Inspection on 06/06/06 for Harbour House

This inspection was carried out on 6th June 2006.

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

Harbour House 06/11/07

Harbour House 27/01/06

Harbour House 06/07/05

Harbour House 28/02/05

Harbour House 18/10/04

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 Harbour House 6 Margaret Street Folkestone Kent CT20 1LT Lead Inspector Wendy Mills Unannounced Inspection 6th June 2006 09:30 Harbour House DS0000058814.V298441.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Harbour House DS0000058814.V298441.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Harbour House DS0000058814.V298441.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Harbour House Address 6 Margaret Street Folkestone Kent CT20 1LT 01303 211180 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Tina Dennison Mrs Tina Dennison Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Harbour House DS0000058814.V298441.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Owner does not engage in any other paid employment. Date of last inspection 27th January 2006 Brief Description of the Service: Harbour House is a small Home for four adults with a learning disability. It is situated in a residential area of Folkestone, with easy access to local facilities and amenities. The premises is a mid-terrace Victorian house offering single accommodation for each of the Residents. Communal areas include a lounge and separate dining room and kitchen. There are two bathrooms, one of which also serves as a laundry room. There is a small enclosed garden to the rear of the property. The Home was registered in March 2004 and is owned and managed by Mrs Tina Dennison. There are currently four Residents living in the Home. Harbour House has a sister home, Anchorage House, which is very close by. The range of fees in this home is between £781 and £1,585 per week. Harbour House DS0000058814.V298441.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over five hours. The inspection consisted of discussion with two of the four residents, staff and the registered provider/manager, Mrs Tina Dennison. Telephone surveys were carried out with two relatives and two health and social care professionals who visit residents in the home. A tour of the home was undertaken and documentation was examined. Observation, both direct and indirect, was used throughout the inspection. All the residents were out at the beginning of the inspection, either at college or other activities. Two residents returned at lunchtime. They were in good health and spirits. The inspector wishes to thank the residents, manager and staff for their welcome and assistance during the inspection. What the service does well: What has improved since the last inspection? The home has obtained a thermometer and monitors the temperature at which medicines are stored. There has been an overall improvement in the standard of record keeping in the home. Harbour House DS0000058814.V298441.R01.S.doc Version 5.2 Page 6 The deputy manager of the home has passed the NVQ IV in management and care. 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. Harbour House DS0000058814.V298441.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Harbour House DS0000058814.V298441.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were inspected at this visit. EVIDENCE: Previous inspections have shown that the home meets the standards in this outcome group. No new residents have been admitted since the last visit. Harbour House DS0000058814.V298441.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 & 10 Quality is this outcome area is good. There is a clear care planning system in place. Residents are supported to make decisions and participate in the life of the home. Residents know that the home will respect their dignity and handle confidential information about them appropriately. EVIDENCE: Care plans and risk assessments have recently been reviewed. Decisionmaking is documented in the care plans. The home maintains regular contact with care managers and ensures that regular reviews take place in conjunction with the residents. The residents take pride in their appearance and were well dressed and in good health on the day of inspection. They spoke enthusiastically about their interests and families. They said that they could make choices about the activities they want to do. Indirect observation showed that there is very good interaction between the staff and residents. Harbour House DS0000058814.V298441.R01.S.doc Version 5.2 Page 10 Staff said that the residents are very well cared for and are able to make lots of choices about the way they live their lives. Harbour House DS0000058814.V298441.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 & 17 Quality is this outcome area is excellent. Residents are supported to become more independent. The home encourages and supports the residents to maintain appropriate friendships and contact with their families. Nutrition at the home is very good. This means that the residents are able to maintain a healthy diet and eat appetising meals. EVIDENCE: Staff support the residents to maximise their independence, prompting is given appropriately. One resident has made significant progress in participating in a wider range of activities. Recently the home has taken over a gardening project that was under threat of closure. The manager, staff and residents all got together to plan how they could ensure the project did not close. They are now enjoying some success with the project and are planning what to do with the produce that will be ready soon. Harbour House DS0000058814.V298441.R01.S.doc Version 5.2 Page 12 The home is very good at helping the residents to maintain links with friends and families. Relatives and friends can visit and share meals, transport is provided for visits and telephone contact is maintained. One resident said how much he was looking forward to a holiday with his family and said that the home had already organised two holidays this year. There have also been several day trips to France and Belgium and another trip is planned soon. Very good use is made of local facilities and amenities. The residents are made very welcome at the local pub and some take part in pub games. They maintain excellent neighbourly relationships. Some neighbours are regular visitors to the home, sometimes calling just to say hello and other times to bring things of interest for the residents. The most recent gift was a jar of newts! The resident also help the neighbours, putting out their bins and carrying their shopping. Two of the residents keep pet rabbits and spend time looking after them. Both rabbits are very well cared for and the residents are commended for the care they give their pets. One resident is now making a bigger hutch as part of a carpentry project. Residents said that they are free to spend time in their rooms when they wish but they lead such busy lives that there is not always much time for this. They go to college, attend specialist courses such as pottery and carpentry, play sports and take part in many other activities. On the day of inspection, their support for the World Cup was evident. Flags were decorating the walls and windows. Residents are consulted each week regarding the menus, they said that they enjoy the food and get plenty to eat. Sample menus were provided prior to the inspection and these are well balanced and nutritious. There was plenty of good quality produce in the home and residents can choose something different if they want. Harbour House DS0000058814.V298441.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 20 Quality is this outcome area is excellent. Residents receive sensitive personal support and all aspects of their healthcare are promoted. EVIDENCE: Support for personal care support is given in a sensitive and discreet way that respects privacy and dignity. Good communication is maintained with care managers, GPs, dentists and specialist nurses. The residents attend well person clinics and other healthcare appointments. Staff take time to explain the importance of health promotion and self care. The residents take a pride in their appearance. The home monitors and encourages them to maintain their personal hygiene. Conversation with the residents showed that they are aware of the importance self care and take a pride in their appearance. There has been a good improvement in the way the home manages and administers medicines. They use the monitored dose system (MDS). The medicines cupboard is a good size and well organised. The temperature of this storage is monitored. The MAR sheets are well maintained. Work on reducing medication levels continues to progress. Harbour House DS0000058814.V298441.R01.S.doc Version 5.2 Page 14 Staff receive training in the administration of medicines and are regularly checked for competency. It was particularly good to hear that one resident now self medicates. She maintains her own record of medication and is working with the specialist nurse and staff to continue to reduce her medication to the appropriate level. Harbour House DS0000058814.V298441.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality is this outcome area is good. The home has sound policies and procedures for concerns to be raised and dealt with. This protects the residents from harm. EVIDENCE: A formal complaints policy procedure is in place. Residents, their supporters and staff are fully aware of this but say they have not had to use it as they can talk easily to the manager or deputy manger about any concerns they may have. Indirect observation showed that the residents are very able to make their wishes known. Their concerns and aspirations are listened to and acted upon. Appropriate responses and explanations are given. Staff are aware of the Protection of Vulnerable Adults policies and procedures and said they would have no hesitation in reporting any concerns about a colleague. Harbour House DS0000058814.V298441.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28 & 30 Quality is this outcome area is good. The standard of the environment within the home is good. It provides the residents with a homely and welcoming place that meets their needs. EVIDENCE: A tour of the home was made. The residents have personalised their rooms to reflect their interests, friends and families. They said they are very happy with their rooms and like living in the home. Some redecoration of bedrooms is planned for the near future. The environment was clean, comfortable and homely on the day of inspection. No health and safety hazards were noted during this tour and there was a relaxed and friendly atmosphere throughout. Harbour House DS0000058814.V298441.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35 & 36 Quality is this outcome area is good. Residents benefit from a settled staff team who are well trained and supported. There are enough staff to meet the needs of the residents. EVIDENCE: The home has sufficient staff and a low staff turnover. Only one member of staff has left since the last inspection and the home is in the process of recruiting at present. Discussion with the manager confirmed that time is taken in the recruitment process to ensure that only skilled and committed staff are appointed. There is also a three-month probationary period. Inspection of the staff files showed that all appropriate checks are made before any new staff members are allowed to work in the home. Activity and staff rosters showed that there are enough staff to ensure that scheduled activities are supported and that activities within the home are encouraged. All healthcare appointments are kept and medication and personal needs are supported. Staff said that they can talk easily to the manager or deputy manager and that there is open discussion about the way things are managed in the home. Harbour House DS0000058814.V298441.R01.S.doc Version 5.2 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 41, 42 & 43 Quality is this outcome area is good. The home has strong leadership. There is an open management culture that promotes the independence, health, safety and welfare of the residents. EVIDENCE: Mrs Dennison, the registered provider/manager is an enthusiastic and friendly person who is clearly committed to creating a positive environment for the residents and staff. Staff say that she is easy to talk to and acts on their suggestions and concerns. The residents interact well with Mrs Dennison and are able to express their views with confidence. She has a good understanding of best care practice and all aspects of the running of the home. No health and safety hazards were noted during this visit. Harbour House DS0000058814.V298441.R01.S.doc Version 5.2 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 Standard No Score 1 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 N/A 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 4 3 LIFESTYLES Standard No Score 11 4 12 4 13 4 14 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 2 X 3 3 3 Harbour House DS0000058814.V298441.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA39 Good Practice Recommendations Home should make more effort to formally record its quality assurance programmes. Harbour House DS0000058814.V298441.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Kent and Medway Area Office 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 Harbour House DS0000058814.V298441.R01.S.doc Version 5.2 Page 22 - 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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