Inspection on 17/06/05 for Four Seasons

This inspection was carried out on 17th June 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

Four Seasons 11/12/08

Four Seasons 10/01/07

Four Seasons 04/01/06

Four Seasons 14/02/05

Four Seasons 28/06/04

Four Seasons 09/02/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Four Seasons 104 Melbourne Avenue Dover Kent CT16 2JH Lead Inspector Julie Sumner Unannounced 17/06/2005 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. Four Seasons H56-H05 S23202 Four Seasons V233743 170605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Four Seasons Address 104 Melbourne Avenue, Dover, Kent CT16 2JH 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) 01304 226434 Mr Gary Thompson Mr Gary Thompson Registered Care Home 3 Category(ies) of Learning Disabilities 3 registration, with number of places Four Seasons H56-H05 S23202 Four Seasons V233743 170605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th January 2005 Brief Description of the Service: Four Seasons provides care and support to three service users with a learning disability. The home has three service users bedrooms accommodated on the first floor. On the ground floor there is a sitting room, dining room and kitchen. There is a rear garden and small front garden. Local bus services into Dover are nearby. The home is situated on a main bus route to Dover. It is in a good position for service users to access local amenities and is in keeping with the local community. The home also has a vehicle for service users to go out. Four Seasons H56-H05 S23202 Four Seasons V233743 170605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place during part of one day in June 2005. All the National Minimum Standards are being met and the overall quality of care is high. The service users were participating in planned activities and were out at the start of the inspection. One service user returned and spoke to the inspector about life in the home. Four Seasons is a comfortable home with a friendly atmosphere. It is well decorated and maintained. Service users have good-sized bedrooms and light and airy communal rooms downstairs including a sitting room, dining room and garden. The home is situated conveniently so that local amenities can be easily accessed. The home has a staff team consisting of family members and people who live locally and the same staff have worked in the home for some time. Staff training is ongoing. Service users are encouraged to maintain a healthy lifestyle and supported to attend health care checks and with medication. The owner checks the quality of how they support service users in the home by asking the service users, their families and other professionals who support individuals at times. What the service does well: Service users said they like the people they live with and all get on well. They also like the staff and felt well supported and liked to have a joke with them. Service users said they like going out and have been on theatre trips and shopping trips. They like meeting their friends when they go out. They are supported to pursue their interests and have attended clubs and colleges to socialise and learn more about the things they like. The home considers holidays an important part of individual lifestyles. Annual holidays are planned with the service users who like to go abroad if possible. Service users said they had good support with their health and if they had a medical problem they have been helped to attend GP surgery and hospital to find out what is wrong and what needs to be done to get better. Four Seasons H56-H05 S23202 Four Seasons V233743 170605 Stage 4.doc Version 1.30 Page 6 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. Four Seasons H56-H05 S23202 Four Seasons V233743 170605 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 Four Seasons H56-H05 S23202 Four Seasons V233743 170605 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) EVIDENCE: Not inspected at this time. Four Seasons H56-H05 S23202 Four Seasons V233743 170605 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 Service users are involved in the compilation of their service user plan and they give a good reflection of support given. Service users make their own decisions with support as needed. EVIDENCE: A sample of service user plans was viewed. These included an up to date assessment of needs, a care plan written by the care manager from the review team. Some additional care plans and detail written by the manager and staff. Care plans were updated and reflected current needs and support given. In discussion with service users and from observation of interaction between staff, it was evident that service users make their own decisions in their dayto-day life. Service users said they could decide what they want to do each day, what they want to wear and what they want to eat. Four Seasons H56-H05 S23202 Four Seasons V233743 170605 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) 11, 12, 13, 14, 15 The service users living at Four Seasons are able to lead the lifestyle they choose with support from the owner and staff. Service users are supported to go out and meet up with friends. Service users are supported to find employment if they wish. EVIDENCE: Service users attend college and training and opportunity centres at different times during the week. They choose what they want to study and participate in at the beginning of the year/term. One of the service users has some parttime employment in the local community. Another service users attends the local day opportunity centre and helps run the discos at one of the clubs. Service users choose from a range of activities available in the home and in the local community for adults with and without learning disabilities. These include visits to restaurants, pubs and cinema. Sporting activities chosen include ten pin bowling and swimming. Four Seasons H56-H05 S23202 Four Seasons V233743 170605 Stage 4.doc Version 1.30 Page 11 Service users are encouraged to maintain positive relationships with their families. Opportunities to mix with other people in a work and social setting are supported by the home. Service users meet other people and are able to make friends whilst attending DOC/college, work and clubs and have got to know some of the neighbours. Four Seasons H56-H05 S23202 Four Seasons V233743 170605 Stage 4.doc Version 1.30 Page 12 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 Service users are given support with personal care in a sensitive manner maintaining appropriate privacy and dignity. Service users are enabled to access specialist medical services appropriately. EVIDENCE: Service users’ health is monitored and potential complications and problems are identified as soon as possible. One of the service users spoke about a current health condition and how she is being supported. Service users attend regular appointments for health checks and these are recorded in the service user plan folder. All service users are registered with a GP and Dentist. Service users attend regular appointments for health checks, including eye tests at a local optician, and these are recorded in the service user plan folder. Staff support service users with awareness of how to maintain their health. There is an effective medication procedure. Medication administration record sheets were viewed and completed accurately. The owner and staff have attended appropriate medication training. The GP surgery and community health services have provided some medication and training for specific medical conditions when required. Four Seasons H56-H05 S23202 Four Seasons V233743 170605 Stage 4.doc Version 1.30 Page 13 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) EVIDENCE: This was not inspected at this time. Four Seasons H56-H05 S23202 Four Seasons V233743 170605 Stage 4.doc Version 1.30 Page 14 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) EVIDENCE: Not inspected at this time. Four Seasons H56-H05 S23202 Four Seasons V233743 170605 Stage 4.doc Version 1.30 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) 31, 32, 33, 35 Staff are good humoured and well trained. They have a good rapport with service users and are supportive to enable service users to have the lifestyle they choose. EVIDENCE: Staff were described as good and caring. Service users commented that staff have a good sense of humour so there is a friendly light-hearted atmosphere in the home. Staff are clear in their roles, have job descriptions and are aware of the their responsibilities. Staff demonstrated a supportive and positive attitude in their interactions with service users. Three of the staff team have achieved the NVQ level 2 which means that the home have met the timescale of 50 of the workforce achieving NVQ 2 or above by 2005. One of the staff is currently studying NVQ 3 one of the newer staff is currently studying NVQ level 2. Statutory training is up to date and training relevant to the service users is ongoing. The Owner is committed to providing relevant training to ensure that staff have the skills to support and meet the needs of the service users. All Four Seasons H56-H05 S23202 Four Seasons V233743 170605 Stage 4.doc Version 1.30 Page 16 statutory training is up to date. Staff are also trained in specific procedures to support service users health and wellbeing. Four Seasons H56-H05 S23202 Four Seasons V233743 170605 Stage 4.doc Version 1.30 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 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) 37, 38, 39, 40, 41, 42 The owner is committed to providing supportive leadership and guidance to the home which ensures the service users receive a consistent quality of care. The home is well maintained to provide a safe environment for service users. Staff have received all training to support and promote a safe environment for service users. EVIDENCE: The owner/manager has significant management experience and has acquired NVQ Level 4 in management and care. Both staff and service users were complimentary of the support they receive from the owner. The Manager stated that service users have access to their records and all records are secure. Records viewed were in good order, up to date and maintained in accordance with statuatory requirements. Four Seasons H56-H05 S23202 Four Seasons V233743 170605 Stage 4.doc Version 1.30 Page 18 The owner/manager has risk assessed the environmental hazards. Hot water thermostatic valves have been fitted and outlet temperatures are regulated to 43 c. All electrical appliances have been tested. The annual gas check has recently been carried out and the owner was awaiting certificates. The home’s electrical system safety checks have been carried out within the recommended timescale. The last food hygiene assessment carried out by the Environmental Health Officer was very satisfactory. There is a linked fire alarm system and some fire extinguishers in place. Advice has been obtained from the Fire Safety Officer who is satisfied that the current fire safety systems in place are sufficient. All staff have completed statutory training and the newest member of staff has completed induction and foundation training. All relevant policies and procedures are in place. Policies have been signed by the owner and staff both when updated and when read by individuals. Consistent and on-going informal quality assurance monitoring is in place as this is a family style home. There is an opportunity for staff or service users to give feedback anonymously by questionnaires. Four Seasons H56-H05 S23202 Four Seasons V233743 170605 Stage 4.doc Version 1.30 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 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x Standard No 11 12 13 14 15 16 17 3 3 3 3 3 x x Standard No 31 32 33 34 35 36 Score 3 3 3 x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Four Seasons Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 x H56-H05 S23202 Four Seasons V233743 170605 Stage 4.doc Version 1.30 Page 20 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 Four Seasons H56-H05 S23202 Four Seasons V233743 170605 Stage 4.doc Version 1.30 Page 21 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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