Inspection on 30/08/05 for 31 Hadlow Road

This inspection was carried out on 30th August 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

31 Hadlow Road 09/05/07

31 Hadlow Road 19/09/06

31 Hadlow Road 09/12/05

31 Hadlow Road 01/03/05

31 Hadlow Road 04/11/04

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 31 Hadlow Road Tonbridge Kent TN9 1LF Lead Inspector Paul Stibbons Unannounced 30 August 2005 10:15 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. 31 Hadlow Road H56-H06 S23883 31 Hadlow Road V242516 300805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 31 Hadlow Road Address Tonbridge Kent TN9 1LF 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) 01732 770834 The Avenues Trust Limited Mr Antony Edward Smith CRH Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 31 Hadlow Road H56-H06 S23883 31 Hadlow Road V242516 300805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 01 March 2005 Brief Description of the Service: 31 Hadlow Road is registered to provide care and accommodation for five people who have learning disabilities. The Avenues Trust owns the home. The registered manager is Mr Anthony Smith. The home is located within walking distance of the town centre of Tonbridge with good access to local amenities and public transport. The property is a detached house with service users accomodation on two floors. The Home has a small bathroom, a shower room and separate toilet (on the ground floor), a lounge, separate dining room and kitchen. The laundry is located in an outbuilding. There is a patio area and a large garden to the rear and off road parking for up to four cars. 31 Hadlow Road H56-H06 S23883 31 Hadlow Road V242516 300805 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 conducted this unannounced inspection at 10.15 on 30th August 2005. The manager of the home was present and the inspector was able to speak with two service users and a member of staff. A tour of the building was undertaken and a number of records were inspected. Interaction of a supportive nature was observed during the inspection and one service user was eager to show the inspector his photographs of activities undertaken. What the service does well: What has improved since the last inspection? The concept of Person centred planning is developing as the staff team are becoming more focussed on outcomes for service users. The home is looking at plans to develop a sensory area in part of the garden for service users to relax in. 31 Hadlow Road H56-H06 S23883 31 Hadlow Road V242516 300805 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. 31 Hadlow Road H56-H06 S23883 31 Hadlow Road V242516 300805 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 31 Hadlow Road H56-H06 S23883 31 Hadlow Road V242516 300805 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, 5 Prospective service users are provided with sufficient information, in an appropriate format, to be able to make an informed choice before moving into the home. EVIDENCE: The home has prepared a Statement of Purpose and Service User Guide to provide information about the home. The Service User Guides viewed by the inspector were pictorial and user-friendly to cater for communication difficulties. Within the guides were individual statements of terms and conditions. There have been no new admissions to the home for some years. The manager stated that new service users would undergo a full assessment by a multi-disciplinary team to ensure the home could meet their needs before admittance. 31 Hadlow Road H56-H06 S23883 31 Hadlow Road V242516 300805 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) 7, 8, 9, 10 The home addresses barriers to communication to enable service users to make informed decisions about their lifestyles. Sensitive information is securely stored to uphold service user’s rights to confidentiality. EVIDENCE: Support plans viewed were in pictorial format to promote the understanding of service users. The manager stated that each service user is allocated a keyworker to focus on the individual’s needs and goals. Service users are involved in individual planning meetings and some attend staff meetings. The manager said that service users participate in household chores such as floor cleaning and dusting where able. Records were observed to be secure in the office and the home has procedures in place to promote confidentiality. It is recommended that a copy of the homes confidentiality policy, is made accessible in an appropriate format to service users, to instil confidence that the service protects their rights. 31 Hadlow Road H56-H06 S23883 31 Hadlow Road V242516 300805 Stage 4.doc Version 1.40 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 standard(s) 11, 12, 13, 14, 15, 17 Service users participate in a full range of activities within the community that meet educational, leisure and personal development needs. Family contacts are encouraged and maintained as part of service user lifestyles. Meals are according to service user choice with guidance towards a healthy diet. EVIDENCE: Service users attend day services at Riverside and Larkfield Hall where they participate in music sessions, art classes and farm work. One service user attends a local Adult education centre for art classes that is due to start again after the summer holiday. Two service users have private tuition in the home, one for drumming lessons and the other for guitar. The service user proudly showed the inspector his drum kit and the manager stated that he could maintain a rhythm. Activity records show the use of local public houses, cinema, ten pins bowling and swimming at Larkfield leisure centre. In addition service users go to The Gateway club and a Thursday club who organise activities and holidays. Three service users have had an annual holiday in Suffolk and two are going on an activity holiday in Wales this month. The home has photographed service user activities and these are displayed in their 31 Hadlow Road H56-H06 S23883 31 Hadlow Road V242516 300805 Stage 4.doc Version 1.40 Page 11 rooms. One service user telephones relatives regularly and all receive visits from family who are also involved in care planning processes with the individual. The home manager states that service users choose meals from the freezer and he is currently collecting together pictures of meals as an aid to communication. There are no special diets that need to be catered for at present. The kitchen was clean and tidy and one service user was observed to go to the fridge for food; drinks were provided when requested. 31 Hadlow Road H56-H06 S23883 31 Hadlow Road V242516 300805 Stage 4.doc Version 1.40 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 standard(s) 18, 19 Service user health needs are fully met and monitored by the multi-disciplinary team and detailed support plans ensure they receive support in their preferred manner. EVIDENCE: It was observed that service users were appropriately dressed for the current weather conditions. The manager stated that routine health needs were catered for within the community and specialist support was provided where necessary by referral to the Community Learning Disabilities Team. There have been no incidents requiring accident and emergency treatment since the last inspection. Individual working records set out preferred routines and preferences as guidance for the staff team. 31 Hadlow Road H56-H06 S23883 31 Hadlow Road V242516 300805 Stage 4.doc Version 1.40 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 standard(s) 22 The homes complaints procedures are accessible to service users. EVIDENCE: Service user guides contained pictorial symbols to show dissatisfaction and service users are supported by staff to express their views. The manager confirms there have been no complaints since the last inspection. 31 Hadlow Road H56-H06 S23883 31 Hadlow Road V242516 300805 Stage 4.doc Version 1.40 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 standard(s) have 24, 25, 26,27,30 Service users live in a safe and homely environment with ample personal and shared space. Toilets and bathrooms on both floors provide privacy and meet the needs of individuals. EVIDENCE: The service users have a comfortable and well-furnished lounge in which to relax and there is a separate dining room. A large garden to the rear provides ample room for ball games and other activities. The manager stated there are plans to develop one area into a sensory garden that service users can help in maintaining. Individual bedrooms reflect the personalities and choices of service users and one service user spoken with said he liked his room and showed off his possessions. Toilets on both floors ensure service users have easy access to these facilities. There is a staff sleep-in room that can be used for private meetings if service users preferred. At the time of the visit the home was clean and tidy and service users were observed to have the freedom to use all the facilities. 31 Hadlow Road H56-H06 S23883 31 Hadlow Road V242516 300805 Stage 4.doc Version 1.40 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 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 An effective, competent and qualified staff team supports service users. EVIDENCE: Good positive interactions with service users were observed during the inspection demonstrating knowledge of individuals and their needs. Staffing rotas are for two staff on duty from 07.00 to 21.30 and one member of staff sleeps in 21.30 to 07.00. The manager says additional bank staff are used to support planned activities, and all bank staff are familiar with the service users at the home. Three members of staff have NVQ level 2 or higher and another one is currently undergoing this training. 31 Hadlow Road H56-H06 S23883 31 Hadlow Road V242516 300805 Stage 4.doc Version 1.40 Page 16 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) 41 37, 38, 39,40, Service users benefit from living in a home that is managed by a qualified and competent manager who provides clear direction and leadership. EVIDENCE: The registered manager has been in post for sometime and has considerable experience of working with these service users. His qualifications include the Registered managers award, Certificate in Management Studies and NVQ 3 in care. Discussion with the manager demonstrated an open approach to running the home and an enthusiasm to implement positive changes. A previous inspection recommended introducing a formal quality assurance system in the home; the manager states that the Trust is holding a policy meeting in September to discuss this area and produce guidelines for managers. Records viewed were found to be satisfactory and where relevant securely stored to safeguard service user rights and best interests. The policy on the Control of Substances Hazardous to Health is rather brief and it is recommended that a more detailed guideline be produced to protect staff and service users. 31 Hadlow Road H56-H06 S23883 31 Hadlow Road V242516 300805 Stage 4.doc Version 1.40 Page 17 31 Hadlow Road H56-H06 S23883 31 Hadlow Road V242516 300805 Stage 4.doc Version 1.40 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 3 3 x x 3 Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 x x 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 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 31 Hadlow Road Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 3 3 2 3 3 x x H56-H06 S23883 31 Hadlow Road V242516 300805 Stage 4.doc Version 1.40 Page 19 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. 2. 3. Refer to Standard YA10 YA39 YA40 Good Practice Recommendations The policy on confidentiality should be made readily available in an appropriate format to service users. Formal quality assurance systems should be introduced and the results published. A more detailed guideline for the Control of Substances Hazardous to Health should be produced. 31 Hadlow Road H56-H06 S23883 31 Hadlow Road V242516 300805 Stage 4.doc Version 1.40 Page 20 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. Extracts may not be used or reproduced without the express permission of CSCI 31 Hadlow Road H56-H06 S23883 31 Hadlow Road V242516 300805 Stage 4.doc Version 1.40 Page 21 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!