Inspection on 30/05/07 for 1 Marten Road

This inspection was carried out on 30th May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 16/01/06

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 Mrs Sue Gaskell Key Unannounced Inspection 30th May 2007 10:00 1 Marten Road DS0000023760.V326637.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 1 Marten Road DS0000023760.V326637.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. 1 Marten Road DS0000023760.V326637.R01.S.doc Version 5.2 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 1 Marten Road DS0000023760.V326637.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th January 2006 Brief Description of the Service: 1 Marten Road is a 6-bedded home supporting people with mental health problems in Folkestone. The fees are £876 per week. The home is managed by United Response, which is a national charitable organisation specialising in residential mental health care and learning disabilities. The staff are trained in managing the needs of people with mental health problems. The home is 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. 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. 1 Marten Road DS0000023760.V326637.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 30th May 2007 between 10.00 and 16.00. There were four people living at the home and there are two vacancies. I spoke to 3 residents, the area manager, deputy manager and two members of staff. I toured the building and looked at all communal areas. One resident showed me around the home and garden. The inspection process also consisted of information collected before and during the visit to the home, and feedback from two care managers after the site visit finished. Other information seen included pre-admission assessments, various risk assessments, care plans, medication records, the duty rota and staff recruitment and training records. There were no outstanding requirements from the previous inspection and no requirements made following this inspection. What the service does well: What has improved since the last inspection? What they could do better: Prepare quick reference guidelines for staff. Ensure all staff are trained in adult protection awareness. 1 Marten Road DS0000023760.V326637.R01.S.doc Version 5.2 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. 1 Marten Road DS0000023760.V326637.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 1 Marten Road DS0000023760.V326637.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): 1&2 People who use the service experience excellent outcomes in this area. The statement of purpose, service user guide and individual statement of terms and conditions, clearly says what service will be offered. Prospective residents can be confident that their needs will be assessed and can be met This judgement has been made using available evidence including a visit to this service. EVIDENCE: All residents have been issued with a service user guide and with an individual agreements stating their terms and conditions of residence. The service user guide is reviewed regularly to ensure that it is easily understandable and that it makes clear that the home will promote and respect everyone’s needs and choices, regardless of disability, race, religion, age, sex, or cultural background. The records indicate that there is a well planned and thorough referrals procedure. An assessment is carried out prior to admission which also includes input from the clients, social workers and other health care professionals. 1 Marten Road DS0000023760.V326637.R01.S.doc Version 5.2 Page 9 Resident’s files contain detailed and comprehensive pre-admission assessments. Prospective residents are given the opportunity to visit the home prior to admission. One resident said that he had made several visits to the home prior to moving in. That resident’s Care Manager said that the home had made every effort to help the resident settle in. Another Care Manager said that the home had been very sensitive to the particular needs and circumstances of his client. The home does not generally take emergency admissions. 1 Marten Road DS0000023760.V326637.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 People who use the service experience excellent outcomes in this area. The care plans are easy to use and descriptive. Residents’ choices are respected and their decision-making is well supported. Residents are supported in taking risks in the daily and social activities that form part of an independent lifestyle. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All of the residents’ care plans were examined in detail. The care plans are person centred and follow the care plan approach model used by mental health professionals. They include residents’ personal details, likes and dislikes, individual support plans, and risk assessments. 1 Marten Road DS0000023760.V326637.R01.S.doc Version 5.2 Page 11 The risk assessments refer to issues such as smoking, keeping and administering medication, and nutritional needs. There are also guidelines on how the home will assist residents in achieving their short and longer term goals. Although the risk assessments and guidelines and clear, there are no quick reference notes for staff. Residents have key workers who monitor their individual needs and activities. The deputy manager said that the residents contribute as much as possible to their care plans. There is evidence of this in the files where residents have signed their care plans or individual agreements. Residents and/or their relatives are invited to the annual or six monthly reviews and are asked what they think about their care. The records showed that the care plans are updated following the reviews or as and when their care needs change. The records also showed that staff sign to acknowledge having read any important information or guidelines. Residents are encouraged to do their own cooking, shopping and laundry as part of the care plan. One resident said that the staff are very helpful and that he has been very well cared for. He said that he cooks his own dinner sometimes and that the staff are helping him to move on. Staff confirmed that issues relating to confidentiality are addressed during the induction period. All records are stored in a lockable office and there was no public display of confidential or personal information. 1 Marten Road DS0000023760.V326637.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 People who use the service experience excellent outcomes in this area. Daily life meets the residents’ lifestyle preferences and expectations. Residents have regular contact with their families and friends. Residents receive a nourishing and balanced diet. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care plans contain a list of residents’ needs, likes and dislikes and preferences. The home has to be flexible regarding activities as each resident has different needs and interests. Leisure and social activities or holidays are generally carried out on an individual basis. One resident told me that he had taken his first holiday abroad last year with the support of a member of staff. 1 Marten Road DS0000023760.V326637.R01.S.doc Version 5.2 Page 13 There is evidence in the residents’ daily records to show that families, and other visitors are encouraged and welcomed. Staff provide support to residents when visiting families. One resident was away meeting with family members at the time of the inspection. One resident said that she was very pleased that she has been able to bring her cat with her to the home. Residents have individual bank accounts which are regularly audited, with appropriate receipts and records kept. Staff signatures are required for monies taken out when residents spend money on social activities such as going to the pub. The member of staff who was cooking lunch said that meals provided are mainly based on residents’ choices, but staff also take into account the need for a reasonably balanced diet. The store cupboard contained a wide range of good quality food including fresh fruit and vegetables. Nutritional assessments are carried out and some residents are weighed regularly. The food served on the day of the inspection appeared appetising and wholesome and one resident said that the food is generally good. The staff said that there are no residents at present with different ethnic or cultural needs as the current residents tend to come from the local communities. Residents’ wishes over their personal relationships are respected. One resident is regularly supported by staff to attend the local church of his choice. Three members of staff have attended a training session on equality and diversity. 1 Marten Road DS0000023760.V326637.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, & 20 People who use the service experience excellent outcomes in this area. Residents’ choices over their care are respected. Residents’ care plans are reviewed and their health care needs are met. Residents are protected by the home’s policies and procedures for dealing with their medication. This judgement has been made using available evidence including a visit to this service. EVIDENCE: One resident showed me around the premises and also showed me his room. He said that he is always asked about how he feels about his care needs. I spoke briefly to two more residents in passing. All of the residents were seen to be relaxed and comfortable interacting with staff. Residents care plans and daily records refer to clear guidelines on providing support and monitoring health care and social care needs. There is regular 1 Marten Road DS0000023760.V326637.R01.S.doc Version 5.2 Page 15 input from a variety of healthcare professionals. There is evidence to show that residents are also referred for specialist help if they have other health care needs such as diabetes. The home keeps good records of GP’s and district nurses’ visits etc, together with any subsequent advice. The manager and all members of staff showed a high level of awareness of residents’ needs and referred to a variety of issues, such as the importance of ensuring that residents’ needs are treated with sensitivity and that the care is consistent. Two care managers said that they are satisfied with the care provided and that the home keeps them informed of any particular needs or developments. The home has sound medication procedures. Staff confirmed that only trained may administer medication and that all staff are required to read the procedures stored in the medication file. There is a risk assessment procedure for assessing whether residents are able to store and/or administer their own medication. Medication is stored securely and appropriately. The medication records are clear and current and there is a system for the receipt and disposal of medication. 1 Marten Road DS0000023760.V326637.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 People who use the service experience good outcomes in this area. Residents can be confident their complaints will be listened to and dealt with appropriately and that they will be protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: One resident said that he has been told what to do if he is not happy about anything in the home and that he would feel able to speak to the manager or staff. Residents are given information on the home’s complaints procedure which is included in the service user guide. The home has adult abuse procedures in place. Whilst the records do not refer to specific training on adult protection awareness training, staff confirmed that they have received training on recognising and reporting any form of abuse as part of other training sessions. The training records also show that staff have attended training sessions on how to intervene appropriately in difficult situations. Staff said that they are aware of the company’s “whistle blowing procedures. 1 Marten Road DS0000023760.V326637.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 People who use the service experience good outcomes in this area. Residents live in a homely,comfortable and safe environment. Residents have all the equipment they require to enable them to be as independent as possible. The home is hygienic and clean. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All bedrooms and living areas are furnished and decorated to a good standard, and contained the type of furniture and equipment necessary to provide a homely environment. 1 Marten Road DS0000023760.V326637.R01.S.doc Version 5.2 Page 18 One resident said that he is very pleased with his bedroom and that he chose the colour and then helped re-decorate his room. Residents have single rooms where they can display their own effects such as pictures and ornaments, and have their own TV, DVD player etc. The ground floor rooms are wheelchair accessible. There is a well-maintained garden and with garden furniture which is used by the residents. One resident showed me the garden and the vegetables he has planted. There are two separate laundry rooms and this enables residents to have more convenience and choice over when they wish to use the machines. There are disposable hand drying towels and pump soap dispensers in the communal bathrooms to reduce the risk of cross infection. Maintenance certificates are current and there are no outstanding health and safety requirements. 1 Marten Road DS0000023760.V326637.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 & 36 People who use the service experience excellent outcomes in this area. Staffing, in terms of both numbers and competency, is appropriate to the current needs of the residents. Residents are protected by the Home’s sound recruitment procedures. Staff are well trained and supported and morale is high. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The deputy manager said that the current staff rota includes the manager or a shift leader and generally 3 support staff. Another member of staff said that this is adequate to ensure that residents are safe and can participate in their chosen activities. Night staffing also appears adequate and staff said that there are emergency on call systems if support or advice is required. 1 Marten Road DS0000023760.V326637.R01.S.doc Version 5.2 Page 20 The staff files include CRB checks on all staff, references and evidence of verbal references. The files also included evidence of induction training, further training and regular recorded supervision. The majority of the staff have undertaken NVQ training. Training since the last inspection includes mental health awareness, understanding behaviours and physical intervention, equality and diversity awareness, basic food hygiene, first aid, fire safety and health and safety, and the administering of medication. Staff referred to the high level of morale in the home with good support for work and any personal issues that affect their work. 1 Marten Road DS0000023760.V326637.R01.S.doc Version 5.2 Page 21 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 & 42 People who use the service experience excellent outcomes in this area. The home is well run in a manner that encourages the development of clients. There are regular quality assurance and safety checks to ensure that the home is run in the best interests of the clients and their safety and welfare is protected and promoted. All areas are clean, hygienic and well maintained. This judgement has been made using available evidence including a visit to this service. 1 Marten Road DS0000023760.V326637.R01.S.doc Version 5.2 Page 22 EVIDENCE: The manager has been in post for a number of years and is experienced in working with adults with mental health problems. The deputy manager who, in the manager’s absence, assisted with inspection, is also very experienced in care and appeared knowledgeable and competent. Quality assurance is carried out through the Regulation 26 visits and also through the organisation’s internal audit system. Staff said that residents’ views and feelings are regularly questioned and monitored, either through talking to them or through observing them to see whether or not they appear happy. Staff said that quality assurance is given a high priority and any feedback from residents and/or their families or advocates is acted upon. One resident’s Care Manager confirmed this. The general management of the home and completion of records are of generally of a good standard. Staff said that morale in the home is very good and that the manager and area manager are very supportive. There were no obvious safety hazards around the home and there is evidence to show that health and safety issues are taken seriously, eg staff ensure that there are no obvious hazards when residents are doing their laundry. Environmental risk assessments have been carried out including the use of transport by residents. Staff said that there is regular routine testing of equipment and the regular weekly tests for the fire alarm are carried out and recorded. All staff have had fire safety training and the regular fire drills also include residents. The maintenance file contains certificates to show that regular checks eg gas, electricity, are carried out. 1 Marten Road DS0000023760.V326637.R01.S.doc Version 5.2 Page 23 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 4 2 4 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 4 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 4 33 X 34 4 35 4 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 4 x 4 X 4 X X 4 x 1 Marten Road DS0000023760.V326637.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? no 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 1 Marten Road DS0000023760.V326637.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Local 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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