Inspection on 06/06/05 for 33a Station Road

This inspection was carried out on 6th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

33a Station Road 11/07/06

33a Station Road 15/09/05

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 Longfield Kent DA3 7QD Lead Inspector Ruth Burnham Announced 6 June 2005 09:30 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. 33a Station Road H56-H06 S60361 33a Station Road V223378 060605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 33a Station Road Address Longfield Kent DA3 7QD 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) 0116 279 3225 0116 279 6384 CARE (Cottage and Rural Enterprises Ltd) Miss Samantha Jane Baxter CRH Care Home 9 Category(ies) of Learning disability (9) registration, with number of places 33a Station Road H56-H06 S60361 33a Station Road V223378 060605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. One Service User with both a Learning Disability and a Physical Disability Date of last inspection 26 January 2005 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 it’s 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. 33a Station Road H56-H06 S60361 33a Station Road V223378 060605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection carried out by one inspector who found that many of the national minimum standards had been met or partially met and that the overall quality of care was good. Part of the premises and some records were examined. The inspector was able to talk to 1 service user, 2 members of staff and the manager. Relationships observed during the inspection between staff and service users demonstrated awareness of 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 33a Station Road H56-H06 S60361 33a Station Road V223378 060605 Stage 4.doc Version 1.30 Page 6 contacting your local CSCI office. 33a Station Road H56-H06 S60361 33a Station Road V223378 060605 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 33a Station Road H56-H06 S60361 33a Station Road V223378 060605 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) No new service users have been admitted to the home since the last inspection therefore no judgement has been made on these standards. These standards were all met at previous inspections. EVIDENCE: 33a Station Road H56-H06 S60361 33a Station Road V223378 060605 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) 10 Service users individual needs are met and their choices respected. However they could be at risk of harm where risk management processes are inadequate. 33a Station Road H56-H06 S60361 33a Station Road V223378 060605 Stage 4.doc Version 1.30 Page 10 EVIDENCE: Service users are involved in drawing up their care plans which cover all aspects of personal, social and healthcare needs, those seen lacked sufficient detail in relation to how staff should respond to behaviours. Service users benefit from the assignment of designated keyworkers to ensure consistency of care. Service users are able to make informed choices about their care through information about policies and procedures, activities and services, which are provided in an accessible form with appropriate communication support. They are able to participate in the decision making processes of the home through regular meetings and one to one discussion. Service users may be placed at risk where risk assessments and risk management processes are not being kept up to date and staff guidance for managing risks, that have been identified, is not clear. 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 H56-H06 S60361 33a Station Road V223378 060605 Stage 4.doc Version 1.30 Page 11 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) 11-17 Service users benefit from a wide variety of lifestyle choices with appropriate staff support where needed. EVIDENCE: Service users opportunities for personal development are 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. Service users are able to receive visitors at any time, there is a private visitors room should they wish to use it. Staff interaction with service users was observed during the inspection and was warm and respectful. Service users plan the menu weekly, records were seen and were up to date and evidenced variety and sound nutrition. 33a Station Road H56-H06 S60361 33a Station Road V223378 060605 Stage 4.doc Version 1.30 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18-20 The health and welfare of service users is promoted through efficient systems operated by caring and friendly staff. EVIDENCE: Service users are provided with personal support which takes account of individual preferences and ensures that their privacy and dignity is upheld. Service users benefit from the relaxed atmosphere in the home where routines are flexible and relevant. Service users 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 H56-H06 S60361 33a Station Road V223378 060605 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 Service users are listened to and protected from abuse. EVIDENCE: Service users 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. Service users are protected through policies about responding to suspicion or evidence of abuse including whistle blowing; a recent adult protection issue has been resolved satisfactorily and records examined demonstrated that allegations and incidents are recorded and the appropriate action taken. There are policies and procedures in place to protect service users in relation to their finances. 33a Station Road H56-H06 S60361 33a Station Road V223378 060605 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 - 30 The safe and comfortable environment in this home enhances Service Users’ lives. 33a Station Road H56-H06 S60361 33a Station Road V223378 060605 Stage 4.doc Version 1.30 Page 15 EVIDENCE: Service users enjoy 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 reasonable quality, domestic and unobtrusive. Work is continuing to complete the garden with planting and turf and service users have been involved in planting vegetables in a small greenhouse. All service users benefit from well appointed single rooms with ensuite facilities, the bedrooms are spacious and furnished in line with the standards. Service users have chosen their own furniture and décor. Communal areas provide a homely and brightly decorated environment for service users with a designated private area for visitors and there are environmental adaptations suitable for their needs. Service Users’ safety is promoted by the provision of 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 H56-H06 S60361 33a Station Road V223378 060605 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not examined at this visit therefore no judgement has been made. EVIDENCE: 33a Station Road H56-H06 S60361 33a Station Road V223378 060605 Stage 4.doc Version 1.30 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 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) 42 Service users may be at risk of harm where staff are not qualified for the tasks which they carry out. EVIDENCE: The safety of service users may be at risk as there was no evidence available to demonstrate that all staff have received competence based training in moving and handling, fire safety, first aid, food hygiene, infection control and health and safety, by trainers qualified to train in these areas. 33a Station Road H56-H06 S60361 33a Station Road V223378 060605 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 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 3 3 3 2 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 4 4 3 3 3 Standard No 11 12 13 14 15 16 17 x x x x x x x Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 33a Station Road Score x x x x Standard No 37 38 39 40 41 42 43 Score x x x x x 2 x H56-H06 S60361 33a Station Road V223378 060605 Stage 4.doc Version 1.30 Page 19 yes 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 9 Regulation 13(4) Requirement Risk assessments should be drawn up in response to all incidents/allegations to include clear guidelines for staff about how to minimise risk to service users. Evidence of competence of staff and trainers in relation to statutory training should be available in the home. Timescale for action Action plan by 31/06/05 2. 42 18(1) Action plan by 31/06/05 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 33a Station Road H56-H06 S60361 33a Station Road V223378 060605 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection The Oast, Hermitage Court Hermitage Lane Maidstone Kent ME16 9NT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 33a Station Road H56-H06 S60361 33a Station Road V223378 060605 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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