Inspection on 13/06/05 for Frindsbury House

This inspection was carried out on 13th 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

Frindsbury House 07/11/05

Frindsbury House 24/03/05

Frindsbury House 02/02/05

Frindsbury House 16/02/04

Frindsbury House 08/10/03

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

CARE HOME ADULTS 18-65 Frindsbury House 42 Hollywood Lane Frindsbury Rochester Kent, ME3 8AL Lead Inspector Lucy Ansell Unannounced 13 June 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. Frindsbury House H56-H06 S28882 Frindsbury House V229397 130605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Frindsbury House Address 42 Hollywood Lane Frindsbury Rochester Kent, ME3 8AL 01634 719942 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) The Mortimer Society Nil Care Home 16 Category(ies) of PC Care Home only registration, with number of places Frindsbury House H56-H06 S28882 Frindsbury House V229397 130605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Sixteen (16) people with Learning Disabilities between 18 & 65 years of age. Date of last inspection 24 March 2005 Brief Description of the Service: Frindsbury House is a residential home for Young adults with Learning Disabilities, the home is owned by ‘The Mortimer Society’ and has been established for a number of years. All the residents at the home are male and the staff team reflects this with a high majority of male carers. Frindsbury House is a large detached property, with an extensive garden area to the rear, there is also a garden area and driveway at the front of the premises. Accommodation is offered over 2 floors; all the bedrooms at the home offer single occupancy with a washbasin. Downstairs there is a lounge, with a large conservatory area adjacent and a separate dining room. In addition there is an identified ‘quiet’ lounge within the home. There are additional buildings situated within the rear garden, offering facilities for residents on site, which include an Art room/ Workshop and an Occupational Therapy kitchen; there is also a separate room within these buildings set aside for the use of staff. The home is located within a residential area, within easy reach of Strood town centre and general facilities within the Medway towns. Frindsbury House H56-H06 S28882 Frindsbury House V229397 130605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection under the terms of the Care Standards Act 2000 carried out by two inspectors who were in the home from 10.00 to 13.00 on the 13th June 2005. During the inspection the Manager and senior care staff were in attendance. Documentation and records were read, including care plans. A tour of the premises was undertaken. The inspectors spent time talking with 6 service users. The focus of the inspection was tailored towards an ongoing Adult protection issue and any standards not covered will be inspected on the announced inspection. Frindsbury House H56-H06 S28882 Frindsbury House V229397 130605 Stage 4.doc Version 1.30 Page 6 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. Frindsbury House H56-H06 S28882 Frindsbury House V229397 130605 Stage 4.doc Version 1.30 Page 7 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Frindsbury House H56-H06 S28882 Frindsbury House V229397 130605 Stage 4.doc Version 1.30 Page 8 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 Frindsbury House H56-H06 S28882 Frindsbury House V229397 130605 Stage 4.doc Version 1.30 Page 9 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) 1,3 and 4. Residents and relatives are given detailed information through the Statement of Purpose & Service User’s Guide, and benefit from a comprehensive assessment of their needs. EVIDENCE: The Statement of Purpose and Service User’s Guide are well presented and available in a book form for staff and residents to use as a handbook. These have both been reviewed and updated and the language used is service user friendly. The service users guide is also available in a separate format suitable for the client group such as large type. Prospective residents have a full needs assessment and this is then reflected into their care plans and activity plan and monitored and reviewed at regular intervals. Prospective residents also have the opportunity to look around the home and spend some time taking part in activities prior to making a choice of home. The home also encourages their relatives to take part in this process. The manager stated that a recent prospective resident had visited with their family and ‘test driven’ the home and was waiting for agreement on funding. Frindsbury House H56-H06 S28882 Frindsbury House V229397 130605 Stage 4.doc Version 1.30 Page 10 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) 6-10 Resident’s individual needs and choices are well met and are well supported to take risks as part of an independent lifestyle. EVIDENCE: Two residents care plans were looked at. These are very detailed documents that contained, risk assessments; individual plans for daily living, activity plans and health needs. It also included good contact information and visits with family and friends. It was evident through reading the plans and discussion with the manager and residents that these were drawn up in joint agreement as much as is possible. The resident’s reviews are person centre and formatted to suit the individual’s personal wishes and capabilities. The Manager stated that a key worker system is in place in the home and weekly meetings are held between the key worker and the service user to discuss the plan. The review paperwork was not on residents files making it appear that these are not being carried out, these need to be on file not the managers desk. There was clear evidence of multi-agency reviews taking place and long and short-term goals being set. The home may need to consider certain guidelines in place being reviewed by the resident, parents, social worker, key worker Frindsbury House H56-H06 S28882 Frindsbury House V229397 130605 Stage 4.doc Version 1.30 Page 11 and manager who could meet to take joint decisions on any care needs and restrictions to freedom. The home also has house meetings and a quarterly newsletter and the residents are consulted on a daily basis in all aspects of running the home. The care plans viewed included information about the preferred life style of the individual service users. There were detailed descriptions of guidance on how to care for the resident, and clear evidence of making informed decisions. Where service users rights to make decisions are limited, the home has recorded reasons on the care plans and in risk assessments which were clear and concise. The activity co-ordinators also have risk assessments for every activity with each client. A service user spoken to during the inspection spoke of an environment in which they are encouraged and enabled to make decisions. The homes daily contact sheets and seniors book and incident book are all kept in the office to ensure confidentiality and information is passed on, on a need to know basis. Frindsbury House H56-H06 S28882 Frindsbury House V229397 130605 Stage 4.doc Version 1.30 Page 12 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 - 17 The residents enjoy a very good standard of care, which enhances their lifestyle. EVIDENCE: The home operates a full and varied activities programme for all residents. This is tailored to meet their individual needs, abilities and choices – this was evidenced through a comprehensive activity plan, which recorded personal development and leisure pursuits. Within the activity plan was a form with a comprehensive set of activities, which each person could choose from. An individual risk assessment was observed in the plan for each activity undertaken by a resident. There are structured programmes in place giving residents opportunities to learn new skills like computers and cooking. One resident spoken to showed the inspectors around the gardens. He has been cultivating the gardens with assistance throughout the year and it was clear that he thoroughly enjoyed this and was very proud of what had been achieved. He also attended a gardening course at the college and was keen to show us his certificates of achievement. Other residents also attended different college courses and one was doing volunteer work in the local area. Frindsbury House H56-H06 S28882 Frindsbury House V229397 130605 Stage 4.doc Version 1.30 Page 13 Care staff support residents to integrate fully in community life by access to local amenities, facilities and services locally such as shops / the library / cinema / public houses and restaurants / fetes Residents are encouraged and supported to maintain and build their skills at a pace, which is suitable to them. The home has made a separate unit alongside the house where residents go weekly to cook their own meals. The home is also able to extend this to family members who are invited to come for a meal that their relative has cooked. The home and residents are also organising family BBQ days on a regular basis in which relatives and friends can attend. There is a full and varied menu in place offering a choice of meals including a salad bar and on the day it was noted that there were several different meals being offered. All the residents in the dinning room unanimously agreed the food was “brilliant”. Frindsbury House H56-H06 S28882 Frindsbury House V229397 130605 Stage 4.doc Version 1.30 Page 14 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 Resident’s physical and emotional health needs are protected by the home’s policies and procedures for managing medication. EVIDENCE: The home promotes and maintains residents health through supporting and facilitating medical appointments as required. The Manager stated that all service users are registered with a GP of their choice. Care plans showed that continence management plans are place for one service user who requires this. Another care plans showed all the support services that he was receiving this was a Counsellor, Psychologist, 2 different Psychiatrists, G.P., dentist and optician. It was evident from speaking to the manager and looking through the documentation that they are very aware of the needs of their residents. The manager indicated that all support offered was aimed to maximise the resident’s independence. The manager described how routines of the home were flexible to suit the needs and wishes of the residents; this was backed up by the documentation. Most of the residents are very independent with their personal care needs so are offered guidance and supervision, any other resident who needs more assistance, is offered this in as sensitively way as possible. The care plans were specific in detailing exactly how residents preferred personal support tasks and where guidance and direct support is required. Frindsbury House H56-H06 S28882 Frindsbury House V229397 130605 Stage 4.doc Version 1.30 Page 15 The staffs on duty were observed indirectly throughout the inspection, they were seen to interact in a positive and respectful manner with residents. One resident gave positive feedback during the inspection about the approach of the staff team, commenting, “They are very kind”. The medication was checked and all problems from the previous inspection now resolved. All boxes now marked when opened, a full audit easy to track and only one packet kept in their boxes. The MAR sheets were all signed correctly with no gaps noted. The top of the wardrobe and the room was clean and tidy. Frindsbury House H56-H06 S28882 Frindsbury House V229397 130605 Stage 4.doc Version 1.30 Page 16 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) 23 Residents are aware of and have access to the home’s complaints procedure and as a consequence feel their views are listened to and acted on. EVIDENCE: The home has a clear step-by-step procedure that meets the requirement of the regulations. The complaints procedure was displayed within the home and evidence was seen of it included in the statement of purpose and service user guide. The home has received no complaints since the last inspection; evidence was seen of a copy of the complaints form. Frindsbury House H56-H06 S28882 Frindsbury House V229397 130605 Stage 4.doc Version 1.30 Page 17 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) 25 and 26 Residents are encouraged to reflect their individuality in bedrooms which are clean and in a good state of décor. EVIDENCE: Through direct observation in several bedrooms it was noted they reflected residents personal choice and decorated in their own style. The rooms appeared clean and well decorated. Bedrooms have sufficient space to accommodate the required furniture. All the wardrobes, bedding, curtains and floor coverings are of good quality. All the service users bedrooms have locks and the resident holds their own key. Frindsbury House H56-H06 S28882 Frindsbury House V229397 130605 Stage 4.doc Version 1.30 Page 18 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) 33 The resident’s benefit from receiving care from an effective staff team. EVIDENCE: The home has sufficient staff on duty to meet the needs of the residents. The manager informed me that she would be increasing her staffing levels to five during the day and evening and three waking night staff to meet the needs of a new client. Frindsbury House H56-H06 S28882 Frindsbury House V229397 130605 Stage 4.doc Version 1.30 Page 19 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) 38 Resident’s benefit from good management and leadership in the home. EVIDENCE: The Manager has the NVQ 4 in Management and in care and completed her fit person interview with Commission for Social Care Inspection. She has been manager of the home for over 3 years, and has many years experience of working with Learning Disabilities and challenging behaviours. It was evident through discussion with the Manager and residents that the home has an open and transparent management structure. Evidence showed the Manager and senior staff being approachable and well liked by the residents. Frindsbury House H56-H06 S28882 Frindsbury House V229397 130605 Stage 4.doc Version 1.30 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 x 3 3 x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score x 3 3 x x x x Standard No 11 12 13 14 15 16 17 4 3 3 4 4 4 4 Standard No 31 32 33 34 35 36 Score x x 3 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Frindsbury House Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x 3 x x x x x H56-H06 S28882 Frindsbury House V229397 130605 Stage 4.doc Version 1.30 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. 1. Standard 42 Regulation 23(b) Requirement To ensure that doors which are designated to be locked should be kept locked at all times for resident safety. Timescale for action June 2005 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 7 Good Practice Recommendations It is recommended that all review paperwork be kept in the residents files. Frindsbury House H56-H06 S28882 Frindsbury House V229397 130605 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection The Oast Hermitage Court Hermitage Lane Maidstone Kent, ME16 9NT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Frindsbury House H56-H06 S28882 Frindsbury House V229397 130605 Stage 4.doc Version 1.30 Page 23 - 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. 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