Inspection on 12/09/05 for 33 St John`s Church Road

This inspection was carried out on 12th 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

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

33 St John`s Church Road 01/06/05

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 Folkestone Kent CT19 5BH Lead Inspector Wendy Mills Unannounced 12 September 2005 9:30 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 Road V248692 120905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 33 St Johns Church Road Address Folkestone, Kent, CT29 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 Kerri Castle Care home only 3 Category(ies) of Learning Disabilites x 3 registration, with number of places 33 St Johns Church Road H56-H05 S32438 33 St Johns Church Road V248692 120905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st June 2005 Brief Description of the Service: 33 St Johns Church Road is a residential home providing care and proactive support for up to three people with a learning disability and challenging behaviour. The registered providers are Blythson Ltd. It is a large, lateVictorian 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, a 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 the management of challenging behaviour and the promotion of independence. It has been inspected in accordance with the Care Standards Act 2000 for the past three years. 33 St Johns Church Road H56-H05 S32438 33 St Johns Church Road V248692 120905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection began at 10.00 hours and lasted for three hours. The inspector was able to speak to the service users and one staff member. Discussion was held with the registered manager, Ms Kerri Castle and a tour of the home and garden was undertaken. Key documentation and care plans were examined. Both direct and indirect observation was used throughout the inspection. Since the last inspection one of the service users has sadly passed away. This has made everyone in the home feel very sad. Sincere condolences are expressed to her family, her fellow service users and the staff. 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. 33 St Johns Church Road H56-H05 S32438 33 St Johns Church Road V248692 120905 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection 33 St Johns Church Road H56-H05 S32438 33 St Johns Church Road V248692 120905 Stage 4.doc Version 1.40 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 standard(s) No new service users have been admitted since the last inspection and therefore no standards under this section were inspected at this visit. Previous inspections confirm that the home meets these standards very well. EVIDENCE: 33 St Johns Church Road H56-H05 S32438 33 St Johns Church Road V248692 120905 Stage 4.doc Version 1.40 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 standard(s) 6,7,8&9 The service users know their needs are valued and that they can trust the staff at the Home to maintain confidentiality. There is a clear and consistent care planning process that is understood by the service users and in which they participate fully. EVIDENCE: Both long and short-term goals are recorded in the care plans. Conversation with the service users confirmed that they are aware of these goals and have been involved as much as possible in the care planning process. Indirect observation showed that the staff give appropriate support when helping the service users make decisions. The service users spoke about how they help with the household chores. They spoke enthusiastically about the variety of activities in which they take part. One of the service users was pleased to talk about the progress she has made in trying new things and was very proud of her achievement participating in a group holiday. 33 St Johns Church Road H56-H05 S32438 33 St Johns Church Road V248692 120905 Stage 4.doc Version 1.40 Page 9 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) 11,15&16 The home is proactive in the way it promotes fulfilling lifestyles for the service users. It supports the service users to maintain positive friendships and family relationships. However, more effort could be made to ensure all appropriate friendships are maintained. EVIDENCE: Documentation shows that the home actively seeks appropriate activities for all the service users. They spoke very enthusiastically about their recent holiday and said they were looking forward to another one soon. Age appropriate activities are arranged both outside and within the home. Support is given to help improve literacy. The home now produces a newsletter on a regular basis and a copy of the most recent one was given to the inspector. It is well presented and interesting and tells about the busy and interesting lives that the service users lead. 33 St Johns Church Road H56-H05 S32438 33 St Johns Church Road V248692 120905 Stage 4.doc Version 1.40 Page 10 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&21 Personal support is offered in such a way that protects the privacy and dignity of the service users and promotes their independence. The home has excellent systems for providing both emotional and physical support to the service users. It handles illness and end of life issues with great sensitivity and respect. EVIDENCE: The service users said that they can talk to the staff if they are worried. They trust the staff to act on their behalf when necessary. They said that they know that the staff will only share information about them when it is necessary. Inspection of care plans showed that health and emotional needs are identified and met. All appropriate specialist heath care is accessed on behalf of the service users and they are supported to attend appointments at the hospital or local GP practice. Staff training is linked to specific needs of the service users. The way the recent sad and sudden death was handled by all at the home showed great sensitivity and respect. During a visit to offer condolences, the inspector met with a relative who spoke very positively about the way the home had offered support. The company organised counselling for the service 33 St Johns Church Road H56-H05 S32438 33 St Johns Church Road V248692 120905 Stage 4.doc Version 1.40 Page 11 users and any staff who felt they would like to take up the opportunity. The staff at the home have helped the service users talk about how they feel. Everyone has worked together to make a book of memories and to place a plaque in the garden. 33 St Johns Church Road H56-H05 S32438 33 St Johns Church Road V248692 120905 Stage 4.doc Version 1.40 Page 12 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 The home manages complaints well and learns from the issues they raise. There is a good awareness 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: There are sound written policies in respect of complaints and Adult Protection procedures. The service users said that they can talk to any of the staff if they are worried. It is clear that their day-to-day concerns are dealt with appropriately, as they arise. There have been no formal complaints during the last year. 33 St Johns Church Road H56-H05 S32438 33 St Johns Church Road V248692 120905 Stage 4.doc Version 1.40 Page 13 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) 24,27,28&30 The standard of the environment within the Home is very good and 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. 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 and 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 Road V248692 120905 Stage 4.doc Version 1.40 Page 14 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 &35 Staff morale is high and there is an enthusiastic workforce that positively promotes the independence of the service users. EVIDENCE: There are excellent staffing levels and staff training is very good. The Company has a member of staff who takes responsibility for the co-ordination of training and development across the Blythson Homes. Indirect observation of the interaction of the staff with the service users showed that they offer support when needed but encourage independence at the same time. 33 St Johns Church Road H56-H05 S32438 33 St Johns Church Road V248692 120905 Stage 4.doc Version 1.40 Page 15 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&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 registered manager, Ms Kerri Castle, said that she is well supported by both her staff and the registered providers. Documentation in the home is generally well maintained and the registered providers regularly check that this is up to standard. The CSCI receives regular and comprehensive reports in accordance with Regulation 26. The registered providers are commended for their diligence in carrying out their monitoring visits and for the thoroughness of their reports 33 St Johns Church Road H56-H05 S32438 33 St Johns Church Road V248692 120905 Stage 4.doc Version 1.40 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 x x 3 3 x 3 Standard No 11 12 13 14 15 16 17 3 x x x 3 3 x Standard No 31 32 33 34 35 36 Score 3 3 3 x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 33 St Johns Church Road Score 3 3 x 4 Standard No 37 38 39 40 41 42 43 Score 3 4 x x x 3 x H56-H05 S32438 33 St Johns Church Road V248692 120905 Stage 4.doc Version 1.40 Page 17 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 33 St Johns Church Road H56-H05 S32438 33 St Johns Church Road V248692 120905 Stage 4.doc Version 1.40 Page 18 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. 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