Inspection on 08/02/08 for 35 Beaconsfield Avenue

This inspection was carried out on 8th February 2008.

CSCI found this care home to be providing an Good service.

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

35 Beaconsfield Avenue 17/01/07

35 Beaconsfield Avenue 13/02/06

35 Beaconsfield Avenue 24/10/05

35 Beaconsfield Avenue 07/01/05

35 Beaconsfield Avenue 13/07/04

35 Beaconsfield Avenue 01/12/03

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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 35 Beaconsfield Avenue Dover Kent CT16 1LS Lead Inspector Christine Lawrence Unannounced Inspection 8 February 2008 13.00 35 Beaconsfield Avenue DS0000023167.V357898.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 35 Beaconsfield Avenue DS0000023167.V357898.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. 35 Beaconsfield Avenue DS0000023167.V357898.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 35 Beaconsfield Avenue Address Dover Kent CT16 1LS 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) 01304 206448 01304 206448 seaview@robinia.co.uk The Robinia Care Group Ltd Mrs Yvette Hanlon Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 35 Beaconsfield Avenue DS0000023167.V357898.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 3 People with a learning disability. 18 to 65 years. Date of last inspection 17 January 2007 Brief Description of the Service: 35 Beaconsfield Avenue is a terraced property located in a residential road in Dover town centre. This home provides accommodation and support to three people. The house is well maintained and is in keeping with surrounding properties. It is within walking distance of local shops and leisure facilities. The accommodation is on three floors and provides three single bedrooms, a staff sleep-in room, lounge, laundry area, kitchen/diner and a small courtyard garden to the rear of the property. Limited street parking is available. The property is unsuitable for any service user with significant mobility problems. The current weekly fees for this service range from £1677.20 to £1731.50 per week according to individuals needs. Information about the service, including a copy of the latest inspection report will be provided on request to the home. 35 Beaconsfield Avenue DS0000023167.V357898.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection visit was unannounced and started at 13.00 and finished at 17.00. We (the Commission for Social Care Inspection, CSCI) looked at various records in the home and also used information sent to us by the manager before the visit. This was the Annual Quality Assurance Assessment (AQAA). Information from the previous inspection was also referred to. We spoke with both of the residents who currently live here. A tour of the building was undertaken. We made observations of staff interacting with and supporting residents. Staff chatted informally with me during the course of my visit. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. What the service does well: What has improved since the last inspection? What they could do better: There are no formal requirements from this inspection but the manager has identified the following for improvement and development over the next twelve months:- To continue to promote and support the residents’ meetings; to provide Mental Capacity Act training to staff; to improve the statement of purpose to make it more interesting to current and prospective residents; to provide training for understanding triggers that might help prevent difficult behaviours (the company is currently providing PROACT SCIP ® UK training); to replace existing care reviews with person centred meetings, where residents are encouraged to invite any of their circle of friends; to encourage and support all residents to be more independent with their medication and booking their own health appointments; to provide some training for residents about complaints and protection if they would like this; to replace worktops and flooring in kitchen, replace flooring in laundry room, provide a covered smoking area for the resident who smokes; to offer NVQ 3 training to all staff and to hold more regular staff meetings at the home. Please contact the provider for advice of actions taken in response to this 35 Beaconsfield Avenue DS0000023167.V357898.R01.S.doc Version 5.2 Page 6 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. 35 Beaconsfield Avenue DS0000023167.V357898.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 35 Beaconsfield Avenue DS0000023167.V357898.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): 2 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Prospective residents’ individual aspirations and needs will be assessed. EVIDENCE: A new person is due to move into the home. A detailed pre-admission assessment has been carried out even though the person is moving from another home owned by the same organization and is known to the staff and current residents. The assessment is in three separate parts and also contains information gathered during visits and overnight stays at the home. 35 Beaconsfield Avenue DS0000023167.V357898.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 and 9 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents can be confident that their changing needs will be noted in their individual plans and that they will be supported to make decisions and take risks to enable as independent lifestyle as possible. EVIDENCE: The care plans for both of the people currently living at 35 Beaconsfield Avenue were looked at for this inspection. They were looked at separately with the individuals concerned who clearly felt that they were involved in writing the information and that the plans were about them and what they wanted. There is a key worker system in place. The care plans are reviewed with individuals on a regular basis. The people living in the home gave lots of examples of how they can make decisions about what they wish to do and they are supported by staff to do this. One person said, “…they are very good at helping and supporting me to do things…”. The individual plans also have assessments of risk and these are 35 Beaconsfield Avenue DS0000023167.V357898.R01.S.doc Version 5.2 Page 10 based on encouraging people to be as independent as possible. The preadmission assessment seen also contained information about risk and how it could be reduced to support independence. 35 Beaconsfield Avenue DS0000023167.V357898.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Activities and involvement in the local community, as well as support for personal relationships will be provided for residents. They will benefit from EVIDENCE: Both of the people who live in the home talked about their routines and the things they do. One person is currently doing work experience with the plan of working towards finding a job at a later date. Examples were noted of college courses attended and using local community things such as public transport, the local library and leisure based activities. The individual support plans reflect an emphasis on promoting as much independence as possible. One person said “…they don’t tell me what to do, just help me and advise me…”. Both the residents have support programmes to encourage them to go out on their own. One person is involved in managing their own medication and making health care appointments. Residents are involved in food shopping and the preparation of meals. They are also involved in keeping their own 35 Beaconsfield Avenue DS0000023167.V357898.R01.S.doc Version 5.2 Page 12 rooms clean and doing their own laundry. They share the communal housekeeping tasks with staff. One resident said “…we work as a team here…”. Both residents are supported to maintain family relationships as well as friendships and they both gave some examples of how this happens. 35 Beaconsfield Avenue DS0000023167.V357898.R01.S.doc Version 5.2 Page 13 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 and 20 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents are protected by the home’s policies and procedures regarding medication and their physical and emotional needs will be responded to. Their preferences and requirements for support are respected. EVIDENCE: Each person has their own health action plan which identifies any health care needs they have. Residents are involved in keeping these up to date. One person who lives in the home is involved in the management of their own medication and making health care appointments. Staff have received training regarding medication and this is monitored through the supervision process to ensure competency. Both the people living at 35 Beaconsfield Avenue were confident about speaking up for themselves and expressing their preferences for their daily routines. 35 Beaconsfield Avenue DS0000023167.V357898.R01.S.doc Version 5.2 Page 14 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 and 23 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents are protected from abuse and their views are listened to and acted on. EVIDENCE: Staff confirmed that they have received training regarding adult protection and that there are policies and procedures in place, including a whistle-blowing policy and clear guidelines about residents’ finances. One resident gave an example of a complaint made and how it was dealt with. Copies of guidance about how to make a complaint are given to each individual and this is also on display in the home. The staff team were observed to encourage people to speak up for themselves. One of the people living at the home said, “…I speak my mind!…” 35 Beaconsfield Avenue DS0000023167.V357898.R01.S.doc Version 5.2 Page 15 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 and 30 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is clean, comfortable and safe for the residents. EVIDENCE: The house is very much a family home. Décor and furnishings are domestic in style and residents are involved in making choices about what things are purchased and colours for decoration. The home is in the town centre and therefore residents have access to local amenities and transport and expressed satisfaction with their home. The home is clean and safe. Weekly audits are carried out by staff to keep a check on safety in the home. 35 Beaconsfield Avenue DS0000023167.V357898.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): 32, 34 and 35 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Sound recruitment procedures and training provided to staff will have a beneficial impact on residents. EVIDENCE: Two of the staff team have achieved a national vocational qualification (NVQ) level 3 and there are plans for more staff to gain this qualification. Two members of staff, as well as the manager, were observed during this inspection. They were approachable and clearly interested in the people they are providing support for. They demonstrated their knowledge of the residents as individuals. The recruitment procedures include application forms, references, interviews (including spending time in the home meeting residents), terms and conditions of employment and criminal record bureau checks. All the staff spoken to confirmed this as the way they were recruited. They also confirmed that they have opportunities for training. Training records indicate that all mandatory training is up to date. There is a formal induction training for all new staff. 35 Beaconsfield Avenue DS0000023167.V357898.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, 39 and 42 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents benefit from a well run home and their health and safety is promoted and protected. EVIDENCE: The manager has over seventeen years experience of care work, 12 of which have been as a manager. She has the registered managers award (RMA) and keeps up to date with other training and attends managers meetings within the larger organization. Staff described her as “…responsive, respectful and helpful…”. The company carries out audits and there is also an annual quality monitoring questionnaire. Feedback from the people living at the home is listened to within the staff team and there are also opportunities for feedback to be given to the organization. One of the people who lives in the home attends regular meetings within the region to represent residents’ views and 35 Beaconsfield Avenue DS0000023167.V357898.R01.S.doc Version 5.2 Page 18 was also very proud to describe a recent experience of attending a national event where they were able to express opinions about smoking, the use of the word ‘service user’ and making sure there was enough staff to go out with residents. Policies and procedures are kept up to date and reflect any changes in legislation. A spot check on some of the service and maintenance contracts showed that they were appropriate and up to date. Staff carry out regular checks, including fire safety checks and they all have the relevant safety training. The house is well maintained. 35 Beaconsfield Avenue DS0000023167.V357898.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 X 2 3 3 X 4 X 5 X 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 3 25 3 26 X 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X 35 Beaconsfield Avenue DS0000023167.V357898.R01.S.doc Version 5.2 Page 20 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. 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. Refer to Standard Good Practice Recommendations 35 Beaconsfield Avenue DS0000023167.V357898.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection South East Regional 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 35 Beaconsfield Avenue DS0000023167.V357898.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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