Inspection on 27/10/05 for 22 Prices Avenue

This inspection was carried out on 27th October 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

22 Prices Avenue 09/11/06

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 22 Prices Avenue 22 Prices Avenue Cliftonville Margate Kent CT9 2NT Lead Inspector Elizabeth Hendry Announced Inspection 27th October 2005 09:00 22 Prices Avenue DS0000065351.V262082.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 22 Prices Avenue DS0000065351.V262082.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. 22 Prices Avenue DS0000065351.V262082.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 22 Prices Avenue Address 22 Prices Avenue Cliftonville Margate Kent CT9 2NT 01843 293927 01843 293927 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) CareTech Community Services (No.2) Ltd Mrs Patricia Wolstenhulme Care Home 6 Category(ies) of Learning disability (6) registration, with number of places 22 Prices Avenue DS0000065351.V262082.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th June 2005 Brief Description of the Service: 22 Prices Avenue is a semi detached house with six single bedrooms, the bedrooms are situated on the first and second floor of the property. There is no lift facility within the home. The home is registered for six adults with learning disabilities aged between 18-65 years. The home promotes person centred living. Service users are actively encouraged to maintain and develop personal independence and choice. The home is located in the residential area of Cliftonville, within short walking distance of local shops and amenities. 22 Prices Avenue DS0000065351.V262082.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes second inspection, which took place over the course of a day. Time was spent with the Registered Manager, deputy manager, support workers and service users. A tour of the home was undertaken and records, policies and procedures were viewed. What the service does well: What has improved since the last inspection? What they could do better: The registered provider needs to address the accommodation/facilities provided for staff who undertake sleep in duties. Present arrangements remain unsatisfactory and requirements have been issued to address this. 22 Prices Avenue DS0000065351.V262082.R01.S.doc Version 5.0 Page 6 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. 22 Prices Avenue DS0000065351.V262082.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 22 Prices Avenue DS0000065351.V262082.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): 1 and 5 The homes statement of purpose and service user guide are excellent. They provide service users and prospective service users with the information they need to make a decision about moving into the home. Terms and conditions of residence provide service users with clear information as to what is included in the bed fee. EVIDENCE: The registered manager confirmed that the homes statement or purpose and service user guide has recently been reviewed, and that each document is drawn up specifically for an individual in a format they are able to understand. The service user guide was found to be informative. The registered manager confirmed that all service users are provided with a copy upon admission into the home. A copy of the terms and conditions of residence was viewed and while it is not written in a format suitable for service users, the registered manager explained that the contract would be discussed with each service user to ensure there understanding of its contents. The contract was found to clearly explain what is and is not included in the weekly bed fee. 22 Prices Avenue DS0000065351.V262082.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, and 9 Service users know that their personal goals are accurately reflected in their individual care plans and that potential risks are managed. The care planning system is clear and easy to follow, providing staff with the information they need to meet the needs of the residents. EVIDENCE: Staff spoken to had a clear understanding as to the needs and limitations of all service users in their care. Individual care plans clearly stated personal care, social and educational, needs of each resident. Service users signatures were present on all care plans viewed evidencing service user involvement and consent to care. Staff signatures were in place confirming that they have read the individuals care plan and understood its contents. Service users spoken with said that they were encouraged to make decisions regarding day-to-day activities, personal goals and finances. During the inspection a service user was observed explaining to a support worker what they wanted to do that day and how they were going to do it. 22 Prices Avenue DS0000065351.V262082.R01.S.doc Version 5.0 Page 10 Detailed risk assessments are in place for all service users, with evidence of regular review. Staff members spoken with stated that risk assessments are compiled on a daily basis. 22 Prices Avenue DS0000065351.V262082.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): 12,14 and 17 Service users know that their personal goals are reflected in their individual care plans. Service users are supported to undertake leisure activities. Dietary needs of service users are well catered for with a balanced and varied selection of food available that meets the service users tastes and choices. EVIDENCE: Records examined confirmed that service users are supported to pursue a wide range of activities. Service users spoke of attending day centres, colleges and participating in community based activities. One service user proudly discussed his part time job at a local shop and how the staff had helped him gain this voluntary employment. Held within each individual care plan is a personal activity plan demonstrating that service users are supported to develop personal and group activities. Menus supplied to the commission prior to the inspection identify a wide, varied and nutritious diet with choices available at all meal times. Service users spoke of being able to have snacks and drinks upon request throughout the day. 22 Prices Avenue DS0000065351.V262082.R01.S.doc Version 5.0 Page 12 22 Prices Avenue DS0000065351.V262082.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 and 20 The medication at the home is well managed, and all healthcare needs of the service users are fully met. Personal support is provided in a manner that promotes and maximises service users privacy, dignity and independence. EVIDENCE: Staff were observed providing personal support to service users in a sensitive manner, offering encouragement and verbal prompts when necessary. Individual care plans identified the health care needs of each service user, and detailed records were kept of any appointments attended and their outcome. The registered manager spoke of addressing any health care problems as they were identified. Records showed that each service user is registered with a GP of their choice. Medication is recorded, administered and stored in accordance with the Royal Pharmaceutical Guidelines of Great Britain. The registered manager confirmed that only staff who have been trained in the safe handling of medication are involved in the management of service users medication. Service user signatures were in place consenting to staff managing their medication. No service users currently living at the home are self-administering. 22 Prices Avenue DS0000065351.V262082.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): 22 and 23 Service users know their complaints will be listened to and acted upon. Staff have a sound understanding of adult protection issues which protects service users from possible abuse. EVIDENCE: A copy of the homes complaints policy was viewed and found to contain clear information in a format suitable for the service user group. Copies of the policy are on display within the home and within the service user guide. The homes complaints book was viewed, which demonstrated all complaints were appropriately recorded, with outcomes and timescales clearly documented. Staff spoken to had a comprehensive understanding of adult protection issues and procedures to follow should the need arise to report possible abuse. Deescalation techniques are taught to members of staff upon commencement of their employment. Service users are encouraged where ever possible to manager their own finances. The registered manager spoke of staff members providing support to those service users who are less able. Records viewed identified all monies are managed appropriately. 22 Prices Avenue DS0000065351.V262082.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 and 30 Improvements to the environment will enhance the service users quality of life. Infection control procedures within the home are good, ensuring the well being of service users. EVIDENCE: A tour of the home was undertaken; the first floor bathroom has benefited from a programme of refurbishment and redecoration and now provides service users with a pleasing environment. It was noted that there was a strong odour within one bedroom, however all other areas of the home were clean and odour free. The registered manager spoke of the registered provider organising the rewiring of the property and subsequent replacement of all communal carpets. Window restrictors were noted to absent in two service users bedrooms. One service user spoke of having to stand on a chair in order to open their window, and not being able to see out as a result of the condensation within the double-glazing. Arrangements for staff sleeping in remain unsatisfactory, useable space within the staff sleep in room/office is minimal with no space for dressing or storage of personal effects. Liquid hand soap and paper towels are situated in all hand washing areas. Staff files viewed, identified their attendance in infection control training. 22 Prices Avenue DS0000065351.V262082.R01.S.doc Version 5.0 Page 16 22 Prices Avenue DS0000065351.V262082.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): 32, 34 and 35 The staff have a good understanding of service user support needs. This is evident from the positive relationships that have formed. Recruitment policies are consistently followed to ensure service users receive care from appropriately vetted staff. Staff receive training appropriate to the needs of the service user group. EVIDENCE: Staff spoken with had a good understanding of the need of each resident. Service users spoke highly of all members of staff and commented that the management of the home was approachable and fair. Staff files viewed confirmed that all members of staff receive training in key areas relevant to the service user group. The homes training matrix identified the training needs of each member of staff. The registered manager talked through the homes recruitment procedure and of those staff files viewed this was found to be adhered to. All the required information as detailed within the Care Homes Regulations 2001 was found to be included. 22 Prices Avenue DS0000065351.V262082.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 and 39 Service users benefit from a well run home. The home regularly reviews aspects of its performance through a good programme of self review and consultations, which include the views of service users, staff and relatives. All staff are fully aware of the importance in maintaining health and safety within the home EVIDENCE: The Registered Manager has a number of years experience working with young adults with learning disabilities, and has a sound understanding as to the needs of this service user group. Records viewed identified recent and ongoing training being undertaken in order to ensure the manager continues to meet the needs of the service users. The registered manager spoke of nearing completion of the NVQ registered managers award. Quality assurance procedure within the home were examined and found to be very thorough. A recent annual audit undertaken by the Registered Provider was viewed and key areas which require improvement or further development 22 Prices Avenue DS0000065351.V262082.R01.S.doc Version 5.0 Page 19 were clearly identified. The registered manager confirmed that service users and their relatives are able to view this document upon request. Staff spoken to were aware of the document and the homes quality assurance policy. Service user questionnaires returned to CSCI prior to the inspection were found to be very complimentary of the service they receive. Training records viewed illustrated that all staff have attended appropriate training in health and safety, first aid, manual handling and food hygiene. Accidents and incidents are recorded appropriately. The Registered Manager spoke of a detailed electrical survey of the home being carried out as a result of the previous inspection requirement, however no work has begun or a date for commencing work has been given. Portable appliance testing is undertaken on a regular basis and all fire safety equipment has recently been inspected. Window restrictors were found to absent from a number of above ground level bedroom windows. 22 Prices Avenue DS0000065351.V262082.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 3 X X X 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 X X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X X X X X 2 LIFESTYLES Standard No Score 11 X 12 3 13 X 14 3 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X 3 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 22 Prices Avenue Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X 2 X DS0000065351.V262082.R01.S.doc Version 5.0 Page 21 Yes 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 YA24 Regulation 23 Requirement Timescale for action 01/12/05 2 YA42YA24 23 3 YA42 23 The Registered Provider must provide staff with adequate and suitable accommodation in which to undertake sleep in duties. 31/12/05 The Registered Person shall having regard to the number and needs of the service users ensure that ventilation, heating and lighting suitable for service users is provided in all parts of the care home which are used by service users. (Replace bedroom window on top floor to the front of the property and ensure ease of opening for the resident, and ensure window restrictors are in place on all windows above ground floor.) The Registered Person shall 31/12/05 having regard to the number and needs of the service users ensure that the premises to be used as the care home are of sound construction and kept in a good state of repair. (Complete all necessary electrical works to the home and submit a copy of the safety certificate.) 22 Prices Avenue DS0000065351.V262082.R01.S.doc Version 5.0 Page 22 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 YA20 Good Practice Recommendations It is recommended that administration of PRN medication is recorded on the reverse of the MAR sheet. 22 Prices Avenue DS0000065351.V262082.R01.S.doc Version 5.0 Page 23 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 22 Prices Avenue DS0000065351.V262082.R01.S.doc Version 5.0 Page 24 - 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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