Care Home: 5 Ellasdale Road

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What the care home does well The home is designed around the individual needs of the people living there. Staff are well trained and there is always enough to meet the needs of people in the home. The home is clean and homely. Paperwork is up to date and the home is well run. What has improved since the last inspection? More paperwork is produced in a way that makes it easier for the people living here to understand. The training programme has improved. They have reviewed the questionnaires sent to residents and relatives. What the care home could do better: No requirements were made as a result of this inspection. The home tells us in their AQAA the improvements they would like to make. Key inspection report Care homes for adults (18-65 years) Name: Address: 5 Ellasdale Road 5 Ellasdale Road Bognor Regis West Sussex PO21 2SG     The quality rating for this care home is:   two star good 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: Liz Palmer     Date: 0 6 0 8 2 0 0 9 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 24 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) 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. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 24 Information about the care home Name of care home: Address: 5 Ellasdale Road 5 Ellasdale Road Bognor Regis West Sussex PO21 2SG 01243865459 F/P01243865459 christ.foster@sact.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Sussex Autistic Community Trust (Care Services) Ltd care home 6 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 6. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD). Date of last inspection Brief description of the care home 5 Ellasdale Road is a care home, which is registered to provide personal care for up to six service users in the category learning disability who are between the ages of 18 to 65 years of age. The service has been set up to provide care and accommodation for younger adults with autistic spectrum disorders. It is a semi- detached property, which has been extended and adapted for its current use, and is located in the town of Bognor Regis. The property is a three storey building providing private accommodation to service users in six single bedrooms located on the first and second floors. Communal accommodation is made up of two lounges and a dining room located on the ground floor. An enclosed garden, which is available to service users, is located to Care Homes for Adults (18-65 years) Page 4 of 24 Over 65 0 6 Brief description of the care home the rear of the premises. The registered provider of this service is Sussex Autistic Community Trust (SACT). The Responsible Individual acting on behalf of the organisation is Mrs Jean Rose. Ms Alex Reeve is the registered manager and is responsible for the day to day running of the care home. Care Homes for Adults (18-65 years) Page 5 of 24 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: two star good 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 took four hours, starting at 11.00am. The acting manager of the home assisted with the inspection. One resident and one staff member were briefly met as they were on their out. During the inspection we looked around the home, looked at care plans, medication and finance records, sampled policies and used the homes Annual Quality Assurance Assessment (AQAA) and the last report to help make our judgements about the home. Care Homes for Adults (18-65 years) Page 6 of 24 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 7 of 24 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 8 of 24 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 who use the service can be assured that their individual needs and aspirations would be assessed prior to moving to the home. Evidence: One new service user has moved in to the home since the last inspection. Paperwork relating to their assessment process was looked at. The assessment process was found to be long and detailed. All relevant parties were involved, for example, care managers, family members, doctors and key people at the persons previous home. The homes robust transition and admission policy was seen to be followed. This included pre-assessment meetings involving all relevant parties and visits o the home to enable the person to sample the service. Records showed that visits were also made to the day centre the person would attend to enable them to become familiar with this setting too. A good liaison was evident between the home and the persons current home, ensuring a smooth transition. Care Homes for Adults (18-65 years) Page 9 of 24 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. The care planning process ensures that people who use the service have individual care plans and risk assessments that are detailed and clear. People are able to making choices about how they lead their lives. Evidence: Three care plans were looked at. These plans were person centred and specific in the detail. They were clear, detailed and kept under regular review. There was evidence that people who use the service are involved in this process, as are their relatives, care managers and other relevant professionals. Information such as important relationships, likes and dislikes and how to support individuals are written in the plans. Communication needs are detailed for individuals to ensure that those supporting them can understand their needs and wishes. There are behavioural support plans in place, for those who need them. These include triggers, proactive strategies and specific actions which focus on dignity and respect. Also included in the care plans are Care Homes for Adults (18-65 years) Page 10 of 24 Evidence: emotional and health needs and evidence of concerns being followed up was seen. People who use the service are supported to take risks within a framework that includes written risk assessments which were seen to be detailed and regularly reviewed. Risk assessments are drawn up on an individual basis and the emphasis on independence and positive outcomes supports people to achieve their goals and aspirations. Care Homes for Adults (18-65 years) Page 11 of 24 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. People who use the service are supported to access a range of educational, social and community activities. Healthy and varied meals are provided with the preferences of people who use the service taken into account. Evidence: Three care plans were looked at. They showed evidence that people are supported to make choices about their daily life and how they spend their time. Details of supporting people to make choices each day are recorded and are different for each individual. Records showed that service users are supported to access a range of activities, based on their individual preferences, needs and choices. Care plans detail peoples preferences and their regular activities, such as visits from their family. Each person has a structured daily timetable which sets out their activities. This structure is important to the people living here. Pictorial versions of the timetable were seen in Care Homes for Adults (18-65 years) Page 12 of 24 Evidence: peoples bedrooms. These are used daily to reassure people about the plans for each day. Evidence was seen to show that people are supported to do the things they like and pursue their hobbies. People are supported to use the local shops and amenities. Evidence in care plans showed that people are supported to keep in touch with their families, individual arrangements are in place for this. Healthy and varied meals are provided and people are supported to be involved with the cooking. Details of specific dietary needs and any individual needs and preferences are recorded in care plans. Care Homes for Adults (18-65 years) Page 13 of 24 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are supported to maintain their health and receive personal care in a way that meets their individual needs and preferences. They are protected by the homes policies and procedures for storing, recording and administering medication. Evidence: The individual needs and preferences of people regarding their health and personal care were seen to be recorded in their care plans. Care plans and daily reports show that people get the support they need and that staff respond to any indication that the persons health or well being is negatively effected. Evidence in care plans shows that emotional and psychological needs are considered individually with details of any triggers and precise instructions for staff on how to respond to given situations. Their was evidence that privacy is respected and all records were seen to be written in a respectful manner. Each person is supported to maintain their health and well being by being registered with a local General Practitioner (GP), opticians and dentist. Support is given to attend appointments and records are kept of this. Staff have read and signed the organisations medication policy. Records showed that Care Homes for Adults (18-65 years) Page 14 of 24 Evidence: all staff have received training on the safe administration of medication and competency tests have been carried out. Medication is stored in lockable cabinets in peoples bedrooms and there is clear guidance for staff about administration. The recording system was sampled and no errors or omissions were found. Care Homes for Adults (18-65 years) Page 15 of 24 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. The home has a clear complaints procedure and people are protected by the policy and procedures relating to safeguarding. Evidence: An new easy read complaints policy was seen displayed in peoples bedrooms. Clear guidelines for managing complaints within given timescales were seen. The complaints records were looked at and concerns and complaints raised by relatives were seen to to be responded to in a timely and suitable manner, according to the homes procedure. One email seen showed that the person was happy with the homes response to a concern they had raised. Staff are trained in procedures for safeguarding adults, thee are currently no ongoing safeguarding issues. Care Homes for Adults (18-65 years) Page 16 of 24 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 who use the service have a clean and safe environment which is designed to meet their individual and collective needs. Evidence: During the inspection the kitchen, two lounges, office, one bathroom and three bedrooms were seen. Communal areas are uncluttered which suits the needs of the people living here. Bedrooms were personalised according to the individual tastes and needs of residents with their own personal items. Two bedroom doors which were noted as fire doors were seen to be wedged open. The manager agreed to take advice from West Sussex Fire and Rescue as to the safety aspect of this. The AQAA states that extremely robust monthly Health and Safety Audits are conducted within the home. They cover every aspect of Health and Safety within the home including Fire checks, water checks (including Legionellas) and all aspects of maintenance. These are carried out on a weekly basis and quarterly basis Care Homes for Adults (18-65 years) Page 17 of 24 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A trained and competent and staff team ensures the smooth running of the service. Evidence: In their AQAA the home tells us that 50 of the staff have their NVQ level 2. All staff who are successful in their probation have the opportunity to enrol on an NVQ 3 which is offered to them through SACTs own NVQ Assessment Centre. The AQAA also tells us that all new employees are expected to complete Autism specific Induction modules of which there are 5 in total. Alongside these modules staff complete the Common Induction Standards. Evidence of this was seen on the four staff files looked at. We also saw evidence of mandatory training, such as, Health and Safety, Manual Handling, Fire, Food Hygiene and First Aid. Two staff were noted to be due an update on their First Aid training. Two new staff have been employed at the home since the last inspection and their files were seen to contain all the required documentation, including, an application form, two written references and a Criminal Record Bureau check. The homes AQAA tells us that a thorough interview of staff is undertaken and a second interview takes place in the home so that residents can be involved in this process. Three weeks of rotas were looked at. They showed that four staff work each shift and two work at night; one asleep, one awake. Staff also attend the day centre with Care Homes for Adults (18-65 years) Page 18 of 24 Evidence: residents to provide continuity. The AQAA tells us there is an annual appraisal process and a system to ensure that staff receive regular, one to one, supervision with their line manager. Records seen confirmed this. Care Homes for Adults (18-65 years) Page 19 of 24 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well run in the best interests of those who live there. Evidence: Ms Alex Reeves is the registered manager of the home. She is not currently working in the home every day and an acting manager has been appointed to take responsibility for the day to day running of the home. Ms Reeves oversees this and has other management responsibilities within the company. The acting manager, who is not registered with us, has completed her NVQ level 4 and is planning to undertake the Registered Managers Award. The home continues to be well run with the best interests of the people living there at the heaet of all decision making. This was evident from the care plans, daily reports and policies looked at during the inspection. Regulation 26 monitoring visits take place, ne took place during the inspection. In their AQAA they tell us that they consult and communicate effectively with parents and external professionals and have received excellent feedback from both groups of people. The home undertakes its own quality assurance on a two weekly basis. In their AQAA Care Homes for Adults (18-65 years) Page 20 of 24 Evidence: they are clear about how they would like to improve in the future. Care Homes for Adults (18-65 years) Page 21 of 24 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 22 of 24 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 23 of 24 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 24 of 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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