Inspection on 05/07/05 for Canterbury Adult Support Unit

This inspection was carried out on 5th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Canterbury Adult Support Unit 16/05/07

Canterbury Adult Support Unit 17/07/06

Canterbury Adult Support Unit 03/11/05

Canterbury Adult Support Unit 15/03/05

Canterbury Adult Support Unit 08/04/04

Similar services:

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Thorndene

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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 Canterbury Adult Support Unit 88 Whitstable Road Canterbury Kent CT2 8ED Lead Inspector Alex Turner Unannounced 05/07/05 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. Canterbury Adult Support Unit H56-H05 S37735 Canterbury ASU V235639 050705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Canterbury Adult Support Unit Address 88 Whitstable Road, Canterbury, Kent, CT2 8ED 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) 01622 671411 Kent County Council Mr Tim Birchley Registered Care Home 8 Category(ies) of Care Home for Younger Adults (18-65) with a registration, with number Learning Disability, 8 of places Canterbury Adult Support Unit H56-H05 S37735 Canterbury ASU V235639 050705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15/03/05 Brief Description of the Service: The home is a three-story, semi detached property. It is currently owned and operated by Kent County Council as part of the “Canterbury Adult Support Service”. The home is registered to provide short-term respite care for up to eight persons at a time, aged from 18 years to 64 years, who have a learning disability. There is a ground floor bedroom with ensuite WC and walk in shower. There are some adaptations but the premises are not currently judged accessible for individuals with mobility impairment. The home also provides a day care service. The home is located about 1.5 miles from Canterbury City Centre and is on a direct bus route to the seaside towns of Herne Bay, Whitstable in one direction and with Canterbury itself in the other. There are several parking bays on a vacant site to the side of the home. There is a small back garden and patio area which reisdents are free to use. Canterbury Adult Support Unit H56-H05 S37735 Canterbury ASU V235639 050705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced. At the time of the inspection there were three service users on a short-term stay. All of these people were out and involved in daytime activities away from the home. Time was spent speaking with the staff on duty, the manager of the home and looking around the premises. The focus of this inspection was on following up progress made in meeting the requirements and recommendations of the last report What the service does well: What has improved since the last inspection? What they could do better: 1) Expand on the information provided to service users and others in relation to the complaints process Canterbury Adult Support Unit H56-H05 S37735 Canterbury ASU V235639 050705 Stage 4.doc Version 1.40 Page 6 2) Ensure that services users opinions and views are incorporated in the care plans produced for them by the home. 3) Ensure that outstanding maintenance / improvement works are completed 4) Ensure that the systems to protect the health and safety of all persons in the home are rigorously applied. 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. Canterbury Adult Support Unit H56-H05 S37735 Canterbury ASU V235639 050705 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 Canterbury Adult Support Unit H56-H05 S37735 Canterbury ASU V235639 050705 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 & 5 Information is available to prospective service users to help them make an informed choice about coming to live at the home. Service users are issued with a respite stay contract setting out the terms and conditions under which they stay in the home. EVIDENCE: The home has a statement of purpose and service users guide. The Statement of Purpose has recently been reviewed. It was noted by the manager of the home that the statement of purpose is kept under review and subject to regular amendment. A requirement to confirm the range of fees payable had been acted on. The manager explained that outside of the fees charged per placement there were no extras that service users paid for other than for personal telephone calls and chosen leisure activities; this is set out in the respite stay contract / personal responsibilities agreement entered into between the home and service users. A copy of the personal responsibilities agreement entered into between the home and service users was made available for inspections. The agreement articulates the rights and responsibilities of service users in a format appropriate to their needs. A recommendation was made in the last report to include in this document the right service users have to complain directly to Canterbury Adult Support Unit H56-H05 S37735 Canterbury ASU V235639 050705 Stage 4.doc Version 1.40 Page 9 the Commission and details of how they may do so; the manager has agreed to add this information however in the sample document provided for inspection this information had yet to be included. Canterbury Adult Support Unit H56-H05 S37735 Canterbury ASU V235639 050705 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 & 8 Residents benefit from individual support plans though more could be done to incorporate the views of residents when these plans are reviewed. Residents are enabled to express their views and opinions with regard to day-to-day service provision. EVIDENCE: Care plans were sampled. There was indication that at the start of each short term placement that care plans are reviewed in terms of whether they continue to encompass the needs of service users and that the actions to meet these remain pertinent and agreed by the service user. A recommendation to make provision for the recording of service users views subsequent to this exercise has yet to be acted upon and is therefore repeated in this report. Staff reported that weekly house meetings take place and that all service users are encouraged to attend and participate. In response to a recommendation in the last report the minutes of these meetings are now being retained. The minutes record discussion covering menus, health and safety, house rules, fire procedures, activities and any other business. Canterbury Adult Support Unit H56-H05 S37735 Canterbury ASU V235639 050705 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) 17 Dietary provision is geared towards providing healthy options, choice and creating sociable and relaxing mealtimes. EVIDENCE: The last inspection report (completed in March 2005) records that the dietary provision and catering arrangements were satisfactory except for the failure to adequately record individual service users choices and dietary intake. In terms of record keeping individual choices and food intake is now being recorded in service users care files. In doing so it was possible to determine that healthy and varied meals are being provided and that these take into account the needs and preferences of service users. Canterbury Adult Support Unit H56-H05 S37735 Canterbury ASU V235639 050705 Stage 4.doc Version 1.40 Page 12 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) None of the standards under this heading were assessed during this inspection. EVIDENCE: Canterbury Adult Support Unit H56-H05 S37735 Canterbury ASU V235639 050705 Stage 4.doc Version 1.40 Page 13 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 The homes complaints procedures enable residents and others to formally make complaints and to have these dealt with seriously. EVIDENCE: The home has a satisfactory complaints process that upholds the right of residents to make complaints and to have these dealt with seriously. Details of how to contact the Commission have been included in the information about how to complain. Records indicated that no complaints have been made since the last inspection. It was confirmed that details of how to access advocacy services have been provided to residents. A specific recommendation included in the last report to state response timescales in the information that is on display in the home had not been met at the time of this inspection. The recommendation is repeated in this report. Canterbury Adult Support Unit H56-H05 S37735 Canterbury ASU V235639 050705 Stage 4.doc Version 1.40 Page 14 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) 26, 27, 28 & 29 Bedrooms are fitted and furnished in a manner that maintains the independence and privacy of service users. Toilet and bathroom facilities were not entirely adequate. The homes shared areas and general facilities are broadly in line with the statement of purpose and the needs of the people using the service. EVIDENCE: By walking round the premises it was found that requirements made in the last report concerning specific shortfalls had been acted upon and in all but one instance met. The outstanding requirement concerned the replacement of a bedroom carpet. The manager confirmed that this was now a matter of scheduling the work to be completed. The toilet and bathroom facilities were inspected. A shower room ensuite to the ground floor bedroom was out of action and had been since May 2005. Flooring in the toilets was scheduled to be renewed / repaired. Other shortfalls noted in the previous inspection report had been rectified including the fitting of suitable locks to toilet / bathroom doors, the fitting of a sink in a toilet and Canterbury Adult Support Unit H56-H05 S37735 Canterbury ASU V235639 050705 Stage 4.doc Version 1.40 Page 15 advice sought from environmental health with regard to the storage of sanitary waste (the home had yet to receive the report subsequent to the environmental health officers visit to the home). Shared space in the home includes kitchen facilities on a domestic scale, a suitably sized dining area, an enclosed back garden, a communal lounge and an activities room. Since the last inspection an access audit has been carried out. Areas that could be improved upon have been highlighted. The manager confirmed that a bid for the monies to carry out these improvements has been made. The recommendation is made to ensure that the works specified are completed. Finally, under standard 30, the requirement was made in the last report to purchase a new freezer. The reason why this requirement was made has now been satisfactorily addressed and monies have instead been used to purchase a new and fridge for the home. Canterbury Adult Support Unit H56-H05 S37735 Canterbury ASU V235639 050705 Stage 4.doc Version 1.40 Page 16 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) None of the standards under this heading were assessed during this inspection. EVIDENCE: Canterbury Adult Support Unit H56-H05 S37735 Canterbury ASU V235639 050705 Stage 4.doc Version 1.40 Page 17 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) 40 and 42 Residents rights and interests are protected in principle by the homes written polices and procedures. Systems and procedures need to be more rigorously applied in order to ensure the health safety and welfare of service users is protected. EVIDENCE: The home has a comprehensive and established set of polices and procedures to inform and guide day-to-day practice in the home. Recommendation made in the last report to adapt key policies to a format that can be understood by residents has yet to be acted upon. The recommendation is repeated together with the recommendation to consider ways that staff can be fully involved in developing policies and procedures, and for service users to have opportunities to help in their formulation. When walking around the home it was noted that there were many electrical appliances without any indication they had been safety checked. It was confirmed by the manager that a member of staff had recently been trained to Canterbury Adult Support Unit H56-H05 S37735 Canterbury ASU V235639 050705 Stage 4.doc Version 1.40 Page 18 do carry out these tests. It is recommended that all portable electrical appliances in the home undergo safety testing without delay. In the kitchen and in a toilet, substances that could be hazardous to health were found to be easily accessible. It is recommended that the manager ensures practice in the home is in compliance with the Control of Substances Hazardous to Health Regulations (COSHH) 1999. Canterbury Adult Support Unit H56-H05 S37735 Canterbury ASU V235639 050705 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 3 x x x 3 Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 x 3 x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x 3 2 3 3 x Standard No 11 12 13 14 15 16 17 x x x x x x 3 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Canterbury Adult Support Unit Score x x x x Standard No 37 38 39 40 41 42 43 Score x x x 2 x 2 x H56-H05 S37735 Canterbury ASU V235639 050705 Stage 4.doc Version 1.40 Page 20 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 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 5 Good Practice Recommendations The registered mananger should ensure that the “Personal Responsibilities Agreement” articulates service users right to complain about the service provided by the home directly to the Commission for Social Care Inspection. The registered manager should review the format of the homes care plans and review of care plans to enable service user’s opinions to be recorded. The registered manager should ensure that where information is displayed in the home about the complaints process the information includes the timescale in which a response to complaints will be made. The registered manager should ensure that the ground floor ensuite showerroom is fit for use. The registered manager should ensure that the works reccommneded in the report produced in relation to the access audit is carried out in full. The registered manager should ensure that electrical appliances in the home are safety checked in accordance with guidance published by the National Inspection Council for Electrical Installation Contracting. H56-H05 S37735 Canterbury ASU V235639 050705 Stage 4.doc Version 1.40 Page 21 2. 3. 6 22 4. 5. 6. 27 29 42 Canterbury Adult Support Unit 7. 42 It is recommended that the manager ensures practice in the home is in compliance with the Control of Substances Hazardous to Health Regulations (COSHH) 1999. Canterbury Adult Support Unit H56-H05 S37735 Canterbury ASU V235639 050705 Stage 4.doc Version 1.40 Page 22 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 Canterbury Adult Support Unit H56-H05 S37735 Canterbury ASU V235639 050705 Stage 4.doc Version 1.40 Page 23 - 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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