Care Home: St Martin`s House

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What the care home does well This home makes sure that it can meets peoples needs before they admit them to the home. People who are considering moving into the home can visit and stay overnight to help them make a decision. People are involved in planning their own care and are made aware of any restrictions imposed on them whilst living at the home. The people who live here are supported to live the lifestyle they choose and lead active lives. People are able to take part in the running of the home if they choose and are supported to prepare their own food should they wish. The owners are trained to be able to meet the needs of the people who live in the home. The management make sure that the home is run in the best interest of the people who live there. The health and safety of the people who live here are protected. What has improved since the last inspection? Since the last Inspection improvements have been made and requirements made have largely been met. Records in relation to the weekly fore alarm testing are now kept. The gas boilers and central heating systems have been serviced. The manager has achieved a further management qualification and now has a National Vocational Qualification (NVQ) Level 4 Registered Managers Award. What the care home could do better: To protect the people who live in the home from the risk of harm the owners must make sure that all portable electrical appliances e.g. electric kettle and television sets are tested to make sure they are safe to use and records kept. This is a requirement made at the last inspection that has not been met. CARE HOME ADULTS 18-65 St Martin`s House 3 Irvine Road Littlehampton West Sussex BN17 5LA Lead Inspector Elaine Green Unannounced Inspection 15th January 2009 11:00 St Martin`s House DS0000014737.V373562.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 St Martin`s House DS0000014737.V373562.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. St Martin`s House DS0000014737.V373562.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Martin`s House Address 3 Irvine Road Littlehampton West Sussex BN17 5LA 01903 716306 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) stmartinsresthome@yahoo.co.uk Mr Liam Connell Mrs Eileen Connell Mr Liam Connell Mrs Eileen Connell Care Home 3 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (3) of places St Martin`s House DS0000014737.V373562.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th December 2006 Brief Description of the Service: St Martins House is a Care Home for Younger Adults providing accommodation for up to three people in the category Mental Disorder. Two people are accommodated at present. Mr L and Mrs Eileen Connell privately own it. The home is located in Littlehampton close to the sea, shops and other local amenities. The home was opened in 1993 and is a large semi detached property with accommodation for service users on the first and second floors. The home has three single bedrooms each with its own sitting room. There is one bathroom and one shower room upstairs and another bathroom downstairs. There is a kitchen for residents’ use on the first floor. The furniture is individual and domestic in character. Fees are assessed on an individual basis and start from £330 per week. This fee includes all hotel costs. St Martin`s House DS0000014737.V373562.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An Unannounced visit was made to this home on the 15th January 2009. Before the visit to the home we looked at all the information we have received from the home since we made our last visit on the 7th December 2006. This information included an Annual Quality Assurance Assessment (AQAA) which is a document completed by the home. This document gives the home the opportunity to say what it does well and provide evidence of that. It also gives them the opportunity to say what they feel they could do better and what their future plans are, how it dealt with any complaints and concerns, any changes to how the home is run, the providers view of how well they care for people, the views of the people who live there, their relatives, staff and other professionals who visit the service. During the visit we talked to one of the people who live in the home and the owners, one of which is also the manager. We looked at information about the people who live in the home and how well their needs are met. We looked at other records that must be kept and checked that the owners had the skills, knowledge and training to meet the needs of the people they support and care for. We also looked around the building to make sure it was clean, safe and comfortable. We checked what improvements had been made since the last visit and before we left we told the manager of the home what we had found. What the service does well: What has improved since the last inspection? St Martin`s House DS0000014737.V373562.R01.S.doc Version 5.2 Page 6 Since the last Inspection improvements have been made and requirements made have largely been met. Records in relation to the weekly fore alarm testing are now kept. The gas boilers and central heating systems have been serviced. The manager has achieved a further management qualification and now has a National Vocational Qualification (NVQ) Level 4 Registered Managers Award. 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. St Martin`s House DS0000014737.V373562.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 St Martin`s House DS0000014737.V373562.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents needs are assessed and they are provided with the information they need to decide whether or not the home would be right for them. EVIDENCE: This home helps prospective residents to identify whether it is able to meet their needs and preferences. It has developed information to help them understand what specialist services the home can provide. This includes a service user guide and a statement of purpose and both of the residents who live in the home have been provided with a copy of these documents. Documents and records seen confirm that admissions are not made to the home until a full needs assessment has been undertaken. These assessments involve the person and their representative and other people who support them where appropriate. Records seen at the home show that they only offer a prospective resident a place at the home if they are confident that they have the skills, ability and qualifications to meet their assessed needs. The manager stated that additional training is provided to meet people needs when needed. Any person considering moving into the home is given the opportunity to spend time in the home including being able to stay over night. The manager St Martin`s House DS0000014737.V373562.R01.S.doc Version 5.2 Page 9 said she gives people information to help them understand how the home is organised and run and spends time with them to ensure that they are comfortable in their surroundings. On the day we visited the home one person spoke to us and confirmed that they had been able to stay over night at the home before they moved in and that they liked living at the home and wanted to stay there. Records confirmed that an assessment of this persons needs had taken place by their social worker before they moved into the home and that the home had obtained a copy of this. St Martin`s House DS0000014737.V373562.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people who live in this home make their own choices, are involved in decisions about their lives and play an active role in planning the care and support they receive. EVIDENCE: Records seen confirm that each person who lives in the home has a plan of care that they have agreed to. The people who live here are very independent and need minimal support and supervision and as a consequence the care plans are very brief but provide enough information regarding the needs of the residents. It is evident that the people who live here are supported to make choices and take risks. One resident was having a lie in when we visited the home and another was out in the local community. On their return to the home one person told us that they are able to come and go pretty much as they please and get up and go to bed when they want to. They also told us that there are St Martin`s House DS0000014737.V373562.R01.S.doc Version 5.2 Page 11 some restrictions imposed on them but that this was acceptable e.g. having to smoke on the balcony and not bringing alcohol into the home. People who live here have agreed to these restrictions and have signed documents to this affect. They also said that they get a lot of support from the owners to do the things they liked doing. One person told us that they felt they were ‘doing really well’ since they had moved into the home and that they felt a lot better in them selves. St Martin`s House DS0000014737.V373562.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live at this home are able to make choices about their lifestyle and supported to develop their life skills to live the life they choose. People are treated with dignity and respect and their privacy is protected. EVIDENCE: People who live here are supported to develop their skills, including social, emotional, communication and independent living skills. Individuals are supported to identify their goals and work to achieve them. People who live here have the opportunity to develop and maintain important personal and family relationships. One person spoke about their relationships and how they stay in touch with people who they care about. They said that they often met up with friends in the community or go and visit them where they live. They also told us they enjoyed walking a neighbour’s dog and that St Martin`s House DS0000014737.V373562.R01.S.doc Version 5.2 Page 13 they often join the owners and their family for meals when there are special occasions. The house calendar showed evidence of many events such as a party, shopping trips to Brighton, going to see a live band, regular trips to the cinema etc. The manager said that they are planning a holiday to France later this year. Most meals are prepared for the residents of the home by one of the owners and one person told us that they enjoyed these meals and had put weight on since they had moved here. Records seen confirm that a varied home cooked and nutritious diet is provided. The manager told us that one of the residents does enjoy cooking and that the owners support them to do so. Both residents have their own keys to the front door to the house and keys to their own rooms so that they can lock them should they wish to. They receive and open their own mail and the owners offer support when needed to help with benefits etc. Residents clean their own rooms with some support from the owners when needed. St Martin`s House DS0000014737.V373562.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care that people who live in the home receive is based on their individual needs. EVIDENCE: Personal health care needs are clearly recorded in each persons care. This makes sure that people are aware of what support they need and how this should be provided. Personal support is responsive to the individual needs and preferences of the people who live here. The owners respect privacy and dignity and are sensitive to peoples’ changing needs. People are supported and helped to be independent and can take responsibility for their personal care needs and the owners will prompt and encourage people when needed. Residents have access to health care services when needed and are supported to access them by the owners. Records seen included a clear record of medical appointments made to health care services such as peoples GP. This also includes a record of the outcome of the consultation and any treatment to be provided. St Martin`s House DS0000014737.V373562.R01.S.doc Version 5.2 Page 15 The home has an efficient medication policy supported by procedures and practice guidance, which the manager stated they would follow if either of the people living in the home were talking prescribed medication. Historic medication records seen were fully completed, contained the required entries, and were signed by the person who gave out the medication. Neither of the people currently living at the home are taking prescribed medication, however one of the people living at the home told us that before they lived here they had been prescribed medication that had made them feel ill and since living here they had been supported to visit their GP and come off this medication. St Martin`s House DS0000014737.V373562.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live in the home are able to express their concerns and have access to a robust, effective complaints procedure, are protected from abuse and have their rights protected. EVIDENCE: The home has a complaints procedure that is clearly written and easy to understand. The complaints procedure is supplied to both of the people living at the home and is also displayed in the entrance hall. One person who we asked told us that they understand how to make a complaint and are clear about what will happen if a complaint is made. Records show that the home keeps a full record of complaints, including details investigation and any actions taken. The policies and procedures for safeguarding adults are available in the home and give clear specific guidance to those using them. The owners of the home know when incidents need to be referred to the local authority. The home understands the procedures for safeguarding adults. Records show that training in safeguarding has been arranged by the Home for one of the owners later in the year. Other training is sought as and when needed to enable the owners to meet the needs of the people who live there. The owners have had the relevant identity and security checks. St Martin`s House DS0000014737.V373562.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home provides people who live here a safe environment that encourages independence. EVIDENCE: The owners’ accommodation is separate from the residents and is on the ground and lower ground floors. One of the owners showed us around the area of the home that the residents use and one of the people who lives here allowed us to see their own room. In addition to residents own rooms they have use of a lounge, a bathroom, a shower and a kitchen. Most of the rooms were clean and hygienic however some areas e.g. kitchen cupboards were visibly dirty. In addition to this the furniture and curtains in the lounge looked tired and it is recommended that the owners discuss this with the residents and consider replacing and updating the furniture and soft furnishings. The manager stated that the plans for improving the homes environment include the redecoration of the first floor hallway, refurbishment of the St Martin`s House DS0000014737.V373562.R01.S.doc Version 5.2 Page 18 residents’ kitchen and the redecoration of one of the residents’ rooms. They are also considering investing in solar panel heating. St Martin`s House DS0000014737.V373562.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes staff are trained, skilled and in sufficient numbers to support the people who live there, to support the smooth running of the service. EVIDENCE: This is a family run home and the owners provide the majority of the support required by the people who live here. On occasion another family member does help out. We found that all appropriate information and checks were in place to ensure vulnerable residents have been protected. This included criminal record checks (CRB). We looked at the training program that demonstrated the type of training the owners will receive over the coming months. Training that they will receive includes mandatory training that covers abuse awareness, fire safety and specialist knowledge in areas pertinent to the needs of the people who live in the home. St Martin`s House DS0000014737.V373562.R01.S.doc Version 5.2 Page 20 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This home is well managed and run in the best interest of the people who live here. EVIDENCE: The manager has the required qualifications and experience and is competent to run the home. Since the last inspection she has completed a National Vocation Qualification (NVQ) Level 4, Registered Managers Award. People are supported to manage their own money where possible and individuals have access to their records whenever they wish. Full individual records are kept of all money coming and being spent by the people who live here and they have their own bank accounts. St Martin`s House DS0000014737.V373562.R01.S.doc Version 5.2 Page 21 Regular meetings are held with the people who live in the home and these meetings are documented. Copies of minutes of these meetings were seen confirming that they take place and that the issues discussed are relevant to the people who live here. One of the people who lives here stated that they felt listened to and said they felt they could talk to the owners and felt able to raise issues if they needed to. Certificates relating to the health and safety were seen e.g. certificate of inspection of fire fighting equipment confirming that peoples health and safety is largely protected, however the owners must make sure that all portable electrical appliances used by the residents e.g. kettles, fridge, television set etc are checked and that this is documented. Weekly fire alarm tests are now completed and records seen confirm this. The resident we spoke to felt that their views were taken seriously and the manger stated that they seek feedback from the residents on a regular basis in order to make sure they are running the home in the residents best interest. St Martin`s House DS0000014737.V373562.R01.S.doc Version 5.2 Page 22 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 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 3 3 X 3 x LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X 3 3 3 X 3 X X 3 X St Martin`s House DS0000014737.V373562.R01.S.doc Version 5.2 Page 23 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA42 Regulation 13 Timescale for action To protect the people who live in 30/06/09 the home from the risk of harm the owners must make sure that all portable electrical appliances e.g. electric kettle and television sets are tested to make sure they are safe to use and records kept. This is a requirement made at the last inspection that has not been met. Requirement 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 YA24 Good Practice Recommendations It is recommended that to improve the environment for the residents that the owners consult with the residents in relation to the furniture and soft furnishings in the lounge and consider updating and replacing them. St Martin`s House DS0000014737.V373562.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 St Martin`s House DS0000014737.V373562.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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