Inspection on 30/06/08 for Anchorage House

This inspection was carried out on 30th June 2008.

CSCI found this care home to be providing an Good service.

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

Anchorage House 07/06/06

Anchorage House 05/09/05

Anchorage House 06/07/05

Anchorage House 28/10/04

Anchorage House 01/06/04

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 13/11/2008.

CARE HOME ADULTS 18-65 Anchorage House 12 Margaret Street Folkestone Kent CT20 1LJ Lead Inspector Christine Lawrence Unannounced Inspection 30 June 2008 10.50 Anchorage House DS0000028362.V365186.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 Anchorage House DS0000028362.V365186.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. Anchorage House DS0000028362.V365186.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Anchorage House Address 12 Margaret Street Folkestone Kent CT20 1LJ 01303 211180 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 Tina Dennison Mrs Dennison in day to day control Care Home 6 Category(ies) of Learning disability (0) registration, with number of places Anchorage House DS0000028362.V365186.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Learning disability (LD) The maximum number of service users to be accommodated is 6. Date of last inspection 7 June 2006 Brief Description of the Service: Anchorage house is a small home for up to six adults with learning disabilities. It is situated in a residential area of Folkestone and is close to the harbour and all local amenities. The building is an end of terrace, large Victorian house which offers single accommodation for each service user. The communal space comprises of a large lounge, small dining room, kitchen and conservatory. There is a small, safe and enclosed garden at the rear of the property. The residents participate in a wide range of educational and leisure activities for which the Home provides transport if required. Mrs Tina Dennison owns the home. Mrs Denison also owns and manages another home, Harbour House, which is close by. The weekly fees for this home range between £800 to £1495 and are based on the assessed dependency levels of the residents. Anchorage House DS0000028362.V365186.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This inspection started on June 30 but as all the people who live there were either on a day trip to France and Belgium or at a day activity it continued on the next day to enable us (the commission for social care inspection) to meet and talk with residents and staff. During the first day we spoke with the owner, Tina Dennison, who is in day to day control, and looked round the communal areas of the home. On the second day we chatted to residents, spoke to staff and looked at some residents rooms. On both days we looked at various records. We also used information from the annual quality assurance assessment completed by Mrs Dennison and information from the annual service review carried out by the commission in February. Surveys completed by staff and people who use the service also provided information for this report. What the service does well: What has improved since the last inspection? What they could do better: Anchorage House DS0000028362.V365186.R01.S.doc Version 5.2 Page 6 The outside of the building needs decorating. The care plans need to be improved and health action plans introduced. The shower areas need to be completed. All of these things Mrs Dennison is aware of and has plans to complete. 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. Anchorage House DS0000028362.V365186.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 Anchorage House DS0000028362.V365186.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): 2 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Prospective residents’ individual aspirations and needs will be assessed. EVIDENCE: We looked at two records for this inspection and there are appropriate policies and procedures in place. The present documentation is satisfactory but Mrs Dennison explained that assessment and care plan formats are being looked at currently with a view to improving them. The records seen for this inspection showed that information is sought from placing authorities eg joint assessments. Anchorage House DS0000028362.V365186.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): 6, 7 and 9 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents can be confident that their changing needs will be noted in their individual plans and that they will be supported to make decisions and take risks to enable as independent a lifestyle as possible. EVIDENCE: Each person living at Anchorage House has a care plan. We looked at two for this inspection. They are based on assessments which in one case also included an assessment from the placing authority. The plans contained guidance for staff with regard to supporting individuals. The plans are reviewed regularly but some information, for instance one of the pen portraits, was slightly out of date. Mrs Dennison informed us that the care plan format is currently being reviewed and updated in keeping with person centred planning and to ensure that the involvement of residents in their care plans is more formally reflected. Anchorage House DS0000028362.V365186.R01.S.doc Version 5.2 Page 10 There were examples noted of residents making choices about things such as going out or not, where to be eg garden, own room, lounge or dining room etc. We observed that staff know the preferences of individuals with regard to communication and they also have received some training in this respect. There are risk assessments in place, some of which are general to the home and others which are specific to individual people. The risk assessments are about supporting people to do things as safely as possible rather than preventing people doing things. Anchorage House DS0000028362.V365186.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): 12, 13, 15, 16 and 17 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Activities and involvement in the local community, as well as support for personal relationships will be provided for residents. They will benefit from having a healthy diet. EVIDENCE: Residents are very different in their needs and wishes regarding activities but the home is able to offer a variety of things which includes swimming, gardening project, local day centre, art project, watching TV, going for walks and bike rides, having picnics out and drives to various places, shopping, banking, going out for lunch, cinema, regular days to France and Belgium, bowling, going to the pub and using local social clubs and discos. The home has transport to support residents to do this. Residents are also helped and supported to go on holiday and this recently included people going to Hastings, Spain and Scarborough according to their choice. Residents are all on the Anchorage House DS0000028362.V365186.R01.S.doc Version 5.2 Page 12 electoral roll. The Shaw Trust has been involved to help some of the residents to find jobs or voluntary work. The individual records contained relevant details about residents’ family and friends contact information. Examples were noted of the home supporting people to maintain relationships. Privacy and dignity are very important. One resident said “…staff help me if I ask… ”. Another person said he could do things himself when asked ‘are staff kind when they help you?’. A member of staff said that it was important to help people with their dignity because this did not always come easily for everyone. Everybody has savings accounts and they are all different in how much or little support they need to manage their finances. The dining room has enough space for everyone to sit together at the same time. Residents can also choose to be somewhere else but in reality they mostly use the dining room. Staff said that this was a communal, social time. Anchorage House DS0000028362.V365186.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): 18, 19 and 20 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents are protected by the home’s policies and procedures regarding medication and their physical and emotional needs will be responded to. Their preferences and requirements for support are respected. EVIDENCE: The care plans seen reflected that residents’ needs and wishes with regard to how they wish to be supported and helped with personal care are noted. Staff spoken to said that “…everyone is different and it’s important to know what they like and what they don’t…”. Residents are very individual in their style and this reflects their personality and also their age. The daily records showed that people’s routines are individual for instance with regard to getting up or going to bed and to how they wish to spend their time. The care plans had information about residents’ health care needs and the records showed that health care professionals are involved such as GPs, speech and language therapists, community nurses, chiropodist, dentist and optician etc. There were also examples of specific needs being identified and met, with specific training provided. We were informed that the planned Anchorage House DS0000028362.V365186.R01.S.doc Version 5.2 Page 14 improvements to the care plans will also include health action plans for residents. A monitored dosage system is used for medications within the home. Staff who give out medications have received training. Storage and records were satisfactory. Anchorage House DS0000028362.V365186.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): 22 and 23 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents’ views are listened to or ascertained, and acted on. There are systems in place to protect residents from abuse. EVIDENCE: Anchorage House has a complaints policy and procedure. The policy is on display. Residents said they could express opinions to staff and to Mrs Dennison and the deputy manager. Staff have received adult protection awareness training and there are policies and guidance for staff including disclosure of abuse and bad practice (whistle blowing) and management of residents’ money and valuables. Staff spoken to were clear about their responsibilities with regard to keeping residents safe. Anchorage House DS0000028362.V365186.R01.S.doc Version 5.2 Page 16 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): 24 and 30 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents benefit from living in a home which is homely and comfortable as well as clean and hygienic. EVIDENCE: We viewed most of the home, including some residents’ rooms, accompanied by them. Anchorage House is homelike and comfortable and meets the needs of the people living there. Communal areas and individual rooms reflect that people live there and treat it as their home. One shower area has recently been upgraded but there is some ‘finishing work to do. A second shower is planned for upgrading. No issues relating to health and safety were observed during the tour of the building. Laundry facilities are satisfactory and the home was clean and fresh at the time of this visit. The outside of the home is in need of attention. Mrs Dennison explained that this was planned in the near future. Anchorage House DS0000028362.V365186.R01.S.doc Version 5.2 Page 17 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): 32, 34, and 35 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Sound recruitment procedures and training already provided and training planned, will have a beneficial impact on residents. EVIDENCE: We observed staff to be responsive and interested in residents during this visit. Some staff have national vocational qualifications in care at level 2 or above and Mrs Dennison said more is planned. We looked at the records of two members of staff and they showed that there is a satisfactory recruitment procedure in place. This includes application forms (which identify any gaps in employment), references, criminal record bureau checks and terms and conditions of employment. Mrs Dennison subscribes to a private company to keep her up to date with employment law. There are training opportunities for staff and a programme of training is in place. The Skills for Care induction format – Common Induction Standards is not currently used but we were informed that it will be used for future inductions. Anchorage House DS0000028362.V365186.R01.S.doc Version 5.2 Page 18 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): 37, 39 and 42 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents benefit from a well run home and their health and safety is promoted and protected. EVIDENCE: Mrs Dennison is very experienced and has been operating Anchor House and another home close by for some time. She has a deputy manager who has NVQ Level 4 and management tasks are shared. Staff and residents said they could talk to her because she was approachable and interested. We observed residents being confident about speaking up and staff confirmed that those with less confidence were helped and supported to join in discussions about the running of the home. Anchorage House DS0000028362.V365186.R01.S.doc Version 5.2 Page 19 A spot check was made on maintenance and service contracts and they were appropriate and up to date. There is a staff training programme relating to health and safety and various policies and procedures covering a range of subjects. Mrs Dennison subscribes to a private company to keep up to date with health and safety legislation. Anchorage House DS0000028362.V365186.R01.S.doc Version 5.2 Page 20 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 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 X 29 X 30 3 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 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Anchorage House DS0000028362.V365186.R01.S.doc Version 5.2 Page 21 NO 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 Anchorage House DS0000028362.V365186.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Maidstone 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 Anchorage House DS0000028362.V365186.R01.S.doc Version 5.2 Page 23 - 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!