Inspection on 25/01/06 for Country Home Care

This inspection was carried out on 25th January 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

Country Home Care 12/06/07

Country Home Care 30/09/05

Country Home Care 18/08/04

Country Home Care 26/04/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Country Home Care 2 Sedgebrook Cottage Brook Lane Plaxtol Sevenoaks Kent TN15 0QU Lead Inspector Paul Stibbons Announced Inspection 25th January 2006 10:30 Country Home Care DS0000023820.V269703.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 Country Home Care DS0000023820.V269703.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. Country Home Care DS0000023820.V269703.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Country Home Care 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) 2 Sedgebrook Cottage Brook Lane Plaxtol Sevenoaks Kent TN15 0QU 01732 810821 thepells@plaxtolkent15.freeserve.co.uk Mr Brian Pell Ms Lesley Pell Ms Lesley Pell Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Country Home Care DS0000023820.V269703.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th October 2005 Brief Description of the Service: Country Home Care is a care home providing personal care and accommodation to four younger adults, it is owned and run by Mr and Mrs Pell. The home is located on the outskirts of the rural village of Plaxtol. The towns of Sevenoaks, Tonbridge and Maidstone are a short drive away, where there are all the usual facilities of large towns. There is a post office, pub and a church in the village. The home was first registered in 1995 with Kent County Council as a small home, it is a semi-detached two-storey building that has been extended upon. All the home’s bedrooms are single, two being on the ground floor, of which one has an en-suite facility. There is a stair lift to the first floor with two further bedrooms and separate living accommodation for the owner/manager. There is an enclosed garden to the front and rear of the property with seating areas and a swimming pool. Fields surround the property and there is a driveway with limited parking for vehicles; on road parking is available. The owners have many years of experience in caring for people with learning disabilities. Country Home Care DS0000023820.V269703.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Regulatory inspector Paul Stibbons conducted this announced inspection from 10.30 until 13.30 on the 26th January 2006. The owner/manager was present and all service users were out attending day services. Comment cards were received back from relatives, service users and health professionals prior to the inspection as was the pre-inspection questionnaire. A tour of the building was carried out and various records and documentation were examined. What the service does well: What has improved since the last inspection? What they could do better: There are no actions arising from this report and the manager is aware of the need for ongoing quality assurance of the service. Please contact the provider for advice of actions taken in response to this Country Home Care DS0000023820.V269703.R01.S.doc Version 5.0 Page 6 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Country Home Care DS0000023820.V269703.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 Country Home Care DS0000023820.V269703.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): Not inspected on this occasion EVIDENCE: Not inspected on this occasion Country Home Care DS0000023820.V269703.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, 10 The changing needs of service users are reviewed and recorded and their rights to confidentiality is upheld. EVIDENCE: Reviews of service users’ assessed and changing needs take place and involve service users’ families and other relevant health professionals. Individual plans viewed clearly document the requirements of service users and records of a confidential nature were securely stored. Computer generated information is restricted by password access to authorised people. Country Home Care DS0000023820.V269703.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, 16 Service users participate in a range of activities that meet their social, leisure and development needs. Their rights are respected and responsibilities recognised in their daily lives. EVIDENCE: The service users were all out at day services during the visit. Comments received back from relatives and a care manager included:- “Country Home Care provides an excellent service to residents with high support and assistance needs. There is significant community participation”. “He enjoys a full range of activities and social events”. The manager stated that staff do not enter rooms uninvited and they attempt to involve service users (within the scope of their abilities) in day to day household tasks. Country Home Care DS0000023820.V269703.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): 20, 21 Service users are unable to administer their own medication and are supported by a trained and competent staff team. EVIDENCE: Due to their disabilities service users are unable to administer their own medication. The staff team has recently completed a six week, competence based course on medication, through Bexley College. Medication is stored in line with guidelines from The Royal Pharmaceutical Society of Great Britain. Records are accurate and complete and a list of homely remedies approved by the GP is kept. The manager stated that the wishes of service users in respect of illness and death have been ascertained and are recorded in their individual care plans. Country Home Care DS0000023820.V269703.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): Not inspected on this occasion EVIDENCE: Not inspected on this occasion Country Home Care DS0000023820.V269703.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, 30 Service users live in a homely, comfortable and safe environment. EVIDENCE: The home is well maintained with a good standard of furnishing. On the day of the inspection the home was clean and tidy and free of any offensive odours. The owners have sought advice from the Environmental Officer regards improving the laundry facilities and are currently refurbishing the laundry in line with the recommendations. Comments received from Care manager and Relatives speak well of the home including:- “a comfortable and friendly home environment” and “the home is always clean and the grounds kept very well”. Country Home Care DS0000023820.V269703.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): 31, 34, 36 Service users are protected by the home’s recruitment policies and procedures and benefit from clarity of staff roles and responsibilities. EVIDENCE: The home has robust recruitment policies and procedures and staff files viewed contained two written references and a CRB check. Each new member of staff has undergone induction training in line with the Learning Disability Award Framework. Job descriptions and induction ensure clarity of roles and responsibilities of team members. The home manager stated that living on the premises allows for daily contact with the staff team but in addition formal supervision takes place in excess of six times per year and is recorded. Country Home Care DS0000023820.V269703.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, 38, 42 Service users benefit from a well run home where their health and safety is promoted and protected. EVIDENCE: The home is well run and the owner/ manager live on the premises and oversee the service 24 hrs per day. Comments received back from relatives include:- “my son’s needs and well-being are met by a very high standard of care and professionalism” and “ is very well looked after, she always looks lovely I see her once a week often unannounced” and “ the care our son gets is second to none”. Routine maintenance of the home is ongoing by one of the owners who resides in the home. Equipment and installations are serviced by relevant specialists and records were viewed and seen to be in date. Country Home Care DS0000023820.V269703.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 X X X x Standard No 22 23 Score X x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X X 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score 3 X X 3 X 3 CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Country Home Care Score X X 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 X X X 3 X DS0000023820.V269703.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 Country Home Care DS0000023820.V269703.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone 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. 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