Inspection on 15/01/06 for 18 Marine Parade

This inspection was carried out on 15th January 2006.

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

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

Other inspections for this house

18 Marine Parade 14/08/07

18 Marine Parade 15/09/06

18 Marine Parade 01/06/05

18 Marine Parade 25/01/05

18 Marine Parade 01/07/04

Similar services:

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

1 Marten Road

Daubeney House

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

CARE HOME ADULTS 18-65 18 Marine Parade Tankerton Whitstable Kent CT5 2BG Lead Inspector Kim Rogers Unannounced Inspection 15th January 2006 12:45 18 Marine Parade DS0000023716.V271589.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 18 Marine Parade DS0000023716.V271589.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. 18 Marine Parade DS0000023716.V271589.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 18 Marine Parade Address Tankerton Whitstable Kent CT5 2BG 01227 772824 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 Patricia Ellen Rose Westbury Care Home 7 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (7), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (7) 18 Marine Parade DS0000023716.V271589.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Residents shall be 35 years of age and over Date of last inspection 1st June 2005 Brief Description of the Service: The company MCCH runs 18 Marine Parade. The home is registered to provide personal care and support to up to 7 adults with mental health needs. The home is detached and spacious with lounge, dining room, kitchen, office, 7 single rooms and two bathrooms, two shower rooms and toilets. Bedrooms have television points and wash hand basins. Accommodation is on two floors with the first floor accessed by stairs. The home has a large back garden with patio and seating area. The home is situated on the sea front at Whitstable with views from the front of the property overlooking the sea. The home has off road parking with further parking on the road. There are local shops, cafes and a bus stop nearby. 18 Marine Parade DS0000023716.V271589.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and carried out on a Sunday afternoon. All of the service users were at home. The Inspector spoke to service users individually and as a group. The Inspector spoke to the manager and staff and looked at some records. The atmosphere was relaxed. Service users said they had just enjoyed their Sunday roast dinner and were relaxing. Service users were engaged watching television together or relaxing in their rooms. Service users said ‘ I love being here, it is peaceful and relaxed’ ‘The staff are kind and gentle’ ‘I am really lucky to be here’ ‘I got the staff to dispense my tablets. This works well for me’ ‘K is a good chap’ ‘P is a very kind and gentle lady’ ‘I preferred it when the Visiting People team came here more often’ Since the last inspection the manager, Pat Westbury has passed the fit person process and is now the Registered Manager. The home was clean and paperwork was organised and up to date. The house is safe and well maintained. The home has shown commitment to meeting the National Minimum Standards with the requirements and recommendations from the last inspection well met. The Inspector concluded that service users get the support they need in a pleasant domestic setting. What the service does well: The staff team are long standing, committed and multi skilled. Staff spoke with knowledge and understanding of service users needs. Service users are relaxed and happy. Staff have positive and respectful relationships with service users. This was especially evident with service users having the confidence to joke with staff. Person centred approaches are used in care planning at the home. Service users hopes, dreams and goals are listened to and supported and regularly reviewed. Service users said that regular service user meetings are held so they are able to air their views. 18 Marine Parade DS0000023716.V271589.R01.S.doc Version 5.0 Page 6 Communication between staff is good with effective systems in place to ensure this is maintained. The home works closely and has good relationships with health professionals. All of the service users spoken to say the home meets their needs and expectations. Service users are supported to develop their independent skills. One service user said that staff supported him to achieve his dream of spending his 40th birthday in Paris. 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. 18 Marine Parade DS0000023716.V271589.R01.S.doc Version 5.0 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 18 Marine Parade DS0000023716.V271589.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2,5 Service users know their aspirations and needs will be assessed. Each service user has a contract detailing the conditions of their stay at 18 Marine Parade. EVIDENCE: Each service user has a service user plan. Detailed assessments are included in service user plans and carried out before a person moves in. Potential risks to service users were also assessed. These assessments are crucial as they form the basis of the service user plan. Staff said they work closely with health care professionals and other specialists where necessary to ensure they can meet a persons needs. Staff spoke with knowledge and empathy about the needs of service users and are aware of the importance of using person centred approaches. Staff were observed communicating effectively with service users. The staff team are long standing and experienced and were observed interacting with Service users in a positive respectful manner. Service users have a key worker and know who this is. All service users have a contract which details the terms and conditions of residency. The contracts include the fee, who pays it and what it includes. There is some confusion around the cost to service users of some transport. The manager must establish this information and consult with and inform 18 Marine Parade DS0000023716.V271589.R01.S.doc Version 5.0 Page 9 service users. This information must then be recorded in the contract of residency. Service users spoke to the Inspector about their roles and responsibilities around the home. Service users are aware of their roles regarding the household tasks and said they enjoyed working together to keep the house clean and tidy and see this as part of their residency agreement. 18 Marine Parade DS0000023716.V271589.R01.S.doc Version 5.0 Page 10 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): 8 Service users know they will have the opportunity to participate in all aspects of the running of this home. EVIDENCE: The Inspector spoke to most of the service users at this home. Some told the Inspector about how they are involved in the day-to-day running of the home. All said they feel involved with the support of staff. Service users said they have regular meetings when they have the opportunity to discuss a range of things like outing ideas to menu choices. Service users said that staff listen to their views and gave examples of when staff have acted on those views. Service users participate in the recruitment of new staff by meeting the staff informally during the recruitment process. Service users said they feel Marine Parade is their home. One service users aid ‘I love being here. It is peaceful and relaxed.’ 18 Marine Parade DS0000023716.V271589.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13 Service users are supported to take part in suitable activities. Service users feel part of the local community EVIDENCE: Service users said they take part in various leisure activities and have varied hobbies. Service users talked about their Bingo and Karaoke nights that they enjoy. Activities are supported and encouraged by staff. Service users said they access a variety of local amenities and feel part of the community. One service users aid he had walked to the local café that morning. Service users are supported to use public transport and other means of transport. All service users said they had a good Christmas. They told the Inspector about parties and meals out as well as Karaoke and carol singing events. Service users told the Inspector about the summer holidays they are planning. One service user said that staff supported him to achieve his dream of spending his 40th birthday in Paris. Service users at this home have the opportunity to access a wide range of leisure and work options. The home is allocated 16 hours a week from the 18 Marine Parade DS0000023716.V271589.R01.S.doc Version 5.0 Page 12 MCCH ‘Visiting People Team’ (VPT) This support is to access community activities. One service user said they would like more VPT time allocated to the home. 18 Marine Parade DS0000023716.V271589.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 Service users know their personal care needs will be met. Service users health needs are met. EVIDENCE: Service users personal care needs are recorded in their service user plans. This ensures that service users are supported in a way they prefer. Service users told the Inspector that staff support them with their personal care where necessary. One service user said she is able to chose which staff supports her. This home works closely with healthcare professionals to ensure that health care needs are well met. Health needs with actions to meet those needs are detailed in service user plans. Service user plans are reviewed regularly to ensure that changing needs are identified and supported. One service user said he has had support to go to the dentist recently. Where possible service users are supported to maintain their own medication. One service user told the Inspector that he has asked staff to dispense his tablets as this ‘works well for me’. Staff have supported a service user through a recent bereavement. 18 Marine Parade DS0000023716.V271589.R01.S.doc Version 5.0 Page 14 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): 23 Service users are protected from abuse. EVIDENCE: Service users told the Inspector that they feel safe at Marine Parade. Service users said they would talk to staff or the manager if they had a problem about the home and gave examples when they had raised issues that had been addressed. Staff attend adult protection training as part of their induction. The home has a policy and procedures for protecting vulnerable adults from abuse. There is also a whistle blowing policy. Staff and the manager have shown competence in following their adult protection policies and procedures. 18 Marine Parade DS0000023716.V271589.R01.S.doc Version 5.0 Page 15 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 This home is comfortable and well maintained. This home is clean and hygienic. EVIDENCE: The home has an attractive lounge and separate dining room. Doors from the dining room access the garden to the rear. There is a patio and seating area. The home was clean and suitably fragranced on the day of the inspection. Lighting, heating and ventilation was sufficient. The home is in keeping with the neighbouring properties and is close to local facilities. Staff have the necessary insurance cover to use their own vehicles or public transport is used to promote independence. Service users have unrestricted access to all communal parts of the home. Furnishings were seen to be of good quality and domestic in nature. The Inspector understands that the premise meets the requirements of the local fire authority and environmental health department. Service users told the Inspector that they were happy with their rooms. All bedrooms are for single occupancy with wash hand basins. All bedrooms are fitted with locks and service users are offered keys to their rooms. 18 Marine Parade DS0000023716.V271589.R01.S.doc Version 5.0 Page 16 Service Users told the Inspector that the home has sufficient toilets and bathrooms to meet their needs. Facilities are sited on the ground floor and first floor and are close to communal areas. There is an assisted bathroom on the ground floor to maintain independence. Facilities are fitted with suitable locking devices. Kitchen and laundry facilities are sufficient and domestic in nature. Service users who wish to smoke in their rooms have been risk assessed. Staff and Service Users now smoke outside. The office is used as a sleep in room for staff. The Manager is hoping to gain funding for a summerhouse, which is intended for the smokers of the house and social activities. The manager said that there are no outstanding urgent maintenance issues. The home has a new dishwasher, cooker and washing machine since the last inspection. 18 Marine Parade DS0000023716.V271589.R01.S.doc Version 5.0 Page 17 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): 35 Competent and well-trained staff support service users. EVIDENCE: Service users spoke very highly of the staff. Service users said ‘K is a good chap’ ‘Pat is a very kind gentle lady’ ‘I preferred it when the Visiting People team came here more often’ Staff attend a structured induction then a rolling programme of training courses is offered by the company training department. A training plan for 2006 is displayed in the office. The manager plans the training around the needs of the service users. The manager said she looks at developing staff so staff look at improving the lives of the service users. Staff have regular away days which aid the teams development and communication. Staff were observed interacting and supporting service users in a positive respectful manner using person centred active support techniques. 18 Marine Parade DS0000023716.V271589.R01.S.doc Version 5.0 Page 18 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): 37,39 This a well run home. Service users know their views leads to the review and development of the home. EVIDENCE: The manager has several years experience on supporting people with mental health needs and has completed the required qualification. The manager has shown commitment to Marine Parade and to meeting the National Minimum Standards. The manager said she feels supported and has regular meetings with her line manager. Staff and the service users spoke highly of the manager. The Inspector observed the manager speaking to service users positively with an understanding and knowledge of their needs. 18 Marine Parade DS0000023716.V271589.R01.S.doc Version 5.0 Page 19 Service users told the Inspector about their ideas for the home that the manager and staff had listened to. Service users said they have opportunity to voice their ideas and suggestions, which the manager acts on. One staff member is the health and safety rep and attends meetings and training for this. 18 Marine Parade DS0000023716.V271589.R01.S.doc Version 5.0 Page 20 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 2 Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X 3 X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 18 Marine Parade Score 3 3 X X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X X X DS0000023716.V271589.R01.S.doc Version 5.0 Page 21 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 YA5 Regulation 17(2) Schedule 4 Requirement Service users must be consulted about and informed of costs of any company transport. Timescale for action 30/03/06 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 18 Marine Parade DS0000023716.V271589.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Kent and Medway Area Office 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. Extracts may not be used or reproduced without the express permission of CSCI 18 Marine Parade DS0000023716.V271589.R01.S.doc Version 5.0 Page 23 - 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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