Inspection on 16/08/05 for Blenheim House

This inspection was carried out on 16th August 2005.

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

Blenheim House 29/10/07

Blenheim House 14/11/06

Blenheim House 16/01/06

Blenheim House 21/03/05

Blenheim House 13/10/04

Blenheim House 11/02/04

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 Blenheim House 28 Blenheim Road Deal Kent CT14 7DB Lead Inspector Penny McMullan Unannounced 16/08/05 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. Blenheim House H56-H05 S23192 Blenheim House V242163 160805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Blenheim House Address 28 Blenheim Road, Deal, Kent CT14 7DB 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) 01304 362534 Robinia Care South East Limited Mr Michael Gregory Registered Care Home 3 Category(ies) of Learning Disability registration, with number of places Blenheim House H56-H05 S23192 Blenheim House V242163 160805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21.03.05 Brief Description of the Service: Blenheim House is part of the group of homes owned by Robinia Care South East Limited. The home is registered for three people with learning disabilities. The property is a terraced house in a residential area of Deal, within easy walking distance to the main town, beach and leisure facitilies. The property has three stories, on the first floor there are two bedrooms, a bathroom, toilet, and smoking room the gound floor consists of an en suite bedroom, lounge and office. There is a dining room and kitchen in the basement which leads out to the garden. The garden has a paved area, with steps and some planted shrubs. Mr Michael Gregory is the Registered Manager who is also responsibel for both Westbury Lodge and Bleheim House. Blenheim House H56-H05 S23192 Blenheim House V242163 160805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Mr Michael Gregory was on annual leave at the time of the inspection and Mr Peter Evans, Support Worker assisted with the unannounced inspection. The unannounced inspection was over a period of 3.25 hours, during which two residents and two staff members were spoken to. A brief tour of the building was made and a number of records were inspected. There were two members of staff on duty to support three service users. The home was relaxed with a homely atmosphere. What the service does well: What has improved since the last inspection? The residents, supported by the staff have worked really hard to decorate areas of the home themselves. Staff and service users have decorated the dining room and office. The office has been relocated downstairs and the previous room is in the process of redecoration to be used as a residents’ Blenheim House H56-H05 S23192 Blenheim House V242163 160805 Stage 4.doc Version 1.40 Page 6 smoking room. The residents helped to choose the two new sofas in the lounge and new lamps and accessories have been purchased. Additional work has also been completed in the garden. 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. Blenheim House H56-H05 S23192 Blenheim House V242163 160805 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 Blenheim House H56-H05 S23192 Blenheim House V242163 160805 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) 2 The home has robust policies and procedures in place for the admission of prospective residents into the home. EVIDENCE: Residents have not been admitted to the home since the last inspection. Although this standard could not be assessed on a recent admission the home has a thorough and comprehensive assessment process in place. Blenheim House H56-H05 S23192 Blenheim House V242163 160805 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) 6,7,9 The care planning system is clear and consistent to provide staff with the information they need to meet the residents’ needs. The home promotes service users rights and choices. Residents are supported to take responsible risks within the homes risk assessment management strategy. EVIDENCE: Residents spoken to are aware of their care plans, involved in the reviews and had signed their plans. The care plans are detailed and thorough and cover all aspects of health and social care. A record of accidents/incidents is recorded in the daily contact sheets and monitored to ensure the right action had been taken. Residents spoken to are able to voice their choices and with some support make their own decisions. There is a meeting each Monday to discuss all aspects of the home. Residents confirmed that they make their own choices and one resident is able to manage his finances while others are supported to do so. Blenheim House H56-H05 S23192 Blenheim House V242163 160805 Stage 4.doc Version 1.40 Page 10 All of the residents are able to help in all aspects of daily living in the home. All activities and outings are risked assessed and residents are aware that risk assessments are in place. They are able to discuss and understand why there may be restrictions on their independent life style. Blenheim House H56-H05 S23192 Blenheim House V242163 160805 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) 12,13,15,16,17 Employment and training opportunities are sought by the home to encourage residents to find a job. Links with the community are good and support and promote residents social and educational opportunities. The home provides stimulating activities to meet the needs of the residents. Visitors are able to come to the home at any time and see their relative in private. The home provides transport and staff to take residents to visit their relatives’ homes for overnight stays. The home promotes choice, independence and freedom of movement to residents whilst providing a risk management strategy recorded and agreed in the care plan. The residents are supported to maintain a well balanced diet and residents confirmed choice and variety of meals. Blenheim House H56-H05 S23192 Blenheim House V242163 160805 Stage 4.doc Version 1.40 Page 12 EVIDENCE: One resident is a volunteer at a local charity shop and the others assist with the gardens and are supported to assist with allocated tasks at Westbury Lodge. One resident was talking about taking up a life skills course in September including budgeting skills. Residents were aware of accessing college courses but were not considering this option at this time. Residents talked about their activities, bike riding, fishing, walking, and keeping rabbits and tropical fish. They said they could choose their activities and decide if they wanted to join in or choose something else to do. The home has their own transport and local transport, train or bus services are easily accessible. Residents all have a key to their room and are able to choose when they wish to be alone. Residents have access to all areas of the home and assist with household chores as agreed in their care plan. Two residents said that they liked the food and are able to do the food shopping and cook their meals. Residents take an active role in planning their menus; the staff supervises this process to ensure that residents maintain a nutritious and a balanced diet. Residents said they enjoyed the food and were encouraged to eat a healthy diet. Blenheim House H56-H05 S23192 Blenheim House V242163 160805 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) 18,19,20 Support with personal care is offered in a way to protect resident’s dignity and promote independence. The health needs of residents are well met and the monitoring of accidents/incidents is in place. The storage and security of the medication is not satisfactory and requires to be reviewed in line with the Royal Pharmaceutical Guidelines. EVIDENCE: Residents are supported with their personal care and confirmed that staff respect their privacy and dignity. Residents said they are able to get up and go to bed when they wish and there is a key worker system is in operation. Health care needs are monitored through the residents care plan. Residents said they are supported to go the their own GP or attend other health related appointments. The storage and security of the medication requires to be reviewed in line with the Royal Pharmaceutical Guidelines. Receipt of medication also needs to be Blenheim House H56-H05 S23192 Blenheim House V242163 160805 Stage 4.doc Version 1.40 Page 14 completed and the administration of homely remedies also requires to be reviewed. Hand written details on medication administration sheets must be countersigned to minimise the risk of errors being made. Blenheim House H56-H05 S23192 Blenheim House V242163 160805 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) 22,23 The home has a satisfactory complaints system and residents said that their views are listened to and acted on. Staff have knowledge and understanding of Adult protection issues which protects residents from abuse. EVIDENCE: Residents said that they would complain to the Manager either in private or at the weekly meetings. The home has a clear Complaints Procedure, which is included in the Service User Guide. The format is in large print with signs and symbols. The home has a policy for Dealing with Suspected Abuse and a policy for Raising Concerns at Work. A four day training course is provided for all staff which includes conflict management, the use of breakaway techniques and safely managing challenging behaviour. Staff spoken have an awareness of adult protection. All residents have their own bank account and personal property lists are included in the care plan. Blenheim House H56-H05 S23192 Blenheim House V242163 160805 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) 24,30 The standard of the environment within the home is good providing residents with a comfortable and homely place to live. Laundry facilities are satisfactory and policies and procedures are in place to control the risk of infection. EVIDENCE: The premises are homely, relaxed tidy and clean. The residents and staff are in the process of redecoration and there are some areas that require attention. The dining room has been completed and the smoking room is currently being painted. The lounge has two new sofas and accessories. The Company have a maintenance team to ensure repairs are completed. There were no offensive odours in the home. The kitchen in the home is in a domestic setting and residents and staff are aware of the rules on infection control. Blenheim House H56-H05 S23192 Blenheim House V242163 160805 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) 35 The arrangements for the induction and foundation training are in place with the staff demonstrating a clear understanding of their roles. EVIDENCE: This training and development programme was not was not available at the time of the inspection, due to staff records being locked and the Registered Manager on annual leave. However, the latest employee confirmed that induction had taken place and he has completed the Certificate in working with People who have Learning Disabilities (CWPLD) induction and assessor course. Staff spoken said that the Company provide good training. All mandatory training courses are provided for new staff and head office advise the home when established staff require updates in training. Blenheim House H56-H05 S23192 Blenheim House V242163 160805 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) 42 The home is providing a safe environment for residents to live in. EVIDENCE: Mandatory training is being provided to all staff. Fire Safety Records were inspected and in good order. Accident and incidents were recorded in a satisfactory manner. Certificates of servicing confirm that all appliances have been checked. There are records with regard to Helath and Safety and Coshh requirements and data sheets were in place. The Company also carry out monthly Health and Safety checks on the home. Blenheim House H56-H05 S23192 Blenheim House V242163 160805 Stage 4.doc Version 1.40 Page 19 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 3 x x Standard No 22 23 ENVIRONMENT Score 3 3 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 3 3 3 3 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Blenheim House Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x H56-H05 S23192 Blenheim House V242163 160805 Stage 4.doc Version 1.40 Page 20 N/A 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 20 Regulation 13 Requirement To review the secutiry and storage of medication To countersign hand written information on the medical administration sheet To record the receipt of medication Timescale for action 30/9/05 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 Blenheim House H56-H05 S23192 Blenheim House V242163 160805 Stage 4.doc Version 1.40 Page 21 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. Extracts may not be used or reproduced without the express permission of CSCI Blenheim House H56-H05 S23192 Blenheim House V242163 160805 Stage 4.doc Version 1.40 Page 22 - 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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