CARE HOME ADULTS 18-65
Avalon Residential Home Avalon Sexburga Drive Minster On Sea Sheerness Kent ME12 2LF Lead Inspector
Graham Cummings Unannounced Inspection 12th October 2005 1:30 Avalon Residential Home DS0000023808.V257938.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 Avalon Residential Home DS0000023808.V257938.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. Avalon Residential Home DS0000023808.V257938.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Avalon Residential Home Address 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) Avalon Sexburga Drive Minster On Sea Sheerness Kent ME12 2LF 01795 877289 Mrs Evelyn Iris Marchington Mr Barrie Michael Marchington Mrs Evelyn Iris Marchington Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Avalon Residential Home DS0000023808.V257938.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Residents receiving care will be over 19 years of age Date of last inspection 21st June 2005 Brief Description of the Service: Avalon is a Home for three adults with a learning disability. The Residents have their own room and live very much as part of the family in a large family home. The home itself is very near the coast in Minster on The Isle of Sheppy. The Residents are within easy reach of Sheerness, which affords access to local shops. Transport is by bus or taxi, there is a main line railway station in Sheerness. The home is located on an unmade road which local residents do their best to keep reasonable. The Home has a large well-maintained garden, which is enjoyed by all the Residents. The home has several cats and nine chickens; the Residents enjoy having them around and are involved in their care. Avalon Residential Home DS0000023808.V257938.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. Graham Cummings carried out the Unannounced Inspection on the 11th October 2005 arriving at 13:10, there was nobody at home and the Inspector waited and left at 14:25. The Inspector returned on the following day,12th October 2005 at 13:40 and left at 15:50 The Inspector looked through records and spoke to the Manager/Provider. The Residents were all attending the Crawford Day Centre. The home continues to run well since the last inspection. The Residents have been living at Avalon for over 11 years, since Medway was split from Kent to become a unitary authority Residents contracts had not been renewed, this has now been addressed and contracts are being drawn up following reassessments of the individual placements, this has given the home more security. The home has just carried out a Resident survey regarding the care they receive, there were no adverse comments and all 3 of the Residents wish to remain at the home. The Inspector left the home with no concerns for the health, safety or welfare of the Residents. What the service does well: What has improved since the last inspection? What they could do better:
It would appear that the Residents live their lives in the way that they want whilst still being in a safe and caring environment. Avalon Residential Home DS0000023808.V257938.R01.S.doc Version 5.0 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. Avalon Residential Home DS0000023808.V257938.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 Avalon Residential Home DS0000023808.V257938.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): 5 Residents have written contracts EVIDENCE: Since Medway split from Kent County Council to become a unitary authority, the contracts of the Residents had not been renewed, however following the persistence of the manager/Provider all of the Residents have, since the last inspection, been reassessed by the funding authority and they have now put contracts in place. Avalon Residential Home DS0000023808.V257938.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): 6,8 Residents know that their changing needs are reflected in the care plan. Residents are consulted and participate in all aspects of life in the home. EVIDENCE: Residents have recently attended their individual reviews and participated in the writing of the new care plans drawn up from the outcome of the review. Residents have also participated in a quality review survey carried out by the Manager/Provider, there were no areas of complaint or dissatisfaction from the Residents. Residents are encouraged to participate in the daily running of the home and are responsible for carrying out household chores and collection of eggs from the chickens kept at the rear of the garden. Avalon Residential Home DS0000023808.V257938.R01.S.doc Version 5.0 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): 11,12,13,14,15,17 Residents have an opportunity for personal development. Residents take part in age appropriate activities. Residents are part of the local community. Residents have contact with family and friends. Residents have a healthy and nutritious diet EVIDENCE: Residents continue to attend the Crawford Day Centre in Sheerness, 2 of them attend 5 days and 1 attends for 3 days and works at a Chemist on Mondays and Fridays. The Residents go into Sheerness at weekends by themselves using local transport and have the option to go to a local disco run by Mencap on Friday nights. The Residents are known to their neighbours and the local community and often come back from their outings with updated local information. One Resident has overnight stays with a member of their family and the two others have contact as and when they wish. Residents are offered a healthy and nutritious diet. Avalon Residential Home DS0000023808.V257938.R01.S.doc Version 5.0 Page 11 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 Residents receive personal support in the manner they prefer. Residents Physical and emotional needs are met. Residents who self medicate are protected by the homes policies and procedures. EVIDENCE: Residents had individual reviews and participated fully in the writing and updating of the care plans with their views and choices. Residents are registered with a local Doctor, Dentist and Optician of their choice in Sheerness. Since the last review lockable storage has been provided for the Resident who self medicates. Avalon Residential Home DS0000023808.V257938.R01.S.doc Version 5.0 Page 12 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): 23 Residents are protected from abuse, neglect and self harm EVIDENCE: The Manager/Provider is looking to attend an Adult Protection training course in the near future, they will contact some of the local care homes and training agencies to book a place. The Manager/Provider was informed of the new Adult Protection Protocols that have recently been produced by Kent County Council and advised to read them and ensure that the homes policies and procedures are updated to reflect any changes. Avalon Residential Home DS0000023808.V257938.R01.S.doc Version 5.0 Page 13 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): 24,30 Residents live in a homely and comfortable environment. The home is clean and hygienic. EVIDENCE: The home is spacious, clean, safe and free from any offensive odours with ample seating and separate areas for individuals to be by themselves apart from their bedroom. The garden has a seating area and at the end of the garden there is a small area sectioned off for a chicken coop. Residents participate in the collection of eggs and cleaning of the coop. Avalon Residential Home DS0000023808.V257938.R01.S.doc Version 5.0 Page 14 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): EVIDENCE: No staff are employed at the home. Avalon Residential Home DS0000023808.V257938.R01.S.doc Version 5.0 Page 15 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): 37,39,42,43 The home is well run and Residents have an input into the way this happens. Residents health, welfare and safety are promoted. Residents benefit from competent and accountable management of the service. EVIDENCE: The Residents have been living with the Providers for almost 11 years and the home is run as a normal ‘family home’. The Provider does need to complete the NVQ 4 Registered Managers Award, the Manager/Provider has assured the Inspector that this will be addressed as soon as possible on their return from holiday. The Inspector was not able to confirm with the Residents any details in the report as they were all at the Crawford Day Centre. The Inspector has no reason to believe that the Residents do not benefit from a well run home or that their rights and views are not considered in the development of the home. The Inspector felt that the Residents health, safety and welfare were promoted and protected and that the management of the home was competent. Avalon Residential Home DS0000023808.V257938.R01.S.doc Version 5.0 Page 16 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 X X X 3 Standard No 22 23 Score X 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X 3 X X Standard No 24 25 26 27 28 29 30
STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score N/a N/a N/a N/a N/a N/a CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Avalon Residential Home Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 2 X 3 X X 3 3 DS0000023808.V257938.R01.S.doc Version 5.0 Page 17 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 YA23 YA37 Good Practice Recommendations That the Manager/Provider attend an Adult protection training course as soon as possible. That the Manager/Provider gain their NVQ 4 in Care and Registered Managers Award as soon as possible. Avalon Residential Home DS0000023808.V257938.R01.S.doc Version 5.0 Page 18 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 Avalon Residential Home DS0000023808.V257938.R01.S.doc Version 5.0 Page 19 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
