Inspection on 30/01/07 for Andora House

This inspection was carried out on 30th January 2007.

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

Andora House 13/12/05

Andora House 23/08/05

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 Andora House 6 Albert Road Margate Kent CT9 5AN Lead Inspector Wendy Gabriel Key Unannounced Inspection 30th January 2007 09:30 Andora House DS0000023157.V306913.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 Andora House DS0000023157.V306913.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. Andora House DS0000023157.V306913.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Andora House Address Andora House 6 Albert Road Margate Kent CT9 5AN 01843 230857 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 Anne Dorothy Smith Mrs Anne Dorothy Smith Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Andora House DS0000023157.V306913.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th September 2002 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 is a terraced property close to the sea front in a residential area of Margate. The home is within short walking distance of amenities 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. Fees are £323.01p Andora House DS0000023157.V306913.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Registered Provider/manager was the only person on the premises at the time of the unannounced inspection. There are two Service Users who have lived at the home for about 9 years. Both were at the nearby day centre. Because of refurbishment, including new w.c.s and bathroom areas, the home was in some disarray as various items had been moved into different areas to allow for work to be undertaken. This did not compromise the safety and welfare of the Service Users and the home was clean and hygienic. An accompanied tour of the premises was undertaken and some records viewed. The Registered Provider discussed various issues with the Inspector. Due to a difficult and personal situation for the Registered Provider and her family late last year some updating to various records had not been completed. Despite this setback the Service Users received and continue to receive a varied selection of activities and outings and are included as part of the family. The Registered Provider stated that she would not be filling the current vacancy nor would she be offering care to any further Service Users. What the service does well: What has improved since the last inspection? What they could do better: Once the rebuilding/refurbishment is complete the home will be less cluttered. The general upheaval has meant medication is not in the usual locked situation but in a temporary, lockable cupboard. The Registered Provider agreed to put a daily record for individual Service Users in their files for recording meals taken. Items such as healthcare appointments that are recorded otherwise in a diary and are not instantly accessible are also going to be included in the care plans. The care plans are to be reviewed. Andora House DS0000023157.V306913.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Andora House DS0000023157.V306913.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 Andora House DS0000023157.V306913.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. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users have received an assessment that identifies their needs. EVIDENCE: Both Service Users have lived in the home for approximately 9 years and care plans have identified their needs and choices. Further inspection of this standard was not undertaken as the Registered Provider stated that she would not be taking any more Service Users. A previous inspection stated that suitable information is available about the home for prospective Service Users and their families. Andora House DS0000023157.V306913.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans reflect Service Users needs and choices. Service Users are enabled to make decisions about their own lives. Service Users are enabled to take risks as part of an independent lifestyle. EVIDENCE: One care plan was viewed and although the contents were basic, included picture diagrams for the individual Service User to be able to understand different aspects of their care such as making choices about their activities, meals and leisure time. Reviews have not been regularly made and the Registered Provider said that the family/staff would be aware of changes but agreed to update the plans. Andora House DS0000023157.V306913.R01.S.doc Version 5.2 Page 10 A picture format in the care plans is simple to understand and assists Service Users to describe if they enjoy any particular activity. The Registered Provider also lives on the premises and the Service Users live as part of the family. Risk assessments are undertaken. One Service User had been enabled to travel to the local shop by encouraging and promoting confidence in travelling alone. This is good practice. The Registered Provider stated that obtaining care management support has been very difficult and at best she has a telephone number for the duty officer if required. Records confirmed that no care management review had been undertaken. This had been reported at an earlier inspection. Andora House DS0000023157.V306913.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users are encouraged to take part in age appropriate activities. Service Users take part in community activities. Family contact is encouraged and welcomed. Service Users rights are respected. Meals are varied and are chosen daily by Service Users. EVIDENCE: Activities are varied and there was recorded evidence of different activities offered at the day centre. These include horticulture, cycling, swimming, bowling, art and drama. Photographs and certificates of achievement were Andora House DS0000023157.V306913.R01.S.doc Version 5.2 Page 12 seen that showed the enjoyment attending a drama group had brought to the Service Users. Personal items in bedrooms indicated the variety of interests of the individual Service Users. Families are welcomed and the Registered Provider talked about the outings some family members had expressed a wish to join in with. The Service Users has his or her own chosen times for getting up and going to bed respected. Meals are chosen daily by Service Users and the Registered Provider said that it depended on how each Service Users felt at the end of their day. For this reason a structured menu was not used. The Registered Provider agreed to record meals taken daily. The Inspector reminded the Registered Provider that she could access a nutritionist for advice should she feel this was appropriate at any time for the Service Users. Andora House DS0000023157.V306913.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. 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. Personal care is offered in a way that promotes independence. Health care needs are met. Medication systems meet guidelines. EVIDENCE: A picture format in care plans is available for Service Users to choose what support they receive. Personal assistance is given that meets individual assessed needs. The home has adequate w.c.s, shower and bathing facilities on all floors of the house that enables privacy and choice. Records confirmed that health care needs are maintained and appointments with Health care professionals are made. Andora House DS0000023157.V306913.R01.S.doc Version 5.2 Page 14 Medication was recorded and whilst the refurbishment is underway has been stored in a lockable cupboard. The Registered Provider confirmed that a lockable cupboard is to be fitted in a locked area when the work is completed. There was no evidence of excess medication being kept. The Registered Provider said that it had been difficult to get the pharmacist to provide a ready filled pack system because only one Service User had medication. Medication administration is recorded. Andora House DS0000023157.V306913.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. JUDGEMENT – we looked at outcomes for the following standard(s): 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users are protected from abuse by policies and staff training. EVIDENCE: All the members of staff in the home have obtained NVQ4 and have undertaken adult protection training within this as well as having adult abuse polices provided by the local authority. A complaint procedure is available. Although the Service Users were not available to speak to, the Registered Provider said that the day centre provided other people that they could confide in should they wish to raise a concern. No concerns or complaints had been received since the previous inspection. Andora House DS0000023157.V306913.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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users live in a homely environment. The home is clean and hygienic. EVIDENCE: The Service Users live as part of the family and the Registered Provider lives in the house. The home was fairly chaotic at the time of the inspection because of refurbishment especially of some w.c.s and bathroom. Furniture and possessions had been stored in different rooms and made the place look cluttered. But everywhere was clean and hygienic and was not unsafe for staff, Service Users or visitors. Andora House DS0000023157.V306913.R01.S.doc Version 5.2 Page 17 Furniture and furnishings were domestic in style and contributed to the homely atmosphere. There were many pictures and ornaments all around the home and bedrooms were individual and contained personal items. The Registered Provider has a large and friendly pet dog that is very much part of the family home. The laundry area has suitable machines for reaching recommended temperatures. The small paved garden at the rear will be pleasant for Service Users to sit in once the building work rubbish has been cleared. The Registered Provider confirmed that progress is being made and that all the clearances and replacing the furniture to its rightful place will be taken as soon as the work is completed. Andora House DS0000023157.V306913.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Competent and qualified staff supports Service Users. The staff has all been CRB checked. All staff are NVQ4 qualified. EVIDENCE: There was evidence of NVQ4 training records for all three members of staff who are family members and of other training certificates in the home. To have achieved level 4 NVQ for 100 staff is very good practice. There are no external members of staff. Only the Registered Provider/manager was available to speak to and she confirmed that the family worked together to ensure Service Users were fully supported. The Registered Provider lives in the home and the remaining family live next door. A copy of the GSCC code of conduct was seen in the home. Andora House DS0000023157.V306913.R01.S.doc Version 5.2 Page 19 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. 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. Quality assurance practice ensure Service Users views are listened to and acted upon. Health and safety is promoted by maintenance and policies and procedures. EVIDENCE: The Registered Provider has provided picture questionnaires for the Service Users and said she was planning the next one soon. The questionnaires ask about all aspects of daily living and activities in a simple and easy to understand format. Information is locked and confidential. Andora House DS0000023157.V306913.R01.S.doc Version 5.2 Page 20 Maintenance certificates were in date and the Registered Provider agreed to forward a copy of the next gas inspection certificate to the Inspector as the previous maintenance check had not provided a suitable certificate. The fire book was in order and up to date. Andora House DS0000023157.V306913.R01.S.doc Version 5.2 Page 21 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 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 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 2 X Andora House DS0000023157.V306913.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No 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. 1 2 Refer to Standard YA42 YA6 Good Practice Recommendations A copy of the next gas maintenance certificate to be sent to the Inspector. Care plans to be reviewed to assess any changing needs. 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