Inspection on 21/02/07 for 87 Westbrook Avenue

This inspection was carried out on 21st February 2007.

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 13/12/05

87 Westbrook Avenue 10/08/05

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 5HB Lead Inspector Tina Thomas Key Unannounced Inspection 21st February 2007 09.30 87 Westbrook Avenue DS0000023720.V307426.R01.S.doc Version 5.2 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 87 Westbrook Avenue DS0000023720.V307426.R01.S.doc Version 5.2 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. 87 Westbrook Avenue DS0000023720.V307426.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 87 Westbrook Avenue Address 87 Westbrook Avenue Margate Kent CT9 5HB 01843 291751 01843 291751 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) The Avenues Trust Limited Hayley Taylor Care Home 3 Category(ies) of Learning disability (2), Learning disability over registration, with number 65 years of age (1) of places 87 Westbrook Avenue DS0000023720.V307426.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th December 2002 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 amenities 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. Fees are £2083.08 per week. 87 Westbrook Avenue DS0000023720.V307426.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report follows a number of evidence gathering exercises including a site visit to the home conducted over 4 hours. This was an unannounced key inspection and therefore all key standards of the national minimum standards for younger adults were reviewed. The site visit was conducted with the assistance of Senior support worker Mr Paul Strain, and Darien Hudspeth the Registered Manager of another home within the Avenues Trust group. The Inspector met with and spoke to staff during the visit to the home. The inspector made observations, sampled records and had a look around the home. One health care professional responded positively regarding care standards at the home to in a survey form supplied by the Commission. Service users were only in the home for a short time during the site visit, as they went out to lunch. Service users appeared relaxed and very happy with the pace of life at this home. Staff expressed that they enjoy working at the home and that they are well trained to meet the needs of the people living at the home. What the service does well: Assessments are based on the principles of person centred planning. This is recognised as good practice. Key workers review service user plans in detail every month. Risks are managed and supported in a positive way as part of an independent lifestyle. Service users have opportunity to access a range of community leisure and educational facilities and services. Relationships are supported. The environment is home like and clean. Staff are long standing and competent in supporting service users needs. Staff communicate effectively with service users enabling choice. The home is well run by a competent and effective management team. 87 Westbrook Avenue DS0000023720.V307426.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. 87 Westbrook Avenue DS0000023720.V307426.R01.S.doc Version 5.2 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 87 Westbrook Avenue DS0000023720.V307426.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. This judgement has been made using available evidence including a visit to this service. Suitable care is taken to ensure that the needs of people considering moving to the home can be met. EVIDENCE: The admission process was discussed with staff, there have not been any new admissions to the home for approx. 3 years. For individuals referred through Care Management, the registered manager obtains a summary of the single Care Management (health and social services) assessment. The home also seeks information from other health care professionals, family supporters and the service users themselves. The home then develops with each prospective service user an individual service user plan based on the Care Management Assessment and care plan and the home’s own needs assessment. 87 Westbrook Avenue DS0000023720.V307426.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users know their changing needs and goals will be supported. Service users are supported to make choices and decisions. Service users are supported to take risks as part of an independant lifestyle. . EVIDENCE: The home develops a plan of care for each person living at the home based on a person centred planning approach. Records are organised and easy to follow. Each person’s needs are assessed and a plan developed stating how staff are to support these needs, and how each person likes to have their care needs delivered. 87 Westbrook Avenue DS0000023720.V307426.R01.S.doc Version 5.2 Page 10 Plans are detailed and reviewed each month by a key worker. The monthly reviews are detailed and include an evaluation of individual goals. Plans have been developed to ensure that when aspirations and dreams are identified they are supported and reviewed by staff. Communication guidelines are included in plans detailing any special communication needs. This is important as some service users use alternative forms of communication. These guidelines for staff ensure that service users are supported to make choices and decisions. Service users are encouraged to make their own decisions. Staff support them with information, assistance and communication support. Decision making processes are recorded. Risks are assessed and strategies devised to support these risks. This means service users are not restricted but supported to take risks as part of an independent lifestyle. Service users attend reviews when family and care manages are invited. Staff spoke with knowledge and understanding of service users needs and strategies to support those needs. Service users indicated by their relaxed behaviours that they are happy at the home. 87 Westbrook Avenue DS0000023720.V307426.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,16,17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users take part in a range of activities, including an annual holiday and are supported to access the community. Service users relationships with friends and family are supported. Service users rights and responsibilities are respected by staff. Service users are offered a balanced diet. EVIDENCE: Each service user has an individual activity planner within their care plan. This includes evenings and weekends, and holidays. Service users have the opportunity to take part in a range of activities in this home and other homes 87 Westbrook Avenue DS0000023720.V307426.R01.S.doc Version 5.2 Page 12 in the Avenues group, as each offers day care services to service users within this group of homes. Hobbies are supported and opportunity sessions have been introduced to allow service users to try new experiences, and for them to reach their individual potentials. Service users access local amenities and facilities, including pubs, restaurants and hairdressers. Staff spoke with knowledge about the importance of service users being part of their local community. Evidence of this was supported in documentation relating to client team meetings and 1-1’s with key workers. The home has formed good relationships with neighbours, on the day of the visit some all service users were going out to a café for lunch with staff, as the activity of the day was community presence; one service user was going shopping with her key worker. The support needed to support identified goals for the future were recorded in the care plan. Service users are supported to go on individual holidays, which have included visits to Disney land, and a holiday on a barge. Family and friends details are recorded in service user plans. Records are kept of contact with family and friends. Some service users visit friends and family who live both locally and further a field, Staff said that service users are encouraged to take part in household tasks. Some service users take part by doing a part of the task. This leads to more independence and control. One service user has been successfully supported by staff to undertake their own laundry, and this is a new skill they have acquired. Unfortunately due to the current lay out of the premises access to the laundry is not possible during in climate weather. A recommendation has been made regarding this matter. Staff were observed interacting with service users in an appropriate respectful manner. The atmosphere was relaxed with service users indicating by their behaviours that they are happy with the pace of life. The kitchen is spacious and was clean on the day of the visit. The kitchen is suitable for service users to take part in cooking tasks. The home keeps a record of meals taken, and service users likes and dislikes The groups strategy department will be auditing healthy lifestyles at the home this year. 87 Westbrook Avenue DS0000023720.V307426.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users personal care needs and health needs are met. Medication practices are safe. EVIDENCE: Personal care needs are recorded in individual plans, which are kept under review. This ensures that service users are supported in the way they prefer. Service users indicated that their personal care needs are met. Each service user is registered with a GP. Detailed records are kept of health appointments and outcomes. This included chiropody and Occupational therapy, epilepsy nurse and speech and language therapy. It was evident that service users are assisted to access a range of health advice and support. 87 Westbrook Avenue DS0000023720.V307426.R01.S.doc Version 5.2 Page 14 Health needs are monitored by staff and advice sought when necessary. Health needs are assessed and where necessary a care plan or risk assessment developed. The home has a suitable medication policy and procedures. Medication practices were audited and found to be sound. Staff support service users with their medication as no service user has elected, or is able to maintain their own medication. There are systems in place for ordering and receiving medication into the home. A record is kept of medication entering the home. The inspector examined the medication administration records (MAR). There were no gaps and initials are used as required. Guidelines are in place for the use of ‘when required’ medication. Staff are appropriately trained in the administration of medication. 87 Westbrook Avenue DS0000023720.V307426.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 23 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected from abuse. EVIDENCE: The home has a complaints procedure. This procedure is included in the service user guide. The manager said that individual meetings with key workers enable service users to air their views. Service user meetings are also held, which staff facilitate. Opportunity is also given at review meetings to make complaints or raise issues. The home and the Commission have received a complaint about the service (not specific to the care of service users), since the last inspection. The home has investigated in accordance with their own complaints procedure and responded appropriately. The home has an adult protection policy as well as the local authority multi agency protection policy. Staff attend training in recognising and responding to abuse. There have no adult protection alerts since the last inspection. 87 Westbrook Avenue DS0000023720.V307426.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,26,29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is safe, clean and homely. EVIDENCE: Service users appeared relaxed and happy in their home. Furniture and fittings are of good quality and domestic in nature. As this home is a bungalow it has the lounge, kitchen, dinning room, bedrooms and a separate laundry on the ground floor. The house has a homelike feel. Service users own bedrooms were nicely furnished and decorated. They were personalised, and age and gender specific, and reflected the character of those people. 87 Westbrook Avenue DS0000023720.V307426.R01.S.doc Version 5.2 Page 17 The home has environmental adaptations and equipment necessary to meet the individual needs of each service users. The home has a selection of handling aids, electronic beds, an arjo bath, and suitable safety systems such as alarms. The home has an ongoing maintenance plan. The home has a good size garden, which is used for activities and BBQ’s in the summer. The home has a current fire risk assessment on the premises. The home was clean on the day of the visit. It was observed that service users are supported to carry out the cleaning and laundry etc. 87 Westbrook Avenue DS0000023720.V307426.R01.S.doc Version 5.2 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Staff are trained to do their job. Recruitment checks are robust which protects service users. EVIDENCE: The inspector spoke with staff and found that they were interested, motivated and committed. Staff had a good understanding of the service users they supported. Staff complete an induction and foundation training, which is in line with skills for care and linked to the Learning disability award framework. More than 50 of staff are trained to NVQ Level 2 or above The inspector noted that staff complete a range of training, including service specific training. Each staff member has a training profile. There was evidence that thorough checks are carried out to ensure that staff are suitable to work with vulnerable people. The required information in 87 Westbrook Avenue DS0000023720.V307426.R01.S.doc Version 5.2 Page 19 relation to each staff member was available to the inspector and in order. Staff were observed supporting service users in a positive consistent manner. Staff take on roles of key workers to certain service users. The staff team is longstanding with good retention rates. This leads to consistency in care and support, which benefits service users. Any agency staff used, complete an induction. 87 Westbrook Avenue DS0000023720.V307426.R01.S.doc Version 5.2 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This is a well run home. Service users know their health and safety will be protected. Quality assurance systems are in place and service users views underpin the development of the service. EVIDENCE: The manager is currently on maternity leave. The home is being managed by senior staff members, with the assistance and overseeing of a Registered Manager from another home within the group. The home also has regular input and auditing from regional management. 87 Westbrook Avenue DS0000023720.V307426.R01.S.doc Version 5.2 Page 21 The senior in charge on the day of the site visit spoke with knowledge and understanding of service users needs and has a good and in-depth understanding of the day-to-day operation of the home and awareness of the group’s ethos and policies. The home has staff meetings and regular supervision sessions. This enables senior staff to monitor practice and ensure effective communication. It was evident that senior staff members and management are approachable to staff and service users and have a caring and supportive style. There are a number of monitoring and audit systems in place to ensure good practice is maintained. The home is regularly audited by a regional manager. It is also subject to auditing from the groups strategy team. There is a quality assurance system in place. Questionnaires are sent out to relatives and social care and health professionals for feedback. This will ensure that the service develops and improves underpinned by these views. Records are well organised, up to date and held securely. Policies have been reviewed. The home is safe, well maintained and free from hazards. The inspector noted that staff attend various health and safety related training courses regularly. Cleaning products are stored appropriately. Accidents and incidents are recorded and included in formal reviews. These are also audited and reported to the health and safety officer for monitoring. 87 Westbrook Avenue DS0000023720.V307426.R01.S.doc Version 5.2 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 Standard No Score 1 x 2 3 3 x 4 x 5 x 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 x 26 3 27 x 28 x 29 3 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 x 3 x LIFESTYLES Standard No Score 11 x 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 x 3 x 4 x x 3 x 87 Westbrook Avenue DS0000023720.V307426.R01.S.doc Version 5.2 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. 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 OP16 Good Practice Recommendations Service users should be able to access all areas of the home at all times, so that they can conduct daily routines, which promote independence. Consideration should be given to how service users can access the laundry at all times. 87 Westbrook Avenue DS0000023720.V307426.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: 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 © 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 87 Westbrook Avenue DS0000023720.V307426.R01.S.doc Version 5.2 Page 25 - 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!