Inspection on 12/09/06 for Barnabas House

This inspection was carried out on 12th September 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

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Foxley Lane (121a)

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Delrose House Ltd

Clovelly House Residential Home Ltd

Abbey Road [53]

Cherry Tree House

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Barnabas House 42 Kent Road West Wickham Kent BR4 0JP Lead Inspector Ann Wiseman Unannounced Inspection 12 September 2006 09:30 Barnabas House DS0000062303.V293687.R01.S.doc Version 5.1 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 Barnabas House DS0000062303.V293687.R01.S.doc Version 5.1 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. Barnabas House DS0000062303.V293687.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Barnabas House Address 42 Kent Road West Wickham Kent BR4 0JP 020 7403 2695 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) Mr Daniel Kofi Sunu Mr Daniel Kofi Sunu Care Home 3 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (3) of places Barnabas House DS0000062303.V293687.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection This is a new service Brief Description of the Service: Barnabas House is a domestic style home based in a semi-detached house on 3 floors close to the town centre of West Wickham. It is intended to provide medium to long term care and accommodation to people with a mental health problem in supporting them to live and work towards achieving independency within a community setting. The home has three individual bedrooms one of which is slightly under 12sq meters and the other two are over 12sq meters. There are three toilets of which two also include a shower/disabled bath facility. A stair lift operated between the ground and first floor and therefore the home has some capacity to provide a service to people who have mobility problems. Barnabas House DS0000062303.V293687.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Barnabas House is a new service and as yet do not have any Service Users. This was intended as an Unannounced Inspection but when the Inspector arrived the house was empty so an appointment was made with the Manager for a later date. Because there are no people living in the house there are many standard that it was imposable to address so there will be many gaps in this report. However the house in a pleasant area and West Wickham and all it’s amenities are only a short walk away. It is furnished and decorated in a homely style. The manager is greatly experienced within the intended service group. What the service does well: What has improved since the last inspection? What they could do better: 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. Barnabas House DS0000062303.V293687.R01.S.doc Version 5.1 Page 6 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 Barnabas House DS0000062303.V293687.R01.S.doc Version 5.1 Page 7 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): All the above standards have been inspected on this occasion. Quality in this outcome area is good. This judgment had been made using available evidence including a visit to this service. Although this home does not have any Service Users as yet it has all the information, polices and procedures in place to inform a prospective user about the home and it’s ethos and is ready to receive a new Service User into the home. EVIDENCE: This establishment has recently received it’s registration and all the homes polices and procedures will have been inspected during the registration process. The Inspector was given a copy of the homes brochure, it contained sufficient information to enable a prospective Service User to make an informed decision about the home and whether it would be able to meet his needs. The home has had a recent referral and The Inspector was shown a copy of the referral assessment and the assessment that the manager completed when he visited the person. It was detailed and comprehensive and would have given enough information for the Care Plan to have be based on. The home would not have been able to meet the needs of that prospective Service User at that this time and he was not offered a pace. Barnabas House DS0000062303.V293687.R01.S.doc Version 5.1 Page 8 It is intended that anyone interested in moving into the house would be invited to stay for a short visit so that he could assess the house in person and to enable the Service Users already living the house to meet him. A contract containing terms and conditions has already been developed and will be given to all Service Users when they move into the house. Barnabas House DS0000062303.V293687.R01.S.doc Version 5.1 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): It was not possible to assess these standard as the home does not have any occupants at the moment. Discussions with the Manager, who is also the provider, indicate that he intends to meet all these standards. EVIDENCE: Barnabas House DS0000062303.V293687.R01.S.doc Version 5.1 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): It was not possible to assess these standard as the home does not have any occupants at the moment. Discussions with the Manager, who is also the provider, indicate that he intends to meet all these standards. The home is situated close to local amenities so access to the local community should be easy. EVIDENCE: Barnabas House DS0000062303.V293687.R01.S.doc Version 5.1 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): It was not possible to assess these standard as the home does not have any occupants at the moment. Discussions with the Manager, who is also the provider, indicate that he intends to meet all these standards. Polices and procedures have already been developed that cover this area. EVIDENCE: Barnabas House DS0000062303.V293687.R01.S.doc Version 5.1 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): It was not possible to assess these standard as the home does not have any occupants at the moment. Discussions with the Manager who is also the provider indicate that he intends to meet all these standards. EVIDENCE: Barnabas House DS0000062303.V293687.R01.S.doc Version 5.1 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): All standards in this area have been inspected during this visit. Quality in this outcome area is good. This judgment had been made using available evidence including a visit to this service. The home is homely, the bedrooms will be made to suit the needs of each individual with aides provided according to assessed needs. The home is clean and hygienic. EVIDENCE: The home is decorated and furnished in a homely fashion, the are pictures on the walls and the Manager has said that as Service Users move into the house he will encourage them to add to the pictures and ornaments. The bedrooms have basic furniture and the intention is that the Service Users will be assisted to make the room more to their liking by choosing furniture, soft furnishings and ornaments of their own taste. There are sufficient toilets and bathrooms for the number of Service Users and they can be adapted to suit any assessed needs. Communal rooms are spacious and comfortable. The garden is pleasant and has an area that will be ideal for entertaining; BBQ’s and outside eating etc. The home is clean and hygienic. Barnabas House DS0000062303.V293687.R01.S.doc Version 5.1 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): It was not possible to assess these standard as the home does not have any occupants and therefore staff at the moment. Discussions with the Manager, who is also the provider, indicate that he intends to meet all these standards. Practice and procedures regarding these standards are in place and were assessed as meeting requirement during the Registration process. EVIDENCE: Barnabas House DS0000062303.V293687.R01.S.doc Version 5.1 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): Standards 38, 40, 41 and 42 were assessed on this occasion. Quality in this outcome area is good. This judgment had been made using available evidence including a visit to this service. It was not possible to fully assess these standard as the home does not have any occupants at the moment. Discussions with the Manager, who is also the provider, indicate that he intends to meet all these standards. EVIDENCE: The Manager has recently been through the fit person process to enable him to be registered as the Manager of this home and appears to be very knowledgeable about this Service User group. His registration application shows that he has many years experience of working with people who have mental health needs. He holds relevant qualifications had has continued his personal development. It appears from discussions with him that he intends to offer a good service and has set himself high standards. Barnabas House DS0000062303.V293687.R01.S.doc Version 5.1 Page 16 Health and safety checks are already taking place and safety certificates have been obtained for equipment, gas installations and electric hard wiring. Fire regulations have been adhered to and a health and safety policy has been formulated. Barnabas House DS0000062303.V293687.R01.S.doc Version 5.1 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 Standard No Score 1 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X x X 3 X 3 3 3 X Barnabas House DS0000062303.V293687.R01.S.doc Version 5.1 Page 18 Are there any outstanding requirements from the last inspection? N/A 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. Refer to Standard Good Practice Recommendations Barnabas House DS0000062303.V293687.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Sidcup Local Office River House 1 Maidstone Road Sidcup DA14 5RH 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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