Inspection on 19/10/05 for 4 Malham Drive

This inspection was carried out on 19th October 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

4 Malham Drive 11/12/08

4 Malham Drive 09/01/07

4 Malham Drive 07/03/06

4 Malham Drive 09/03/05

4 Malham Drive 23/06/04

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 4 Malham Drive 4 Malham Drive Margate Kent CT9 Lead Inspector Brenda Pears Announced Inspection 19th October 2005 09:30/ 4 Malham Drive DS0000035614.V256216.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 4 Malham Drive DS0000035614.V256216.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. 4 Malham Drive DS0000035614.V256216.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 4 Malham Drive Address 4 Malham Drive Margate Kent CT9 020 8541 1147 01843 232952 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) Sense South East Mr Andrew James Anderson Care Home 2 Category(ies) of Learning disability (2), Sensory impairment (2) registration, with number of places 4 Malham Drive DS0000035614.V256216.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th March 2005 Brief Description of the Service: 4 Malham Drive is a smaller home for two people with a sensory disability and works in conjunction with another registered service at 89 Hastings Avenue. The acting manager is currently applying to become registered as the previous manager of this service has relocated. The Home provides ample communal space and single room accommodation for the service users. There is off road parking for two cars and there is a small but pleasant garden to the rear of the property. The Home is close to public amenities, shops and public transport. 4 Malham Drive DS0000035614.V256216.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 and the inspection consisted of speaking with staff members and service users. The methods of inspecting the home included checking records, tracking service user care plans, observations and a tour of the building. The focus of this inspection was on the core standards and on the quality of life for ser vice users. The Home was found to be clean, bright and free from odours at this inspection. As part of the pre-inspection process, residents and relatives were consulted for their views of the home. Service users returned their comment cards, providing valuable feedback about the home, which helped in the planning of this inspection. Service users who were at home at this time were fully included in this inspection. The Home operates in a relaxed, friendly and comfortable way. The service users are at the centre of any activities and their opinions and preferences are sought on all matters. What the service does well: What has improved since the last inspection? Fire doors are currently being installed to ensure the full protection of service users during the nighttime period. This has been decided after much consideration and following risk assessments. This was seen as the most 4 Malham Drive DS0000035614.V256216.R01.S.doc Version 5.0 Page 6 appropriate action to maintain safety while keeping the current relaxed atmosphere in the home. While there is strobe lighting currently in place for flashing alerts, vibrating alerts are to be given to both service users to ensure they are aware of the door bell ringing, telephone ringing or any alarms being sounded, supporting full awareness at all time, control, safety and independence. 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. 4 Malham Drive DS0000035614.V256216.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 4 Malham Drive DS0000035614.V256216.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): 2&3 Due consideration if given to the support needed by all service users and reviews are regularly undertaken. Ensuring individual needs are met at all times. EVIDENCE: The Home operates in a flexible, relaxed and comfortable way. Service users have all professional support and visual information was observed around the Home during this inspection. A Person Centred Plan is developed for each service user and reviewed yearly. Files contain clear goals that are agreed prior to being set and person centred plans contain clear information of aspirations, life history and the level of support required. 4 Malham Drive DS0000035614.V256216.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 & 9 All activities are undertaken following discussion with each service user, supporting choice and autonomy. Detailed service user plans have been developed and are reviewed regularly to support any changing needs. Risk assessments support all activities and appropriate activities and manageable risks are undertaken as part of the development process. EVIDENCE: Staff members ensure the wishes of service users are sought and that inclusion is undertaken at all times. This was evidenced at this time by staff constantly asking the preference of the service users present and full inclusion was ensured during this inspection. Realistic goals are set and monitored with service users and appropriate advocates. Choices are given at all times with each day being spent as each individual wishes. The time lunch was undertaken and the type of food prepared was chosen by the service user at this time and discussions took 4 Malham Drive DS0000035614.V256216.R01.S.doc Version 5.0 Page 10 place regarding activities to be undertaken during the afternoon. All records evidence consultation regarding any activities, meals or outings. A Person Centred Plan supports all goals and aims of each service user. Weekly meetings are undertaken with service users to ensure aims, goals and activities are current and appropriate. Some activities currently being enjoyed include visits to the local pub, swimming, meals taken out, fish and chips eaten by the sea and horse riding. All assessments for care plans are carried out with appropriate support and the service user decides for themselves who attends their reviews. The service user has a board on which to visually display what is important to them and the service user is the person who leads and presents information. 4 Malham Drive DS0000035614.V256216.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): 11, 13, 15,16 & 17 Service users enjoy their chosen activities, many of which are undertaken in the community, providing both choice and control. Friends and family relationships are encouraged and supported by the home. Meals are chosen on a daily basis by the service user, food eaten is recorded and the lunchtime meal was seen to be relaxed and not rushed. Observations and discussions at this time confirm that the rights and responsibilities of service users are recognised in daily lives. EVIDENCE: All activities are decided through consultation with the individual and clearly set out in their person centred plan and supported by appropriate staffing levels. 4 Malham Drive DS0000035614.V256216.R01.S.doc Version 5.0 Page 12 All relationships that are important to service users are encouraged and constant contact supported. Special events in the home are undertaken with involvement and support from friends and family and photographs on display around the home show holidays, outings and special events that have been enjoyed. Families are very much part of the ongoing process of development and planned goals for both people living at Malham Drive. Shopping, meals and keeping Malham Drive tidy and clean are very much part of daily activities for both people living here. Supporting independence, responsibility and ownership. Lunch was being prepared at this inspection and food choices were offered to all service users. This meal was unhurried and a very relaxed experience. There is a wide variety of foods, fresh vegetables and fruit available. Meal preparation is undertaken with assistance and each person had whatever they wished for their lunch. Before eating, service users were encouraged to store away the shopping that had been chosen by service users and members of staff. 4 Malham Drive DS0000035614.V256216.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 & 20 All needs and preferences are clearly recorded on person centred plans, ensuring choices made by each individual are supported. A small medication fridge will be required to store any prescribed medication that needs cold storage. EVIDENCE: Healthcare visits are recorded and were evidenced in a sampling of records undertaken at this time. All service users have access to appropriate healthcare professionals and this is evidenced in care plans and notes of all healthcare visits. Service user plans show the individual personal support assessed for each service user and how their independence is promoted. Risk assessments are completed in support of the development of independence. The Inspector observed staff at the time of this inspection behaving in a supportive and appropriate manner with due consideration for autonomy and choice. 4 Malham Drive DS0000035614.V256216.R01.S.doc Version 5.0 Page 14 While medication is appropriately stored in a locked area, the home needs a medication fridge for any liquid medication requiring cold storage. This will ensure that medication is stored at a constant temperature and can also be secured for safety. Medication records were clearly completed with details of what was given, at what time and these records are then clearly signed. Information is on file regarding the reason for medication being taken and any side effects that may occur. 4 Malham Drive DS0000035614.V256216.R01.S.doc Version 5.0 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): While these areas were not directly inspected at this time, previous inspections have evidenced clear and full policies and procedures to support staff and ensure the safety of service users. EVIDENCE: 4 Malham Drive DS0000035614.V256216.R01.S.doc Version 5.0 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, 25, 26, 27, 28, 29 & 30 The Home was found to be clean, bright and free from odours at this inspection. The home provides spacious, safe and homely accommodation. Service user rooms are personalised and respected as an individual’s own space. EVIDENCE: Each service user has chosen the colour scheme for their own room and have been involved in the choice of property itself. There is also a good size lounge and kitchen/dining area with the staff room on the first floor also being used for additional private space when required There are two toilets and one bathroom in the Home, sufficient facilities to meet service user needs. Each room is regarded as a private space and both service users are consulted with regard to all routines in the Home. Photographs and proof of personal achievements are on display around the home, ensuring that the home is regarded very much as belonging to the service users themselves. 4 Malham Drive DS0000035614.V256216.R01.S.doc Version 5.0 Page 17 All appropriate equipment is in place for both service users to ensure full independence and to also respect their privacy. One service user has requested a video phone and funding for this is being sought as family and the service user will need to have this equipment to keep in visual contact. Appropriate vibrating alerts are to be given to both service users to ensure they are aware of the door bell ringing, telephone ringing or any alarms being sounded, supporting full control, safety and independence. 4 Malham Drive DS0000035614.V256216.R01.S.doc Version 5.0 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 Service users are supported and protected by the staff competencies, by the programme of training and the recruitment process. EVIDENCE: 4 Malham Drive DS0000035614.V256216.R01.S.doc Version 5.0 Page 19 The home is currently fully staffed and is just below the 50 of care staff having attained NVQ level 2. There has been a change of staff recently due to a new unit being opened locally by the Sense organisation and as stated, the registered manager for 4 Malham Drive has also relocated. This has given opportunities for staff to move between units or to progress and take on additional responsibilities. Following a recent recruitment drive, induction is being undertaken with a group of newly appointed staff who are currently getting to know the service users in all the local units. Any prospective staff member is asked to spend time with service users giving the person an idea of requirements and service user needs. This also enables staff to observe interaction and service users are able to give their impression of the person themselves. Decisions are made after gaining the opinion of both service users. 4 Malham Drive DS0000035614.V256216.R01.S.doc Version 5.0 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 The home protects and promotes the safety and well being of service users. Service user preferences and wishes are the basis of all daily routines and activities. Staff have clear lines of responsibility and work as a team to support service users in the home. EVIDENCE: The inspector observed staff behaving in an open and inclusive manner throughout this inspection. Service users were also consulted and included in all discussions and decisions during this inspection. This was also confirmed in the questionnaires received prior to this inspection. Records sampled and discussions undertaken at both this time and previous inspections indicate that staff ensure service users live their chosen life in the Home. 4 Malham Drive DS0000035614.V256216.R01.S.doc Version 5.0 Page 21 The safety, health and well being of service users is considered at all times and the home was found to be clean and fresh in all areas. Staff are trained in core skills that support service user need and well being. Regulation 26 visits are regularly undertaken for quality monitoring of the service and copies are forwarded to the Commission for Social Care Inspection. 4 Malham Drive DS0000035614.V256216.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 3 X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 4 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 X 13 3 14 X 15 3 16 4 17 Standard No 31 32 33 34 35 36 Score X 2 X 3 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 4 Malham Drive Score 3 3 2 X Standard No 37 38 39 40 41 42 43 Score 3 X 4 X X X 3 DS0000035614.V256216.R01.S.doc Version 5.0 Page 23 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 20 Regulation 12, 13 & 16 Requirement A medicine fridge to be in place to ensure the appropriate storage of medication in line with the Royal Pharmaceutical Society guidelines. Timescale for action 02/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 4 Malham Drive DS0000035614.V256216.R01.S.doc Version 5.0 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 4 Malham Drive DS0000035614.V256216.R01.S.doc Version 5.0 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!