Inspection on 30/01/06 for Insight

This inspection was carried out on 30th January 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

Insight 29/03/07

Insight 23/03/05

Insight 25/01/05

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 Insight Brusons 5 London Road Teynham Sittingbourne Kent ME9 9QW Lead Inspector Christine Lawrence Unannounced Inspection 30 January 2006 11:00 Insight DS0000023966.V280091.R01.S.doc Version 5.1 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 Insight DS0000023966.V280091.R01.S.doc Version 5.1 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. Insight DS0000023966.V280091.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Insight Address 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) Brusons 5 London Road Teynham Sittingbourne Kent ME9 9QW 01795 521122 01795 520290 Mrs Lynda Jane Cashford Mrs Javqueline Frances Hales Care Home 11 Category(ies) of Learning disability (11) registration, with number of places Insight DS0000023966.V280091.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 28 and 29 September 2005 Brief Description of the Service: Insight Brusons is care home providing care for 11 adults who have a learning disability and present challenging behaviours. Lynda Cashford and Jackie Hales own the home and one other in the area. Lynda Cashford takes day to day responsibility for the home in Teynham although they both work together as a management team for both houses. The home is located close to shops and other local amenities in a village setting. Accommodation is provided in 2 separate buildings. The main house is a large detached building which offers spacious communal accommodation and has 7 single bedrooms. A further 4 single bedrooms are provided in a detached bungalow located in the grounds of the larger house. Insight DS0000023966.V280091.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a brief unannounced inspection to look at some of the standards not inspected at the previous announced inspection in September 2005. The deputy manager spent time talking to the inspector and various records were looked at. The communal areas in both parts of the home (the main house and the bungalow) were viewed and some residents chatted informally with the inspector. 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. Insight DS0000023966.V280091.R01.S.doc Version 5.1 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 Insight DS0000023966.V280091.R01.S.doc Version 5.1 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): None These standards were not assessed at this time. Please see the report from the previous inspection of 28 September 2005 for more information. EVIDENCE: Insight DS0000023966.V280091.R01.S.doc Version 5.1 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): None These standards were not assessed at this time. Please see the report from the previous inspection of 28 September 2005 for more information. EVIDENCE: Insight DS0000023966.V280091.R01.S.doc Version 5.1 Page 9 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): None These standards were not assessed at this time. Please see the report from the previous inspection of 28 September 2005 for more information. EVIDENCE: Insight DS0000023966.V280091.R01.S.doc Version 5.1 Page 10 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): 20 The homes policies, procedures and practices regarding medication protect residents. EVIDENCE: The medication records are neatly filed in separate sections for each resident. There is information relevant to the individual which is cross-referenced to the care plan where appropriate. There is also detailed information about any medication which has to be given ‘as required’. This is detailed and refers to discussions with the on-call person if out of hours. Information is also noted about how a resident might prefer to take their medication. The medication administration records were appropriately completed. There are policies and procedures in place and designated staff have received training. The home uses a monitored dosage system. Insight DS0000023966.V280091.R01.S.doc Version 5.1 Page 11 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 Residents can be confident that their views are responded to. EVIDENCE: The complaints log showed that no complaints have been received since the last inspection. An appropriate complaints procedure is in place and there is information about how to contact the Commission for Social Care inspection. The key worker system in place at the home supports residents to express any concerns they might have. Staff spoken to said that even small things would be taken seriously to make sure residents felt they could speak up. Insight DS0000023966.V280091.R01.S.doc Version 5.1 Page 12 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): 30 The home is clean and hygienic which contributes to the safe environment for residents. EVIDENCE: The home was clean and there were no offensive odours apparent. A cleaner is employed for five days a week. The laundry is separate from the main house. The washing machine has a sluice facility and there are hand-washing facilities in place. Red alginate bags are used when required and some staff have attended infection control courses. Insight DS0000023966.V280091.R01.S.doc Version 5.1 Page 13 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): 34 The policies, procedures and practices regarding recruitment support and protect residents. EVIDENCE: Three staff records were viewed during this inspection. They contained evidence of application forms, interviews, references, criminal records bureau checks, written terms and conditions of employment and job descriptions. The inspector was informed that after the interview potential employees are invited to come to the home for an informal visit to give residents the opportunity to meet them and perhaps provide some feedback. All members of staff are given copies of the General Social Care Council’s code of practice. Staff are employed on three month probation. Insight DS0000023966.V280091.R01.S.doc Version 5.1 Page 14 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 and 39 The home is well run and residents can be confident that their best interests underpin the home’s self-monitoring. EVIDENCE: Lynda Cashford is very experienced and has a nursing background (RNMH) and a Diploma in Management Studies. She is currently undertaking the registered managers award. She takes day to day responsibility for this home but works closely with her partner, Jackie Hales and other senior members of staff to form an effective management team for this and their other home. The partnership (Lynda Cashford and Jackie Hales) is an Investors in People organisation. They employ an external agent to facilitate residents meetings (Client Forums) which are used to enable residents to express their opinions and feelings about living in the home. The Client Forum meetings are also used to pass information to residents such as reports from the Commission for Social Care Inspection. Policies and procedures are regularly reviewed and updated. The regular reviews of care provided within the home, involve other professionals and family members as appropriate ensuring that views of others are taken into account. Insight DS0000023966.V280091.R01.S.doc Version 5.1 Page 15 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 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 X 3 X 3 X X X X Insight DS0000023966.V280091.R01.S.doc Version 5.1 Page 16 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. 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. Refer to Standard Good Practice Recommendations Insight DS0000023966.V280091.R01.S.doc Version 5.1 Page 17 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. 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