Inspection on 16/01/06 for 1 Marten Road

This inspection was carried out on 16th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

1 Marten Road 30/05/07

1 Marten Road 20/09/05

1 Marten Road 24/11/04

1 Marten Road 07/07/04

1 Marten Road 18/11/03

Similar services:

Daubeney House

Three Gables

Aldwick House

49 Glendale

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 1 Marten Road Folkestone Kent CT20 2JR Lead Inspector Joseph Harris Announced Inspection 16th January 2006 10:00 DS0000023760.V268151.R01.S.doc Version 5.0 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 DS0000023760.V268151.R01.S.doc Version 5.0 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. DS0000023760.V268151.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 1 Marten Road Address Folkestone Kent CT20 2JR 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) 01303 220126 01303 275775 marten.road@unitedresponse.org.uk None United Response Mr Michael Peter Coppin Care Home 6 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (6) of places DS0000023760.V268151.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th September 2005 Brief Description of the Service: 1 Marten Road is a 6-bedded home supporting people with mental health problems in Folkestone. The service is set in a residential area of the town approximately ¾ mile from the main shopping area, which has a good range of shops, facilities and resources. There are good public transport links easily accessible for service users. The home is managed by United Response, which is a national charitable organisation specialising in residential mental health care and learning disabilities. The home is set over four floors and the premises are well decorated providing a good range of space for service users including two main communal areas. All bedrooms are single occupancy. There is an attractive garden to the rear of the home containing an outbuilding that has converted into a games room. DS0000023760.V268151.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place on the 16th January 2006 and lasted for around 6 hours. During the course of the visit time was spent with a number of the service users discussing issues about the home such as the environment, staff support and activities amongst other things. Discussions were also held with the registered manager and staff on duty. A trainee social worker was also on a placement in the home and feedback was gained regarding her impressions of the service. Comment cards and satisfaction questionnaires were returned as part of the inspection process all of which provided positive feedback about the service. A tour of the premises was carried out viewing communal areas and some service user’s rooms. A range of documentation was viewed including service user plans, staff personnel files and health and safety records. What the service does well: The home provides a supportive environment enabling service users to make choices about their lives and assisting people to gain greater levels of independence. One service user stated that, “I enjoy living here, but I do want to live in my own flat” another resident commented that “the staff are very good; they support me”. The home enables people to take responsible risks, but provides support where necessary. “ I like to go out on my own” said one service user. The organisation provides staff with good support and staff development opportunities with NVQ targets being met and a range of additional courses being available. There is an experienced and motivated staff team who demonstrate a very good understanding of individual needs and wider mental health issues. There is also a positive ethos in the home recognising the input of all members of the home’s community and encouraging individual responsibilities. Staff files were also well maintained demonstrating good recruitment practices. Service user plans are well developed providing good, clear guidance for staff and assessing risks positively. Staff support residents to maintain and develop daily living skills. The environment is well maintained with good quality furnishing and fittings throughout. Areas of the home have been recently redecorated and the home responds to any maintenance issues promptly. DS0000023760.V268151.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. DS0000023760.V268151.R01.S.doc Version 5.0 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 DS0000023760.V268151.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 3. Prospective service users needs and aspirations are assessed and the service ensures that these can be met. EVIDENCE: The home ensures that the needs, risks and aspirations relating to prospective service users are clearly assessed at the point of referral to the service. Further information is gathered throughout the referral process by spending time with the individual during the trial visits to the home. The majority of service users and all recent referrals have care managers and are subject to the Care Management Approach. The home ensures that care plans, risk assessments and other relevant information is provided. Documentation relating to the most recent referral was examined, which provided a reasonable level of background information. The registered manager explained that there will be a graded introduction to the home from short visits to overnight stays. During this period the staff will be able to further assess needs and risks as the prospective service user decides whether he wishes to move into the home. The home is well equipped to support people with a range of mental health problems. Collectively, there is an experienced staff team who are supported by good training and staff development from the organisation. Good links have been established with community mental health professionals including the Consultant Psychiatrist and Community Psychiatric Nurses. The home supports service users to make informed choices and there is information available about advocacy services. DS0000023760.V268151.R01.S.doc Version 5.0 Page 9 DS0000023760.V268151.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 8 and 10. Each service user has an individual plan of care. Residents are consulted and contribute to the daily running of the home. Information is kept confidentially. EVIDENCE: Support plans are developed for all service users addressing the needs of each individual in good detail. The plans focus on the support needs of the residents with the emphasis on developing greater levels of independence and empowerment. Plans set out in good detail the actions required by staff and the individual concerned to work towards those goals. There are good systems of review in place ensuring that all plans are updated on a regular basis. Service users are involved in the planning of their support and the on going monitoring of the plans as far as possible. Any restrictions on choice or freedom are clearly documented and rationalised. There is a good culture of participation in the daily running of the home and staff ensure that service users are consulted on a regular basis. Each resident is encouraged to take an active role in the home with household chores and gardening, etc. Information and documentation are held securely and staff address issues of confidentiality through the induction process. The home has adequate policies DS0000023760.V268151.R01.S.doc Version 5.0 Page 11 and procedures in this regard. There is also an open access to records policy for service users. DS0000023760.V268151.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 16 and 17. Service users have opportunities for personal development and rights and responsibilities are recognised. A healthy, balanced diet is offered. EVIDENCE: Service users are assisted to work towards improved levels of independence and empowerment. This includes enabling individuals to maintain and develop life skills through planned goal setting and structured support, which are detailed in service user plans. Residents have opportunities to fulfil their spiritual needs with the home employing a holistic approach to care planning. Staff work on a 1:1 basis with residents, providing structured key time on a daily basis, supporting them to take greater control over their lives. The staff in the home are respectful of the rights of each resident and observe their privacy. Service users are encouraged and supported to take control of their lives with staff promoting informed choices within reasonable boundaries. Residents are encouraged to organise their own days, choosing when to spend time alone or in the company of others. All service users have keys to the home and have access to all communal areas of the house. Staff work closely with residents throughout the day, interacting socially and providing support. All service users are expected to take an active role in the running of the home DS0000023760.V268151.R01.S.doc Version 5.0 Page 13 with regard to household chores and other activities depending on assessed needs, interests and current mental health. The home ensures that all service users have a healthy, balanced diet with the majority of residents being given a weekly food budget, purchasing their own food items with support as required and cooking/preparing their own meals. The home provides a cooked meal daily and there is a good range of food and drinks available at all times. Menu records are kept to ensure that nutritional needs are monitored. Residents have their own locked food cupboards and access to kitchen facilities enabling people to choose what, when and where to eat. There is a comfortable dining room with adequate space and meal times are considered an important part of the social day. DS0000023760.V268151.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 and 20. Personal support is provided sensitively and medication systems are adequate. EVIDENCE: In general, the service users in the home are capable of managing their own personal care needs requiring only encouragement and, at times, minimal support. Where staff need to support an individual with personal care the guidelines for this input is clearly documented and staff develop good relationships with residents ensuring that they are aware of personal preferences. In addition to this all service users are able to clearly state the support that they feel they need and the ways in which staff should assist them. Service users are supported to attend GP and other medical appointments, but are encouraged to be as independent as possible in this regard. The home’s medication systems and storage facilities are adequate for the needs of the service. Clear policies and procedures are in place and medication administration records were clear, well maintained and up to date. Storage facilities are adequate, although there is no facility for the storage of any controlled drugs. Medication was stored in an organised fashion, was clearly labelled and well kept. Staff administering medication have all received adequate training and have a good knowledge of the drugs in use. DS0000023760.V268151.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 Service users are protected from forms of abuse. EVIDENCE: The home has comprehensive policies and procedures relating to issues of abuse and adult protection. This is also addressed through the induction programme and some staff have undertaken short courses about adult protection issues. Staff demonstrated a sound knowledge base of the processes for reporting and recording allegations and incidents of abuse. DS0000023760.V268151.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 28 and 30. The home is suitable for the needs of the residents. There is a good range of communal space and the environment is clean and hygienic. EVIDENCE: The home is located in a residential area of Folkestone close to the town centre. All bedrooms are single occupancy and there is a good range of communal space including a comfortable lounge, a large dining/quiet room, a games room and a further meeting room on the top floor. The environment is well maintained and is updated and redecorated as required. There are adequate numbers of toilets and bathrooms throughout the building. The kitchen is well-appointed and spacious enabling service users and staff to prepare meals. There is a large and attractive garden to the rear of the home containing a converted garage, which is now used as a games room with a small snooker table and a table tennis table. The home was clean and hygienic at the time of the inspection and there are policies and procedures in place to ensure the control of infection. Staff also address these issues through the induction process. The laundry facilities are adequate for the needs of the home. DS0000023760.V268151.R01.S.doc Version 5.0 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33 and 34. There is a competent and qualified staff team providing support at all times. There are adequate recruitment practices in place. EVIDENCE: The staff in the home and the organisation continue to work positively towards NVQ achievement with over 50 of the current staff team having gained at least a level 2 qualification or equivalent. There is an experienced staff team in place who know the resident group well and have a good understanding of mental health needs in general. The staffing numbers in the home are fairly flexible depending on the activities or appointments arranged on any given day. 1 staff member sleeps-in at night and during the daytime there is a minimum of 2 staff on duty. The staff rota was accurate at the time of the visit. A number of staff files were viewed at random all of which contained the required information to ensure safe recruitment practices. References and CRB/Pova checks have been obtained. Records of supervision and training are also kept on file along with completed application forms and proof of identity. DS0000023760.V268151.R01.S.doc Version 5.0 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 and 42. The home is well run and the registered manager is working towards his NVQ 4/RMA. The health, safety and welfare of service users and staff is promoted. EVIDENCE: The registered manager has been in post for a number of years and has a good deal of experience working with people with mental health problems. He has established a good team of staff and is supported by a deputy manager. The organisation also supports the home well through the line management structure. The registered manager has enrolled on an NVQ level 4/Registered Managers Award and continues to work towards this qualification. Refer to recommendation 1. All documentation relating to health and safety issues were well maintained, up to date and complete. Fire and accident records are in place and routinely completed. All other health and safety information is also completed and monitored. Safety certificates for all services were in place. The home ensures safe working practices through clear policies and procedures and training for staff. DS0000023760.V268151.R01.S.doc Version 5.0 Page 19 DS0000023760.V268151.R01.S.doc Version 5.0 Page 20 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 4 X X Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X 4 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X 3 3 X 3 LIFESTYLES Standard No Score 11 3 12 X 13 X 14 X 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 3 3 X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X 3 X Standard No 37 38 39 40 41 42 43 Score 2 X X X X 3 X DS0000023760.V268151.R01.S.doc Version 5.0 Page 21 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. 1 Refer to Standard YA37 Good Practice Recommendations The registered manager to continue to work towards his NVQ 4/RMA. DS0000023760.V268151.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU National Enquiry Line: 0845 015 0120 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 DS0000023760.V268151.R01.S.doc Version 5.0 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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