Inspection on 22/02/06 for Boldshaves Oast

This inspection was carried out on 22nd February 2006.

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

Boldshaves Oast 27/08/08

Boldshaves Oast 13/11/06

Boldshaves Oast 26/09/05

Boldshaves Oast 29/11/04

Boldshaves Oast 09/08/04

Boldshaves Oast 25/01/04

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Insight - Eastchurch

Southfields

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Dovedale Court

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

CARE HOME ADULTS 18-65 Boldshaves Oast Boldshaves Oast Frogs Lane Woodchurch Ashford Kent TN26 3RA Lead Inspector Unannounced Inspection 22nd February 2006 11:30 Boldshaves Oast DS0000023331.V266727.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 Boldshaves Oast DS0000023331.V266727.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. Boldshaves Oast DS0000023331.V266727.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Boldshaves Oast 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) Boldshaves Oast Frogs Lane Woodchurch Ashford Kent TN26 3RA 01233 860039 leotrust@btinternet.com The Leo Trust Mr Joseph Graham Care Home 11 Category(ies) of Learning disability (11) registration, with number of places Boldshaves Oast DS0000023331.V266727.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users resident in the cottage are restricted to two whose DOB are 27/06/1974 and 26/07/1946. 26th September 2005 Date of last inspection Brief Description of the Service: Boldshaves Oast is registered to provide accommodation for up to 11 adults with a learning disability 2 of which are accommodated in a selfcontained cottage in the grounds with some staff support. The company The Leo Trust owns the business. The Registered Manager, Mr Joe Graham has day-to-day responsibility for the Home and another 2 bedded unit. The main premise is a converted Oast with accommodation on three floors. All bedrooms in the main Oast are singles. Five rooms have ensuite facilities and Service Users have the use of two bathrooms and a shower room. There is a kitchen, dining room and two lounges. All rooms have extensive views over the countryside and the Oast is surrounded by a large well-maintained garden with a large duck pond and horticulture project with Pollytunnels, further paddock and car parking space.The Home is situated down a drive from a quiet country lane. In a quiet rural position, one and a half miles from the village of Woodchurch and four and a half miles from Tenterden. Within the village of Woodchurch there is the local GP’s surgery, post office, church and two pubs, the Home has transport, which can be used for Service Users if they wish. Boldshaves Oast DS0000023331.V266727.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over approximately 3 and 1/2 hours. The inspector spoke with the Registered Person, team leader, 1 support worker and the horticultural therapist. 1 resident showed the inspector around the building and another 2 residents spoke to the inspector. Various records, and written policies and procedures were examined. There are no requirements or recommendations as a result of this inspection. What the service does well: What has improved since the last inspection? What they could do better: There are still some resident’s contracts that either do not include reference to the fee or do not show the current fee. Boldshaves Oast DS0000023331.V266727.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. Boldshaves Oast DS0000023331.V266727.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 Boldshaves Oast DS0000023331.V266727.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): 2&5 There are sound systems for assessing prospective residents’ individual needs and aspirations and ensuring that they have all necessary information in order to make an informed choice on where they would like to live. Residents are issued with individual contracts. but some contracts do not include details of fees. EVIDENCE: Prospective residents and those living in the home are provided with a comprehensive service user guide. One new resident has been admitted since the last announced inspection and there was evidence to show that there is a sound preadmission assessment procedure with input from the prospective residents, Care Managers, families and other health care professionals. That resident also said that he had been able to visit the home on several occasions before moving in. Residents are issued with individual contracts although some contracts did not include details of fees. Boldshaves Oast DS0000023331.V266727.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): 6,7 & 9 The health, general care and social needs of residents are well met and residents are consulted and encouraged to contribute to any decisions that affect their lives. Residents are supported in taking risks in the daily domestic and social activities that are part of an independent lifestyle. EVIDENCE: All of the care plans include details on short and long term goals and how the home will assist residents in achieving their goals, and these are reviewed regularly. Residents have key workers who monitor their individual needs and activities and help them understand the contents of their care plans. Staff, including the horticultural therapist, explained that risk assessments are prepared and include specific guidelines. The care plans contained clear and comprehensive written risk assessments. Boldshaves Oast DS0000023331.V266727.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): 12,13,15,16 & 17 There are good opportunities for personal development and social activities on a daily basis, including either an annual holiday or special days out. Residents have appropriate personal, family and sexual relationships. Meals in the home are good, offering a healthy, nutritious diet with choice and variety. EVIDENCE: Residents have access to a wide range of activities during the day and during the evenings. Most activities are carried out with the assistance of staff but residents are encouraged to be independent whenever appropriate. Staff confirmed that residents would not have to do something if they did not wish to. Special attention is paid to assist residents to maintain good relationships with families and also to enable some residents to have the opportunity for privacy in their long term special relationship. The menus and contents of the store cupboard were seen to be varied and appropriate for a balanced diet. Special attention is given to the needs of residents’ with specific needs. The food seen on the day of the inspection appeared appetising and nutritious and residents are encouraged to make suggestions about the menus. Boldshaves Oast DS0000023331.V266727.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 The staff have a good understanding of residents’ support needs and personal support is offered in such a way as to promote and protect residents’ privacy, dignity and independence. The health care needs of residents are well met with evidence of referrals to a range of healthcare professionals. There are sound systems for the receipt, administering and disposal of medication. EVIDENCE: Residents care plans and daily records referred to clear guidelines on providing support and monitoring health care and social care needs. Residents said that they are very supported and may always approach staff. Other residents were seen to be relaxed and comfortable interacting with staff. Staff confirmed that medication procedures have been reviewed since the last inspection, that only trained staff would administer medication and that training is on-going. The medication administration record charts were clear and current, with appropriate details for anything out of the ordinary. Medication was seen to be stored safely and a check is made to ensure that the temperature Boldshaves Oast DS0000023331.V266727.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): 22 & 23 There is a sound complaints system and the home makes every effort to protect residents from abuse or harm. EVIDENCE: Staff and residents were aware of the home’s complaint procedure. 1 resident said that he would feel comfortable telling staff about anything he was unhappy with in the home. Staff referred to training on adult protection awareness and referred to various policies and procedures such as “whistle blowing”. Boldshaves Oast DS0000023331.V266727.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, 28 & 30 The residents benefit from a comfortable and safe environment. The shared spaces are furnished and decorated to a very good standard. The home is clean and hygienic. EVIDENCE: The bedrooms and living areas are furnished and decorated to a very good standard, and contained the type of furniture and equipment necessary to provide a homely environment. Staff said that any maintenance is carried out promptly and all areas were clean and hygienic. Boldshaves Oast DS0000023331.V266727.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): 32,34,35 & 36 Residents benefit from a competent, appropriately trained and well supported staff team. Residents are protected by sound recruitment practices. EVIDENCE: There is an adequate level of staffing during the day and at night to enable staff to respond to residents needs, and there is also an emergency on call system. The staff confirmed that CRB, and POVA checks are carried out and references obtained and verified. Staff have access to a range of training in core issues and NVQ’s. All of the staff spoken to said that they enjoy working in the home and that the high level of morale is due to the good support from management and team leaders. Boldshaves Oast DS0000023331.V266727.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 The home regularly reviews aspects of its performance, which includes seeking the views of residents, their relatives and staff. There are systems in place to promote and protect the health, safety and welfare of residents. EVIDENCE: Staff and residents said that they are regularly consulted on all aspects of policies, procedures and the general management of the home.Records, policies and procedures relating to health and safety, such as risk assessments and fire alarm/lighting testing, were clear and current. Staff showed a good awareness of health and safety issues and residents were also aware of health and safety requirements. Boldshaves Oast DS0000023331.V266727.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 3 X X 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X 4 X 3 LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 4 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 3 4 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Boldshaves Oast Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X 3 X DS0000023331.V266727.R01.S.doc Version 5.0 Page 17 no 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. 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 Boldshaves Oast DS0000023331.V266727.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. 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