Inspection on 18/01/06 for Kazdin

This inspection was carried out on 18th 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

Kazdin 24/07/07

Kazdin 26/07/06

Kazdin 12/07/05

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 Devon PL6 5ES Lead Inspector Tina Maddison Unannounced Inspection 13:00p 18 January 2006 th Kazdin DS0000003459.V254937.R01.S.doc Version 5.0 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 Kazdin DS0000003459.V254937.R01.S.doc Version 5.0 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. Kazdin DS0000003459.V254937.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Kazdin Address Selway Lodge Tamerton Foliot Road Plymouth Devon PL6 5ES 01752 519913 01752 519913 kazdinhouse@smallhousehomes.co.uk 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) 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 DS0000003459.V254937.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Age range 16-35yrs Learning disabled adults some of whom may have a physical disability One service user, named elsewhere, over the age of 35 years may reside at the home. 12th July 2005 Date of last inspection Brief Description of the Service: Kazdin is a detached bungalow with an additional attached annexe that is set in its own large grounds that has a swimming pool and backs on to woodland. The home is registered to provide personal care and accommodation to three people under the categories of learning disability and children who have a learning disability. The age range the home is registered for is 16-35 years, however, one current service user is over the age of 35 years. The home has the use of two vehicles and is close to shops and local amenities. Kazdin is one of a number of registered homes belonging to Small House Homes Limited. Kazdin DS0000003459.V254937.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 18th January at 1300. All three service users were at Kazdin during the inspection. The tour of the home was conducted by the Registered Manager, Daniel Welch. Two of the service users were spoken with during the inspection, and one staff member was interviewed. Records and documents covering a wide variety of topics were available in the home for inspection, as were the homes policies and procedures. What the service does well: What has improved since the last inspection? Since the last inspection the kitchen units have been replaced. Medication records now evidence that medication is signed for at the point of dispensing. Portable appliance testing has taken place for all electrical appliances in the home. The laundry area has been refurbished with a new worktop fitted and Kazdin DS0000003459.V254937.R01.S.doc Version 5.0 Page 6 replacement windows have been installed. Interior replacement fire doors have been delivered and are awaiting installation. 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. Kazdin DS0000003459.V254937.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Kazdin DS0000003459.V254937.R01.S.doc Version 5.0 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 the following standard(s): 1,3,5. Service Users admitted to the home can be sure that their assessed needs will be met at Kazdin. EVIDENCE: The home offers service users a current statement of purpose and service users guide. Copies of contracts between the home and Local Authorities are kept at Head Office and not in the home. There have been no new admissions to the home since the last inspection. One service users needs have been reassessed and it has been decided by the Manager of Kazdin, in agreement with the service user and their Care Manager, to give them one months notice to leave the home, as the Manager feels the Service Users increasingly complex needs would be more appropriately met in another care setting. There is an admissions policy and procedure in place in the home, and included in these policies is a clear criteria for admissions. Emergency admissions are not accepted. The Registered Manager is clear regarding the assessment process for any prospective residents, and prior to any new service user being admitted to the home, a number of trial visits would be welcomed and encouraged. Kazdin DS0000003459.V254937.R01.S.doc Version 5.0 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 the following standard(s): 6,7,9,10 Risks and service users individual choices and rights are appropriately balanced in the home. Service users can be assured that staff will enable them to be as independent as possible and are encouraged to safely participate in all aspects of daily life in the home. EVIDENCE: All of a service users assessed care needs are documented in their individual placement plan with clear guidance regarding how these complex needs will be met. All three service users require minimal assistance with personal care, and are all fully mobile. All placement plans were reviewed in December 2005. Due to their needs, two of the service users do not go out of the home unaccompanied, and the one service users who does go out for short periods is clear about how long he will be away from the home, and agrees a return time prior to going out. Behavioural management strategies are in place for all three service users. De-escalation techniques are used and any physical intervention by staff is used as a last resort, and every incident was found to be fully recorded. Service users confirmed that they are consulted about decisions made in the home, and are encouraged to participate in household tasks. One bedroom door is alarmed, and this has been agreed with the service users family and care manager. Kazdin DS0000003459.V254937.R01.S.doc Version 5.0 Page 10 Risk assessments were found to be comprehensive and detailed, and covered the service users whilst in the home, staff activities, and any trips out of the home. Any information concerning service users is kept securely in a locked cabinet in a lockable office. Staff are made aware of the need for confidentiality as part of their induction procedure. Kazdin DS0000003459.V254937.R01.S.doc Version 5.0 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 the following standard(s): 11,17 Service users are able to enjoy a range of social activities that are available to all. Healthy and varied meals are available. EVIDENCE: Weekly planners evidenced that service users are offered a variety of activities in and out of the home. These include shopping, music therapy, dog walking, work at a recycling centre, bowling and snooker. Person centred planning meetings are held regularly to discuss any activities that a service user may wish to undertake. Before any activity takes place, a full risk assessment is completed. Healthy eating is encouraged at the home, and the service users are enabled to participate fully in the planning of menus, shopping, preparation and cooking of the meals. Service users said that they liked the meals at the home. Kazdin DS0000003459.V254937.R01.S.doc Version 5.0 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 the following standard(s): 19,20. Service users physical, emotional and health needs are met at Kazdin. Service users can be assured that staff will treat them with respect, and their care needs will be given in the way that they prefer. EVIDENCE: Current Service users personal care needs are minimal, staff mainly prompt and encourage independent personal care. Staff interactions with the service users during the inspection were respectful and positive. It was observed that staff knock on service users bedroom doors and wait to be invited in before entering. All service users are registered with the local GP practice and the home has good working links with the Plymouth mental health services and Learning Disability Services. None of the service users self medicates. Medication records were found to be up to date and accurate. Staff have received training in the dispensing of medication. None of the service users have any specific medical needs, but one service user has their blood pressure measured every six months at the Doctors surgery. The pharmacist recently visited the home and had no recommendations. The home has a medications policy and procedure that staff are familiar with. Kazdin DS0000003459.V254937.R01.S.doc Version 5.0 Page 13 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 Service users can be confident that their concerns will be listened to, taken seriously and acted upon. EVIDENCE: The Commission for Social Care Inspection has not received any complaints regarding Kazdin in the last twelve months. The home has a clear and effective complaints procedure, and any complaints are recorded with action taken to resolve them. Service users are encouraged to write down any concerns they may have and the Register Manager then endeavours to resolve them. Service users can also talk to their keyworkers about any issues they have in the home. Kazdin DS0000003459.V254937.R01.S.doc Version 5.0 Page 14 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): 24,25.26,27,28,30. Kazdin provides a safe, comfortable and homely environment. It is clean and warm and all areas are fully accessible to the service users. EVIDENCE: Kazdin is a large bungalow situated in large well maintained grounds that includes a swimming pool and various areas of interest, such as a cricket and football pitch. Generally the bungalow is well maintained by a maintenance person, and is well decorated in a homely style. Service users bedrooms are personalised, and the service user who is accommodated in the annexe has use of a lounge, bathroom and bedroom in a self contained area. Bedroom doors are lockable with appropriate locks fitted. Keys are available following risk assessment. All areas of the home were found to be clean on the day of the unannounced inspection. The kitchen has recently been refitted. One bathroom should be refurbished. There are plans to replace the hall carpet once the new fire doors have been fitted. The laundry area has recently been refitted with new windows and a new worktop. Service users commented that they liked their bedrooms and were happy with the homes environment in general. The home has good sized communual areas, ensuring that there is plenty of space for the service users should they want quiet time by themselves. Kazdin DS0000003459.V254937.R01.S.doc Version 5.0 Page 15 Kazdin DS0000003459.V254937.R01.S.doc Version 5.0 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 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): 31,32,35,36 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. The staff team are committed, caring and have been appropriately trained to meet the needs of the service users. EVIDENCE: Since the last inspection there has been very little staff turnover. The staff team are a committed and competent team. The home is fully staffed and does not currently use agency staff. All staff have a training plan in place. Staff interviewed were clear about their roles and responsibilities, and felt that they were appropriately trained and supervised to meet the needs of their role. Minutes of the regular staff meetings were seen, and supervision records were available for inspection, and evidenced that supervision takes place on a regular basis. During the inspection it was observed that staff had a positive and enabling relationship with the service users, using appropriate humour to encourage service users to complete tasks. Staff rotas were seen, and evidenced a satisfactory number of staff are on duty at all times. Five staff were on duty during the day from 8am – 10pm. At nights there are two waking staff and one sleep in staff member. Due to the complex needs of the service users in the home one to one staffing ratios are used for two service users, and one service user has a three to one staffing ratio. Staff files evidenced that the recruitment procedure is followed in the home, and all staff files seen had two references, identity checks and a current CRB check in place. There is a three month Kazdin DS0000003459.V254937.R01.S.doc Version 5.0 Page 17 probationary period for new staff, and a comprehensive induction programme available. Kazdin DS0000003459.V254937.R01.S.doc Version 5.0 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 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): 37,42,43. Kazdin is well managed and it is clear that there is an effective management structure operating in the home. The health, safety and welfare of service users are promoted and protected. 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 and effective relationship with the staff and service users at Kazdin. Staff views are welcomed and acted upon, and staff confirmed that he has an open door policy and they can go and discuss any issues if they wish to do so. It is documented that staff have received training in first aid, fire prevention and all aspects of health and safety in the home. It is recommended that the names of staff that have undertaken the regular fire safety practices are recorded. Risk assessments are in place for hot water outlets as these are not fitted with temperature regulators. Radiators are not covered, but have been risk assessed. Portable appliance testing has been completed since the last inspection. The home has appropriate insurance in place. The accident report book is accurately Kazdin DS0000003459.V254937.R01.S.doc Version 5.0 Page 19 completed and up to date. The home could evidence that gas and electrical systems are regularly serviced. Monthly monitoring visits have been completed and a record kept. Kazdin DS0000003459.V254937.R01.S.doc Version 5.0 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 x 3 x 2 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 4 x 4 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 2 3 x 3 LIFESTYLES Standard No Score 11 3 12 x 13 x 14 x 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score 3 3 x x 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Kazdin Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score 4 x x x x 3 3 DS0000003459.V254937.R01.S.doc Version 5.0 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. 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 Refer to Standard YA5 YA27 YA42 Good Practice Recommendations All service users should have a copy of their contract/statement of terms and conditions kept on their file. One bathroom should be refurbished. A record of staff who have attended fire drill practices should be kept. Kazdin DS0000003459.V254937.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Ashburton Office 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 DS0000003459.V254937.R01.S.doc Version 5.0 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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