Inspection on 03/02/06 for 146 Lower Robin Hood Lane

This inspection was carried out on 3rd February 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 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

146 Lower Robin Hood Lane 29/04/09

146 Lower Robin Hood Lane 20/12/06

146 Lower Robin Hood Lane 23/06/05

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

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33 St John`s Church Road

Dovedale Court

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

CARE HOMES FOR OLDER PEOPLE 146 Lower Robin Hood Lane 146 Lower Robin Hood Lane Walderslade Chatham Kent ME5 9Lb Lead Inspector Sue McGrath Unannounced Inspection 3rd February 2006 12:00 X10015.doc Version 1.40 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 146 Lower Robin Hood Lane DS0000064409.V282247.R01.S.doc Version 5.1 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 Older People. 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. 146 Lower Robin Hood Lane DS0000064409.V282247.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 146 Lower Robin Hood Lane Address 146 Lower Robin Hood Lane Walderslade Chatham Kent ME5 9Lb 01634 685656 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) MCCH Society Limited Mrs Wendy Smith Care Home 5 Category(ies) of Learning disability (1), Learning disability over registration, with number 65 years of age (4) of places 146 Lower Robin Hood Lane DS0000064409.V282247.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd June 2005 Brief Description of the Service: 146 Robin Hood Lane is a large detached bungalow situated in a quiet cul-desac in Chatham. Shops and other amenities are situated close by. The establishment cares for residents who have a learning disability with the majority being over 65 years of age. The home is staffed and managed by MCCH Society Ltd. 146 Lower Robin Hood Lane DS0000064409.V282247.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection under the terms of the Care Standards Act 2000 and took place on the 3rd February 2006 between 11.00 and 14.00. One inspector was in the home and the main focus of the inspection was on the progress of the home in meeting with recommendations made at the last inspection, the general environment and the well being of the residents. During the inspection documentation and records were read, including care plans. A tour of the building was undertaken, the majority of the residents were out enjoying organised activities. Time was also spent talking to staff and members of the management team. 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 dated 23rd June 2005 be also obtained. What the service does well: What has improved since the last inspection? What they could do better: 146 Lower Robin Hood Lane DS0000064409.V282247.R01.S.doc Version 5.1 Page 6 The bathroom should be refurbished to meet the assessed needs of the residents. The home is again advised to have a planned maintenance and renewal programme for the fabric and decoration of the premises to ensure the high standards set are maintained. Areas of concern are mainly the lounge decoration and carpets in the lounge and hall. Contracts / statements of terms and conditions need to be provided to the residents and/or their representatives. 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. 146 Lower Robin Hood Lane DS0000064409.V282247.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection 146 Lower Robin Hood Lane DS0000064409.V282247.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 3 Prospective service users are provided with the information they need to make an informed choice about moving into the home. Residents benefit from a comprehensive assessment of their needs prior to moving into the home to ensure their assessed needs can be met. Service users and families also benefit from the opportunity to visit the home prior to admission to assess the quality, facilities and suitability of the service. Contracts stating terms and condition are not currently supplied. EVIDENCE: The home now does have a Statement of Purpose that reflected life at Robin Hood Lane and met with the requirements of this standard. The problem with contracts was still outstanding as at the last inspection. At the last inspection it was stated that contracts / statements of terms and conditions were currently being written by the new provider. These had not yet 146 Lower Robin Hood Lane DS0000064409.V282247.R01.S.doc Version 5.1 Page 9 been completed and it is now nearly a year since MCCH took over. The residents had previously held contracts with MCLS. The organisation is strongly advised to address this issue urgently. The remaining standards were assessed as met at the last inspection. 146 Lower Robin Hood Lane DS0000064409.V282247.R01.S.doc Version 5.1 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Residents benefit from knowing their assessed and changing needs are reflected in their individual plan and that they are involved with making decisions about their lives where possible. Resident’s benefit from a robust confidentiality policy. EVIDENCE: All standards were assessed as met at the last inspection. 146 Lower Robin Hood Lane DS0000064409.V282247.R01.S.doc Version 5.1 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12-15 Residents benefit from having the opportunity for personal development with their daily living skills and have appropriate level of leisure activities. Residents also benefit from being part of the local community. Residents are supported to maintain contact with family and friends, which ensures they continue to receive stimulation and emotional support. The residents benefit from the appetising meals and balanced diet offered by the home. EVIDENCE: All standards were assessed as met at the last inspection. 146 Lower Robin Hood Lane DS0000064409.V282247.R01.S.doc Version 5.1 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16-18 The home has a robust complaints system and the home’s Adult Protection Policy and procedures protect residents from abuse. EVIDENCE: All standards were assessed as met at the last inspection. 146 Lower Robin Hood Lane DS0000064409.V282247.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19-26 Residents benefit from living in a clean, safe, well-maintained environment except for the bathroom, which needs to be refurbished. Residents have safe access to comfortable indoor and outdoor communal areas. Residents are encouraged to maximise their independence by having access to a range of specialist equipment supplied by the home. EVIDENCE: All of the resident’s rooms were viewed and were found to be comfortable and very homely. The rooms were personalised with one having french doors leading to a small garden. All had lockable safes for personal belongings and hand washbasins. One room had en-suite facilities. All of the rooms were single rooms and had televisions and or musical centres or CD players. It was evident that these rooms met the needs and lifestyles of the residents. The premises 146 Lower Robin Hood Lane DS0000064409.V282247.R01.S.doc Version 5.1 Page 14 generally were safe, comfortable, clean and free from offensive odours. A large conservatory to the rear of the building could be used as a quiet room or visitors room. The conservatory had insufficient heating for winter use. Some areas in the lounge were starting to show signs of wear and it was advised again that a planned maintenance and renewal programme for the fabrics and decoration be produced and adhered to. Carpets in the lounge and hallway were also starting to show signs of wear and will need to be replaced soon. The manager stated that they were regularly cleaned but that they were worn out. At the last inspection the manager discussed the proposed new bathroom that was soon to be installed. The budget figure had been approved and the work was due to start in the very near future. No further work had happened since the last inspection and the home was now experiencing problems with the hoist. It was sometimes sticking when a client was using it, making it very dangerous to use. An assessment had taken place from an Occupational Therapist and it had been recommended that to meet the residents needs, the bathroom should be refurbished. This will now be a requirement as the residents are at risk of possible injury. The home was advised to inform the organisation and the commission every time the bath hoist malfunctioned whilst in use. The bath hoist had not been serviced recently and was due last October. This needs to be addressed with immediate effect. 146 Lower Robin Hood Lane DS0000064409.V282247.R01.S.doc Version 5.1 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 The service users benefit from being cared for by staff who have a good understanding of their needs, who are trained and competent to do their jobs and who enjoy good morale. EVIDENCE: The manager explained that three staff had left or transferred but that three new staff had been appointed to replace them. The issue of using bank night staff was again discussed. Concerns were raised that bank staff were in the house on their own and it was not always possible to use the same bank staff. It will be a requirement that if waking night staff were needed then permanent staff must be employed to cover these shifts. All of the staff had relevant job descriptions and knew the main values and aims of the home. Staff had clearly developed good working relationships with the residents and were able to meet individual needs and personal interests. Staff were very clear that they were invited into the homes of the service users to work and that it was first and foremost their home. Staff were also seen to interact very well with the residents who were in the home during the inspection. The home used one volunteer driver, who has the necessary CRB checks. 146 Lower Robin Hood Lane DS0000064409.V282247.R01.S.doc Version 5.1 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31-38 The residents benefit from having a manager who provides clear leadership throughout the home and is supported by staff who demonstrate an awareness of their roles and responsibilities. Residents benefit from staff who are appropriately supervised by senior members of staff. Sound financial procedures protect residents. Current arrangements protected the health, safety and welfare of residents and staff. 146 Lower Robin Hood Lane DS0000064409.V282247.R01.S.doc Version 5.1 Page 17 EVIDENCE: The manager had formally informed the Commission that she was retiring at the end of March and it was felt that she would be greatly missed by the residents and staff alike. The manager had ensured that the approach of the home had created an open, positive and inclusive atmosphere. Discussion took place about the importance of effective quality assurance and quality monitoring to ensure the home was meeting the aims and objectives and the statement of purpose of the home. As in all MCCH homes the organisation was in the process of developing an appropriate system. It was hoped that this new system would be in place in the very near future. Appropriate financial procedures were in place to ensure effective and efficient management of the business. Insurance cover was seen to be in place. The home would benefit from having a business and financial plan in place. Resident’s finances were protected by a robust system and records and receipts were well maintained. The manager stated that regular supervision was carried out on a 6-8 weekly basis. Staff confirmed this. Individual records and home records were secure, up to date and in good order. The records required to maintain the health, safety and welfare of the residents and staff were viewed. Two areas of concern were raised and these were the lack of maintenance of the bath hoists and the remedial work required following the inspection of the hard wiring. The manager and service co-ordinator assured the inspector this work would be carried out as soon as possible. 146 Lower Robin Hood Lane DS0000064409.V282247.R01.S.doc Version 5.1 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 1 HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 2 3 3 3 2 3 STAFFING Standard No Score 27 2 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 3 2 146 Lower Robin Hood Lane DS0000064409.V282247.R01.S.doc Version 5.1 Page 19 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 OP22 Regulation 23(2)(n) Requirement The registered person shall ensure that the bathroom facilities meet the assessed needs of the current service users. ACTION PLAN REQUIRED The registered person shall ensure that at all times suitably qualified, competent and experienced staff are working at the care home in such numbers as are appropriate for the health and welfare of the service users in that permanent night staff are employed. ACTION PLAN REQUIRED The registered person shall produce written terms and conditions in respect of accommodation to be provided to the service users. ACTION PLAN REQUIRED The registered person shall ensure the health, safety and welfare of residents and staff by ensuring the bath hoist is serviced and the work identifies in the hard wiring report is completed. DS0000064409.V282247.R01.S.doc Timescale for action 06/03/06 2 OP27 28 (1)(a) 06/03/06 3 OP2 5(1)(b) 06/03/06 4 OP38 16(2)(g) 28/02/06 146 Lower Robin Hood Lane Version 5.1 Page 20 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. 2 Refer to Standard OP19 OP34 Good Practice Recommendations It is recommended that the home prepare a planned maintenance and renewal programme for the fabric and decoration of the premises.(19.2) It is recommended that a business and financial plan is prepared and made available for inspection. (34.5) 146 Lower Robin Hood Lane DS0000064409.V282247.R01.S.doc Version 5.1 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 146 Lower Robin Hood Lane DS0000064409.V282247.R01.S.doc Version 5.1 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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