Inspection on 06/02/07 for 33 St John`s Church Road

This inspection was carried out on 6th February 2007.

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 12/09/05

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

CARE HOME ADULTS 18-65 33 St John`s Church Road Folkestone Kent CT19 5BH Lead Inspector Wendy Mills Key Unannounced Inspection 6th February 2007 09:30 33 St John`s Church Road DS0000032438.V330402.R01.S.doc Version 5.2 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 33 St John`s Church Road DS0000032438.V330402.R01.S.doc Version 5.2 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. 33 St John`s Church Road DS0000032438.V330402.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 33 St John`s Church Road Address Folkestone Kent CT19 5BH 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) 01303 252787 Blythson Limited Vacant Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 33 St John`s Church Road DS0000032438.V330402.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Age range is 18 to 65 years Date of last inspection 12th September 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. 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, a dining room, breakfast room and kitchen. Outside there is a small front garden with parking space and a safe, sheltered, courtyard garden at the rear. 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. The fees range between £1,500 and £1,860 and are based on the assessed needs of individual service users. 33 St John`s Church Road DS0000032438.V330402.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit lasted five hours. All three service users were at home and it was possible to spend time talking with them and observing their interaction with staff. Two members of staff were spoken to in private and indepth discussion was held with Amy Moffatt, the manager. Two relatives and two health and social care professionals also gave their views. Information received prior to the visit was considered and documentation, including care plans and staff files was examined. A tour of the home was made. The home meets, and often exceeds, the National Minimum Standards. All those consulted during this inspection gave very positive feedback. The manager, service users, their supporters and staff are all thanked for the welcome they gave and their assistance throughout this visit. All are commended for the progress they continue to make. What the service does well: The home provides a high standard of person-centred care in a pleasant, tastefully decorated, homely and welcoming environment. The home actively promotes the health and well being of the service users and their independence is continuing to increase. There are very good staffing levels, recruitment practices and staff support. Staff training is of a high standard and staff morale is high. The home is well managed and the company keeps up-to-date with new concepts in best care practice. There are excellent systems in place for the home and the company to monitor progress and continue to improve. The home demonstrates exemplary practice in the way it manages challenging behaviour and builds on the strengths of the service users. The quality assurance systems within the Company and the home are excellent. 33 St John`s Church Road DS0000032438.V330402.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. 33 St John`s Church Road DS0000032438.V330402.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection 33 St John`s Church Road DS0000032438.V330402.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1&3 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home provides the service users their relatives and supporters, with the information they need. Appropriate pre-admission assessments are made. EVIDENCE: The home has a statement of purpose and a service user guide that give very good information about the home. Each service user has a written contract in place. Staff and supporters of the service users understand the terms of residence and advocate on their behalf. The aspirations and goals of the service users are recorded in the care plans. They said that they can choose what they do and that the staff help them make choices. There is a rigorous pre-admission process that includes detailed assessment, visits to the home and discussion with relatives and supporters. Inspection of care plans showed that detailed written pre-admission assessments are in place. 33 St John`s Church Road DS0000032438.V330402.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 & 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The care in the home is well planned and meets the needs of the service users. EVIDENCE: The home is committed to person-centred planning. This means that individual needs and wishes are taken into consideration when planning care. Each service user has a care plan that fully explains how their needs will be met. The care plans are up-to-date and in good order. The home is currently working to further improve documentation to make it clearer for staff. Risk assessments are in place both for the environment and for activities. The service users are encouraged to take appropriate risks. Service users take part in day-to-day decision making within the home. Staff interact well with them and were relaxed and skilled in the way they worked with them. 33 St John`s Church Road DS0000032438.V330402.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 & 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The services users live healthy lifestyles and take part in a wide range of activities that they enjoy. EVIDENCE: Activity timetables and care plans show there are plenty of activities available. A tutor attends the home to help the service users with literacy and numeracy. There are lots of opportunities for outings to the local shops, sea and countryside. The service users help with household duties with the support of staff and some have hobbies that they enjoy within the home. They can also go on two holidays each year although not all choose to do so. One service user spoke very enthusiastically about the holiday she went on last autumn. It was good to see how very proud she was that she had overcome her fear of change to do this. 33 St John`s Church Road DS0000032438.V330402.R01.S.doc Version 5.2 Page 11 The service users interacted well with the staff on duty. The staff said that there are good levels of staffing to support all the activities. The home promotes healthy living and ensures that food is of a good quality. The service users work together to plan menus and shop for provisions. Staff support the service users to maintain a high level of personal care and all looked radiant on the day of this visit. It was good to see how they had all progressed in this area of their lives. They are all taking more interest in fashion; all were dressed well and fashionably. One service user has stopped biting her nails and now has beautifully manicured hands. She is congratulated for this success. 33 St John`s Church Road DS0000032438.V330402.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home promotes the health and well-being of the service users. 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. 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. The systems for the management of medicines in the home are good. Appropriate training has been undertaken, storage is safe and records are accurate. 33 St John`s Church Road DS0000032438.V330402.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home listens to the views of the service users and their supporters and has sound systems in place for the protection of vulnerable adults. EVIDENCE: Observation of the interaction between the service users and staff showed that the staff are kind, attentive and understanding. The service users said that they could talk to any of the staff if they have any concerns. Relatives said that they could talk to the manager or any of the staff. They said they had no complaints, only praise, for the home. 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 training in the protection of vulnerable adults. There are good systems in place for regular staff supervision. 33 St John`s Church Road DS0000032438.V330402.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25 & 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is very well maintained and has a welcoming and friendly atmosphere. 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. The home is decorated frequently. It is noted that the décor has changed at each inspection since the home opened. This is because the service users like to maintain a trendy and pleasant environment. They have chosen the colour schemes for their bedrooms and agreed the colours and fabrics for the communal areas. All areas of the home were very clean and sweet smelling on the day of this visit. 33 St John`s Church Road DS0000032438.V330402.R01.S.doc Version 5.2 Page 15 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. They have a continuous improvement plan for the home and send very comprehensive reports to the CSCI. The home has a pleasant, safe and enclosed back garden. The company runs competitions between the homes in the group. In the summer there is a garden competition and in the winter there is a Christmas decoration competition. These activities encourage the residents to take a pride in their environment and to take part in keeping it attractive. 33 St John`s Church Road DS0000032438.V330402.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35 &36 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Staffing levels, staff training and recruitment practices are of a high standard. EVIDENCE: Staffing rosters show that there are good staffing levels at all times. Staff said that they have enough time to support the service users in activities. Staff were clear about their roles and responsibilities and said that they have plenty of training opportunities. A written record of this training is kept. Staff said that they love working in the home and that they receive good support and supervision from the manager and the registered provider. The service users have suggested questions that should be included in the interviews for new staff. Records show that all appropriate checks are made before anyone is offered a job at the home. 33 St John`s Church Road DS0000032438.V330402.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 41 & 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is very well managed and the company is committed to selfmonitoring and best care practice. EVIDENCE: Amy Moffatt, the home manager, has only recently been appointed to the post. She has worked for the company for a number of years. As the previous manager, Kerry Castle, has moved to another management post within the company there has been an opportunity for a good handover period. Amy has been able to shadow another manager within the company and attend courses to support her management skills. She is currently undertaking the NVQ level IV and is in the process of applying for registration with the CSCI. Amy talked knowledgeably about care practice and is up-to-date with current thinking in 33 St John`s Church Road DS0000032438.V330402.R01.S.doc Version 5.2 Page 18 best practice. She has maintained an excellent continuing professional development portfolio and this was available for inspection during this visit. The office is well organised and all documentation is in order. All documents requested during this visit were to hand when requested and in order. However, it would help if names were printed under signatures. The providers visit the home often. They send regular, comprehensive reports about the home to the CSCI. There are systems in place for regular quality monitoring. On the day of this visit, Roland Evans, was in the home to support one of the service users during a review meeting. Staff and relatives say that they can talk easily to the manager and providers. There is an open and honest management culture in the home. They say that their views are listened to and acted upon when appropriate. Indirect observation showed that the manager interacts well with the residents and the staff. Staff spoke highly of her leadership skills. 33 St John`s Church Road DS0000032438.V330402.R01.S.doc Version 5.2 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 4 2 X 3 4 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 4 ENVIRONMENT Standard No Score 24 4 25 4 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 4 32 4 33 4 34 4 35 4 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 4 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 4 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 4 4 X 4 3 4 X 33 St John`s Church Road DS0000032438.V330402.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? NO 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 YA41 Good Practice Recommendations Names should be printed under signatures on all documents 33 St John`s Church Road DS0000032438.V330402.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 John`s Church Road DS0000032438.V330402.R01.S.doc Version 5.2 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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