Inspection on 10/08/05 for 87 Westbrook Avenue

This inspection was carried out on 10th August 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 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

87 Westbrook Avenue 21/02/07

87 Westbrook Avenue 13/12/05

87 Westbrook Avenue 29/01/05

87 Westbrook Avenue 27/07/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 87 Westbrook Avenue 87 Westbrook Avenue Margate Kent CT9 5 HB Lead Inspector Elizabeth Hendry Announced 10/08/2005 at 9:30hrs 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. 87 Westbrook Avenue H05 H56 S23720 87 Westbrook V234100 090805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 87 Westbrook Avenue Address 87 Westbrook Avenue, Margate, Kent CT9 5HB 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 291751 01843 291751 The Avenues Trust Limited Hayley Kemp Care Home 3 Category(ies) of Learining Disability (2) Learning Disability Over registration, with number 65 (1) of places 87 Westbrook Avenue H05 H56 S23720 87 Westbrook V234100 090805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: No Date of last inspection 29th January 2005 Brief Description of the Service: 87 westbrook avenue provides residential care for up to three residents who require a high level of assistance because of their learning disabilities. the premises comprise of a detached bungalow with a large well maintained garden, situated in a residential area in Margate. The home is within a short walking distance of local ammenities such as the health centre, shops, churches, library and day centres. All residents healthcare needs are accessed within the community. The needs of the three residents are such that they all require assistance with transport, and the home has its own minibus. Staffing comprises a registered manager, and support staff, with regular support from area and regional management. The home is owned by Avenues, a registered charity. 87 Westbrook Avenue H05 H56 S23720 87 Westbrook V234100 090805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes first annual announced inspection, undertaken during the course of a day. Time was spent with the acting manager, support workers and service users. A tour of the home was conducted and records, policies and procedures were viewed. What the service does well: What has improved since the last inspection? What they could do better: 87 Westbrook Avenue H05 H56 S23720 87 Westbrook V234100 090805 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. 87 Westbrook Avenue H05 H56 S23720 87 Westbrook V234100 090805 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 87 Westbrook Avenue H05 H56 S23720 87 Westbrook V234100 090805 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,and 5 The homes Statement of Purpose and Service User Guide are excellent. They provide Service Users and Prospective Service Users with the information they need to make a decision about moving into the home. Prospective service users individual aspirations and needs are fully assessed. Service Users are provided with a clear written contract of residence. EVIDENCE: The acting Manager spoke of visiting prospective service users to complete a needs assessment prior to admission. The assessment determines the individual’s suitability to the home and existing residents. Records examined confirmed this. The homes service user guide was viewed and found to be informative and in a format suitable for service users, for those service users who are unable to read, the acting Manger confirmed that staff would ensure that service users understood the contents of the guide as much as possible. Evidence of ongoing review was found within the guide. The acting manager confirmed that all service users are provided with a copy of the service users guide upon admission into the home. The homes admissions procedure was examined and found to be very through, individual needs of prospective service users are closely assessed. Individual care plans were seen and found to accurately reflect the care management assessments. 87 Westbrook Avenue H05 H56 S23720 87 Westbrook V234100 090805 Stage 4.doc Version 1.40 Page 9 Copies of individual terms and conditions were seen and were found to clearly detail what is and is not included within the weekly bed fee. 87 Westbrook Avenue H05 H56 S23720 87 Westbrook V234100 090805 Stage 4.doc Version 1.40 Page 10 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) 6,7,9 and 10 The care planning system is clear and consistent, providing staff with the information they need to ensure that the service users needs are fully met. Service Users are encouraged and supported to make decisions regarding their lives. Risk assessments are clear and consistent, protecting staff and service users. Confidentiality policies in place within the home are excellent, ensuring the confidences of service users are maintained. EVIDENCE: Care plans examined showed clear signs of regular review; service user signatures were absent due to the nature of the resident’s disabilities. The acting manager confirmed that they ask representatives of the service user to sign on their behalf. Personal restrictions and boundaries are clearly documented. The inspector observed staff encouraging service users to make decisions during the course of the inspection. Risk assessments viewed contained detailed information for staff to follow to prevent service users being placed at unnecessary risk. The acting manager 87 Westbrook Avenue H05 H56 S23720 87 Westbrook V234100 090805 Stage 4.doc Version 1.40 Page 11 confirmed that all activities, such as going out in the community are risk assessed on a daily basis. Staff spoken to during the inspection had a clear understanding as to the personal limitations of each service user. The homes confidentiality policy and procedure were viewed and found to be excellent. Staff spoken with were fully aware of the importance in maintaining service user confidentiality. 87 Westbrook Avenue H05 H56 S23720 87 Westbrook V234100 090805 Stage 4.doc Version 1.40 Page 12 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) 12,13,14,15,16,and 17 Links with the community are good which supports Service Users to develop social opportunities. Dietary needs of Service Users are well catered for with a balanced and varied selection of food available that meets Service Users tastes and choices. Service users rights are fully respected. Service users are fully supported to maintain relationships. EVIDENCE: Individual care plans viewed contained a structured weekly activity plan. Service Users are supported to undertake a wide variety of activities both within the home and the local community. The acting manager confirmed that due to the nature of their disabilities no service user holds a paid or voluntary employment. During the inspection service users were escorted into the community to undertake different activities. The acting manager spoke in depth of service users visiting the local shops, supermarket, library, health centre, beach and leisure centre. Regular care trips are organised. 87 Westbrook Avenue H05 H56 S23720 87 Westbrook V234100 090805 Stage 4.doc Version 1.40 Page 13 Staff rotas evidenced, demonstrated a flexible staff group, which enables service users to attend activities at any time. The acting manager confirmed that all service users have taken up the opportunity to have an annual holiday. The homes service user guide states that visitors are welcome at any time; the acting manager and staff also confirmed this. Staff were observed communicating well with all residents. Menus viewed and food sampled demonstrated a varied, nutritious and tasty diet, with choices offered at each meal. Staff spoken to confirmed that snacks and drinks are available at any time. 87 Westbrook Avenue H05 H56 S23720 87 Westbrook V234100 090805 Stage 4.doc Version 1.40 Page 14 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 The medication at the home is well managed, and all healthcare needs of service users are fully met. Personal support is provided in a sensitive, flexible manner, which promotes and maximises service users privacy, dignity, and independence. EVIDENCE: Medication is recorded, administered and stored in line with the Royal Pharmaceutical Guidelines of Great Britain. Only staff who have attended appropriate training in the safe handling of medication are permitted to be involved in the administration of medicines. The acting manager confirmed that two members of staff check all medication entering and leaving the home. Medication held within the home was checked and was found to tally with medication administration records. Staff spoken to and observed confirmed that personal care and support is provided in a manner that promotes independence and privacy. Care plans viewed detailed the individual health care needs of each service user. Reports identified that health problems are quickly addressed. The acting manager confirmed that service users benefit from regular health checks, physiotherapy and dental appointments. 87 Westbrook Avenue H05 H56 S23720 87 Westbrook V234100 090805 Stage 4.doc Version 1.40 Page 15 87 Westbrook Avenue H05 H56 S23720 87 Westbrook V234100 090805 Stage 4.doc Version 1.40 Page 16 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 and 23 The home has a satisfactory complaints policy, ensuring the well being of service users. Arrangements for protecting service users from possible abuse are excellent. EVIDENCE: Staff spoken with had a very clear understanding of adult protection procedures and abuse awareness. The homes adult protection and whistle blowing procedure was read and found to be detailed and easy to follow. The home has an open door policy, enabling service users and visitors to make complaints without fear of reproach. The homes complaints policy and procedure is available in written, audio cassette and cd-rom. The home has not received any complaints since the last inspection. 87 Westbrook Avenue H05 H56 S23720 87 Westbrook V234100 090805 Stage 4.doc Version 1.40 Page 17 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 and 30 The standard of the environment is good providing service users with an attractive place to live. EVIDENCE: A tour of the home was undertaken, a good standard of decoration and furnishing was found throughout the home. Communal rooms within the home consist of a large living room, dining room and kitchen with low- level work tops. Fixtures and fittings were of good quality and domestic in nature. To the rear of the property there is a very large garden, which provides additional seating and living space for the residents. The manager spoke of service users being able to personalise their on bedrooms. The home was found to be clean and tidy throughout with no offensive odours. Laundry facilities were seen and found to be adequate for the needs of the home. The acting manager confirmed that the home has an ongoing maintenance plan. 87 Westbrook Avenue H05 H56 S23720 87 Westbrook V234100 090805 Stage 4.doc Version 1.40 Page 18 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) 32,34,35 and 36 Staff have a good understanding of service users support needs The arrangements for staff induction are good with the staff demonstrating a clear understanding of their roles. Recruitment policies and procedures are followed ensuring service users receive care from appropriately vetted staff. Service users benefit from well supported and supervised staff. EVIDENCE: Staff spoken to demonstrated a good understanding of service users support needs. This is also evident from the positive relationships, which have formed between staff and service users. Staff receive regular training in all key areas, the acting manager confirmed that should a service users needs change, staff would be reviewed to ensure their needs could be fully met and where appropriate further training would be undertaken. Staff files viewed confirmed that the majority of staff have achieved an NVQ qualification with the remainder undertaking the award. Supervision records viewed confirm that all staff receive regular, recorded supervision. The acting manager spoke of the homes recruitment procedure and induction process. Records viewed confirmed that these policies are adhered to. Staff confirmed that they received in depth induction training prior to working unsupervised. 87 Westbrook Avenue H05 H56 S23720 87 Westbrook V234100 090805 Stage 4.doc Version 1.40 Page 19 87 Westbrook Avenue H05 H56 S23720 87 Westbrook V234100 090805 Stage 4.doc Version 1.40 Page 20 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) 39 and 42 The home regularly reviews aspects of its performance through a good programme of self review and consultations, which include service users, staff and visitors. The health, safety and welfare of service users are protected. EVIDENCE: The homes quality assurance policies were viewed and records held within the home confirmed that these are followed. The acting manager spoke of the service manager visiting the home on a regular basis to ensure high standards. Service user meetings are difficult to hold due to communication difficulties of the residents, staff spoken to confirmed that they are able to gain views from service users on an individual basis by means of body language and facial expression. 87 Westbrook Avenue H05 H56 S23720 87 Westbrook V234100 090805 Stage 4.doc Version 1.40 Page 21 Training records viewed illustrated that all staff have attended appropriate training in health and safety, first aid, manual handling and food hygiene. Accidents and incidents are recorded appropriately. Portable appliance testing is undertaken on a regular basis and all fire safety equipment has recently been inspected. 87 Westbrook Avenue H05 H56 S23720 87 Westbrook V234100 090805 Stage 4.doc Version 1.40 Page 22 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 x x 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x 3 x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 87 Westbrook Avenue Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x H05 H56 S23720 87 Westbrook V234100 090805 Stage 4.doc Version 1.40 Page 23 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. 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 Good Practice Recommendations 87 Westbrook Avenue H05 H56 S23720 87 Westbrook V234100 090805 Stage 4.doc Version 1.40 Page 24 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. 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