Inspection on 14/12/06 for 37 Spenser Road

This inspection was carried out on 14th December 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 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

37 Spenser Road 07/02/06

37 Spenser Road 04/08/05

37 Spenser Road 07/03/05

37 Spenser Road 15/11/04

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 37 Spenser Road 37 Spenser Road Herne Bay Kent CT6 5QP Lead Inspector Julie Sumner Unannounced Inspection 14th December 2006 10:50 37 Spenser Road DS0000023268.V301417.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 37 Spenser Road DS0000023268.V301417.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. 37 Spenser Road DS0000023268.V301417.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 37 Spenser Road Address 37 Spenser Road Herne Bay Kent CT6 5QP 01227 741114 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) fchltd.fch2@virgin.net fchltd.headoffice@virgin.net Family Care Homes Limited Post Vacant Care Home 9 Category(ies) of Learning disability (9) registration, with number of places 37 Spenser Road DS0000023268.V301417.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th February 2006 Brief Description of the Service: 37 Spenser Road is a care home providing personal care and accommodation for nine people with learning disabilities. It is owned by Family Care Homes Limited who also own other homes in the area. The current fees for the service at the time of the visit range from £480.29 to £971.00. Information on the home’s services and the CSCI reports for prospective service users will be detailed in the Statement of Purpose and Service User Guide. The provider web address is included in the previous page with other contact details. The home is located in a residential part of Herne Bay. There are some local amenities, including bus and train links, and the town centre and sea front are not far away. The home has been opened for more than 10 years and consists of an extended bungalow style house. An additional bedroom has recently been built and registered so there are now 8 single rooms and 1 shared room. There are gardens to the rear (including a patio area), sides and front of the house. 37 Spenser Road DS0000023268.V301417.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 key inspection. 37 Spenser rd provides a bright, stimulating and homely environment for service users. The inspector visited the home to talk to service users and staff and view records and practices. The time spent in the home overall was just over 6 hours. Information was gathered for this inspection by a variety of means both prior to and during the visits to the home. Anthony Harrison, the representative of the company visited briefly and also provided information. The CSCI request information from the home routinely and the home manager provided all the information requested in the pre-inspection questionnaire prior to the inspection visit. Feedback questionnaires were sent out some time before the inspection visit. Feedback was received from 6 service users who had had assistance from friends or relatives and 4 relatives. All comments received about the home were positive for example one service users’ relatives commented “the house is always full of laughter and chatter, it is such a happy atmosphere”. There were no outstanding requirements or recommendations from the previous inspection. 1 requirement and 1 recommendation were made as a result of this inspection. What the service does well: Staff are allocated a great deal of time talking and spending time with service users. A variety of well thought out communication aids are provided to assist service users to say what they want in all aspects of their day-to-day living. A good mixture of activities are offered to keep everyone occupied and develop daily living skills. The home is designed and decorated in the way service users want. Staff are motivated and enthusiastic in their work and training is based on what staff want to learn and developing the skills of the team to meet the assessed needs of service users. 37 Spenser Road DS0000023268.V301417.R01.S.doc Version 5.2 Page 6 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. 37 Spenser Road DS0000023268.V301417.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 37 Spenser Road DS0000023268.V301417.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): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be confident that their needs have been assessed and that any aspirations have been included as appropriate. EVIDENCE: There has been one new admission since the last inspection. A sample of assessment information was viewed. Information was clear and ongoing. It was evident that staff are responsive to changing needs and this was recorded in a reassessment format. Shift patterns have been altered and additional training has been provided in areas previously not needed. 37 Spenser Road DS0000023268.V301417.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, 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a consistent care planning system in place to adequately provide staff with the information they need to satisfactorily meet service users needs. The staff team demonstrated that they were responsive to individuals’ changing needs. Service users are supported and provided with appropriate communication aids to be able to influence decisions about their own lives. Risks are identified, recorded and minimised ensuring that service users are protected and kept as safe as possible. EVIDENCE: A sample of service user plans were viewed and discussed with the acting manager. The format was the same but the information varied with different emphasis on aspects of care. There were good records of care and support. As with other homes in the company there are several different places to keep 37 Spenser Road DS0000023268.V301417.R01.S.doc Version 5.2 Page 10 records and the overall recording system for service users needs to be reviewed to see if it the most efficient way. There were person centred plans and diaries of events with souvenirs, pictures and photos describing special events in each person’s lives. The staff team have been supported by the speech and language therapist to devise communication aids to enable service users to participate in decisions about their lives. Samples of these were viewed including pictures of activities so that they can be chosen from. There are photographs of items of furniture and ornaments presently being used to plan the décor in one of the bedrooms. Risk assessments are written in the service user plan. These ranged from every day personal care and occupational activities both in and out of the house. For example having a bath, getting in and out of a vehicle and going horse-riding. 37 Spenser Road DS0000023268.V301417.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service has a strong commitment to enabling service users to develop their skills, including social, emotional, communication, and independent living skills. Help with communication skills is given by staff to assist with pursuing interesting activities both in the home and in the community. Service users have the opportunity to maintain important personal and family relationships. The food in the home is of good quality and attractively presented. EVIDENCE: The individual lifestyles and activities provided were discussed with the manager. A range of activities are organised to suit individuals preferences and abilities both within the home and outside. The day service at Eastry is used for a variety of activities including computer skills, sensory,and art and crafts. 37 Spenser Road DS0000023268.V301417.R01.S.doc Version 5.2 Page 12 Another day centre is also accessed for structured and community based activities. A sample of activity programmes was viewed. These include: sensory sessions, which are offered at two different venues, swimming, horseriding, computer skills, parties and discos, crafts and music sessions. Two service users were going out to a sensory session at the beginning of inspection visit. One service user described some of the activities she participates in including going in a horse drawn carriage, when going to the riding stables. The home assists with service users and their families, maintaining contact by providing transport for visits both to their families and vice versa. The manager and staff recognise that as service users needs change that relatives may need additional help. Also relatives needs may change with age or ill health so arrangements have been put in place. Sometimes staff stay with the service user if they are visiting their families. A Christmas party was held at the home with friends and families being invited. There was good attendance from relatives and a graet deal of positive feedback was received afterwards. One service user spoke about the event and said how much fun she had. Viewed menus, which contained varied meals with alternatives. Service users commented that the food was good. 37 Spenser Road DS0000023268.V301417.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be confident that their wishes and preferences will be taken into account in how they are supported. Service users benefit from good health care support and are able to access community health care services. Medication procedures have improved and medication is stored and administered correctly and safely. EVIDENCE: Staff have spent time getting to know service users to find out what their preferences are. There are clear guidelines in the service user plans for staff and these are also referred to when there has been a change in need and approach. One service user said that she liked to do some things for herself and the staff knew what to do to help her. All service users are registered with a GP. There are good health records in place evidencing that service users are supported to access routine health screening. This includes attendance at dental check ups and opticians appointments either within the home or in the community. 37 Spenser Road DS0000023268.V301417.R01.S.doc Version 5.2 Page 14 Visiting professionals support service users. Service users who are partially sighted have been assessed in the home by the KAB and advice has been implemented. Medication administration records were viewed, with clearly printed instructions, which were completed accurately. Service users photos and PRN guidelines are in place. There are medication profiles. All staff administering medication have received training. The manager checks for competency and carries out routine audits. 37 Spenser Road DS0000023268.V301417.R01.S.doc Version 5.2 Page 15 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 judgement has been made using available evidence including a visit to this service. There is an effective complaints process. Service users are given the means to express their feelings. Service users are protected from harm by the policies and procedures in the home. Staff are knowledgeable about adult protection. EVIDENCE: The company has an appropriate complaints policy and procedure in various formats. There have been no complaints in the last 12 months. Staff have got to know service users and various communication aids are used to assist service users in expressing their feelings. There is close contact with some families and friends who are also able to advocate on their behalf. Staff have attended adult protection training and are aware of what their responsibilities are. There are policies and procedures in place, which include whistle blowing and systems relating to protecting residents’ finances. 37 Spenser Road DS0000023268.V301417.R01.S.doc Version 5.2 Page 16 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 good. This judgement has been made using available evidence including a visit to this service. The home is comfortable and has a really positive environment for service users to live in. Service users are actively involved in choosing the furniture and décor within the home. The home is clean and well maintained. EVIDENCE: A tour of the home was carried out with the manager. All areas were homely, clean and well furnished. The lounge looked homely with new specially made furniture and a professional photo of all service users together displayed on the wall. A new widescreen TV has been purchased and they are awaiting its delivery. The dining room was full of activity and had both practical dining room furniture and comfortable furniture. There is a planned cycle of redecoration and refurbishment, which was discussed with the manager. Both bathrooms are on the plan to be refurbished. The ground floor bedroom recently registered was starting to look homely, consisting of an ensuite toilet with flush floor shower. 37 Spenser Road DS0000023268.V301417.R01.S.doc Version 5.2 Page 17 Bedrooms are all decorated to individual taste and with their involvement choosing colour schemes and décor. Different communication methods have been used to ascertain individual views. An example of this was a pictorial design made by one service user to design how she wanted her bedroom, using cut out pictures from catalogues/magazines. A new laundry is being developed, new machines have been purchased and the area where it is to be sited was in the process of being refurbished during the visit. There are clear guidelines for infection control. The clinical waste registration certificate was viewed. 37 Spenser Road DS0000023268.V301417.R01.S.doc Version 5.2 Page 18 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): 32, 34, 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff team have a strong commitment to enabling service users to develop their skills, including social, emotional, communication, and independent living skills. There is a robust recruitment process and good induction process. Service users benefit from an enthusiastic and supportive staff team. The NVQ training programme is underway. A good range of training is provided to meet individually assessed needs. EVIDENCE: Training is arranged and the matrix designed on the basis of assessed needs of individual service users and what the staff feel they need to provide them with the skills and knowledge they need. Staff supervision has been carried out by the acting manager and this together with team meetings and service users reviews, determines what training is provided. Recently dementia training has been included following changes in assessed needs of some individuals and a new admission. Examples of training include: Makaton, continence, pressure care, infection control, moving and handling which is carried out in the home so that manoeuvres can be adapted to be safe 37 Spenser Road DS0000023268.V301417.R01.S.doc Version 5.2 Page 19 and effective for individuals, KAB (Kent Association for the Blind), autism, dementia and fire training. Forthcoming training includes epilepsy awareness, adult protection and medication. 12 staff have achieved NVQ level 2 and above. 2 staff are studying NVQ level 2 and 3 staff are studying NVQ level 3. The acting manager is currently also studying the NVQ assessors course. 37 Spenser Road DS0000023268.V301417.R01.S.doc Version 5.2 Page 20 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, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a well managed home. The quality assurance monitoring system needs to be further developed so that it can be relied upon to make sure that the home is meeting individual needs and striving for improvement. Records are of a good standard and routinely completed. The home has a good record of meeting health and safety requirements. EVIDENCE: The manager is studying for NVQ 4 in management and RMA. She has been in post for some time demonstrating very effective management skills. The manager is not yet registered and there has been a considerable delay in making an application, however this is now in progress. 37 Spenser Road DS0000023268.V301417.R01.S.doc Version 5.2 Page 21 At present the company produces overall business plans for all homes including priorities for improvement. An individual report has not been produced for the home to bring the outcomes of quality monitoring together for 37 Spenser Rd. A development plan needs to be designed for this home so that everyone is working towards improvement of the home and the service provided to service users. A requirement to continue to create a quality assurance system for the home, produce an annual report and from that design a development plan has been made. Samples of records were viewed and discussed. A selection of home maintenance certificates were viewed including the fire log. Staff have regular fire safety training and drills. 37 Spenser Road DS0000023268.V301417.R01.S.doc Version 5.2 Page 22 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 x 26 x 27 x 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 2 x x 3 x 37 Spenser Road DS0000023268.V301417.R01.S.doc Version 5.2 Page 23 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 YA39 Regulation 24(1-5) Requirement Create a quality assurance system for the home, produce an annual report of outcomes and from that design a service development plan. Timescale for action 30/03/07 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 YA6 Good Practice Recommendations To consider ways of making the main service user plan person centred and utilising the work that has been compiled with the service user by the key worker. Keeping the records that have to be kept by law but getting the balance so that the records are not the core but each persons personal interests are. 37 Spenser Road DS0000023268.V301417.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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 37 Spenser Road DS0000023268.V301417.R01.S.doc Version 5.2 Page 25 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!