Inspection on 02/02/07 for 118 Beaver Lane

This inspection was carried out on 2nd February 2007.

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

118 Beaver Lane 13/12/05

118 Beaver Lane 13/06/05

118 Beaver Lane 02/03/05

118 Beaver Lane 02/03/05

118 Beaver Lane 02/03/05

118 Beaver Lane 02/03/05

118 Beaver Lane 13/01/05

118 Beaver Lane 13/01/05

118 Beaver Lane 13/01/05

118 Beaver Lane 13/01/05

118 Beaver Lane 26/01/04

118 Beaver Lane 26/01/04

118 Beaver Lane 26/01/04

118 Beaver Lane 26/01/04

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33 St John`s Church Road

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

CARE HOME ADULTS 18-65 118 Beaver Lane 118 Beaver Lane Ashford Kent TN23 5NX Lead Inspector Geoff Senior Key Unannounced Inspection 2nd February 2007 13:00h 118 Beaver Lane DS0000023305.V326763.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 118 Beaver Lane DS0000023305.V326763.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. 118 Beaver Lane DS0000023305.V326763.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 118 Beaver Lane Address 118 Beaver Lane Ashford Kent TN23 5NX 01233 650526 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) The Kent Autistic Trust Mrs Zoe Rodda Care Home 6 Category(ies) of Learning disability (6) registration, with number of places 118 Beaver Lane DS0000023305.V326763.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th December 2005 Brief Description of the Service: 118 Beaver Lane is registered to provide care and accommodation for a maximum of 6 adults with a learning disability. It is a purpose built detached property owned by the London and Quadrant Housing Association. The Registered Provider is The Kent Autistic Trust. The Manager Ms Zoe Rodda is in day to day control. The home aims to provide a caring, supportive and empowering service for people with Autistic Spectrum Condition. The focus is very much on the service user as an individual and supporting their assessed needs with adequate and informed staff. The house is situated in a residential area of Ashford, within 15 minutes walking distance of the town centre, with easy access to public transport, health and adult education centres, shops, churches, a swimming pool and other amenities. All service users have their own en-suite room or selfcontained flat. The reported fees are within the range: £1180 - £2128 per week. 118 Beaver Lane DS0000023305.V326763.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of 118 Beaver Lane included an unannounced visit to the home that was undertaken on 2/2/07. Time was spent talking with the manager and with staff on duty. The opportunity to discuss with the service users’ their experiences and opinions of the home was limited by their involvement in activities and their inclination to communicate or not. Observations indicated that they were settled in the home, were comfortable in the company of staff and had plenty to do. Throughout the visit, the staff’s attention to the service users’ needs, their patient, friendly and respectful manner and their treatment of each service user as an individual were observed and noted. The premises were viewed and a range of records was inspected. The comments of family members, in phone conversations after the site visit were generally supportive of the service offered. The comments include: ‘The home listens to what we (parents) have to say.’ ‘ They realise his, not always obvious, level of need and are proactive in their support’ ‘Always made welcome and feel involved’ ‘He’s happy there, back to his old self’. Not all NMS were inspected at this visit. Unless noted, only the core standards were inspected in each outcome group. What the service does well: There is a range of activities available based on the individual needs of the service users. These include activities at home, trips out and attendance at education and social facilities. The staff work positively with the service users helping them to communicate their needs, develop skills and confidence and maintain their independence.. Service users views and opinions are considered. There is good leadership in the home and staff development opportunities within the company to identify and follow further study/training and career paths The home enables service users to maintain appropriate links with families, friends and significant others 118 Beaver Lane DS0000023305.V326763.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. 118 Beaver Lane DS0000023305.V326763.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 118 Beaver Lane DS0000023305.V326763.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 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Prospective service users may visit the home prior to admission and are provided with comprehensive information to help them make a decision about moving in. Assessments are undertaken to ensure that the Home can support the service user’s needs and aspirations. EVIDENCE: The service user group is well established within the Trust and there have been no admissions since the last inspection visit. Staff spoken to described the admission process and emphasised the importance of ensuring that the service user’s needs are fully assessed and can be appropriately supported by the home. Prospective admissions, even if they are known to the service, are subject to a protracted introduction and assessment period. They are encouraged to visit the home prior to admission and may use the opportunity to meet and spend time with the existing service users and staff, view the accommodation and find out about the routine and lifestyle they could expect to experience at 118. 118 Beaver Lane DS0000023305.V326763.R01.S.doc Version 5.2 Page 9 Assessments, undertaken prior, and subsequent to, admission contribute to the care planning process. Input is welcomed from the service users and families and from relevant agencies and professionals. Aspirations may be expressed and, where possible/ achievable, appropriate support is planned. The Service User Guide and Statement of Purpose were previously reported as being comprehensive and understandable. The Manager intends to further enhance the visual and factual information available to interested parties by producing a DVD. 118 Beaver Lane DS0000023305.V326763.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. Quality in this outcome area is good; This judgement has been made using available evidence including a visit to this service. The care planning system is clear, consistent and provides staff with information and guidance when supporting residents. Individual goals are identified and considered within the planning and risk assessment process. Service users are encouraged to have their say in the decision making process EVIDENCE: The content and detail provided within the service user files informs and enables new and existing staff to better understand and effectively support the needs of service users, and help them with working towards achieving goals. Day records note the completion or otherwise of support tasks identified in care plans and may be easily cross-referenced. Service users were observed interacting comfortably with staff on matters relating to their general activity and health care. Staff were seen to be positive and supportive in response. 118 Beaver Lane DS0000023305.V326763.R01.S.doc Version 5.2 Page 11 The home operates a key worker system that aims to be supportive but not exclusive. Individual’s affiliation, gender, experience and level of expertise is acknowledged and considered within the system. Service users may express their ideas and concerns individually to staff and the Manager as group meetings proved not to be effective. Risks are viewed positively by the home and assessments are undertaken in order that service users can participate in activities with the appropriate level of support and supervision or are helped to understand why limitations may be placed on their lifestyle. 118 Beaver Lane DS0000023305.V326763.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. Quality in this outcome area is good, This judgement has been made using available evidence including a visit to this service. Service users are supported and facilitated to maintain contact with families and friends. Service Users enjoy an active, fulfilling daily lifestyle that respects their rights. Tenants may actively participate in the development of menus and the preparation and cooking of meals. EVIDENCE: Discussion with staff, a service user and relatives confirmed that service users have responsibility for their own personal effects. They may have their own room keys and be responsible for locking their bedrooms. Staff in the home have worked positively with the service users to establish interests, likes and dislikes. They are supported by the organisation to provide a wide range of formal and informal activities 118 Beaver Lane DS0000023305.V326763.R01.S.doc Version 5.2 Page 13 Day Care staff supervise and support a range of educational and social activities at the organisation’s day centre and in the community. House staff support more leisure-orientated activity. The Manager reported that the day care is goal plan focussed whereas the house tends to be more spontaneous. ‘Day Care is work, 118 is home’. All service users are encouraged to undertake housekeeping responsibilities. Food stocks and menu plans seen at this visit indicated the provision of a varied and balanced diet. The menu offered a choice of main, alternative, vegetarian and gluten free in an attempt to address personal preferences as well as individual need. Service users are involved in the menu formulation. Discussion with family members confirmed that they are welcome to visit at anytime. Home visits are facilitated. Staff keep in touch with relatives by phone to up-date any significant developments. 118 Beaver Lane DS0000023305.V326763.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are treated with respect for their dignity and privacy. Healthcare needs are assessed, monitored and addressed. Medication management systems appear to be adequate and safe. EVIDENCE: Service users are treated with dignity and respect and their right to privacy is maintained. Service users are encouraged to do as much as possible for themselves in order to maintain independence and control over their lives. The personal support needs of the service users are well documented in their case files. Assistance and support in matters relating to personal hygiene and appearance is only offered when required. The staff were observed responding to service users in a friendly and non patronising manner. Records indicate that the healthcare needs of the service users are monitored and addressed It was reported that the home has developed positive 118 Beaver Lane DS0000023305.V326763.R01.S.doc Version 5.2 Page 15 relationships with local healthcare agencies. These may give feedback to the home for the positive development of support plans. Medication records and storage arrangements were viewed and appeared to be adequate for the needs of the home. It was reported that staff are provided with appropriate training. 118 Beaver Lane DS0000023305.V326763.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff receive training in the protection of vulnerable people. There are systems in place for the expression and resolution of concerns or complaints. EVIDENCE: The Manager confirmed that adult protection training is offered by the Organisation. Staff understand issues relating to the protection of vulnerable people and are aware of their role in ensuring people living in the home are protected from abuse in all its forms and that they are the service users main key to having their views heard. In conversation with family members it was apparent that they had been made aware of the appropriate procedures would happily approach staff and management if they had any concerns or complaints. 118 Beaver Lane DS0000023305.V326763.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service provides a homely and comfortable environment in which to live and work. Everyone accommodated in the home has his or her own en-suite bedroom There are sufficient toilets and bathrooms to meet the presenting needs of all the residents. EVIDENCE: The décor and furnishings in the communal areas provide a comfortable and welcoming environment. The service users’ own rooms are decorated and arranged to reflect their choice, interests, character and personality. Two service users are accommodated in self-contained flats. All rooms are en-suite. Bathrooms and toilets are appropriately placed to provide reasonable access. The Manager indicated that health and safety aspects of the building were given regular attention by the organisation’s own property maintenance team. 118 Beaver Lane DS0000023305.V326763.R01.S.doc Version 5.2 Page 18 The premises appeared to be clean, tidy and free from undue odours at the time of visit. On a less positive note, the bin area full of discarded furniture etc does not enhance the first impression to a visitor approaching the home. 118 Beaver Lane DS0000023305.V326763.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home endeavours to ensure that the staff are appropriately trained to fulfil their roles and responsibilities. competent and The home safeguards the service users’ welfare with appropriate procedures and policies on the selection and recruitment of appropriate staff. The home conducts good support and supervision networks for the care staff. EVIDENCE: The home has a training programme for the care staff that not only considers the statutory obligations for each staff member, but also enables staff to undertake training in areas that relate to the different presenting needs of the service users. The home conducts good support and supervision networks for the care staff. One to one supervision is available on a regular basis. Staff files seen indicated that appropriate checks are undertaken on prospective staff prior to appointment and commencement of duties. New staff are expected to complete induction and foundation training within the probationary period. 118 Beaver Lane DS0000023305.V326763.R01.S.doc Version 5.2 Page 20 There is a blend of youth and experience in the team of 4 support staff plus Manager. The house staff rota aims to maintain a ratio of one staff to two service users at all times. Day care staff offer 1-1 support exclusively for one service user during the day. 118 Beaver Lane DS0000023305.V326763.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. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home appears to be well managed and run in the best interests of the service users. There is a good level of consultation with service users, families and staff. Steps are taken to ensure the health, welfare and safety of the service users is safeguarded EVIDENCE: The Manager presented as an experienced, qualified, knowledgeable and enthusiastic individual who is keen to further develop what appears to be a proactive and efficient service. There were a number of comments from 118 Beaver Lane DS0000023305.V326763.R01.S.doc Version 5.2 Page 22 service users’ family members in praise of the staff team as a whole in fostering an open and inclusive ethos enabling everyone to have his or her say. Feedback is welcomed via individual service user consultation, staff meetings and contact with families. The home is subject to an annual National Autistic Society Inspection. A representative of the organisation conducts Reg. 26 visits each month. Information received prior to and during the inspection indicated that the management endeavours to ensure steps are taken to ensure the health, welfare and safety of the service users is safeguarded. 118 Beaver Lane DS0000023305.V326763.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 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 4 X 3 X X 3 x 118 Beaver Lane DS0000023305.V326763.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 118 Beaver Lane DS0000023305.V326763.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. Extracts may not be used or reproduced without the express permission of CSCI 118 Beaver Lane DS0000023305.V326763.R01.S.doc Version 5.2 Page 26 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!