Inspection on 01/06/05 for 33 St John`s Church Road

This inspection was carried out on 1st June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

33 St John`s Church Road 06/02/07

33 St John`s Church Road 12/09/05

33 St John`s Church Road 20/10/04

33 St John`s Church Road 24/06/04

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Insight - Eastchurch

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Dovedale Court

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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 33 St Johns Church Road 33 St Johns Church Road Folkestone Kent CT19 5BH Lead Inspector Wendy Mills Announced 1 June 2005 13:30 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. 33 St Johns Church Road H56-H05 S32438 33 St Johns Church Rd V224782 010605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 33 St Johns Church Road Address 33 St Johns Church Road, Folkestone, Kent, CT19 5BH 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) 01303 252787 Blythson Limited Miss Kerri Castle Care Home only 3 Category(ies) of Learning Disability x 3 registration, with number of places 33 St Johns Church Road H56-H05 S32438 33 St Johns Church Rd V224782 010605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20/10/04 Brief Description of the Service: 33 St. Johns Church Road is a residential home providing care and proactive support for three people with a learning disability and challenging behaviour. The registered providers are Blythson Ltd. The home is a large, late Victorian town house situated close to Folkestone town centre and local amenities. It provides spacious and tastefully decorated accommodation. There are three large bedrooms, a spacious lounge, dining room, breakfast room and kitchen. The service users participate in a wide range of meaningful activities. the home maintains a consistent and positive approach to management of challenging behaviout. It has been inspected in accordance with the Care Standards Act 2000 for the past two years. 33 St Johns Church Road H56-H05 S32438 33 St Johns Church Rd V224782 010605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection began at 09.00 hours and lasted six hours. The inspector was able to speak to all the service users and two staff members. Discussion was held with the registered manager, Mrs Kerri Castle. A tour of the home and garden was undertaken. Key documentation, including care plans, was examined in detail. Both direct and indirect observations were made throughout the inspection. The home and its parent company continue to strive for excellence in care practice. It meets, and often exceeds, all of the National Minimum Standards. The accommodation is maintained to a very high standard and is both well decorated and well furnished. The service users are involved in decision making in as far as they are able. The staff are very skilled at involving the service users in all activities within the home. They consult the service users appropriately and are creative in the way they encourage the service users to make decisions. The service users have all made excellent progress since joining the home. Several examples of exemplary care practice were found. There is a good level of staff supervision and training. The morale of both the service users and staff is very good. What the service does well: The home provides a spacious, comfortable and homely environment in which the service users are able to develop new skills and maximise their independence. It is proactive in the way it identifies and meets their needs. There are high staffing levels and the Company provides excellent support for staff at all levels. It is innovative in the way it motivates both the staff and the service users. The home demonstrates exemplary practice in the way it manages challenging behaviour and builds on the strengths of the service users. There is an excellent system for the organisation of staff training and development. This links the needs of the service users to the Company’s training and development programme and to staff supervision. 33 St Johns Church Road H56-H05 S32438 33 St Johns Church Rd V224782 010605 Stage 4.doc Version 1.30 Page 6 The quality assurance systems within the Company and the home are excellent. 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. 33 St Johns Church Road H56-H05 S32438 33 St Johns Church Rd V224782 010605 Stage 4.doc Version 1.30 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 33 St Johns Church Road H56-H05 S32438 33 St Johns Church Rd V224782 010605 Stage 4.doc Version 1.30 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 The Statement of Purpose and the Service User Guide provide the service users and prospective service users with the information they need to make a decision about moving into the home. EVIDENCE: The home has rigorous pre-admission policies and procedures. Inspection of care plans and discussion with the service users confirmed that these procedures have been followed. No new service users have been admitted since the last inspection. The service users are clear about what to expect and what is expected of them whilst in the home. The aspirations and goals of the service users are recorded in the care plans. The service users spoke to the inspector about their aims and how they might achieve them. They were very positive in their outlook and very relaxed in their interaction with staff. 33 St Johns Church Road H56-H05 S32438 33 St Johns Church Rd V224782 010605 Stage 4.doc Version 1.30 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 The service users know their views are valued and that they can trust the staff to maintain confidentiality. There is a clear and consistent care planning process that is understood by the service users and in which they can participate as much as possible. EVIDENCE: Care plans are comprehensive and identify the needs of the service users in all aspects of their lives. The service users were observed to take part in day-today decision making within the home. Staff interacted well with the service users. They were relaxed and skilled in the way they discussed ideas for new activities, dealing with bereavement and maintaining family links with the service users. Risk assessments are in place. The service users said that they had recently enjoyed a holiday in Chichester. This is a great achievement for some who do not like to leave the security of the home. Conversation with the service users confirmed that they had enjoyed this holiday very much. They had been able to become more independent during the time they spent on holiday. They had been able to make more decisions about how they spent their time whilst on holiday. 33 St Johns Church Road H56-H05 S32438 33 St Johns Church Rd V224782 010605 Stage 4.doc Version 1.30 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) 11,12,13,14,15,16&17 The home offers excellent opportunities for personal development. It is both innovative and proactive in its approach to all aspects of care planning. Appropriate familiy links are supported and the home fosters a culture of mutual respect. There is an adequate shopping budget and good support to enable the service users to eat a nutritious and healthy diet. EVIDENCE: The service users are involved in a wide range of activities. The activities include gardening, jewellery making, cooking and adult numeracy and literacy. The service users enjoy shopping for materials for their creative activities and for food. They are involved in menu planning and in cooking. Menus are interesting and nutritious. All the service users were appropriate weight for height at the time of inspection. 33 St Johns Church Road H56-H05 S32438 33 St Johns Church Rd V224782 010605 Stage 4.doc Version 1.30 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19,20&21 Personal support is offered in a way that protects the privacy and dignity of the service users and promotes their health and independence. There are clear and comprehensive systems for the management and administration of medicines. The Home promotes good health. The home deals well with the process of aging. It supports the service users very well when they have to deal with bereavement. EVIDENCE: Records show that personal issues are discussed in a sensitive way. Indirect observation confirmed that the service users are relaxed and confident in talking to staff. Staff are clear about their responsibilities in respect of confidentiality. Inspection of care plans showed that health and emotional needs are identified and met. All specialist health care is accessed on behalf of the service users. They are supported to attend appointments at the hospital or local GP practice. Staff are provided if any of the service users has to stay in hospital. Staff training is linked to the specific needs of the service users. 33 St Johns Church Road H56-H05 S32438 33 St Johns Church Rd V224782 010605 Stage 4.doc Version 1.30 Page 12 Inspection of the systems for the management of medicines in the home confirmed that there is good practice in the administration of medicines. However, two inhalers were found to have labelling only on the inhaler and not on the box in which they were contained. It is recommended that the registered manager discuss the possibility of the pharmacist providing labelling for both the box and the inhaler in order to ensure that the system is foolproof. During coffee the service users talked about how they felt about bereavement. They said that the staff had helped them cope with the loss of family members. They told the inspector about the ways in which they now keep memories of their relatives and how the staff helped them make acts of remembrance. 33 St Johns Church Road H56-H05 S32438 33 St Johns Church Rd V224782 010605 Stage 4.doc Version 1.30 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&23 Staff have excellent knowledge of Adult Protection issues and how to protect the service users from all forms of abuse. The service users know their concerns will be listened to and acted upon. EVIDENCE: The service users said that they can talk to any of the staff if they have any concerns. Responses to the relatives questionnaires sad that they had not complaints but if they did, they are confident that the home would deal with them well. There have been no formal complaints since the last inspection. Day-to-day concerns are recorded and dealt with immediately. There are clear and comprehensive Adult Protection procedures. All staff receive Adult protection training. There are good systems in place for regular staff supervision. One-to-one supervision is in place. 33 St Johns Church Road H56-H05 S32438 33 St Johns Church Rd V224782 010605 Stage 4.doc Version 1.30 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) 24,25,26,27,28&30 The standard of the environment within the home is very good. It provides the service users with an attractive and homely place to live. EVIDENCE: A tour of the home was undertaken. All areas are tastefully decorated and furnished. Furnishings are of good quality and soft furnishings co-ordinate well with the décor. The home is well maintained and the bedrooms reflect the personalities of the service users. All areas of the home were very clean and hygienic on the day of inspection. The registered providers undertake regular inspections of the home. Their reports confirm that they are rigorous in their insistence on a high standard of maintenance and cleanliness. 33 St Johns Church Road H56-H05 S32438 33 St Johns Church Rd V224782 010605 Stage 4.doc Version 1.30 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) 31,32,33,34,35&36 Staff morale is high and there is an enthusiastic workforce that positively promotes the independence of the service users. The arrangement for staff recruitment, induction and training and development are excellent. There is clarity of roles and responsibilities within the home. EVIDENCE: There are excellent staffing levels and staff said that they really love working in the home. They are very pleased when they see that the service users have made progress. They said that staffing levels are good and that they have plenty of time to support the service users in their activities. The Company has a member of staff who takes responsibility for the coordination of training and development across the Blythson Homes. Inspection of sample staff files confirmed a high level of training has taken place. It also confirmed that all appropriate checks are made prior to employment. 33 St Johns Church Road H56-H05 S32438 33 St Johns Church Rd V224782 010605 Stage 4.doc Version 1.30 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) 37,38,39,40,41&42 The manager is well supported by senior staff and the registered providers in providing clear leadership throughout the home. There is clarity of organisational structures and of roles and responsibilities. The quality assurance systems in the home are excellent. EVIDENCE: The manager, Miss Kerri Castle, is registered with the CSCI. She is due to complete the NVQ level IV in Management and Care in the near future. Staff spoke highly of her organisational skills and leadership. They said that they knew she could be trusted to deal with any concerns or worries they may have. They trust her to take up any appropriate issues with the company. 33 St Johns Church Road H56-H05 S32438 33 St Johns Church Rd V224782 010605 Stage 4.doc Version 1.30 Page 17 The providers visit the home frequently and send monthly, comprehensive reports to the CSCI in accordance with Regulation 26. They are committed to a continuous improvement plan and have recently introduced a new quality audit checklist. 33 St Johns Church Road H56-H05 S32438 33 St Johns Church Rd V224782 010605 Stage 4.doc Version 1.30 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 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 4 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 3 4 4 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 3 3 3 3 x 3 Standard No 11 12 13 14 15 16 17 4 4 3 3 4 3 3 Standard No 31 32 33 34 35 36 Score 4 4 3 3 4 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 33 St Johns Church Road Score 3 4 3 4 Standard No 37 38 39 40 41 42 43 Score 3 3 4 3 3 3 x H56-H05 S32438 33 St Johns Church Rd V224782 010605 Stage 4.doc Version 1.30 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. Refer to Standard 29 Good Practice Recommendations The registered manager should contact pharmacist to discuss appropriate labelling for inhalers 33 St Johns Church Road H56-H05 S32438 33 St Johns Church Rd V224782 010605 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection 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 33 St Johns Church Road H56-H05 S32438 33 St Johns Church Rd V224782 010605 Stage 4.doc Version 1.30 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. 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