Inspection on 04/10/05 for 248 Brompton Farm Road

This inspection was carried out on 4th 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 no outstanding requirements from the previous inspection report, but made 5 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 17/03/06

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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 Announced Inspection 4th October 2005 10:00 248 Brompton Farm Road DS0000064374.V260824.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 248 Brompton Farm Road DS0000064374.V260824.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. 248 Brompton Farm Road DS0000064374.V260824.R01.S.doc Version 5.0 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.V260824.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 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.V260824.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place on the 27th of September at 10.00am. Two service users were spoken with as well as 2 members of staff and the manager. 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. However there are still concerns about lack of separate communal space and the sharing of undersized rooms. What the service does well: What has improved since the last inspection? The quality of life and opportunities for service users has been improved by the Home providing annual holidays. Having their own vehicle has enhanced Service users community access. The range of activities offered to service users has improved. 248 Brompton Farm Road DS0000064374.V260824.R01.S.doc Version 5.0 Page 6 Service users now have the opportunity to take part in independent advocacy groups. Overall the manager explained that she is better supported by the new organisation and has more control over budgets. 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.V260824.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 248 Brompton Farm Road DS0000064374.V260824.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): None of the above was inspected on this occasion. EVIDENCE: 248 Brompton Farm Road DS0000064374.V260824.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): None of the above was inspected on this occasion. EVIDENCE: 248 Brompton Farm Road DS0000064374.V260824.R01.S.doc Version 5.0 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): 12,13,14,16,17 Service users benefit from access to the community and leisure activities, although more could be done to broaden their choices in this area. The Home continues to develop ways of establishing service users wishes and views and takes these into account in the day-to-day running of the Home. The Home ensures health and well being of service users is promoted by ensuring the supply of nutritious, varied, balanced and attractively presented meals at flexible times. EVIDENCE: The Home now has its own vehicle for the benefit of service users and it was evident that more consistent community based activities were being provided. It was noted however that there are very few evening activities offered and discussion took place regarding the need to ensure that opportunities for service users include evening activities. It was evident that the Home was serious about developing systems to support service users to communicate their needs and choices. A pictorial menu board, 248 Brompton Farm Road DS0000064374.V260824.R01.S.doc Version 5.0 Page 11 objects of reference and a mood board were seen in use and examples were given that demonstrated how these had successfully helped service users communicate their wishes. An inspection of the home’s kitchen and menus was undertaken. The kitchen was well stocked with varied and nutritious food and it was evident that promoting choices around food was given a high priority. One service user is supported to grow vegetables in the homes garden and service users take part in shopping and preparing meals. 248 Brompton Farm Road DS0000064374.V260824.R01.S.doc Version 5.0 Page 12 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): None of the above was inspected on this occasion. EVIDENCE: 248 Brompton Farm Road DS0000064374.V260824.R01.S.doc Version 5.0 Page 13 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): None of the above was inspected on this occasion. EVIDENCE: 248 Brompton Farm Road DS0000064374.V260824.R01.S.doc Version 5.0 Page 14 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): 24,25,26,27,28,30 Service users benefit from a safe and clean environment that is free from offensive odours, although the quality of their environment could be improved. Service users’ bedrooms do not meet their needs or promote their independence. Service users’ right to privacy and choice is being undermined by lack of separate communal spaces. EVIDENCE: A tour of the premises was undertaken and the Home was clean and free from offensive odours throughout. Gloves and aprons were in evidence as was liquid soap and paper towels. Generally the Home was maintained appropriately, but one service users room was in need of decoration and there was a visible damp patch on the bedroom ceiling that needed attention. Carpets in the service users room and the down stairs lounge diner were stained in places and needed replacing or making good. 248 Brompton Farm Road DS0000064374.V260824.R01.S.doc Version 5.0 Page 15 One service user has his own room, which although needed decoration and refurbishment, was a good size and the inspector is confident that when the improvements have been undertaken this room will meet his needs. Two other service users share a room, which is considerably undersized and the inspector does not feel this is meeting their needs in terms of space or privacy. One service user had been encouraged to use a mood board to try and establish her wishes in terms of sharing her room and the manager informed the inspector that this is indicating that she would prefer not to share. A requirement has been made regarding this. The Home has a through lounge/diner with no other separate communal space. This is undermining service users rights to privacy and choice and does not ensure that service users can meet visitors in private if they wish. The homes bathroom was adequately maintained but is very small and cramped when staff are supporting service users with their baths and personal care. The manager informed the inspector that an Occupational Therapy assessment was planned for one service user around the use of the bathroom. Requirements and recommendations have been made regarding the space issues identified. 248 Brompton Farm Road DS0000064374.V260824.R01.S.doc Version 5.0 Page 16 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): 32,33 Service users benefit from being supported by an effective staff team that understand their needs. EVIDENCE: It was evident that staff were able to communicate with service users and were seen to be approachable and comfortable with them. It was clear that they had the skills to meet their needs and over 50 of staff have NVQ2 or above. The Home has sufficient staff to meet needs, although agency staff is currently filling 3 vacancies. The manager informed the inspector that she is waiting for 2 new staff to start but that agency staff are regular and are familiar with service users needs. 248 Brompton Farm Road DS0000064374.V260824.R01.S.doc Version 5.0 Page 17 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): 37,38,39,43 Service users benefit from a competent and experienced manager, who ensures a well run and accountable management of the service. EVIDENCE: The manager has an NVQ 3 award and is currently working towards her NVQ Management and Care Award. She is also in the process of applying to be registered manager, which should be concluded shortly. She has managed the service for several years and previously worked with this client group as a support worker. Observation on the day and feedback from staff demonstrated that the manager delivered an effective service and had an understanding of service users needs. Staff felt that she was approachable and inclusive in her management style. 248 Brompton Farm Road DS0000064374.V260824.R01.S.doc Version 5.0 Page 18 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 X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 1 1 2 1 X 3 LIFESTYLES Standard No Score 11 X 12 3 13 2 14 3 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 3 X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 248 Brompton Farm Road Score X X X X Standard No 37 38 39 40 41 42 43 Score 3 3 3 X X X 3 DS0000064374.V260824.R01.S.doc Version 5.0 Page 19 NA 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 ensure that an assessment of the homes bathroom is undertaken to ensure it meets service users needs in terms of space and adaptations. Timescale for action 16/12/05 2 YA27 23.2(j) 16/12/05 3 YA25 23.2(e), (f) 4 YA28 23.2(e), (h), (I) 5 YA26 16.2(c) The registered person must 16/12/05 identify service users needs and wishes in terms of sharing a room and take action to meet those needs. The registered person must 16/12/05 ensure that the home provides separate communal space suitable for the provision of social activities appropriate to the circumstances of the service users. The registered person must 16/12/05 ensure that the bedroom identified makes good the damp patch on the ceiling; makes good or replaces the stained carpet; provides a wash hand basin, if DS0000064374.V260824.R01.S.doc Version 5.0 Page 20 248 Brompton Farm Road that is considered appropriate in terms of a risk assessment and generally improves the decoration. 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 YA13 Good Practice Recommendations It is recommended that the home look at ways of offering opportunities to undertake leisure activities in the evenings. 248 Brompton Farm Road DS0000064374.V260824.R01.S.doc Version 5.0 Page 21 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.V260824.R01.S.doc Version 5.0 Page 22 - 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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