Inspection on 20/11/06 for Canary House

This inspection was carried out on 20th November 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 found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Canary House 03/03/06

Canary House 14/07/05

Canary House 14/12/04

Canary House 14/07/04

Canary House 18/02/04

Similar services:

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 Inspection 20th November 2006 09:30 Canary House DS0000029051.V320267.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 Canary House DS0000029051.V320267.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. Canary House DS0000029051.V320267.R01.S.doc Version 5.2 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 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 Congetta Mantegna Mr Fabio Mantegna Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Canary House DS0000029051.V320267.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 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. 3rd March 2006 Date of last inspection 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. Fee range is currently between£307.21 and £386.21. Canary House DS0000029051.V320267.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key Inspection at Canary House took place on 20th November 2006 between 16.10 hrs and 19.00hrs the link inspector was Sally Hall The Inspector agreed and explained the inspection process with the Registered Manager. Time was spent reading all three care plans, a small sample of written policies and procedures and records kept within the home. All service users were spoken with and a tour of premises was undertaken. The Pre inspection questionnaire completed by the registered manager was also used as a source of information about the home. The focus of the inspection was to assess Canary House in accordance with 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. What the service does well: What has improved since the last inspection? What they could do better: The home has had an electrical hard wiring check carried out in the last five years, which indicated that works needed to be undertaken. The registered Canary House DS0000029051.V320267.R01.S.doc Version 5.2 Page 6 manager was unable to find the new certificate showing the work had been done, a copy will be sent when it is found. A letter was seen to show some work had been done but it was not clear if this was the work referred to the certificate. The registered manager needs to ensure that her training certificates stay in date. 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. Canary House DS0000029051.V320267.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 Canary House DS0000029051.V320267.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): 2,3 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users can be confident the home will meet their needs and aspirations. EVIDENCE: As the three service users at this home are long term and are still not likely to change then only standard has been assessed during this visit. Talking to the service users it was evident that they all do a large number of things during the week as well as attending day centres and clubs. The service users do range in age with one above retirement age. Evidence was seen that the aspiration in this respect reflects their age and ability. The care plan indicated the service users care needs and these have been formulated with them. From case tracking the service users care needs through the daily report and from specking to the service users it was evidenced that their needs are being met. Canary House DS0000029051.V320267.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): 6,7,9, Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users can feel confident that the care they receive will meet their needs and be determined and agreed by them. Risks to service users are managed with in a risk management framework. EVIDENCE: Service users are very much part of the care planning process, they are encouraged to make decisions about the care and support they receive. They with the support of the registered manager choose goals and an improvement in service users life skills was apparent. Service users confirmed that they had recently seen their care manager about their care at the home, and that they had been told they would be looking at their plans. It was apparent that the care plans are rewritten every six months normally. Due to the booked care management visits these have been slightly delayed this time to see if anything else needs to be considered. The registered manager explained that Canary House DS0000029051.V320267.R01.S.doc Version 5.2 Page 10 an assessment will be undertaken first to highlight any changes since the last review. Risk assessments were seen for individual service users and these had been reviewed. They have been written to ensure the service users can lead a near normal life, with the risks minimised. No risk assessments seen restrict the service users liberty. Canary House DS0000029051.V320267.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 15, 16, 17. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users can be sure that they will 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. Canary House DS0000029051.V320267.R01.S.doc Version 5.2 Page 12 The service users enjoy the benefit of balanced meals taken in congenial surroundings in a family atmosphere. EVIDENCE: 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 skills 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. One resident is very independent and a risk assessment is in place as he goes out alone most days. The other service users need a little more supervision, but the registered Manager said they keep this to minimum to encourage independence. Outings are arranged as a family and individually to suit the service users, they do not have to go out if they want they can choose to stay at home. It was obvious that the residents have a lot of opportunities to go out and about. They go out for meals, they go shopping, and one resident is a regular visitor to the library. One service user 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 residents at this home but is kept under review. Due to the different ages each residents goes to different day centres and educational courses are looked at on an individual basis. 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. Recently service users were invited to attend a fire work display only one did not want to go. 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 did not go on holiday this year but have two trips abroad planned for next year; which service users said they were looking forward to. The registered Manager completes 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 Canary House DS0000029051.V320267.R01.S.doc Version 5.2 Page 13 evident from the daily log and the service users 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 registered Manager confirmed that most of the meals are home cooked from fresh ingredients. Meal times are flexible and fit around what service users are doing. Snacks are available during the day and service users can help themselves to drinks whenever they want. Some times the service users go out for meals with the family. Canary House DS0000029051.V320267.R01.S.doc Version 5.2 Page 14 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, 21. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users can be confident that personal support and health needs both physical and emotional will be met in a way they prefer. Service users can be confident that the home has a robust medication system in place, however it is recommended that the registered manager access a medication training course. EVIDENCE: The registered manager confirmed that very little personal care is required, that they mainly prompt service users to attend to their personal hygiene needs. One service users does need help with bathing, but service user are encouraged to put their dirty clothes ready for the wash etc. this was documented in the service user plans and daily log. All service users have their own GP. The registered manager monitors their health care needs closely and appointments are made at the doctors when needed. The registered manager does go with the service user and are on Canary House DS0000029051.V320267.R01.S.doc Version 5.2 Page 15 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 are also facilitated. Visits are detailed in the daily report evidence of this was seen. The Inspector looked at the Medication Records Sheets and found that all the information required was on these sheets, which are provided by the chemist. The home has the use of a system supplied and filled by the local pharmacy. The medication was signed in with the amounts recorded on the Medication Record Sheet. The Medication Record Sheet are signed after the medication is given, the inspector found no gaps and the amounts of medication tallied. Medication is kept under lock and key within the home and is given out by the registered manager to Service Users. The registered manager has not done a recognised training course on medication and was asked to undertake this training as soon as a suitable course becomes available. As advised at the last inspection the registered manager has been exploring the arrangements required should any of the service users die. This has had to be done sensitively particularly because one service users lost their next of kin recently. Once the arrangements have been agreed these will be documented. Canary House DS0000029051.V320267.R01.S.doc Version 5.2 Page 16 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. Service users can be confident that there feelings and views will be listen to and acted upon. The service users can feel confident that if they were to report any abuse it would dealt with in a sensitive way and follow the correct procedure. EVIDENCE: The home has a copy of the local authorities protocol for notifying any suspected abuse, and the manager has a good understanding of what constitutes abuse. The home also has it’s own policy and procedure that mirrors the local authorities procedure. There are no staff employed at the home but a policy regarding whistle blowing is in place in case this changes in the future. The manager has undertaken this training and is due a refresher next year. The home has received no complaints since the last inspection and when talking to the service users it was apparent that they have no problems to report. Service users have a copy of the complaints procedure in their Service Users Guide which they keep in their bedrooms. Canary House DS0000029051.V320267.R01.S.doc Version 5.2 Page 17 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, 30. Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Service users have the advantaged of living in a clean, warm, safe and homely environment, with lots of choice regarding communal space. EVIDENCE: The home is well maintained through out; and bedrooms had been personalised reflecting the service users taste and hobbies. There is a choice of 2 bathrooms and also a shower room available. The Home is well maintained and very clean. There were no odours, and the decoration gave a homely and inviting atmosphere within the home. There are two kitchens these were kept clean and tidy; service users are able to use the kitchen to make snacks etc. The flooring in the bathrooms and kitchen was impervious and easy to clean. There was a choice of three sitting areas and three dining areas with in the Home. All lighting and soft furnishings were of a domestic nature and it was apparent that the service users are happy with in their surroundings. Canary House DS0000029051.V320267.R01.S.doc Version 5.2 Page 18 The home has the required fire alarms and fire equipment in place, the home is tidy and no obvious trip hazards were seen. Canary House DS0000029051.V320267.R01.S.doc Version 5.2 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is (excellent, good, adequate or poor) This judgement has been made using available evidence including a visit to this service. This home employs no staff so these standards are not applicable. EVIDENCE: Canary House DS0000029051.V320267.R01.S.doc Version 5.2 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,42. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users benefit from having a manager that is both qualified and experienced Service users are protected by the health and safety measures applied by the home. EVIDENCE: The home is just that with flexibility built in to facilitate what each person is doing that day or evening. The registered manager has attained her registered managers award and the home is well managed. The service users here live as part of the extended family and it really does feel like you are visiting a family home rather than a residential home such is the ethos here. Canary House DS0000029051.V320267.R01.S.doc Version 5.2 Page 21 Service users are given the opportunity to make choices and do have a say in what happens in the home, in conjunction with the other family members. The registered manager attends refresher courses so certificates do not run out, although her moving and handling, first aid have run behind because of locating a suitable course. The registered manager was advised to speak to the food standards agency because as a small home they may need to comply with there new legislation. The registered manager last did a health and safety course in 2004. Risk assessments have been done for the service users and the building where appropriate and these are reviewed regularly. The required certificates are in place for gas, electric PAT testing and the boiler for example, however there was a query raised over the hard wiring certificate, which is now being looked into. Canary House DS0000029051.V320267.R01.S.doc Version 5.2 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 Standard No Score 1 x 2 3 3 3 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 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 N/A 32 N/A 33 N/A 34 N/A 35 N/A 36 N/A CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 4 4 3 X X 3 X Canary House DS0000029051.V320267.R01.S.doc Version 5.2 Page 23 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 YA42 Regulation 13(4)(5) Requirement The registered person ensures so far as is reasonably practicable the health, safety and welfare of service users and staff in that accredited Moving and Handling training is undertaken. The registered person ensures so far as is reasonably practicable the health, safety and welfare of service users and staff in that accredited First Aid training is undertaken. Action plan required. The registered person ensures so far as is reasonably practicable the health, safety and welfare of service users and staff in that accredited Administration of medication training is undertaken. Timescale for action 14/03/07 2. YA42 13(4)(c) 14/03/07 3. YA20 18(1)(c) 14/03/07 Canary House DS0000029051.V320267.R01.S.doc Version 5.2 Page 24 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. 2. Refer to Standard YA42 YA21 Good Practice Recommendations The registered manager was advised to speak to the food standards agency because as a small home they may need to comply with their new legislation. It is recommended that the home has a written policy on the ageing, illness and death of residents, and arrangements once confirmed with service users and family are documented Canary House DS0000029051.V320267.R01.S.doc Version 5.2 Page 25 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 Canary House DS0000029051.V320267.R01.S.doc Version 5.2 Page 26 - 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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