Inspection on 29/11/05 for Highfields

This inspection was carried out on 29th November 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 but made no statutory requirements on the home.

Other inspections for this house

Highfields 05/06/06

Highfields 16/08/05

Highfields 28/09/04

Highfields 20/04/04

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 09/07/2008.

CARE HOME ADULTS 18-65 Highfields 1 Emily Jackson Close Eardley Road Sevenoaks Kent TN13 1XH Lead Inspector Wendy Jones Announced Inspection 29th November 2005 09:30 Highfields DS0000023950.V254185.R01.S.doc Version 5.0 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 Highfields DS0000023950.V254185.R01.S.doc Version 5.0 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. Highfields DS0000023950.V254185.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Highfields Address 1 Emily Jackson Close Eardley Road Sevenoaks Kent TN13 1XH 01732 465987 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) The Avenues Trust Limited Mrs Janet Winter Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Highfields DS0000023950.V254185.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Service users with learning disabilities may also have physical disabilities Care of one Service User who has been diagnosed with Alzheimer`s Disease is restricted to one person whose date of birth is 07/07/1926 Care of one Service User is restricted to one person whose date of birth is 09/02/1937 16th August 2005 Date of last inspection Brief Description of the Service: Highfields is a purpose built bungalow for six service users with a learning disability. It is one of three situated in close proximity to each other that are maintained by Kelsey Housing and managed on a day-to-day basis by The Avenues Trust. It is in a quiet residential area of Sevenoaks within walking distance of the town centre and main line transport systems. There is limited parking on site. There are separate day staff and one waking night staff for each house, with an additional sleep-in member of staff who rotates between the three houses. The building is single storey with six single bedrooms with en suite shower and toilet. All bedrooms have a TV point. There is no emergency call system in the bungalow, except for in the assisted bathroom. There is a lounge and dining room and a small rear garden. Highfields DS0000023950.V254185.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection carried out by Wendy Jones, Regulatory Inspector between 9:30am and 12:30pm on 29 November 2005. Judgements are based on discussions with management and staff, observation, inspection of records and a tour of the building. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Highfields DS0000023950.V254185.R01.S.doc Version 5.0 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Highfields DS0000023950.V254185.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed on this occasion. EVIDENCE: Although procedures are in place, it was not possible to inspect whether these are followed as no new service users have moved into the home for a number of years. Highfields DS0000023950.V254185.R01.S.doc Version 5.0 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 and 9 Service users needs and goals are reflected in their support plans. They are given assistance and supported to take risks and to make decisions about their lives. All participate in life in the home as far as they are able. EVIDENCE: Care plans for three service users were seen. They were comprehensive and took a holistic approach. Details of all areas of service users lives including their likes and dislikes, activities they enjoyed, what they like to eat etc., are well documented from a person centred perspective. Risk assessments covered activities and the environment and were clear and concise. Daily diaries are kept for each service user that have pre-written topic headings. Staff complete the detail each day and topics include the time they get up and go to bed, the activities they have taken part in, what they have eaten, GP and other appointments plus other details of their day. Service users’ money is kept in individual cash tins in the home’s safe. Detailed records are kept of the money put in and taken out. General details are kept in a book so that staff can see at a glance how much each service user has left. For additional security the cash tins are taped up and signed by Highfields DS0000023950.V254185.R01.S.doc Version 5.0 Page 9 staff after they have opened them. One service user’s finances were sampled and the records tallied with the money in the safe. Highfields DS0000023950.V254185.R01.S.doc Version 5.0 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 the following standard(s): 11, 12, 14, 16 and 17 Service users have appropriate opportunities for personal development and leisure activities. EVIDENCE: There is a minibus, which is used to take service users out on trips. In addition activities are provided in the home. Two service users had gone shopping with two members of staff. Another was in the lounge watching a music video, singing along and ‘playing’ their guitar. They said they like music and particularly enjoy it when the ‘music man’ visits on Thursday afternoons. There is also a range of other activities that provide stimulation for service users. A small sensory area has been set up in the corner of the lounge. The recruitment drive to fill all vacancies is continuing so that a full programme of activities continues to be available for service users to take part in. The inspector, manager and service manager had coffee with the service users and staff during the inspection. Communication with service users was limited. However, they enjoyed their coffee and the staff helped and supported them Highfields DS0000023950.V254185.R01.S.doc Version 5.0 Page 11 as needed. A menu plan seen displayed in the kitchen was varied and indicated that service users have a balanced diet. A member of staff said it was their turn to cook lunch today and planned to do fish fingers and chips. Highfields DS0000023950.V254185.R01.S.doc Version 5.0 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 the following standard(s): 18, 19 and 20 Service users personal, physical and emotional health needs are met and they are protected by the way the home deals with their medicines. EVIDENCE: Details of each service users’ personal, physical and emotional health needs are recorded in their care plans. Details of referrals to appropriate professionals and other health appointments are also recorded. No service users are able to administer their own medication. Medication risk assessments and details of PRN medication that service users have been prescribed were seen in their files. Medication records had been accurately recorded and medication was stored appropriately and safely in a locked metal cupboard fixed to the wall in the manager’s office. All medication that is not taken is returned. Details of what had been returned were seen in a book which had been signed by the pharmacist. Highfields DS0000023950.V254185.R01.S.doc Version 5.0 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 the following standard(s): 22 Service users views are listened to and acted on. EVIDENCE: No complaints have been received by the home since the last inspection. In fact, there were no complaints recorded in the complaints book at all. A letter of compliment that had been sent to the home by a visitor was seen. Comment cards received from five service users’ relatives and a care manager all stated that they were satisfied with the care the service users receive. Highfields DS0000023950.V254185.R01.S.doc Version 5.0 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 the following standard(s): 24, 25, 26, 27, 28, 29 and 30 Service users live in a safe, reasonably well-maintained and clean environment, which meets their needs and lifestyles and promotes their independence. EVIDENCE: The home was clean and free from offensive odours. The dining room and communal areas have been redecorated recently and were light and airy. The dining area has a high ceiling. The top half of the walls in this area have clouds and hot air balloons painted on them, which was very effective and took away from the ‘corridor’ effect it could have. Service users’ bedrooms have been decorated to their needs and tastes and contain their personal possessions etc. All bedrooms have en suite shower facilities. Some have been redecorated with new flooring and a tiled area around the shower. Unfortunately the tiles do not reach the ceiling. The manager said that the company intends to tile the remaining gap up to the ceiling itself. The rest of the en suites are due to be redecorated shortly. There is also one communal bathroom with a bath, bath hoist, weighing chair and call bell. Highfields DS0000023950.V254185.R01.S.doc Version 5.0 Page 15 Service users have the use of a lounge that is comfortably furnished and has a TV, video, DVD, music centre and a small sensory area. The kitchen is due to be refurbished as part of the ongoing maintenance schedule for the home. It contains a cooker, microwave, dishwasher, fridge, freezer and was clean and tidy. Part of the flooring was ‘bubbling up’ and there was a damp area forming. The manager explained that this problem had been reported to the managing agents previously and the flooring had been replaced in October. Unfortunately when the work had been carried out the reason for the problem had not been investigated and the problem was now recurring. The laundry is at the front of the house. There is a sink, commercial washing machine with sluice facility and a drier. There are shelves on the wall where baskets, which are colour-coded for each service users’ clothes, are kept. Highfields DS0000023950.V254185.R01.S.doc Version 5.0 Page 16 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 and 35 Service users are supported by a competent and qualified team and are protected by the home’s recruitment procedures. EVIDENCE: A senior support worker and three support workers were on duty at the time of the inspection. The manager and service manager were also in attendance. Two support workers had gone out shopping with two of the service users. Staffing was appropriate to meet the needs of the service users at this time. Vacancies for four full time equivalent members of staff remain and recruitment is continuing. The manager explained that two new members of staff had been recruited but offers had not yet been made. Recruitment to fill these vacancies as soon as possible should continue. Staff were clear about their roles and responsibilities and how to meet the needs of the service users. Staff records were seen for three members of staff. These contained evidence that a thorough recruitment process had been followed and appropriate checks made. Hard copies of documents are kept in the Head Office of The Avenues Trust and are available for inspection on request. Highfields DS0000023950.V254185.R01.S.doc Version 5.0 Page 17 A training file was seen that contained details and certificates of attendance for training that staff had undertaken. These included fire, physical management, adult protection, food hygiene, manual handling, epilepsy, challenging behaviour, medication and first aid. The service manager explained that the company sets a training plan up each year based on the training needs identified for staff at performance management meetings. In addition, inductions are run every six weeks to ensure that new staff receive this training as soon as possible and within six weeks of starting work. Highfields DS0000023950.V254185.R01.S.doc Version 5.0 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, 40, 41, 42 and 43 Service users live in a well run home that is managed by a competent and qualified manager. Their rights and best interests are safeguarded and their health, safety and welfare is promoted and protected. EVIDENCE: The manager is a qualified registered learning disability nurse. She also holds the NVQ level 4 in Management and has achieved the Registered Managers’ Award. A care manager who has contact with the home commented that the manager is a “very warm and professional manager”. They also stated that “the home is calm and the clients are happy”. Comments received from service users’ relatives and visitors were all positive and all stated they were satisfied with the care provided. They said that the home “is a fantastic house”, “all the clients are happy and well cared for” and staff are “always helpful, friendly and supportive”. Highfields DS0000023950.V254185.R01.S.doc Version 5.0 Page 19 Discussions with management, records seen and staff observed working in the home showed that the home is run with the best interests of the service users in mind. All records are kept securely in the manager’s office. A current insurance certificate and the home’s new registration certificate, showing the additional conditions of registration regarding two service users who are over 65, were displayed. A cupboard, which is kept locked at all times, contained cleaning and other supplies. Records were seen of daily fridge and freezer temperatures and the temperature of cooked meals showing that service users are given fresh food that is cooked at safe temperatures. The fire safety log contained details of regular checks to fire equipment. Fire drills are held regularly and so that staff are an aware of what to do if a fire breaks out in the home. Records of the drills that had been held listed all staff, including those that had left, with the dates of the fire drills they had taken part in. Highfields DS0000023950.V254185.R01.S.doc Version 5.0 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 x x x x x Standard No 22 23 Score 3 x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 X 14 3 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 2 3 3 x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Highfields Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 3 3 3 DS0000023950.V254185.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? YES 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 YA33 Good Practice Recommendations Recruitment should continue to fill vacant posts as soon as possible. Highfields DS0000023950.V254185.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone 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 Highfields DS0000023950.V254185.R01.S.doc Version 5.0 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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