Inspection on 19/12/05 for 14 Phoenix Road

This inspection was carried out on 19th December 2005.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

14 Phoenix Road 18/09/06

14 Phoenix Road 06/03/06

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 Ruth Burnham Announced Inspection 19th December 2005 11:00 14 Phoenix Road DS0000028850.V262488.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 14 Phoenix Road DS0000028850.V262488.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. 14 Phoenix Road DS0000028850.V262488.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 14 Phoenix Road Address 14 Phoenix Road Chatham KENT ME5 8RU 01634 863184 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.V262488.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Three people with learning disabilities between 18 and 65 years of age. Date of last inspection 19th January 2005 Brief Description of the Service: 14 Phoenix Road offers accommodation, support and personal care to three adults under the age of sixty-five. The service provided is geared towards domesticity and promoting independence. There have been no admissions since 1995 when the current residents moved in. The registered provider who is in day-to-day charge of the home stated there is no planned intention to accept any future referrals. 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.V262488.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and was carried out on 19 December 2005 by one inspector who was in the home from 09:30 to 16:30. Requirements and recommendations made in the previous inspection report were followed up. There are three service users living in the home, the inspector was able to speak with two of them during the inspection, the owner/manager and one member of staff were also spoken to. All three service users, returned preinspection questionnaires. 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.V262488.R01.S.doc Version 5.0 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.V262488.R01.S.doc Version 5.0 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&5 Once the required documentation has been revised people who live here or are thinking about doing so will have sufficient information to make an informed choice about what life is like in the home. EVIDENCE: Should a vacancy arise there is some information available for people who may consider moving to the home. The owner is currently updating the statement of purpose and service user guide to bring it into line with the regulations and to provide more detailed information to enable prospective service users to make an informed decision about what life would be like should they choose to move there. People who currently live at the home are happy with their lives there therefore standards 2, 3 and 4 are not applicable at this time. Each person who lives in this home has been provided with a statement of terms and conditions which sets out their rights and responsibilities and has been signed by all parties. 14 Phoenix Road DS0000028850.V262488.R01.S.doc Version 5.0 Page 8 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): 7 - 10 People who live in the home are empowered to take control of their own lives within a safe risk management framework with support which protects their privacy and maximises their independence. EVIDENCE: People who live in the home are supported to make decisions about how they wish to live their lives, it was clear during the inspection that service users are free to choose how they spend their time. There are regular residents meetings in which service users are encouraged to participate in the day to day running of the home, they are supported to take an active role in the meetings which are facilitated by staff and minuted. The inspector was impressed by the interaction which was observed between staff, residents and the owner during the inspection in that service users are encouraged to make their own decisions in all aspects of their lives with some guidance offered where necessary or requested, support is provided in a way which maximises their independence. Since that last inspection systems to protect residents from harm have been improved by the development of risk assessments which provide guidance to staff to maintain the safety of service users as they undertake a variety of activities. 14 Phoenix Road DS0000028850.V262488.R01.S.doc Version 5.0 Page 9 The privacy of people who live in the home is protected through a confidentiality policy and staff training in this area. Personal information is stored securely and is available solely to authorised and appropriate people. 14 Phoenix Road DS0000028850.V262488.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 & 14 The quality of life for people who live in the home is improved through support to develop their individual skills opportunities to take part in a variety of leisure activities. EVIDENCE: People who live in the home have opportunity for personal development through the expectation that they will take an active part in the running of the home, they are supported with the tasks which this involves in a way which encourages them to improve their daily living skills. They are also supported to manage all aspects of their lives as independently as their individual abilities will allow. Service users are encouraged to take part in a range of leisure activities including bowling, attendance at local community events and clubs, meals out and a variety of outings to places of interest, they enjoyed a weeks holiday at Camber Sands during the summer. 14 Phoenix Road DS0000028850.V262488.R01.S.doc Version 5.0 Page 11 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): 21 People who live in the home have the security of knowing their wishes will be respected. EVIDENCE: People who live in the home have the security of knowing their wishes will be respected in the event of death or terminal illness, these issues have been discussed with them and their choices have been recorded within their plan of care. 14 Phoenix Road DS0000028850.V262488.R01.S.doc Version 5.0 Page 12 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): Service users are protected from abuse. EVIDENCE: Since the last inspection the owner has developed a clear policy and procedures to ensure that staff have a clear understanding of how to protect people who live in the home from abuse which are in line with the Local Authority policy and procedures. . The safety of service users is maintained through rigorous recruitment and selection procedures which include checking all staff through the Criminal Records Bureau prior to appointment. 14 Phoenix Road DS0000028850.V262488.R01.S.doc Version 5.0 Page 13 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 - 30 People who live in the home benefit from the homely, comfortable and safe environment. EVIDENCE: A lot of work has been done to improve the quality of life for service users in that a new lounge suite has been purchased, the kitchen has been refitted and a new boiler has been installed, there are plans to carry out a programme of redecoration in the New Year. There are tree bedrooms in the home, one of which falls has less than the recommended floor space however the resident who occupies this room has made a positive choice to do so and said that she was happy with this room. Bedrooms are furnished in the way people who live there choose, not all the furnishings which are recommended in the standard would fit into the bedrooms, the owner agreed to include and assessment in care plans to demonstrate that service users have all the items they need including bedside lighting and an easy chair if they want it. There is a toilet on the ground floor and one upstairs in the bathroom which have been fitted with suitable locks to protect the privacy of the occupants, a shower has been installed over the bath since the last inspection to offer people who live in the home more choice. 14 Phoenix Road DS0000028850.V262488.R01.S.doc Version 5.0 Page 14 Service users benefit from cosy lounge/dining area, which contributes to the family atmosphere of the home. There is an office at the front of the house, which prevents administration and staff facilities from encroaching on the space of people living in the home. None of the people living in the home have physical disabilities that require specialist equipment and the organisation and layout of the home promotes their independence. The health and safety of people who live in the home is protected through the maintenance of a clean environment, suitable equipment and safe working practices which protect them from risk of infection, laundry facilities are located off the hallway, away from food preparation areas. 14 Phoenix Road DS0000028850.V262488.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): 31 - 36 People who live in the home benefit from the support of a caring staff team although competency could be improved through additional training. EVIDENCE: People who live in the home benefit from the support of the small staff team who are clear about their roles and responsibilities, all staff are provided with job descriptions and know that they are not there to do everything for residents but are there to help them to increase their skills and develop their independence in an environment where their privacy and dignity is respected. One member of staff has achieved NVQ level 2 in care and two other members of staff are undertaking this qualification currently. The owner has developed a staff training programme and is seeking training opportunities to increase the skills and competencies of the staff team to provide support for the service users. All staff have been trained in moving and handling and some staff are qualified in emergency first aid, the fire officer came to the home and talked to staff about fire safety. Advice was given that all staff should receive specific training in learning disability and relevant mental health issues to ensure that they fully understand and are competent to meet the needs of all the residents. 14 Phoenix Road DS0000028850.V262488.R01.S.doc Version 5.0 Page 16 People who live in the home are protected through sound recruitment and selection procedures, which include detailed application forms, health declarations, two written references and interview checklists. All staff receive induction training and regular one to one supervision, staff meetings are held regularly. Interaction between staff and residents observed during the inspection was warm, caring and respectful. 14 Phoenix Road DS0000028850.V262488.R01.S.doc Version 5.0 Page 17 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 - 43 Service users benefit from a generally well run home however lack of staff training in some safe working practices could place them at some risk of harm. EVIDENCE: People who live in the home benefit from the competent way in which it is run, the owner/manager is currently completing the Registered Manager’s Award and is very experienced in providing care for people with learning disabilities. The owner/manager is in day to day control of the home and is closely involved in the lives of the people who live there providing clear leadership and good management of the staff team. It was good to see the quality of the relationships between service users and the owner manager throughout the inspection, all parties benefit from the approachable and open management style where residents are confident that their views are taken account of in the running of the home. Since the last inspection a quality assurance system has been developed based on a business development plan from which the owner intends to produce a report at the end of the year which will include the views of the residents. Policies and procedures have been developed which the 14 Phoenix Road DS0000028850.V262488.R01.S.doc Version 5.0 Page 18 owner said are added to and updated regularly to ensure that the home continues to be run in the best interests of service users. Time did not allow for the examination of all safety certificates for installations and equipment during the inspection however the owner provided information prior to the inspection which supports the view that service users are protected. An outside security light has been installed to increase their safety at night. Some discussion took place about the need to ensure safe working practices by providing adequate training for all staff who prepare food in basic food hygiene and also health and safety and also to ensure that all statutory training in safe working practices is kept up to date to maintain the safety of people who live in the home. Residents benefit from the good management of records which protects their privacy and security, records are stored securely and in line with the Care Homes Regulations. Where the home acts on behalf of service users by supporting them to manage their finances they are protected from abuse through clear procedures and up to date records are kept of all transactions, they are further protected through adequate insurance and the findings of the inspection indicate that the general financial status of the home is good. 14 Phoenix Road DS0000028850.V262488.R01.S.doc Version 5.0 Page 19 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 3 x x x 3 Standard No 22 23 Score x 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score x 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 2 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 x 13 x 14 3 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score 3 3 3 3 2 3 CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 14 Phoenix Road Score x x x 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 2 3 DS0000028850.V262488.R01.S.doc Version 5.0 Page 20 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA35 Regulation 18(1) Requirement The registered person shall ensure that persons employed to work in the home receive training appropriate to the work they are to perform in that all staff should receive training in learning disability and relevant mental health issues The registered person shall ensure that persons employed to work in the home receive training appropriate to the work they are to perform in that all staff shall receive training in basic food hygiene and health and safety Timescale for action 28/02/06 2 YA42 18(1) 28/02/06 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 14 Phoenix Road DS0000028850.V262488.R01.S.doc Version 5.0 Page 21 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.V262488.R01.S.doc Version 5.0 Page 22 - 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. 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