Inspection on 16/08/05 for Juniper

This inspection was carried out on 16th August 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

Juniper 21/10/08

Juniper 02/11/06

Juniper 05/01/06

Juniper 14/02/05

Juniper 09/09/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

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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 Juniper The Forstal Mersham Ashford, Kent TN25 6NU Lead Inspector Sue Gaskell Unannounced 16 August 2005 9:30 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. Juniper H56-H05 S23222 Juniper V243112 160805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Juniper Address The Forstal, Mersham, Ashford, Kent, TN25 6NU 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) 01233 720846 Counticare Limited Maire Danielle Short Care home only 3 Category(ies) of Learning Disability x 3 registration, with number of places Juniper H56-H05 S23222 Juniper V243112 160805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14/02/05 Brief Description of the Service: Juniper provides residential care to up to 3 adults with a lerning disability. The home is owned by Counticare Ltd, a provider of approximately 14 services throughout the East Kent area. The Home is situated in the village of Mersham, some 15 minutes drive from the town of Ashford where there is a variety of amenities such as shops, swimming pool, a cinema, churches, pubs, clubs and colleges . The home has access to a minibus and other vehicles owned by the company. Residents also make use of the day centre owned by the company. Juniper is a detached bungalow which comprises individual bedrooms for each resident, a lounge, kitchen, conservator/dining room, laundry room and office. There is a small enclosed rear garden with seating and a barbecue area, and there is a parking area to the front of the property. Staffing comprises the registered manager and support staff. Juniper H56-H05 S23222 Juniper V243112 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 over approximately 3.5 hours. The Inspector toured the building and inspected a number of records, policies and procedures. Each of the 3 residents living in the home were spoken to, in addition to the Acting Manager and 2 other members of staff. 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. Juniper H56-H05 S23222 Juniper V243112 160805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Juniper H56-H05 S23222 Juniper V243112 160805 Stage 4.doc Version 1.40 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 standard(s) 2 Prospective residents’ health care, emotional, and social needs are assessed prior to their admission to the home. EVIDENCE: The care plans included written pre-admission assessments, Which were prepared in conjunction with the placing agencies. Juniper H56-H05 S23222 Juniper V243112 160805 Stage 4.doc Version 1.40 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 standard(s) 6,7,9 The health care and social needs of residents are well met and they are consulted and encouraged to contribute to any decisions that affect their lives. Residents are supported in taking risks in the daily and social activities that form part of an independent lifestyle. EVIDENCE: The individual care plans are reviewed regularly and include details on short and longer term goals and how the home will assist residents in achieving their goals. Residents have key workers who monitor their individual needs and activities. Residents are assisted in understanding the contents of their care plans and encouraged to include their comments in their own words. Risk assessments are prepared and include specific guidelines. Juniper H56-H05 S23222 Juniper V243112 160805 Stage 4.doc Version 1.40 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 standard(s) 12,13,15,16,17 Links with the community are good and residents have the opportunity to participate in a range of activities appropriate to their age and peer group. Meals in the home are good, offering a healthy, nutritious diet with choice and variety. EVIDENCE: Residents said that they are consulted over what activities they would like to do, either on company premises or within the community. This includes therapeutic work activities within the company, eg office work, for which residents receive a small remuneration. Activities are generally carried out with the assistance of staff but residents are encouraged to be independent whenever appropriate. The menus and contents of the store cupboard were seen to be varied and appropriate for a balanced diet. Residents said that they are encouraged to make suggestions about the menu and to assist with food preparation whenever possible. Juniper H56-H05 S23222 Juniper V243112 160805 Stage 4.doc Version 1.40 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 standard(s) 18,19,20 The acting manager and staff have a good knowledge and understanding of residents’ physical, emotional and support needs and provide this according to residents’ wishes and preferences. The medication administration and storage systems are sound and appropriate to residents’ needs and wishes. EVIDENCE: The care plans included specific guidelines relating to personal support and health care needs and the acting manager was seen to put these into practice in a practical and sensitive manner. The residents were clearly comfortable with the staff and able to express their views on a variety of issues. The medication is stored safely and the administration of medication was clearly and appropriately recorded. Juniper H56-H05 S23222 Juniper V243112 160805 Stage 4.doc Version 1.40 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 standard(s) 22,23 There is a sound complaints system and the home makes every effort to protect residents from abuse or harm. EVIDENCE: All of the staff on duty were aware of the home’s complaints procedure, and residents said that they knew what to do if they wish to complain. Residents said that they would feel comfortable about talking about anything that they were not happy with. One staff member confirmed that she had been provided with adult protection training shortly as part of her induction as it is company policy, even though she had previously undertaken similar training. Juniper H56-H05 S23222 Juniper V243112 160805 Stage 4.doc Version 1.40 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 standard(s) 24,30 The standard of the environment within the home is good, providing residents with an homely, comfortable and safe place to live. The home is clean and hygienic. EVIDENCE: The home has been renovated and extended in the last 18 months. All areas of the home were seen to be clean, comfortably furnished, and well maintained. Juniper H56-H05 S23222 Juniper V243112 160805 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 Residents benefit from a committed, competent, and well trained staff team. EVIDENCE: Staffing has been stable and staffing levels are appropriate to the needs of the residents. Staff confirmed that they have been provided with a range of induction and on-going training which is funded by the company. Juniper H56-H05 S23222 Juniper V243112 160805 Stage 4.doc Version 1.40 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 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) 39,42 The home regularly reviews aspects of its performance through self review, and consultation with residents, their relatives or representatives and staff. There are clear and comprehensive systems in place to ensure that the health, safety and welfare of residents is protected and promoted. EVIDENCE: Staff said that residents are consulted whenever possible on policies, procedures and the general running of the home and the residents confirmed this. All records, policies and procedures relating to health and safety, such as risk assessments and fire alarm/lighting testing, were clear and current. The acting manager and staff showed a good awareness of good care practice, including health and safety issues. Juniper H56-H05 S23222 Juniper V243112 160805 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 3 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 x 3 3 3 Standard No 31 32 33 34 35 36 Score x x 3 x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Juniper Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x H56-H05 S23222 Juniper V243112 160805 Stage 4.doc Version 1.40 Page 16 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 Good Practice Recommendations Juniper H56-H05 S23222 Juniper V243112 160805 Stage 4.doc Version 1.40 Page 17 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. 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