Inspection on 10/10/05 for Inchwater

This inspection was carried out on 10th October 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

Inchwater 18/04/07

Inchwater 30/01/06

Inchwater 16/11/04

Inchwater 12/07/04

Inchwater 13/02/04

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Southfields

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Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Inchwater 92 Maison Dieu Road Dover Kent CT16 1RU Lead Inspector Julie Sumner Unannounced 10/10/05 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. Inchwater H56-H05 S23223 Inchwater V242187 160805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Inchwater Address 92 Maison Dieu Road, Dover, Kent CT16 1RU 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 226445 Mr Paul Watts Mr Paul Watts Registered Care Home 3 Category(ies) of Learning Disability registration, with number of places Inchwater H56-H05 S23223 Inchwater V242187 160805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16/11/04 Brief Description of the Service: Inchwater is a family run home, employing one part-time member of staff. The home is registered to care for and supports three adults with learning disabilities. Three gentlemen have resided at Inchwater for over 5 years, one of whom has recently needed to move on. The aim is to provide a home for life, integrated with the family. The home is a large Victorian period property with good sized communal rooms and bedrooms, which are all single. There are stairs to access the different floors therefore the current facilities are unsuitable for someone with mobility difficulties. There is a parking space in front of the home and a spacious garden at the back. The house is situated on the outskirts of Dover town centre and is within easy reach of all amenties and public transport. Inchwater H56-H05 S23223 Inchwater V242187 160805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out during one day. The people living at Inchwater have limited communication skills and are not able to fully participate in the inspection. Both owners were in and the member of staff supported the residents with their usual activities during the inspection. There is currently one vacancy due to one of the residents moving to a home providing nursing care. A new brochure has been designed giving an insight into the support offered by the home to prospective residents. A good quality of care and support is given to the residents living in Inchwater. The owners are motivated and continue to improve and develop the services provided to the residents. During the inspection a range of methods were used to gather information including: being in the communal areas of the home and spending some time with the owners, meeting the staff and residents, walking around the home and discussing the new equipment that has been provided. Some of the individual support plans and risk assessments were viewed and discussed. Fire and maintenance records and selected policies, particularly the newly developed ones, were viewed and discussed. Training attended and planned was also discussed. What the service does well: The home provides a high standard of care and support to individuals. The home is warm and comfortable. The gentlemen living in Inchwater benefit from a family style environment. They have bedrooms that have been furnished so that they can spend time on their own if they want to have some quiet time or they can join in with the family. Residents are supported to go out in the local community and use the facilities. They are also able to attend the local day opportunities centre and have got to know other people there who they socialise with at the planned events. Holidays are arranged each year and these have ranged from active surfing holidays in Cornwall, walking holidays in Wales and short city breaks. The day is organised so that there is a mixture of daily household chores, outdoor activities, activities set in the community and leisure both in and outside the home. Inchwater H56-H05 S23223 Inchwater V242187 160805 Stage 4.doc Version 1.40 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. Inchwater H56-H05 S23223 Inchwater V242187 160805 Stage 4.doc Version 1.40 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 Inchwater H56-H05 S23223 Inchwater V242187 160805 Stage 4.doc Version 1.40 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. Inchwater H56-H05 S23223 Inchwater V242187 160805 Stage 4.doc Version 1.40 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, 9 The care planning system is clear and consistent providing staff with the information they need to meet individual needs and reflect the support given. Individual risks are identified and managed. EVIDENCE: Each resident has an individual plan. These contain the names and addresses of other professionals who support them and their relatives, an individual profile and guidelines on what support is needed by the owners and staff. Each individual plan is reviewed with the care manager every six months. Risk assessments have been designed and are reviewed as needs change. Inchwater H56-H05 S23223 Inchwater V242187 160805 Stage 4.doc Version 1.40 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, 17 Residents benefit from leisure and occupational activities that are arranged to provide some education and increase understanding and participation inside and outside the home. Meals are home cooked and some of the food is home grown. A healthy balanced diet is provided. EVIDENCE: A variety of activities are provided including going to the cinema, eating out, ten-pin bowling, walking along the beach, the local countryside and in town. Service users are assisted to recycle different waste in the home and dispose of it in the recycling depots. They use the local library, regularly go into the town either to shop or for entertainment. Residents access the local Day Opportunities Centre three days a week and have different schedules of attendance. Inchwater H56-H05 S23223 Inchwater V242187 160805 Stage 4.doc Version 1.40 Page 11 Residents are encouraged to help around the house and are assisted to maintain the garden. They also like to spend time in the garden. Some activity equipment has been provided to assist with sensory and tactile development and occupation. Menus are planned and meals provided around individual preference. A record of food eaten is kept. Organic vegetables are grown in the home’s garden and then eaten and the residents are involved as much as they want with the whole process. Inchwater H56-H05 S23223 Inchwater V242187 160805 Stage 4.doc Version 1.40 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) 20, 21 The systems for medication administration are good with clear and comprehensive arrangements being in place to ensure residents’ medication needs are met. Residents can be reassured that the owners will try accommodate them if their needs change but that if it is not possible they will support a move to a more appropriate placement. EVIDENCE: The owners have attended a three month course on administration and storage of medication. They have designed policies and procedures in line with the Royal Pharmaceutical guidelines and NMS. One of the residents had moved from the home since the last inspection due to a change in needs. Adjustments had been made to the home and routines to accommodate him but after a deteriorating medical condition that needed specialist support had been assessed it was decided that a move would be more beneficial. Inchwater H56-H05 S23223 Inchwater V242187 160805 Stage 4.doc Version 1.40 Page 13 The owners are considering the futures of the current residents to plan for their individual support as they grow older. Inchwater H56-H05 S23223 Inchwater V242187 160805 Stage 4.doc Version 1.40 Page 14 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) 22 The home has a satisfactory complaints system with some evidence that people feel that their views are listened to and acted on. EVIDENCE: The home has a complaints procedure and this is contained in the statement of purpose and service user guide. The home has had no complaints. The owners said that they ask for feedback from members of service users’ families and other professionals. The member of staff said that there is open communication and they discuss anything needed as it occurs. Inchwater H56-H05 S23223 Inchwater V242187 160805 Stage 4.doc Version 1.40 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 30 The home is well maintained and decorated providing residents with an attractive and homely place to live. Equipment and adapted furniture has been provided to provide maximum support to residents’ lifestyles. The home is clean and laundry facilities are appropriate and efficient for the needs of the household. EVIDENCE: A tour of the home was undertaken. All areas of the home were well kept and clean. Residents have personalised rooms that are organised to suit their individual needs. An occupational therapist has assessed individuals and provided advice for equipment needed to enhance individual’s lifestyle. Appropriate furniture adaptations and equipment have been purchased based on this advice and were viewed and discussed. Inchwater H56-H05 S23223 Inchwater V242187 160805 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 A good range of training is provided to meet the residents’ needs. EVIDENCE: The owners employ one member of staff who provides flexible support together with them to support the needs of the residents. There have been no changes needed to the original calculation of staffing hours using the Residential Forum for Younger Adults in Care Homes that was calculated using owners and staff at a previous inspection. The owners have planned training systematically and have attended moving and handling and medication training this year both courses have been 3 months long. The member of staff has obtained a City and Guilds 325/2 Management of Care Certificate and has attended all statutory training courses. Training in areas relevant to older people with learning disabilities could be included in the training plan that would be good preparation for the changing needs of the current residents. A recommendation has been made for this. Inchwater H56-H05 S23223 Inchwater V242187 160805 Stage 4.doc Version 1.40 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) 40, 42 The home is well organised and managed and the owners have a clear idea of how to continue to develop the service provided to meet individual needs. EVIDENCE: The home has all relevant policies in place and these are currently being expanded and developed as resident’s individual needs change. The owners and staff member have attended moving and handling training this year. First aid, food hygiene and health and safety are up to date. Fire equipment and procedures are in place and have been reviewed this year. All equipment checks have been carried out. Fire drills are carried out weekly. The owners have attended fire safety training and are planning more training. Inchwater H56-H05 S23223 Inchwater V242187 160805 Stage 4.doc Version 1.40 Page 18 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 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 x x 3 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Inchwater Score x x 3 3 Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x H56-H05 S23223 Inchwater V242187 160805 Stage 4.doc Version 1.40 Page 19 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 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 35 Good Practice Recommendations Include training relevant to older people with learning disabilities in the training plan. Inchwater H56-H05 S23223 Inchwater V242187 160805 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection 11th Floor, International House Dover Place Ashford Kent, TN23 1HU National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Inchwater H56-H05 S23223 Inchwater V242187 160805 Stage 4.doc Version 1.40 Page 21 - 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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