Inspection on 18/12/08 for 78 - 82 Park Road

This inspection was carried out on 18th December 2008.

CSCI found this care home to be providing an Good service.

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

78 - 82 Park Road 24/01/07

78 - 82 Park Road 20/02/06

78 - 82 Park Road 07/07/05

78 - 82 Park Road 09/03/05

78 - 82 Park Road 12/05/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 13/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 78 - 82 Park Road 78 - 82 Park Road Sittingbourne Kent ME10 1DY     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Sue McGrath     Date: 1 8 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: 78 - 82 Park Road 78 - 82 Park Road Sittingbourne Kent ME10 1DY 01795479166 Telephone number: Fax number: Email address: Provider web address: parkroad@caremanagementgroup.orangehome. co.uk Name of registered provider(s): Name of registered manager (if applicable) Mrs Virginia Harvey Type of registration: Number of places registered: Care Management Group Ltd (trading as CMG Homes Ltd) care home 18 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users to be accommodated is 18. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD). Date of last inspection Brief description of the care home 78/82 Park Road is registered to provide care and accommodation for eighteen adults with learning disabilities. Care Management Group Ltd owns the home. The Acting manager is Mr Paul Wickens. The home is located on a busy road in the centre of Sittingbourne, with all local amenities within easy walking distance, including the main line railway station. Parking is a problem, with restricted on-road parking only. The property comprises a pair of semi-detached houses with one main front entrance, plus Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 18 Brief description of the care home the adjacent detached house with its own front entrance. The rear garden, the laundry facilities and the staff are shared. There are nine single and three shared rooms, two alternative day rooms and a large dining room in the main house, plus another three single rooms, a kitchen/diner and a large sitting room in the adjacent house. The fees range from 623 pounds to 1100 pounds per week. The overall quality of the service provided is good. Care Homes for Adults (18-65 years) Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This was a key unannounced inspection that took place on 18th December 2008 and was conducted by Sue McGrath, Regulation Inspector for the Commission for Social Care Inspection. The key inspections for care home services are part of the methodology for The Commission For Social Care Inspection, whereby the home provides information through a questionnaire process and further feedback is gained through surveys sent to service users and relatives and information provided from professionals associated with the home, wherever possible. The actual date of the site visit is unannounced. Additional information was also obtained through the Annual Assessment Quality Assurance (AQAA) review, which all services registered with the Commission for Social Care Homes for Adults (18-65 years) Page 6 of 28 Care Inspection (CSCI) must now complete on a yearly basis. At the site visit, service users and staff were spoken to, records were viewed and a tour of the environment was undertaken. Judgements have been made based on records viewed, observations and verbal responses given by those people who were spoken with. These judgements have been made using the Key Lines of Regulatory Assessment (KLORA), which are guidelines that enable the CSCI to be able to make an informed decision about outcome areas. Further information can be found on the CSCI website with regards to information on KLORAs and AQAAs. The requirements made at the last inspection had been complied with. Overall this was a positive inspection with very good outcomes for service users. The inspector on leaving the home was satisfied that residents were both safe and well cared for and wishes to thank the manager and her staff for their assistance and hospitality. Fees range from 623 pounds to one thousand and eleven pounds. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 28 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home have the information they need to make an informed choice about the home. Peoples needs are assessed prior to moving into the home to ensure their needs can be met. Evidence: The home had a comprehensive statement of purpose and a service user guide that was made available to all new residents at the times of admission. The information given in the AQAA and discussions with the manager confirmed each resident would have a full pre admission assessment undertaken by CMGs assessment team along with the manager from the home. Information would also be gathered from the relevant care manager. Each prospective resident would then be invited to visit for a day or overnight or for a Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: week-end, depending on what the prospective resident wanted. A trial period would be undertaken to ensure suitability of the placement. All of the residents had written contract in place and where possible these had been signed by the residents. Care Homes for Adults (18-65 years) Page 11 of 28 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home have clear and in-depth care plans that identify their individual needs and give clear guidance to staff. Care plans are regularly updated to ensure changes are recorded and acted upon. People who live in the home are enabled to take reasonable risks within the homes risk assessment management strategies. Service users privacy is protected by a confidentiality policy that staff are familiar with. Evidence: All of the care plans had been rewritten by the new manager since her arrival at the home. The manager confirmed residents were involved with the drawing up of the plans and that the care plans were regularly reviewed by the key worker and the manager on a monthly basis. Three plans were viewed and were seen to be robust and Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: detailed and to give good information to staff to enable them to provide the correct level of care to each individual. After speaking with several of the residents and viewing records it was evident that they made daily decisions about their lives and lifestyles. Evidence was seen and was confirmed by staff that residents are involved in all aspects of life within the home. The manger had introduced many new risk assessments which encouraged residents to remain as independent as possible. Evidence was seen that any information about the residents was maintained in a safe and secure manner. Part of the homes induction programme promoted confidentiality and when discussed with staff it was evident they had a good understanding of confidentiality. Care Homes for Adults (18-65 years) Page 13 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home enjoy diverse lifestyles that includes opportunities for social, educational and recreational experiences. Evidence: Residents were positively encouraged to be as independent as possible with their daily lives and were given the opportunity for personal development. They had the opportunity to attend a range of activities including horse riding, trampolining, archery, target shooting, swimming and bowling. Aromatherapy was available in house and four residents visit a hydrotherapy pool. Several residents attended the skills centre at Frognal House, which was part of the same group, where they had the opportunity to be involved with numeracy and literacy, arts and crafts, sports and music programmes. All of these activities were integrated into the individual activity Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: plans. Three residents volunteered at the local Rare Breeds farm and were hopeful of some employment with this company. Others volunteered at local charity shops and Age Concern. One resident was involved with Skilnet which is a programme for acting for people with a disability. They recently produced a play that was enjoyed by all. The performance was about promoting independence which was helpful for that resident. Five residents attended Sitingbourne Adult Education Centre for a range of courses. Residents were able to choose what course they undertook. Arts and crafts and computer skills were a popular choice. All residents had a holiday in 2008 and plans are in place for 2009. Personal relationships were promoted and residents were encouraged to maintain contact with relatives where possible. Menus were drawn up between residents and staff and looked varied and wholesome. Several residents said the food was very nice. Care Homes for Adults (18-65 years) Page 15 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home benefit from receiving personal care in private and enjoy a flexible lifestyle that reflects the many activities undertaken. Health needs are met and service users have full access to all professional health care services as required. People who live in the home are protected by the homes policies and procedures for dealing with medicines. Evidence: All of the residents were registered with a local GP and had full access to all other health care professionals according to need. All of the visits were well recorded and acted upon.Visit to specialists were undertaken and recorded. Residents were encouraged to be as independent as possible with regards to the amount of personal support they were given and several of the residents were living very independent lives. None of the current residents self medicated and staff were responsible for this task. Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: The system used for the safe administration of medication was viewed and found to robust and safe. The home uses a Measured Dose System for the majority of the medication. The medication that was not under the MDS system was appropriately stored and administered., All of the necessary records were completed and up to date. A full audit was undertaken by the manager on a regular basis to ensure this level was maintained. All staff who administered medication had been trained to do so. Care Homes for Adults (18-65 years) Page 17 of 28 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home are protected by a robust complaints system and residents and relatives feel their views are listened to and acted upon. The home has robust adult protection policies and procedures to ensure that the people who live in the home are protected from abuse. Evidence: The home had a robust complaints procedure on place to protect residents and was available in a user friendly format. Residents said they would talk to staff if they had any issues or concerns. Family members were encouraged to give their opinions by filling in questionnaires and positive/negative feedback forms. A complaint book was seen that indicated the home had not received any complaints since the last inspection. There was a strict protocol in place should any complaints require an investigation. The home had a robust Adult Protection policy in place and had recently worked closely with Social Services after the home had raised an alert regarding one of the residents. Staff spoken with has a good understanding of Adult Abuse and its consequences and were aware of what to do if they had any concerns. Records confirmed staff had received training in Adult Protection. Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: The manager and staff had received training on the Mental Capacity Act and independent advocates were used where necessary. Training had been arranged for the manager regarding The Deprivation of Liberty regulations. The manager had developed an assessment form for this purpose and intended to start using it as soon as possible. The home had a whistle blowing policy in place. Care Homes for Adults (18-65 years) Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home have a comfortable and clean environment in which to live. The bedrooms in the home meet the needs of the people who live in the home and communal areas complement their individual personal spaces. Evidence: There had been a considerable amount of work undertaken on improving the internal environment of the home. The home was viewed as two section with number 78, Rowan House, being viewed seperately. 80-82 The lounges and dining room had been recently redecorated and new furniture had been provided for the both rooms. The manager confirmed the majority of the bedrooms had been decorated and new furniture and beds provided. Residents had Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: been involved with choosing colours where possible. All rooms had a lockable drawer for the residents to use. The majority of the bedrooms were viewed with the consent of the residents and were seen to be clean and well personalised and to meet the needs of the people who live in the home. Four residents were spoken with and all confirmed they were happy with their own rooms and liked living in the home. New fire retardant curtains had been ordered and were expected in the new year and new carpets were to be fitted in the hallway and stairs in the new year. It was confirmed by the manager in early January that the carpets had been fitted. 78 Rowan House This house was used by three residents who were encouraged to be as independent as possible. The kitchen was in a poor condition but plans were in place for work to start early in the new year to replace the units etc. A new cooker and flooring had also been ordered. A call from the manager early in the new year confirmed work had stared on refurbishing the kitchen area. It was hoped that the residents in Rowan House would be given a food budget and for them to prepare their own meal in the refurbished kitchen. The upstairs bathroom and toilet were also in a poor condition and again the manager confirmed plans were in place to refurbish these areas. Radiators were not covered and it was advised that this issues also be addressed. Some light shades were missing and the manager agreed to replace these as a matter of urgency. The lounge areas looked clean and comfortable.The manager confirmed plans were also in place for new curtains, carpets and radiator covers in the lounge area. Care Homes for Adults (18-65 years) Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home benefit from being cared for by staff who have a good understanding of their needs. People who live in the home benefit staff that are well trained and competent to do their jobs and who enjoy good morale. Evidence: The majority of the staff had worked at the homes for a long period and those spoken with were very supportive of the new manager and the changes she had brought about. They did recognise that staffs attitudes had changed for the better and that all the residents had benefited from these changes. It was evident that staff had embraced the recent changes and developed into a coherent team that worked well together and had the best interests of the residents as their main priority. They were now far more aware of their roles and responsibilities and were given clear guidance by management. Three staff files were viewed and were seen to contain all of the information required by Schedule One of the Care Standards Act 2001. The files were well organised and fully up to date. Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: Evidence was seen that sound recruitment procedures were in place to protect residents. The manager confirmed that some residents were involved with the process of recruiting new staff and were included in the interview panels. Rotas seen evidenced that the home was fully staffed to meet the needs of the residents. The manager confirmed staff were very flexible with cover and often worked late to enable residents to participate in evening activities. Staff training had improved and further training had been booked for the following year. Evidence seen on the day confirmed that eleven staff held NVQ level two or above. Evidence was seen that staff received regular supervision from the manager and staff spoken with confirmed they felt well supported by management. A deputy manager had been appointed since the last inspection. Care Homes for Adults (18-65 years) Page 23 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home benefit from having a manager who has a clear development plan and vision for the home, which she effectively communicates to the residents, staff and relatives. The people also benefit from having a manager who is well supported by the senior staff in providing leadership throughout the home and from staff who demonstrate an awareness of their roles and responsibilities. Evidence: The current manager had been in post for approximately eight months and was undergoing the process of becoming the registered manager with the Commission. She held all the relevant qualifications and had many years of experience of working in this field. She had a major impact on the lives of the residents and had instigated major changes in the home. She had identified early that the home was in need of moving forward and of being less institutionalised. She described how she had worked closely with staff Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: to change the way they viewed their responsibilities and some of the working practises. The manager was especially pleased when two of the residents had improved to the extent they were able to move to a supported living establishment within the company.It was very evident she encouraged all residents to become as independent as possible and to achieve their full potential. Several staff were spoken with and all confirmed the home has a much stronger management team now and that they were provided with good leadership and support. Several residents also made very positive remarks about the changes in the home. Evidence was seen that the home holds regular residents meetings and that residents views are fully taken into account. The manager was currently undertaking a new quality assurance programme and hoped to have completed this by the new year. The results were to be collated by head office and a report drawn up. Evidence was seen that the health, safety and welfare of the residents and staff was promoted and all necessary checks and maintenance work were being undertaken.This was also confirmed in the homes annual AQAA. Care Homes for Adults (18-65 years) Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 28 of 28 - 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!