Inspection on 09/01/07 for 5 Ashley Avenue

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 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

5 Ashley Avenue 02/03/06

5 Ashley Avenue 01/09/05

5 Ashley Avenue 15/02/05

5 Ashley Avenue 27/07/04

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 5 Ashley Avenue 5 Ashley Avenue Folkestone Kent CT19 4PX Lead Inspector Wendy Mills Key Unannounced Inspection 9th January 2007 09:30 5 Ashley Avenue DS0000023163.V325742.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 5 Ashley Avenue DS0000023163.V325742.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. 5 Ashley Avenue DS0000023163.V325742.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 5 Ashley Avenue Address 5 Ashley Avenue Folkestone Kent CT19 4PX 01303 252787 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) Blythson Limited Mr Richard Emrys Jones Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 5 Ashley Avenue DS0000023163.V325742.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd March 2006 Brief Description of the Service: 5 Ashley Avenue is one of four Proactive Development care homes in Folkestone. It provides personal care and support for three residents with significant learning difficulties. The home is a three story semi-detached house situated in a quiet street near to the shops at Cheriton. It is well maintained and tastefully furnished. Accommodation for the residents is on the first and the second floors and there is office space on the top floor. There is a small front garden and a larger back garden with parking space. There is also on street parking in the vicinity. The registered manager Richard Jones and the home is owner by Blythson Ltd. The fees for this home range between £1,500 and £1,860 per week and are based on the assessed needs of the residents. 5 Ashley Avenue DS0000023163.V325742.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit lasted five hours. All three residents were at home and it was possible to spend time with them, both taking part in their activities and observing their interaction with staff. Two members of staff were spoken to in private and in-depth discussion was held with Richard Jones, the registered manager. Information received prior to the visit was considered and documentation, including care plans and staff files was examined. A tour of the home was made. The home meets, and often exceeds, the National Minimum Standards. All those consulted during this inspection gave very positive feedback. The registered manager, residents and staff are thanked for the welcome they gave and their assistance throughout this visit. What the service does well: What has improved since the last inspection? The home continues to maintain the environment well. The organisational structure has changed to give the registered manager more responsibility and to ensure that there is a deputy manager in each home. The home continues to improve the already high standard of training. Recently both the registered manager and one of the registered providers have attended an advanced, four-day course on dealing with challenging behaviour. 5 Ashley Avenue DS0000023163.V325742.R01.S.doc Version 5.2 Page 6 There has been an increase in one-to-one activities for the residents. The home has improved the way in which it tailors activities to suit the needs of the residents. 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. 5 Ashley Avenue DS0000023163.V325742.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 5 Ashley Avenue DS0000023163.V325742.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): 1, 3 & 5 Quality in this outcome area is excellent. The home provides the residents, their relatives and supporters, with the information they need. Appropriate pre-admission assessments are made. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a statement of purpose and a service user guide that give very good information about the home. Each resident has a written contract in place. Staff and supporters of the residents understand the terms of residence and advocate on behalf of the residents. Residents were able to show that they have freedom to move around the home, privacy in their own rooms and can make choices about what they want to eat and what they do. There is a rigorous pre-admission process that includes detailed assessment, visits to the home and discussion with relatives and supporters. Inspection of care plans showed that detailed written pre-admission assessments are in place. No new residents have been admitted since the last inspection. 5 Ashley Avenue DS0000023163.V325742.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is excellent. The care in the home is well planned and meets the needs of the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is committed to person-centred planning. This means that individual needs and wishes are taken into consideration when planning care. Each resident has a care plan that fully explains how his or her needs will be met. The care plans are up-to-date and in good order. The home is currently working to further improve documentation to make it clearer for staff. Risk assessments are in place both for the environment and for activities. The residents are encouraged to take risks within the limits of their abilities. 5 Ashley Avenue DS0000023163.V325742.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): 12, 13, 14, 15, 16 & 17 Quality in this outcome area is excellent. The residents live healthy lifestyles and take part in a wide range of activities that they enjoy. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home promotes healthy living. It encourages a healthy diet and plenty of exercise. Records show that the residents maintain a good level of general health. However, on the day of this visit all three residents were recovering from colds and had not attended their usual activities. Appropriate advice had been sought and one-to-one activities were taking place in the home. 5 Ashley Avenue DS0000023163.V325742.R01.S.doc Version 5.2 Page 11 Activity timetables and care plans show that the residents attend a wide variety of activities when they are well. These include horse riding, hydrotherapy, trampoline and computers. The residents help with household duties with the support of staff. They also go on two holidays each year. Observation of the residents showed that they were happy and appropriately occupied. They interacted well with the staff on duty. The staff said that there are good levels of staffing to support all the activities that the residents attend. It was good to see that one resident had achieved certificates for trampoline skills. The home promotes healthy living and ensures that food is of a good quality. Regular exercise is encouraged and the residents often take walks with the staff. 5 Ashley Avenue DS0000023163.V325742.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, 19 & 20 Quality in this outcome area is excellent. The home promotes the health and well-being of the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staff were seen to work well with the residents. They were kind and caring in the way the interacted with them. Care plans show that the health care needs of the residents have been assessed and met. Healthcare appointments are made appropriately. Records show that these appointments are kept. Staff said that there are always enough staff to provide escorts for these appointments. Medication in the home is well managed. Staff have received appropriate training and there are sound policies and procedures for ordering medicines and returning unused medicines. Storage is safe and secure. 5 Ashley Avenue DS0000023163.V325742.R01.S.doc Version 5.2 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. The home responds positively to concerns and complaints. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There are sound written policies and procedures in respect of concerns, complaints and adult protection. Staff were very clear about the whistle-blowing procedure. They said they had no complaints and loved working in the home. They said that there is an open atmosphere and that they can talk easily to the manager, deputy or the registered providers. They were not afraid to ask about anything they did not understand. The CSCI received one anonymous complaint since the last inspection. This was fully investigated and no evidence was found to support this complaint. 5 Ashley Avenue DS0000023163.V325742.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 28 & 30 Quality in this outcome area is excellent. The home is very well maintained and has a peaceful and friendly atmosphere. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is spacious and beautifully decorated. All three bedrooms are of a good size and reflect the personalities, families and activities of the residents. One of the residents was pleased to show me his room and clearly enjoyed the view from his window. He was also very pleased with his achievements and showed his certificates for some of the activities he takes part in. Health and safety documentation is up-to-date and in order. safety hazards were noted during this visit. No health and There is a continuous improvement plan for the home and very comprehensive reports about the home are sent regularly to the CSCI. 5 Ashley Avenue DS0000023163.V325742.R01.S.doc Version 5.2 Page 15 The home has a pleasant, safe and enclosed back garden. The company runs competitions between the homes in the group. In the summer there is a garden competition and in the winter there is a Christmas decoration competition. These activities encourage the residents to take a pride in their environment and to take part in keeping it attractive. The home was very clean and free from offensive odours on the day of this visit. 5 Ashley Avenue DS0000023163.V325742.R01.S.doc Version 5.2 Page 16 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 & 36 Quality in this outcome area is excellent. Staffing levels, staff training and recruitment practices are of a high standard. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a wide spread of age, gender and skill amongst the staff. Staffing rosters show that there are good staffing levels at all times. Staff said that they always have enough time to ensure that the residents get one–to-one time as well as taking part in all their planned activities. Staff were clear about their roles and responsibilities and said that they have plenty of training opportunities. A written record of this training is kept. Staff said that they love working in the home and that they receive support and supervision from the manager and his deputy. Records show that all appropriate checks are made before anyone is offered a job at the home. 5 Ashley Avenue DS0000023163.V325742.R01.S.doc Version 5.2 Page 17 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): Quality in this outcome area is excellent. 37, 38, 39 & 42 The home is very well managed and the company is committed to selfmonitoring and best care practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Richard Jones, the registered manager, has been in post for three years and has had previous experience in other homes. He has also worked as deputy manager within the Blythson group. He has achieved the NVQ level IV and is soon to complete the registered Manager’s Award. In addition he has recently completed an advanced, four-day course on managing challenging behaviour. The registered provider also attended this course. 5 Ashley Avenue DS0000023163.V325742.R01.S.doc Version 5.2 Page 18 Richard is enthusiastic about his job. He talks knowledgeably about care practice and is up-to-date with current thinking in best practice. The office is well organised and all documentation is in order. All documents requested during this visit were to hand when requested. The providers visit the home often. They send regular, comprehensive reports about the home to the CSCI. There are systems in place for regular quality monitoring. Any maintenance needs that are noted by the providers on their visits are dealt with in good time. Staff say that they can talk easily to the manager and providers. There is an open and honest management culture in the home. They say that their views are listened to and acted upon when appropriate. Indirect observation showed that the manager interacts well with the residents and the staff. 5 Ashley Avenue DS0000023163.V325742.R01.S.doc Version 5.2 Page 19 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 X 3 4 4 X 5 4 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 X 26 X 27 X 28 4 29 X 30 4 STAFFING Standard No Score 31 X 32 4 33 X 34 4 35 4 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 4 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 4 4 4 X X 4 X 5 Ashley Avenue DS0000023163.V325742.R01.S.doc Version 5.2 Page 20 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 YA24 Good Practice Recommendations The home should continue to maintain the property to a high standard 5 Ashley Avenue DS0000023163.V325742.R01.S.doc Version 5.2 Page 21 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 5 Ashley Avenue DS0000023163.V325742.R01.S.doc Version 5.2 Page 22 - 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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