Inspection on 14/07/05 for Canary House

This inspection was carried out on 14th July 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

Canary House 20/11/06

Canary House 03/03/06

Canary House 14/12/04

Canary House 14/07/04

Canary House 18/02/04

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Thorndene

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 Canary House 41/43 Kingswood Road Gillingham Kent ME7 1DZ Lead Inspector Sally Hall Unannounced 14 July 2005 10:00 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. Canary House H56-H06 S29051 Canary House V239073 140705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Canary House Address 41/43 Kingswood Road Gillingham Kent ME7 1DZ 01634 319398 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) Mrs. Congentta Mantegna nil Care Home 3 Category(ies) of Learning Disability - 3 registration, with number of places Canary House H56-H06 S29051 Canary House V239073 140705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Care is restricted to three people with learning disabilities between the age of 30 to 65 years of age, with the exception of one service user whose date of birth is 22 May 1925. Date of last inspection 14 December 2004 Brief Description of the Service: Canary House caters for three service users with learning disabilities, who live as part of an extended family. It is in a residential area of Gillingham and is two houses made into one. Close to the main line station and bus services the Home can be easily reached by public transport. The town centre is within walking distance, and has a good selection of stores. The area also has a number of amenities such as a local leisure centre and the historic dockyard at Chatham. Canary House H56-H06 S29051 Canary House V239073 140705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Unannounced Inspection at Canary House took place on 14th July 2005 at 9:55am. The Inspector agreed and explained the inspection process with the Registered Manager/owner. Documentation and records were read, including care plans. Time was spent reading a sample of written policies and procedures, reviewing care plans and records kept within the home. A tour of premises was not undertaken. The focus of the inspection was to assess Canary House in accordance to the National Minimum Standards for Younger Adults. In some instances the judgement of compliance was based solely on verbal responses given by those spoken with. All of the service users were out on the day of inspection, so it was not possible to include their views in this report. It was also why there was no tour of the building as it was not possible to ask permission to see their bedrooms. What the service does well: What has improved since the last inspection? There were no new improvements to document during this latest inspection; it appeared the home continues to provide a high standard of care to its service users. Canary House H56-H06 S29051 Canary House V239073 140705 Stage 4.doc Version 1.40 Page 6 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. Canary House H56-H06 S29051 Canary House V239073 140705 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 Canary House H56-H06 S29051 Canary House V239073 140705 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) 1,2,3,5 The service users are provided with a Service Users Guide and there is a Statement of Purpose available for any new service users to make an informed choice about where they live. The robust assessment procedures adopted by the home ensure that all new service users’ individual needs can be met and the home is able to meet the needs and aspirations of the service users in its care. Service users are all supplied with completed contracts/terms and conditions of their stay. EVIDENCE: The inspector found that the Statement of Purpose and Service User Guide had been reviewed and the documents contained all the required information. The Service users have a copy of the Service Users Guide in their bedrooms. To assess the assessment process for a home that has three long-term service users who are unlikely to change in the near future is difficult, as the pre assessments were done years ago. The owner has however produced a format for use should the need arise future, and when complete would cover the required information on which to base suitability for the home. Canary House H56-H06 S29051 Canary House V239073 140705 Stage 4.doc Version 1.40 Page 9 The service user’s care plans and daily logs, indicated that the service users’ needs were being met. A person qualified to do so is doing the assessments. The service users do have input into the plans, ensuring they receive the care they choose. Service users have been issued with their own copy of the terms and conditions of their stay in the Home. The local authority is responsible for the placement of the service users and the Home has a contract with the local authority for each individual service user. The terms and condition covered the required information. Canary House H56-H06 S29051 Canary House V239073 140705 Stage 4.doc Version 1.40 Page 10 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) 6-10 Service users are included in the care planning process and know their care needs and personal goals are reflected in the plan. Service users are supported to make decisions about their lives. Service users are consulted and encouraged to participate in all aspects of life in the home. EVIDENCE: The service users’ files each contained an individual care plan that had been developed with the service users. The owner and the service users review the plans monthly and evidence was seen of this since the service users sign at each review. The service users are encouraged to set new goals in their personal development. The daily log reflects the plans of care and records the monthly reviews and comments made by the service users. The daily log is now completed daily on the computer. When the page is full it is printed off Canary House H56-H06 S29051 Canary House V239073 140705 Stage 4.doc Version 1.40 Page 11 signed and added to the service users file. The computer is password protected. The documentation in the Daily Log showed where support is being given to service users and also indicated where Service Users are being encouraged to make choices. Any limitations have been addressed through the risk assessment process which is also discussed with the service users. Service users are offered opportunities to participate in the day-to-day running of the home. This was evidenced in minutes of the meetings they hold within the Home. Evidence of the various jobs that service users have been made responsible for during the coming week were listed on the notice board. Service users were aware of what their responsibilities are and in past inspections have said they enjoy taking part and helping within the home. Each week the 7 household members who include the family choose a main meal, one for each night of the week. Written risk assessments were available for each service user. Each risk assessment highlighted any risk to the service user and how this risk could be minimised. Some element of risk remained but this was managed. These risk assessments were found to be current and evidence was also seen that these have been reviewed regularly. As some of these assessments are unlikely to change they are reviewed less often, although the service users are still reminded regularly about the risks. The Home has a comprehensive policy on confidentiality and the owner showed a good understanding of the Home responsibility towards this. All documentation regarding the service users is kept in a locked filing cabinet and information on the computer is password coded. Canary House H56-H06 S29051 Canary House V239073 140705 Stage 4.doc Version 1.40 Page 12 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) 11-17 The home ensures service users have the opportunity for personal development. The home is conscious of the different ages of service users in the home and activity and outings are arranged accordingly. Service users are part of the local community and are aware of forthcoming events in the town and locality. Family involvement is encouraged and facilitated by the home for the benefit of the service users. The service users can be confident that their rights are respected and clear responsibilities are agreed with them. The residents enjoy the benefit of balanced meals taken in congenial surroundings in a family atmosphere. EVIDENCE: Canary House H56-H06 S29051 Canary House V239073 140705 Stage 4.doc Version 1.40 Page 13 Service users are encouraged to do what they can for themselves; they are also encouraged to learn new skills. In the service users care plans new tasks are identified and a time scale agreed. Arrangements are made for service users to go to clubs and a day centre a three times a week. The owner said that they always have time to talk to service users individually during the day and some outings such as football are arranged on an individual basis. One service user is very independent and a risk assessment is in place as he goes out alone most days. Other service users need a little more supervision, but the owners said they keep this to minimum to encourage independence. It was obvious that the service users have a lot of opportunities to go out and about. They go out for meals, they go shopping, and one service user is a regular visitor to the library. One service users is able to attend training courses and enrols in classes e.g. Art for Life and ‘ Historically Speaking’. Employment is not a possibility for the service users at this home but is kept under review. Due to the different ages each service users goes to different day centres and /or educational courses. The owners explained that when there are events happening locally then they often go together like a family. Occasionally one may not want to go and no pressure is made since it is their choice. The service users are encouraged to use the local amenities, such as the social club, and this was seen documented in the service users daily log The service users family are encouraged to visit and stay in touch with the service users. The home has a phone that the service users are able to use at any time. The service users next of kin is kept informed of all health matters etc. The service users went to Italy for six weeks on holiday last year. Each year a holiday is arranged. The owners complete a risk assessment for the trip and ensure they have the relevant insurance. The service users’ records are kept up to date on holiday and the service users care managers had been informed. The Home has got a games room where they can play darts and pool. The service users have their daily routines but they are flexible depending on what they choose to do and what is happening on any one day. This was evident from the daily log and the service user’s care plan. Service users are encouraged to make choices and this was also evident in the minutes of the meetings. Service users are encouraged to help around the home and to keep their own bedroom both clean and tidy. The service users and the family at the Home each choose one main meal each day of the week. The choices are recorded on a display board. The service users enjoy choosing each week because they can have their favourite. The menu seen was varied and the owners confirmed that most of the meals are home cooked from fresh ingredients. Meal times are flexible and fit around Canary House H56-H06 S29051 Canary House V239073 140705 Stage 4.doc Version 1.40 Page 14 what service users are doing. Snacks are available during the day and service users can help themselves to drinks whenever they want. Canary House H56-H06 S29051 Canary House V239073 140705 Stage 4.doc Version 1.40 Page 15 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 The service users can be confident that their personal care needs will be agreed with them in the care planning process. The service users can be sure their physical and emotional health needs are monitored closely and help facilitated as required. EVIDENCE: Little personal care is required since it is only necessary to prompt service users to attend to their personal hygiene needs. Some help is required with bathing but this is mainly with help in and out of the bath. Service user are encouraged to put their dirty clothes ready for the wash etc. this is documented in the service user plans and daily log. The owner said that the service users all being men often spoke to her husband about sensitive issues. All service users have their own GP. The owner monitors their health care needs closely and appointments are made at the doctors when needed. The owners do go with the service user and are on hand if the service user wants them to go in with them. Any health problems are recorded in the daily log. Other appointments with other health professionals such as optician, chiropodist is made as required. Visits are detailed in the day log and the care manager informed if appropriate. Canary House H56-H06 S29051 Canary House V239073 140705 Stage 4.doc Version 1.40 Page 16 Canary House H56-H06 S29051 Canary House V239073 140705 Stage 4.doc Version 1.40 Page 17 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 robust complaints and adult protection policies and procedures in place for the protection of the service users. EVIDENCE: The inspector saw the complaints procedure of which each service user has a copy. The procedure contains timescales by which any complaint would be dealt with. The Home has had no complaints since the last inspection. The home has a copy of the new local authorities protocol for notifying any suspected abuse as well as their own which is being reviewed to ensure it reflects the local authority protocol. There are no staff employed at the home but a policy is in place in case this changes. Canary House H56-H06 S29051 Canary House V239073 140705 Stage 4.doc Version 1.40 Page 18 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) This was not inspected as service uers were not available to give their permission to see their bedrooms. EVIDENCE: Canary House H56-H06 S29051 Canary House V239073 140705 Stage 4.doc Version 1.40 Page 19 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) the home does not employ any staff so these standards were not inspected. EVIDENCE: Canary House H56-H06 S29051 Canary House V239073 140705 Stage 4.doc Version 1.40 Page 20 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) 37,38, 40 41. Service users benefit from a well run home which has a open ethos and is well managed. Service users are protected by all information pertaining to them being kept securely with in the home. Service users rights and best interests are protected by the policies and procedures adopted by the home being in place and up to date. EVIDENCE: Mrs Mantegna has achieved her NVQ level 4-registered Mangers award; she also ensures that she continues to do courses to keep her certificates in date. Owing to the moving and handling course being cancelled several times she is not current. The owners have a very open approach with their service users, and this was evident talking to the owner during the inspection process. The fact that the Canary House H56-H06 S29051 Canary House V239073 140705 Stage 4.doc Version 1.40 Page 21 service users are seen and treated as part of the extended family where all member views are valued and respected indicated the openess. The required policies and procedures are in place and these are being reviewed at least annually. The documentation in the home is kept securely, and information kept on the computer in relation to the service users is password protected. Canary House H56-H06 S29051 Canary House V239073 140705 Stage 4.doc Version 1.40 Page 22 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 3 3 3 x 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 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 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Canary House Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 3 x x H56-H06 S29051 Canary House V239073 140705 Stage 4.doc Version 1.40 Page 23 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. 1. Standard Regulation Requirement No requirements were identified during this inspection. 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 OP37 Good Practice Recommendations If training courses are continually cancelled and this means a certificate will go out of date, look to another training organisation to facilitate this course. Canary House H56-H06 S29051 Canary House V239073 140705 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection The Oast Hermitage Court Hermitage Lane Maidstone Kent, ME16 9NT 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 Canary House H56-H06 S29051 Canary House V239073 140705 Stage 4.doc Version 1.40 Page 25 - 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. 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