Inspection on 17/03/06 for 248 Brompton Farm Road

This inspection was carried out on 17th March 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 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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

248 Brompton Farm Road 20/09/06

248 Brompton Farm Road 04/10/05

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

CARE HOME ADULTS 18-65 248 Brompton Farm Road 248 Brompton Farm Road Rochester Kent ME2 3NP Lead Inspector Andrea Leverett Unannounced Inspection 17th March 2006 10:00 248 Brompton Farm Road DS0000064374.V286164.R01.S.doc Version 5.1 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 248 Brompton Farm Road DS0000064374.V286164.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. 248 Brompton Farm Road DS0000064374.V286164.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 248 Brompton Farm Road Address 248 Brompton Farm Road Rochester Kent ME2 3NP 0208 3082900 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) The Avenues Trust Limited Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 248 Brompton Farm Road DS0000064374.V286164.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th October 2005 Brief Description of the Service: 248 Brompton Farm Road is a care home for adults with learning disabilities. The home is managed and run by Avenues Trust, while the Health Authority owns the property. The home is situated in a residential area of Strood, Rochester and is on a bus route. Strood town centre is approximately two miles away. Local shops are approximately ½ mile away in Wainscott. The Home currently provides care and accommodation for three service users. Leisure facilities are accessed via community resources and adult education. The home has off road parking facilities and a rear garden. 248 Brompton Farm Road DS0000064374.V286164.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 17th March 2006 Two service users were spoken with as well as 2 members of staff. Some judgements about quality of life and choices were taken from direct discussion with service users and observation on the day followed by discussion with support staff and viewing evidencing records held at the home. The inspector concluded that the Home has continued to improve the quality of life and opportunities for service users at Brompton Farm and improvements to the environment are on going. Service users will no longer have to share bedrooms and there are plans to redesign the bathroom and downstairs communal rooms to create more living space for service users. What the service does well: Service users benefit from a staff team that work hard to develop meaning full communication systems, which enables them to seek their views and take their right to make choices seriously. Service users benefit from being offered nutritious, varied and balanced meals, which they have helped grow/buy, plan and prepare. Service users benefit from being offered annual holidays, which they have helped to choose. The Home has its own transport for the benefit of service users, which is domestic in character and unmarked. Service users benefit from being able to take part in independent advocacy groups. 248 Brompton Farm Road DS0000064374.V286164.R01.S.doc Version 5.1 Page 6 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. 248 Brompton Farm Road DS0000064374.V286164.R01.S.doc Version 5.1 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 248 Brompton Farm Road DS0000064374.V286164.R01.S.doc Version 5.1 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): None of the above was inspected on this occasion. No new service users have been admitted to the Home for several years. EVIDENCE: 248 Brompton Farm Road DS0000064374.V286164.R01.S.doc Version 5.1 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): 6,7,9 Service users benefit from having Holistic Person Centred Plans, which have been put together with their involvement and take into account their assessed needs, wishes and aspirations. EVIDENCE: A sample of service user Person Centred Plans viewed included holistic profiles, daily routines, a weekly plan, risk assessments, communication systems and health records. Information about service users was presented in a very positive and sensitive style and was easy to understand, comprehensive and detailed. The plans were cross-referenced with the homes daily records and discussion with staff and service users evidenced that service user plans were followed consistently. 248 Brompton Farm Road DS0000064374.V286164.R01.S.doc Version 5.1 Page 10 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): 11,13,14 Service users benefit from a staff team that work hard to develop meaning full communication systems, which enables them to seek their views and take their right to make choices seriously. Service users benefit from having access to a range of appropriate leisure activities in keeping with their wishes. EVIDENCE: Discussion with service users, staff and evidence from daily records showed that a range of community based activities are provided including in the evenings and at weekends. The Home has its own transport for the benefit of service users, which is domestic in character and unmarked. All service users had a holiday last year and the Home is in the process of planning this year’s holiday, which will be in June. 248 Brompton Farm Road DS0000064374.V286164.R01.S.doc Version 5.1 Page 11 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): 18,19,20 Service users know they will receive health and personal care and will be support in a way they prefer and require. Service users benefit from a safe system of medication administration and storage. EVIDENCE: Service users’ plans included holistic personal and health care assessments and a record of preferred daily routines. The inspector was impressed with the detail of this information and observation on the day indicated that these were being followed. Health records showed that access to routine and specialist health services was being provided. An inspection of the homes medication storage, administration and record system was undertaken. Medication records were maintained appropriately and medication was stored correctly. Training records viewed and discussion with staff evidenced that staff have undergone Medication Administration Training in the past and are in the process of having this training updated with the new organisation. 248 Brompton Farm Road DS0000064374.V286164.R01.S.doc Version 5.1 Page 12 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): 22,23 Service users no that their views and concerns will be sort and acted upon and they will be protected from abuse and neglect. EVIDENCE: The Home has a pictorial complaints system on the notice board in the hallway, which was easy to understand and records of service user meetings showed that their views were sort and acted upon. The Home has an Adult Protection policy and procedure and a copy of the local authority procedures and protocols for Adult Protection. Training records showed that staff have undertaken Adult Protection training and discussion with 2 staff members showed that they had a good understanding of the issues and what they should do if they had any concerns in this regard. 248 Brompton Farm Road DS0000064374.V286164.R01.S.doc Version 5.1 Page 13 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): 24,25,27 Service users continue to benefit from on going improvements to the home’s bedrooms and communal spaces. EVIDENCE: Improvements to the environment are on going; all 3 service users will soon have their own rooms, 2 of which are in the process of being redecorated and will have new carpets. The assessment of the homes bathroom has been undertaken and the Home is in the process of working with the Occupational Therapist to agree a plan to it redesign to meet service users needs. The Home has also drawn up plans to have the down stairs communal spaces redesigned to crate more room for service users. 248 Brompton Farm Road DS0000064374.V286164.R01.S.doc Version 5.1 Page 14 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 Service users individual and joint needs are met by appropriately trained staff. EVIDENCE: An inspection of staff training records and discussion with staff evidenced that a range of mandatory and service specific training was undertaken. 248 Brompton Farm Road DS0000064374.V286164.R01.S.doc Version 5.1 Page 15 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): None of the above was inspected on this occasion. EVIDENCE: 248 Brompton Farm Road DS0000064374.V286164.R01.S.doc Version 5.1 Page 16 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 Standard No Score 1 X 2 X 3 X 4 X 5 X 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 2 25 3 26 X 27 2 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 3 12 X 13 3 14 3 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X X X X X X X X 248 Brompton Farm Road DS0000064374.V286164.R01.S.doc Version 5.1 Page 17 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 16.2(c) Requirement The registered person must ensure that the stained carpet in the lounge/diner is replaced or made good. The registered person must provide an action plan detailing how it will meet the assessed needs of service users in terms of bathing facilities and adaptations. The registered person must ensure that the home provides the commission with an action plan with time scales that details how the Home will provide communal space, which is suitable for the provision of social activities appropriate to the circumstances of the service users. Timescale for action 16/12/05 2. YA27 23.2(j)(n) 20/05/06 4. YA28 23.2(e), (h)(I) 20/05/06 248 Brompton Farm Road DS0000064374.V286164.R01.S.doc Version 5.1 Page 18 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 248 Brompton Farm Road DS0000064374.V286164.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 248 Brompton Farm Road DS0000064374.V286164.R01.S.doc Version 5.1 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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