Inspection on 18/01/06 for Anderida

This inspection was carried out on 18th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Anderida 04/09/07

Anderida 16/08/06

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 Julian Graham Unannounced Inspection 18th January 2006 13:30 Anderida DS0000023151.V263521.R01.S.doc Version 5.0 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.V263521.R01.S.doc Version 5.0 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.V263521.R01.S.doc Version 5.0 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) zinderida@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.V263521.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 3 People with learning disabilities aged over 18 years of age. Date of last inspection 31st August 2005 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. Anderida DS0000023151.V263521.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and started at 13.30 and lasted around three and a half hours. All three residents were spoken with, two of whom in the privacy of their rooms. One of the residents chose not to speak to the inspector on her own. Staff were observed in their interactions with residents. Time was spent with the manager when the residents went out with the two care staff on duty, in discussing the management of the home and looking at some documentation. Some of the environment was looked at briefly. What the service does well: What has improved since the last inspection? What they could do better: A wash hand basin in the kitchen as required by the Environmental Health Officer still needs to be fitted. A company representative advised the manager by telephone on the day of the inspection that the basin would be fitted within one week. Whilst the environment generally is comfortable and homely, some Anderida DS0000023151.V263521.R01.S.doc Version 5.0 Page 6 areas are now looking a little shabby in places and would benefit from attention. It is recommended that the windows be replaced. In order to ensure residents’ safety, there needs to be a record of an assessment of staff competence in handling and administering medication. 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.V263521.R01.S.doc Version 5.0 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 Anderida DS0000023151.V263521.R01.S.doc Version 5.0 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): 2 Systems are in place for the thorough assessment of prospective residents’ needs and aspirations. EVIDENCE: No new residents have been admitted since the last visit. However, as required from the last inspection, a comprehensive Needs Assessment form is now available for use when assessing the needs of prospective residents. Anderida DS0000023151.V263521.R01.S.doc Version 5.0 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 There is an excellent care planning system in place which provides staff with the information they need to meet residents’ needs. Residents are given good support to make decisions and are offered opportunities to participate in the life of the home. EVIDENCE: Previous inspections revealed that an excellent care planning system is in place, with regular and effective monitoring and review. A small sample was briefly viewed on this occasion, confirming these high standards. One resident said the manager was talking to her before the inspector’s arrival about her goals. It remains a recommendation that all documentation, including any guidelines on managing behaviours, is signed and dated. Risk assessments are also in place and are being regularly monitored. In order to help prepare one of the residents to move on to more independent living later on, arrangements are now in place for this person to spend some time in the home on her own. A risk assessment has been prepared in support of this. The resident said she knows what to do if there was an emergency when she is on her own, including calling the fire brigade where necessary. Residents continue to be given support and encouragement to make decisions for themselves. One resident said, “Staff help me make decisions.” This person Anderida DS0000023151.V263521.R01.S.doc Version 5.0 Page 10 said that she has decided for the present for staff to continue supporting her in managing her money. Residents said that they remain fully involved in all the routine household chores, like cleaning, doing the washing and so on. Anderida DS0000023151.V263521.R01.S.doc Version 5.0 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): 11,12,15,16 Personal development remains a primary focus of the home. EVIDENCE: The two residents who spoke to the inspector privately, said they are receiving a lot of support from staff to maintain and develop their independent living skills. One resident is receiving much help and support from staff in planning for a major life change, which has involved assessments by a range of social and health care specialists. This person is attending an advocacy group and also a Women’s group for further support, and plans to meet with an independent advocate to take the matter a stage further are underway. This process has involved the resident needing to make a number of important choices, and she said that, “staff are helping me with this a lot.” Residents are being supported in developing and maintaining intimate personal relationships with input from specialists where necessary, and there was good photographical guidance in the care plan of one of the residents in this regard. Residents decide how they spend their time, which during the day can involve working in and attending the company’s day centre. One resident is attending college for part of the week, and another resident on the day of inspection attended an interview for a voluntary position in a shop in a nearby town. Anderida DS0000023151.V263521.R01.S.doc Version 5.0 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): 20 The assessment of staff competence in handling and administering medication needs to be properly recorded. EVIDENCE: Medication was examined on the last inspection and suitable arrangements were found to be in place. On this occasion, whilst the manager said that the competence of staff in handling and administering medication has been assessed, there was no documentary evidence in support of this. A requirement is made in the report to address this. Anderida DS0000023151.V263521.R01.S.doc Version 5.0 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 Residents know their complaints will be listened to and acted upon. Residents are being protected from abuse. Safe systems are in place for the handling of residents’ monies. EVIDENCE: The manager said that no complaints have been made since the last inspection. A separate form is now available to record any complaints made, to comply with Data Protection legislation and to ensure confidentiality. Residents spoken with said they would be comfortable in making a complaint. One resident said, “Staff do listen.” The company’s policy and procedure on abuse is essentially good, although some minor amendment, as discussed, is necessary for greater clarity. A whistle blowing policy in line with the DOH guidance “No Secrets” is in place. The training matrix shows that all staff have attended training on abuse. The home’s policy and practice regarding residents’ monies was examined, and suitable arrangements are in place. Anderida DS0000023151.V263521.R01.S.doc Version 5.0 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): 24,26,28,30 The standard of the environment is generally good within the home providing residents with an attractive, comfortable and homely place to live. EVIDENCE: The environment was not examined in detail on this occasion. Time was spent with the residents and the manager in the lounge, which whilst being acceptable, would nonetheless benefit from freshening up. The manager has noted some minor attention needed in some areas, such as wallpaper peeling in the hall. Reasonable standards are nonetheless being maintained generally. There are plans, the manager said, for the windows to be replaced. The two bedrooms viewed were attractive and individually personalised. The premises was clean and at a comfortable temperature. Anderida DS0000023151.V263521.R01.S.doc Version 5.0 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): 33,35,36 The staff is settled, well trained and supported, and of sufficient numbers to meet residents’ needs. EVIDENCE: The deputy manager and a support worker were supporting residents in the community for most of the inspection, and were only spoken with briefly on this occasion. Residents were interacting with them comfortably and well. There have been no staff changes since the last inspection, making for a stable and settled staff team. Staffing numbers and deployment is sufficient to meet residents’ needs. Training records show that staff are accessing courses relevant to their work, and that training in core areas is being kept up to date. The manager has a good method of ensuring that staff training requirements are identified and planned for. Records show that staff have their annual appraisal and regular one to one supervision. Anderida DS0000023151.V263521.R01.S.doc Version 5.0 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): 37,38,41 Residents are continuing to benefit from a well run home. EVIDENCE: The manager is qualified and experienced and is ensuring that the aims and objectives of the home are being realised, and that residents’ needs are met. Residents spoke positively about the manager and staff, and the atmosphere was welcoming and friendly. It was evident through observation that relations between staff and residents are very good. Regulation 26 monitoring visits are including discussion with residents as required from the last inspection. It is a recommendation of this report that records relating to residents are signed and dated. Anderida DS0000023151.V263521.R01.S.doc Version 5.0 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 4 3 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x 3 x 3 x 3 LIFESTYLES Standard No Score 11 4 12 3 13 x 14 x 15 3 16 x 17 Standard No 31 32 33 34 35 36 Score x x 3 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Anderida Score x x 2 x Standard No 37 38 39 40 41 42 43 Score 3 3 x x x x x DS0000023151.V263521.R01.S.doc Version 5.0 Page 18 yes 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 YA20 Regulation 13 Requirement Staff competence on handling and administration of medication to be assessed and suitably recorded. Wash hand basin to be fitted in the kitchen, as required by Environmental Health Officer. (Timescale of 31/03/05 not met.) Timescale for action 18/02/06 2 YA30 13 01/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard YA24 YA41 Good Practice Recommendations Windows to be replaced. Documents relating to residents to be signed and dated. Anderida DS0000023151.V263521.R01.S.doc Version 5.0 Page 19 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 Anderida DS0000023151.V263521.R01.S.doc Version 5.0 Page 20 - 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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