Inspection on 05/10/05 for 99 Tonge Road

This inspection was carried out on 5th October 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

99 Tonge Road 07/06/05

99 Tonge Road 14/03/05

99 Tonge Road 08/02/05

99 Tonge Road 01/03/04

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 99 Tonge Road Murston Sittingbourne Kent ME10 3NR Lead Inspector Graham Cummings Unannounced 05/10/05 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. 99 Tonge Road H56-H05 S23797 99 Tonge Rd V247142 051005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 99 Tonge Road Address Murston, Sittingbourne, Kent, ME10 3NR 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) 01795 479166 01795 420065 Care Management Group Limited Ms Margot Carter Registered Care Home 3 Category(ies) of Care Home for Younger Adults (18-65) with a registration, with number Learning Disability of places 99 Tonge Road H56-H05 S23797 99 Tonge Rd V247142 051005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 07/06/05 Brief Description of the Service: 99 Tonge Road is a small terraced house in a side road to the east of Sittingbourne. It is owned by Care Management Group Ltd, a large organisation owning several homes elsewhere in the country and a number in the immediate locality. It provides accommodation for three service users, each in a single room. There is a garden to the rear and limited on-road parking to the front. The home is not staffed on a regular basis, as the service users are very largely self-caring. It is supported by the manager and some staff from a nearby home. The home functions as a supported living establishment, rather than as a care home. 99 Tonge Road H56-H05 S23797 99 Tonge Rd V247142 051005 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Graham Cummings carried out an unannounced inspection on the 5th October 2005. The Inspector arrived at 09:45 and left at midday. The inspection consisted of speaking with the Manager, Deputy and the 3 Residents living at the home, the Inspector also looked at staff and Residents files. The Residents have all lived together at the home for the last 17 years and know each others routines and habits. The home continues to run extremely well with the 3 Residents taking the lead role in the decision making and running of the home. There are no permanent staff employed at the home but approximately 25 hours a week of support from a sister home just up the road is allocated, this is the Manager and several named staff. The Residents visit the sister home daily and they all have mobile phones as well as the home phone should they need to contact anyone at any time for advice or support. The home is relaxed and homely and the 3 Residents confirmed that they were very happy living at 99 Tonge Road and would like to stay there. The Residents had just returned from holiday in Minorca and had had an enjoyable and relaxing time, one of the Residents had also been to Majorca with the sister home. The Inspector left the home with no concerns for the health, safety and welfare of the Residents. What the service does well: What has improved since the last inspection? The home has just returned from a holiday in Minorca that they all enjoyed and there were no problems. The home has purchased a new computer and printer for the use of Residents. It is being arranged for a tutor to visit the home for 2 hours a week to help with computer skills, Residents are also attending a computer course at college. One Resident has just started and Equal Opportunities course and there are plans to for another resident to start work experience. The Residents have all had their yearly reviews take place and these were all very positive. Minor repairs have been carried out in the home. Training courses attended by staff since the last inspection include Vulnerable Adults, Fire, Report Writing, First Aid and NVQ’s 2 and 3. Staff meetings are held every 8 weeks and Supervision is carried out at least 6 times a year. There were no Requirements from the last inspection. 99 Tonge Road H56-H05 S23797 99 Tonge Rd V247142 051005 Stage 4.doc Version 1.40 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. 99 Tonge Road H56-H05 S23797 99 Tonge Rd V247142 051005 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection 99 Tonge Road H56-H05 S23797 99 Tonge Rd V247142 051005 Stage 4.doc Version 1.40 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 standard(s) 1,2,5 Residents have the information they need to make an informed choice. Prospective individual aspirations and needs are assessed. Residents have individual written contracts. EVIDENCE: The home has a Statement of Purpose and Service User Guide that fully meets the standards set out in Schedule 1 of the Care Homes Regulations 2001. No placements have been made since the home initially opened 17 years ago. The Residents have been involved in the new placements of Residents at the sister home just up the road. The Manager has stated that the Residents would be fully involved in any future placements at 99 Tonge Road. The Inspector looked at 2 Resident files and both contained a written contract. 99 Tonge Road H56-H05 S23797 99 Tonge Rd V247142 051005 Stage 4.doc Version 1.40 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 standard(s) 6,7,8,9, Residents know their changing needs are reflected in their care plan and they can make decisions about their lives with assistance if required. Residents are consulted in all aspects of their lives. Residents are supported to take risks. EVIDENCE: All of the Residents in place have recently had their individual reviews in which they fully participated and were able to voice their opinions and choices, the individual care plans seen had been evaluated at regular intervals and any changes made had been consulted and agreed with the Resident concerned. The Residents care plans have all got individual risk assessments. The Residents are responsible for the weekly menu, shopping, cooking and one Resident has taken the responsibility of monitoring and recording the fridge/freezer temperatures, fire alarm tests, room temperatures, Health and Safety and pest control. 99 Tonge Road H56-H05 S23797 99 Tonge Rd V247142 051005 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) 11,12,13,14,15,16,17 Links with the community are good and support and enrich Residents social and educational opportunities. The Residents run their home and are respected and their responsibilities recognised in their daily lives. The meals in this home are good offering both choice and variety. EVIDENCE: The Residents have become part of the local community having all lived there since the home opened 17 years ago, they are regular visitors to the local pubs and shops. One of the Residents has worked at Age concern for 7 years and is also head gardener at the main home, another Resident has been working for the Red Cross and recently been promoted and is now able to handle money and be left on the till, the third Resident works at the home just up the road and gets paid for domestic work. All 3 Residents attend college for different courses. Hobbies include sewing, crochet, knitting, attending the Salvation Army, working on computers and watching soaps on TV. The Residents had agreed to put £100 each and the Home put £300 to purchase a computer for joint use in the home, this has now happened and the Residents are going to draw up a rota for use if it is required. The Manager has arranged for computer 99 Tonge Road H56-H05 S23797 99 Tonge Rd V247142 051005 Stage 4.doc Version 1.40 Page 11 training to take place in the home for 2 hours a week. Activities include going to the cinema, swimming, visiting the pub and bowling. The Residents went on their yearly holiday to Minorca where they rent a villa with a pool and all modern facilities, they have been going for the last 5 years and have become confident enough to go out in the local area by themselves. One Resident also went on a second holiday to Majorca with the sister home. Two of the Residents have Relationships with people from the main home and they visit 99 Tonge Road for meals and sometimes for the day at weekends. All 3 Residents have family members who they contact when they want and one Resident usually goes to their Mothers house for a weekend every month. A four week rota was seen and offered a varied and nutritious diet, the menu was chosen by the Residents and they do their own shopping and cooking. All of the Residents expressed their wish to remain in the home and live together. 99 Tonge Road H56-H05 S23797 99 Tonge Rd V247142 051005 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 Residents do not require personal or physical support but do receive emotional support. Medication in the home is controlled appropriately. EVIDENCE: All 3 of the Residents expressed their contentment in living at 99 Tonge Road and were extremely happy with the support given to them. The Residents enjoy taking on responsibilities for the running of the home and take them very seriously. The Residents are all registered with a local doctor and dentist, there have been no changes in the handling of medication since the unannounced inspection carried out in June 2005. 99 Tonge Road H56-H05 S23797 99 Tonge Rd V247142 051005 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 Residents views are listened to and they are protected from abuse, neglect and self harm. EVIDENCE: Residents live happily together with few disagreements, these are normally settled between the Residents who then inform the staff what has happened and the resolution, occasionally staff do assist with limited advice and guidance and Residents are then able to make an informed choice of the outcome they wish. There have been no complaints made concerning the home. Residents are aware of the procedures to follow in emergencies and have the sister homes telephone number and the Managers mobile and home telephone number. 99 Tonge Road H56-H05 S23797 99 Tonge Rd V247142 051005 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 The standard of the environment within the home is good providing Residents with an attractive, clean and homely place to live. EVIDENCE: The home is well decorated and furnished. The lounge had ample seating for the Residents and visitors. The Residents, as part of their daily responsibilities keep the home clean and tidy. There was a homely and relaxed atmosphere to the home. The new computer and printer was in the lounge and set up on a computer desks close to an electrical socket so there were no trailing wires. 99 Tonge Road H56-H05 S23797 99 Tonge Rd V247142 051005 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) 32,34,35 Residents are supported by competent and qualified staff. Residents are protected by the homes recruitment practices. Staff are appropriately trained. EVIDENCE: There are no specific staff employed at the home, the sister home less than a mile away provide staff for approximately 25 hours a week, there are named staff that visit the home, this is usually the Manager or Deputy meaning that there is a consistency of support offered. Staff training in the last 6 months includes Report writing, first Aid, vulnerable adults and NVQ’s. Staff supervisions are carried out at least 6 times a year and staff meetings every 8 weeks, Residents meetings are held monthly. The Inspector saw a staff file that contained a completed application form, 2 references, CRB check, job description and supervision notes. 99 Tonge Road H56-H05 S23797 99 Tonge Rd V247142 051005 Stage 4.doc Version 1.40 Page 16 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) 37,39,42,43 Residents benefit from a well run home and Residents are consulted on all aspects of the homes development. The health, safety and welfare of the Residents is protected. Residents benefit from a competent and accountable Manager. EVIDENCE: The Residents run the home themselves covering all aspects of daily living, the routines and responsibilities have been agreed and shared between them. Throughout the inspection, discussions with the Manager and 3 Residents all corroborated the fact that the home is run by the Residents for the Residents. The Residents benefit from a Manager who is competent and well liked and respected by the Residents. 99 Tonge Road H56-H05 S23797 99 Tonge Rd V247142 051005 Stage 4.doc Version 1.40 Page 17 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 3 3 x x 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x 3 x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 99 Tonge Road Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x 3 x x 3 3 H56-H05 S23797 99 Tonge Rd V247142 051005 Stage 4.doc Version 1.40 Page 18 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 99 Tonge Road H56-H05 S23797 99 Tonge Rd V247142 051005 Stage 4.doc Version 1.40 Page 19 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. Extracts may not be used or reproduced without the express permission of CSCI 99 Tonge Road H56-H05 S23797 99 Tonge Rd V247142 051005 Stage 4.doc Version 1.40 Page 20 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!