Inspection on 18/09/06 for 14 Phoenix Road

This inspection was carried out on 18th September 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

14 Phoenix Road 06/03/06

14 Phoenix Road 19/12/05

14 Phoenix Road 19/01/05

14 Phoenix Road 06/05/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 14 Phoenix Road 14 Phoenix Road Chatham KENT ME5 8RU Lead Inspector Sarah Montgomery Unannounced Inspection 18th September 2006 10:00 14 Phoenix Road DS0000028850.V296129.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 14 Phoenix Road DS0000028850.V296129.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. 14 Phoenix Road DS0000028850.V296129.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 14 Phoenix Road Address 14 Phoenix Road Chatham KENT ME5 8RU 01634 579505 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) Mrs Della Marie Averley Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 14 Phoenix Road DS0000028850.V296129.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Three people with learning disabilities between 18 and 65 years of age. Date of last inspection 6th March 2006 Brief Description of the Service: 14 Phoenix Road offers accommodation, support and personal care to three adults under the age of sixty-five with a learning disability. The service provided is geared towards domesticity and promoting independence. The service user guide, statement of purpose, and reports from the Commission for Social Care inspection are available to service users and are kept in the office. Weekly fees vary and are £320 - £507. Charges for additional needs of service users are individually assessed. Purchasers of the service will be given a full breakdown of the fees charged. The home is staffed 24 hours. There is a registered manager, two senior support workers, and a team of support staff. The property is a terraced house with accommodation set over 2 floors; there are 3 bedrooms and a bathroom upstairs, the downstairs consists of a staff office/sleep in room, a W.C. and 1 room that combines the kitchen and living space for the Service Users. There are small gardens to the front and rear of the property and there is limited parking on the road at the back of the home. The home is a smoking establishment with designated smoking in the lounge/diner. Phoenix Road is located in a residential area a few miles outside of Chatham town centre; it is close to local shops and other amenities and is on a bus route. 14 Phoenix Road DS0000028850.V296129.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Sarah Montgomery and Graham Cummings conducted this unannounced inspection on 18th September 2006. Evidence was gathered from reading documents, talking to staff and management, and speaking with a service user. The atmosphere in the home was relaxed and friendly. The service user spoke positively about the home and the staff team. What the service does well: 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. 14 Phoenix Road DS0000028850.V296129.R01.S.doc Version 5.2 Page 6 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 14 Phoenix Road DS0000028850.V296129.R01.S.doc Version 5.2 Page 7 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): 1 and 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users can be confident that their individual aspirations and needs are assessed, and that they receive the information they need to make an informed choice about where to live. EVIDENCE: In assessing this standard, the inspector looked at service user’s preassessment documentation, spoke to a service user individually, and discussed with staff and management the home’s process of gathering information. In addition, the statement of purpose and service user guide was read in order to cross reference, and to enable a judgement regarding suitability of placement. The home has demonstrated a thorough approach to pre-assessment, gathering information from a range of sources, and from conducting their own assessment. The process of assessment is fully documented. A service user spoke with the inspector about their support needs. She demonstrated awareness of her needs and of the support given by staff at the home. Conversations with staff evidenced that they had a detailed knowledge of service users assessed needs, and observation of staff evidenced a 14 Phoenix Road DS0000028850.V296129.R01.S.doc Version 5.2 Page 8 consistent approach to meeting and supporting individual service users assessed needs. The statement of purpose and service user guide both contain sufficient information for prospective service users and their representatives. They are produced in easy to read formats and reflect the services and facilities offered in the home. 14 Phoenix Road DS0000028850.V296129.R01.S.doc Version 5.2 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): 6 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be confident that they will be supported fully regarding their individual needs and choices. EVIDENCE: To assess the above standards, the inspector read through care plans and risk assessments, looked at a sample of notes from 1-1 meetings and individual daily recordings, and spoke with a service user and staff. The staff team at Phoenix Road have developed individual care plans based on each service user’s assessed needs. Care plans have a clear link to the information gathered during assessment. All care plans give clear guidance regarding the level of support required by the service user to achieve a goal. Regular on-going assessment of service users is apparent. Individual service users meet weekly with staff to discuss areas within their care plans, including goals and aspirations met, and decisions are made on differing levels of support needed. 14 Phoenix Road DS0000028850.V296129.R01.S.doc Version 5.2 Page 10 All care plans are centred around increasing independence of service users. It is recommended that the home add review dates to the care plans. A service user confirmed their involvement with their care plans, and gave examples of consultation with staff and support from staff regarding decisionmaking. Risk assessments are equally thorough, and identify risks and support needs. All risk assessments contain the views of service users. Risk assessments and care plans are written in accessible language, and this provides clarity for service users. Daily notes and minutes of 1-1 sessions confirmed that staff and service users are working towards goals set in care plans, and also evidenced that service users are consulted appropriately about the care and support they receive. 14 Phoenix Road DS0000028850.V296129.R01.S.doc Version 5.2 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 the following standard(s): 12, 13, 15 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be confident they will be supported to develop and maintain a lifestyle of their choice, and that they will be offered guidance regarding their choices. EVIDENCE: Care plans, risk assessments and 1-1 notes all evidence that service users are guided and supported in making decisions about their lives. Service users are encouraged to recognise their strengths as well as needs, and are supported to link their strengths and needs to education, work and leisure activities. Two service users have chosen to access local day services. One service user has limited access to a day service and is supported by staff at the home to access different community facilities. 14 Phoenix Road DS0000028850.V296129.R01.S.doc Version 5.2 Page 12 It was clear from talking with a service user that their rights and responsibilities are recognised, and that staff spend time supporting and guiding them towards positive lifestyle decisions and choices. Records demonstrated and staff and service users confirmed, that links to family and friends remain strong. Phoenix Road supports individuals with remaining in contact with their friends and families, taking into account the wishes of the service user and of any history that may carry restrictions with contact. Service users are encouraged to take responsibility for leading a healthy lifestyle. The home uses a variety of local shops to buy food from. Menus were inspected and evidenced service users receive a balanced and nutritious diet. 14 Phoenix Road DS0000028850.V296129.R01.S.doc Version 5.2 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 the following standard(s): 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be confident that all their personal and healthcare support needs will be met. EVIDENCE: In consultation with service users, and using information gathered during preassessment and ongoing assessment, the home has developed (and is continually developing) individual care plans outlining all personal and healthcare support needs. The manager ensures that service users receive appropriate care regarding their physical and emotional health. Records inspected evidenced regular contact with health services, with all appointments including outcomes of appointments recorded. All service users at the home are supported by staff to administer and control their medication. Staff continue to order medication, and records viewed indicated that the home carries out this appropriately. 14 Phoenix Road DS0000028850.V296129.R01.S.doc Version 5.2 Page 14 Since the previous inspection three members of staff have enrolled on a certified medication course. 14 Phoenix Road DS0000028850.V296129.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users can be confident that their views are listened to and acted upon. Service users would benefit if staff received accredited adult protection training. EVIDENCE: Phoenix Road has an accessible complaints procedure. All service users are supplied with a copy of this. In addition, service users have regular 1-1 sessions with their key worker or other support staff. Service users are encouraged to talk about their feelings, including any concerns or complaints they may have. The inspector spoke with a service user about making a complaint. Although she seemed unsure of the complaints procedure and process, she was clear about her rights in making a complaint, and knew a selection of appropriate people she could talk to if necessary. The home has received no complaints. The staff team have all received basic in-house adult protection training. The manager spoke knowledgably about her responsibilities in ensuring that service users are protected from harm. It is recommended that the staff team attend an accredited adult protection training course, and that the home obtain a copy of the Kent and Medway adult protection protocols. 14 Phoenix Road DS0000028850.V296129.R01.S.doc Version 5.2 Page 16 The whistle blowing policy was inspected. The home must ensure that the address and telephone number of the local CSCI is added to this document. 14 Phoenix Road DS0000028850.V296129.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a comfortable, homely and clean environment. EVIDENCE: Since the previous inspection the home has undergone redecoration in communal areas and service users bedrooms. The manager has produced a maintenance programme, which clearly demonstrates an ongoing improvement plan for decoration and maintenance of the home. Phoenix Road presents as homely and comfortable. A service user present throughout the inspection spoke enthusiastically about the home, and was very pleased with her newly decorated and accessorised bedroom. All areas of the home presented as clean and hygienic. 14 Phoenix Road DS0000028850.V296129.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from being supported by competent staff. Service users further benefit from the home’s robust recruitment policy and practice. EVIDENCE: Service users at the home are supported by a competent and caring staff team. Information gathered during the inspection, including observations of staff and a service user, evidenced that service users support needs are known to staff, and information sharing to ensure staff work consistently with service users is apparent through regular meetings and documented communication. Staff files inspected evidenced compliance with Schedule 2. The home operates a thorough recruitment process, and staff are given a start date only when all the necessary checks have been completed and received by the manager. The manager stated her frustration at accessing training courses for staff. However, she has ensured that all staff have undergone basic food hygiene, 3 staff are currently undertaking medication training, and moving and handling and first aid is in the process of being organised. The manager assured inspectors that she will arrange accredited adult protection training for staff. 14 Phoenix Road DS0000028850.V296129.R01.S.doc Version 5.2 Page 19 50 of the staff team have attained NVQ qualifications. 14 Phoenix Road DS0000028850.V296129.R01.S.doc Version 5.2 Page 20 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from living in a well run home. EVIDENCE: The inspection process has evidenced compliance in meeting Standards in every area inspected. The positive report owes much to the hard work put in by the manager and her team. Phoenix Road is a home that is focussed on the needs of service users, and strives for excellence in service delivery. The manager displayed in depth knowledge of the service user group, of individuals within that group, and of management skills required to manage a staff team, and skills needed to bring all the knowledge together to translate them into a home which people want to live in, and is forever evolving and changing in response to service users. 14 Phoenix Road DS0000028850.V296129.R01.S.doc Version 5.2 Page 21 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 3 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 2 ENVIRONMENT Standard No Score 24 3 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 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 3 X 3 X X X X X X 14 Phoenix Road DS0000028850.V296129.R01.S.doc Version 5.2 Page 22 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. 1 Standard YA23 Regulation 13(6) Requirement All staff receive accredited training in Adult Protection. Timescale for action 01/02/07 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 YA20 Good Practice Recommendations It is recommended that the home obtain a copy of the guidelines for safe administration of medication from the Royal Pharmaceutical Society of Great Britain. 14 Phoenix Road DS0000028850.V296129.R01.S.doc Version 5.2 Page 23 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 14 Phoenix Road DS0000028850.V296129.R01.S.doc Version 5.2 Page 24 - 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. 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