Inspection on 02/11/06 for Juniper

This inspection was carried out on 2nd November 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

Juniper 21/10/08

Juniper 05/01/06

Juniper 16/08/05

Juniper 14/02/05

Juniper 09/09/04

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 Juniper The Forstal Mersham Ashford Kent TN25 6NU Lead Inspector Paul Stibbons Unannounced Inspection 3 November 2006 13:40 rd 02/11/06 13:40 Juniper DS0000023222.V307200.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 Juniper DS0000023222.V307200.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. Juniper DS0000023222.V307200.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Juniper Address The Forstal Mersham Ashford Kent TN25 6NU 01303 262524 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) juniper@counticare.co.uk Counticare Limited Mrs Marie Danielle Short Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Juniper DS0000023222.V307200.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th January 2006 Brief Description of the Service: Juniper provides residential care for up to 3 adults with a learning disability. The home is owned by Counticare Ltd, who are providers 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 comprising of a single bedroom for each resident, a lounge, kitchen, conservatory/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, deputy manager and support staff. Fees for this service range between £991 and £1021 with additional charges for hairdressing, magazines and leisure activities. Juniper DS0000023222.V307200.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Regulatory inspector Paul Stibbons conducted this unannounced inspection on the 2nd November 2006 at 1340 hours. A completed pre-inspection questionnaire was returned to the CSCI prior to the visit. The manager was present for the inspection. A tour of the building was conducted and a variety of records and documents were examined. The inspector was able to speak with the service users and staff members on duty as a group and in private. 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 DS0000023222.V307200.R01.S.doc Version 5.2 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 Juniper DS0000023222.V307200.R01.S.doc Version 5.2 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): 1,2,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users have sufficient information to make an informed choice as to whether the home will meet their needs and aspirations. EVIDENCE: There have been no new admissions for some time but care plans evidence comprehensive assessments of need prior to admission are in place. Service users spoken with confirmed that the home met their needs and supported them. Each service user has a written contract of terms and conditions and the homes Statement of Purpose and service users guide are accessible. Juniper DS0000023222.V307200.R01.S.doc Version 5.2 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): 6,7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are consulted on, and participate in, all aspects of life in the home and are supported in taking risks as part of an independent lifestyle. Their right to confidentiality is upheld. EVIDENCE: Care plans viewed reflected the changing needs and personal goals of individuals. Service users spoken with were aware of who their keyworkers were and said they were supported in making decisions. Risk assessments are in place and staff spoken to demonstrated a good understanding of service users needs and abilities and associated risks. Confidential records are securely stored and service users have access to their own records upon request. Juniper DS0000023222.V307200.R01.S.doc Version 5.2 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): 11,12,13,14,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have access to a range of activities that meet their occupational, social and leisure needs. They enjoy a healthy and varied diet of their own choosing. EVIDENCE: Service users lead an active lifestyle and are encouraged to develop independent skills. Within the home they are involved in domestic chores and cooking where they are encouraged to make suggestions for the menus. Menus viewed were balanced and healthy with individual requirements recorded. Service users have access to computer/internet, sky television, board games and pursue their hobby interests. They are part of the local community using local public houses, restaurants, sports centres and swimming. One resident has a work experience placement that he is very involved in and another goes to the local college. They all have access to the services day care facility that has varied programmes. Family contact is Juniper DS0000023222.V307200.R01.S.doc Version 5.2 Page 10 encouraged and promoted. Service users spoken with state they are happy with their lifestyles. Juniper DS0000023222.V307200.R01.S.doc Version 5.2 Page 11 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 in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The physical and emotional healthcare needs of service users are met and they are protected by the homes policies and procedures for dealing with medication. EVIDENCE: Care plans examined were clear about the preferred support requirements of individuals and staff spoken with demonstrated a good understanding of service user needs. There is evidence of referral to other relevant healthcare professionals where there is a requirement for their input. The medication cabinet has been moved as suggested in the previous report and the storage and administering of medication complies with current regulations and guidance. Staff training records evidence that responsible staff have received appropriate training in the safe handling of medication. Juniper DS0000023222.V307200.R01.S.doc Version 5.2 Page 12 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 in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users know their complaints are listened to and acted on and they are protected from abuse, neglect and self-harm. EVIDENCE: The home has a sound complaints policy and procedure and records show there have been no complaints since the last inspection. Service users are aware who to voice their concerns to and interaction observed between staff and service users demonstrated a good rapport. The home has procedures in place for the reporting of adult abuse allegations and training records evidence that staff have received training around this subject. Resident meetings and one to one meetings afford opportunities for service users to raise any concerns. Juniper DS0000023222.V307200.R01.S.doc Version 5.2 Page 13 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): 24,25,26,28,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from living in a comfortable and safe home, with adequate personal and communal space to meet their needs. EVIDENCE: The home is furnished to a good standard and at the time of the visit was clean and tidy. Bedrooms were adequate to meet the needs of individuals and reflected the interests and lifestyles of service users. There is ample communal space within the home and service users spoken with were happy with the facilities of the home and their individual rooms. Juniper DS0000023222.V307200.R01.S.doc Version 5.2 Page 14 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A competent and effective staff team supports service users and they are protected by robust recruitment practices. EVIDENCE: There is a small staff team who have worked together for some time and are clear about their roles and responsibilities within the service. Staffing rosters viewed indicate sufficient cover to meet the requirements of service users. Training records indicate that three members of staff have achieved an NVQ qualification and a further two are in the process of completing. Other relevant training courses have been undertaken to meet the joint and individual needs of service users in an appropriate manner. The manager confirms that two written references, a POVA and CRB check are undertaken before new staff are engaged. Juniper DS0000023222.V307200.R01.S.doc Version 5.2 Page 15 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): 37,38,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from living in a well run home where their health, safety and welfare is promoted and protected. EVIDENCE: A competent manager and deputy run this home and service users benefit from the ethos, leadership and management approach of the home. Staff state that service users are consulted on their views of the service through day to day feedback, monthly resident meetings, one to one sessions, Reg.26 visits and annual surveys by the company. Policies and procedures in place comply with current legislation and guidelines and promote the health, safety and welfare of service users. A tour of the premises revealed no obvious health and safety hazards. Juniper DS0000023222.V307200.R01.S.doc Version 5.2 Page 16 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 3 2 3 3 X 4 X 5 3 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 X 28 3 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 3 3 X X 3 x Juniper DS0000023222.V307200.R01.S.doc Version 5.2 Page 17 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. Refer to Standard Good Practice Recommendations Juniper DS0000023222.V307200.R01.S.doc Version 5.2 Page 18 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. 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