Inspection on 28/05/08 for Faith House

This is the latest available inspection report for this service, carried out on 28th May 2008.

CSCI found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Faith House 24/02/06

Faith House 11/07/05

Faith House 10/03/05

Faith House 19/08/04

Faith House 18/02/04

Faith House 21/08/03

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Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOME ADULTS 18-65 Faith House 21/23 Redwood Close Canterbury Kent CT2 7TH Lead Inspector Christine Lawrence Unannounced Inspection 28 and 29 May 2008 16:00 Faith House DS0000023414.V363379.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 Faith House DS0000023414.V363379.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. Faith House DS0000023414.V363379.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Faith House Address 21/23 Redwood Close Canterbury Kent CT2 7TH 01227 459133 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) jprenn@fsmail.net L’Arche (Kent) Mr John Renn Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Faith House DS0000023414.V363379.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4 October 2006 Annual Service Review 20 December 2007 Brief Description of the Service: Faith House is a care home providing personal care and accommodation for 5 people. It is operated by L’Arche, a UK charity, which is part of an International Federation of communities for people with learning disabilities. Faith House is owned by Sanctuary Housing. The home is located close to Canterbury city centre with all of its amenities. The home was opened in 1981 and comprises of houses joined together to form one large house. All the residents have single rooms. There is an open garden at the front and an enclosed garden to the rear. Some of the staff are permanent but others come from many different countries to be part of the community within the home and within the area for a specific period of time. Staff and residents are known as Members of the community, some of who are Core Members. Information about the home, including the last inspection report, will be made available on request. Information about the home, including the last inspection report, will be made available on request. Information provided by the manager states the current weekly fees are between £460.00 and £570.00. Faith House DS0000023414.V363379.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The inspection visit was notified to the home the day before to ensure that there would be someone available and started at 16:00 on the first day, until 17:30 and between 15:00 and 18:00 on the second day. We (the Commission for Social Care Inspection, CSCI) looked at various records in the home and also used information sent to us by the manager before the visit. This was the Annual Quality Assurance Assessment (AQAA). Information from the previous inspection was also referred to as well as an Annual Service Review. We observed the residents who live at the home, noting how they reacted to staff and how relaxed and comfortable they were within the home. A tour of the building was undertaken and this included some residents’ rooms. We made observations of staff interacting with, and supporting residents. We spoke to staff including the manager and staff on duty. We also chatted with some of the people who live at Faith House. What the service does well: What has improved since the last inspection? What they could do better: There are no requirements from this inspection but the manager has identified within the AQAA the following for improvement:- install a downstairs shower room; more focussed allocation of staff within the rota; review all risk assessments and try to encourage residents to be even more involved in their own care; try and provide opportunities for different activities; plan some redecoration and replacement of furnishings; and delegate and share different responsibilities within the staff team. Please contact the provider for advice of actions taken in response to this Faith House DS0000023414.V363379.R01.S.doc Version 5.2 Page 6 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. Faith House DS0000023414.V363379.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 Faith House DS0000023414.V363379.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 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Prospective residents’ individual aspirations and needs will be assessed. EVIDENCE: We looked at the records for the most recently admitted resident. It was clear from the information available that the home gathers information about residents’ needs and their wishes. This includes information from the placing authority, from any previous place that someone was living and with family where appropriate. Faith House DS0000023414.V363379.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents can be confident that their changing needs will be noted in their individual plans and that they will be supported to make decisions and take risks to enable as independent lifestyle as possible. EVIDENCE: We spoke to two residents who confirmed that they were aware of their care plans and felt they were a part of writing them and that they were listened to about what they wanted. Care plans include pictures and diagrams, making it easy for residents to be involved. The plans were reviewed. The reviews used information from the monthly summaries to make sure that things were up to date. One resident indicated their awareness of and involvement in their care planning. There were examples of people making decisions and choices and this included small things like not wanting to do things around the house, or choosing to go to one’s own room rather than being together with everyone else, as well as Faith House DS0000023414.V363379.R01.S.doc Version 5.2 Page 10 more important things like not wanting to go away on holiday or not wanting to attend a workshop. All residents need a degree of support with managing their finances but this is done on an individual basis according to people’s individual abilities. One resident said she likes to go shopping every week. Another resident is quite independent regarding money. The care plans contained risk assessments where appropriate about some aspects of residents’ lives. They were individual and clearly were aimed at enabling residents to do things as safely as possible rather than preventing them from doing things. Faith House DS0000023414.V363379.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Activities and involvement in the local community, as well as support for personal relationships will be provided for residents. They will benefit from having a healthy diet. EVIDENCE: Residents live full lives based on their wishes and abilities. L’Arche has its own workshops which residents attend and one person goes to the local day opportunities centre. The home is close to the city centre, which residents use for shopping and socializing. Residents are supported to attend a religious establishment of their choice and one person currently does this. Residents are supported to maintain contact with families and friends and they are also supported to make new relationships and friendships. Family members are invited to meals and social occasions at the home. Faith House DS0000023414.V363379.R01.S.doc Version 5.2 Page 12 Residents’ rooms are considered to be private and we saw staff knock on doors before entering. Mail for everyone in the house is put into individual slots and residents’ preference for how they like to be addressed is known and respected. We saw that staff were chatting to residents when they were there, not just to each other and we also saw that residents chose to be in their rooms on their own if they wished. Everybody is encouraged to do as much of their own domestic chores as they are able and willing and people are also involved in communal chores. One of the residents has a cat, which everyone seems to enjoy. The record of food seen showed that meals are varied and the manager, John Renn said that this is an area that has been improved over the last year. The dining table is large enough for everyone to sit together and mealtimes are very much a sociable occasion. Faith House DS0000023414.V363379.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents are protected by the home’s policies and procedures regarding medication and their physical and emotional needs will be responded to. Their preferences and requirements for support are respected. EVIDENCE: There are clear guidelines about how much support individuals need with personal care and this is based on personal preferences as well as their needs. Independence is encouraged as much as possible and privacy is considered very important. One member of staff said that you must always remember that this is their home and you must be respectful. There are male and female staff so same gender care or support can be provided. The residents are individual in their style and choice of clothing, reflecting their own personality. John Renn has identified that one resident who is limited in his communication needs further help to make choices about clothes. The individual records show that residents’ health care needs are identified and responded to. Health care professionals are used by residents both routinely and as required. There are only two people who currently take any medication Faith House DS0000023414.V363379.R01.S.doc Version 5.2 Page 14 and neither of them is able to manage their own medication. The medication storage and administration is satisfactory for the current needs within the home. Faith House DS0000023414.V363379.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents’ views are listened to or ascertained, and acted on. There are systems in place to protect residents from abuse. EVIDENCE: There is a complaints policy and procedure in place. Residents spoken to were clear about who they should speak to if they were unhappy about anything. Two of the residents also represent the house at meetings of the larger L’Arche community. There are weekly staff meetings and this is another way that residents views can be expressed ie through their key worker or a member of staff they feel close to. There are posters on display with pictures of relevant people to contact and how to do that. Staff have adult protection training within their initial induction. There are policies in place relating to disclosure of abuse and bad practice (whistle blowing) and management of residents’ finances and valuables. Faith House DS0000023414.V363379.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents benefit from living in a home which is homely and comfortable as well as clean and hygienic. EVIDENCE: The house is suitable for its purpose and is located close to the city centre, giving residents access to local amenities. The house is comfortable and homely and we were informed that any maintenance is carried out by both Sanctuary Housing (external, central heating and structure) and L’Arche Kent for all other items. Nothing unsafe was noted at this visit. The house is very much in keeping with the local community. The rear garden is used by residents in fine weather and for growing plants if they wish. One resident is currently growing sunflowers. The furnishings and décor are ‘domestic’ in style and residents’ rooms are individual and reflect the choices and personalities of the people living there. One resident said “…I’m very satisfied with my room and everything is there…” and another resident confirmed that she was happy with her room. Faith House DS0000023414.V363379.R01.S.doc Version 5.2 Page 17 The laundry is satisfactory and staff have received training in infection control. The home was clean and fresh at the time of this inspection. Faith House DS0000023414.V363379.R01.S.doc Version 5.2 Page 18 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, 34, 35 and 36 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Sound recruitment procedures and training already provided and training planned, will have a beneficial impact on residents. Residents will benefit from being supported by staff who are appropriately supervised EVIDENCE: Two staff currently have national vocational qualifications (NVQs) and we were informed that more is planned for other staff. Observations made during this inspection reflected that staff are approachable and responsive to residents. The manager has identified that the written information for staff regarding duties etc needs to be reviewed. We looked at the records for two staff and they showed that the recruitment procedure includes application forms, references, criminal record bureau checks (and also police checks from the staff member’s country of origin if appropriate) and terms and conditions of employment. The organization operates and equal opportunities policy. L’Arche (Kent) has a programme of training, from induction through to manager’s qualifications. This includes mandatory training. The records reflect that supervision and appraisals take place and the manager said that residents are encouraged to give their input to appraisals. Faith House DS0000023414.V363379.R01.S.doc Version 5.2 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents benefit from a well run home and their health and safety is promoted and protected. EVIDENCE: The registered manager is competent and experienced. He has recently updated his adult protection training as required from his ‘fit person’ interview for registration. He has many years experience of management. He has reorganized the office and filing to make things more effective. He is looking at delegating some of the administrative work to give some staff more responsibility and to ensure he spends sufficient time with residents. Faith House DS0000023414.V363379.R01.S.doc Version 5.2 Page 20 There is an annual development plan for the home and as noted under Standard 22 there are lots of ways that residents’ views are sought and responded to. Health and safety training is provided to staff and there are policies and procedures in place relating to a range of health and safety aspects of providing the service at Faith House. A check on some of the maintenance/service contracts showed that these are up to date and appropriate. The manager works with the housing association to ensure that things are appropriate and up to date. The home has three stars from the local authority environmental officer regarding food safety. Faith House DS0000023414.V363379.R01.S.doc Version 5.2 Page 21 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 3 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 3 3 X 3 X 3 X X 3 X Faith House DS0000023414.V363379.R01.S.doc Version 5.2 Page 22 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Faith House DS0000023414.V363379.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Maidstone Office 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. 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