Inspection on 23/08/05 for Andora House

This inspection was carried out on 23rd August 2005.

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

Andora House 30/01/07

Andora House 13/12/05

Andora House 29/10/04

Similar services:

Insight - Eastchurch

Southfields

Thorndene

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 Andora House 6 Albert House Margate Kent CT9 5AN Lead Inspector Liz Hendry Announced 23/08/2005 at 9:30Hrs 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. Andora House H05 H56 S23157 Andora House V238852 23082005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Andora House Address Albert Road, Margate, Kent, CT9 5AN 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) 01843 230857 Mrs Anne Dorothy Smith Mrs Dorothy Smith Care Home 3 Category(ies) of Learning Disability registration, with number of places Andora House H05 H56 S23157 Andora House V238852 23082005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: No Date of last inspection 29th october 2004 Brief Description of the Service: Andora House provides residential care for up to three people who require varying degrees of assistance due to their learning disabilities. The home comprises of a terraced property adjavent to the sea front in a residential area of Margate. The home is within short walking distance of ammenities such as rail and bus services, health centre, shops, churches and library. Staffing comprises of a Registered Owner/Manager and other family members, the residents live as part of a family. Andora House H05 H56 S23157 Andora House V238852 23082005 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes first annual announced inspection, which took place during the course of a day. A tour of the home was undertaken and service users spoken to. At the time of inspection there were two service users living at the home. What the service does well: What has improved since the last inspection? What they could do better: Andora House H05 H56 S23157 Andora House V238852 23082005 Stage 4.doc Version 1.40 Page 6 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. Andora House H05 H56 S23157 Andora House V238852 23082005 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 Andora House H05 H56 S23157 Andora House V238852 23082005 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, and 2 The homes statement of purpose and service user guide are excellent. They provide service users and prospective service users with the information they need to make a decision about moving into the home. Service users moving into the home know that their personal needs and aspirations will be fully met and supported. EVIDENCE: The homes service users guide and statement of purpose were viewed and found to contain all required information. The service user guide was written in an appropriate format for the needs of the service users. Service users currently residing at the home have lived there for many years and as a result have a clear understanding as to the facilities and services available to them. Service users spoken to were very happy living there and spoke favourably about the owner and family members and facilities available to them. Individual needs assessments were viewed for both residents, the registered owner/manager confirmed that prior to admission into the home a comprehensive assessment was undertaken to determine suitability and provide assurance to the service users that their individual needs could be fully met. One service users spoke of having everything they need they just have to ask. Andora House H05 H56 S23157 Andora House V238852 23082005 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 and 9 The care planning system is clear and consistent, providing staff with the information they need to meet the service users needs. Service users are provided with support and information to make decisions and take measured risks. EVIDENCE: Individual care plans were viewed for both service users, information contained within the plans were clear, consistent, and provides the family members with the information they need to ensure the needs of service users are fully met. Evidence of regular review was present in both care plans. Service users spoken to said that they are involved in all aspects of the home, and have recently chosen what college courses they would like to take in the forthcoming term. The Registered Owner spoke of treating the service users as a member of the family, and that no restrictions on using the facilities within the home are in place. Risk assessments viewed identified that service users are encouraged to take an acceptable level of risk. Needs assessments confirmed that individual risks and limitations are identified prior to admission into the home. Andora House H05 H56 S23157 Andora House V238852 23082005 Stage 4.doc Version 1.40 Page 10 Andora House H05 H56 S23157 Andora House V238852 23082005 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) 12,13,15,16 and 17 Links with the community are good, which support and enrich service users social, recreational and educational opportunities. Service users are fully supported and encouraged to maintain personal and family relationships. The meals in this home are good offering both choice and variety and catering for special diets. EVIDENCE: The registered manager/ owner spoke of the service users being involved and attending various community based activities and interests. A wide range of activities, excursions and holidays are undertaken on a regular basis, individuals are encouraged to express particular interests and preferences at every opportunity. Within the home there is a variety of entertainment available. Service users spoke of attending the local day centre and college to take part in gardening, computers, woodwork and drama. Andora House H05 H56 S23157 Andora House V238852 23082005 Stage 4.doc Version 1.40 Page 12 Certificates were on display within the home of the resident’s achievements in these areas. Service users families are made welcome at the home at any time. Family members spoke of service users complementing meals on a daily basis and that where appropriate service users are encouraged to assist in the preparation of lunch and snacks. Menus viewed illustrated a variety of nutritious foods, with choices being offered at all meal times. Andora House H05 H56 S23157 Andora House V238852 23082005 Stage 4.doc Version 1.40 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 standard(s) 18,19 and 20 Personal care is offered in a way that protects service users privacy and dignity and promotes independence. Service users health care needs are fully met. Systems in place for the storage, administration and recording of all medication within the home are good. EVIDENCE: Individual care plans identified the level of support each service user requires in order to maintain independence and privacy. Family members spoke of supporting service users without impinging their personal space. Aids have been fitted to the ground floor bathroom to assist service users independence in bathing and dressing. Service users have been supported in creating individual styles with regards to dress and appearance. Records viewed confirmed that health care needs of both residents are fully met; any problems identified are quickly addressed. Medication is recorded, administered and stored in line with the Royal Pharmaceutical Guidelines of Great Britain. Medication is regularly reviewed with the assistance of the GP. Medication administration records were found to be in order. Andora House H05 H56 S23157 Andora House V238852 23082005 Stage 4.doc Version 1.40 Page 14 Andora House H05 H56 S23157 Andora House V238852 23082005 Stage 4.doc Version 1.40 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 standard(s) 22 and 23 Service Users know that their complaints will be listened to and acted on. The Registered Owner and family members have an excellent understanding of Adult Protection issues, which protects Service Users from possible abuse. EVIDENCE: The homes complaints policy and procedure is located within the service user guide and within the policies and procedures file. It was written in a format suitable for the current residents. Service users spoken to said that should they have a complaint they would feel able to speak directly to the family members. The Registered Owner added that because the residents attend outside activities they are also able to raise any problems with staff at day centres and college. Family members spoken to had a comprehensive understanding of adult protection issues and procedures to follow should the need arise to report possible abuse. Training certificates viewed identified that every member of the family involved in the care of service users have attended abuse awareness and adult protection. Andora House H05 H56 S23157 Andora House V238852 23082005 Stage 4.doc Version 1.40 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 standard(s) 24 and 30 The standard of the environment is good providing Service Users with an attractive and homely place to live. EVIDENCE: A tour of the home was undertaken, a good standard of decoration and furnishing was found throughout the home. Fixtures and fittings were domestic in nature. To the rear of the property there is a small garden area, which provides additional seating and living space for the residents. The Registered Owner confirmed that the residents are encouraged to treat the home as their own and are therefore able to access all areas of the home. The residents within the home were seen to have personalised their bedrooms and take great pride in maintaining the cleanliness of their bedrooms. The Registered Owner and family member spoken to confirmed they had attended infection control training while undertaking their NVQ Level 4 in Care. The home was free from any offensive odours and was found to be thoroughly clean throughout. Andora House H05 H56 S23157 Andora House V238852 23082005 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32 and 34 The family members have a good understanding of Service Users support needs. This is evident from the positive relationships, which have formed between the family and service users. Recruitment procedures are adhered to ensuring that service users only receive care and support from appropriately vetted staff. EVIDENCE: Staff training records were viewed, certificates for a wide variety of courses relevant to the service user group were present. The Registered Owner/Manager and both family members involved in the care of service users have successfully completed NVQ Level 4 in Care and Management. Staff spoken to had a sound understanding as to the needs of each of the residents. The home has built constructive relationships with healthcare professionals; this was evident from records viewed. 100 of staff are NVQ qualified, certificates were viewed. Of the three members of the family involved in the care of the residents, all have had enhanced criminal bureau checks. A copy of the GSCC code of conduct was seen within the home. At the time of the inspection no external staff were employed by the home. Andora House H05 H56 S23157 Andora House V238852 23082005 Stage 4.doc Version 1.40 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 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) 39 and 41 Quality Assurance policies and procedures within the home are good, ensuring individual views are listened too and acted upon. The management of the home is good overall and records are managed effectively. EVIDENCE: The Registered Owner spoke of developing daily records for all service users that document the individual’s daily activities, meals and medication. Individual files viewed supported this. All information pertaining to service users is kept locked and secure. The Registered Manager confirmed that should a resident request to see their individual files, support would be given in understanding the contents. The Registered Owner confirmed that the home issues an annual quality assurance questionnaire to residents, relatives and visitors to the home. Andora House H05 H56 S23157 Andora House V238852 23082005 Stage 4.doc Version 1.40 Page 19 Andora House H05 H56 S23157 Andora House V238852 23082005 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 4 4 x x x Standard No 22 23 ENVIRONMENT Score 3 4 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 4 3 3 Standard No 31 32 33 34 35 36 Score x 4 x 3 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Andora House Score 4 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x 3 x x H05 H56 S23157 Andora House V238852 23082005 Stage 4.doc Version 1.40 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. 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 Andora House H05 H56 S23157 Andora House V238852 23082005 Stage 4.doc Version 1.40 Page 22 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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