Inspection on 23/08/05 for 95 Ashley Avenue

This inspection was carried out on 23rd August 2005.

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

95 Ashley Avenue 16/04/07

95 Ashley Avenue 05/01/06

95 Ashley Avenue 08/02/05

95 Ashley Avenue 20/07/04

Similar services:

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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 Lisbeth Scoones Announced 23 August 2005 9:15 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 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 Stationary 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 H56-H05 S23138 95 Ashley Avenue V239220 230805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 95 Ashley Avenue Address Folkestone, Kent, CT19 4PJ Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01303 266453 Sharyn Deidre Buss Sharyn Deidre Buss Care home only 3 Category(ies) of Learning Disabilities x 3 registration, with number of places 95 Ashley Avenue H56-H05 S23138 95 Ashley Avenue V239220 230805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 08.02.05 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 rresidents with a learning disability. Two of the residents’ single accommodation is on the ground and one on the first floor. On the ground floor are a large lounge with TV and video and a kitchen/dining area with comfortable seating. There is a back garden with barbecue area and an enclosed courtyard with plants. The proprietor and registered manager is Mrs Sharyn Buss. Mrs Buss’s mother, Mrs Bridget Victor, is the live-in carer and her accommodation is on the second floor. The front of the house is paved and may be used for parking. 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. 95 Ashley Avenue H56-H05 S23138 95 Ashley Avenue V239220 230805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over 5 hours and comprised a meeting and conversation with all three residents, discussions with the manager Mrs S Buss, live-in carer Mrs B Victor, support worker and long-standing volunteer. A tour of the premises was made and records examined. Prior to the inspection, Mrs Buss completed a pre-inspection questionnaire and the Commission received two comment cards completed by two of the residents’ relatives. Both contained very positive comments about the service. What the service does well: 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. 95 Ashley Avenue H56-H05 S23138 95 Ashley Avenue V239220 230805 Stage 4.doc Version 1.40 Page 6 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 Standards Statutory Requirements Identified During the Inspection 95 Ashley Avenue H56-H05 S23138 95 Ashley Avenue V239220 230805 Stage 4.doc Version 1.40 Page 7 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 standard(s) 2 2 If a new resident were to be admitted, individual needs and aspirations would be fully assessed. EVIDENCE: 2 The same three residents continue to live at the home. There is a comprehensive admission policy to be used when a resident were to be admitted. 95 Ashley Avenue H56-H05 S23138 95 Ashley Avenue V239220 230805 Stage 4.doc Version 1.40 Page 8 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 standard(s) 6, 7, 8, 9 6 Care plans are excellent and provide staff with the information they need to care for all residents needs. 7 and 9 Residents are supported by staff to make decisions about their lives within a risk assessment framework. 8 Residents are supported to participate in all aspects of life in the home EVIDENCE: 95 Ashley Avenue H56-H05 S23138 95 Ashley Avenue V239220 230805 Stage 4.doc Version 1.40 Page 9 6 Care plans contain comprehensive information about the residents’ history, current needs, risk assessments and input from other professionals. There were records of monthly weights and medication charts. Care plans are regularly reviewed both in-house and during formal care reviews by the funding authority. See also standards 11 and 23. The reviews include the activities in the day centre involving the residents’ key worker at the centre. A daybook and personal record is maintained for every service user. For two of the service users, these daybooks accompany the residents when they attend the SEC in order to ensure continuity of care and the sharing of information. 7 and 9 It was noted that before their departure to the SEC, staff provided the residents with the information and assistance needed for the day. The home has a policy on taking risks and staff undertake risk assessments. Following such an assessment, a resident is now wearing a waist belt as an aid for staff to prevent the resident from falling. 8 Staff include the residents in the day-to-day ruining of the home. If able, residents are encouraged to take part in some domestic tasks. Goals in relation to being involved in laundry duties, other domestic tasks and keeping the bedroom tidy are identified in the care plan. One resident makes his bed and assists in keeping his room tidy. 95 Ashley Avenue H56-H05 S23138 95 Ashley Avenue V239220 230805 Stage 4.doc Version 1.40 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 standard(s) 11, 12, 14, 15, 16, 17 11, 12, 14, 15 Residents have opportunities for personal development and are enabled to take part in appropriate activities. 16 17 Residents rights are respected. Residents are offered a healthy diet and enjoy their food. EVIDENCE: 95 Ashley Avenue H56-H05 S23138 95 Ashley Avenue V239220 230805 Stage 4.doc Version 1.40 Page 11 11, 12, 14, 15 Residents spend the day in the social centre from Monday to Friday and every morning they are collected by minibus. At the centre, service users are involved with arts and crafts, drawing and painting. On Saturday the residents attend Cuppas and on Sunday they go out. Residents are provided with many opportunities for social events and days out where they meet with the residents and staff from other homes. As such the home provides a close as well as a wider family. Recent days out include visits to Woodchurch, a vintage cars display, Eagle Heights, Darenth Valley and picnic with the deer. It is evident from photographs and post cards seen that these days are much enjoyed. One resident likes playing the keyboard and occupies himself with coloured building bricks. One resident regularly phones and visits his dad and goes on holiday with him every year. The manager spoke highly of the input of the relative. 16 Staff talked to the residents in a pleasant and dignified manner. All residents were very well dressed and looked well cared for. A resident has a daily pictorial planner which he says reminds him of the routine and activities of each day. 17 Menus seen indicate that healthy eating choices are provided with fresh fruit and vegetables. A picture menu board indicates the choice of meals for the day and provides opportunities for discussion. All service users enjoy fish and chips. A packed lunch of sandwiches and fruit is provided. Drinks are always provided and encouraged. Monthly weights are recorded. Nutritional assessments are undertaken. Records of food provided are maintained in the daybook. 95 Ashley Avenue H56-H05 S23138 95 Ashley Avenue V239220 230805 Stage 4.doc Version 1.40 Page 12 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 standard(s) 18, 19, 20 18 and 19 Residents receive personal support in accordance with their needs and wishes. Residents’ health care needs are met. 20 Medication at the home is well managed promoting good health. EVIDENCE: 18 Residents are provided with sensitive and flexible care in a dignified manner. 19 Service users have their own GP and access to a chiropodist, dentist and optician. Following health care assessment, prompt referrals are made to other specialists as e. g neurologist. The learning disability team is available to support the residents. The team include a clinical psychologist, speech and language therapist, occupational therapist, hearing technician and the learning disability nurse. The continence advisor is involved with the care of one of the service users. 20 Medication charts were examined and well maintained. A medication profile and list of initials of staff involved with medication administration was seen. Regular medication reviews are undertaken. The job description of senior carer includes medication management. 95 Ashley Avenue H56-H05 S23138 95 Ashley Avenue V239220 230805 Stage 4.doc Version 1.40 Page 13 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 standard(s) 22, 23 22 23 Residents feel assured that their views are listened to and acted upon. Residents are protected from abuse. EVIDENCE: 22 Relatives said on comment cards that are aware of the complaint procedure and that they had not ever made a complaint. Mrs Buss said that any concern would be taken very seriously and acted upon. 23 Staff are trained in all issues of adult protection. The inspector spoke with three members of staff who are very aware of what constitutes abuse. All staff are CRB checked and there is a whistle-blowing policy. All residents have their own moneybox containing receipts and records of expenditure and income. Relatives sign the records and care managers at care reviews. 95 Ashley Avenue H56-H05 S23138 95 Ashley Avenue V239220 230805 Stage 4.doc Version 1.40 Page 14 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 standard(s) 24, 30 24 and 30 Residents live in a homely, light, well maintained, comfortable, safe, clean and hygienic environment. EVIDENCE: 24 and 30 The home is clean and spacious with good quality furniture and furnishings. The back of the house is soon to be damp proofed as a result of drain repairs outside the house. Internal wall damage is then to be made good. There is a colourful back garden with chairs and a table often used in the summer and accessed via a resident’s room through French windows. A courtyard provides another green and peaceful environment. Strict infection control measures in respect of the handling of laundry are in place and staff training provided. 95 Ashley Avenue H56-H05 S23138 95 Ashley Avenue V239220 230805 Stage 4.doc Version 1.40 Page 15 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 35, 36 Residents benefit from an effective staff team who are well trained, competent and supervised. 34 Residents are protected by the home’s recruitment policy and practices. EVIDENCE: 95 Ashley Avenue H56-H05 S23138 95 Ashley Avenue V239220 230805 Stage 4.doc Version 1.40 Page 16 31 and 32 A recently appointed support worker showed a good awareness of her and others’ role and responsibilities. There is a clear duty rota system, which indicates that two members of staff are always on duty during the day when the residents are at home. Mrs Buss, the manager, visits and works in the home regularly and is included in the rota. Mrs Victor, who is the live-in carer, does sleep-in duties. 32 and 35 The newly appointed support worker said that she has enjoyed her induction and is looking forward to further training. Mrs Buss said that through training, staff have acquired the necessary skills to care for the residents competently and effectively. Training needs are also identified through supervision. See standard 36. NVQ training at level 2 and 3 is encouraged. Staff meetings are held regularly to update staff about residents’ progress or changing needs. The training matrix includes statutory training, challenging behaviour, adult protection, dementia care, medication, Makaton sign language, report writing and risk assessments. 33 In addition to the care staff, outside specialists provide relaxation, breathing techniques, guided visualisation, reflexology, yoga and massage. 34 A staff file examined confirms that the home has a sound recruitment policy and practices. It contains all relevant information as well as training certificates. 36 The newly appointed support worker said that she had been advised at interview that she would have regular supervision. Staff receive supervision every six weeks. 95 Ashley Avenue H56-H05 S23138 95 Ashley Avenue V239220 230805 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 42 EVIDENCE: 95 Ashley Avenue H56-H05 S23138 95 Ashley Avenue V239220 230805 Stage 4.doc Version 1.40 Page 18 37, 38, 39 Mrs Buss has many years of experience in running care homes and has an NVQ level 4 in management. She is committed to the home’s aims and objectives and keeps herself and her staff updated through training and quality assurance practices. The manager is a member of a national care organisation, which provides support, and information of changes and developments. The support worker confirmed that the manager communicates a clear sense of direction and leadership, that the atmosphere is open and positive and takes into account residents ’ views, those of their relatives, staff, care managers and other professionals. Formal quality assurance, which includes a full record review, is undertaken twice a year. 42 The support worker and volunteer confirmed that staff receive all statutory training on a regular basis and the home has policies on and procedures for fire safety awareness, moving and handing, first aid, food hygiene and infection control. A maintenance and inspection schedule, which covers daily, weekly and monthly tasks, identifies the action taken if any is required. There have been no accidents since the last inspection. 95 Ashley Avenue H56-H05 S23138 95 Ashley Avenue V239220 230805 Stage 4.doc Version 1.40 Page 19 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 3 3 4 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 x x x x x 3 Standard No 11 12 13 14 15 16 17 3 3 x 3 3 3 4 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 4 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 95 Ashley Avenue Score 4 3 3 x Standard No 37 38 39 40 41 42 43 Score 4 3 3 x x 3 x H56-H05 S23138 95 Ashley Avenue V239220 230805 Stage 4.doc Version 1.40 Page 20 NA 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 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 Good Practice Recommendations 95 Ashley Avenue H56-H05 S23138 95 Ashley Avenue V239220 230805 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection 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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