Inspection on 07/06/05 for 99 Tonge Road

This inspection was carried out on 7th June 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 05/10/05

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 Announced 07 June 2005 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 V221576 070605 Stage 4.doc Version 1.30 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 CRH 3 Category(ies) of Care Home for Younger Adults (18 - 65) 3 LD registration, with number (Learning Disability) of places 99 Tonge Road H56-H05 S23797 99 Tonge Rd V221576 070605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14 March 2005 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 V221576 070605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Graham Cummings carried out an Announced Inspection on Tuesday 7th May 2005. The Inspector arrived at 09:45 and left at 12:35. The Pre Inspection Questionnaire had been fully completed and returned to the Inspectors office prior to the Inspection. The Inspector met with the Manager Maggie Carter and spoke to the 3 Residents living at the home and saw documentation. All 3 of the Residents have being living at the home since it was opened 17 years ago and prior to this they were living together at another home now owned by Care Management Group. The 3 Residents are all able to live semi independently and their individual skills allow the home to run smoothly. There are no staff employed specifically to work at 99 Tonge Road but the home is overseen by the Manager and staff from another home owned by CMG less than a mile away, on average the input is 25hours a week. All 3 Residents have mobile phones and have the numbers of the home just up the road, the Managers mobile and home number for emergencies, this does not appear to have been abused by the Residents. The atmosphere was relaxed and the 3 Residents were encouraged to be open and honest by the Manager. At some point during our discussions all 3 Residents expressed their wish to continue living at the home, one Resident said that ‘they were very happy there’ another said ‘they enjoyed living at the house’. The Residents also commented on the manager and staff who support them, one said ’we have a marvellous Manager’ ‘been there when we need her’ another said ‘ she kicks butt when we need it’. The 3 Residents have individual timetables, which were seen by the Inspector, these had all been discussed and agreed with the Residents. Paperwork relating to fridge /freezer temperatures, pest control, water temperature, fire alarm tests was seen, one of the Residents had taken responsibility for keeping the records up to date. What the service does well: What has improved since the last inspection? What they could do better: The home is run the way the Residents want it. 99 Tonge Road H56-H05 S23797 99 Tonge Rd V221576 070605 Stage 4.doc Version 1.30 Page 6 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 V221576 070605 Stage 4.doc Version 1.30 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 V221576 070605 Stage 4.doc Version 1.30 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) 4 Prospective Residents visit the home prior to placement. EVIDENCE: Although no placements have been made at this home, the Residents living here have been involved in meeting and speaking to prospective placements that are being made at the home that oversees 99 Tonge Road. The Manager said that any future placements that may be made at the home would be difficult and the Residents would have a major input into who lived with them. 99 Tonge Road H56-H05 S23797 99 Tonge Rd V221576 070605 Stage 4.doc Version 1.30 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) 7,8 Each Resident is aware of their role and responsibilities in the home. The Residents know their independence will be maximised and promoted. Residents know that their goals and aspirations will be supported by the home. EVIDENCE: Residents are responsible for their daily decisions and routines, the menu is the responsibility of the Residents, they have also worked out a weekly house rota for cooking, shopping and times for using the bathroom in the mornings. One Resident has taken on the responsibility to carry out and record the fire alarm tests, pest control, fridge/freezer temperatures, room temperatures and Health and safety checks, they have a file and all records were seen and were up to date. 99 Tonge Road H56-H05 S23797 99 Tonge Rd V221576 070605 Stage 4.doc Version 1.30 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 have agreed to put £100 each and the Home is going to put £300 to it to purchase a computer for joint use in the home, everyone is looking forward to this. Activities include going to the cinema, swimming, visiting the pub and bowling. All 3 Residents go on a yearly holiday to Minorca where they rent a villa with a 99 Tonge Road H56-H05 S23797 99 Tonge Rd V221576 070605 Stage 4.doc Version 1.30 Page 11 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. Two of the Residents have close 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. One Resident expressed a wish to stay at the home and not move on to individual living as she enjoyed living with her friends. 99 Tonge Road H56-H05 S23797 99 Tonge Rd V221576 070605 Stage 4.doc Version 1.30 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 support. Residents physical and emotional health needs are met. The medication at this home is well managed promoting good health. EVIDENCE: Residents living at 99 Tonge Road do not require any personal support and are able to support themselves with minimal encouragement and prompts. All 3 Residents spoken to were happy and appreciative of the support given to them. The input from the Manager and staff who visit the home is mainly for emotional support and encouragement and not personal or physical support. The Residents carry out all of the daily living tasks themselves and are proud of their achievements. One Resident medication is kept in the main home and the Resident signs on a weekly basis for her medication which is then kept in a locked cabinet in the Residents room. No other medication is kept in the home and if Paracetamol or Aspirin are required these are administered from the main home. All 3 Residents have attended a basic First Aid course and have certificates. 99 Tonge Road H56-H05 S23797 99 Tonge Rd V221576 070605 Stage 4.doc Version 1.30 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 informed the Inspector that they live happily together with few arguments or disagreements; they said that they felt that there were no more than a normal family would have. The Manager said that the Residents sorted out their disagreements and she was usually told about them after the event. The Residents do have access to the main home and the Managers home and mobile telephone numbers should they ever require advice or assistance. It was clear throughout the Inspection that residents were able to voice their own opinions and ideas that the Manager responded to in an appropriate manner encouraging them to think through their suggestion and coming to a conclusion. The Residents have all attended a Health and Safety course and have attendance certificates for this. One Resident has taken on the Responsibility within the home to carry out weekly Health and Safety checks, these are recorded and were seen by the Inspector. The Manager had a good knowledge and understanding of Adult protection issues that protect the Residents from abuse. 99 Tonge Road H56-H05 S23797 99 Tonge Rd V221576 070605 Stage 4.doc Version 1.30 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 was 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. 99 Tonge Road H56-H05 S23797 99 Tonge Rd V221576 070605 Stage 4.doc Version 1.30 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) 35 The Manager and Staff have a good understanding and training to meet the needs of the Residents. EVIDENCE: The Inspector noted the positive relationships that have been formed between the Manager and Residents. The Manager and Staff who supported 99 Tonge Road training records were seen, they included: Food Hygiene, Fire, Manual Handling, Medication, Abuse in the Care Home, Legislation change, Care Planning, Health and Safety and NVQ’s levels 2 and 3. The Care Management Group training programme for May and June was seen and provided a comprehensive selection of relevant courses for staff to attend. 99 Tonge Road H56-H05 S23797 99 Tonge Rd V221576 070605 Stage 4.doc Version 1.30 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) 37,38,39,42,43 Residents benefit from a well run home. The systems for Residents consultation are good and Residents views are sought. The Care Management Group review aspects of its performance through a programme of consultations with Residents throughout the company. 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 Care Management Group last year sent out a questionnaire to all Residents living at the Companies homes and the results have recently been published they covered areas such as choice, dignity, staffing, environment and more. The Inspector was satisfied that the Residents health, welfare and safety is promoted through regular meetings and discussions with them. The Residents benefit from a Manager who is competent and well liked and respected by them, comments from the Residents included ‘we have a marvellous Manager’ 99 Tonge Road H56-H05 S23797 99 Tonge Rd V221576 070605 Stage 4.doc Version 1.30 Page 17 and ‘she’s been there when we need her’. One Resident said that last week they had gone out with the Manager and on the way back brought fish and chips and came back to the house and ‘it was great, we chilled and discussed anything’. 99 Tonge Road H56-H05 S23797 99 Tonge Rd V221576 070605 Stage 4.doc Version 1.30 Page 18 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 x x 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x 3 3 x 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 x x x 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 3 3 x x 3 3 H56-H05 S23797 99 Tonge Rd V221576 070605 Stage 4.doc Version 1.30 Page 19 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 V221576 070605 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection 33 Greycoat Street London SW1P 2QF 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 V221576 070605 Stage 4.doc Version 1.30 Page 21 - 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!