Inspection on 07/10/05 for 5 George V Avenue

This inspection was carried out on 7th 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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

5 George V Avenue 12/04/07

5 George V Avenue 16/02/06

5 George V Avenue 18/01/05

5 George V Avenue 07/07/04

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Southfields

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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 George V Avenue Westbrook Margate Kent CT9 5QA Lead Inspector Clair Brown Announced 07/10/05 at 10:00hrs 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 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 Stationary 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 George V Avenue H56-H05 S23747 5 George V Ave V235433 071005 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 5 George V Avenue Address Westbrook, Margate, Kent. CT9 5QA Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01843 227003 Mr Benjamin Albert Parish Registered Care Home 4 Category(ies) of Learning Disabilities registration, with number of places 5 George V Avenue H56-H05 S23747 5 George V Ave V235433 071005 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18.01.05 Brief Description of the Service: 5 George V Avenue provides long term care for four Service Users with learning disabilities. The Home is a large semi-detached property that has been extended. The Home is situated close to the local amenities and is on the bus route. The Registered providers live in the Home, contributing to the family atmosphere. Service Users attend a variety of clubs and activities. The also has its own minibus. 5 George V Avenue H56-H05 S23747 5 George V Ave V235433 071005 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the home’s announced inspection. The inspection was conducted by one inspector and the duration of the inspection was 5 hours over one day. The Home representative was the registered provider. Additional time was spent in planning the inspection and report writing. All of the service users were out and involved in daytime activities away from the home. Time was spent speaking with the registered manager/provider of the home and looking around the premises. A partial tour of the premises was conducted, documents, medication and records were examined and service users files were case tracked. Three service users and one relative completed inspection comment cards. What the service does well: What has improved since the last inspection? What they could do better: There are only a couple of minor issues which are to store external medicines such as creams, on a separate shelf to internal medicines (tablets and liquids) in the medicine cupboard. The nutritional assessment need to be reviewed when the service users needs are up dated every six months or sooner. 5 George V Avenue H56-H05 S23747 5 George V Ave V235433 071005 stage 4.doc Version 1.40 Page 6 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. 5 George V Avenue H56-H05 S23747 5 George V Ave V235433 071005 stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection 5 George V Avenue H56-H05 S23747 5 George V Ave V235433 071005 stage 4.doc Version 1.40 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 standard(s) 1,2,3,4,5 The statement of purpose and service users are excellent, providing service users with details of the service provided enabling an informed decision. The contract is produced in an appropriate format. EVIDENCE: The statement of purpose is regularly up dated and amended copies sent to the commission. It was assessed last year as containing all of the required information. The Service Users Guide has been produced in picture format and large print in simplified language. The contract has also been produced in picture format. 5 George V Avenue H56-H05 S23747 5 George V Ave V235433 071005 stage 4.doc Version 1.40 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 standard(s) 6,7,8,9,10 The care plans are individual and provide information on each service users needs and how to meet them. Service users are supported to make choices and decisions about their everyday life. EVIDENCE: The Inspector saw and read Service Users individual files, these contained care plans, risk assessments and personal goals and achievements. Service Users are actively involved in the production of their individual files. Regular reviews are conducted. Service Users are actively supported to make decisions and choices. Any possible limitations are acknowledged and recorded appropriately. The daily records indicate that service users are actively supported to fulfil their wishes, with recognition of potential risks being recorded. All of the comments cards completed by service users stated they felt well cared for and treated with respect and dignity. 5 George V Avenue H56-H05 S23747 5 George V Ave V235433 071005 stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,13,14,15,16,17 Leisure activities are appropriate and individual. Daily routines are flexible. EVIDENCE: Individual goals are made with the Service User and progress made to achieving it is recorded. The service users attend day centres and clubs. The service users have an active social life, being actively involved within the local community. They are often invited to parties and events arranged by the local community. Outings and activities are planned around personal and group preferences. The registered provider explained how links with family and friends are maintained. Records were seen to support this and also included evidence of additional professional support being sought for service users when appropriate in developing personal relationships. The daily routines are flexible and individual. Mealtimes and menu remain flexible to allow for personal preferences and changes in social activities. The registered persons discussed how they meet any special dietary needs identified. 5 George V Avenue H56-H05 S23747 5 George V Ave V235433 071005 stage 4.doc Version 1.40 Page 11 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 standard(s) 18,19,20,21 The health needs of service users are well met with evidence of good multi disciplinary working taking place. EVIDENCE: Through the regular observations and assessing of health care needs by the registered persons, service users have received the appropriate treatment when required. Records provided evidence of accessing a variety of healthcare professional when appropriate and needed. The overall medication practices are good with the only issue being raised was the storing of internal and external medicines together. The registered manager has recently completed a bereavement course. 5 George V Avenue H56-H05 S23747 5 George V Ave V235433 071005 stage 4.doc Version 1.40 Page 12 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 standard(s) 22,23 The home has a satisfactory complaints system and evidence that service users views are listened to and acted upon. EVIDENCE: The home has produced its complaints procedure in three different formats to meet the individual needs of the Service Users. No new complaints have been received. The Registered Persons acknowledge all concerns raised however small. The homes Adult Protection procedure has recently been reviewed and the registered persons have attended Adult Protection training. The Service Users financial records were seen to be maintained appropriately. 5 George V Avenue H56-H05 S23747 5 George V Ave V235433 071005 stage 4.doc Version 1.40 Page 13 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 standard(s) 24,25,26,27,28,29,30 The building is well maintained providing a homely environment for service users. The home was clean and free from offensive odours. EVIDENCE: A partial tour of the premises was conducted; the registered provider continues to strive to improve the standard of accommodation provided. There is a maintenance programme identifying both small and major tasks to be undertaken. The home provides a large communal room, which is a lounge and dinning room, providing more than the minimum space of 4sqm per Service User. A new kitchen was being fitted at the time of the inspection. 5 George V Avenue H56-H05 S23747 5 George V Ave V235433 071005 stage 4.doc Version 1.40 Page 14 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35,36 Sufficient care hours are provided by appropriately trained carers. EVIDENCE: Currently the registered providers work full-time to provide the care required. They also live within the home. The lifestyle structure is similar to a family unit. Two volunteers and the other two registered providers provide some added support and relief. The registered providers and volunteers have completed training courses; disability awareness, bereavement course and a foundation course for dementia. 5 George V Avenue H56-H05 S23747 5 George V Ave V235433 071005 stage 4.doc Version 1.40 Page 15 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39,40,41,42,43 The home is well managed with policies and procedures used to support practice and quality assurance procedures to assess and maintain standards. EVIDENCE: The registered providers have completed the registered managers award. Skills and knowledge gained through this training is reflected in their management style. They are organized and thorough in maintaining high standards in every aspect of the home. The views and wishes of the service users are considered at all times and valued at all times. Environmental health & safety checks and practices were up to date, with no areas of concern identified. 5 George V Avenue H56-H05 S23747 5 George V Ave V235433 071005 stage 4.doc Version 1.40 Page 16 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 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score N/A 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 5 George V Avenue Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 3 H56-H05 S23747 5 George V Ave V235433 071005 stage 4.doc Version 1.40 Page 17 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. Standard OP17 OP20 Regulation 14,17 schedule 3 12,13,16, 17,23 Requirement Nutritional assessments should be reviewed regularly. External medicines should be stored on a shelf to internal medicines. Timescale for action 31.01.06 31.01.06 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 OP20 Good Practice Recommendations To obtain a current BNF. 5 George V Avenue H56-H05 S23747 5 George V Ave V235433 071005 stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection 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 5 George V Avenue H56-H05 S23747 5 George V Ave V235433 071005 stage 4.doc Version 1.40 Page 19 - 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!