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Inspection on 01/11/05 for 11a Curlew Crescent

Also see our care home review for 11a Curlew Crescent for more information

This inspection was carried out on 1st November 2005.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

It is evident through the inspector talking to members of staff that the emotional health of the service users is of a high priority to the home and that staff are pro-active in maintaining and supporting Service Users to participate and feel part of the wider community. Many service users spoken with confirmed that the staff are very caring and kind to them at all times. The inspector noted that staff spoke to the residents in a respectful and courteous manner.

What has improved since the last inspection?

The home continues to maintain high standards and consistently meets with the standards and exceeds them is some areas.

What the care home could do better:

On standards inspected no improvement was seen to be needed.

CARE HOME ADULTS 18-65 11A Curlew Crescent 11A Curlew Crescent Strood Rochester Kent ME2 2RF Lead Inspector Robert Pettiford Unannounced Inspection 1st November 2005 08:00 11A Curlew Crescent DS0000028891.V261855.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 11A Curlew Crescent DS0000028891.V261855.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. 11A Curlew Crescent DS0000028891.V261855.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 11A Curlew Crescent Address 11A Curlew Crescent Strood Rochester Kent ME2 2RF 01634 296674 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 Ms Carol Marilyn Stanton Care Home 6 Category(ies) of Learning disability (6) registration, with number of places 11A Curlew Crescent DS0000028891.V261855.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th July 2005 Brief Description of the Service: 11A Curlew Crescent is a detached premises which was purpose built, providing accommodation in six single bedrooms. The home is managed by the Kent Autistic Trust and is owned by Hyde Housing Association. The accommodation is arranged over two floors. There is a TV point in every room. There is parking at the front and side of the premises and an enclosed garden to the rear. The home is situated in a residential area and is within walking distance of public transport and local shops. The town centre of Strood is approximately 1mile away. 11A Curlew Crescent DS0000028891.V261855.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced Inspection at 11a Curlew Crescent took place on 1st November 2005 at 8:15am. The Inspector agreed and explained the inspection process with a manager from another home managed by the Kent Autistic Trust. Ms Geraldine Adamthwaite was covering the home due to the registered manager not being available. Documentation and records were read, including risk assessments. Time was spent reading a sample of written policies and procedures and reviewing records kept within the home. A tour of premises was undertaken. The inspector spent time talking with staff and service users. The focus of the inspection was to assess 11a Curlew Crescent in accordance to the National Minimum Standards for Younger Adults. In some instances the judgement of compliance was based solely on verbal responses given by those spoken with. As this report was made following an unannounced visit and may not cover the standards in sufficient depth for the reader to make a judgment about the home, it is recommended that a copy of the last announced inspection report be also obtained dated 12th July 2004. Positive feedback was received from service users about the quality of care within the home. What the service does well: What has improved since the last inspection? The home continues to maintain high standards and consistently meets with the standards and exceeds them is some areas. 11A Curlew Crescent DS0000028891.V261855.R01.S.doc Version 5.0 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. 11A Curlew Crescent DS0000028891.V261855.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 11A Curlew Crescent DS0000028891.V261855.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): Not inspected on this occasion EVIDENCE: 11A Curlew Crescent DS0000028891.V261855.R01.S.doc Version 5.0 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 the following standard(s): 9 Service users are supported to take risks within a risk assessed framework. EVIDENCE: Risk assessments were discussed and viewed and detailed documentation recorded how to support Service Users to minimise risks for personal safety. Risk assessments forms part of the service users care plan. Environmental risk assessments are also under taken in relation to the building and hazardous substances etc. Action is taken to minimize risks and hazards to enable the service user to participate in social activities out side of the home safely. 11A Curlew Crescent DS0000028891.V261855.R01.S.doc Version 5.0 Page 10 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): 11,12,13,14,17 Service users can be confident that they are offered opportunities for personal development and to learn new skills and feel part of the wider community. Service users engage in a higher than average level of activities which are appropriate to their needs. Service users are supported to maintain contact with family and friends, which ensures they continue to receive stimulation and emotional support. The service users benefit from the appetising meals and balanced diet offered at the home. EVIDENCE: Service users are enabled to participate and contribute to meeting their own self care needs and day to day chores around the house. Thus providing them with opportunities to maintain and develop, communication and independent living skills. 11A Curlew Crescent DS0000028891.V261855.R01.S.doc Version 5.0 Page 11 Discussion with some of the service users confirmed that the level of activities were quote “Great. We are always busy” and that they enjoyed a good level of stimulation through leisure and recreational activities both inside and outside the home. The day centre provided by Kent Autistic Trust in Gillingham provides a wide range of support with regard to training and education. Service users have been enabled to and encouraged to participate in hobbies and activities which they had an interest in, such as maintaining and building on personal collections and specific recreational activities. One service user spoke of his interest in computers and how he is supported by staff. It was confirmed that service users are enabled to maintain contact with relatives and friends where they wished to do so. Examples of such included provision for relatives and friends to visit the home and support being provided to enable services users to visit relatives or friends outside the home. Service users were consulted with regard to whom they saw and when and were under no compulsion to accept visitors should they not wish to do so. None of the service users who were discussed about with staff had any spiritual needs which they actively addressed, however it was confirmed that where this was the case all appropriate support would be provided. The home is to be commended with regard to promoting service users independent living skills, participation in the community and the levels of activities provided. The inspector visited the home whist the service users were having breakfast. From observation, records viewed it was evident that service users were offered a choice of menus that meet their dietary needs and individual preferences. Meal times are flexible to suit the service users’ activities and schedules. Service users are able to choose where to eat, and also have facility to make drinks, meals and snacks for themselves and others. Service users on evidence seen have had been involved in planning and choosing menus. 11A Curlew Crescent DS0000028891.V261855.R01.S.doc Version 5.0 Page 12 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): Not inspected on this occasion EVIDENCE: 11A Curlew Crescent DS0000028891.V261855.R01.S.doc Version 5.0 Page 13 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): Not inspected on this occasion EVIDENCE: 11A Curlew Crescent DS0000028891.V261855.R01.S.doc Version 5.0 Page 14 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): Not inspected on this occasion EVIDENCE: 11A Curlew Crescent DS0000028891.V261855.R01.S.doc Version 5.0 Page 15 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): 36 High quality of care is provided to service users by a well supported and supervised staff team. EVIDENCE: The Registered Manager is actively involved in the day-to-day management of the home and also undertake working with staff and service users. This enables them to support and brief staff, and to receiving staff and service user feedback. The manager undertake staff appraisals. The manager present at the inspection reported that each staff member receives formal staff supervision sessions on a regular basis and these are recorded. More frequent supervision and work appraisals are undertaken during the induction period of new staff. The home is to be commended on the level of support and standard of supervision given to staff. 11A Curlew Crescent DS0000028891.V261855.R01.S.doc Version 5.0 Page 16 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): 37,38, 39,40,42 Service users benefit from living in a well run and managed home. Service users can be confident that their views and opinions effect how the home is run and that their best interest are safeguarded by appropriate policies and procedures. Service users can feel confident that their health and safety/ welfare is protected by robust policies/ procedures and safety checks EVIDENCE: The registered manager is actively involved in the day-to-day management of the home and works with staff and service users. From observation and staff feedback the manager offers a clear sense of direction and leadership, which staff and service users understand. Service users, their relatives and staff are encouraged to comment on the services the home offers and to voice any concerns they may have. 11A Curlew Crescent DS0000028891.V261855.R01.S.doc Version 5.0 Page 17 The manager has sought to monitor the quality of service provided by collating feedback from services users, relatives and their advocates. Regular monitoring is also undertaken by Senior Management under Regulation 26. The home also benefits from regular staff and service user meetings. The organisation is accredited to the National Autistic Society who also monitor the service. Staff assisting with the inspection stated that the trust has policies and procedures for all topics set out in Appendix 2 of the National Minimum Standards, Care Home Regulations. The inspector viewed records relating to staff training, Health and Safety Procedures, maintenance and servicing, and risk assessments, which were discussed with the manager. Staff training requirements had been identified and arrangements for staff to undertake the required updates. The inspector viewed the Fire Log book, which was up-to-date, reflecting that checks and servicing of fire safety equipment had been undertaken at the required frequency. Procedures are available for the reporting of accidents & incidents (Regulation 37) and records maintained of the same. 11A Curlew Crescent DS0000028891.V261855.R01.S.doc Version 5.0 Page 18 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 x x Standard No 22 23 Score x x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score x x x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x LIFESTYLES Standard No Score 11 4 12 4 13 4 14 4 15 x 16 3 17 Standard No 31 32 33 34 35 36 Score x x x x x 4 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 11A Curlew Crescent Score x x x x Standard No 37 38 39 40 41 42 43 Score 4 4 3 3 x 4 x DS0000028891.V261855.R01.S.doc Version 5.0 Page 19 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. Refer to Standard Good Practice Recommendations 11A Curlew Crescent DS0000028891.V261855.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 11A Curlew Crescent DS0000028891.V261855.R01.S.doc Version 5.0 Page 21 - 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!