Inspection on 05/09/05 for Anchorage House

This inspection was carried out on 5th September 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

Anchorage House 30/06/08

Anchorage House 07/06/06

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 08/07/2008.

CARE HOME ADULTS 18-65 Anchorage House 12 Margaret Street Folkestone Kent CT20 1LJ Lead Inspector Wendy Mills Unannounced 5 September 2005 9:30 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. Anchorage House H56-H05 S28362 Anchorage House V227032 050905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Anchorage House Address 12 Margaret Street Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01303 211180 Tina Dennison Care home only 6 Category(ies) of Learning Disabilities x 6 registration, with number of places Anchorage House H56-H05 S28362 Anchorage House V227032 050905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th July 2005 Brief Description of the Service: Anchorage house is a small home for up to five 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, smaller dining room, kitchen and conservatory. There is a small, safe and enclosed garden at the rear of the property. There have been some recent changes in the home to provide better officed accommodation and a grounf-floor, sleep-in room. The service users participate in a wide range of educational and leisure activities for which the Home provides transport. the home is owned by Mrs Tina Dennison. Mrs Denison also owns and manages a sister home close by. Anchorage House H56-H05 S28362 Anchorage House V227032 050905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Wendy Mills, regulatory inspector for the home, made this unannounced inspection. It began at 12.30 hours and consisted of discussion with the registered manager/provider, Mrs Tina Dennison, tour of the home and discussion with two residents. One resident was out with support staff at the time of inspection. Key documentation was examined and both direct and indirect observations were made throughout the inspection. It was pleasing to note that all the requirements made at the last inspection have been met in a timely fashion. The residents and Tina are thanked for the welcome they gave the inspectors and for the assistance they gave during the inspection. What the service does well: The home continues to work hard, in conjunction with specialists, GPs and other health care professionals, to reduce levels of medication where appropriate. The home helps the residents to maximise their independence in a supportive and proactive way. It also helps them maintain contact with their families and friends and to cope with the complexities of relationships. The residents make very good use of local amenities and facilities. They participate well in local community activities and help their neighbours. There is a very relaxed, welcoming and friendly atmosphere in the home. The residents participate well in the running of the home and lead busy and active lives. They demonstrate concern for each other and have developed coping strategies for dealing with times when their fellow residents might irritate them. The home has a positive and proactive approach to staff training. Anchorage House H56-H05 S28362 Anchorage House V227032 050905 Stage 4.doc Version 1.40 Page 6 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. Anchorage House H56-H05 S28362 Anchorage House V227032 050905 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 Anchorage House H56-H05 S28362 Anchorage House V227032 050905 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&3 Prospective residents and current residents and their relatives and supporters are clear about what to expect from the home. Residents understand their rights and responsibilities whilst living at the home. EVIDENCE: The home has a statement of purpose, a service user guide and written assessment and admissions policies and procedures. Previous inspections have confirmed that these are sound and give appropriate information to the residents and their relatives and supporters. Care plans are up to date and reflect the needs and aspirations of the residents Anchorage House H56-H05 S28362 Anchorage House V227032 050905 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 are supported to make decisions and to participate in the life of the home. EVIDENCE: Care plans were examined. They were found to contain good information about the care the residents require. Risk assessments are in place and have been updated. Indirect observation confirmed that the residents find it easy to express their wishes and needs and that both the manager and staff give good explanations to them about the risks. The residents said that they had just returned from a trip to France that they had enjoyed very much. The home has assisted the residents in obtaining passports so that they can enjoy trips abroad. It was good to note that the residents mostly relate well towards each other and show consideration towards each other. For example, the residents spoke of how the resident, who was out at the time of inspection, had managed on the trip to France. Anchorage House H56-H05 S28362 Anchorage House V227032 050905 Stage 4.doc Version 1.40 Page 10 Residents are supported to take part in household chores such as cleaning their rooms and washing up. Anchorage House H56-H05 S28362 Anchorage House V227032 050905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,13,14,15&16 The home supports the residents to maximise their independence and achieve their goals The residents lead busy and fulfilling lives and participate well in their local community and supports links with familiy and friends very well. EVIDENCE: The residents said that they continue to take part in lots of activities. One resident said that he was much happier now that they home had managed to liaise with another home to allow more visits to a friend there. They said that they can choose which activities they want to do. Goals are recorded in the care plans and risk assessments are in place for most activities. The residents were happy to talk about their familiy and friends and one resident was expecting visitors that afternoon. He said that his visitors are always made very welcome at the home. Indirect observation showed that residents have developed coping strategies for dealing with the irritating behaviour of other residents. Transport is provided for activities and home visits but independent use of public transport is also encouraged. Anchorage House H56-H05 S28362 Anchorage House V227032 050905 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) 19&20 The home meets the emotional and health needs of the residents well and medication policies and procedures are sound. This safeguards the well being of the residents. EVIDENCE: Medication policies and procedures are sound. Since the last inspection the procedures for Harbour House have been brought into line with those of Anchorage House. As staff work at both homes, this has reduced the potential for confusion. Indirect observation showed that the manager and staff have infinite patience when explaining the reasons for decisions and the safeguards that have to be put in place when certain activities are undertaken. For example, one service user said he would like to go out alone but it was explained to him that, before this could happen he would need to get better at crossing the road and not talking to strangers. Anchorage House H56-H05 S28362 Anchorage House V227032 050905 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) These standards were not inspected at this visit. EVIDENCE: There have been no formal complaints since the last inspection and the home has takes timely action to address day to day concerns. Anchorage House H56-H05 S28362 Anchorage House V227032 050905 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) ,24,25,26,27,28,29&30 The standard of the environment within the home is good and provides the residents with a homely and welcoming place in which to live. There is plenty of communual space and toilet and bathing facilities. Quality monitoring is good and the registered provider/owner is on site for a significant amount of time every week. The home is good at identifying specialist equipment needs and providing for them when indicated. EVIDENCE: There is a spacious lounge and smaller dining room. Both have been recently re-decorated. The home has two bathrooms and four toilets. In addition there is a small sleep-in room and an office. There is a pleasant and friendly ambience in the home and the residents were observed to move freely and confidently around the home. A tour of the home was undertaken. Two of the residents were pleased to show their rooms. All the rooms were clean and comfortable. Each room has been personalised and reflects the interests, family and personality of each resident. They all said Anchorage House H56-H05 S28362 Anchorage House V227032 050905 Stage 4.doc Version 1.40 Page 15 that they like their rooms and have all their personal things around them. The residents have done very well to help keep their rooms and the communual areas in a clean and tidy condition. They have managed to do this at the same time as creating a homely atmosphere. There is a fish tank in the lounge and they help to look after the fish. The residents also chose the pictures in the lounge. Although, for the most part, none of the resident require specialist equipment, special casing has been provided for electrical equipment for one resident who is likely to tamper with wires. This is risk assessed. Conversation with this resident confirmed that he is fully aware of the equipment and his responsibilities in connection with the use of the equipment. Regular checks are made to ensure this is safe. Anchorage House H56-H05 S28362 Anchorage House V227032 050905 Stage 4.doc Version 1.40 Page 16 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) 36 Staff supervision levels at the home have improved resulting in a better informed and more cohesive staff group EVIDENCE: Staffing and staff training levels remain the same as at the previous inspection There are generally two staff on duty when all residents are at home. These numbers are sufficient to enable residents to go out and to undertake activities they want to do. One-to-one formal supervision is now being more consistently undertaken with staff and Mrs Dennison said that this has helped staff morale. Anchorage House H56-H05 S28362 Anchorage House V227032 050905 Stage 4.doc Version 1.40 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39,42&43 The management of the home is satisfactory. There is an open management culture and the independence, health, safety and welfare of the residents is promoted. EVIDENCE: The registered manager/provider, Mrs Dennison, maintains her continuing professional development. She attends training sessions with staff and continues to actively seek out new opportunities both on behalf of the residents and for staff training. She has an open and honest management style and the residents are clearly confident in talking to her about anything that might worry them. Mrs Dennison is in the home nearly every day and she sometimes rosters herself on shift. She notes any maintenance issues on a day-to-day basis and ensures these are addressed in a timely way. On the day of inspection there had been concerns about rubbish that had been dumped in the alley close to the home. Mrs Dennison had immediately contacted the council and then taken action to minimise the effect of this on the environment of the home. Anchorage House H56-H05 S28362 Anchorage House V227032 050905 Stage 4.doc Version 1.40 Page 18 the residents were all aware of the problem and it was good to note that they were assisting in the efforts to clean up. No health and safety hazards were noted on the day of inspection. The financial viability of the home was discussed. Whilst there have been some unanticipated financial pressures this year in addition to some vacancies. Mrs Dennison was clear that the home is still financially viable. She is clear that she will only admit new residents who will fit in with the home, regardless of financial pressures. Anchorage House H56-H05 S28362 Anchorage House V227032 050905 Stage 4.doc Version 1.40 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 x x Standard No 22 23 ENVIRONMENT Score x x 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 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 x Standard No 31 32 33 34 35 36 Score x x x x x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Anchorage House Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 3 x x 3 3 H56-H05 S28362 Anchorage House V227032 050905 Stage 4.doc Version 1.40 Page 20 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. 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 Anchorage House H56-H05 S28362 Anchorage House V227032 050905 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection 11th Floor, International House Dover Place Ashford, Kent TN23 1HU National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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