Inspection on 26/07/06 for 26 Beltinge Road

This inspection was carried out on 26th July 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 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

26 Beltinge Road 19/01/09

26 Beltinge Road 25/03/08

26 Beltinge Road 16/10/05

26 Beltinge Road 13/05/05

26 Beltinge Road 21/09/04

26 Beltinge Road 29/04/04

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Southfields

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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 26 Beltinge Road Herne Bay Kent CT6 6DB Lead Inspector Christine Lawrence Key Unannounced Inspection 26 July 2006 10:00 26 Beltinge Road DS0000023302.V294833.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 26 Beltinge Road DS0000023302.V294833.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. 26 Beltinge Road DS0000023302.V294833.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 26 Beltinge Road Address Herne Bay Kent CT6 6DB 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) 01227 375210 01227 740371 www.caremanagementgroup.com Care Management Group Limited Mrs Audrey Emmett Care Home 11 Category(ies) of Learning disability (11) registration, with number of places 26 Beltinge Road DS0000023302.V294833.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 16 October 2005 Brief Description of the Service: 26 Beltinge Road is a care home providing personal care and support to 11 adults with learning disabilities. The home is owned by Care Management Group who own two smaller homes close by and others throughout the southeast. The property is a large detached building with gardens to the front and rear. There is one parking place on the property but parking is available on the road at the side and front of the property. Accommodation consists of single rooms on various levels accessed by stairs making the home unsuitable for people with limited mobility. The home is situated close to Herne Bay town centre where there are shops, bus stops and a railway station. Other local amenities are easily accessed. Information about the home, including the latest report from the Commission for Social Care Inspection (CSCI) and the homes quality monitoring records will be made available on request. Information included in the pre-inspection questionnaire provided by the manager prior to the visit to the home, confirmed the fees as between £611.60 and £1361.82 per week. 26 Beltinge Road DS0000023302.V294833.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection visit was unannounced and started at 10.00 and finished at 17.00. The inspector looked at various records in the home and also used information sent to the Commission by the manager before the visit. Information from the previous inspection was also referred to. The inspector spoke with several of the residents and was invited to see three bedrooms. A tour of the rest of the building was undertaken. Comment cards were sent out to residents’ relatives and visitors and 10 replied. Comment cards were sent to the care managers of all of the residents and 6 replied. The inspector made observations of staff interacting with residents and was also able to sit in on a shift handover. What the service does well: 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. 26 Beltinge Road DS0000023302.V294833.R01.S.doc Version 5.1 Page 6 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 26 Beltinge Road DS0000023302.V294833.R01.S.doc Version 5.1 Page 7 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents’ individual aspirations and needs are being assessed. EVIDENCE: The records for two residents were viewed at this time. The home had sought information from the placing authority and the manager confirmed that this was a part of the pre-admission procedure. The organisation has an Assessment and Referral Officer who takes the lead in initial work. Audrey Emmett confirmed that she is involved in assessments. The initial assessment for this resident showed that a range of subjects is looked at, and the newly established formats for ‘person centred planning’ were used when the residents arrived at the home. 26 Beltinge Road DS0000023302.V294833.R01.S.doc Version 5.1 Page 8 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 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can be confident that their changing needs will be noted in their individual plans and that they will be supported to make decisions and take risks to enable as independent lifestyle as possible. EVIDENCE: The individual records looked at for this inspection show that the residents’ needs are assessed clearly and that more emphasis is placed on the individual’s own perceptions and wishes. The new ‘person centred planning’ formats are designed and recorded from the point of view of the resident. Photographs and illustrations are used according to individuals’ own needs or wishes. The keyworker role has been expanded by Audrey Emmett and there are now regular meetings between residents and keyworkers which allows for residents to make decisions or requests for support for instance going to the cinema to see a particular film, purchasing a present for a parent. Key workers are also compiling a monthly review which helps to set goals with and for the individual. The individual plans also contain a section entitled ‘Guidelines and Information for working with…’ and examples were noted of 26 Beltinge Road DS0000023302.V294833.R01.S.doc Version 5.1 Page 9 residents signing some parts of the individual record to indicate they have been involved. Risk assessments are in place for residents and there were examples of individuals being encouraged to try things to improve their levels of independence. The home has demonstrated its awareness of the principles regarding ‘best interest’ when helping residents to make decisions. Information was provided to the Commission about the five residents for whom the Head of Finance at Care Management Group is appointee. Residents are encouraged to be as responsible and involved in their own personal finances as possible, whether this is just encouraging someone to keep their own cash in their purse/wallet or being involved in drawing money out of accounts. 26 Beltinge Road DS0000023302.V294833.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): 12, 13, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Activities and involvement in the local community, as well as support for personal relationships will be provided for residents. They will benefit from being offered a healthy diet and a sociable setting for mealtimes. EVIDENCE: The records seen had a section entitled ‘Overview of Activities’ and there is also space to record information under ‘Leisure interests I have’, ‘Places I like to visit’, ‘Colleges’, ‘Day Centres’, ‘Groups/clubs I am a member of’ and ‘Place of Worship’. There were lots of examples noted of residents using local facilities such as cinemas, restaurants, bowling alleys, swimming pools, local shops and libraries. The home has a vehicle but everyone is also encouraged/enabled to use public transport. All residents are on the electoral roll and Audrey Emmett described the efforts undertaken to enable residents to vote. 26 Beltinge Road DS0000023302.V294833.R01.S.doc Version 5.1 Page 11 All ten people who completed a relative/visitor comment card said that they were welcomed at any time and they could visit in private if they wished. One person said “…it is a pleasure to visit the clients…” and another person said, “…staff and residents are very welcoming and friendly…” “…I always feel welcome and comfortable when visiting or phoning…”. Observations made during this inspection showed that residents have choices and freedom of movement. There are routines within the home but they are flexible and are there to support people. Care plans contain information about individuals’ preferences regarding daily routines. Some people have their own keys to their rooms and others do not. The inspector was informed that this is based on preference. Residents can choose to spend time on their own and privacy is respected. The name a person prefers to be called is noted in the care plan. Staff and residents confirmed that personal and housekeeping tasks are carried out with the support of staff in general and key workers in particular. The menu information provided for this inspection shows that the food provided is suitable. There is variation and balance and the dining area and kitchen have both been improved since Audrey Emmett became manager and the atmosphere for food preparation and for enjoying mealtimes has been greatly enhanced. Residents spoken to said or indicated that they liked the food. 26 Beltinge Road DS0000023302.V294833.R01.S.doc Version 5.1 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): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected by the home’s policies and procedures regarding medication and their physical and emotional needs will be responded to. EVIDENCE: An induction questionnaire is being used by the home to identify a range of preferences from times to get up or go to bed to preferences for taking medication. The staff further inform themselves of individuals’ preferences through the key worker system. Information is recorded to ensure as much consistency as possible. The home has instigated the use of Health Action Plans for each resident as part of its move towards ‘person centred planning’. Residents attend at their GP’s surgery for Well Man or Well Woman appointments. The records seen at this time gave lots of examples of the involvement of health care professionals from consultants to dentists, from opticians to learning disability community nurses. The home has responded to requirements and recommendations from the previous inspection and storage, records and administration of medication was noted as appropriate. A medication profile is included in each individual’s care plan as are preferences for taking medication. 26 Beltinge Road DS0000023302.V294833.R01.S.doc Version 5.1 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): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected from abuse and their views are listened to and acted on. EVIDENCE: There is a complaints procedure in place at the home and this includes versions which are illustrated to enable residents to understand the process. Staff said that meetings (both key worker and house) allow for issues to be aired. One relative said, “…any problems or possible complaint has always been listened to and sorted promptly…”. There have been no complaints or adult protection referrals. Staff receive training and instruction regarding safeguarding the people living in the home and those spoken to were aware of their responsibilities. There are appropriate policies and procedures in place. 26 Beltinge Road DS0000023302.V294833.R01.S.doc Version 5.1 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is clean, comfortable and safe for the residents. EVIDENCE: A great deal of work has been carried out within the home. Both the laundry and the kitchen have been improved, including new impervious flooring. The dining area and lounges have been redecorated and the whole of the communal area has a pleasant comfortable feel to it. New carpeting has been laid throughout corridor areas. Audrey Emmett still has plans for further improvements and during this inspection she was visited by representatives of the organisation’s building and maintenance department to discuss this. The house was clean and free from any unwelcome smells at the time of the inspection. There are no outstanding issues from the fire safety officer or the local environmental health officer. Work is planned for the replacement of windows and although this has been identified for some time, Audrey Emmett is confident that this will happen soon. The gardens to the front of the building have been cleared of hedging which gives a much more attractive and welcoming aspect. 26 Beltinge Road DS0000023302.V294833.R01.S.doc Version 5.1 Page 15 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Recruitment and training of staff will have a beneficial impact on residents. EVIDENCE: Staff spoken to and observed during this inspection were very focussed on the needs of the residents. All of the care managers who completed comment cards felt that staff demonstrated a clear understanging of clients’ needs and one said “…very proficient and confident with the care they are providing and a lot more empathetic to service user needs…”. Shift handovers have now been established by Audrey Emmett and the one which was observed for this inspection showed staff who were professional and respectful. The records seen reflect a robust recruitment procedure which includes application forms, references, terms and conditions of employment and criminal record bureau checks. The policies and procedures which the organisation has in place cover relevant aspects of recruitment, including a questionnaire relating to equal opportunities. Part of the recruitment of new staff involves candidates visiting the home and meeting residents and this was confirmed by one new member of staff. 26 Beltinge Road DS0000023302.V294833.R01.S.doc Version 5.1 Page 16 Audrey Emmett has a training plan in place and the individual records show that each member of staff has an Individual Training Record. Unfortunately the home does not have direct access to the Internet so is limited in being able to monitor current thinking on the valuing people website and the skills for care and LDAF websites. 26 Beltinge Road DS0000023302.V294833.R01.S.doc Version 5.1 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 and 42 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 their health and safety is promoted and protected. EVIDENCE: Audrey Emmett has considerable experience and is qualified. She is very clear about the aims of the home and the regulations relating to providing care. She was observed to provided a clear sense of leadership and more than one member of staff made a point of emphasising the support and direction she provides. Staff confirmed that she is approachable and listens to what they say. Her attitude to people with learning disability reflects professionalism and knowledge. The organisation has good quality assurance procedures and the home has a Continuous Improvement Plan in place. This is underpinned by key worker meetings, questionnaires to staff, residents and their representatives and there is a Residents’ Forum each year which all people living within a Care 26 Beltinge Road DS0000023302.V294833.R01.S.doc Version 5.1 Page 18 Management Group home are invited to. These occasions are also video’d and each home has a copy. Audrey Emmett has introduced a system whereby senior members of staff take on particular responsibilities. The person responsible for health and safety presented records for the inspector to view. The records were very well maintained and a spot check on maintenance and service contracts showed that they were appropriate and up to date. The staff training plan covers health and safety. The fire safety checks were properly undertaken and recorded. 26 Beltinge Road DS0000023302.V294833.R01.S.doc Version 5.1 Page 19 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 3 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 3 25 X 26 X 27 X 28 X 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 X 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 3 X 3 3 3 X X 3 X 26 Beltinge Road DS0000023302.V294833.R01.S.doc Version 5.1 Page 20 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. 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 Refer to Standard YA24 Good Practice Recommendations The planned replacement of windows should be completed 26 Beltinge Road DS0000023302.V294833.R01.S.doc Version 5.1 Page 21 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 26 Beltinge Road DS0000023302.V294833.R01.S.doc Version 5.1 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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