Inspection on 23/08/05 for 165 Jemmett Road

This inspection was carried out on 23rd August 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 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

165 Jemmett Road 16/01/07

165 Jemmett Road 24/02/06

165 Jemmett Road 15/02/05

165 Jemmett Road 01/02/05

165 Jemmett Road 16/02/04

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

CARE HOME ADULTS 18-65 165 Jemmett Road 165 Jemmett Road Ashford Kent TN23 4RH Lead Inspector Sue Gaskell Announced 23 August 2005 9:30 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 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 Stationary 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. 165 Jemmett Road H56-H05 S23321 165 Jemmett Road V236143 230805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 165 Jemmett Road Address Ashford, Kent, TN23 4RH Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01233 664753 The Kent Autustic Trust Care home only 6 Category(ies) of Learning Disability x 6 registration, with number of places 165 Jemmett Road H56-H05 S23321 165 Jemmett Road V236143 230805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 01/02/05 Brief Description of the Service: 165 Jemmett Road is a purpose built detached property owned by a housing Aasociation and managed by the Kent Autistic Trust. The home is in a residential area of Ashford, within 15 minutes walking distance of the town centre, with easy access to public transport, health and adult education centres, shops, churches, a swimming pool and other amenities. The house provides accommodation on 2 floors. There are 6 single bedrooms for residents, lounge, dining room, kitchen and bathrooms. In addition there is a staff sleeping in room, office/sleep in room, laundry, storage areas and a large enclosed garden. Staffing comprises a registered manager, team leaders, support staff and day care staff. 165 Jemmett Road H56-H05 S23321 165 Jemmett Road V236143 230805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was carried out over approximately 5 hours. Prior to this inspection the home had submitted a pre-inspection questionnaire completed by the registered manager, together with questionnaires completed by the residents or their families. The Inspector toured the building and inspected a number of records, policies and procedures. The Inspector spoke with 1 of the current 5 residents and met another in passing. 2 of the residents were visiting their families. The Acting Manager, who is in the process of applying for registration, 2 team leaders and one other member of staff assisted with the inspection. The manager commented on how well the staff had coped during the period when there was no permanent manager. 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. 165 Jemmett Road H56-H05 S23321 165 Jemmett Road V236143 230805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection 165 Jemmett Road H56-H05 S23321 165 Jemmett Road V236143 230805 Stage 4.doc Version 1.40 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 standard(s) 2 There are sound systems for assessing prospective residents’ individual needs and aspirations. EVIDENCE: The acting manager and team leaders explained that comprehensive preadmission assessments are carried out prior to residents gradually being introduced to the staff and other residents. These include input from the existing placement and/or from healthcare professionals. Although there have been referrals, there is still a vacancy within the home as staff felt that none of the prospective clients would have mixed well with the existing residents. 165 Jemmett Road H56-H05 S23321 165 Jemmett Road V236143 230805 Stage 4.doc Version 1.40 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 standard(s) 6,7,9 There is a clear and consistent care planning system in place and this includes all the information necessary to ensure that staff can meet residents’ needs. Residents participate in their assessments and reviews wherever possible, and are consulted on all aspects of the running of the home. Residents are enabled and supported in taking risks as part of an independent lifestyle. EVIDENCE: 1 resident said that he is always consulted over issues relating to his care needs and that he is able to make decisions on how he chooses to live and on the day to day running of the home. Residents’ care plans included health care and social details, aims and objectives, risk assessments and clear guidelines on how best to assist them. The risk assessments covered a variety of activities and areas. 165 Jemmett Road H56-H05 S23321 165 Jemmett Road V236143 230805 Stage 4.doc Version 1.40 Page 9 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 standard(s) 12,13,15,16,17 Residents have good access to a wide range of leisure activities that are appropriate to their behavioural needs, age, peer group and culture. The home’s relationship with the community is a positive one and enhances their social, recreational and educational opportunities. Residents’ nutritional needs are well catered for, with a varied and balanced selection of foods available to meet their choice and cultural needs. EVIDENCE: The information in the residents’ daily records confirmed that they enjoy a wide range of leisure activities and that there are sufficient resources, in terms of funding and staffing, to support these activities. Staff and 1 resident referred to having attended various events within the community. The acting manager said that advice is given as and when necessary regarding personal relationships and the records confirmed this. There was a good selection of foodstuffs, fresh fruit and vegetables etc in the store cupboard. There was evidence in the residents’ file and on the menu record to confirm that residents cultural dietary needs are observed and met. 165 Jemmett Road H56-H05 S23321 165 Jemmett Road V236143 230805 Stage 4.doc Version 1.40 Page 10 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 standard(s) 18,19,20 Staff have a good understanding of residents’ support needs, and personal support is offered in such a way as to promote and protect residents’ privacy, dignity and independence. The health care needs of residents are well met with evidence of referrals to a range of healthcare professionals. There are sound systems for the receipt, storage, administering and disposal of medication. EVIDENCE: The residents’ care plans included clear guidelines on providing support and the daily diaries showed that there is regular monitoring of health care and social care needs. 1 resident said that he is very well supported and always feel able to talk things through with staff. Another resident with communication needs was seen to be relaxed and comfortable interacting with staff. Staff confirmed that only trained staff would administer medication and that the procedures are in the medication file. The medication administration record charts were clear and current, with appropriate details for “prn” medication or anything out of the ordinary. Medication was seen to be stored safely. 165 Jemmett Road H56-H05 S23321 165 Jemmett Road V236143 230805 Stage 4.doc Version 1.40 Page 11 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 standard(s) 22,23 There is a clear and easily accessible complaints process and residents’ views and listened to and acted upon. The systems in the home are designed to protect residents from abuse, neglect and self harm. EVIDENCE: Staff were aware of the home’s complaint procedure which is issues to all residents and staff. 1 resident said that he would feel comfortable telling staff about anything he was unhappy with in the home. The acting manager and staff all showed good awareness of adult protection procedures and were aware of where it would be appropriate to seek advice. 165 Jemmett Road H56-H05 S23321 165 Jemmett Road V236143 230805 Stage 4.doc Version 1.40 Page 12 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 standard(s) 24,30 The standard of the environment within the home is good, providing residents with an homely, comfortable and safe place to live. The home is clean and hygienic. EVIDENCE: All areas of the home were seen to be clean, comfortably furnished, and adequately maintained. 1 residents said that he had chosen his own colour scheme, and other bedrooms were personalised and decorated according to the residents’ choices. 165 Jemmett Road H56-H05 S23321 165 Jemmett Road V236143 230805 Stage 4.doc Version 1.40 Page 13 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 Residents benefit from a committed, competent, well trained staff team. EVIDENCE: Although the home has lacked a long term manager for some while, staff turnover has been at an average level and staffing levels are appropriate to the needs of the residents, Staff confirmed that they have been provided with a range of induction and on-going training and that this is funded by the Trust. 165 Jemmett Road H56-H05 S23321 165 Jemmett Road V236143 230805 Stage 4.doc Version 1.40 Page 14 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39,42 The home regularly reviews aspects of its performance through self review, and consultation with residents, their relatives or representatives and staff. There are clear and comprehensive systems in place to ensure that the health, safety and welfare of residents is protected and promoted. EVIDENCE: Although the lack of a long term manager may have had an impact on the general running of the home, this situation has improved since the appointment of the acting manager who is seeking registration. Staff and 1 resident said that they are regularly consulted on the general management of the home. All records, policies and procedures relating to health and safety, such as risk assessments and fire alarm/lighting testing, were clear and current. Staff showed a good awareness of health and safety issues and 1 resident said that he is very aware of health and safety requirements. 165 Jemmett Road H56-H05 S23321 165 Jemmett Road V236143 230805 Stage 4.doc Version 1.40 Page 15 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 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 165 Jemmett Road Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x H56-H05 S23321 165 Jemmett Road V236143 230805 Stage 4.doc Version 1.40 Page 16 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 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. 1. Refer to Standard Good Practice Recommendations 165 Jemmett Road H56-H05 S23321 165 Jemmett Road V236143 230805 Stage 4.doc Version 1.40 Page 17 Commission for Social Care Inspection 11th Floor, International House Dover Place Ashford, Kent TN23 1HU 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. 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