Inspection on 24/05/07 for 49 Glendale

This inspection was carried out on 24th May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

49 Glendale 24/01/06

49 Glendale 25/08/05

49 Glendale 23/03/05

49 Glendale 26/08/04

49 Glendale 27/02/04

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

The Springs Community

Crossways Community

Belle Vue Country House

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

CARE HOME ADULTS 18-65 49 Glendale Swanley Kent BR8 8TP Lead Inspector Ruth Burnham Key Unannounced Inspection 24th May 2007 10:00 49 Glendale DS0000023789.V334160.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 49 Glendale DS0000023789.V334160.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. 49 Glendale DS0000023789.V334160.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 49 Glendale Address Swanley Kent BR8 8TP 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) 01322 614349 am.curling@homecall.co.uk Mr David Curling Mrs Anne-Marie Curling Mrs Anne-Marie Curling Care Home 2 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (2) of places 49 Glendale DS0000023789.V334160.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th January 2006 Brief Description of the Service: The property is detached and situated in a quiet road on the outskirts of Swanley town centre, where there is a range of shops, a weekly market, a sports complex and other amenities. The proprietors provide care in their own home for two female service users who have mental health difficulties. No other members of staff are employed except for when the proprietors have their annual holiday. Fees charged are currently £395 pounds per week. 49 Glendale DS0000023789.V334160.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced site visit took place on 24/5/07 at 09:30 a.m as part of the inspection process. There is currently only one person receiving care in the home who has been there for a number of years and enjoys living there as part of the family. Surveys were sent out as part of the inspection process to relatives, health and social care professionals and the person receiving care in the home. All responses received were positive. What the service does well: 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. 49 Glendale DS0000023789.V334160.R01.S.doc Version 5.2 Page 6 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 49 Glendale DS0000023789.V334160.R01.S.doc Version 5.2 Page 7 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): 1-5 Quality in this outcome area is good. People who are considering moving into the home are provided with good information to enable them to make an informed choice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who are considering moving into the home benefit from access to good information about what life will be like there. They are able to visit and spend time with the owner, family members and any other resident. They are also able to read about the home in the Statement of Purpose and Service User Guide. This gives information about the terms and conditions of the home. Residents sign a separate terms and conditions document. It was evident through feedback from the resident, their relatives and care managers that the needs of people living at the home are met. Residents needs continue to be well met by the home. Responses to surveys sent out prior to the inspection indicate they are happy with the care and support they receive. Records and care plans show that health and social care professionals continue to be involved with the care of people who live in the home. Detailed assessments are carried out before any person moves in. The assessment involves the prospective resident and relevant professionals. There is good communication between all parties to ensure that residents continue to receive the support they need. 49 Glendale DS0000023789.V334160.R01.S.doc Version 5.2 Page 8 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 - 10 Quality in this outcome area is excellent. People who live in this small family run home can be confident their needs will be met with warmth and sensitivity. They are supported to make decisions about their lives and encouraged to be involved in the running of the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who live in the home have a care plan that is drawn up with their involvement in consultation with their Social worker or CPN. These are kept up to date and reflect their current needs. This is a small family run home. The Manager of the home is very aware of the need to respect the decisions of the people living at the home and gave examples of how this had been done recently. The manager is very sensitive to the wellbeing of people who live in the home, care plans reflect this sensitivity in that there are well thought out strategies for providing support when people are less well or feel less able to cope with the normal day to day routines. Interaction observed during the inspection was warm and supportive. 49 Glendale DS0000023789.V334160.R01.S.doc Version 5.2 Page 9 People who live in the home are encouraged to participate in the running of the home on a daily basis. They are consulted on issues that affect them in the home and can raise their ideas or concerns at any time. Residents are supported to manage their own laundry, do their shopping and help prepare meals within a risk management framework which achieves a good balance between independence and safety. 49 Glendale DS0000023789.V334160.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. JUDGEMENT – we looked at outcomes for the following standard(s): 11 – 17 Quality in this outcome area is excellent. The wellbeing of people who live in the home is promoted through encouragement and opportunity to take part in a variety of activities within the local and wider community. They are aware of their responsibilities and their rights and individual choices are respected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who live in the home are encouraged and supported to continue to be involved in the activities that they enjoy within the local community. Examples were given of professional involvement where additional support is needed to increase opportunities for residents to engage with a variety of leisure and social activities. The right of people to choose not to take part in an activity is respected. People are provided with all the support they need to lead a fulfilling life. They use public transport or the home’s vehicle to get to appointments, activities or work. Residents are aware of their responsibilities within the home and are 49 Glendale DS0000023789.V334160.R01.S.doc Version 5.2 Page 11 supported with these. They have access to all areas of the house and their privacy and right to be alone is fully respected. People are supported to maintain contact with family and friends. Responses to the relatives survey were positive. The best interests of residents are promoted and safeguarded through the excellent communication and relationships that are maintained between all parties. People who live in the home choose their meals on a daily basis and the Manager records food served to allow monitoring of a healthy and balanced diet. 49 Glendale DS0000023789.V334160.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18 – 20 Quality in this outcome area is excellent. People can be confident that their physical and emotional health and independence will be promoted. They are protected from harm through safe procedures for managing their medication. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who live in the home do not require any support with their personal care and their privacy in this area is respected. The manager promotes good communication with various health and social care professionals to ensure that their emotional and physical needs are met. Records indicate that the level of support provided by health care professionals and the local mental health team is very good. Residents are registered with a GP of their choice. Good records are kept of any involvement by health professionals. The safety of people who live in the home is maintained through good medication policies and procedures. Medication is stored securely and administered appropriately. Records of all medication administered are well maintained. The manager has undertaken a training course on the safe handling of medication. People are supported and encouraged, in consultation with relevant professionals, to manage their medication where possible within 49 Glendale DS0000023789.V334160.R01.S.doc Version 5.2 Page 13 sound risk management processes. Healthcare professionals review residents’ medication regularly. 49 Glendale DS0000023789.V334160.R01.S.doc Version 5.2 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 – 23 Quality in this outcome area is good. People who live in the home are listened to and feel free to offer comment or complaint. They are protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who live in the home are encouraged to express their views and offer comment or complaint. There is a clear complaints procedure and a complaints log. Both residents and their relatives know how to make a complaint. There have been no complaints made about this home. People are protected from harm. There is a clear policy on the protection of vulnerable adults and a copy of the Kent and Medway multi agency adult protection policy in the home. The manager has a clear understanding of these issues. This is a small family home and adults who have significant contact with the people who are cared for in the home have been checked through the Criminal Records Bureau 49 Glendale DS0000023789.V334160.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 – 30 Quality in this outcome area is excellent. People who live in the home benefit from the homely, clean and safe family environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who live in the home benefit from the relaxed, well maintained and presented family environment. The property is a 3 bedroom family home in a quiet cul de sac. Residents have their own bedroom and, although one bedroom is below the recommended size, the resident has said that it meets their needs. There is a bathroom with bath, shower and toilet and an additional downstairs toilet. Residents have access to 2 lounges, a conservatory/ dining room and a large kitchen/ diner. The garden is well maintained and has recently been fitted with a decked area. The home is clean and hygienic and decorated to a high standard. The home is comfortable and provides a homely environment for people who live there. In addition to their own bedrooms they have access to 2 lounges, a 49 Glendale DS0000023789.V334160.R01.S.doc Version 5.2 Page 16 conservatory and a large kitchen/ diner. They can also use the garden, which has a decked seating area. The home is clean and hygienic and residents are supported to maintain the cleanliness of their own rooms. All areas are suitably furnished, well maintained and tastefully decorated. 49 Glendale DS0000023789.V334160.R01.S.doc Version 5.2 Page 17 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): 31 – 36 Quality in this outcome area is excellent. People who live in the home receive excellent support. They are protected through safe recruitment procedures. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who live in the home benefit from the continuity of care which living in a family home provides. The home does not employ any staff except to cover when the Manager is on holiday. A family friend is used in this instance who has already developed a relationship with any residents. The residents safety in these circumstances is assured through appropriate checks including a criminal records bureau check and appropriate references. People who live in the home receive excellent support from the manager. All members of the family living at the home have received a CRB disclosure. 49 Glendale DS0000023789.V334160.R01.S.doc Version 5.2 Page 18 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 – 43 Quality in this outcome area is excellent. The home is run in the best interests of the people who are cared for there. The manager is qualified, competent and committed to promoting the well being of residents in a safe and comfortable family environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Manager of the home is well organised and ensures the home is managed effectively. Her commitment to the welfare of the people she cares for is impressive. The manager is knowledgeable about the conditions which affect residents and has successfully completed a level 4 National Vocational Qualification in care. Residents feel they are able to talk to the Manager and know their views will be listened to and taken account of. Annual surveys are undertaken which inform future development of the service. Relevant policies and procedures are in place to safeguard the welfare of the people who live 49 Glendale DS0000023789.V334160.R01.S.doc Version 5.2 Page 19 there. All records are well maintained, kept up to date and stored securely. Fire safety equipment has been serviced and wiring and gas checks have been made to ensure that residents are protected form harm. The home is financially stable and accounts are submitted when the KCC contract with the home is renewed. People are protected through appropriate insurance cover. 49 Glendale DS0000023789.V334160.R01.S.doc Version 5.2 Page 20 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 4 3 3 4 3 5 3 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 4 25 3 26 3 27 3 28 4 29 x 30 4 STAFFING Standard No Score 31 N/A 32 N/A 33 N/A 34 4 35 N/A 36 N/A CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 3 4 4 LIFESTYLES Standard No Score 11 4 12 4 13 3 14 3 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 x 4 4 4 3 3 3 3 49 Glendale DS0000023789.V334160.R01.S.doc Version 5.2 Page 21 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. 1. Refer to Standard YA20 Good Practice Recommendations It is recommended that the Manager undertake competence based training in medication. 49 Glendale DS0000023789.V334160.R01.S.doc Version 5.2 Page 22 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 49 Glendale DS0000023789.V334160.R01.S.doc Version 5.2 Page 23 - 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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