Inspection on 22/02/07 for 89 Hastings Avenue

This inspection was carried out on 22nd 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

89 Hastings Avenue 10/01/06

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 Mark Hemmings Key Unannounced Inspection 22nd February 2007 09:30 89 Hastings Avenue DS0000023298.V328530.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 89 Hastings Avenue DS0000023298.V328530.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. 89 Hastings Avenue DS0000023298.V328530.R01.S.doc Version 5.2 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) www.sense.org.uk Sense, The National Deafblind and Rubella Association Sarah-Kate Anderson Thurman Post 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.V328530.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th January 2006 Brief Description of the Service: 89 Hastings Avenue (the Service) is registered to provide accommodation and personal care for four people who experience sensory and/or physical disabilities. The premises are a purpose-built, detached house. The property has step-free access on the ground floor. There is provision for each of the service users to have their own bedroom. Each of the bedrooms has its own wash hand basin and one of them also has a private bathroom. The property is located in a residential area of Margate. It is reasonably near to public transport and to other community-based services. There is a car park at the front of the property and on-street parking also is available. People who are interested in finding out about the Service, can read the Service Users’ Guide and the more detailed Statement of Purpose. These are available from the Registered Provider. Between them, they give a lot of information about the facilities and services which are provided in the Service. The weekly fee for residence in the Service runs from £1701.53 to £2012.44. 89 Hastings Avenue DS0000023298.V328530.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Report is based upon a number of sources of evidence. These include a review of the correspondence about the Service, which has been received by the Commission since the last inspection visit. Another source of evidence, involves written information received from service users, from their relatives and from care managers. Also, the Inspector completed an unannounced site visit to the Service. This took about five hours to complete. During this time, the Inspector spoke with two of the four service users in residence. The Inspector also spoke with the Acting Manager, with the Acting Deputy Manager and with three of the support workers. The Inspector examined various parts of the accommodation and he reviewed a selection of the key records and documents. The Registered Provider operates the Service so as to provide the service users with the support they need to enable them to lead normal lives of their own choosing. There are no Required Developments at the end of this Report. What the service does well: What has improved since the last inspection? What they could do better: The Registered Provider needs to strengthen the internal quality assurance system in the Service. The Registered Provider needs to confirm that it complies with the requirements of the Kent Fire and Rescue Service. Also, an additional step needs to be taken to double check that support workers know what to do in the event of a fire safety emergency. 89 Hastings Avenue DS0000023298.V328530.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. 89 Hastings Avenue DS0000023298.V328530.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 89 Hastings Avenue DS0000023298.V328530.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): Standard 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this Service. Prospective service users’ wishes and needs are assessed before they move in. EVIDENCE: The Acting Manager works closely with prospective service users to help to ensure that they make the right decision about whether or not to move into the Service. This means that the person’s preferred lifestyle and their needs for support, are identified in advance. The information then is used to see if these can reasonably be met in the Service. The Acting Manager said that before someone moves in, their relatives and their care manager (social worker) are consulted fully. This is done so that a joint and an informed decision can be made. 89 Hastings Avenue DS0000023298.V328530.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): Standards 6, 7, 8 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this Service. The health and personal care which service users receive, is based upon their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: Once a service user has moved in, they are encouraged to consult with support workers in order to identify a detailed account of their requirements. This includes the preparation of an individual written plan of care which says who is going to do what, when and why. The service users did not comment directly about this process. However, they indicated by their relaxed manner that they are involved adequately in the preparation and review of their individual plans. In the case of the two service users who were at home during 89 Hastings Avenue DS0000023298.V328530.R01.S.doc Version 5.2 Page 10 the inspection visit, this involves the support workers using a variety of verbal and non-verbal communication. They do this in an effective way. The support workers have a good understanding of the personal care to be provided for each of the service users. They provide this in a consistent and appropriate manner. The service users receive varying amounts of assistance to enable them to manage their financial affairs. The arrangements in place are sensible and suitable. The support workers are informal in their manner. They recognise that each service user should be encouraged to live the life of their own choosing. This takes place within a sensible appreciation of the need to ensure that service users do not take unreasonable risks. 89 Hastings Avenue DS0000023298.V328530.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): Standard 12, 13, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this Service. Service users are able to choose their life style, social activities and to keep in touch with family and friends. Service users eat well. EVIDENCE: Each service user undertakes a number of activities each week, some of which have an element of work to them. The service users say or indicate that they are satisfied with their respective calendars of activities. Each of the service users leaves the Service regularly in order to do various things, such as going to shops. 89 Hastings Avenue DS0000023298.V328530.R01.S.doc Version 5.2 Page 12 The support workers help the service users to keep in touch with members of their families. The pace of daily life in the Service is relaxed without there being any unnecessary rules or routines. The balance between things being orderly and people doing their own thing, is about right. The service users say or indicate that they have enough to eat and that the meals are to their liking. The record of the food provided indicates that the service users have a normally varied and balanced diet. 89 Hastings Avenue DS0000023298.V328530.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): Standards 18, 19 and 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 and healthcare needs are met appropriately. Suitable arrangements are used to manage service users’ medication. EVIDENCE: Service users say or indicate that they can exercise choice as part of their everyday lives. For example, they can within reason get up and go to bed as they wish. Also, they can retire to the privacy of their bedrooms if this is their choice. The support workers keep a tactful eye on service users’ physical health. This is done so that arrangements can be made for medical attention to be sought promptly, should the need arise. Service users are assisted to take any medicines which may have been prescribed for them. The medicines are stored in a secure and orderly manner. 89 Hastings Avenue DS0000023298.V328530.R01.S.doc Version 5.2 Page 14 Also, they are dispensed in accordance with the instructions received from the pharmacist. 89 Hastings Avenue DS0000023298.V328530.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): Standards 22 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 and their representatives can complain to the Registered Provider if they need to do so. Service users are protected from abuse, neglect and self harm. EVIDENCE: There is a complaints procedure which explains how someone can make a complaint about the facilities and services provided in the Service. Service users say or indicate, that they consider themselves to be free to speak to a member of staff if there is something on their mind. The Registered Provider is aware of the need to investigate all complaints thoroughly. The support workers have a good understanding of what constitutes good care practice. As part of this, they are aware of the need to be alert to instances which might jeopardise the well-being of a service user. No one says that they have witnessed anything in the Service since the last inspection visit, which has given them cause for concern. The service users say or indicate that they feel safe living in 89 Hastings Avenue. 89 Hastings Avenue DS0000023298.V328530.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this Service. The accommodation enables the service users to live in a generally wellmaintained and comfortable environment. EVIDENCE: Service users say that they are comfortable living in their home. In general, the accommodation is welcoming and pleasant. However, there is a limited number of issues to be addressed. Some of the double glazed windows have become misted up inside. These will now need to be replaced. The laminate floor in the conservatory has lifted up. It is understood to be due for replacement in the near future. Some parts of the accommodation feel to be a little bare. In particular, more could be done to make the bathrooms into welcoming spaces. The Acting Manager and the support workers are going to consult with the service users about this to see what should be done. The Registered Provider has assessed how best to avoid the occurrence of a fire safety emergency in the Service. This exercise shows that there are no 89 Hastings Avenue DS0000023298.V328530.R01.S.doc Version 5.2 Page 17 appreciable hazards which require special management. The Acting Manager is not sure that this document had been submitted to the Kent Fire and Rescue Service. This is important, because the assessment and management plan should enable the Kent Fire and Rescue Service to update its evaluation of the adequacy of the fire safety regime operated in the Service. The Acting Manager is going to clarify this matter. If necessary, she will forward the assessment to the Kent Fire and Rescue Service. This will be done by 1 April 2007. The kitchen is clean and well organised. Sensible food handling and general hygiene arrangements are in place. The Service is understood to comply with the principal requirements of the local Department of Environmental Health. All residential care services, now need to ensure the purity of drinking water. This means that steps have to be taken to prevent used water from leaking back from items such as washing machines into the main pipe-work. The Acting Manager is not sure if the necessary provisions are in place. She is going to clarify this matter, so that any necessary improvements can be made as soon as possible. 89 Hastings Avenue DS0000023298.V328530.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this Service. There are enough support workers to provide the assistance the service users need. The support workers are appropriate people who know what they are doing. EVIDENCE: There are at least two support workers on duty during the day. The service users say or indicate that they receive all the assistance they need. The Service is staffed adequately. Suitable arrangements are in use to ensure that the support workers assist service users in a coordinated and consistent manner. This is very important because service users need to experience a reliable and predictable response to their needs for support. The Registered Provider is responsible for ensuring that all members of staff are trustworthy people, who are suitable to have unsupervised access to service users. This involves completing various security checks in relation to 89 Hastings Avenue DS0000023298.V328530.R01.S.doc Version 5.2 Page 19 prospective new employees. The Registered Provider is aware of its responsibilities in relation to this matter and operates suitable systems. However, in the absence of any new appointments recently, it is not possible to say how well these will work in practice. The Registered Provider is responsible for ensuring that all support workers know how best to assist each of the service users. All new support workers receive introductory training. This is designed to ensure that they have the basic competencies necessary to enable them to work without direct supervision. In addition to the introductory training, existing support workers undertake a number of training courses. These are designed to develop further their capacity to deliver care. 89 Hastings Avenue DS0000023298.V328530.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): Standards 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this Service. The management of the Service is effective. There is a basic quality assurance system. The health and safety of service users is promoted. EVIDENCE: The Acting Manager and the Acting Deputy Manager have a detailed knowledge of the daily running of the Service. The Registered Manager is currently absent from work. However, she is due to return soon. 89 Hastings Avenue DS0000023298.V328530.R01.S.doc Version 5.2 Page 21 As noted earlier, the service users say or indicate, that the support workers consult them about their day to day lives in their home. This arrangement is going to be strengthened. This will see the Registered Provider preparing an organised annual Quality Report. The Report will summarise any improvements suggested by the service users and by other people such as relatives and support workers. Also, it will need to explain what the Registered Provider intends to do in relation to them. The first such Report will be completed by 1 November 2007. The support workers are completing various checks which are designed to ensure that the Service’s fire safety equipment remains in good working order. The support workers attend an annual fire training course. This arrangement needs to be strengthened. This is so that at least once every six months, their ability to operate the Service’s fire safety procedure is confirmed. The Acting Manager says that this matter will be addressed by 1 May 2007. The support workers regularly review the premises and the service users’ accommodation. This is done so that potential hazards can be dealt with quickly. 89 Hastings Avenue DS0000023298.V328530.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 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 X 33 3 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 3 X 89 Hastings Avenue DS0000023298.V328530.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No 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. Refer to Standard Good Practice Recommendations 89 Hastings Avenue DS0000023298.V328530.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 89 Hastings Avenue DS0000023298.V328530.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. 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