Inspection on 16/04/07 for 95 Ashley Avenue

This inspection was carried out on 16th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

95 Ashley Avenue 05/01/06

95 Ashley Avenue 23/08/05

95 Ashley Avenue 08/02/05

95 Ashley Avenue 20/07/04

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 95 Ashley Avenue 95 Ashley Avenue Folkestone Kent CT19 4PJ Lead Inspector Wendy Gabriel Key Unannounced Inspection 16th April 2007 10:00 95 Ashley Avenue DS0000023138.V329246.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 95 Ashley Avenue DS0000023138.V329246.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. 95 Ashley Avenue DS0000023138.V329246.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 95 Ashley Avenue Address 95 Ashley Avenue Folkestone Kent CT19 4PJ 01303 266453 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) Mrs Sharyn Deidre Buss Mrs Sharyn Deidre Buss Mrs Sharyn Deidre Buss Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 95 Ashley Avenue DS0000023138.V329246.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th January 2006 Brief Description of the Service: 95 Ashley Avenue is a two storied, end of terrace house in Cheriton, Folkestone, near local shops and other amenities and is registered to provide personal care for three residents with a learning disability. Bedrooms are single and situated on the ground and first floor. The residents have all lived in the house for a number of years. The atmosphere is one of a well-run family home. Mrs Buss is also the proprietor and manager of two other homes in Cheriton. Mrs Victor, the mother of Mrs Buss, lives on the top floor of the home and also works at the home. Fees are in the range of:- £450. - £730. 95 Ashley Avenue DS0000023138.V329246.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The member of staff was the only person in the home at the unannounced Key Inspection. The Inspector spent two hours in the home looking at records and undertaking an accompanied tour of the premises. The Inspector visited again that afternoon and met the three people who live there. The home benefits from a stable staff group who, apart from a new recruit, have worked there for many years. Records were viewed, staff and the people who live in the home were observed. The Inspector spoke to the Registered Provider and a carer. What the service does well: What has improved since the last inspection? The home has provided a new shower including tiling and decoration. A carpet in the inner hallway is being replaced. 95 Ashley Avenue DS0000023138.V329246.R01.S.doc Version 5.2 Page 6 Decoration is ongoing and a member of staff spoke of the pride all staff takes in maintaining the cleanliness and fresh décor in the home. No requirements or recommendations were made at the previous 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. 95 Ashley Avenue DS0000023138.V329246.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 95 Ashley Avenue DS0000023138.V329246.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who choose to live in this home know that their pre admission assessment will assist their needs and aspirations to be met. EVIDENCE: A comprehensive assessment for individuals is completed for all prospective service users and this insures the home can offer the individual the environment that best meets their needs. The three people who live in the home have been there for a long time and assessments have been regularly reviewed to account for changes to needs. 95 Ashley Avenue DS0000023138.V329246.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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The staff and Registered Provider encourage people to participate in every day home life and excellent individual care plans reflect this. Risk assessments support these decisions. EVIDENCE: Care plans are well organised and contain comprehensive information about the residents’ history, current needs, risk assessments and information. Advice and care reviews from Health care professionals and the funding authority are included. An excellent example of recording in the care plan is the ‘confidence record’ that the staff sign to indicate their confidence with different and named aspects 95 Ashley Avenue DS0000023138.V329246.R01.S.doc Version 5.2 Page 10 of care for each individual. This promotes staff welfare as well as care of individuals. Continuity of care is maintained with help from records and daybooks that are also completed for two people when they attend the Social Education Centre. Care plans and risk assessments include any domestic tasks some people are able to assist with. 95 Ashley Avenue DS0000023138.V329246.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): Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. People are respected and enabled by staff to take part in suitable activities and to develop in a manner to suit their capabilities. Family relationships are enabled. People are offered a healthy diet and enjoy their meals. EVIDENCE: The Social Education Centre provides arts and craft activities in the daytime from Monday to Friday. The weekends include visits to ‘Cuppas’ and outings on Sundays. Holidays and a wide variety of outings are arranged to meet the particular needs of people. The home has its own mini bus. The Registered Provider owns two other homes in the locality and people from all homes may sometimes get together. Although not everyone has family input; the home have stated that they welcome the families visiting whenever they can. 95 Ashley Avenue DS0000023138.V329246.R01.S.doc Version 5.2 Page 12 One person showed the Inspector a daily planner in his room that reminds him or his routine and activities each day. A family member wrote a comment to the home that, “he (resident) has a full social calendar that keeps him active”. A picture menu board shows a clear and descriptive choice of meals for that day and this was presented in a homely and non-institutional way. This is very good practice. There was plenty of fresh fruit and vegetables in the home and fridge and freezer were both full. A packed lunch of sandwiches and fruit is provided when people attend the SEC. The dining arrangements are very relaxed and take place in the pretty kitchen diner. The Inspector observed the routine of a mealtime and heard the supportive and encouraging communication from the staff to the people enjoying their meal. A written comment from a relative stated that, “ if asked about meals (the resident) has always had something he liked” Nutritional assessments are made and food eaten is recorded. Weight charts are also maintained. There were records of input from a Health care professional regarding eating and swallowing. 95 Ashley Avenue DS0000023138.V329246.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal support meets peoples’ health care needs and are supported by the homes medication policies and procedures. EVIDENCE: People in the home have their own GP. There is written evidence that following health care assessment, there is referral and access to Health care professionals. The Registered Provider stated that she found the local learning disability team to be supportive. The team includes a clinical psychologist, speech and language therapist, occupational therapist, hearing technician and learning disability nurse. A written comment by a Health care professional stated that “you really listen to your clients – I sense excellent intuition from the staff team”. Care plans carefully detail care to be given and reasons for this. 95 Ashley Avenue DS0000023138.V329246.R01.S.doc Version 5.2 Page 14 Medication administration is undertaken only by staff who have undertaken suitable training. Administration protocols meet the National Minimum Standards. 95 Ashley Avenue DS0000023138.V329246.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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Staff training and the homes policies insure that people are protected from abuse. EVIDENCE: The home has a suitable complaints procedure. No complaints had been made. The home also uses a ‘well done’ comment form that may be completed by family, friends, Health care professionals, neighbours and others. Some of these were viewed and included a letter written by a visitor at a holiday destination who wrote, “I was so impressed by their (staff) obviously caring attitude, that I made it my business to find out who to contact in order to pass on my congratulations”. Another visitor to the home wrote “A lovely family atmosphere for all the clients shows at all times”. Staff have undertaken adult protection training and all have been CRB checked. The home has a whistle blowing policy. Receipts and records are accurately maintained for individuals’ income and expenditure. 95 Ashley Avenue DS0000023138.V329246.R01.S.doc Version 5.2 Page 16 95 Ashley Avenue DS0000023138.V329246.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is a comfortable, homely and safe environment. communal, bathing and bedroom facilities are provided. EVIDENCE: The home is clean, light and spacious and has a very good standard of furnishings. The décor is pleasant and homely. Infection control measures are in place for the laundry. Regular maintenance is undertaken and annual maintenance certificates were up to date. A shower was being replaced and completed during the inspection and one person living in the home explained to the Inspector what had gone wrong with the old one and what work had been undertaken, he also said he liked the finished shower area. Suitable 95 Ashley Avenue DS0000023138.V329246.R01.S.doc Version 5.2 Page 18 There are suitable bathing and toilet facilities on both floors of the home. Both areas were attractive and clean. Bedrooms are individual and light and contain personal and cared for items. One person indicated his particular likes and hobbies that were well provided for in his room. 95 Ashley Avenue DS0000023138.V329246.R01.S.doc Version 5.2 Page 19 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. The Registered Provider promotes staff training and ensures that recruitment policies and procedures protect people living in the home. EVIDENCE: The Registered Provider said she is very keen to provide suitable training for staff and to build on the mandatory training in the National Minimum Standards with specialist training and courses including, dementia care, medication, Makaton sign language and risk assessments. All staff has or are currently undertaking NVQ level 3. The Registered Provider also works in the home regularly and is included in the rota. Outside specialists visit the home and include Indian head massage, visualisation and reflexology. 95 Ashley Avenue DS0000023138.V329246.R01.S.doc Version 5.2 Page 20 Recruitment policies are sound and staff receive induction training that, the Registered Provider said, is flexible and based on Skills for Care. The induction is specific for the home and the people living there. There was evidence of the staff role and written daily routines and procedures. Regular supervision is also undertaken. 95 Ashley Avenue DS0000023138.V329246.R01.S.doc Version 5.2 Page 21 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 excellent. This judgement has been made using available evidence including a visit to this service. The Registered Provider runs the home well and her ethos, leadership and management skills benefit the people living there. People living in the home know their health, safety and welfare is promoted. EVIDENCE: The Registered Provider has many years experience in running homes and has NVQ level 4 in management. Staff and the Registered Provider are kept updated with training and quality assurance practices. The home maintains written evidence from different sources of comments about good practice in the home. Policies are maintained for fire safety, first aid, food hygiene, moving and handling and infection control. 95 Ashley Avenue DS0000023138.V329246.R01.S.doc Version 5.2 Page 22 The home has a regular maintenance schedule and any required action is undertaken. Certificates for the maintenance of gas, electricity and fire protection were seen. Through observation and by listening to staff and the people living in the home, it was clear that rapport is excellent and that the staff ethos is about promoting quality of life for each individual. Individual communication needs are understood and promoted. 95 Ashley Avenue DS0000023138.V329246.R01.S.doc Version 5.2 Page 23 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 4 23 3 ENVIRONMENT Standard No Score 24 4 25 3 26 X 27 3 28 X 29 X 30 4 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 3 4 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 4 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 X 4 3 3 X X 4 X 95 Ashley Avenue DS0000023138.V329246.R01.S.doc Version 5.2 Page 24 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. Refer to Standard Good Practice Recommendations 95 Ashley Avenue DS0000023138.V329246.R01.S.doc Version 5.2 Page 25 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 95 Ashley Avenue DS0000023138.V329246.R01.S.doc Version 5.2 Page 26 - 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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