Inspection on 11/07/06 for 33a Station Road

This inspection was carried out on 11th July 2006.

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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

33a Station Road 15/09/05

33a Station Road 06/06/05

33a Station Road 26/01/05

33a Station Road 09/09/04

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 33a Station Road 33a Station Road Longfield Kent DA3 7QD Lead Inspector Ruth Burnham Key Unannounced Inspection 11th July 2006 09:30 33a Station Road DS0000060361.V301572.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 33a Station Road DS0000060361.V301572.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. 33a Station Road DS0000060361.V301572.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 33a Station Road Address 33a Station Road Longfield Kent DA3 7QD 0116 279 3225 01162796384 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) www.care-ltd.co.uk CARE (Cottage and Rural Enterprises Ltd) Miss Samantha Jane Baxter Care Home 9 Category(ies) of Learning disability (9) registration, with number of places 33a Station Road DS0000060361.V301572.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One Service User with both a Learning Disability and a Physical Disability 15th September 2005 Date of last inspection Brief Description of the Service: 33a Station Rd is a purpose built home for 9 people who have learning disabilities, one of whom also has a physical disability.The home is located behind the shopping centre in Longfield with easy access to local bus routes and the train station, the home also has its own transport suitable for the needs of service users. The accommodation is arranged on 2 floors. Bedrooms are located on both floors and have ensuite bathrooms.The owners are a company with homes throughout the country, they also own a purpose built day centre in Edenbridge which service users attend for workshops and activities. There are 9 care staff employed in the home including 1 member of staff on sleep in duty. The home aims to maximise the independence of service users and does not therefore employ ancillary staff. Fees range from 615 to 630 pounds per week. 33a Station Road DS0000060361.V301572.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out by one inspector who found that the majority of the national minimum standards had been met or exceeded and that the overall quality of care was excellent. Part of the premises and some records were examined. The inspector was able to talk to 3 service users 1 member of staff and the manager. All the service users completed and returned surveys prior to the site visit and all were satisfied with the care provided, additional positive feedback was received from other professionals involved in the care of the people who live in the home. Relationships observed during the inspection between staff and service users demonstrated very good practice. The environment is well maintained and furnished and decorated to a high standard. 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. 33a Station Road DS0000060361.V301572.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection 33a Station Road DS0000060361.V301572.R01.S.doc Version 5.2 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 the following standard(s): 1,2,3,& 4 Quality in this outcome area is excellent. This judgment has been made using available evidence including a visit to this service. Pre admission processes are excellent and provide people who are thinking about moving into the home are provided with all the information they need to make a decision about the suitability of the home to meet their individual needs and whether they will be happy living there. EVIDENCE: No new service users have been admitted, however there is a prospective service user currently staying in the home for a 2 week trial period, prior to this an assessment of need has been made and the prospective resident and her family have been fully involved in this process. A one day visit was made to enable her to meet staff and residents before she came to stay. A further visit to her home is planned following the trial stay and a meeting will take place with the prospective service user, her family and care manager before any decision is made about the placement. All residents are provided with clear terms and conditions and the statement f purpose and service user guide have been reviewed and are produced in a suitable format. 33a Station Road DS0000060361.V301572.R01.S.doc Version 5.2 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 the following standard(s): 6 - 10 Quality in this outcome area is excellent. This judgment has been made using available evidence including a visit to this service. People who live in the home are consulted about their care and are well supported to take control of their own lives, they and have a real say in the way the home is run. EVIDENCE: Service users are involved in drawing up their care plans which cover all aspects of personal, social and healthcare needs, those spoken to enjoyed having designated keyworkers to ensure consistency of care. Service users explained how they are able to make choices about their care and are well informed about policies and procedures, activities and services. They are able to participate in the decision-making processes of the home through regular meetings and one to one discussion. They are involved in the selection of staff and take part in interviews. People who live in the home are protected in all circumstances of daily living through clear risk management processes which provide guidance to staff about how to minimise risk whilst supporting them to achieve as much 33a Station Road DS0000060361.V301572.R01.S.doc Version 5.2 Page 9 independence as possible. The privacy of service users is safeguarded via a confidentiality policy, which is given to service users, relatives, care managers and other partner agencies, individual records are secure and confidential and staff handle confidential information properly whilst respecting the wishes of service users. 33a Station Road DS0000060361.V301572.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11 - 17 Quality in this outcome area is excellent. This judgment has been made using available evidence including a visit to this service. People who live in the home benefit from a wide variety of lifestyle choices with appropriate staff support where needed. EVIDENCE: People who live in the home are provided with a wide variety of opportunities for personal development, independence is maximised by the provision of support to develop life skills through involvement in household tasks including shopping, washing, cleaning and cooking. Service users quality of life is enhanced through support to continue their former activities and to take up further education opportunities wherever possible. They are enabled as far as possible to integrate into community life by the provision of information and access to community facilities and events. Service users are supported and encouraged to pursue their own interests and hobbies, a choice of entertainment is available in the home and all service users benefit from the option of a weeks holiday outside the home which they choose and plan as part of the contract price. 33a Station Road DS0000060361.V301572.R01.S.doc Version 5.2 Page 11 Service users are able to receive visitors at any time, there is a private visitors room should they wish to use it and support is provided to enable them to maintain contact with family and friends. Staff interaction with service users was observed during the inspection and was warm and respectful. Service users plan the menu weekly, they prepare meals with support and records were seen and were up to date and evidenced variety and sound nutrition. 33a Station Road DS0000060361.V301572.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 - 21 Quality in this outcome area is excellent. This judgment has been made using available evidence including a visit to this service. The health and welfare of people who live in the home is promoted through efficient systems operated by caring and friendly staff. EVIDENCE: People who live in the home are provided with personal support which takes account of individual preferences and ensures that their privacy and dignity is upheld, They benefit from the relaxed atmosphere in the home where routines are flexible and relevant. People who live in the home are supported to manage their healthcare and access is provided to GPs, dentists, opticians and hospital appointments. The health and welfare of service users is promoted by systems which ensure that medicines are handled in accordance with recognised guidelines and legislation. 33a Station Road DS0000060361.V301572.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. People who live in the home can be confident that they are listened to and protected from abuse. EVIDENCE: People who live in the home are listened to and encouraged to offer comment or complaint, the homes complaints procedure has been given and explained to each service user in an appropriate format. People who live in the home are protected through clear policies about responding to suspicion or evidence of abuse including whistle blowing. There are policies and procedures in place to protect service users in relation to their finances. 33a Station Road DS0000060361.V301572.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 - 30 Quality in this outcome area is excellent. This judgment has been made using available evidence including a visit to this service. The safe and comfortable environment in this home greatly enhances Service Users’ lives. EVIDENCE: People who live in the home enjoy the excellent facilities in premises which are comfortable bright, cheerful, airy, clean and free from offensive odours with sufficient and suitable light, heat and ventilation. Furnishings and fittings are of good quality, domestic and unobtrusive. Work is continuing to complete the garden with planting and turf and residents have been involved in planting vegetables in a small greenhouse. All the people who live in the home benefit from well appointed single rooms with ensuite facilities, the bedrooms are spacious and furnished in line with the standards. The residents have chosen their own furniture and décor. Communal areas provide a homely and brightly decorated environment for residents with a designated private area for visitors and there are environmental adaptations suitable for their needs. Their safety is promoted by the provision of good laundry facilities which are sited so that soiled articles etc are not carried through food areas and have been approved at registration by the Environmental Health Officer. 33a Station Road DS0000060361.V301572.R01.S.doc Version 5.2 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 - 36 Quality in this outcome area is excellent. This judgment has been made using available evidence including a visit to this service. Service users quality of life is enhanced by the support of a well trained and committed staff team. EVIDENCE: Service users were very clear about the roles and responsibilities of staff and it was obvious that enjoy their company and support. They benefit from the skills of staff who are well trained in providing effective care and support for people with learning difficulties, the enthusiasm, commitment and dedication of staff observed during the inspection was impressive, it was a pleasure to witness the interaction between service users and staff as emotional and physical support was provided with respect, warmth and humour. Service users are protected by rigorous recruitment policies and practices which include taking up 2 references, criminal record checks and a thorough interview process which service users are actively involved in. Staff receive regular one to one supervision. 33a Station Road DS0000060361.V301572.R01.S.doc Version 5.2 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 12 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. People who live in the home benefit from good management which ensures that the home fulfils it’s stated purpose and meets the needs of the people who live there. There is room for improvement in the home’s quality assurance system. EVIDENCE: People who live in the home benefit from the support of a manager who is competent and experienced, she is in the process of completing the Registered Managers Award. The management approach to the home creates an open, positive and inclusive atmosphere in which people who live there are able to influence the way in which the home is run. There is a clear service development plan which provides a good basis for an effective quality assurance system to be set up, the manager was reminded that a report must 33a Station Road DS0000060361.V301572.R01.S.doc Version 5.2 Page 17 be produced, in which the outcome of the quality assurance system is recorded, and provided to the Commission. There are good systems in place the ensure the safety and security of the people who live there through regular staff training I safe working practices and safety checks on all equipment and installations at appropriate intervals. 33a Station Road DS0000060361.V301572.R01.S.doc Version 5.2 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 Standard No Score 1 3 2 4 3 4 4 4 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 4 26 4 27 4 28 3 29 4 30 4 STAFFING Standard No Score 31 3 32 3 33 4 34 4 35 3 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 4 3 3 LIFESTYLES Standard No Score 11 4 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 4 3 3 x 2 x x 3 x 33a Station Road DS0000060361.V301572.R01.S.doc Version 5.2 Page 19 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 YA39 Regulation 24 Requirement An improvement plan in respect of this requirement has been requested. Timescale for action 30/07/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 33a Station Road DS0000060361.V301572.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone 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 33a Station Road DS0000060361.V301572.R01.S.doc Version 5.2 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. 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