Inspection on 20/02/06 for 78 - 82 Park Road

This inspection was carried out on 20th February 2006.

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

78 - 82 Park Road 18/12/08

78 - 82 Park Road 24/01/07

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 08/07/2008.

CARE HOME ADULTS 18-65 78 to 82 Park Road Sittingbourne Kent ME10 1DY Lead Inspector Lucy Ansell Announced Inspection 20th February 2006 09:30 78 to 82 Park Road DS0000023878.V262565.R01.S.doc Version 5.0 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 78 to 82 Park Road DS0000023878.V262565.R01.S.doc Version 5.0 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. 78 to 82 Park Road DS0000023878.V262565.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 78 to 82 Park Road Address Sittingbourne Kent ME10 1DY 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) 01795 479166 Care Management Group Limited Ms Margot Carter Care Home 18 Category(ies) of Learning disability (18) registration, with number of places 78 to 82 Park Road DS0000023878.V262565.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th July 2005 Brief Description of the Service: 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 registered manager is Ms Margot Carter.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 semidetached houses with one main front entrance, plus 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. 78 to 82 Park Road DS0000023878.V262565.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Announced Inspection at the Home took place on the 13th March 2006 by one inspector Lucy Ansell. The Inspector agreed and explained the inspection process with the Registered manager and discussed the ethos and values of the home. Time was spent reviewing a sample of written care plans and records kept within the home. A tour of the premises was undertaken. The focus of the inspection was to assess the home in accordance to the National Minimum Standards for Young Adults and principally on resident’s views of the home; time was spent having a meal and discussions were held with some of the residents. In some instances the judgement of compliance was based solely on verbal responses given by those spoken with. Some Standards were not inspected in full and the last report should be read in conjunction to obtain a full picture. What the service does well: The staff have a good understanding of the support needs of the residents as evidenced in care plans. This is also evident from the positive relationships, which have been formed between staff and residents, and the general attitude and atmosphere within the home. All returned comment cards were positive about the service, and residents liked living there. The home’s primary focus is on developing a tailor made service to enable the clients to develop their independence and their living skills. Evidence was seen that the daily routines of the home were entirely focussed on the choice and freedom of the service users. One resident told me “ the best thing about living there was his independence”. Care plans and medical notes evidenced good quality care being provided. There was also evidence of excellent integrated working with other professionals in health, social care and behaviour management. The home also scores highly on maintaining appropriate lifestyles and leisure activities. The residents were all keen to tell me about their two holidays a year and were proud of any achievements they had made, as were the staff. The management of the home leads by example and this was also clearly evidenced in good sound practice around staff induction, training and support. There was also evidence from other professionals involved with the home who feel the leadership is “modelling and motivating”. This is a very stable home with nearly all staff and residents working/living there for a long time. 78 to 82 Park Road DS0000023878.V262565.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 78 to 82 Park Road DS0000023878.V262565.R01.S.doc Version 5.0 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 78 to 82 Park Road DS0000023878.V262565.R01.S.doc Version 5.0 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): 2,3,4 Residents benefit from staff having enough information to make an informed decision about them moving into the home, and residents are confident the home can meet their needs. EVIDENCE: Residents are admitted following a full assessment by the homes owner; however all the residents have been with the home at least five years. The newest admission March last year was admitted through Social Services. The manager was able to explain the pre-assessment process and how it was staged over several weeks. This included joint pre-assessments with the Learning disability team, as well as another assessment with the manager and a representative from CMG their management company. The resident had several trial visits to meet other residents, and for staff to get to really know the resident and see if they matched and the service could meet their needs. The home was also during the trial visits able to let them choose their room colour, bedding and pieces of furniture. 78 to 82 Park Road DS0000023878.V262565.R01.S.doc Version 5.0 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): 6,8 Residents can be confident that their individual needs and choices are well met by the plans of care. Residents can be confident that they will be consulted and participate in all aspect of life in the home. EVIDENCE: Evidence was seen of care plans that were very detailed documents. These contained, residents’ personal profiles, well written calculated risk assessments; individual plans for daily living, support plans and health needs. The monthly and six monthly reviews were all up to date. The care plans also evidenced good joint working with residents’ charter and their input and signature on all paperwork. The home is looking to change to new paperwork to ensure an even more Person centred way of working is being ensured. Many residents spoken to during the inspection spoke of an environment in which they are encouraged and enabled to make decisions. They are offered support and guidance that enhanced their independence by staff working along side them promoting their rights. This was evidenced by the many activities, life skills and education they are able to undertake. 78 to 82 Park Road DS0000023878.V262565.R01.S.doc Version 5.0 Page 10 The information held by the home is excellent and shows the staff have a complete knowledge and understanding of the residents needs. The home continues to be person centred in its practice and the residents are consulted on all decisions and participate fully in the home. The home has policies on confidentiality and the residents are aware of issues surrounding their own privacy. The home actively involves all residents in any decisions being made or new procedures being implemented. When I was there the staff were making sure they had permission to talk to a social worker on behalf of a resident to arrange their review. 78 to 82 Park Road DS0000023878.V262565.R01.S.doc Version 5.0 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): 16,17 Residents benefit from having their rights respected and responsibilities recognised. The residents’ dietary needs are well catered for with a balanced and varied selection of food. EVIDENCE: The daily routines promote independence and freedom of choice for the residents. Staff only enter residents’ bedrooms with the individuals permission and privacy is ensured when using bathrooms. The residents who have been risk assessed are offered keys to their bedrooms as well as front door keys. It was apparent through discussion with the manager and the residents that they had control over the activities they did or did not participate in, and had unrestricted access to the home and its gardens. The residents have programs for encouraging independence by taking responsibility for household tasks and this is specified on their individual plans. 78 to 82 Park Road DS0000023878.V262565.R01.S.doc Version 5.0 Page 12 The inspector was lucky enough to sit down with the residents and enjoy a meal with them. Meal times are very sociable times with the staff sitting and eating with the residents. Many of the residents commented on the food and told me how good it was and that they welcomed the daily choices offered. They have a good breakfast, a cooked meal at lunchtime then a substantial tea and supper is provided if they want something further to eat. Fresh fruit and drinks are available through out the day for them to help themselves too. Evidence was seen of the four-week rota of meals, of stocked larders and fresh ingredients being used. Residents were observed during meal- time and choice and variety were seen. One resident stated “ the food was excellent and they always have something on the menu which I like”. 78 to 82 Park Road DS0000023878.V262565.R01.S.doc Version 5.0 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): 21 Residents benefit from being consulted regarding their wishes concerning terminal care and arrangements after death. EVIDENCE: Residents are consulted regarding their wishes concerning terminal care and arrangements after death and this is recorded on their care plans. The home manages this in a way that is sensitive and respectful. The homes staff would be able to support other residents to deal with the illness or death of a resident. 78 to 82 Park Road DS0000023878.V262565.R01.S.doc Version 5.0 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 Residents benefit from having access to a clear complaints procedure. EVIDENCE: The home has a clear step-by-step complaints procedure, which includes stages and time scales that meet the requirement of the regulations. This is produced for the residents in a pictorial format with photos included of whom to complain to. This is produced on laminated cards left on the coffee table, clearly displayed in the hall and in their residents’ charter and service user guide. The residents know the complaints procedure and were able to tell me quite clearly whom they would tell if they had any concerns, but the home has received no complaints since the last inspection. 78 to 82 Park Road DS0000023878.V262565.R01.S.doc Version 5.0 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): 24,25,26,27 Residents benefit from living in a safe, well maintained, clean and homely environment in which the standard of décor, furnishings and fittings are high. EVIDENCE: The home’s location and layout is suitable for its stated purpose; it provides a homely environment for the residents. The home was decorated and furnished to a high standard and the resident’s room was personalised to their own tastes. The home is domestic in nature and has one quiet lounge and then a dining room and larger lounge at the end of the house. The kitchen is domestic but adequately equipped to cook for large numbers. The home has eighteen bedrooms for the residents and a sleeping in room for staff on the first floor. The home has sufficient toilets and bathrooms to meet the needs of the residents. The home is having the carpets replaced in the office, stairway of 78 and in the big lounge. There was a decorator there during my visit that was repainting the large lounge to brighten it up. The home is also having the bathrooms, shower room and one toilet replaced and retiled. This should all be finished by the end of May. 78 to 82 Park Road DS0000023878.V262565.R01.S.doc Version 5.0 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): 31-34 The residents are protected by the home’s good recruitment and induction procedures. The residents’ benefit from competent and qualified staff. EVIDENCE: All staff members have a job description. It was evident through discussion and observation, that they understand the aims of the home and are committed to achieving them. They are aware of their respective roles and how these support the goals set out in the service users’ plans. All staff are aware of their own limitations and know which staff would deal best with any issues as was evidenced on the day of the inspection. All staff have a copy of the General Social Care Councils Code of Practice. As already indicated there is close liaison with external support services including Consultant Psychiatrists, Psychologists, Community Psychiatric Nurses, GP’s and the Community Learning Disability Team. The homes integrated working with other professionals has benefited the residents and behavior management is an area where this is most evident. The home has lost its deputy manager and is currently recruiting to replace them. The existing staff team is made up of a large percent of staff members who have been in post for over five years but this helps ensure consistency of care and a family environment. The home at present only has one male carer 78 to 82 Park Road DS0000023878.V262565.R01.S.doc Version 5.0 Page 17 to several male residents and needs to consider this when recruiting. Regular staff and house meetings take place and senior staff have weekly and monthly checklists to ensure all required administration and day to day running is carried out. As already indicated there is an experienced and well-trained staff team who show clear evidence of commitment to the service and to identifying and meeting service users needs. The inspector identified excellent practice in the ongoing induction and foundation training programmes in which all staff participates. The manager ensures all separate sections are completed and signed off before moving on to the next section and competency has been evidenced. Five staff members have successfully completed NVQ training level 2, and five have started the course, with a further two starting level three and one staff member having gained NVQ level three. The manager has completed level 4. The home’s training programme runs from February to March and the manager is hopeful all mandatory fields of training will be completed this year. The manager has tried to ensure that all training carried out by the staff team is relevant and worthwhile, and the management company provides a wide range of courses to enhance existing skills. 78 to 82 Park Road DS0000023878.V262565.R01.S.doc Version 5.0 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not inspected as exceeded on last inspection EVIDENCE: 78 to 82 Park Road DS0000023878.V262565.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 3 3 x Standard No 22 23 Score 4 x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X 3 X x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 x x x LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 4 17 Standard No 31 32 33 34 35 36 Score 3 3 3 4 x x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 78 to 82 Park Road Score X X x 3 Standard No 37 38 39 40 41 42 43 Score x 4 x x x x x DS0000023878.V262565.R01.S.doc Version 5.0 Page 20 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. 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 YA33 Good Practice Recommendations The home does need to employ a deputy manager, which should help relieve the manager of growing administration duties. 78 to 82 Park Road DS0000023878.V262565.R01.S.doc Version 5.0 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 78 to 82 Park Road DS0000023878.V262565.R01.S.doc Version 5.0 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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