Inspection on 02/05/07 for Avalon Residential Home

This inspection was carried out on 2nd May 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

Avalon Residential Home 11/10/05

Avalon Residential Home 21/06/05

Avalon Residential Home 02/02/05

Avalon Residential Home 21/10/04

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 Avalon Residential Home Sexburga Drive Minster On Sea Sheerness Kent ME12 2LF Lead Inspector Graham Cummings Unannounced Inspection 2nd May 2007 09:00 Avalon Residential Home DS0000023808.V330948.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 Avalon Residential Home DS0000023808.V330948.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. Avalon Residential Home DS0000023808.V330948.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Avalon Residential Home Address Sexburga Drive Minster On Sea Sheerness Kent ME12 2LF 01795 877289 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 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.V330948.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Residents receiving care will be over 19 years of age Date of last inspection 11th October 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. The fees range from £650 to £850 per week. Avalon Residential Home DS0000023808.V330948.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes first Key Inspection under Inspecting for Better Lives. The inspection consisted of looking through past inspection reports, a completed Pre Inspection Questionnaire, discussions with the manager, three people living at the home and a tour of the property. The home is registered for three people and all present people living there have done so for the last 12 years, they commented that they like living there, ‘we all go into town if we want by ourselves’ ‘I can do anything I want’ and ‘Barrie and Eve are brilliant’. The home was clean and in good decorative order throughout with ample communal space to complement personal areas. The garden was well laid out with a patio and BBQ area and small seating areas in secluded parts of the garden. The evidence gathered showed the home to be providing excellent quality care and support that allowed people living at the home to be as independent as possible in a supportive environment. The Manager is pursuing training in NVQ Level 4 and RMA although this has not detracted from the quality of service provided to people living at the home. What the service does well: What has improved since the last inspection? What they could do better: The Manager was pursuing training for their NVQ level 4 and RMA but due to personal family illness has not been able to follow this through. The Manager will restart this process again. It must be stated that evidence shows that this does not appear to have detracted from the quality of the service provided. Avalon Residential Home DS0000023808.V330948.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. Avalon Residential Home DS0000023808.V330948.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 Avalon Residential Home DS0000023808.V330948.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. The home has admission policies and procedures in place should they be required. EVIDENCE: There have been no new admissions to the home for almost twelve years. The home has policies and procedures in place to follow should they be required in the future. Avalon Residential Home DS0000023808.V330948.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): 6,7,8,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home have their changing needs assessed in their individual plan and are consulted and make decisions in their daily life. EVIDENCE: People living at the home were able to show copies of their individual care plans that they had in their bedroom, one person went through theirs and explained what it contained and how they had been involved in agreeing it. All of the paperwork seen was signed by the individual concerned and had been updated and evaluated. Risk assessments were in place and covered independent travel into Sheerness by local transport. Regular meetings take place, usually on a Sunday morning after breakfast, where discussions about the previous week and forthcoming week are gone through, plans for holidays are also discussed and everyone has recently returned from a holiday on the Red Sea. Avalon Residential Home DS0000023808.V330948.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. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,15,16,17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People living in the home participate in appropriate activities and are part of the local community. Individuals rights are respected with family contact at the discretion of the individual. Meals are wholesome and nutritious EVIDENCE: People living at Avalon attend the local Day Centre various days of the week and one person works in a chemist in Sheerness a couple of days a week. Activities at the Day centre include cooking, woodwork and outings to do swimming, boating, air ballooning and bowling. The home has a good sized garden with several garden sheds, one of these has been made into a small woodwork area so that the individual can use it at weekends and Bank Holidays. The home has a computer for people to use including access to the internet where some research has been done on possible holiday venues. Avalon Residential Home DS0000023808.V330948.R01.S.doc Version 5.2 Page 11 Over the past five years the home have gone on holiday to Florida, Gambia and this year chose to go to the Red Sea area where they had an excellent time. Comments from people living at the home included, ‘we go on holiday every year and abroad every two years’ ‘it’s great living here’ and ‘I enjoy the food, it’s really good’. People living in the home are known and seen as part of the local community, they are recognised in the local pubs and shops and often stopped in town by people who know them. The lifestyle is as the people living at the home require, they are fully involved in the daily decision making about their lives and can choose and participate in daily activities of their choice. One person works in a chemist in Sheerness and is seen as a trusted and valued member of the shop staff team. People living at the home are included in shopping, menus and purchasing of clothes. The menu was seen, this had been chosen by the people living at the home and manager at their Sunday morning meeting. Avalon Residential Home DS0000023808.V330948.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. 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. People living at the home receive the support they require in their preferred manner and have their health needs met. EVIDENCE: People living at the home are all registered with a local Doctor, Dentist and Optician of their choice, a record of visits is kept with the reason and outcome. All of the people living at the home are able to communicate their needs and wishes and request any support they require and how they would like it to be delivered. Having lived at the home for over twelve years the routines and likes and discounts of the individuals living at the home are well known and part of daily life. One person keeps an inhaler in their bedroom in a locked cabinet, the person keeps a daily record of when they have taken it as does the Manager. Avalon Residential Home DS0000023808.V330948.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. 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. People living at the home have their views listened to and they are protected from abuse. EVIDENCE: The home has not received any complaints, concerns or allegations and there have been no Regulation 37 notifications. The Manager has attended Protection of Vulnerable Adults training and the people living at the home confirmed in conversation that they have no concerns about living at the home, comments received included ‘it’s great living here’ ‘it’s my home’ and ‘Eve and Barrie are great and I can talk to them anytime’. Avalon Residential Home DS0000023808.V330948.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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People living at the home have large comfortable and spacious communal areas that are clean and complement their individual space. EVIDENCE: The Manager has recently had the kitchen totally refurbished and had new tiled flooring laid in the kitchen and utility room. New garden furniture has also been purchased that gives even greater seating areas in the well maintained and spacious garden. The people living at the home said they were proud of their home and they had space and privacy if they wanted it. The home has a large lounge and separate dining area, covered outdoor area and numerous secluded seating areas around the garden to complement individuals private space. Two bedrooms were seen and both contained quality furnishings and personal belongings were on display including photographs, ornaments, posters and personal certificates of achievement. Avalon Residential Home DS0000023808.V330948.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. 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. People living at the home have competent, trained, supportive and consistent staff approach. EVIDENCE: The home does not employ any staff apart from the Owner/Manager and partner. They have supported the people living at the home for over twelve years and are aware of the individuals daily needs and requirements. Care plans and risk assessments are in place that encourage and support people in leading an independent a life as possible. Training has taken place since the last inspection has included, First Aid, Food Hygiene, POVA and Fire. Training in Risk Assessment and Manual Handling is planned for later this year. Avalon Residential Home DS0000023808.V330948.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. 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. EVIDENCE: The Manager has been in post since the home opened and the current people living at the home have been there for over twelve years. They do not have an NVQ level 4 or RMA but this has not detracted from the quality of care and support given to the people living at the home and it is very well managed. The lifestyle is as the people living at the home require, they are fully involved in the daily decision making about their lives and can choose and participate in daily activities of their choice. Regular Sunday morning meetings are held to discuss the previous week and following weeks activities. People living at the home indicated that the Manager and partner were ‘excellent’. Quality Assurance questionnaires are sent out yearly and 2007’s were returned with positive feedback. Avalon Residential Home DS0000023808.V330948.R01.S.doc Version 5.2 Page 17 The health, safety and welfare of the people living at the home are promoted and protected by the Manager. Avalon Residential Home DS0000023808.V330948.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 X 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 4 25 4 26 4 27 3 28 4 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 4 12 4 13 3 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 3 X X 3 X Avalon Residential Home DS0000023808.V330948.R01.S.doc Version 5.2 Page 19 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. Refer to Standard YA37 Good Practice Recommendations That the Manager/Provider gain their NVQ 4 in Care and Registered Managers Award as soon as possible. Avalon Residential Home DS0000023808.V330948.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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.V330948.R01.S.doc Version 5.2 Page 21 - 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. 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