Inspection on 13/11/09 for Magenta

This is the latest available inspection report for this service, carried out on 13th November 2009.

CQC found this care home to be providing an Excellent 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

Magenta 09/09/05

Magenta 01/06/05

Magenta 20/10/04

Magenta 24/06/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

Greenacres

Extracts from inspection reports are licensed from CQC, this page was updated on 16/02/2010.

Key inspection report Care homes for adults (18-65 years) Name: Address: Magenta 31 St John`s Church Road Folkestone Kent CT19 5BH     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Geoffrey Senior     Date: 1 3 1 1 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 25 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) 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 25 Information about the care home Name of care home: Address: Magenta 31 St John`s Church Road Folkestone Kent CT19 5BH 01303254904 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: amy_proactive@hotmail.co.uk Blythson Ltd care home 3 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 3 The registered person may provide the following category of service only: Care home only - PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - LD Date of last inspection Brief description of the care home Magenta is a residential home providing care and proactive support for three people with a learning disability and challenging behaviour. The registered provider is Blythson Ltd. Magenta is a large, late Victorian town house situated close to Folkestone town centre and local amenities. It provides spacious and tastefully decorated accommodation. There are three large bedrooms, a spacious lounge, a dining room, breakfast room and kitchen. The service users participate in a wide range of meaningful activities. The home maintains a consistent and positive approach to the management of challenging Care Homes for Adults (18-65 years) Page 4 of 25 3 Over 65 0 Brief description of the care home behaviour. The weekly fees range between£1,500 and £1,860 and are based on the assessed needs of the service users. Care Homes for Adults (18-65 years) Page 5 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This report takes into account information gathered since the last key inspection on 08.02.2007 and includes a visit to the home. The visit to the service was an unannounced key Inspection which took place over one day. We arrived at 2.00 pm on 13.11.2009 and stayed for about three hours. The homes Registered Manager, members of staff on duty and the 3 service users were involved in the inspection. We received the homes annual quality assurance assessment, known as an AQAA for short on the day of the visit. This is a document that all homes have to send us once a year to tell us how they think they are meeting the national standards, how they have improved in the previous year, what they aim to do and lets us know when they have completed important environmental safety checks. At the time of the visit there were 3 service users living at the home. We observed how Care Homes for Adults (18-65 years) Page 6 of 25 staff interacted with service users during the day when offering care support and had discussions with the manager and the staff on duty. The service users invited us to attend the house meeting to see how things are discussed, planned and decided. We found out about the way the service users individual support plans and risk assessments are agreed and recorded. We also looked at and discussed the training records and quality assurance arrangements. Care Homes for Adults (18-65 years) Page 7 of 25 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 25 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Written information is made available to people interested in living at the home. The information is also available in Widget format to make it easier to read and understand and be more meaningful to the individual. Admissions are based on thorough assessments and detailed support plans. Evidence: We talked to the manager about what happens when she is contacted by, or on behalf of, people who are interested in living at the home. She told us that although they have not had any new placements in recent years there is a clear admissions procedure that is followed. Upon receipt of an enquiry the prospective service users and their current carers are provided with the homes statement of purpose, a brochure and the service users guide. People may visit the home before moving in, to meet the service users who already Care Homes for Adults (18-65 years) Page 10 of 25 Evidence: live there and the staff. They may also have a look around the house and find out about the lifestyle and routines they can expect to experience at the home. We were told that care managers are asked to provide profiles and assessments of the service user which, together with the homes own assessments, help to form the homes plan of care and support. We spoke with two of the service users who said that they were happy living at the home. One said that he had lived there a long time and did not feel there was anything that could be improved. He said that he had been given enough information about the home to decide if it was the right place for him. We saw one service users contract of residence. There were two versions, one was typewritten and one was in widget format so that it is more meaningful for him and he can understand. It makes clear the responsibilities and expectations of both parties as well as his rights as a resident and a civilian. . Care Homes for Adults (18-65 years) Page 11 of 25 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users benefit from having their own plan of care that shows their assessed needs and wishes. Staff and service users work together to make sure these are met. Service users are encouraged and supported to make their own choices and decisions. They are supported to take reasonable risks and develop their life experiences Evidence: Each person has their own support plan file that tells staff about them, what support they need and how they like to receive it. We were told that staff have had training in how to help people express their personal goals and aspirations and put support plans together in a way that reflects this. One of the service users we spoke with told us that he had talked with staff about becoming more independent and what sort of support he needs to achieve this. He said that he had been able to say the things he Care Homes for Adults (18-65 years) Page 12 of 25 Evidence: wanted and the things he did not need or want and this had been written in his support plan. He also said that he had been helped to understand his responsibilities and things he needed to do when living as part of a group in one house. He spoke about things that had been put in place to help him manage his own behaviour and the rewards he hopes to achieve as a result. We saw that service user files contain a lot of information that is that is important to the individual and for the staff to know about. These include the individuals daily routines, what they need reminding about, where they need encouragement and what they need support with. The manager told us that she holds weekly review meetings with each service user to make sure the support plans remain relevant and on track. She also said that they have individual health plans to monitor, record and review the persons well being. The support plans also cover culture and religion so that any related things are known and plans put in place to make sure that persons wishes are respected. The support plans record where service users have been supported to make decisions about their lives and what has been agreed to keep them safe. Risk assessments have been undertaken and recorded. The manager told us that risk assessments are in place to support people to do things rather than as a reason to stop them. Whilst talking to the service users we asked if they are able to make decisions and express their preferences on a day to day basis. We were told that they can have their say in everything that affects their daily lives. Care Homes for Adults (18-65 years) Page 13 of 25 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can do occupational and social things that interest them. People are helped to keep in touch with family and friends. They can spend their days as they wish. People have a choice of good quality meals Evidence: Communication between the staff and service users was easy going and informal. Differing forms of communication were used so that everyone was included in the interactions and could communicate their opinions and choices. Staff told us that people were active in the home and were always out and about doing things that interest them. There are various activities scheduled for inside and outside the house. A planner is used so that people know who is doing what and the levels of support that are needed. One service user told us about his individual activity plans that he organizes together with the staff. There is a mixture of work related activity and Care Homes for Adults (18-65 years) Page 14 of 25 Evidence: leisure pursuits. He described how his behavioural support plan was having a positive impact on his lifestyle and improving both his opportunities and his self esteem. We were invited to attend the house meeting and it was evident that this plays a significant part in helping the house to run harmoniously. Ideas were put forward, points discussed and decisions made. Where there was conflict of opinion or interest, compromises were made to the satisfaction of all present. In addition to the daily and weekly activities, the service users also have the opportunity to go on Personal Development courses and continental holidays. People are helped to keep in touch with members of their family. Family and friends are welcome to call and service users may ring home when they wish. We were told that staff also contact service users family and tell them how things are going. The home also asks them for their comments and opinions whenever a review is due or when there are any changes in circumstances. The service users have all lived at the home for some time and the staff have got to know their food preferences and dislikes. One service user confirmed that the food is good and they always have plenty to eat. Support workers do most of the cooking but everyone is encouraged to do their bit to help. Everyone helps with the weekly shop for provisions. There is a weekly menu plan but this can be changed if people want something different. We saw choices being made for the evening take away meal and although guidance was offered the final choice lay with the service user. Care Homes for Adults (18-65 years) Page 15 of 25 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users are supported and encouraged by staff to make sure that their personal and health care needs are met. They can be confident that staff will listen and try to understand their needs, however diverse, and that everything will be done to make sure they are met. They benefit from a safe system of medication administration and storage. Evidence: The home has conducted personal and health care assessments and have clear support plans based on the identified needs. The staff confirmed that they have clear guidelines on the maintenance of privacy and dignity when offering support. Specialist support is used when necessary and recommendation from these sources is followed. The management systems monitor individuals well being and update how health care needs are being met. They are discussed at handovers and meetings to inform staff of any necessary changes. We looked at the storage arrangements and records for medication. These were satisfactory and up to date. New and improved storage facilities have been purchased and are in place and in use. Staff who are involved with medication receive training and have their competency assessed by the provider. We were told that risk Care Homes for Adults (18-65 years) Page 16 of 25 Evidence: assessments indicate that none of the current service users group can manage their own medication. Care Homes for Adults (18-65 years) Page 17 of 25 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users are supported to make a complaint or express a concern. The management and staff make sure that any concerns are listened to and sorted out. Systems are in place to protect service users from the risk of harm. Evidence: The home has a written complaints procedure that is available to service users, staff, family and visitors. There are copies in symbol and Makaton format that can be explained to the service users when they first arrive if necessary. Service users are observed for any indication that they are unhappy, worried or have any concerns. The service users and staff we spoke with said that they knew about the complaint procedure and how to raise a concern if they were not happy. Staff said that they would seek to resolve any thing that caused distress to the service user and try to reassure them. Staff have received training in the protection of vulnerable adults and were clear in their explanation of what they would do if they had any cause for complaint or concern. The AQAA told us there have been no complaints or safeguarding issues in the last 12 months. Care Homes for Adults (18-65 years) Page 18 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users benefit from living in a home that is well maintained, clean and comfortably furnished. The furnishings and layout provide a homely environment Evidence: The house is a homely place and appears clean and tidy. There is little to indicate that it is a registered care home either inside or out. Fixtures, fittings and flooring is kept in good condition. Service users have their own room that is furnished according to their needs and preferences. We were invited to look at some of the rooms and saw that they had been personalised to reflect the individuals interests and lifestyle. One service user told us about the things he had chosen for his room as well as the colours. He was happy to have his own private space and a key to the door. Service users can access all areas of the house without restriction. The enclosed garden is well maintained and has equipment for leisure and relaxation. Each year the organisation holds a garden and christmas decoration competition. All the homes take part. Care Homes for Adults (18-65 years) Page 19 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users can be assured that there will be sufficient staff on duty at all times to support them and that they are competent and properly trained. The homes recruitment procedure protect the service users from the risk of harm. Evidence: The homes recruitment procedure includes the completion of safety and identity checks required for care homes. New staff have an induction and probation period, overseen by the management, until they are deemed competent to work unsupervised. Staff we spoke with were clear about their role and responsibilities and said that staffing levels may often be increased so that there are enough staff available to support people to do different things. They said that they enjoyed working at the home and morale is high. A good range of training is available to staff. We looked at the records and saw that training is arranged to meet the needs of the individuals in the home. Person centred support and communication skills have been identified as needing to play an important part in the training programme. We were also informed that, of the four support staff, three have attained NVQ to at least level 2. Staff meetings are held to discuss what is going well and what needs to be improved. Staff have one to one supervision sessions with the providers or the manager to discuss and appraise personal development and performance. Care Homes for Adults (18-65 years) Page 20 of 25 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users benefit from living in a well managed home where their best interests are safeguarded and their health, safety and welfare are promoted and protected. Service users can be confident that their views are listened to and affect any changes introduced in the home for their benefit. Evidence: The manager has several years experience working and managing services in residential care settings. She is registered with us as Manager. This means that we are satisfied that she has the right qualifications, experience and necessary skills to run the home. Her training includes the recent completion of a course in Applied Behavioural Analysis and her knowledge has been put to use in shaping the service provided and the way support is delivered. The open door style of leadership encourages a good level of consultation and communication.The staff spoken with said that they feel valued and that they, and the service users, as far as possible, are consulted and have the opportunity to be Care Homes for Adults (18-65 years) Page 21 of 25 Evidence: involved in the daily running of the home and planning individual lifestyles. There are regular staff and service user meetings to discuss matters as they arise. The directors are in regular and frequent contact through formal and informal visits and have put in place a number of measures designed to audit the service delivery and maximise efficiency and quality. The AQAA indicated that the safety and maintenance checks are satisfactory and up to date. The manager confirmed that repairs and reparation are carried out without delay. Care Homes for Adults (18-65 years) Page 22 of 25 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 23 of 25 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 24 of 25 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 25 of 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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