Inspection on 10/01/06 for 89 Hastings Avenue

This inspection was carried out on 10th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

89 Hastings Avenue 22/02/07

89 Hastings Avenue 24/10/05

89 Hastings Avenue 14/03/05

89 Hastings Avenue 12/10/04

Similar services:

Thorndene

Sutton Lodge Nursing Home

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

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

CARE HOME ADULTS 18-65 89 Hastings Avenue 89 Hastings Avenue Margate Kent CT9 2SQ Lead Inspector Brenda Pears Unannounced Inspection 10th January 2006 09:00 89 Hastings Avenue DS0000023298.V273641.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 89 Hastings Avenue DS0000023298.V273641.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 89 Hastings Avenue DS0000023298.V273641.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 89 Hastings Avenue Address 89 Hastings Avenue Margate Kent CT9 2SQ 01843 232767 01843 232952 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) Sense South East Vacant Care Home 4 Category(ies) of Learning disability (4), Physical disability (4), registration, with number Sensory impairment (4) of places 89 Hastings Avenue DS0000023298.V273641.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th October 2005 Brief Description of the Service: 89 Hastings Avenue is a purpose built home that is registered for 4 people with a physical disability. The home is situated in a residential part of Margate and the young people living there are supported to use facilities in the community. Day Programmes are organised on an individual basis. Staff either have, or are learning British Sign Language at various levels. Public transport is close by as are local amenities and access to facilities in the community. There is wheelchair access to the front and rear of the building plus a large car park to the front with ample parking space and on street parking is also available 89 Hastings Avenue DS0000023298.V273641.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection undertaken with a focus on the well being, safety and quality of life for service users living in the home. The methods of inspecting the home included speaking to service users, management and staff. This report reflects the findings at this visit and the findings of the previous announced inspection. The manager and one member of care staff were on duty at the time of this inspection supporting 2 service users in the home, one additional member of staff was supporting a third service user at college. The home was found to be clean, bright and with a relaxed atmosphere. One person had spent the morning in bed and was getting ready to take a walk, the other person in the home was relaxing and undertaking chosen activities at this time. One service user has moved to alternative accommodation that has wheelchair access to all areas and is enjoying his new home along with a member of his family. This has been a set goal on the service user care plan and staff members and the individual have been working towards achieving this goal for some time. Independence and mobility are encouraged and hobbies or activities that are enjoyed are fully supported. The home continues to provide support and care in a safe, relaxed and well maintained environment. What the service does well: 89 Hastings Avenue continues to support service users to achieve their potential. Realistic goals are set and are regularly monitored with service users and appropriate advocates. Choices are given at all times with each day being spent as each individual wishes. Planned outings/activities are only undertaken if the service user wishes, if refused, then alternatives are offered until a suitable activity is decided upon. 89 Hastings Avenue DS0000023298.V273641.R01.S.doc Version 5.1 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. 89 Hastings Avenue DS0000023298.V273641.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 89 Hastings Avenue DS0000023298.V273641.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3,4 All new admissions are undertaken following a pre admission assessment to ensure the placement is appropriate and visits are encouraged and supported prior to admission into the home. EVIDENCE: Files for new admissions contain clear assessments of needs and how staff are to ensure full needs are met by the home. Visits to the home are encouraged prior to admission, short stays and visits for meals and participation in daily routines are also undertaken prior to the confirmation of any new admission. 89 Hastings Avenue DS0000023298.V273641.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8 Choices are made by individual service users regarding all activities and how each day will be spent, supporting autonomy and choice on a daily basis. Participation is supported but staff must ensure that total inclusion is facilitated at all times. EVIDENCE: Service users are treated appropriately with due consideration for privacy and respect. One person was feeling unwell and had spent the morning in bed. Choices were being offered to enjoy some fresh air and gentle activity, medication was administered appropriately, supporting choice and considering the well being of the individual. While signing was not continually undertaken at this time, staff were communicating during this inspection. However, the inspector was not introduced to the service users and the reasons for the visit were not explained to the service users in the home at this time. 89 Hastings Avenue DS0000023298.V273641.R01.S.doc Version 5.1 Page 10 89 Hastings Avenue DS0000023298.V273641.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 16 All aspects of service user needs and development are met by the home and family, friends or advocates are encouraged to maintain contact. Service users enjoy their chosen activities, many of which are undertaken in the community, providing both choice and control. EVIDENCE: All relationships that are important to service users are encouraged and constant contact supported. Events in the home are undertaken with involvement and support from friends and family. The review of care plans are also undertaken with participation of family/care manager and /or any person who is important to the service user, after obtaining the permission of the service user. 89 Hastings Avenue DS0000023298.V273641.R01.S.doc Version 5.1 Page 12 One service user was attending college and both service users in the home at the time of this inspection were undertaking their chosen activities with support from staff. 89 Hastings Avenue DS0000023298.V273641.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20 All needs and preferences are clearly recorded on person centred plans, ensuring choices made by each individual are supported. Medication is appropriately stored and administered by staff to ensure the full health and safety of service users. EVIDENCE: Health professionals provide support that enables staff to provide full care needs for each service user. All service users have access to appropriate healthcare professionals and visits are recorded. Appropriate healthcare professionals have reviewed the changing health needs of one service user and the prescribed medication is to be administered by trained staff only. All interim measures are clearly set out in specific procedures and staff are currently being supported by the local doctor and district nurse. Clear guidelines are written down for staff in the case of any incidents and night staff support has been adjusted, with on call rotas also providing additional support. 89 Hastings Avenue DS0000023298.V273641.R01.S.doc Version 5.1 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 Service users are protected and supported by policies, procedures and training in the home. EVIDENCE: There is a complaints procedure in place that is also available in appropriate formats for each service user. Previous discussions and questionnaires have confirmed there is a good relationship with family and friends that encourages open discussions at all times. Staff receive updated training and a new relationships and sexuality policy was introduced during December. The manager is currently undertaking dissemination of this information to all staff as part of the supervision process. 89 Hastings Avenue DS0000023298.V273641.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 The Home was found to be clean, bright and provides safe and comfortable accommodation. EVIDENCE: The accommodation at 89 Hastings Avenue is on 2 levels comprising of ground and first floor. There is a ramp for wheelchair access to the front of the building, side access and a new conservatory is currently being built to the rear. There is a small garden to the rear and off street parking to the front. The home is well maintained and decoration has been completed in the hall and landing areas, one empty room has been redecorated and one other service user room has been repainted with the service user making the choice of colours. The addition of a conservatory to the rear of the building is currently being built and will provide much needed additional communal space to provide a quiet area for service users to enjoy a rest or undertake visits in private without having to use their own rooms or the office area. 89 Hastings Avenue DS0000023298.V273641.R01.S.doc Version 5.1 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 35 Service users are supported and protected by the staff training, recruitment and the supervision process. EVIDENCE: All staffing levels are set after an assessment of daily needs is undertaken. Depending on the daily activities, the rota then reflects the service user support that is required. Training and service user needs are at the centre of all plans and service delivery in the Home. The induction programme supports both service users and staff as this is undertaken through the organisation in the first instance and then continues in the allocated home until the member of staff is assessed as being fully competent. All CRB and POVA checks are in place prior to any new person starting work in the home, which ensures the full safety of service users at all times. 89 Hastings Avenue DS0000023298.V273641.R01.S.doc Version 5.1 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 42, 43 The home protects and promotes the safety and well being of service users. The home continues to work in an open manner to ensure the well being of service users is fully achieved at all times. EVIDENCE: The health and well being of service users is considered at all times and staff expressed a thorough knowledge of service user needs. Any change in the personal or physical needs of service users is clearly recorded and procedures drawn up to ensure appropriate and full support at all times. Regulation 26 audit visits are regularly undertaken with appropriate action plans. Any changes in routines in the home are clearly set out and discussed with a copy of this information being forwarded to the Commission for Social Care Inspection. 89 Hastings Avenue DS0000023298.V273641.R01.S.doc Version 5.1 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 X 3 3 4 3 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 4 2 X X LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 X 16 3 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 3 x X X X X X 3 3 89 Hastings Avenue DS0000023298.V273641.R01.S.doc Version 5.1 Page 19 yes 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 YA8 Regulation 12 & 24 Requirement To provide full inclusion at all times, improvements must continue to be made regarding supporting all conversation with British Sign Language when service users are present. Timescale for action 10/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 89 Hastings Avenue DS0000023298.V273641.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Kent and Medway Area Office 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. Extracts may not be used or reproduced without the express permission of CSCI 89 Hastings Avenue DS0000023298.V273641.R01.S.doc Version 5.1 Page 21 - 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. 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