Inspection on 08/09/05 for 288 Shipbourne Road

This inspection was carried out on 8th September 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 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

288 Shipbourne Road 17/05/07

288 Shipbourne Road 13/01/06

288 Shipbourne Road 21/09/04

288 Shipbourne Road 13/04/04

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

CARE HOME ADULTS 18-65 288 Shipbourne Road 288 Shipbourne Road Tonbridge Kent TN10 3EX Lead Inspector Paul Stibbons Unannounced 08 September 2005 10:00 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 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 Stationary 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. 288 Shipbourne Road H56-H06 S43938 288 Shipbourne Road V246556 080905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 288 Shipbourne Road Address 288 Shipbourne Road Tonbridge Kent TN10 3EX 01732 773460 Telephone number Fax number Email 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 Mr Eric Chong CRH Care Home 6 Category(ies) of Learning disability (4) registration, with number Learning - dis over 65 (2) of places 288 Shipbourne Road H56-H06 S43938 288 Shipbourne Road V246556 080905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. No one under the age of 45 years old may be admitted to this home. 2. The rear bedroom on the first floor may only be used for Service User whose date of birth is 20.05.1929, who has a visual impairment. 3. Service Users may also have a physical disability. Date of last inspection 21 September 2004 Brief Description of the Service: 288 Shipbourne Road provides residential care and support to 6 adults with a learning disability and other associated needs. The home is within walking distance of local shops and library. The home has a vehicle equipped with a tail-lift for wheelchair users and it is only a short journey to Tonbridge town centre and mainline train station. The accomodation is comprised of all single bedrooms having en-suite facilities with additional aids and adaptions. There is a large lounge/dining room and a lift shaft to the first floor. The home has a room for private visits. The grounds are accessible and safe for service users and there is car parking space at the front of the building. 288 Shipbourne Road H56-H06 S43938 288 Shipbourne Road V246556 080905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Regulatory inspector Paul Stibbons carried out this unannounced inspection and the manager of the home was present. A tour of the building was conducted and various documents were viewed during the course of the inspection. Two members of staff on duty were spoken with and one service user, in addition to the home’s manager. What the service does well: What has improved since the last inspection? Since the last inspection the Statement of Purpose has been updated to reflect the change from NCSC to CSCI and a summary placed in service user guides. A patio set consisting of table and chairs has been donated by a relative for the use of service users, in appreciation of the care their relative had received in the home. A greenhouse has been erected for service users who have an interest in gardening to grow crops, supported by the staff team. 288 Shipbourne Road H56-H06 S43938 288 Shipbourne Road V246556 080905 Stage 4.doc Version 1.40 Page 6 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. 288 Shipbourne Road H56-H06 S43938 288 Shipbourne Road V246556 080905 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection 288 Shipbourne Road H56-H06 S43938 288 Shipbourne Road V246556 080905 Stage 4.doc Version 1.40 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 standard(s) 1, 2, 3, 4, 5 Service users are provided with sufficient information for them to make an informed choice about the home and whether their needs will be catered for within the service. EVIDENCE: Service users have a comprehensive assessment of their needs covering all aspects of their lives and includes their social, physical and emotional needs. Evidence of assessments is contained within service user records and support plans guide staff on the delivery of care and use of specialised equipment where relevant. Three service users from another home are currently being assessed and visiting the home with a view to a permanent placement; the inspector observed one such visit during the inspection. Service user guides viewed contained a summary of the statement of purpose of the home and a written contract of terms and conditions; this document clearly states the rights and responsibilities of service users. 288 Shipbourne Road H56-H06 S43938 288 Shipbourne Road V246556 080905 Stage 4.doc Version 1.40 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 standard(s) 6, 7, 8, 9, 10 Service users are consulted on all aspects of their care needs and supported in taking reasonable risks as part of an independent lifestyle. Service users’ rights to confidentiality are upheld by the service. EVIDENCE: Daily reporting and monitoring procedures evidenced that individual care plans are working documents and changing needs are addressed at an early stage. The manager stated that one service user has recently been placed with a more specialised service to meet their needs. Another service user has been found a more appropriate placement to meet their needs and protect the rights of others within the home. Service users are encouraged to exercise their rights to make decisions and choices; documentation viewed during the visit showed choice of menus, activities and household tasks. One service user has recently been supported in flying for the first time, to visit a sister in Germany. This standard has been assessed as commendable to reflect the consideration and effort given to broadening the horizons of opportunity for service users. The home has a policy on confidentiality and the manager states this is reinforced through the induction process, staff meetings and supervision. 288 Shipbourne Road H56-H06 S43938 288 Shipbourne Road V246556 080905 Stage 4.doc Version 1.40 Page 10 Records relating to service users were seen to be securely stored to maintain confidentiality of service user information. 288 Shipbourne Road H56-H06 S43938 288 Shipbourne Road V246556 080905 Stage 4.doc Version 1.40 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 standard(s) 11, 12, 13, 14, 15, 17 Service users participate in a range of activities that meet their occupational, social and leisure needs. They are supported in maintaining friendships and family contacts and receive a healthy and balanced diet that includes their choice of meals. EVIDENCE: Service users have good links with the local community and make good use of local amenities. Visits to restaurants, cinema and public houses were viewed on records seen. The manager states that service users use the following resources for occupational, social and leisure purposes; Riverside to develop art and craft skills, Seven Springs for hydrotherapy, Mencap social club and Age Concern. One service user attends a garden centre for work four times a week for which he receives a small income. The manager showed the inspector a greenhouse the home has installed to support this service user in their interests in growing crops. All of the service users have enjoyed an annual holiday at Centre Parc in Norwich this year. As previously stated in the report one service user was supported in maintaining a family link by flying to Germany to visit a sister with help and encouragement from the staff team. 288 Shipbourne Road H56-H06 S43938 288 Shipbourne Road V246556 080905 Stage 4.doc Version 1.40 Page 12 The records of meals served to service users evidenced a varied and nutritional diet. Choices were seen to be documented and initialled by the service users. The manager states there are no requirements for special diets at present but should that position change input from a dietician is available. 288 Shipbourne Road H56-H06 S43938 288 Shipbourne Road V246556 080905 Stage 4.doc Version 1.40 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 standard(s) 19, 20 Service user health needs are fully met and monitored by the multi-disciplinary team. They are unable to administer their own medication and are supported by competent staff using safe procedures. EVIDENCE: Care plans evidence various charts for monitoring health and referrals to relevant professionals when appropriate. None of the service users administer their own medication and are supported by staff that have been trained and assessed as competent. Medication procedures were inspected and seen to be stored, administered and recorded in line with Royal Pharmaceutical Society guidance for the safety of service users. The home does not have any medication that requires refrigeration at present but there are plans to install a drugs fridge for possible future use. 288 Shipbourne Road H56-H06 S43938 288 Shipbourne Road V246556 080905 Stage 4.doc Version 1.40 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 standard(s) 22, 23 Service users know their views are acted on and they are protected from abuse. EVIDENCE: There have been two complaints by service users in regards to behaviour presented by another resident towards them. The home has reported the incident to the Commission and through a multi-disciplinary approach has taken steps to resolve the issue for the protection of other service users. In the light of these incidents all staff have received training in the management of physical aggression. 288 Shipbourne Road H56-H06 S43938 288 Shipbourne Road V246556 080905 Stage 4.doc Version 1.40 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 standard(s) 24, 25, 26, 27, 28, 29, 30 Service users live in a safe, clean and well-maintained environment with access to adequate personal and communal space. Specialist equipment is provided where required to maximise their comfort and independence. EVIDENCE: The home is spacious and furnished to a good standard and the décor is well maintained. There is good access to personal and communal areas for service users. All bedrooms have en-suites with toilets and washbasins. There are two en-suites with showers and a bathroom with specialist bath and shower on the ground floor with easy access for service users. There is an emergency call system throughout the home in all areas accessed by service users. Bedrooms were seen to be comfortably furnished and specialist equipment provided where required; personal possessions were on display reflecting the personalities and lifestyles of the users. Two service users spoken to during the inspection gave the impression they were comfortable and happy with their environment. Staff were observed to show a good understanding of their needs and interaction was of a supportive and caring nature. The home was clean and tidy and free of any offensive odours at the time of the inspection. 288 Shipbourne Road H56-H06 S43938 288 Shipbourne Road V246556 080905 Stage 4.doc Version 1.40 Page 16 288 Shipbourne Road H56-H06 S43938 288 Shipbourne Road V246556 080905 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 36 An effective, competent and qualified staff team ensures that service users individual and joint needs are met. EVIDENCE: The staff team within the home has been established for some time and have a good understanding of the service users needs. The home’s deputy manager is an RMHN and holds the Registered Managers Award, Certificate in Management Studies and NVQ level 4 in Care. Four of the staff team holds NVQ level2/3 in care. The staff training matrix evidences statutory training on a regular basis and staff spoken with confirmed this. One member of staff states she has supervision a minimum of six times a year. 288 Shipbourne Road H56-H06 S43938 288 Shipbourne Road V246556 080905 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 39 Service users benefit from living in a home that is run by a qualified, approachable and competent manager. They are consulted on their views of the home and know that their opinions are valued. EVIDENCE: The home’s registered manager is a qualified RMHN and holds the Registered Managers Award and NVQ4 in management. Staff spoken to state that the manager gives good leadership and direction, is approachable and values their opinions. Records of minutes of team and resident meetings viewed confirm that input from staff and service users underpins any self-monitoring. 288 Shipbourne Road H56-H06 S43938 288 Shipbourne Road V246556 080905 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 4 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 x 3 Standard No 31 32 33 34 35 36 Score x 3 3 x x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 288 Shipbourne Road Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 3 x x x x H56-H06 S43938 288 Shipbourne Road V246556 080905 Stage 4.doc Version 1.40 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. 1. 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 Good Practice Recommendations 288 Shipbourne Road H56-H06 S43938 288 Shipbourne Road V246556 080905 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection The Oast, Hermitage Court Hermitage Lane Maidstone Kent 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. 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