Inspection on 16/08/06 for Anderida

This inspection was carried out on 16th August 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 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

Anderida 04/09/07

Anderida 18/01/06

Anderida 31/08/05

Anderida 20/01/05

Anderida 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 Anderida Church Road Mersham Ashford Kent TN25 6NT Lead Inspector Paul Stibbons Unannounced Inspection 16 August 2006 11:15 th Anderida DS0000023151.V303868.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 Anderida DS0000023151.V303868.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. Anderida DS0000023151.V303868.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Anderida Address Church Road Mersham Ashford Kent TN25 6NT 01303 262524 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) anderida@counticare.co.uk Counticare Limited Miss Sara Michelle Durban Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Anderida DS0000023151.V303868.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 3 People with learning disabilities aged over 18 years of age. Date of last inspection 18th January 2006 Brief Description of the Service: Anderida is situated in the village of Mersham and provides 24-hour care for a maximum of three residents who have mild learning disabilities. The home is a spacious bungalow set in approximately a quarter acre of ground. They allow pets (within a risk assessment framework and with the agreement of other residents). The aim of the service is to maximise independence of the residents, and staff are required to support by guidance rather than by direct care. There is a low staff ratio at the home due to the risk-assessed level of independence that the residents have. This can be adjusted immediately if any resident requires additional support. Fees range between £890.00 and £1250.00 per week with additional charges for magazines, papers, hairdresser, clothing and toiletries. Anderida DS0000023151.V303868.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was conducted on the 15th August 2006 and commenced at 1115 hours and concluded at 1445 hours. A completed preinspection questionnaire along with 3 resident surveys and 1 care manager response, were returned to the CSCI prior to the inspection. A tour of the premises was carried out and a variety of records and documents were examined. The manager was present during the inspection and residents and staff members were spoken to in private. What the service does well: 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. Anderida DS0000023151.V303868.R01.S.doc Version 5.2 Page 6 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 Anderida DS0000023151.V303868.R01.S.doc Version 5.2 Page 7 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): 2, 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a comprehensive assessment of individual aspirations and need and each has a written contract of terms and conditions with the home. EVIDENCE: A comprehensive needs assessment form is in place for assessing the needs of prospective residents. Care plans viewed contained full assessments of need and each had an individual written contract of terms and conditions with the home. Anderida DS0000023151.V303868.R01.S.doc Version 5.2 Page 8 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 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are consulted and encouraged to make decisions about their lives and supported to take risks as part of an independent lifestyle. Their rights to confidentiality are upheld. EVIDENCE: Support plans viewed were of an excellent standard and evidenced frequent monitoring and review. Personal goals are addressed and supported by staff. One resident spoken with said “I have a fiancé and plan to get married and move to my own flat at the end of the year”, “I get plenty of advice and support from staff and am saving up my money”. The same resident said they go shopping at Ashford on their own and does cooking, household chores and their own washing. Another resident spoken with said they also do cooking with supervision and their own washing, ironing and housework. Comment from resident was “excellent staff I get plenty of encouragement and they are always there for me”. Anderida DS0000023151.V303868.R01.S.doc Version 5.2 Page 9 Permission was sought from residents to view confidential information in care plans and all records were securely stored. Anderida DS0000023151.V303868.R01.S.doc Version 5.2 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 the following standard(s): 11, 12, 13, 14, 15, 16, 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents benefit from having opportunities for personal development and appropriate relationships outside of the home. They enjoy a healthy diet of their own choosing. EVIDENCE: Residents attend the Martello day centre three days per week where they do art projects and numeracy and literacy. One resident does paid work at the centre one day per week. Two residents are enrolled to attend a local college, one in September 2006 and the other in April 2007. Residents spoken with mentioned holidays they have had at Butlins and Dymchurch and of going to a concert at Leeds Castle. Residents decide for themselves the interests they wish to pursue in the community and staff support them in their interests. One resident said they like going to boot fairs and shopping in Ashford. Residents are being supported in developing and maintaining intimate personal relationships with input from specialists where Anderida DS0000023151.V303868.R01.S.doc Version 5.2 Page 11 necessary and attend a Women’s group meeting. Residents choose their own menus, shop for produce and cook meals for each other. Anderida DS0000023151.V303868.R01.S.doc Version 5.2 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 the following standard(s): 18, 19, 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ physical and emotional needs are met and they are protected by the homes policies and procedures for dealing with medication. EVIDENCE: Care plans examined evidenced that residents receive personal support in the way they require and that any health issues where appropriate are referred to other relevant healthcare professionals. One resident controls their own medication and appropriate assessments have been conducted. Staff support residents who are unable to control their own medication and have received appropriate training in the safe handling of medication. The manager stated that staff competency around medication issues is reviewed during supervision, records viewed supported this. Medication was seen to be securely stored and compliant with relevant guidelines. Records examined were legible and complete. Anderida DS0000023151.V303868.R01.S.doc Version 5.2 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 the following standard(s): 22, 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents know their views are listened to and acted upon and they are protected from abuse, neglect and self-harm. EVIDENCE: The manager stated there had been no complaints since the last inspection. Residents spoken to said they had no difficulty in raising concerns with staff and that staff listened to them. All staff have attended training around adult protection issues and further training that covered self injurious behaviour and self harm. Suitable arrangements are in place to protect residents’ finances. Anderida DS0000023151.V303868.R01.S.doc Version 5.2 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 the following standard(s): 24, 25, 28, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a homely, comfortable and safe environment with adequate personal and communal space. The home is clean and hygienic. EVIDENCE: The standard of the environment is generally good and reasonably maintained with comfortable furniture. A new wash hand basin has been fitted in the kitchen as required by the Environmental Health Officer. The manager stated that windows in the building are to be replaced as part of the development plan for the home. Bedrooms viewed were of a good size and reflected the interests and lifestyles of individuals. Residents spoken with said they were happy with their rooms and eager to show their displays to the inspector. There is a reasonable size lounge and additional conservatory with large gardens that surround the building. At the time of the visit the home was clean and tidy with no offensive odours. Anderida DS0000023151.V303868.R01.S.doc Version 5.2 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 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): 32, 33, 34, 35, 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from having a competent and effective staff team in the home who are well supported and supervised. EVIDENCE: There is a stable staff team in the home and records evidenced that core training is ongoing and up to date. The NVQ level 2 award or above is held by 60 of the staff team. Records indicated that supervision of staff takes place on a six weekly basis and appraisal annually. There are robust recruitment practices in place to protect residents and all CRB checks have been carried out along with two satisfactory references. Residents spoken with confirmed that staff effectively meet their individual and joint needs. Anderida DS0000023151.V303868.R01.S.doc Version 5.2 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 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, 39, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a well run home where their health, safety and welfare is promoted and protected. EVIDENCE: Residents and staff spoke positively about the leadership and management approach of the home. Residents are involved in the day to day running of the home and influence the allocation of staff on rotas to meet their requirements. It was evident through observation that the relationship between staff and residents is of a positive nature. Health and safety audits are conducted monthly and all checks required under current regulations and legislation are in place. Anderida DS0000023151.V303868.R01.S.doc Version 5.2 Page 17 The manager is qualified and experienced and has a clear vision of the aims and objectives of the home. The manager stated that a recommendation from the last inspection to ensure records related to residents are signed and dated, has now been complied with. Anderida DS0000023151.V303868.R01.S.doc Version 5.2 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 Standard No Score 1 X 2 3 3 X 4 X 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 X 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 3 3 3 LIFESTYLES Standard No Score 11 4 12 3 13 3 14 3 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 Anderida DS0000023151.V303868.R01.S.doc Version 5.2 Page 19 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 Anderida DS0000023151.V303868.R01.S.doc Version 5.2 Page 20 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. 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