Inspection on 06/12/05 for Esken House

This inspection was carried out on 6th December 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

Esken House 10/09/07

Esken House 25/07/06

Esken House 21/06/05

Esken House 18/02/05

Esken House 19/07/04

Esken House 23/03/04

Similar services:

Insight - Eastchurch

Southfields

Thorndene

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 Esken House 69 Charlesford Avenue Kingswood Maidstone Kent ME17 3PH Lead Inspector Ann Block Unannounced Inspection 6 December 2005 11:35 Esken House DS0000023929.V250126.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 Esken House DS0000023929.V250126.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. Esken House DS0000023929.V250126.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Esken House Address 69 Charlesford Avenue Kingswood Maidstone Kent ME17 3PH 01622 843786 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 Esme Davis Mrs Esme Davis Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Esken House DS0000023929.V250126.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st June 2005 Brief Description of the Service: Esken House is a detached chalet bungalow providing accommodation for two male service users who have a learning disability. The accommodation is on two floors, with service users having their living space on the ground floor. The owner lives on the premises, the first floor is for her use only. The home is situated in a quiet residential area approximately 5 miles from Maidstone. The ground floor accommodation includes a shared bedroom with nurse call facility, lounge, separate dining room, study, music room, guest room, conservatory, kitchen and utility room. The home has its own transport and provides car parking facilities to the front of the property. There is a large garden with swimming pool to the rear of the house. The home is staffed on a 24 hour basis and is described as a ‘home for life’ for the two service users living there. The owner has provided care to the current residents for many years, there are no plans to admit any other service users. Esken House DS0000023929.V250126.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out by regulatory inspector Ann Block between 11.35am and 3.05 pm on Tuesday 6 December 2005. The owner and both residents were at home and chatted about their lives and plans for Christmas. Feedback was given to the owner at the end of the inspection. The owner initially cared for 5 residents through to older age. Currently only two remain in the home, both elderly. The owner is clear there is no wish to accommodate any other residents. Two staff and the owner’s family assist in providing 24 hour care. The family and staff have known the residents for many years and work as a family unit. Elements of many standards are not applicable to this setting. This report is based solely on outcomes for residents assessed through conversation and observation during the inspection. The owner said that key records and policies are available, these were not inspected. An announced inspection was carried out in June 2005 where a more comprehensive assessment of standards took place. It is recommended that the report of that inspection be read to give a wider view of service provision. What the service does well: What has improved since the last inspection? To evidence that suitable action is taken to prevent risk, incidents which affect the wellbeing of service users are now notified to the commission. Esken House DS0000023929.V250126.R01.S.doc Version 5.0 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. Esken House DS0000023929.V250126.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 Esken House DS0000023929.V250126.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 assessed EVIDENCE: There are no plans to admit other residents. A statement of purpose and service users guide has been produced. Both residents have a good understanding of what they can expect from the service, their rights and responsibilities. Esken House DS0000023929.V250126.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 & 10 Residents’ care needs are understood and well met. EVIDENCE: Just as the reader might know the needs of close family members, so do the owner, family and staff supporting the two residents. Input from annual care management reviews provide additional external monitoring of the placement. Individual preferences are recognised so that whilst the two residents obviously enjoy each other’s company, they may opt to do different things at different times. They prefer their meal times to be around the same time of day, as some routines are comforting and reassuring for them. One is a fervent time watcher and likes to have his daily cigarette after lunch. He spoke of going to bed ‘around 9.30 or 10’ and getting up around 8. The residents are consulted with about matters which affect them during their day, with their opinions listened to. They are able to help around the house if they wish and have a specific day when they help to change their bedding. Both residents were relaxed in the environment, choosing when to go to the toilet, when to have a rest in the lounge and whether to stay in the dining room for a chat after lunch. One resident said he was looking forward to ‘x’ coming on duty as he liked her and she would wash his clothes, indicating generally that Esken House DS0000023929.V250126.R01.S.doc Version 5.0 Page 10 he liked to be well presented. Privacy and confidentiality is well maintained with respect shown to each. Esken House DS0000023929.V250126.R01.S.doc Version 5.0 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 the following standard(s): 11,12,13,14,15,16 & 17 Residents enjoy a varied and active life. EVIDENCE: Both residents are able to keep skills they have learned. The owner said that the inspector was lucky to catch them in as most days they go out. Places they all enjoy include breakfast at British Home Stores, a monthly meal out at the local pub, shopping trips, regular shopping and meal out trips to France, lunch at Aylesford Priory and going for a drive. Photos around the home record trips abroad which one resident joined in, including a trip to Florida Disney. The other resident is vehement that he does not wish to fly anywhere and has no wish to spend a night away from the home. A spare room has recently been turned into a music room. The owner said that she had excellent relationships with a neighbour who she had known for 19 years. The neighbour knew the residents well and would be there for them in any emergency. One resident’s family visit him regularly. He was looking forward to a visit shortly, mention was made that they would be coming by train. Trains figure largely in one residents life and opportunities are provided for train journeys such as Eurotunnel. Events which involve the owner’s family Esken House DS0000023929.V250126.R01.S.doc Version 5.0 Page 12 include the residents. One resident said he loves the new grandchild. The family will be coming to the home for Christmas lunch. The lunch served during the inspection was chicken casserole with a selection of vegetables followed by bread and butter pudding. Both residents obviously enjoyed their lunch which looked very appetising, fresh and all home made. One resident said he liked the food which was evidenced by the large plateful of casserole he consumed. Regular drinks are made. Esken House DS0000023929.V250126.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 & 21 Residents’ health is cared for throughout the aging process. EVIDENCE: Both service users are able to largely direct their own care needs. The owner spoke of personal care needs and how these would be managed. She ensures that privacy and dignity is maintained both in the house and when out. Health needs are well met. The owner is a registered nurse and knows the processes to access health services. There are very good relationships with the local GP. One resident recently returned from a hospital stay and is being supported in his recovery process. There are minimal medication needs. Medication is properly stored and recorded. The owner has an excellent awareness of the aging process and is able to encourage residents to live an active, healthy life whilst recognising in some areas they are slowing down. Residents are cared for through the later stages of life, the aim is for them to remain in the home as long as possible. Where this is impossible, the owner maintains contact with understanding and support. Residents, relatives and staff are able to pay their last respects and express their feelings around loss. Esken House DS0000023929.V250126.R01.S.doc Version 5.0 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Residents are protected from abuse and able to make comment about the service. EVIDENCE: There is a written complaint process however neither of the residents would be able to use written information. It is clear that residents would express any dissatisfaction with the service either verbally or by action. Both residents are happy to talk to the owner, her family or staff, in turn they know the residents well enough to know what might upset them and how to act to reduce stress or concerns. Practices and policies protect residents from the risks of abuse or harm. Esken House DS0000023929.V250126.R01.S.doc Version 5.0 Page 15 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): 24,25,26,27,28,29 & 30 Residents have a clean, homely and well maintained environment in which to live. EVIDENCE: The service is totally a family environment in domestic premises. The bungalow is sited in large gardens with an outlook onto fields and woods. The two residents use the ground floor where they share a bedroom by choice. They have made the bedroom very personal to them with plane and train models, books, photos and pictures. Their effects spread into the lounge where there is a TV and DVD player for their use. They have just helped to put up the Christmas tree. They have unrestricted access to all of the ground floor, including the spare bedroom, music room and study. The large dining room is used for meals with a conservatory leading off it. There is a large well fitted kitchen and bathroom with Jacuzzi style bath, over bath shower and toilet. An additional toilet leads from the conservatory. The residents have a small washbasin to use in their bedroom. Aids are in place, some remaining from a previous resident, other aids are provided as the need arises. There is a separate utility area. Good standards of cleanliness, both personal and environmental are maintained. Esken House DS0000023929.V250126.R01.S.doc Version 5.0 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 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): Not assessed EVIDENCE: There are only two part time staff employed, both of whom have worked at the home for years. Neither were on duty at the time of inspection. The last inspection report records that staff were suitable to work with the client group, trained and well supported by the owner. Esken House DS0000023929.V250126.R01.S.doc Version 5.0 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 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): 37,38,39,40,41,42,43 Residents benefit from a well managed service EVIDENCE: The owner is a registered nurse and has many years experience in running a service for people with learning difficulties. The service has reduced to provide care for two residents who have the owner’s family and two part time staff to support them. Both residents said they liked the staff and referred to ways in which they looked forward to each being on duty. As mentioned through the report, the service is family based and works as a team. The owner said she has relevant policies which staff are aware of. Most day to day issues are discussed ‘over the dining table’ in an informal manner rather than as recorded meetings. Due to the small and close knit team, this is an effective way of communicating necessary information and for the residents to put their point of view. The fire and ‘nurse call’ systems were serviced during the inspection. There was evidence that other services and equipment are properly maintained and that fire safety is promoted. The owner notifies incidents which affect the wellbeing of service users to the correct authorities. Esken House DS0000023929.V250126.R01.S.doc Version 5.0 Page 18 Esken House DS0000023929.V250126.R01.S.doc Version 5.0 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 x x x x x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Esken House Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 3 DS0000023929.V250126.R01.S.doc Version 5.0 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. x Standard x Regulation x Requirement None from this inspection – date needed for validation purposes only Timescale for action 01/01/01 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. x x Refer to Standard Good Practice Recommendations None from this inspection Esken House DS0000023929.V250126.R01.S.doc Version 5.0 Page 21 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. Extracts may not be used or reproduced without the express permission of CSCI Esken House DS0000023929.V250126.R01.S.doc Version 5.0 Page 22 - 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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