Inspection on 29/11/05 for Eva`s Folly

This inspection was carried out on 29th November 2005.

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

Eva`s Folly 07/04/09

Eva`s Folly 02/05/07

Eva`s Folly 08/06/05

Eva`s Folly 29/10/04

Eva`s Folly 24/04/04

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

CARE HOME ADULTS 18-65 Eva`s Folly 33 Parrock Road Gravesend Kent DA12 1QE Lead Inspector Eamonn Kelly Announced Inspection 29th November 2005 02:00 Eva`s Folly DS0000023926.V256326.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 Eva`s Folly DS0000023926.V256326.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. Eva`s Folly DS0000023926.V256326.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Eva`s Folly Address 33 Parrock Road Gravesend Kent DA12 1QE 01474 320653 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) Ms Rosemary McGinty Ms Kay Reeves Ms Rosemary McGinty Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Eva`s Folly DS0000023926.V256326.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th June 2005 Brief Description of the Service: The home provides care and accommodation for 8 people with learning and physical disabilities and some mental health difficulties. Each service user has his/her own bedroom. There are comfortable facilities that include a kitchen, dining room, lounge, conservatory, garden and an external office. The owners (who both manage the home) are registered nurses (RGN and RM): they maintain close connections with local organisations concerned with developing services for people with learning and physical disabilities and mental health difficulties. The home is 10-15 minutes walk from the town centre and there is easy access to public transport. There is a walled garden at the rear. A minibus is available for transport of service users. Eva`s Folly DS0000023926.V256326.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection (announced, between 2.00 – 6.00 pm) consisted of meeting with the owners, members of staff and residents. Some of the home’s records were inspected and parts of the premises were visited. The inspection concentrated on those national minimum standards that were not fully assessed during the previous inspection (ie Standards 22, 30, 35 and 39). The report uses some information provided prior to the inspection by the owners via a pre-inspection questionnaire. Completed “comment cards” (ie. questionnaires returned to the Commission) were received. Copies of the Commissions leaflet “Is the care you get the care you need” were provided to the home on this occasion. What the service does well: What has improved since the last inspection? The premises have been improved (most recently by the addition of office facilities built over the garage). Service user care plan records have been transferred to computer and members of staff are able to access these easily. As service user’s needs increase, home day-programmes are available to them. Eva`s Folly DS0000023926.V256326.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. Eva`s Folly DS0000023926.V256326.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 Eva`s Folly DS0000023926.V256326.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): 1, 2 & 5 The statements made about the home’s services and facilities in pre-admission documents (ie statement of purpose/service user’s guide) are being met in practice. Service users benefit from continuing reviews of their aspirations and care needs. EVIDENCE: Suitable written information is available to potential service users and their families/friends/advocates to help them assess whether the home can meet their needs. Information gained at the early stage of assessment forms the basis for service users’ subsequent individual care plan. Some service users have lived at the home since 1991 and the others have lived there for around 6 years. Admission of new service users is therefore a relatively rare occurrence. There was evidence from the profiles of each service user discussed and from meeting them at the home and (previously) at external locations that members of staff have a detailed knowledge of their care needs. Each service user receives a personal contract that includes a statement of the rights and responsibilities of both parties (i.e. the service user and the home). Eva`s Folly DS0000023926.V256326.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 and 9 Service users receive assistance in making decisions about their lives. EVIDENCE: Eva`s Folly DS0000023926.V256326.R01.S.doc Version 5.0 Page 10 Individual care plans outline the assessed needs of each service user and how each aspect of these needs is being met. The process has been transferred to computer and members of staff have easy access to each record. There is an emphasis on helping residents in making decisions about their lives. The home acts as appointee for some: there are controls in place in these circumstances. During the inspection visit, the types of routines followed by service users were observed. Examples of written risk assessments related to premises, individuals and procedures (examples were discussed). Potential risks in relation to premises, procedures and individuals are assessed as far as is practicable at appropriate intervals with outcomes recorded. Records were securely stored and service users/specific advocates have access to their own records, although they do not often request this. Eva`s Folly DS0000023926.V256326.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): 13, 14 and 17 Service users receive good support and assistance in availing of opportunities for personal development and taking part in activities and leisure pursuits. EVIDENCE: Service users are helped by members of staff to develop appropriate confidence, examples included service users being able to express themselves, being involved in various aspects of domestic activities depending on individual capabilities, talking to visitors with confidence and discussing their planned activities. They have access to employment and education opportunities and live as part of the local community, whether with the support of staff or in the temporary care of local day centre staff. They have access to transport; the home’s minibus, staff vehicles, day centre minibus’s, public transport to enable them to carry out the activities agreed as part of their care plans. Service users have their own audio/visual equipment in their bedrooms, plus access to communal facilities. There are annual holidays in the UK and abroad. Eva`s Folly DS0000023926.V256326.R01.S.doc Version 5.0 Page 12 Each day and evening there are planned and spontaneous activities for each service user. Visitors may call at any reasonable time and sometimes by prior agreement because service users are often out. On some days of the week, service users are generally at home with members of staff. Service users are assisted and encouraged to be as independent as their capabilities allow. Members of staff assess their potential capabilities and programmes are in place to improve/encourage their capabilities. Service users assist staff with the planning of meals and with the purchasing of food. On a rota basis, service users help to prepare the evening meal. This is to avoid confusion and excessive risk in the kitchen. It was clear that members of staff know each service users preference regarding food and this information is recorded in individual plans, examples were seen in the computerised records. The provision of evening dinner was witnessed during this inspection visit. Eva`s Folly DS0000023926.V256326.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): 19 Service users have good personal and healthcare support. EVIDENCE: There are male and female members of staff to provide personal support to male and female service users. Personal support is provided to the level required by each service user. Additional support is provided from time to time when service user’s health required, an example was that a hoist was purchased but is no longer used because the service user’s health has improved. Service users have good access to medical facilities, a district nurse was present on the day of the inspection. Generally service users visit medical staff for planned consultations. There were some complex medical conditions where the owners succeeded in obtaining specialist medical intervention on behalf of service users. The administration of medication is recorded on MAR (medication administration record) sheets. The home has a good track record in assisting service users with problems associated with ageing and illness. Eva`s Folly DS0000023926.V256326.R01.S.doc Version 5.0 Page 14 Eva`s Folly DS0000023926.V256326.R01.S.doc Version 5.0 Page 15 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 The home has appropriate measures in place to protect service users. EVIDENCE: The views of residents and their supporters are obtained by the home and close consideration is given to these. CSCI “comment cards” (completed questionnaires) were received by the Commission. A complaints procedure is in place. Service users are confident in expressing their views to members of staff, visitors and day centre staff. All members of staff have been checked under appropriate recruitment procedures (ie. references, application form, CRB/POVA check, probation, induction training, supervision). The home follows the Kent & Medway Policy for Adult Protection. Eva`s Folly DS0000023926.V256326.R01.S.doc Version 5.0 Page 16 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 The premises are safe, comfortable and well furnished. Year-on-year improvements have enabled the environment to continue to contribute to the comfort and safety of service users. EVIDENCE: There are single bedrooms for all service users, kitchen, separate dining room, lounge, conservatory and garden. Bedrooms meet the needs of service users. New office facilities have been built over the rear garage. There are sufficient bathroom and toilet facilities (some recently refurbished). There are good shared areas for staff, service users and visitors. Currently there are few specific disability aids and adaptations available for service users. If a service user required some form of additional care or adaptation, this would be identified examples were that a hoist was purchased for a service user who no longer needs it because of improved health and temporary 1:1 additional staffing was put in place. Great care is taken to maintain the home in a comfortable, clean and hygienic way. Eva`s Folly DS0000023926.V256326.R01.S.doc Version 5.0 Page 17 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): 35 A staff group is in place that meets the needs of service users. EVIDENCE: Five members of staff are undertaking NVQ Level 2/3 in Care. The owners/managers are registered nurses (RGN & RNMH). A training consultant provides advice and guidance on the levels of training needed and how best to provide these. Each member of staff has a record of training received and further necessary training is identified during formal supervision and day-today contact. Senior support workers now carry out staff appraisals so that training needs are accurately identified and opportunities for development put in place. The diverse needs of residents are the benchmark for training needs agreed with members of staff and with the training consultant. The preinspection questionnaire outlined the actual training undertaken and planned. Eva`s Folly DS0000023926.V256326.R01.S.doc Version 5.0 Page 18 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, 39 & 42 The home is run in a way that ensures as far as is practicable the comfort and safety of service users. It is well managed and the interests of service users are identified and safeguarded. EVIDENCE: Eva`s Folly DS0000023926.V256326.R01.S.doc Version 5.0 Page 19 The owners/managers are both qualified nurses (RGN and RM) registered with NMC (nursing and midwifery council). Rosemary McGinty’s first nursing qualification was “Registered Nurse for the Learning Disabled” and she has a diploma in counselling. Both owner/managers have significant experience in providing residential services for younger adults with learning and physical disabilities. The owner/managers maintain contact with organisations in the area that monitor developments in the care of people with learning and physical disabilities and those with mental health difficulties. Service users were relaxed, comfortable and at ease with visitors. When they returned in the evening, they quietly and purposefully went about their activities. A number of CSCI “comment cards” (questionnaires completed by service user’s supporters) were received by the Commission. The home maintains close contact with resident’s families and supporters and listens closely to their comments and views. The owners continuously review policies/procedures/standards as part of quality assurance measures. Written risk assessments are carried out in relation to premises, individuals and procedures. Portable and fixed appliance testing is carried out. Fire safety equipment is checked according to required frequencies. Fire drills are practiced and all fire safety routines are recorded. All visitors are required to sign in and out. The pre-inspection questionnaire contained a declaration in respect of the necessary maintenance certificates in place and up-to-date. Eva`s Folly DS0000023926.V256326.R01.S.doc Version 5.0 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 x x 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 x x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 4 LIFESTYLES Standard No Score 11 x 12 x 13 3 14 3 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Eva`s Folly Score x 4 x x Standard No 37 38 39 40 41 42 43 Score 3 x 3 x x 3 x DS0000023926.V256326.R01.S.doc Version 5.0 Page 21 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 Eva`s Folly DS0000023926.V256326.R01.S.doc Version 5.0 Page 22 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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