Inspection on 09/01/07 for 4 Malham Drive

This inspection was carried out on 9th January 2007.

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 07/03/06

4 Malham Drive 19/10/05

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 Key Unannounced Inspection 9th January 2007 10:00 4 Malham Drive DS0000035614.V326957.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 4 Malham Drive DS0000035614.V326957.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. 4 Malham Drive DS0000035614.V326957.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 4 Malham Drive Address 4 Malham Drive Margate Kent CT9 01843 231359 01843 229641 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) www.sense.org.uk Sense, The National Deafblind and Rubella Association Samantha Gillett Care Home 2 Category(ies) of Learning disability (2), Sensory impairment (2) registration, with number of places 4 Malham Drive DS0000035614.V326957.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th March 2006 Brief Description of the Service: 4 Malham Drive is a small home for two people with a sensory disability and works in conjunction with registered services at 89 Hastings Avenue and 136 Newington Road, part of Sense South East. 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. The fees for support from the home are set during the assessment period and are very individual to the needs of the service user, depending on the level of support required and the staffing numbers provided. This home has been chosen specifically for the service users currently living at 4 Malham Drive and fees are agreed for the appropriate support of both individuals in the home. 4 Malham Drive DS0000035614.V326957.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 inspection undertaken with a focus on the well being, safety and quality of life for service users living in the home. The methods of inspecting the home included a visit to the home and discussions with the manager, service users and staff. A tour of the building and observations of both staff and service users at this time are reflected in this report and evidence outcomes. What the service does well: Service users who were at home at this time were fully included in this inspection and appeared confident to chat and describe the activities they had planned. 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. The home was found to be clean, odour free and benefiting from a welcoming atmosphere. Staff continue to provide support and encourage development in a relaxed way that ensures inclusion and independence for both service users. Choices are given at all times with each day being spent as each individual wishes. Both service users regularly enjoy activities in the community including attending college on a part time basis. A new programme of activities is currently being developed for both service users with some support being carried out in house to provide one to one for some routines. One person was getting ready to go to exercise classes and one person was completing a ‘house day’ of cleaning, going shopping and enjoying the rest of the day how the individual chose. Both service users were planning to go swimming later in the day. One service user is currently developing their financial skills to create more personal independence. The service user chooses outings and the amount of money required is then calculated. A greenhouse is now installed in the garden to allow one service user to grow plants and vegetables as a personal project. The service user’s family have bought the greenhouse as a gift. A clear display, in picture form, of planned outings and food choices are on the wall in the kitchen area. Service users plan their activities, but all plans remain flexible and are adjusted if a person does not want to undertake a chosen activity or is not feeling fully fit to participate. 4 Malham Drive DS0000035614.V326957.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. The summary of this inspection report can be made available in other formats on request. 4 Malham Drive DS0000035614.V326957.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 4 Malham Drive DS0000035614.V326957.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Due consideration if given to the support needed by all service users and reviews are regularly undertaken. Ensuring individual needs are met and developed at all times. EVIDENCE: The Home operates in a flexible, relaxed and comfortable way. Service users have any professional support that is required and the home has pictures on display and certificates showing the achievements of service users. 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.V326957.R01.S.doc Version 5.2 Page 9 4 Malham Drive DS0000035614.V326957.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 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. 4 Malham Drive DS0000035614.V326957.R01.S.doc Version 5.2 Page 11 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. 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 , walks 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 at reviews. 4 Malham Drive DS0000035614.V326957.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users enjoy their chosen activities, many of which are undertaken in the community, providing both choice and control. 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.V326957.R01.S.doc Version 5.2 Page 13 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 4 Malham Drive. Shopping, meals and keeping Malham Drive tidy and clean are part of daily activities for both people living here. Supporting independence, responsibility and ownership. One person was getting ready to go to exercise classes and one person was completing a ‘house day’ of cleaning, going shopping and enjoying the rest of the day how the individual chose. Both service users were planning to go swimming later in the day. One service user is currently developing their financial skills to create more personal independence. The service user chooses outings and visits and the amount of money required is then calculated. A greenhouse is now installed in the garden to allow one service user to grow plants and vegetables as a personal project. The service user’s family have bought the greenhouse as a gift. Both service users frequently enjoy activities in the community including attending college on a part time basis. A new programme of activities is currently being developed for both service users with some support being carried out in house to provide one to one for some routines. Daily diaries for each person living in the home clearly show that routines are decided by the service user. Each day starts when the individual wishes to get up and days are spent how each person wishes. 4 Malham Drive DS0000035614.V326957.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff do ensure healthcare needs are met, consider the dignity of service users and treat individuals with respect. Medication is administered and stored appropriately. EVIDENCE: All service users have access to appropriate healthcare professionals and this is evidenced in care plans and notes of all healthcare visits. Discussions with staff showed a good knowledge of health needs of each service user. Medication is currently under review for one service user and adjustments are showing an improvement in health for this person. Contact is maintained with family and friends and key workers speak to family members on a weekly basis. Regular meetings take place with families to 4 Malham Drive DS0000035614.V326957.R01.S.doc Version 5.2 Page 15 discuss any concerns or developments and the results of any healthcare appointments are relayed to families with consent from service users. Service user plans show the individual personal support assessed for each service user and how independence is promoted. Risk assessments are completed to support and develop independence. The Inspector observed staff at the time of this inspection behaving in a supportive and appropriate manner with due consideration for independence and choice. Medication is appropriately stored in a locked area and the home has a medication fridge for any medication requiring cold storage. Medication records were clearly completed with details of what was given, at what time and records were also clearly signed. Information is on file regarding the reason for medication being taken and any side effects that may occur. 4 Malham Drive DS0000035614.V326957.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are listened to and routines and practices in the home support and protect service users. EVIDENCE: There is a complaints procedure in place that is also available to service users in a format that supports them. The manager explained that there is a good relationship with family and friends that encourages open discussions at all times. This has been confirmed through previous questionnaires received and also through direct discussions with service users, who confirmed they can speak to staff or family if they have any worries. 4 Malham Drive DS0000035614.V326957.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides spacious, safe and homely accommodation. Service user rooms are personalised and respected as an individual’s own space. EVIDENCE: The home was found to be clean, odour free and benefiting from a welcoming atmosphere. Staff continue to provide support and encourage development in a relaxed way that ensures inclusion and independence for both service users. 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 4 Malham Drive DS0000035614.V326957.R01.S.doc Version 5.2 Page 18 and kitchen/dining area with the staff room on the first floor also being used for additional private space when required 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.V326957.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported and protected by the staff competencies, by the programme of training and the recruitment process. EVIDENCE: 4 Malham Drive DS0000035614.V326957.R01.S.doc Version 5.2 Page 20 The home is currently fully staffed and any illness is covered through a ‘on call’ rota. The manager explained that staff are very supportive and always ensure staffing levels are appropriate for service users. 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. Previous sampling of staff files has shown that all paperwork is obtained to ensure the protection of service users. One staff member has started NVQ level 3 training with two other staff waiting to start this level. All core training is refreshed regularly including health and safety, fire safety, manual handling, safe dispensing of medication and health and hygiene. All staff have British Sign Language stage one and the manager is currently looking for an appropriate training course for level two. There was some discussion about staff having to pay for training first and then have this money refunded at a later date. The feeling is that staff may not wish, or be able to, undertake essential training due to this current system. 4 Malham Drive DS0000035614.V326957.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 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 provide safety and support to service users in the home. EVIDENCE: 4 Malham Drive DS0000035614.V326957.R01.S.doc Version 5.2 Page 22 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 needs and well being. Life skills and goals are supported by staff and the routines in the home are dictated by service user needs and wishes. Checks are carried out to ensure the well being of service users. These checks are included on the rota sheet and checks include the temperature of the mediation fridge, water temperature, checks on emergency alerts including carbon monoxide and smoke detectors. Appropriate equipment is also installed to alert and support service users. Quality assurance monitoring is regularly undertaken to assess the level of care being given and also the quality of the environment in the home. Appropriate alerts and fire signs are in place throughout the home for the safety and support of service users and staff. Service user opinions and wishes are considered in current and future plans. The safety, health and well being of service users is considered at all times and the home works in a relaxed and inclusive way. Staff are trained in core skills that support service users needs and well being. Life skills and goals are supported by staff and the routines in the home are dictated by service users needs and wishes. 4 Malham Drive DS0000035614.V326957.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 X 28 3 29 4 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 4 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 4 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 4 X X 3 X 4 Malham Drive DS0000035614.V326957.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 4 Malham Drive DS0000035614.V326957.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 4 Malham Drive DS0000035614.V326957.R01.S.doc Version 5.2 Page 26 - 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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