House

What the care home does well What has improved since the last inspection? A registered manager is now in place and two new support workers have been employed. The first floor bathroom has been refitted and includes a radiator cover. The kitchen has been refitted and decorated. The recommendation that staffing levels be reviewed has occurred and staff do not smoke in the main part of the home. What the care home could do better: Consideration should be given to covering radiators following risk assessment. CARE HOME ADULTS 18-65 4 Burnham Avenue Bognor Regis West Sussex PO21 2LB Lead Inspector Mrs S Gawley Unannounced Inspection 30th April 2007 09:00 4 Burnham Avenue DS0000014309.V331833.R01.S.doc Version 5.2 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 4 Burnham Avenue DS0000014309.V331833.R01.S.doc Version 5.2 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. 4 Burnham Avenue DS0000014309.V331833.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 4 Burnham Avenue Address Bognor Regis West Sussex PO21 2LB 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) 01243 868073 burnham.avenue@unitedresponse.org.uk www.unitedresponse.org.uk United Response Mr Ian Alexander Higgins Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 4 Burnham Avenue DS0000014309.V331833.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Up to 5 male and/or female persons in the category LD-persons aged 18-65 years with learning disabilities may be admitted/accommodated. 7th October 2005 Date of last inspection Brief Description of the Service: Burnham Avenue provides care and accommodation for up to five people with a learning difficulty between the ages of 18 and 65. It is a three-storey end of terrace house in a residential area of Bognor Regis and is close to shops and other facilities in the town including public transport. Residents are accommodated on the first and second floor. There is no lift. There is a lounge, dining room laundry, kitchen and a conservatory. There are two bathrooms. The home has a small rear garden which is easily accessible and well looked after. The Fees range from £766 to £917 4 Burnham Avenue DS0000014309.V331833.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This site visit as part of the inspection process was undertaken on Monday 30th April 2007. The home was also visited the next day to view some recruitment files, which were not available on the 30th. The registered manager was met on this occasion. Prior to the inspection a review was made of the files held by the Commission. This included an analysis of a Pre Inspection Questionnaire and various policies returned by the registered manager. One survey was received from a relative that stated, “Staff offer every guidance and support”. This relative was spoken to on the telephone and she confirmed that she had every confidence in the home. During the inspection all of the residents were spoken to either in private or communal areas. The residents were involved in the inspection process. A discussion was held with the staff member in charge and various records were inspected. The registered manager post, which was vacant on the last inspection, is now filled. The home had a relaxed and friendly atmosphere, all residents were spoken to. Cooperation was observed in the preparation of and serving of the evening meal. What the service does well: It was obvious from observation the residents and staff have good relationships. Residents are listened to and included in the running of the home. Residents confirmed that they are listened to and offered advice, support and encouragement. Residents have good accommodation. They have their own rooms, are provided with keys and choose their own décor and furnishings. Locked cabinets are provided for those wishing to self medicate. The policies, procedures and records are well kept and safely stored. 4 Burnham Avenue DS0000014309.V331833.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. 4 Burnham Avenue DS0000014309.V331833.R01.S.doc Version 5.2 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 4 Burnham Avenue DS0000014309.V331833.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 The needs of prospective residents are assessed Quality in this outcome area is excellent People who use this service experience excellent outcomes in this area, as they can be sure their needs are met following comprehensive needs assessment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There was evidence of full assessment prior to admission with the involvement of the residents as well as their health and social care professionals and family. This included support needed, educational and training needs risk assessment, cultural and spiritual needs, specific conditions and input required, communication and compatibility with others in the home. Emergency admissions are not made to the home. The statement of purpose supplied with the Pre Inspection Questionnaire is clear that the overall ethos of the home is not compromised by any admission and clearly states that the aim is to meet individual needs on an ongoing basis. 4 Burnham Avenue DS0000014309.V331833.R01.S.doc Version 5.2 Page 9 Following this assessment a care plan is put in place to address these needs. Decisions on choice and freedom are agreed with the residents and are recorded. Therapeutic needs are listed, as is contact with family. One resident spoken to stated that prior to admission she came and looked at the home, then spent a night was aware of her assessment of needs and her care plan. 4 Burnham Avenue DS0000014309.V331833.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 The residents know assessed and changing needs and personal goals are reflected in the individual Plan and that they can make decisions about life. The resident is supported to take risks as part of an independent lifestyle. Quality in this outcome area is good People who use this service experience good outcomes in this area, as they can be sure that they are involved in assessment of changing needs and life decisions. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There was evidence in the care plans of those case tracked of full assessment and the residents involvement in making decisions. Residents are free to come and go as they wish and those requiring support to go on training or educational trips receive that support. Two extra support workers have been employed to facilitate this. Care plans record the likelihood of aggressive behaviour and identify strategies for managing this. 4 Burnham Avenue DS0000014309.V331833.R01.S.doc Version 5.2 Page 11 Documentation in the plan is in a format that the residents will understand with visual and pictorial backup. Residents make decision about their own lives. The two residents case tracked showed their training folders and the employment educational opportunities they are involved in. This includes Gateway Programmes in photography and horse riding. There is evidence of regular review and residents receive a weekly support meeting. It was observed on the site visit and the brief visit the following day that the staff involve residents in decisions and offer the support they need. One survey received states that the staff offer every guidance and support. residents are supported to manage their own finances where possible and comprehensive records are kept of this listing all cash and bank account transactions. There is evidence of risk assessment in the care plans and staff encourage the residents to undertake tasks with independence. 4 Burnham Avenue DS0000014309.V331833.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17 Residents are supported to take part in appropriate local activities. They maintain family links and the home routines promote independence. Varied and nutritious diet is available. Quality in this outcome area is excellent People who use this service experience excellent outcomes in this area, as they can be sure they can maintain appropriate and fulfilling life styles. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Recreational and education activities were listed in the Pre Inspection Questionnaire sent to the commission prior to the site visit. These included colleges attended, garden projects, Gateway projects, swimming, swim aerobics, social clubs, discos, yoga, shopping jobs and work experience. A symbol system display board in the dining room confirmed these activities and kept everyone informed on the activities on any given day. 4 Burnham Avenue DS0000014309.V331833.R01.S.doc Version 5.2 Page 13 The two residents case tracked were spoken to and they discussed the various jobs activities they attended which included work at a garden centre, horse riding and photography through the Gateway programme. An extra support worker has been employed for 12 hours per week to support one resident on his gateway programme. Training folders also listed these activities. Another resident spoken to talked about her jobs and her freedom to come and go as she wishes. A relatives survey received stated that the home communicates with her always. Her son visits her at home for one week every second month. Notes were seen in one residents file on her contact with her sister. There is a policy in place on sexuality and relationships and it supports education and choice. A menu was provided with the Pre Inspection Questionnaire, which showed variety and choice. The evening meal was observed being prepared and served. The residents and staff member cooperated in this activity and the atmosphere was relaxed. There was evidence of choice. 4 Burnham Avenue DS0000014309.V331833.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Residents receive the personal, physical and emotional support they require. They can retain and administer medication if they choose. Quality in this outcome area is excellent People who use this service experience excellent outcomes in this area, as they can be sure staff will provide sensitive support when needed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staff member spoken to stated that receive a weekly support meeting to discuss ongoing needs and support. Evidence of this was seen recorded in the care plans. Residents case tracked on discussion confirmed this. There are not any residents at present requiring high levels of intimate care and residents are prompted if necessary on personal hygiene and appearance. One resident is helped to apply cream. Residents spoken to stated that staff help and support them in their daily lives. Records of medical, dental, chiropodist or community nursing team appointments were seen recorded. Health action 4 Burnham Avenue DS0000014309.V331833.R01.S.doc Version 5.2 Page 15 plans are being completed with the support of the Community Nursing teams to help all residents express health needs. One relative survey received stated that the home always gives the support and care needed to the resident. Privacy and dignity is respected and staff do not enter rooms without requesting it or receiving an invitation. There is a medication policy in place, which supports independence. Medicines are stored appropriately and records are kept of receipt, storage, administration and disposal. Medicine administration charts inspected were up to date. One resident administers some of her medication and she showed her locked cabinet in her room and the prompt sheet she uses. She confirmed that staff ask if she has had her medication. 4 Burnham Avenue DS0000014309.V331833.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Residents feel their views are listened to and that they are protected from abuse Quality in this outcome area is good People who use this service experience good outcomes in this area, as they can be sure they are listened to and protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During the inspection process staff were seen talking to and listening to the opinions of the residents. Residents spoken to stated that they felt their opinions were sought and that they were listened to. They felt they would be able to complain. They said they would go straight to the staff if there was a problem. PIQs received from a mother stated that never had occasion to make a complaint. There are policies and procedures in place for the reporting and responding to abuse. Adult protection training is in place and evidence of this was seen in the staff files. 4 Burnham Avenue DS0000014309.V331833.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Residents live in a homely, comfortable and clean environment. Quality in this outcome area is good People who use this service experience excellent outcomes in this area, as they can be sure their surroundings are comfortable and clean. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is clean, comfortable and homely in nature. It has a lounge, dining room, conservatory, an accessible well-kept garden and kitchen and laundry facilities. All residents have their own bedrooms, which are fitted with wash-hand basins. They are comfortably furnished with good lighting, ventilation and are individualised. Residents are encouraged to choose their own furnishings. All rooms are fitted with locks and lockable cabinets are supplied for those who wish to self medicate. 4 Burnham Avenue DS0000014309.V331833.R01.S.doc Version 5.2 Page 18 There is a toilet and two bathrooms all of which are fitted with suitable locks. All residents are able to get about independently and do not require aids or adaptations to the premises. The home was clean and hygienic throughout with no unpleasant odours. 4 Burnham Avenue DS0000014309.V331833.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,54,35 The resident’s needs are met by appropriately trained staff and they are supported by competent, qualified and trained staff. Recruitment procedures ensure residents safety. Quality in this outcome area is good People who use this service experience GOOD outcomes in this area, as they can be sure suitable staff are on duty at all times. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff spoken to were clear about the aims and values of the home and understood the policies and procedures of the home. From observation it was seen that staff had a good relationship with residents, which was supportive and enabled them to make choices and to be independent. This included involving the residents in the inspection process. Staffing rota inspected showed adequate numbers of staff on duty to meet resident’s needs. This rota is displayed on the symbol system board so residents can tell who is on duty. Two extra support workers have been 4 Burnham Avenue DS0000014309.V331833.R01.S.doc Version 5.2 Page 20 employed to help with weekly activities and weekend duties. Staff turnover is low. Three staff has attained National Vocational Qualifications Level 3. Two staff were doing National Vocational Qualifications Level 2. There is a common induction programme, which is relevant to the workplace, and evidence of competence must be signed off. All mandatory training is flagged up at organisational level and staff are written to with attendance dates. Two such letters were seen on inspection. Staff files were inspected and thy contained all the required documentation. Evidence of induction and training was seen. A PIQs received from a mother stated that she has every confidence in the staff. This mother was spoken to and she confirmed that she found staff caring and efficient. 4 Burnham Avenue DS0000014309.V331833.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Residents benefit from a well run home and are Residents are confident their views taken into consideration by the home. The health, safety and welfare of service users are promoted and protected. Quality in this outcome area is good People who use this service experience good outcomes in this area, as they can be sure This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a registered manager at the home and residents and staff spoken to all expressed satisfaction in the way the home is run. Staff and residents confirmed that there are weekly house meetings where issues can be raised 4 Burnham Avenue DS0000014309.V331833.R01.S.doc Version 5.2 Page 22 and resolved. One resident is involved in a project aimed at soliciting information from people who use the service at an organisational level. The home has introduced a questionnaire in order to obtain feedback from those with knowledge of the home. From discussion with the manager, it is intended that this will include agency staff, other professionals and relatives of the residents. Health and safety policies and procedures are in place and staff demonstrated an awareness of these. There is annual maintenance of all utilities and equipment and records are held. Water temperatures are tested weekly. There are monthly hazard inspections and fire drills. Policies and procedures are in place and these are regularly reviewed and updated on an organisational level. Staff have access to these documents and sign to say that they have read them. There is a common induction programme, which is relevant to the workplace, and evidence of competence must be signed off. Training offered includes manual handling and fire safety. Evidence of this training was seen in staff files and in a letter sent to a staff member. All records are held securely and are up to date. 4 Burnham Avenue DS0000014309.V331833.R01.S.doc Version 5.2 Page 23 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 4 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 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 3 X LIFESTYLES Standard No Score 11 4 12 4 13 X 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 X 3 X 3 X X 3 X 4 Burnham Avenue DS0000014309.V331833.R01.S.doc Version 5.2 Page 24 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. 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 YA42 Good Practice Recommendations Following risk assessment to give consideration to installing radiator covers. 4 Burnham Avenue DS0000014309.V331833.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 4 Burnham Avenue DS0000014309.V331833.R01.S.doc Version 5.2 Page 26 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!