Inspection on 16/12/05 for 351 Maidstone Road

This inspection was carried out on 16th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

351 Maidstone Road 11/08/08

351 Maidstone Road 03/10/07

351 Maidstone Road 31/05/06

Similar services:

Insight - Eastchurch

Southfields

Thorndene

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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 18-65 351 Maidstone Road 351 Maidstone Road Wigmore Gillingham Kent ME8 0HU Lead Inspector Andrea Leverett Announced Inspection 16th December 2005 10:00 351 Maidstone Road DS0000061864.V262589.R01.S.doc Version 5.0 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 351 Maidstone Road DS0000061864.V262589.R01.S.doc Version 5.0 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. 351 Maidstone Road DS0000061864.V262589.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 351 Maidstone Road Address 351 Maidstone Road Wigmore Gillingham Kent ME8 0HU 01225 444596 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) The Robinia Care Group Ltd Mr Roydon Smith Care Home 7 Category(ies) of Learning disability (7) registration, with number of places 351 Maidstone Road DS0000061864.V262589.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection This was the first inspection of this new Home. Brief Description of the Service: 351 Maidstone Road has been operational since September 2005 and at present provides a service for 5 service users. The home offers a specialist service for young adults with Autistic Spectrum Disorder. The service can offer residential care for a maximum of 7 service users. The home is situated in a residential area in close to a bus route, which goes to the town centre and main line train station. All bedrooms are single occupancy and have en-suite facilities. In addition to the bedrooms there is a communal lounge, dining room, a kitchen, laundry room, toilets, bathroom, office and a separate staff sleeping in room. The home has a good-sized private garden. The home offers high staffing levels to enable 1:1 support for access to the community, leisure and educational amenities. The home also has its own transport for the benefit of service users. At present the home has 1 sleep in staff and 1 waking night staff. 351 Maidstone Road DS0000061864.V262589.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection, the first in the year running from April 1st 2005 to March 31st 2006 and took place on the 16th December 2005. The visit was spent talking to service users, support staff and the manager. Some judgements about quality of life and choices were taken from direct discussion with service users, observation and discussion with support staff and the manager and evidencing records held at the home. A tour of the premises was undertaken. What the service does well: What has improved since the last inspection? 351 Maidstone Road DS0000061864.V262589.R01.S.doc Version 5.0 Page 6 This was the first inspection of this new Home. 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. 351 Maidstone Road DS0000061864.V262589.R01.S.doc Version 5.0 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 351 Maidstone Road DS0000061864.V262589.R01.S.doc Version 5.0 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 the following standard(s): 1,2,3,4 Service users are given the information they need to be able to make an informed decision to live at 351 Maidstone rd. Service users benefit from a comprehensive assessment of their needs and prospective service users can be confident that the home would meet their needs and aspirations. EVIDENCE: Service users have access to a Statement of Purpose and Service Users’ guide, which give good representation of the service provided in the home. Information seen on care plans confirmed that current service users aspirations and needs had been assessed and documented, although not all service users had Care Manager assessments available at the time of the inspection. It is acknowledged that other professional assessments such health were included. Staff were seen to communicate appropriately with service users and discussion with staff on duty at the time of the inspection and observation of their practice demonstrated that they had the skills and experience to care for service users at that home. 351 Maidstone Road DS0000061864.V262589.R01.S.doc Version 5.0 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 the following standard(s): 6,7,8,9,10 Service users benefit from having their assessed and changing needs reflected in their individual plan and acted upon. Service users are able to participate in activities that enable them to influence key decisions in the Home. Service users know that staff ensure that information about them is handled appropriately and that their confidences are kept, however the thin office walls leading to the homes lounge area may compromise confidentiality. EVIDENCE: A sample of care plans seen was found to be comprehensive and regularly reviewed. The Home also holds regular service user reviews. Records seen and discussion with service users and staff also evidenced that service users participated in the life of the home and undertook activities such as shopping and cooking. Service users spoken to confirmed that they were consulted about menus and activities and took part in service user meetings. 351 Maidstone Road DS0000061864.V262589.R01.S.doc Version 5.0 Page 10 The Home has a confidentiality policy and discussion with the manager and staff evidenced that they understood the principles underpinning the need for confidentiality. However it was also noted that the small office has thin walls and leads into the lounge area. The inspector is concerned that conversations can be overheard at times and suggests that the office is recited. 351 Maidstone Road DS0000061864.V262589.R01.S.doc Version 5.0 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 the following standard(s): 12,13,15,17 Service users benefit from having the opportunity for personal development with their daily living skills and enjoy leisure activities in their local community. Service users are supported to maintain relationships with family and friends. . Service users benefit from being offered a choice of suitable menus, which meet their dietary needs and which respect their individual preferences. EVIDENCE: It was evident throughout the inspection that service users were supported to maintain their individual living skills, and their social and emotional skills. Records and discussion with service users and staff evidenced that service user were encouraged to be as independent as possible in house hold tasks such as cooking, shopping and cleaning. On the day of the inspection service users went out to a riverside café and discussion with service users and records seen showed that a range of activities were consistently provided. The Home also has its own transport for the benefit of service users. This is domestic in character and unmarked. 351 Maidstone Road DS0000061864.V262589.R01.S.doc Version 5.0 Page 12 An inspection of the home’s kitchen, food storage areas and the home’s menus was undertaken. It was evident that a balanced diet was offered and service users confirmed that their wishes regarding food are sort and respected. On the day of the inspection service users were observed having unrestricted access to the homes kitchen and were able to make drinks and snacks as they wished. Service users also confirmed that they took part in food shopping and cooking if that was their wish. 351 Maidstone Road DS0000061864.V262589.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 Staff provide sensitive and flexible personal support, which maximises service users, privacy, dignity, independence and control over their lives. Service users benefit from having their healthcare needs properly assessed and acted upon, ensuring a good quality of care in this area. EVIDENCE: Staff were observed offering appropriate support and encouragement to service users. Care plans indicated individual preferences regarding how service users are to be supported with their personal care. Service users were very clear that they could get up and go to bed when they liked. Records viewed and discussion with staff and the manager evidenced that full assistance with all medical and healthcare needs are provided. Records showed that the health needs of service users are comprehensively assessed before moving into the home and that these needs are reflected in care plans and acted upon. 351 Maidstone Road DS0000061864.V262589.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 Service users feel their views are listened to and complaints will be acted upon. EVIDENCE: The Home has an accessible complaints procedure and evidence was seen of concerns and complaints being dealt with appropriately and sensitively. Service users spoken to were clear about whom they could complain to and understood their right to do so. 351 Maidstone Road DS0000061864.V262589.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,30 Service users benefit from living in a homely, comfortable and clean environment, which is furnished and decorated to a very high standard. Service users benefit from good-sized bedrooms that meet their needs. Service users benefit from sufficient bathroom and toilet facilities that meet their needs. EVIDENCE: A tour of the home was undertaken and all areas were clean, safe and free from offensive odours. Procedures and equipment for ensuring appropriate infection control was evident throughout the home. The Home is decorated and furnished to a very high standard throughout and service users told the inspector that they liked the Home. All bedrooms are single occupancy and service users are able to personalize them. Bedrooms also have en-suite faculties, which include toilets, wash hand basins and showers. In addition the Home has a bathroom and a ground floor toilet. 351 Maidstone Road DS0000061864.V262589.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,34,33,35 On the whole service users benefit from being supported by a sufficient number of supervised and competent staff that meet their needs. EVIDENCE: Activity and daily records viewed and discussion with staff evidenced that sufficient staff are provided to consistently support service users with a wide range of activities including in the evenings and at weekends. Feedback from staff and records seen also confirmed that the manager provided regular 1:1 supervision and regular staff meetings took place. Observation of staff and service user interaction evidenced that staff had appropriate skills to carry out their role. Staff files mostly included supervision records, Criminal Record Bureau checks, contract of employment, training certificates and personal development files. It was noted that one staff file only had one written reference and another was using an old Criminal Record Bureau from a previous employer. Advice was given that staff without current Criminal Record Bureau checks should not work unsupervised and although a second verbal telephone reference had been sort this must be followed up by a second written reference. 351 Maidstone Road DS0000061864.V262589.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 The care of service users is enhanced by a staff team that is led by a competent and experienced manager, who ensures that the home is run well. EVIDENCE: The manager is currently undertaking the NVQ 4 Management and Care Award and has several years experience of working with this client group as a support worker and later in a management capacity. Observation on the day, records viewed and discussion with staff evidenced that on the whole the manager delivered an effective service user led service. He presented as motivated and enthusiastic and both service users and staff spoke highly of him and felt that he was approachable and inclusive in his management style. 351 Maidstone Road DS0000061864.V262589.R01.S.doc Version 5.0 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 3 3 3 3 X Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 2 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score 3 X 3 2 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 351 Maidstone Road Score 3 3 X X Standard No 37 38 39 40 41 42 43 Score 3 X X X X X X DS0000061864.V262589.R01.S.doc Version 5.0 Page 19 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. 1 Standard 34 Regulation 19 Requirement The registered person must ensure that no person is employed in the care Home unless subject to paragraph (6) he has obtained in respect of that person the information and documents specified in paragraphs 1 to 7 of schedule 2. Timescale for action 05/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA10YA28 Good Practice Recommendations To ensure confidentiality and minimize disruption to service users in the lounge it is recommended that the office be recited. 351 Maidstone Road DS0000061864.V262589.R01.S.doc Version 5.0 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 351 Maidstone Road DS0000061864.V262589.R01.S.doc Version 5.0 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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