Inspection on 05/01/06 for 95 Ashley Avenue

This inspection was carried out on 5th January 2006.

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

The inspector 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 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 Lisbeth Scoones Unannounced Inspection 5th January 2006 15.45 95 Ashley Avenue DS0000023138.V275126.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 95 Ashley Avenue DS0000023138.V275126.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. 95 Ashley Avenue DS0000023138.V275126.R01.S.doc Version 5.1 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 Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 95 Ashley Avenue DS0000023138.V275126.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd August 2005 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. 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 Busss 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 DS0000023138.V275126.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This short unannounced inspection took place in the afternoon when the residents had returned from the social centre where they had spent the day. The inspector met with the three residents and the senior carer on duty. The manager was not on the premises and the inspector contacted her by phone following the inspection. The live-in carer Mrs B Victor was on holiday. A tour of the ground floor was made but no records examined on this occasion. In order to get a comprehensive overview of the services the home provides, it is recommended that the previous inspection report of 23 August 2005, which relates to an announced inspection, be consulted. 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 DS0000023138.V275126.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection 95 Ashley Avenue DS0000023138.V275126.R01.S.doc Version 5.1 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 the following standard(s): EVIDENCE: These standards were not inspected on this occasion. The same three residents are living at the home. 95 Ashley Avenue DS0000023138.V275126.R01.S.doc Version 5.1 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 the following standard(s): 7, 8, 9 Residents are supported by staff to make decisions about their lives within a risk assessment framework. Residents are supported to participate in all aspects of life in the home EVIDENCE: The senior carer on duty provided the residents with the information and assistance needed for the activities of the day. The carer included the residents in the day-to-day running of the home in a pleasant, informative and cheerful manner. The home has a policy on taking risks and staff undertake risk assessments. If able, residents are encouraged to take part in some domestic tasks. A resident said he makes his own bed. 95 Ashley Avenue DS0000023138.V275126.R01.S.doc Version 5.1 Page 9 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, 15, 17 Residents have opportunities for personal development, are part of the community and are enabled to take part in appropriate activities and meet regularly with their families. Residents are offered a healthy diet and enjoy their food. EVIDENCE: 95 Ashley Avenue DS0000023138.V275126.R01.S.doc Version 5.1 Page 10 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 in the home’s minibus. The carer on duty conversed with the residents in a pleasant and dignified manner. One of the topics of conversation was a resident’s forthcoming birthday celebration. Another resident said he loved parties and told the inspector of the recent much enjoyed Christmas party. 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. One resident likes cars and showed me the car posters in his room. Another resident occupies himself with coloured building bricks. All residents were very well dressed and looked well cared for. One resident regularly phones and visits his dad and said how much he had enjoyed celebrating Christmas with him. The manager spoke highly of the input of the relative. A resident has a daily pictorial planner which he says reminds him of the routine and activities of each day. 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. Supper that day comprised liver and bacon casserole and fresh fruit. 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 DS0000023138.V275126.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 Residents are provided with sensitive and flexible personal care in accordance with their needs and wishes in a dignified manner. Residents’ health care needs are met. EVIDENCE: Residents 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 manager spoke highly of the support she receives from the learning disability team, which includes a clinical psychologist, speech and language therapist, occupational therapist, hearing technician and the learning disability nurse. The continence advisor is involved with one of the resident’s care. 95 Ashley Avenue DS0000023138.V275126.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 feel assured that their views are listened to and acted upon and are protected from abuse. EVIDENCE: Mrs Buss said that any concern would be taken very seriously and acted upon. At the previous inspection it was ascertained that relatives are aware of the complaint procedure and that they had not ever made a complaint. At the previous inspection it was ascertained that staff are trained in all issues of adult protection. 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 DS0000023138.V275126.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 Residents live in a homely, light, well maintained, comfortable, safe, clean and hygienic environment. EVIDENCE: The home is clean and spacious with good quality furniture and furnishings. Since the previous inspection, the back of the house has been damp proofed and internal wall damage been 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. The home is well maintained and there was evidence of furniture and equipment replacement as required. 95 Ashley Avenue DS0000023138.V275126.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, 36 Residents benefit from an effective staff team who are well trained, competent and supervised. EVIDENCE: The senior carer on duty 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. At the time of inspection, due to staff sickness, the senior carer was temporarily on her own but was expecting a second member of staff shortly. Mrs Buss, the manager, visits and works in the home regularly and is included in the rota. Due to the live-in carer being on holiday, the senior carer was to undertake a sleep-in duty. Training issues were not discussed at this inspection but at the previous inspection, it was ascertained that staff receive regular training relevant to the needs of the residents. The senior carer on duty confirmed that she receives regular formal supervision. The manager said that there have been no staff changes since the previous inspection. In addition to the care staff, outside specialists provide relaxation, breathing techniques, guided visualisation, reflexology, yoga and massage. 95 Ashley Avenue DS0000023138.V275126.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, 38, 39 Residents live in a friendly, caring, well run and managed home. EVIDENCE: 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. Regular care reviews are undertaken and would always include the resident. The manager is a member of a national care organisation, which provides support, and information of changes and developments. The senior carer 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. 95 Ashley Avenue DS0000023138.V275126.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 x 2 x 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 4 25 x 26 x 27 x 28 x 29 x 30 x STAFFING Standard No Score 31 3 32 3 33 x 34 x 35 x 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score x 3 3 3 x LIFESTYLES Standard No Score 11 3 12 3 13 3 14 x 15 3 16 x 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 x x 3 3 3 x x x x 95 Ashley Avenue DS0000023138.V275126.R01.S.doc Version 5.1 Page 17 N/A 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.V275126.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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