Inspection on 23/02/06 for 89 Thanington Road

This inspection was carried out on 23rd February 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 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 Thanington Road 29/08/08

89 Thanington Road 21/08/07

89 Thanington Road 20/11/06

89 Thanington Road 07/01/05

89 Thanington Road 09/06/04

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

CARE HOME ADULTS 18-65 89 Thanington Road Canterbury Kent CT1 3XD Lead Inspector Terry Bush Announced Inspection 23rd February 2006 10:00 89 Thanington Road DS0000023728.V270036.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 Thanington Road DS0000023728.V270036.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 Thanington Road DS0000023728.V270036.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 89 Thanington Road Address Canterbury Kent CT1 3XD 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) 01622 769100 thaningtonrd@mcch.org.uk MCCH Society Limited Mrs Janine Lesley Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 89 Thanington Road DS0000023728.V270036.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th September 2005 Brief Description of the Service: The home is set back off the A28 with parking for up to 6 cars and situated on the outskirts of Canterbury. The home has good access to a local supermarket which is within easy walking distance, the town centre can be accessed by the Park and Ride at Wincheap which is also within walking distance. 89 Thanington Road DS0000023728.V270036.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Graham Cummings carried out the Announced Inspection on the 23rd February 2006. The Inspector received the completed Pre Inspection Questionnaire, 3 Relative and 3 Service User comment cards, spoke to the Manager Janine Lesley, staff and Service Users, viewed documentation and looked around the home. The home is registered for 5 but presently have 3 Service Users resident at the present time who have all lived at the home since it was opened in 1991. The home was welcoming and had a relaxed atmosphere, the Residents were well presented and had access to the acting Manager and Inspector throughout the inspection. A Resident and member of staff were out shopping and returned towards the end of the inspection when all the Residents were involved in helping unpack and store the purchases. Residents are able to make snacks in the kitchen even if this means that a lot of cleaning up is necessary. Since the last inspection a Resident has moved onto supported living accommodation and plans are in place to assist another Resident to move to supported living in the future. Residents have good contact with family members that include weekends away. The home has excellent links with the community using the swimming pool, cinema, ten pin bowling and occasionally going to local football matches. The home has a stable staff team and have recently purchased new sofa’s for the lounge and carpet for the lounge and a bedroom. The home is looking to decorate the other 2 bedrooms and dining area this year. The Inspector left the home with no concerns for the health, safety or welfare of the Residents. What the service does well: What has improved since the last inspection? One Resident has moved onto Supported Living in Canterbury, which was always his aim and the feedback received indicates that this move has been successful. The home has purchased new sofa’s for the lounge and have laid new carpets in the lounge and a bedroom. 89 Thanington Road DS0000023728.V270036.R01.S.doc Version 5.1 Page 6 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 Thanington Road DS0000023728.V270036.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 Thanington Road DS0000023728.V270036.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): 1,2 Prospective users have the information required to make an informed choice. Prospective users needs would be assessed prior to any placement. EVIDENCE: The home has a Statement of Purpose and Service User Guide and these documents are in the process of being updated. The home has not had any new placements for over 15 years, the Manager did inform the Inspector that it is unlikely that any future placements would be made, however, should a placement happen the Residents would participate fully in the process and a comprehensive assessment would be carried out prior to any placement being agreed. 89 Thanington Road DS0000023728.V270036.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): 6,7,8,9,10 Residents individuals changing needs are assessed. Residents make decisions daily on their lives. Residents participate in all aspects of the running of the home. Residents are supported to take risks as part of their individual lifestyle. Residents are aware that information is stored safely in the office. EVIDENCE: The individual Residents all have a ‘Life Plan’ in place, the Inspector viewed these and found that they were well written and contained good details but were in need of being evaluated, the last time this was done was June 2005. Residents and families are involved and attend their individual reviews. The Residents make the menu for the week and go shopping with staff, Residents also help with the preparation and cooking of meals. Residents are supported to take risks and 1 Resident when on holidays has participated in helicopter flights, a parachute jump and going on the major rides at theme parks. Residents were aware that information was kept on them in the office and could access it if they wanted to. 89 Thanington Road DS0000023728.V270036.R01.S.doc Version 5.1 Page 10 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): 11,12,13,14,15,16,17 Residents have the opportunities for personal development and are able to take part in appropriate peer and leisure activities. Residents are an accepted part of the local community. Residents have appropriate contact with their families. EVIDENCE: Residents are able to choose and get support in achieving them, one Resident has been skiing and parachute jumping, they have also been on holidays to Greece, Italy and Canada where they also had a helicopter ride over Niagra Falls. Residents use the local community facilities such as shops, swimming pool, library, ten pin bowling, cafes, pubs and watching the local football teams. One of the Residents attends wood working classes and has made a chair that is proudly on display in his room. All of the Residents have contact with their families and the home has good relations with them and contact and involve them in all meetings and reviews. Residents are able to use the kitchen to make snacks and drinks for themselves, the menu is chosen by the Residents and is wholesome and nutritious, Residents are encouraged to help in the preparation and cooking of the meal. 89 Thanington Road DS0000023728.V270036.R01.S.doc Version 5.1 Page 11 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): 18,19,20,21 Residents receive care in the way they prefer. Residents physical needs are met. The homes policies and procedures protect Residents who self medicate. Residents wishes regarding illness and death are handled with respect. EVIDENCE: Residents are fully involved in the making of their Living Plan which sets out their wishes, most of the Residents are able to manage their own personal support and only require prompts. Residents physical health needs are met and they are all registered with a local Doctor, Optician and Dentist. None of the Residents self medicate. The Inspector looked at Resident files and saw that Residents wishes regarding ageing and death were noted. 89 Thanington Road DS0000023728.V270036.R01.S.doc Version 5.1 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Residents views are listened to and acted upon. Residents are protected from abuse. EVIDENCE: There have been no complaints received by the home or the Inspector. Staff have attended training in Challenging Behaviour, Adult Protection, Health and Safety and Medication. The manager went through the procedures for dealing with Residents money and showed the Inspector the paperwork relating to this. The Manager carries out weekly Health and Safety checks to ensure the home is safe. 89 Thanington Road DS0000023728.V270036.R01.S.doc Version 5.1 Page 13 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): 24,28,30 Residents live in a homely and safe environment. Communal spaces enhance residents lives. The home is clean and hygienic. EVIDENCE: The home was clean and hygienic and had a relaxed and homely atmosphere and was well decorated and furnished. The home has recently laid new carpet in the lounge and purchased new sofa’s. The communal area was ample and enhanced Residents living space. 89 Thanington Road DS0000023728.V270036.R01.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36 Residents benefit and get support from a staff team who have clear job roles and who are effective and competent. Residents are protected by the homes recruitment policy and staff have access to good training, supervision and are well supported. EVIDENCE: The home has a longstanding staff team and work well together. The Inspector was informed that the staff had copies of their job description, the Inspector looked at staff files and found that they contained the relevant documents set out in Schedule 2 of the Care Home Regulations 2001. The Manager went through the recruitment process, following internal and external adverts a shortlist is made based on completed application forms, interviews are held, notes of the interviews are kept and the successful candidates then have a Criminal Records Bureau check and 2 references, one of which must be the last employer are requested, the manager informed the Inspector that random telephone calls are made to referees to ensure authenticity. Staff have access to good training and have supervision every 4 to 6 weeks and annual appraisals. 89 Thanington Road DS0000023728.V270036.R01.S.doc Version 5.1 Page 15 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): 37,39,42,43 Residents benefit from a well run home and have a competent and accountable Management team. Residents views are paramount in the decision making of the home. The Residents health, safety and welfare are promoted and protected. EVIDENCE: The home is well run and managed in line with the homes Statement of Purpose. The Manager is passionate in her demands to ensure that Residents rights are protected. The Manager carries out weekly Health and Safety checks to ensure that Residents health, safety and welfare is promoted and protected. The home is run in the best interest of the Residents and positive outcomes are achieved. 89 Thanington Road DS0000023728.V270036.R01.S.doc Version 5.1 Page 16 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 3 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 3 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 X 3 X X 3 X 89 Thanington Road DS0000023728.V270036.R01.S.doc Version 5.1 Page 17 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 6.10 Good Practice Recommendations The Plan is reviewed with the service user (involving significant professionals, and family, friends and advocates as agreed with the service user) at the request of the service user or at least every six months and updated to reflect changing needs; and agreed changes are recorded and actioned. 89 Thanington Road DS0000023728.V270036.R01.S.doc Version 5.1 Page 18 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. 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