Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 26/08/05 for Fame Care Ltd

Also see our care home review for Fame Care Ltd for more information

This inspection was carried out on 26th August 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

This is a home that currently provides for four service users with a learning disability. The Manager and staff team appear to have established a friendly, welcoming and supportive atmosphere. Staff on duty at the time of inspection carried out their tasks with enthusiasm and obvious affection for those in their care. Staff confirmed there is increasing access to practice specific training courses once the funding is arranged and they are encouraged to undertake NVQ training

What has improved since the last inspection?

The home has addressed the requirements and recommendations of the last inspection report. They have been met or have actions planned. Administrative systems and records have been reviewed and are in the process of being amended /replaced where appropriate. Staff have endeavoured to improve the physical environment in the bedrooms and the garden with items that provide visual stimulus.

What the care home could do better:

Staff have attended short training courses and workshops. NVQ training at an appropriate level now needs to be actively pursued and completed by staff, in sufficient numbers, to satisfy the requirements of the NMS. The home aims to provide a specific service to individuals. It needs therefore to be mindful of the increased dependency levels of service users and the impact they may have on staff resources.. Care plan documentation has now reportedly been under review and waiting changes for a number of inspection visits. This now needs to be finalised to produce a clear, concise and informative working tool for the guidance of staff.

CARE HOME ADULTS 18-65 Fame Care Limited 24 Dunstall Gardens St Marys Bay New Romney, Kent TN29 0QT Lead Inspector Geoff Senior Unannounced 26 August 2005 10:30 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. Fame Care Limited H56-H05 S23421 Fame Care Ltd V242694 260805 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Fame Care Limited Address 24 Dunstall Gardens, St Marys Bay, New Romney. Kent, TN29 0QT 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) 01303 874747 Beacon Care Holdings PLC Mrs Sarah Jane Hussey Care Home only 4 Category(ies) of Learning Disability x 3; Physical Disability x 1 registration, with number of places Fame Care Limited H56-H05 S23421 Fame Care Ltd V242694 260805 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20/1/05 Brief Description of the Service: Fame Care is registered as a Care Home for up to four adults with a learning disability. Fame Care Ltd. is the registered Provider with the Registered Manager, Ms. S. Hussey in day-to-day control of the functioning of the Home. The home is a detached property set in a residential area of the seaside village ofSt. Mary’s Bay. The accommodation comprises four ground floor single bedrooms for resident’s use. There is a large lounge dining room providing communal day space. Service users may also access the enclosed garden to the rear of the house. Car parking is available to the front of the property. Local facilities (shops, pub, GP, church and post office) are all within a short drive. Fame Care Limited H56-H05 S23421 Fame Care Ltd V242694 260805 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and was undertaken on 26/805.. The inspector met and spoke generally with all staff and more specifically with the senior support worker. The Manager arrived during the latter part of the visit. The level of functioning of some of the service users precluded the opportunity for any meaningful verbal interaction. However the inspector observed, throughout the visit, the staff’s attention to the service users’ immediately expressed needs, their patient, friendly and respectful manner and their treatment of each service user as an individual. The duty rota indicated a reasonable level of staff during the day for the number of service users. This may need to be reviewed given the increasing level of dependency. The Inspector viewed the premises and inspected a range of records. The inspection identified areas of good practice and where action is still required in order to comply with the Standards. Details are incorporated in the body of the report. The cooperation of the staff throughout the inspection is acknowledged. What the service does well: What has improved since the last inspection? The home has addressed the requirements and recommendations of the last inspection report. They have been met or have actions planned. Administrative systems and records have been reviewed and are in the process of being amended /replaced where appropriate. Staff have endeavoured to improve the physical environment in the bedrooms and the garden with items that provide visual stimulus. Fame Care Limited H56-H05 S23421 Fame Care Ltd V242694 260805 Stage 4.doc Version 1.30 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. Fame Care Limited H56-H05 S23421 Fame Care Ltd V242694 260805 Stage 4.doc Version 1.30 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 Fame Care Limited H56-H05 S23421 Fame Care Ltd V242694 260805 Stage 4.doc Version 1.30 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) 2,3,4,5. Parts of the admission procedure assist the decision making process. Some elements need to be improved/expanded in order to provide assurance that the care needs have been fully assessed and can be met by the home. The Statement of terms and conditions of residence does not contain sufficient detail to satisfy the requirements of the NMS. EVIDENCE: A recent admission to the home was the first for a number of years. Examination of records showed that the funding authority had undertaken a joint assessment prior to admission outlining the service user support needs. The home’s own assessment was limited in detail and incomplete, however, when used in conjunction with other information contributed to the admission process. The service user had opportunity to visit the home prior to admission to meet and spend time with the existing service users and staff. Family members also visited. The positive outcome of theses visits enabled the S.U. family, staff at the home and the funding authority to have confidence in their decision that the service users needs would be met by the home. The inspector was informed that the T&C statement is being updated. The example viewed at this visit did not contain the detail required in NMS 5 nor was it signed by interested parties. Fame Care Limited H56-H05 S23421 Fame Care Ltd V242694 260805 Stage 4.doc Version 1.30 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 standard(s) 6,7,8,10 Staff need time to work with the new care plan and reporting formats before their value to informing and improving practice can be determined. EVIDENCE: An SSD support plan was supplied to the home. Detailed guidelines had been provided as to how the staff can support the service users in meeting their needs. Staff commented on their usefulness and concluded that the change in environment, routine, structure and staff had led to a significant change in response and performance and necessitated a review. The care plan needs to set out the special requirements for meeting the needs relating to a particular condition. Some staff are able to use positively, elements of their experience in working with this condition, gained in a different client group setting. The registered person needs to ensure that staff have access to training and specialist advice and guidance commensurate with the duties they are expected to perform. Service users with limited communication skills are encouraged by staff to express a choice or preference wherever possible. Staff interacted with the service users in a friendly and non-patronising manner and made efforts to include them in any interactions. Risk assessments were not viewed at this visit. There was no public display of confidential or personal information. Records are secured in the office Fame Care Limited H56-H05 S23421 Fame Care Ltd V242694 260805 Stage 4.doc Version 1.30 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 standard(s) 12,13,14,16,17. Daily routines are flexible and respect service users rights and individuality. Service users are provided with a varied and balanced diet. Service user activity is limited. Staff may benefit from more guidance/leadership in providing pastimes and stimulation according to assessed needs and abilities. This may include input from external agencies. EVIDENCE: There is little interaction with the immediate neighbourhood. The service users make limited supported use of the local amenities and services. The home has a vehicle available for transporting service users to and from trips out, social venues and home visits. Staff spoke of methods of working with the new client’s specific needs. These were based on their own experiences and skills as support workers. It was agreed that the staff would benefit from specialist input and arrangements are in place to this end. Some of the the service users mobility is limited but those who can may come and go as they please in the communal areas and grounds. The house is nonsmoking and staff may use the garden for this purpose. Staff confirmed that the daily routines are flexible and respect the service users rights and individuality. Fame Care Limited H56-H05 S23421 Fame Care Ltd V242694 260805 Stage 4.doc Version 1.30 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) 18,19,20,21. Staff have a good understanding of individual support needs. This was evident from the positive relationships formed between the service users and staff. Personal support is provided in such a way as to promote privacy and dignity. Staff need training in the physical and emotional needs relating to service users with dementure. The arrangements for medication administration are generally good. EVIDENCE: Staff are aware of issues relating to privacy and dignity when offering personal support and care.. Systems are in place to monitor ongoing healthcare needs. Staff support Service users to attend external healthcare appointments. Staff previously spoke of training received in respect of medication administration, recording and storage. Only those who have satisfied the manager’s assessment are authorised to be involved in medication procedures. The home aims to provide a home for life and offers care and accommodation for as long as is appropriate and practicable. This is offered with support from the GP and Community nursing services. The home determines service user wishes for terminal care, funeral arrangements and contacts in the event of death and records in the care plans Fame Care Limited H56-H05 S23421 Fame Care Ltd V242694 260805 Stage 4.doc Version 1.30 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) Not inspected EVIDENCE: Fame Care Limited H56-H05 S23421 Fame Care Ltd V242694 260805 Stage 4.doc Version 1.30 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) 24-30 The standard of the décor, furnishings, hygiene and general living environment is good. The service users and staff are provided with a comfortable and homely place in which to live and work. EVIDENCE: Service users are helped to make use of the enclosed garden and patio area.. Staff have made efforts to improve the garden by providing items offering visual stimulation, a table and chairs and a canopy.. The premises appeared to be clean and free from undue odours. Private rooms are adequately furnished and have been personalised. Toilet and bathroom facilities are adequate for current needs. Fame Care Limited H56-H05 S23421 Fame Care Ltd V242694 260805 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) Not inspected EVIDENCE: Fame Care Limited H56-H05 S23421 Fame Care Ltd V242694 260805 Stage 4.doc Version 1.30 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 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) Not inspected EVIDENCE: Fame Care Limited H56-H05 S23421 Fame Care Ltd V242694 260805 Stage 4.doc Version 1.30 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 2 2 3 2 Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 x 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 x 2 3 2 x 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 Fame Care Limited Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score x x x x x x x H56-H05 S23421 Fame Care Ltd V242694 260805 Stage 4.doc Version 1.30 Page 17 yes 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 YA5 Regulation 5 Requirement The registered manager develops and agrees with each prospective service user a written and costed contract/statement of terms and conditions between the home and service user Timescale for action 30/9/04 amended to 31/12/05 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. 2. 3. 4. Refer to Standard YA2 YA3 YA6 YA14 Good Practice Recommendations Pre placement asessment tool should be complete, highlight specialist requirements and be signed The registered person needs to demonstrate the homes capacity: staff training/skills and environment to meet specialist needs of those admitted to the home. The care plan needs to set out the special requirements for meeting the needs relating to a particular condition. Staff may benefit from more guidance/leadership in providing pastimes and stimulation according to assessed needs and abilities. This may include input from external agencies Fame Care Limited H56-H05 S23421 Fame Care Ltd V242694 260805 Stage 4.doc Version 1.30 Page 18 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 Fame Care Limited H56-H05 S23421 Fame Care Ltd V242694 260805 Stage 4.doc Version 1.30 Page 19 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!