Inspection on 14/08/07 for 17 Wheatfield Drive

This inspection was carried out on 14th August 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Similar services:

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Southfields

Thorndene

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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 17 Wheatfield Drive Cranbrook Kent TN17 3LU Lead Inspector Wendy Gabriel Key Unannounced Inspection 14th August 2007 09:00 17 Wheatfield Drive DS0000069407.V340484.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 17 Wheatfield Drive DS0000069407.V340484.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. 17 Wheatfield Drive DS0000069407.V340484.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 17 Wheatfield Drive Address Cranbrook Kent TN17 3LU 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) 01580 240118 01580 240270 Mrs Linda Joyce Fennell Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 17 Wheatfield Drive DS0000069407.V340484.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: 17 Wheatfield Drive is a detached, modern house situated in a residential area of Cranbrook. The home provides care for up to three residents. All bedrooms are single occupancy. There is a spacious lounge and separate dining room for residents use. The Registered Provider also owns a similar house next door. Limited parking is available to the front of the premises and some parking is available in the road. There is a wide range of services in the town including shops, pub, church and the police station is next door. The acting manager has applied for registration as manager. Fees are in the range of £744.25 - £878.95. For up to date fees please contact the Registered Provider. 17 Wheatfield Drive DS0000069407.V340484.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection of this home as it is a new registration. The Inspector telephoned the home the day before and spoke to the Registered Provider to make sure there would be someone there on the 14th. There were 2 residents in the home at the time and one resident away on holiday. A member of staff was on duty and was introduced. The acting manager and later the Registered Provider greeted the inspector and spent time talking to her about the home. Both residents chatted to the inspector and showed her their rooms and their shower room. The Inspector looked at some records including care plans, medication administration records and some policies. The home completed their Annual Quality Assurance Assessment prior to the inspection and information was also used from this document. The acting manager had worked hard to complete this document with detailed information. Some recommendations were made regarding adding further information to policies already in place. What the service does well: The acting manager, registered provider and staff have assembled very useful documents called ‘This Is Me’. These are in picture format and the residents have been involved with completing them. They include daily personal development plans and aims and plans for the future. Personal choices are indicated and preferred life style. Residents also sign these where able. The house is furnished in a homely manner and the acting manager said that the kitchen was to be completely renewed the following week. Bedrooms are to be redecorated very soon and the residents will have their choice of décor. The shower room has recently been decorated to the residents’ choice of colours. Residents are encouraged to write their own reviews to add to the regular reviews undertaken by social services and the home. Residents also write the minutes following their in house meetings. Quality assurance has been undertaken rigorously and includes questionnaires to families, and residents. Parents are informed by letter who the key worker 17 Wheatfield Drive DS0000069407.V340484.R01.S.doc Version 5.2 Page 6 for their relative is, the letter includes a photograph of the member of staff. This was a result of feedback from previous questionnaires. A monthly newspaper is also provided. The parents have formed a ‘friends of’ the home charity and, the acting manager stated, have been extremely supportive. 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. The summary of this inspection report can be made available in other formats on request. 17 Wheatfield Drive DS0000069407.V340484.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 17 Wheatfield Drive DS0000069407.V340484.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is: good. This judgement has been made using available evidence including a visit to this service. Residents know that their needs will be assessed prior to them moving to the home and that they are encouraged to visit before making a decision about where to live. EVIDENCE: The acting manager or the Registered Provider will visit a prospective resident in their own home to assess their needs. Social services also inform the home of their assessment of the individual. Prospective residents are invited to visit the home for lunch or tea. An overnight stay to look at the environment and to meet the people already living there will be arranged. Reviews will take place after three months. People living in the home are given contracts and terms and conditions. These are in a picture format. 17 Wheatfield Drive DS0000069407.V340484.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is: good. This judgement has been made using available evidence including a visit to this service. Residents know their assessed and changing needs are recorded and that they are consulted on and participate in aspects of life in the home. EVIDENCE: There was evidence of assessments and reviews for each person living at the home. Residents are encouraged to write their own review with their key worker. The residents have also contributed to personal documents called ‘This is me’ that describe their likes and dislikes. A daily personal development plan is undertaken. One resident kindly offered her plan to the Inspector to see. This contained information that was agreed by the resident to describe her choices and life style preferences. 17 Wheatfield Drive DS0000069407.V340484.R01.S.doc Version 5.2 Page 10 Risks are identified and assessed. The acting manager agreed to a recommendation to add further information for staff on enabling residents to deal with risks. Residents have their own meetings and write the records themselves. Residents also undertake training sessions to help them understand issues such as first aid, road safety and safety in the home. This is good practice. 17 Wheatfield Drive DS0000069407.V340484.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents know they are enabled to take part in activities in the home and the community and maintain relationships with friends and family. Residents’ rights and responsibilities are encouraged and recognised. Menus are varied and cater for dietary choices. EVIDENCE: The home provides a day care programme that includes, shopping, housework, laundry, cooking and life skills. The two people living in the home at the time of the inspection were working in the kitchen and supervised by a carer, they were also preparing for their shopping trip. The acting manager said that the parents have set up a ‘friends of’ the home and have been very supportive. They have helped pay for tickets for a resident who wished to visit the theatre, one resident has competed at 17 Wheatfield Drive DS0000069407.V340484.R01.S.doc Version 5.2 Page 12 Hickstead and was supported by the friends. A bar-b-que and entertainment and decorations was provided for the residents by the friends. One person works one day a week and has also been accepted at another work placement. People can choose to take different subjects from nearby colleges. Pottery, music, art, cooking and African drumming have proved popular. The registered provider also owns another local home and residents visit there for aromatherapy, reflexology, and gardening where there is a tutor for residents to learn simple tasks such as how to grow vegetables or take cuttings. One resident happily showed the inspector a photograph of herself and the registered provider taken at a Christmas lunch in the pub. The home has a menu that recognises the vegetarian choices of two residents. the acting manager agreed to record meals taken that were not on the menu. The kitchen is to be completely gutted the week following the inspection. The registered provider said all new units; tiles and décor will be put in including new equipment. 17 Wheatfield Drive DS0000069407.V340484.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents know their physical and emotional health needs will be met and that personal support given in the way they prefer. Medication administration would benefit from a homes policy. EVIDENCE: The home has a general policy regarding medication administration but would benefit from a specific homes policy detailing procedures and practice guidance. The acting manager agreed to this. All staff have completed training to administer medication and are then assessed by the home. No resident currently self medicates. Medication is stored securely and no excess medication was kept. There was recorded evidence of residents having access to Health care professionals. 17 Wheatfield Drive DS0000069407.V340484.R01.S.doc Version 5.2 Page 14 17 Wheatfield Drive DS0000069407.V340484.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is: good. This judgement has been made using available evidence including a visit to this service. Residents know that complaints will be listened to and acted upon. Forthcoming training for staff will benefit residents against abuse. EVIDENCE: The home provides a pictorial complaints procedure for residents. Residents are encouraged to talk about any worries or concerns they may have to any member of staff, their key worker or at residents meetings. Notes written by residents after their own meetings were forthright in stating their feelings about different issues. The acting manager stated that the home has not had any complaints since being registered this year. A recommendation is made for a dedicated complaint recording format to be used if a complaint is received and this to include timescales, actions and outcomes. The complaints policy is to be displayed in the home. Residents are not assisted by staff to fill in their quality assurance questionnaires but by families when they go home. All staff are booked to go on an adult abuse awareness training course in September. Staff induction also includes information regarding abuse. 17 Wheatfield Drive DS0000069407.V340484.R01.S.doc Version 5.2 Page 16 The registered provider and acting manager discussed with clarity adult protection procedures and understanding what adult abuse is. A counsellor has undertaken sessions for residents in the format of a women’s group. This is to encourage people to speak out if they feel that something is wrong and that they will be supported by the home if they say ‘no’. A psychologist has been a guest speaker for staff to increase their awareness of residents’ rights. 17 Wheatfield Drive DS0000069407.V340484.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is: good. This judgement has been made using available evidence including a visit to this service. The environment is comfortable, homely and safe. Residents said they like their bedrooms and their shower room. EVIDENCE: The acting manager said that all bedrooms are due to be decorated and residents will be able to choose colours for their own rooms. The two residents showed the Inspector around the home. Bedrooms are individual and residents have been encouraged to personalise their rooms with their own possessions. All bedrooms have locks. The residents were very proud of their shower room and had chosen the colours themselves. 17 Wheatfield Drive DS0000069407.V340484.R01.S.doc Version 5.2 Page 18 The communal lounge and separate dining room are homely and offer sufficient space for the people living at the home. The home is clean and hygienic. The kitchen is due to be completely gutted and new equipment and units put in the week following the inspection. 17 Wheatfield Drive DS0000069407.V340484.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is: good. This judgement has been made using available evidence including a visit to this service. Residents are supported by trained staff and are involved in recruitment interviews. EVIDENCE: No staff records were available in the home as they are kept in the registered providers other home. The registered provider and the acting manager stated that two references are required and these are followed up by telephone calls. POVA and CRB checks are undertaken. The applicant will be invited to visit the home and will sit in on the interviews. Induction is undertaken using a national induction workbook and supervision takes place every 6 weeks. An agenda is given for supervision and is recorded. The new recruit will be paired with a ‘mentor’ for a week or two. 17 Wheatfield Drive DS0000069407.V340484.R01.S.doc Version 5.2 Page 20 All staff has either completed NVQ2 or 3 or has been enrolled on an NVQ course. The acting manager has stated in the Annual quality assurance assessment that plans for improvement in the coming months include personal development plans for staff. 17 Wheatfield Drive DS0000069407.V340484.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is: good. This judgement has been made using available evidence including a visit to this service. Residents’ benefit from a well run home and know that their views are taken into consideration. Health and safety is promoted. EVIDENCE: The acting manager is studying for the RMA qualification and has applied to be registered. The home was registered this year and the acting manager has stated in the annual quality assurance assessment that since then they have developed better monitoring systems and greater staff training and development. The home has robustly undertaken quality assurance and the acting manager stated that she hopes to improve reviewing and feedback in the coming year. 17 Wheatfield Drive DS0000069407.V340484.R01.S.doc Version 5.2 Page 22 Regular meetings are held for residents, staff and parents. The personal manager has the responsibility for health and safety in the home and has devised a monthly ‘walkabout’ that is undertaken by the administrator of the registered providers homes and who records and ensures maintenance or changes are undertaken. This includes smoke alarm checks and tests. Staff and residents undertake fire drills. Maintenance certificates for the home were in date. 17 Wheatfield Drive DS0000069407.V340484.R01.S.doc Version 5.2 Page 23 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 “ ” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 4 X X 3 X 17 Wheatfield Drive DS0000069407.V340484.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. Refer to Standard YA22 YA20 YA17 YA9 Good Practice Recommendations A dedicated recording format for complaints is to be provided, and the complaints policy is to be displayed in the home. A medication policy specifically for the home is to be provided. Food taken that is not on the menu is to be recorded. Further information to be included in identified risk assessments for staff actions. 17 Wheatfield Drive DS0000069407.V340484.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 17 Wheatfield Drive DS0000069407.V340484.R01.S.doc Version 5.2 Page 26 - 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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