Inspection on 20/09/05 for 1 Marten Road

This inspection was carried out on 20th September 2005.

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 16/01/06

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 1 Marten Road Folkestone Kent CT20 2JR Lead Inspector Joseph Harris Unannounced 20/09/05 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 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 Stationary 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. 1 Marten Road H56-H05 S23760 1 Marten Road V244994 200905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 1 Marten Road Address 1 Marten Road, Folkestone Kent CT20 2JR Telephone number Fax number Email 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@united response United Response Mr Michael Peter Coppin Registered Care Home 6 Category(ies) of Mental Disability registration, with number of places 1 Marten Road H56-H05 S23760 1 Marten Road V244994 200905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24/11/04 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 15 minutes walk from the main shopping area. Other amenities are available in the local vicinity. There are good public transport links easily accessible for service users. The home is managed by United Response, which is a national charitable organisation. The premises are well decorated and provide a good, homely range of space for service users. There is an attractive garden to the rear of the home. 1 Marten Road H56-H05 S23760 1 Marten Road V244994 200905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place on the 20th September 2005. The visit lasted for around 4 hours and discussions took place with the registered manager, staff and service users. A tour of the premises was undertaken and a range of documentation and records were viewed including service user plans, medication and health and safety records. No requirements or recommendations have been made as a result of this inspection. What the service does well: What has improved since the last inspection? The home continues to provide a good quality service to people with mental health problems. One former resident has recently moved into his own accommodation, which demonstrates that the home is supporting people to become increasingly independent. The administration has generally improved with greater levels of organisation. Support plans are regularly updated and the process for reviewing these plans and risk assessments has also improved. Medication systems have also improved with greater organisation to the storage facilities in particular. 1 Marten Road H56-H05 S23760 1 Marten Road V244994 200905 Stage 4.doc Version 1.40 Page 6 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. 1 Marten Road H56-H05 S23760 1 Marten Road V244994 200905 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection 1 Marten Road H56-H05 S23760 1 Marten Road V244994 200905 Stage 4.doc Version 1.40 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 standard(s) 4 and 5. Prospective service users have an opportunity to visit the home before deciding whether to move in. A statement of terms and conditions of residency is provided to all individuals. EVIDENCE: Prospective service users have ample opportunities to visit and stay at the home before a decision is made whether to move in. The trial visits are arranged according to the needs and wishes of the individual. The registered manager and senior staff ideally visit the prospective resident in their current accommodation initially and a short visit is then arranged to become acquainted with the home, staff and residents. There are then opportunities to spend longer periods of time including overnight stays at the home preceding admissions. The staff ensure good liaison and monitor progress throughout the trial period. Following admission there is a three month settling-in period after which a review is held to ensure that all parties are satisfied with the placement and plans in place. A full and comprehensive statement of terms and conditions is in place addressing all relevant information in adequate detail. A copy of this contract is provided to the service user and a signed copy maintained on file. 1 Marten Road H56-H05 S23760 1 Marten Road V244994 200905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7 and 9. Service user plans reflect assessed needs, goals and aspirations. Residents are enabled to take decisions affecting their lives. Individuals are able to take risks and there is an enabling risk management process. EVIDENCE: The home develops clear support plans for all service users based on the assessed needs of each individual. The plans are, in part, formulated in reference to CPA documentation. They 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. The home works positively to ensure that service user rights are protected and respected. There are occasions where some restrictions on choice are required to be put in place, but the central ethos of the service is to empower residents to take responsible risks and exercise their choices with the support of the staff team. Service users are encouraged to take responsibility for their own 1 Marten Road H56-H05 S23760 1 Marten Road V244994 200905 Stage 4.doc Version 1.40 Page 10 finances where possible. If an appointee is required, this role is taken on by someone independent of the service. The home as adequate risk management processes in place, which are developed in a positive and enabling manner. The risk assessments justify the actions taken to minimise perceived risks and contain clear guidance. They are regularly reviewed and any changes required are implemented in a timely fashion. Risk assessments are developed in conjunction with care management information and relevant history. The home has a missing persons procedure in place. 1 Marten Road H56-H05 S23760 1 Marten Road V244994 200905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 and 15. Service users have adequate opportunities for personal development and to take part in therapeutic and recreational activities. Residents are supported to access the local community and to maintain appropriate relationships. EVIDENCE: Staff in the home assist residents to develop practical life skills, promote social and inter-personal skills and encourage self-determination and responsible risks. A consistent approach is assured through support plans, which provide good detail to enable staff to identify the nature and level of support required. The ethos of the home is to enable service users to move towards a more independent lifestyle and one resident has recently moved into his own accommodation with on-going support provided by staff to assist the transition. There is access to local mental health day services and occupational therapy, although at the present time the majority of service users choose not to attend these groups. Staff work proactively with the residents to ensure they have opportunities to take part in a range of therapeutic activities both in and out of the home. Service users 1 Marten Road H56-H05 S23760 1 Marten Road V244994 200905 Stage 4.doc Version 1.40 Page 12 The majority of residents choose their own recreational activities and are assisted to follow these through. Most activities are completed on a 1:1 basis although some group activities are arranged. Residents have the opportunity for an annual holiday with staff support. There are good public transport links nearby and the town centre is around ½ mile away. Residents are encouraged and enabled to maintain and develop relationships with friends and family. One service user is supported by the home to visit family in Northumberland. Visitors are welcomed into the home as long as it does not negatively impact on other residents. 1 Marten Road H56-H05 S23760 1 Marten Road V244994 200905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 20. The health needs of service users are met. Medication systems are adequate and well maintained. EVIDENCE: The registered manager and staff team ensure that the physical and emotional healthcare needs of service users are met. Good links have been established with local primary and mental health care services. Service users are supported to take responsibility for their healthcare needs with staff support as required. There are examples where service users have been enabled to make positive choices about healthcare issues and have been allowed to work through this process safely with the assistance of the staff team. The input received from medical practitioners is clearly documented and monitored demonstrating health concerns and outcomes of treatment. Additional specialist support is ensured where required such as dental, chiropody and optician treatment. There are clear policies and procedures in place relating to medication and all documentation was well-maintained and up to date. Storage facilities are adequate and secure. Staff receive training in medication issues to a satisfactory standard. Where possible service users are supported to become self-medicating and retain control over medication issues. 1 Marten Road H56-H05 S23760 1 Marten Road V244994 200905 Stage 4.doc Version 1.40 Page 14 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 standard(s) 22. There is a clear and accessible process of complaints and service users feel their views are listened to. EVIDENCE: There is a clear complaints process within the home and organisation. Service users have the opportunity to raise any concerns or complaints through a number of means both formally and informally. The registered manager and staff team aim to deal with all complaints on an informal basis in the first instance, but should this prove unsatisfactory then the complainant is referred to the formal processes, which involve the line manager of the home within the organisation. 1 Marten Road H56-H05 S23760 1 Marten Road V244994 200905 Stage 4.doc Version 1.40 Page 15 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 standard(s) 24 and 30. The home is a comfortable and safe environment for service users and is kept clean and hygienic. EVIDENCE: The house has a very homely feel and is well furnished and decorated. There is adequate space for all service users both in terms of communal areas and private rooms. There is a good-sized lounge and a large dining room. The garden is well maintained and accessible to all residents. The kitchen is suitable for the needs of the home and is large enough for staff to support service users to prepare meals. The house is on a residential road close to the centre of Folkestone with a wide range of amenities and good public transport links. The premises were clean and hygienic at the time of the visit and in a good state of repair. There are adequate laundry facilities and a new tumble drier and washing machine were in the process of being installed. The home has policies and procedures for the control of infection. 1 Marten Road H56-H05 S23760 1 Marten Road V244994 200905 Stage 4.doc Version 1.40 Page 16 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33, 35 and 36. There are clear staff roles and responsibilities and adequate numbers of staff on duty at all times. Staff receive good levels of training and are well supported. EVIDENCE: All staff have job descriptions, which define their roles within the home. The registered manager promotes a team approach to the running of the home and delegates responsibilities well with reference to experience and individual needs. A new deputy manager has recently been appointed who was able to outline her role clearly within the home and was positive about the development of the service. All staff and service users work closely together and adopt a collaborative approach to the day-to-day running of the home. Service users were positive about the members of the staff team stating that they feel supported and get on well with team members. 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 clearly shows the staff on duty and was accurate at the time of the visit. United Response provide staff with a good training and development package. This includes a thorough induction programme and all mandatory training within the first 6 months of employment. A good range of additional courses 1 Marten Road H56-H05 S23760 1 Marten Road V244994 200905 Stage 4.doc Version 1.40 Page 17 are also provided covering issues such as mental health, person-centred planning, supervision and adult protection. All staff receive regular formal and informal supervision from senior staff members. It is anticipated that the deputy manager will begin to take on a more active supervisory role in the near future. The registered manager has an open approach to management and all staff spoken to stated that any issues are addressed appropriately either on a 1:1 basis or as a team. 1 Marten Road H56-H05 S23760 1 Marten Road V244994 200905 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38, 39 and 42. There is a positive and open ethos in the home. The quality monitoring systems are robust. Health and safety issues are well maintained and promptly addressed. EVIDENCE: There is a very positive atmosphere and ethos in the home encouraging service users and staff to raise any issues and concerns, which are dealt with proactively. There are frequent opportunities for staff and residents to discuss matters in a group setting through staff and resident meetings and other forums. The staff are open and approachable with good communication and interpersonal skills. All members of the home are encouraged to take on responsibilities for the daily upkeep of the home and opinions and views are valued. The registered manager has a collaborative approach to the management of the service, which works well in this setting. Staff take on responsibilities and are delegated tasks appropriately. There are good self-monitoring processes in the home. The Senior Manager visits on a regular basis and takes an active interest in the service. Monthly 1 Marten Road H56-H05 S23760 1 Marten Road V244994 200905 Stage 4.doc Version 1.40 Page 19 monitoring reports are completed and evidence is available of any shortfalls noted being swiftly acted upon. The organisation promotes service user involvement, which is also reflected in the home. Feedback is sought from residents, staff and other stakeholders in the home. There is an annual and ongoing development plan ensuring that material issues are addressed appropriately. Policies and procedures are regularly reviewed and updated as needed. All health and safety documentation was up to date and well maintained. Maintenance certificates were available for inspection and the home has good systems in place for the monitoring and upkeep of health and safety checks such as fire records. Staff receive induction and mandatory training and policies and procedures are in place relating to all relevant health and safety issues. 1 Marten Road H56-H05 S23760 1 Marten Road V244994 200905 Stage 4.doc Version 1.40 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 x x 3 3 Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 x x Standard No 31 32 33 34 35 36 Score 3 x 3 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 1 Marten Road Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score x 4 3 x x 3 x H56-H05 S23760 1 Marten Road V244994 200905 Stage 4.doc Version 1.40 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. 1. 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 Good Practice Recommendations 1 Marten Road H56-H05 S23760 1 Marten Road V244994 200905 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection 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. 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