Inspection on 22/02/06 for 5 Mierscourt Close

This inspection was carried out on 22nd February 2006.

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

5 Mierscourt Close 27/08/08

5 Mierscourt Close 04/10/06

5 Mierscourt Close 22/09/05

5 Mierscourt Close 10/03/05

5 Mierscourt Close 05/01/05

5 Mierscourt Close 30/03/04

5 Mierscourt Close 06/03/04

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 Mierscourt Close Rainham Kent ME8 8JD Lead Inspector Anne Butts Unannounced Inspection 22nd February 2006 09:30 5 Mierscourt Close DS0000028861.V284953.R01.S.doc Version 5.1 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 Mierscourt Close DS0000028861.V284953.R01.S.doc Version 5.1 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 Mierscourt Close DS0000028861.V284953.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 5 Mierscourt Close Address Rainham Kent ME8 8JD 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) 01634 372048 Mr Daniel Stanley Hobday Mrs Marian Audrey Hobday Care Home 1 Category(ies) of Learning disability (1) registration, with number of places 5 Mierscourt Close DS0000028861.V284953.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Learning Disability Date of last inspection 22nd September 2005 Brief Description of the Service: 5 Mierscourt is a small care home which provides care for one adult with a learning disability who resides there as part of the family. The home is situated in a quiet cul-de-sac in Rainham. It is situated close to the High Street and local amenities, with bus and train links close by which enables easy access to other areas. The accommodation is a dormer bungalow with the service users bedroom and main living areas on the ground floor. 5 Mierscourt Close DS0000028861.V284953.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place during the later part of the afternoon of the 22nd February 2006 and was completed during the morning of 24th February 2006. The first part of the visit consisted of talking to one of the service providers and viewing records, the care plan and discussing the care process. The return visit was to enable the inspector to meet the service user and have a general ‘chat’. Both parts of the inspection were extremely positive, with the provider indicating a good knowledge of support and rapport with the service user, and the service user demonstrating a confidence in the people with whom he lives with. There have been very little changes to the care and support provided and the providers continue to promote a family environment with which the service user is fully involved. Although this inspection was spread over two days – it was focussed upon the lifestyle of the service user – as other standards had been judged as met previously and there were no apparent significant changes. What the service does well: What has improved since the last inspection? Records demonstrated that the proprietors have established stronger and closer working links with other agencies and organisations that are involved in the care of the service user – in that they ensure that they are fully aware and have recorded any incidents which relates to his care. 5 Mierscourt Close DS0000028861.V284953.R01.S.doc Version 5.1 Page 6 Any recommendations and the one requirement made at the last inspection had all been met and information had been provided to The Commission prior to this visit. This included a compliments / comments book in which visiting professionals had written positive comments about the care provided. 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. 5 Mierscourt Close DS0000028861.V284953.R01.S.doc Version 5.1 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 Mierscourt Close DS0000028861.V284953.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 5 The service user can be confident that the review process reflects any ongoing and changing needs and promotes objectives and outcomes. EVIDENCE: The care manager supports the registered providers in the review of the service users needs through their own review process and support plan. These reviews are held in conjunction with day centre and are reflective of the ongoing needs and they are then used as a basis for the provision of care and support provided by the home. The contract had been updated since the previous inspection, and now contains all appropriate information and is supported by the contract held with Medway Social Services. Standards two and four are not applicable in this case only. 5 Mierscourt Close DS0000028861.V284953.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 and 10 The service user benefits from a comprehensive care plan that meets his individual needs and this is supported by full risk assessments that promote his daily living choices. The Service User is supported in making decisions about his life, and is consulted about decisions made within the home. EVIDENCE: The care plan was viewed and this sets out all the areas where support is required. The goals were specified and this is an ongoing process that changes as differing needs are identified. Any restrictions that are necessary to support the service user are fully described and supported by risk assessments. The service user is able to make choices about his daily living and is given encouragement to make informed choices. Records in the home, including a daily diary, evidenced that the service user is able to participate in making decisions about his daily living. He also participates in a number of household duties, which the family support him with. 5 Mierscourt Close DS0000028861.V284953.R01.S.doc Version 5.1 Page 10 There are detailed and comprehensive risk assessments in place to protect the service user and promote his individuality and independence as far as is possible. The service user needs constant supervision and risk assessments reflected this. Care plans and records concerning the service user are kept securely when not in use, and are comprehensive and detailed. The home has a policy on confidentiality. 5 Mierscourt Close DS0000028861.V284953.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The service user can be confident that he can lead a varied and fulfilling lifestyle in which his rights and choices are respected, recognised and promoted. EVIDENCE: The registered provider stated that the service user lives as a member of the household and takes part in all their activities. He helps out in the home and takes part in the shopping and general daily living tasks. He develops and maintains his social skills through participating in social events with the family, this includes going to music events, social evenings at the local pub and participates in darts matches with the provider. They also go out for meals on a regular basis and have been on holiday. Other activities include going to theme parks including ‘Diggerland’, where the service user hold his own ‘licence’. He attends a day centre on a daily basis where he follows a varied activities programme. 5 Mierscourt Close DS0000028861.V284953.R01.S.doc Version 5.1 Page 12 The service user was at the day centre on the first visit, but was available on the second visit. He was happy to ‘chat’ about his home and activities and demonstrated a good relationship with the provider. He talked about going to the day centre and also how he enjoyed bowling and going out in the evenings to music events. He showed the inspector his bedroom and described some of the household chores he carries out – such as helping to make his bed. He also stated that his father had been to visit for Christmas and how he had enjoyed that. The rapport between the service user and provider was seen to be positive with respect demonstrated on both sides. It was evident the service user was happy in the home. The registered providers encourage the service user to maintain contact with his family, as they do not live local regular phone calls are made and the registered providers take him to Brighton, where his family lives, on a regular basis. The service user lives as a member of the family and follows the usual routines of the house. He eats all his meals with the family and records showed that he has a varied and balanced diet. His diet needs to be monitored to ensure that he did not have too much ‘fast’ food. He mentioned during the course of the conversation how he enjoyed his meals. 5 Mierscourt Close DS0000028861.V284953.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 and 21 The personal and health care needs of the service user are well met, promoting and protecting his privacy and dignity, and he can be confident that his overall well-being is promoted. EVIDENCE: The registered provider supports the service user with any personal care needs and the care plan evidenced how these support needs are met. The provider was able to describe the flexibility within the home to meet the service users’ needs and this was reflected in the care plan. The service user receives regular checks with his doctor and records were maintained to evidence this. The service user has epilepsy and records showed that this was kept under constant review and appropriate action taken. Reviews also demonstrated that ongoing healthcare needs are also constantly monitored. Medication is kept in a small locked metal cabinet that is discreetly placed, and the key is kept separate and secure. MAR sheets were viewed and these were completed appropriately. An agreement has been placed on the service users file from his father about the wishes with regards to any arrangements that would need to be made in the event of the service users death. 5 Mierscourt Close DS0000028861.V284953.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 There is complaints and adult protection procedures in place which ensure that the service user is protected from harm and that his views will be listened to and acted upon. EVIDENCE: There is a complaints procedure in place, and the service user has regular contact with a range of professionals and social contacts through the day centre with which he could raise any concerns and who could act on his behalf if necessary. There have been no complaints or concerns raised. The home has the Kent & Medway Adult Protection protocols and has implemented their own procedure that is in line with this. The provider demonstrated an awareness of the need to ensure that the service user is fully protected. There had been an incident concerning the service user at the day centre and the provider was able to demonstrate that they had raised awareness with the relevant people and records showed all action and outcomes. Regular contact with family is promoted and they are made aware of any issues which may relate to the service users well being. 5 Mierscourt Close DS0000028861.V284953.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25 and 30 The service user benefits from living within a family home that promotes and supports his lifestyle. EVIDENCE: This is a family home that is safe and well maintained throughout. All areas of the bungalow are accessible to the service user and he is able move freely around the home. The service user only uses his bedroom for sleeping in, as he spends his time with the family in the main living areas. His bedroom was nicely decorated and had plenty of storage space and contained personal possessions and pictures. The service user was clearly and home and happy in his environment and showed the inspector around his bedroom and was clearly proud of his possessions. The home was comfortable and retains a family feel - any cupboards containing cleaning materials etc were secure. 5 Mierscourt Close DS0000028861.V284953.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The home does not employ any staff and these standards are not applicable. EVIDENCE: 5 Mierscourt Close DS0000028861.V284953.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 38 The service user benefits from living within a family environment and is supported by individuals who are committed to ensuring that his safety, rights and best interests are safeguarded and promoted. EVIDENCE: This is a family run environment with one service user who lives as a member of the family. The registered persons have supported and cared for the service user for a considerable amount of time. The overall ethos of the home is to ensure that the service user is supported in maintaining a family lifestyle and the service user is fully involved and supported in making any decisions with regards to his life. The registered providers have worked well with the Commission in order to ensure that they meet the National Minimum Standards and Regulations and have worked hard at ensuring that they comply with any suggestions that have been made. Their records of care and the service user plan are very comprehensive as are the risk assessments. 5 Mierscourt Close DS0000028861.V284953.R01.S.doc Version 5.1 Page 18 The only recommendation with regards to the overall running of the home is for the service providers to ensure that they are fully aware of all relevant guidelines with regards to service user safety – in that they keep their own knowledge up to date. If appropriate they may need to consider attending some locally held training courses with regards to Adult Protection or medication for example – a full awareness of these issues were demonstrated by both providers on this and the previous inspection – but in order to ensure that both service user and their safety is protected this may be something they would like to consider. 5 Mierscourt Close DS0000028861.V284953.R01.S.doc Version 5.1 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 X 2 X 3 3 4 X 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 3 25 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 X 3 X X X X X 5 Mierscourt Close DS0000028861.V284953.R01.S.doc Version 5.1 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 38 Good Practice Recommendations It is a good practice recommendation that the providers ensure that they stay fully up to date with regards to key issues regarding service user safety. 5 Mierscourt Close DS0000028861.V284953.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Mierscourt Close DS0000028861.V284953.R01.S.doc Version 5.1 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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