Inspection on 07/06/06 for Anchorage House

This inspection was carried out on 7th June 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Anchorage House 30/06/08

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 08/07/2008.

CARE HOME ADULTS 18-65 Anchorage House 12 Margaret Street Folkestone Kent CT20 1LJ Lead Inspector Wendy Mills Unannounced Inspection 7th June 2006 09:30 Anchorage House DS0000028362.V298376.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.V298376.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.V298376.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 Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Anchorage House DS0000028362.V298376.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th September 2005 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, smaller 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. Mrs Tina Dennison owns the home. Mrs Denison also owns and manages a sister home, Harbour House, which is close by. The weekly fees for this home range between £781 to £1,100 and are based on the assessed dependency levels of the residents. Anchorage House DS0000028362.V298376.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over five hours. The inspection consisted of discussion with four of the six residents, one member of staff and the registered provider/manager, Mrs Tina Dennison. Telephone surveys were carried out with two relatives and one health and social care professional who visits residents in the home. A tour of the home was undertaken and documentation was examined. Observation, both direct and indirect, was used throughout the inspection. Five of the residents were out for the most part of this visit but it was possible to speak to them before they left for their activities. One resident was in hospital. The inspector wishes to thank the residents, manager and staff for the welcome they gave and for their assistance during the inspection. What the service does well: What has improved since the last inspection? There has been an overall improvement in the standard of record keeping in the home. The deputy manager of the home has passed the NVQ IV in management and care. Anchorage House DS0000028362.V298376.R01.S.doc Version 5.2 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. Anchorage House DS0000028362.V298376.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.V298376.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 & 4 The quality in this outcome group is good. This judgement is based on evidence gathered both before and during this visit. The home provides prospective residents and their supporters with the information they need in order to make a decision about moving into the home. EVIDENCE: The home has a statement of purpose and a service user guide. Inspection of the care plans and pre-admission assessments of the new residents showed that this had been carried out properly. The needs of the new residents are clearly noted and care has been taken to make sure new residents will fit in before offering them a place at the home. Residents said that they had been able to visit the home and meet the other residents before deciding to live there. They know that their place at the home means that they have rights and responsibilities. For example, they know that they have a right to privacy but that they must, in turn, respect the privacy of their fellow residents. Anchorage House DS0000028362.V298376.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 & 10 The quality in this outcome group is good. This judgement is based on evidence gathered both before and during this visit. There is a clear care planning system in place. Residents are supported to make decisions and participate in the life of the home. Residents know that the home will respect their dignity and handle confidential information about them appropriately. EVIDENCE: Care plans and risk assessments have recently been reviewed. Decisionmaking is documented in the care plans. The home maintains regular contact with care managers and ensures that regular reviews take place in conjunction with the residents. The residents take pride in their appearance and their rooms. All those who were spoken to during the visit were well dressed and in good health. One resident was in hospital. The residents spoke enthusiastically about their interests and families. They said that they could make choices about the activities they want to do. Anchorage House DS0000028362.V298376.R01.S.doc Version 5.2 Page 10 Residents said that their privacy is respected and also understand the need to respect the privacy of others. They are clear that information about them will only be shared if it is necessary. Indirect observation showed that there is very good interaction between the staff and residents. The residents are confident in expressing their views. Anchorage House DS0000028362.V298376.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 & 17 The quality in this outcome group is excellent. This judgement is based on evidence gathered both before and during this visit. Residents are supported to become more independent. The home encourages and supports the residents to maintain appropriate friendships and contact with their families. Nutrition at the home is very good. This means that the residents are able to maintain a healthy diet and eat appetising meals. EVIDENCE: Staff support the residents to maximise their independence, prompting is given appropriately. One resident has made significant progress in living a healthier lifestyle. Recently the home has taken over a gardening project that was under threat of closure. The manager, staff and residents all got together to plan how they could ensure the project did not close. They are now enjoying some success with the project and are planning what to do with the produce that will be ready soon. Anchorage House DS0000028362.V298376.R01.S.doc Version 5.2 Page 12 The residents are supported to maintain contact with their friends and families. They are encouraged to phone home and are supported to use e-mail if appropriate. Transport is provided for home visits. For those who no longer have families, the home helps them maintain a feeling of belonging by taking them on visits to the areas they came from and talking to them about their lives. Residents said that they had enough to eat. Some showed a good understanding about healthy eating. There is a guide menu but this often gets changed. For example, if the weather is nice, some residents might decide to take a picnic to the seafront; or one resident might decide they would like something different to the planned menu. There was a plentiful supply of good quality food, including fresh fruit and vegetables, available in the home on the day of this visit. Anchorage House DS0000028362.V298376.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 The quality in this outcome group is good. This judgement is based on evidence gathered both before and during this visit. Residents receive sensitive personal support and all aspects of their healthcare are promoted. EVIDENCE: Support for personal care support is given in a sensitive and discreet way that respects privacy and dignity. Good communication is maintained with care managers, GPs, dentists and specialist nurses. The residents attend well person clinics and other healthcare appointments. Staff take time to explain the importance of health promotion and self care. Visiting healthcare professionals say that the home listens to their advice and works with them to support the residents both physically and emotionally. The home monitors personal hygiene and encourages the residents to maintain a pride in their personal appearance. Conversation with the residents showed that they are aware of the importance self care and some were very keen to improve their health by eating healthy foods and cutting back on smoking. The home manages and administers medicines well. They use the monitored dose system (MDS). The medicines cupboard is a good size and well Anchorage House DS0000028362.V298376.R01.S.doc Version 5.2 Page 14 organised. The temperature of this storage is monitored. The MAR sheets are well maintained. The home works with local GPs to ensure that medication levels are no higher than necessary. Staff receive training in the administration of medicines and are regularly checked for competency. Anchorage House DS0000028362.V298376.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 The quality in this outcome group is good. This judgement is based on evidence gathered both before and during this visit. The home has sound policies and procedures for concerns to be raised and dealt with. This protects the residents from harm. EVIDENCE: A formal complaints policy procedure is in place. Residents, their supporters and staff are fully aware of this but say they have not had to use it as they can talk easily to the manager or deputy manger about any concerns they may have. Indirect observation showed that the residents are very able to make their wishes known. Their concerns and aspirations are listened to and acted upon. Appropriate responses and explanations are given. Staff are aware of the Protection of Vulnerable Adults policies and procedures and said they would have no hesitation in reporting any concerns about a colleague. Anchorage House DS0000028362.V298376.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28 & 30 The quality in this outcome group is good. This judgement is based on evidence gathered both before and during this visit. The standard of the environment within the home is good. It provides the residents with a homely and welcoming place that meets their needs. EVIDENCE: A tour of the home was made in company of one of the residents. The residents have personalised their rooms to reflect their interests, friends and families. They said they are very happy with their rooms and like living in the home. The environment was clean, comfortable and homely on the day of inspection. No health and safety hazards were noted during this tour and there was a relaxed and friendly atmosphere throughout. Anchorage House DS0000028362.V298376.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35 & 36 The quality in this outcome group is good. This judgement is based on evidence gathered both before and during this visit. Residents benefit from a settled staff team who are well trained and supported. There are enough staff to meet the needs of the residents. EVIDENCE: The home has sufficient staff and a low staff turnover. One member of staff has left since the last inspection. The home is in the process of recruiting at present. Time is taken in the recruitment process to ensure that only skilled and committed staff are appointed. There is a three-month probationary period. All appropriate checks are made before any new staff members are allowed to work in the home. The deputy manager has recently passed the NVQ IV in management and care and is congratulated for this achievement. Activity and staff rosters showed that there are enough staff to ensure that scheduled activities and healthcare appointments are supported. Staff said that they can talk easily to the manager or deputy manager and that there is open discussion about the way things are managed in the home. However, formal one-to-one supervision is still not fully established. The home should work hard to establish regular supervision. Anchorage House DS0000028362.V298376.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 40, 41, 42, 43 The quality in this outcome group is good. This judgement is based on evidence gathered both before and during this visit. The home has strong leadership. There is an open management culture that promotes the independence, health, safety and welfare of the residents. EVIDENCE: Mrs Dennison, the registered provider/manager is an enthusiastic and friendly person who is clearly committed to creating a positive environment for the residents and staff. Staff say that she is easy to talk to and acts on their suggestions and concerns. The residents interact well with Mrs Dennison and are able to express their views with confidence. She has a good understanding of best care practice and all aspects of the running of the home. No health and safety hazards were noted during this visit. Anchorage House DS0000028362.V298376.R01.S.doc Version 5.2 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 Standard No Score 1 3 2 3 3 3 4 3 5 3 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 3 27 3 28 3 29 N/A 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 4 12 4 13 4 14 4 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 2 3 3 3 3 Anchorage House DS0000028362.V298376.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? YES 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 YA36 Regulation 18 Requirement Staff to receive formal supervision at least six times each year. This requirement is carried forward from the last inspection report with an extended date for compliance Quality assurance programmes to be more formalised. Written programmes to be in place Timescale for action 31/07/06 2 YA39 24 31/07/06 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.V298376.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Anchorage House DS0000028362.V298376.R01.S.doc Version 5.2 Page 22 - 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. 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