Inspection on 12/07/05 for Kazdin

This inspection was carried out on 12th July 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

Kazdin 24/07/07

Kazdin 26/07/06

Kazdin 18/01/06

Kazdin 01/12/04

Kazdin 06/07/04

Similar services:

Credence House

Radfords

Honeybourne House

32 Beaumont Way

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

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

CARE HOME ADULTS 18-65 Kazdin Selway Lodge Tamerton Foliot Road Plymouth PL6 5ES Lead Inspector Tina Maddison Announced 12 July 2005 th 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. Kazdin D52-D04 S3459 Kazdin V224226 120705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Kazdin Address Selway Lodge, Tamerton Foliot Road, Plymouth, Devon, PL6 5ES 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) 01752 519913 01752 519913 Small House Homes Ltd Daniel Alex Welch Care Home 3 Category(ies) of Learning disability (3), Physical disability (3) registration, with number of places Kazdin D52-D04 S3459 Kazdin V224226 120705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. Age range 16-35yrs 2. Learning disabled adults some of whom may have a physical disability 3. One service user, named elsewhere, over the age of 35 years may reside at the home. Date of last inspection 1.12.05 Brief Description of the Service: Kazdin is a detatched property standing in extensive grounds, backing on to woodland. The property consists of a bungalow and an attached annexe with good size bedroom accommodation and communal space for the three service users who live there. This care home is registered to provide care and accommodation for three people under the category of learning disability and children who have a learning disability. The age range of service users can be 16 - 65. The home has two vehicles and is close to shops and local amenities. The home has the use of its own swimming pool. Kazdin D52-D04 S3459 Kazdin V224226 120705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place on 12th July 2005. A pre inspection questionnaire was completed by the Registered Manager prior to the inspection. Comment cards were received from a service user and relative. A tour of the home was undertaken and discussions were held with the Registered Manager and two residents were spoken with. Records and documents were seen for a variety of topics. What the service does well: What has improved since the last inspection? What they could do better: A bathroom needs refurbishing. Medication must be signed for at the point of it being dispensed. Portable appliance testing should be completed. Kazdin D52-D04 S3459 Kazdin V224226 120705 Stage 4.doc Version 1.40 Page 6 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. Kazdin D52-D04 S3459 Kazdin V224226 120705 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 Kazdin D52-D04 S3459 Kazdin V224226 120705 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) 1,2,3,4,5. Service users admitted to the home can be sure that their assessed needs will be met at Kazdin. EVIDENCE: The home has an updated statement of purpose and service users guide. Not all of the service users had a copy of their contract on file at the home. Prior to admission, prospective residents have a comprehensive assessment completed with input from the residents themselves, family, and health and social care professionals. Kazdin has an assessment and admission policy in place and information included in these policies is a clear criteria for admissions, and an undertaking that emergency admissions are not accepted. Trial visits are encouraged and welcomed before admission. Kazdin D52-D04 S3459 Kazdin V224226 120705 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) 6,7,8,9. Risks and Service users individual choices are appropriately balanced at Kazdin. Service users can be assured that staff will enable them to be as independent as possible and be encouraged to safely participate in all aspects of life in the home. EVIDENCE: Case tracking provided evidence that service users monthly goal sheets include a placement plan, aims and objectives that are reviewed and altered as required. Care plans include clear guidelines and notes for staff to observe, and is based on health and safety issues and how these will be met. Due to their needs, residents do not go out unaccompanied. Service users are consulted about decisions made in the home, and are encouraged to participate in the daily household tasks. One service users door is alarmed and this is documented as agreed with the service users family and care manager. Risk assessments are detailed and comprehensive and available on service users files. Risks and rights are appropriately balanced in the home, as evidenced by individuals rights for privacy and the need to provide a safe environment in the home and limit risks when out of the home. Service users are able to access all of the policies and procedures in the home. Kazdin D52-D04 S3459 Kazdin V224226 120705 Stage 4.doc Version 1.40 Page 10 Kazdin D52-D04 S3459 Kazdin V224226 120705 Stage 4.doc Version 1.40 Page 11 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) 11,12,13,15,16,17. Service users can enjoy a range of social activities that are available to all. Personal development is encouraged enabling service users to maintain their independent living skills. EVIDENCE: One service user attends College, and one attends a self advocacy group. Other activities provided are visits to the pub, shopping, and music therapy, bowling and snooker. Holidays are booked. Person centred planning meetings are regularly held to discuss any activities that a service user may like to do. One service user has a food budget to shop independently with, and then cooks his own meals. Healthy eating is encouraged, and menus were seen. Service users are encouraged to be independent in all areas, and the service users at the home at present require minimal assistance with personal care tasks. One service user stated that he liked recycling, so has his own recycling area at the home, and works at a recycling area. Before any activity takes place a full risk assessment is undertaken. The home has its own swimming pool and large extensive gardens that include a cricket pitch and football pitch. Staff are qualified to undertake lifeguard activities. Families are encouraged to Kazdin D52-D04 S3459 Kazdin V224226 120705 Stage 4.doc Version 1.40 Page 12 visit service users in the home. The Manager said that the home has assisted service users to develop and maintain friendships and personal relationships both outside and within the organisation. It was evident from the placement plans and the daily activity sheet that the home promotes independence and choice to all service users in the home within the confines of the risk assessments. Kazdin D52-D04 S3459 Kazdin V224226 120705 Stage 4.doc Version 1.40 Page 13 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. Service users can be assured that staff will treat them with respect and their personal care needs will be given in the way they prefer and their health care needs will be met. EVIDENCE: The Manager stated that the home provides personal care in a way that offers dignity and encourages independence. Kazdin has good links with the Learning disability services in Plymouth, and has obtained speech and language therapy for one service user. When one service user had to attend hospital recently, the home liaised with the acute service liaison service. All service users are registered with the local GP practice and good links with the Plymouth mental health service can also be demonstrated. Staff that administer medication have received appropriate training. On the day of the inspection medication had been dispensed but medication sheets had not been signed to confirm this. Kazdin D52-D04 S3459 Kazdin V224226 120705 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) 22,23 Service users can be confident that their concerns will be listened to, taken seriously and acted upon. The homes vulnerable adult procedure is robust which will ensure the protection of service users. EVIDENCE: There have been no complaints made to CSCI in the last twelve months concerning Kazdin. The home has a clear and effective complaints procedure. Residents are aware of whom to speak to in the event of a complaint. There is a concerns log where minor issues are recorded as is the action taken to resolve these issues. Residents have one to one keyworker sessions to discuss any concerns. There is a whistle blowing policy and all staff have received vulnerable adults training. Restraint is only used as a last resort, and all staff have received training in appropriate restraint techniques. Staff are also aware of different therapeutic holds to be used. One resident manages his own money with assistance from staff. Financial records were found to be correct and well mananged. Kazdin D52-D04 S3459 Kazdin V224226 120705 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) 24,25,26,27,28,30. Kazdin is decorated and furnished to a good standard. It is clean, warm, and the gardens are large and fully accessible, which overall creates a comfortable and safe environment for service users. EVIDENCE: Kazdin is a large bungalow that has well kept large grounds that include a swimming pool and various interesting areas, such as a cricket and football pitch. Generally, the bungalow is very well maintained by the company maintenance person, and is well decorated in a homely style. Residents spoken to said they really liked their bedrooms, which are large and individualised. All areas are accessible as are all areas of the gardens. One of the bedrooms is in a self contained annexe. Keys are available for locks on the bedroom doors if it is assessed as appropriate. All areas of the home were very clean on the day of the inspection. A recent visit from the fire officer recommended that fire doors be fitted to the laundry and bedrooms. The kitchen is due to be refitted and quotes to replace the existing one have been obtained. The downstairs bathroom should be refurbished. The hall carpet is planned to be replaced. Kazdin D52-D04 S3459 Kazdin V224226 120705 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) 31,32,33,34,35,36. Care staff numbers are adequate to meet the care needs of the service users. The home has a robust recruitment procedure, and this offers protection to service users. There is a consistent staff team who are committed, caring, and appropriately skilled to provide care to service users. EVIDENCE: All staff have job descriptions, and have clearly defined roles and responsibilities. During the inspection a game of cricket was being played between staff and a resident, and it was clear that positive relationships had been formed, and staff were seen interacting in a positive and enabling manner with the other residents, by using gentle encouragement to assist them. Rotas were seen during the inspection, and evidenced that the home is appropriately staffed. Staff files evidenced that two written references are sought for new staff and all staff have CRB checks in place. The home can evidence that there is an effective and clear disciplinary procedure for staff. All staff have a three month probationary period. Training is a priority and seven staff hold an NVQ3 in care, and two staff hold NVQ2. Training is carried out in the company headquarters, along with additional training from Plymouth City Council and Learning disability services courses. Supervision of staff is undertaken by the Managers and is held on a regular basis. Kazdin D52-D04 S3459 Kazdin V224226 120705 Stage 4.doc Version 1.40 Page 17 Kazdin D52-D04 S3459 Kazdin V224226 120705 Stage 4.doc Version 1.40 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 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) 37,38,39,42 The home is managed by a very competent manager. There is a clear and effective management structure operating in the home. EVIDENCE: The Registered Manager holds the Registered Managers award and has completed a Child Protection course. He demonstrates a clear and effective management style and appears to have a positive relationship with the staff and residents. Staff views are welcomed, and regular staff meetings are held. The home has a quality assurance system in place in the form of questionnaires. It could be seen that this feedback is acted upon for example on relative commented that a resident would benefit from a bookcase being installed in their bedroom, and this was carried out. All staff receive training in first aid, fire prevention and health and safety. Baths and hand basins are not fitted with temperature regulators apart from on one bath, but risk assessments are in place. There are risk assessments in place for radiators as these are not covered. Most portable electrical appliances have been tested, but not all, and this should be completed. The accident reporting book was up Kazdin D52-D04 S3459 Kazdin V224226 120705 Stage 4.doc Version 1.40 Page 19 to date. Insurance certificates are displayed, as is a current certificate of registration. Electrical systems and gas boilers are regularly serviced. Risk assessments are in place for all safe working topics. Kazdin D52-D04 S3459 Kazdin V224226 120705 Stage 4.doc Version 1.40 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 3 3 3 3 2 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 4 4 4 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 2 3 x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Kazdin Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score 4 4 3 3 3 3 x D52-D04 S3459 Kazdin V224226 120705 Stage 4.doc Version 1.40 Page 21 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. 2. 3. 4. Refer to Standard YA5 YA20 YA27 YA42 Good Practice Recommendations All residents should have a copy of their contract and terms and conditions on file at the home. Medication should be signed for as given at the point when it is dispensed to an individual. One bathroom should be refurbished. Portable appliance testing should be completed. Kazdin D52-D04 S3459 Kazdin V224226 120705 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Kazdin D52-D04 S3459 Kazdin V224226 120705 Stage 4.doc Version 1.40 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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