Inspection on 31/05/06 for 351 Maidstone Road

This inspection was carried out on 31st May 2006.

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 16/12/05

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Southfields

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33 St John`s Church Road

Dovedale Court

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

CARE HOME ADULTS 18-65 351 Maidstone Road 351 Maidstone Road Wigmore Gillingham Kent ME8 0HU Lead Inspector Graham Cummings Unannounced Inspection 31st May 2006 09:45 351 Maidstone Road DS0000061864.V294584.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 351 Maidstone Road DS0000061864.V294584.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. 351 Maidstone Road DS0000061864.V294584.R01.S.doc Version 5.2 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.V294584.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th December 2005 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. The fee range for this service is £1,900 to £2,200 per week. 351 Maidstone Road DS0000061864.V294584.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Key Inspection report has been completed using evidence gathered from the Inspection Record, the returned completed Pre Inspection Questionnaire, 3 Service User, 1 Relative and 1 GP comment cards. The site visit was carried out on the 31st May 2006 and consisted of talking to the Manager, 2 staff viewing documents and touring the home. The home is registered for 7 Service Users but currently have 5 placements. The Inspector found the home to be welcoming, clean and tidy and run in the best interests of the Service Users. Staff spoken to said that they were well supported and had access to advice and support at all times. There is a shortfall in the number of staff with NVQ training, the Inspector was informed that the company is addressing this and all staff should be registered on an NVQ level 2 course within the next 3 months. Service Users spoken to and comment cards received indicated that they were happy living at the home. There are no Requirements and 2 Recommendations relating to staff NVQ training and the placement of the office regarding confidentiality. What the service does well: What has improved since the last inspection? What they could do better: The Managers office is located in the front porch area and is the only entrance used to access the home, this means that Service User and staff confidentiality are still being compromised. The number of staff with NVQ qualifications is minimal and this needs to be addressed as soon as possible. 351 Maidstone Road DS0000061864.V294584.R01.S.doc Version 5.2 Page 6 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.V294584.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 351 Maidstone Road DS0000061864.V294584.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,4, The quality of the service provided is good. Service Users have information available to make an informed choice about living at the home. Prospective Service Users needs are assessed and they have an opportunity to visit the home. EVIDENCE: The Statement of Purpose and Service User Guide are in the process of being updated and are at the companies head office, there are no changes to the ethos or philosophy of the home but more information about fire safety is being included. Prospective Service Users, families and care managers are able to visit the home and information is available that enables them to make an informed choice. The home carries out an assessment of the individuals needs before agreeing to any placement. 351 Maidstone Road DS0000061864.V294584.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9,10 The quality of service provided is good. Service Users are involved in making their care plan. Service Users are consulted and participate in their reviews and in the running of the home. Service Users are supported to take risks as part of an independent lifestyle. Confidentiality could be broken due to the placement of the office. EVIDENCE: The office has been moved to the entrance porch, this has helped with some issues around confidentiality but the Inspector still has some concerns regarding confidentiality as all staff, Service Users, visitors have to come through the office to gain entry or depart from the home. The Inspector looked at 2 Care Plans andf found them to be of a very good standard, they contained the Service users wishes regarding their personal care and how they liked the support to be provided. The care plans and risk assessments were all signed and dated and had been reviewed monthly. Regular Service user meetings are held where their views and wishes are recorded and acted upon wherever possible, decisions taken include the menus and cleaning rotas in the home. 351 Maidstone Road DS0000061864.V294584.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): 11,12,13,14,15,16,17 The quality of this service is good. Service Users have the opportunity for personal development and take part in peer and age appropriate leisure activities in the local community. Service Users have appropriate contact with family and their rights are respected in their daily living. Service Users are offered a healthy and nutritious diet. EVIDENCE: Service Users activities are risk assessed every time they participate or leave the building. Activities include trampolining, horse-riding, shopping, ten pin bowling, cinema and soft play. The staff use public transport with some individuals as part of the independent skills learning, one Service User travels to Folkestone college by train. The home runs with a 4 week menu, breakfast and lunch are free choice and the evening meal is agreed at Service User meetings. Staff and Service Users prepare and cook the meals and these reflect the culture of the home. During the site visit a mother and sister visited a Service User that staff dealt with very well as the individual was becoming agitated by the amount of noise and touch, the visit lasted a maximum of 10 351 Maidstone Road DS0000061864.V294584.R01.S.doc Version 5.2 Page 11 minutes after which the Service User went into the garden to sweep the patio and be by himself. 351 Maidstone Road DS0000061864.V294584.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): 18,19,20 The quality of the service provided is good. Service Users receive personal support in the way they prefer. Service Users health needs are met. Service Users are protected by the homes medication policies and procedures. EVIDENCE: The home provides a flexible and sensitive support that gives Service Users independence and control over their lives. The Inspector looked at 2 care plans and both showed that their wishes around personal care were implemented. All Service Users are registered with a local GP, Optician, Dentist and chiropodist. None of the Service Users self administer medication, all medication is dispensed by the Team Leader on duty. The Inspector whilst walking around the home saw positive interaction between staff and Service users and in dealing with a family visit. 351 Maidstone Road DS0000061864.V294584.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 The quality of the service provided is good. Service Users views are listened to and they are protected. EVIDENCE: A copy of the complaints procedure was on display and was in pictorial form. The home has not had any complaints since the last inspection and neither have CSCI. Service Users finances are handled by Team Leaders only, the procedures were explained by the Team Leader on duty and these protected the individuals from financial abuse. Staff all attend a 1 day de-escalation training course followed by a 3 day Critical Physical Intervention training. The home also has a whistle blowing policy that is available to staff and Service Users. 351 Maidstone Road DS0000061864.V294584.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): 24,25,26,27,28,29,30 The quality of the service provided is good. Service Users live in a clean, tidy and homely environment. Service Users bedrooms suit their needs and promote independence. Service Users have sufficient privacy to meet their needs. Service Users have sufficient communal space. Service Users do not require specialist equipment at this time. EVIDENCE: The home has 7 bedrooms, presently 5 are occupied. All of the bedrooms have a hand basin and toilet with 5 of them also having a shower cubicle. The home has a communal bathroom with toilet and basin as well as a downstairs toilet which is for staff and visitor use. There is a reasonably large lounge which is split by an archway giving an area for Service User not wanting to watch television to read or listen to the radio.The Inspector viewed one bedroom with the Service Users consent and found that it was spacious, well decorated and furnished with personal belongings, including a double bed. Staff and Service Users are responsible for the cleaning of the house and a rota is drawn up so that the tasks are fairly shared. The home is clean and hygienic and free from any offensive odours. None of the Service Users presently living at the home require any specialist equipment. 351 Maidstone Road DS0000061864.V294584.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): 31,32,33,34,35,36 The quality of the service provided is good. Service Users benefit from the clarity of staff roles and they are supported by an effective and competent staff team. Service Users are protected by the homes recruitment process and appropriately trained and supervised staff. EVIDENCE: The number of staff on duty meets the needs of the Service Users and they all have job descriptions that set out clearly their roles and responsibilities. The staff have good access to training although the number of staff with NVQs is less than 50 , the home is working to rectify this in the immediate future and it is hoped that all staff will be enrolled on NVQ in the next 3 months. The Manager has now completed their NVQ4 and is looking to complete the RMA. The staff spoken to confirmed that they received supervision every 2 months, the notes are signed and dated by both supervisor and supervisee. The staff files are kept locked in the porch office with the Registered Manager the only person with access to them. The Inspector looked at staff files and noted that the application form only requested a work history of 5years although the requirement now is for a 10 year working history. The Manager is going to take this to their line manager as the application form is a company one. The Inspector noted positive interaction between staff and Service Users, the home runs a key-worker system. 351 Maidstone Road DS0000061864.V294584.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): 37,39,40,41,42,43 The quality of the service provided is good. Service Users benefit from a well run home and their views underpin the running of the home. Service Users best interests are safeguarded by the policies and procedures and the homes record keeping. Service Users benefit from a competent and accountable management and their health, safety and welfare are protected. EVIDENCE: The Manager has completed their NVQ4 and is going on to complete the RMA in the near future. Following discussions with the staff and manager and looking through the documentation evidence showed that the home is well managed and run in the best interests of the Service Users. Staff informed the Inspector that the Manager is always available for advice and guidance and is approachable, Service Users also can access the Manager when on site. The policies and procedures were available to staff in the small office and the records and notes seen were informative and signed and dated. The Manager includes Service Users in all aspects of the running of the home. 351 Maidstone Road DS0000061864.V294584.R01.S.doc Version 5.2 Page 17 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 3 3 X 4 3 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 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 2 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 3 3 3 3 351 Maidstone Road DS0000061864.V294584.R01.S.doc Version 5.2 Page 18 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. 1. Refer to Standard YA10 Good Practice Recommendations Although the office has been moved following the last inspection, the confidentiality of Service Users is still compromised. It is recommended that the home/company try to find an alternative office that does not compromise confidentiality. That staff are registered on NVQ training 2. YA35 351 Maidstone Road DS0000061864.V294584.R01.S.doc Version 5.2 Page 19 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.V294584.R01.S.doc Version 5.2 Page 20 - 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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