Inspection on 11/07/05 for Faith House

This inspection was carried out on 11th July 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

Faith House 04/10/06

Faith House 24/02/06

Faith House 10/03/05

Faith House 19/08/04

Faith House 18/02/04

Faith House 21/08/03

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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 Faith House 21/22 Redwood Close Canterbury Kent CT2 7HT Lead Inspector Christine Lawrence Announced 11 & 12 July 2005 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. Faith House H56-H05 S23414 Faith House V227799 110705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Faith House Address 21/22 Redwood Close, Canterbury, Kent, CT2 7HT 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) 01227 459133 larche@faith-house.freeserve.co.uk LArche (Kent) Mr Edward Anthony Gerrard Gilmore currently but Edwin Chavarria Zapata applying Registered Care Home 5 Category(ies) of Learning Disability (LD) (5) registration, with number of places Faith House H56-H05 S23414 Faith House V227799 110705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 10/03/05 Brief Description of the Service: Faith House is a care home providing personal care and accommodation for 5 people.It is operated by L’Arche which is an international community within which are homes for people with learning disabilities. L’Arche Kent is the owner of Faith House. The home is located close to Canterbury city centre with all of its amenities.The home was opened in 1990 and comprises of two houses joined together to form one large house. All the residents have single rooms. There is an open garden at the front and an enclosed garden to the rear. Some of the staff are permanent but others come from many different countries to be part of the community within the home and within the area for a specific period of time. Staff and residents are known as Members of the community, some of who are Core Members. The terms staff and residents are used for the purpose of this inspection report. Faith House H56-H05 S23414 Faith House V227799 110705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a planned announced inspection which took place over two days. The inspector observed staff interacting with residents and also viewed various records. Staff and residents chatted to the inspector and two residents showed their rooms. What the service does well: What has improved since the last inspection? 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. Faith House H56-H05 S23414 Faith House V227799 110705 Stage 4.doc Version 1.40 Page 6 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 Faith House H56-H05 S23414 Faith House V227799 110705 Stage 4.doc Version 1.40 Page 7 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 and 3 Prospective residents and their representatives would have the information they need to decide if Faith House is the right place for them. They can be confident that the home can meet their needs. EVIDENCE: The home has produced an appropriate statement of purpose and service user guide. It is clear from the documents and talking to the House Co-ordinator that a lot of work has already gone into presenting the information in a meaningful way. The intention is to continue to look at this as part of any new resident being admitted ie to tailor the service user guide to meet the communication needs of any prospective resident. The ethos of the home is based on current good practice with regard to people with learning disabilities. The home has details of independent advocates which they can provide to residents but in practical terms each person has a contact outside of the immediate staff group. This might be a L’Arche person from another setting or someone who used to work for the organization. One resident has a supportive network of family and friends. The care plans seen show that each person is looked at as an individual. Any special aspect of their care, whether physical or to do with social or developmental needs, is highlighted. There is evidence of specialist advice being sought. Faith House H56-H05 S23414 Faith House V227799 110705 Stage 4.doc Version 1.40 Page 8 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, 7 and 9 Wherever possible residents are involved in their care planning therefore they can be confident that their needs and wishes are known. Support is provided to enable risks to be taken so that residents have as much independence and choice as possible. EVIDENCE: Individual care plans are in place for each person at Faith House. They are detailed and individual. They cover a range of assessed needs and provide clear guidelines about how support should be offered. They include photographs of activities and/or people and there is a list of personal preferences (likes and dislikes), which clearly reflects that residents are involved in compiling this information. There were copies of information from placing authorities where appropriate. Where appropriate there are guidelines for positive behaviour support. There is a key worker system in place. The House Co-ordinator has identified that some work needs to be done to improve the updating of care plans. They are not routinely done at least every 6 months. However, it is clear from documents seen during this inspection that where changes occur care plans are updated. Throughout the individual folders there is evidence of risk assessments to support residents’ independence or to demonstrate why restrictions are in place. Talking to staff, as well as viewing records showed that residents make choices about their daily routines and get any support they might need to do this. Faith House H56-H05 S23414 Faith House V227799 110705 Stage 4.doc Version 1.40 Page 9 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) 12-17 There are opportunities for stimulation, socialising, leisure and contacts with friends and family which mean that residents lead full and active lives. Residents are offered a healthy diet and enjoy their meals and mealtimes. EVIDENCE: One person attends a Day Opportunities Centre 5 days a week and the other residents attend the various day activity provisions run by L’Arche in the area for various sessions according to their wishes and needs. Other facilities within the wider community are also accessed. Residents have opportunities to fulfil their spiritual needs. L’Arche is a Christian based community and residents can and do attend local churches. Practical life skills are included within the individual care plans and how residents are supported in this varies from individual to individual. Residents use local shops and other community provision such as restaurants, churches, theatres and pubs etc. Residents are encouraged and enabled to partake of a range of leisure pursuits. There are frequent birthday celebrations and other get-togethers involving friends and families. This includes barbeques during the fine weather. Craftwork is undertaken with those who wish and television and videos are available. There is a great deal of socialising. The Inspector was informed that the evening meal is also very much of a social occasion. There are outings to local pubs Faith House H56-H05 S23414 Faith House V227799 110705 Stage 4.doc Version 1.40 Page 10 and cinemas. Residents at the Home enjoy lots of opportunities for holidays as within the wider L’Arche community, residents visit and stay in each other’s Homes. Residents are encouraged to maintain contact with friends and family and examples of this were noted by the Inspector including a Family Day once a year. This does vary according to the personal circumstances of each individual. Relatives who responded to the Commission’s request for comments clearly stated that they are made welcome when they visit. Bedroom doors are lockable and two residents currently choose to use this facility. Two people also have keys for the front door. Mail is put into individual compartments for residents to open and staff will support as required. Privacy is considered important and staff will knock and seek permission before entering a resident’s room. Residents can choose to spend time in their rooms as they wish. People take part in various domestic chores and are encouraged to keep their own rooms clean. There is a pet cat in the Home. The evening meal is considered an important social part of the day. Residents take turns to provide the meal sharing this task with a member of staff. Although there is a menu, the choices are based on whoever’s turn it is to cook which encourages variety. Residents’ likes and dislikes are known and an alternative will be offered. The dining table is very large, allowing for everyone to sit together although sometimes residents choose to have supper on their laps whilst watching a favourite television programme. All the people who responded via the Relatives Comment Cards confirmed that they were made welcome when visiting the home. Other comments included ‘…he can mix with people and have his own space and privacy too…’ ‘…we are very impressed with the amount of outings and activities provided…’ ‘…with people and friends she can relate to…’. Faith House H56-H05 S23414 Faith House V227799 110705 Stage 4.doc Version 1.40 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 standard(s) 18, 19 and 20 Residents receive personal support in the way they prefer and their health care needs are identified and met. Residents are protected by the home’s procedures for dealing with medication. EVIDENCE: Residents seen during this inspection were individual in their appearance and the Inspector was informed that individuals make choices about their clothes and hairstyles. Residents’ needs with regard to the level of support they require for personal care varies according to their abilities for instance one person might need lots of help and another might only need encouragement. Information about personal hygiene preferences as well as information about morning routines is provided within the individual plan. The staff always ensure that a male assists a male and a female assists a female. There are sufficient male and female staff for this to happen. The records seen indicate that residents health care needs are identified and responded to with attention from dentists, opticians, general practitioner, community nurses, dietician, continence advisor etc. Medication is appropriately stored and administration is properly recorded. Staff have received training from a pharmacist regarding medication. Faith House H56-H05 S23414 Faith House V227799 110705 Stage 4.doc Version 1.40 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 standard(s) 22 and 23 There are a variety of ways that residents can express any concerns they might have which means they can be confident that their views will be listened to and acted on. Residents are protected from abuse, neglect and self-harm. EVIDENCE: The individual planning, key worker system and regular house meetings are used to ensure that residents’ views and concerns are noted. Staff also said they would note and investigate if any resident appeared to be unhappy about something. A new leaflet entitled ‘Feeding Back’ has been designed to improve recording of any issues. There are policies and procedures in place regarding complaints. A poster, using pictures, is on display for residents to assist them in knowing who to talk to if they have a problem. There are policies and procedures relating to adult protection and whistle blowing and these were reviewed in October 2000. The home also has the new multi agency procedures from Kent County Council’s social services department. A policy regarding aggression toward staff is in place and was reviewed in September 2004. All members of staff have received NAPPI training and there is an appropriate policy about the use of restraint. A policy regarding bullying is also in place and was reviewed in April this year. There are new procedures within the home for reporting and dealing with any incidents relating to aggression/violence. Faith House H56-H05 S23414 Faith House V227799 110705 Stage 4.doc Version 1.40 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 standard(s) 24-28 and 30 Residents live in a homely environment with individual rooms that suit their lifestyles and promote independence. Opportunities for privacy and for sharing are in place and the home is clean and hygienic. EVIDENCE: The Home’s premises are suitable for their purpose and the house is comfortable and homely. Faith House is situated close to the City Centre with all of its amenities. It is in keeping with the local community. A housing society owns the property and undertakes maintenance as required and on a planned basis. This was confirmed by the Manager who explained the procedures for reporting work needed to be done. There are no outstanding requirements from the Environmental Health Officer. The fire safety risk assessment has been audited by the Fire Safety officer. All residents have their own rooms. One room is fractionally below 10 square metres but is still suitable and adequate for the resident. Residents’ rooms seen during this inspection were personalised. Staff discuss with residents what furniture and fittings they want and the Inspector was informed that some people choose not to have all things specified within this standard. Faith House H56-H05 S23414 Faith House V227799 110705 Stage 4.doc Version 1.40 Page 14 There are adequate and sufficient bathrooms and toilets. Toilets and bathrooms are lockable. There is a large dining/lounge area and a conservatory. There is a small, well-kept garden to the rear of the house. The kitchen and laundry facilities are domestic in scale. There are always staff on the premises sleeping in as some of them also live there. The Home was clean on the day of the inspection. There are policies and procedures in place regarding infection control. The following opinions were expressed in the Relatives Comment Cards sent to the Commission by relatives:- ‘…a lovely, calm, caring environment…’ ‘…happy, relaxed and peaceful place…’ ‘…looks on Faith House as…HOME…’ ‘…could not be placed in a better home or environment…’. Faith House H56-H05 S23414 Faith House V227799 110705 Stage 4.doc Version 1.40 Page 15 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 These standards were not assessed on this occasion. EVIDENCE: Faith House H56-H05 S23414 Faith House V227799 110705 Stage 4.doc Version 1.40 Page 16 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) 42 The health, safety and welfare of service users are promoted and protected. The health and safety of employees is also protected. EVIDENCE: Training is provided to all staff regarding moving and handling, fire safety, first aid and food hygiene. This training forms part of the induction process for all new staff across the organisation. Although there is no formal training for infection control there are written procedures which also form part of induction. They include health and safety guidelines, dealing with body fluids and a hand-washing guide. A spot check on records relating to maintenance and servicing indicates that everything is appropriate and up to date. The home works closely with the housing association which owns the property. There are a variety of risk assessments relating to various aspects of health and safety within the home eg using the home’s vehicles, using candles, hot water, hepatitis b, deep frying and slips, trips and falls. Faith House H56-H05 S23414 Faith House V227799 110705 Stage 4.doc Version 1.40 Page 17 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 3 x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 x 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 3 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 Faith House Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x H56-H05 S23414 Faith House V227799 110705 Stage 4.doc Version 1.40 Page 18 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 Good Practice Recommendations Faith House H56-H05 S23414 Faith House V227799 110705 Stage 4.doc Version 1.40 Page 19 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. 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