Inspection on 14/09/07 for Kelvedon Project

This inspection was carried out on 14th September 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Kelvedon Project 10/10/06

Kelvedon Project 19/12/05

Kelvedon Project 05/09/05

Kelvedon Project 21/03/05

Kelvedon Project 21/05/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Kelvedon Project 43a & 43b Morley Road Tiptree Colchester Essex CO5 0AA Lead Inspector Ray Burwood Unannounced Inspection 14th September 2007 10:00 Kelvedon Project DS0000017860.V351036.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 Kelvedon Project DS0000017860.V351036.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. Kelvedon Project DS0000017860.V351036.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kelvedon Project Address 43a & 43b Morley Road Tiptree Colchester Essex CO5 0AA 01621 815224 01621 815224 s.ashman@scope.co.uk www.scope.org.uk SCOPE 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) Ms Sarah Lyndsey Ashman Care Home 6 Category(ies) of Learning disability (6), Physical disability (6) registration, with number of places Kelvedon Project DS0000017860.V351036.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Persons of either sex, under the age of 65 years, who require care by reason of a learning disability who may also have a physical disability (not to exceed 6 persons) 10th October 2006 Date of last inspection Brief Description of the Service: The Kelvedon Project consists of two self-contained bungalows, each accommodating three service users with physical and learning disabilities. The home is situated in the village of Tiptree, which is readily accessible by public transport to the towns of Colchester and Maldon. There are local facilities and shops. People living at the home have access to a large garden and patio area, including the addition of a conservatory that is easily accessed from both bungalows and used by all service users. Another Service Manager who manages another establishment locally is carrying out the management responsibilities for the home. Her time is managed efficiently between both units, with both staff teams being kept informed of her whereabouts at any one time. Information about the service may be obtained by contacting the manager. The home charges between £818:12 and £1,265:94 per week for the service they provide. This information was given to the Commission on the 14th September 2007. Kelvedon Project DS0000017860.V351036.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out on the 14th September 2007 with the assistance of the Manager of another home locally who was supporting the Kelvedon Project until a manager is appointed. A number of managers had left SCOPE following a programme of redundancies. Assistance was also provided by administrative staff, one person living at the home and a member of the care staff team, my thanks to them all. The site visit was conducted between the hours of 10:00am and 3:00pm. The inspection involved a tour of the premises, looking at records, documents, and talking to one person who live at the home and staff. Additional feedback was received from surveys completed by staff, residents and relatives. Feedback was positive about the standard of care, support, and the commitment of the management team during a period of change. The presentation of the Annual Quality Assurance Assessment was good, well laid out and contributed positively to the overall inspection visit report. A total of 23 standards were inspected with 20 being met, three standards were partially met. At the end of the site visit, feedback was given to the Service Manager covering the home, regarding the inspection visit. What the service does well: The home uses a person centred approach to ensure that it provides individual care for people living at the home Residents’ bedrooms are comfortable and staff make sure that service users’ individual tastes are reflected in their surroundings. The home has a stable staff team and staff turnover is low, which ensures consistency of care for the people living there. Kelvedon Project DS0000017860.V351036.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Kelvedon Project DS0000017860.V351036.R01.S.doc Version 5.2 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 Kelvedon Project DS0000017860.V351036.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. Admissions to the home would only take place if the service was confidant that staff has the confidence, skills and qualifications to meet the assessed needs of prospective residents. EVIDENCE: The home’s Statement of purpose and Service User Guide have been reviewed to reflect the commitment to ensuring equality and diversity within the service and the change in management arrangements. Both documents can be provided in various formats that can help residents understand and allow them to make informed choices. From the information contained in the files examined, an assessment record of needs had been completed to establish how staff support people who live at the home and what additional support services are required to access community facilities and the environment. An assessment and management of risk had been carried out for each resident in terms of the environment. Kelvedon Project DS0000017860.V351036.R01.S.doc Version 5.2 Page 9 The home encourages prospective new residents to undertake a trial stay, this may be an overnight stay. A twelve week trial placement is then offered. During the trial period, a nominated key worker is assigned to the individual to support them. On completion of the 12 week trial period, a review is held and all interested parties are invited to attend. If the placement is agreed, a service agreement, which details the terms and conditions of the service, is offered. Kelvedon Project DS0000017860.V351036.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. People living at the home can feel confident that their assessed needs will be met through a plan of care generated from the pre-assessment process. Residents are consulted and supported by staff in making decisions about their lives EVIDENCE: A sample of care plans that had been generated from single Care Management Assessments and the home’s pre-assessment process was examined. Plans were found to include all aspects of personal, social and healthcare needs and drawn up with the involvement of people living at the home together with family, key-workers and independent representatives when required. Residents care plans examined also showed that risk assessments were in place, covered a range of activities and set out management actions and precautions required to reduce risk to individuals. Kelvedon Project DS0000017860.V351036.R01.S.doc Version 5.2 Page 11 A key-worker system operates at the home to allow staff to work on a one to one basis and contribute to the care plan and reviewing process for people living at the home. There was evidence and records that care plans had been reviewed regularly. The manager covering the service said there had been no progress in training staff on care plan recording skills. This had been highlighted following Regulation 26 visits. Observations of interactions between staff and service users show that staff encouraged residents to make decisions. One resident chose to spend time with the inspector and was seen to be consulted about what they wanted to do, such as what and when to eat. Staff displayed patience and listened and responded appropriately. The manager covering the service confirmed that a pilot scheme was being undertaken around empowerment training for people across the two local services. Staff spoken with said that people living at the home were supported in making informed choices with records in place relating to agreements and permission for staff to assist with their finances and at the administration of medicines. Residents’ meetings are held on a regular basis to ensure individual needs and wishes are listened to and acted upon. Kelvedon Project DS0000017860.V351036.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. Links with the community are well managed, support and enrich the social and educational opportunities of people living in the home. The meals are good with evidence that people living at the home are involved in the process and are offered quality meals and choice. EVIDENCE: Residents care plans inspected contained a programme of activities based on their likes, dislikes and preferences in terms of how they wished to spend their time both in the home and in the community. Residents attend a range of educational, social and leisure activities supported by professionals and the home’s staff team. Kelvedon Project DS0000017860.V351036.R01.S.doc Version 5.2 Page 13 Residents who wish, access community facilities and activities in line with their level of ability. One person living at the home is a keen supporter of Chelsea Football Club and from time to time attends home matches. Those who find it difficult to be part of certain activities are encouraged to participate in walks with a member of staff or group/individual outings using the home’s vehicle. The manager covering the service explained that social events are shared across the three services locally. People living in the bungalows are actively encouraged, consulted and participate in all aspects of service provision, this includes recruitment, Quality Assurance process and Service User meetings. People living at the home attend a weekly club where they can meet other people. At residents’ meetings, discussions take place and suggestions formed about what type of activities are available and who would like to attend. Contact arrangements with parents, relatives and friends are well managed with the home encouraging visits. One resident was at home with their family on the day of the inspection visit, with another resident on an organised holiday. On the day of the inspection visit the one resident at the home discussed their recent holiday to Canada and enjoyed being with all of her family members. An organised holiday has been arranged for those people living at the home who have not been away yet. Most of the people living at the home spend time with their relatives either at home or by relatives visiting the home. All residents are actively encouraged to be involved at some stage in the foodplanning programme either through menu planning or shopping. Each resident is responsible for planning his or her own menus and they are free to choose when and where they wish to eat. Kelvedon Project DS0000017860.V351036.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service The health care needs of residents are managed effectively, ensuring that their wellbeing is supported. EVIDENCE: Care plans examined provided good evidence that residents’ privacy; dignity; independence and control over their lives was encouraged and supported by the management and staff. Information relating to how personal support for people living at the home is provided was noted in their individual care plans. Continuity and consistency of support for residents is provided through a keyworker system in which they choose a specific carer whenever possible. Residents’ care plans examined provided evidence that appropriate healthcare services are available, accessed, and fully recorded following referrals. Access to health care professionals such as Opticians, Dentists, hospital services and routine health checks were provided and well documented. Kelvedon Project DS0000017860.V351036.R01.S.doc Version 5.2 Page 15 The Service Manager covering the service said the people currently living at the home are fit and healthy and have no specialist healthcare problems. The local medical centre serves the home where all residents are registered with a G.P. Since the last inspection five new electric hoists have been installed. As part of Scopes Full Cost Recovery Policy, all service managers completed an up to date care profile for each resident, which clearly identifies individual need and the associated cost of meeting these needs. The management of medication was found to be of a good standard with appropriate ordering, administration and the recording of medicines given by staff. The home operates the Monitored Dosage System (MDS) and there are no residents living at the home with the capacity to self medicate. All staff that have the responsibility of administering medicines have received the appropriate training. One senior member of staff spoken with was in the process of producing a training pack for staff, this included recognising medicines, their uses and what the possible side effects they may produce for residents. Kelvedon Project DS0000017860.V351036.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. Arrangements for the protection of residents are good, ensuring that they protected from harm and abuse. EVIDENCE: The home’s complaints policy and procedures that has been designed by SCOPE is clearly set out and openly available to residents, visitors and staff. The home has not received any complaints since the last inspection visit. Information regarding the home’s complaints procedures and to whom individuals may wish to consult, including the Commission for Social Care Inspection (CSCI) is contained in the home’s Statement of Purpose and Service User Guide. Adult Protection policies and procedures were in place for staff guidance and available to individuals should they wish to access the information. Staff spoken with confirmed that they had received the appropriate protection training and guidance during their induction period and Learning Disability Award Framework (LDAF) training. The manager covering the service said a programme of refresher training in Adult Protection was in place for this year. At the time of the site visit SCOPE, together with the relevant placing authority and the local Learning Disability Team, were investigating a Protection of Vulnerable Adults (POVA) allegation. Kelvedon Project DS0000017860.V351036.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The homes provide well-maintained environments through the renewal of equipment and facilities that ensures the comfort and safety of people living and working there. EVIDENCE: The two bungalows visited had been designed to meet the individual needs and lifestyles of the people it accommodates. Both were found to be clean, well furnished, comfortable and suitable for their stated purpose. The home is situated close to local facilities. Residents rooms seen provided evidence of individuality and personal posessions. A major refurbishment of the shower rooms had been undertaken. The manager covering the service said further refurbishment of bathrooms would follow. Kelvedon Project DS0000017860.V351036.R01.S.doc Version 5.2 Page 18 A spacious and well furnished conservatory provides resident from both bungalows with an alternative and accessible area in which to receive visitors, or to use as a quiet room. Laundry facilities are domestic in nature, situated away from the bungalows and provide hand-washing facilities. A new floor has been laid following a requirement being made at the last visit. Policies and procedures for the control of infection are in place and appropriate COSHH records maintained on cleaning materials. A systematic schedule of cleaning is in place following the employment of a cleaner. Kelvedon Project DS0000017860.V351036.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32.34 and 35. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. Staff at the home are trained, supported and employed in sufficient numbers to meet the complex needs of residents. The home operates a robust recruitment process that helps to ensure the safety of people living in the home. EVIDENCE: At the time of this site visit there was two staff vacancies, one-day carer and one-night carer. Some agency staff and the home’s staff are covering the shortfall in hours. Rotas seen during the visit were found to be efficient and creative in providing staff support to residents during busy periods and the changing needs of people who use the service. Dependency levels are calculated using the Department of Health’s guidelines contained in the Residential Forum. National Vocational Qualification (NVQ) training continues to be used in conjunction with the Learning Disability Award Framework (LDAF). Kelvedon Project DS0000017860.V351036.R01.S.doc Version 5.2 Page 20 The home continues to progress with NVQ training in order to achieve the required amount of staff qualified. A senior support worker at Morley Rd is currently working towards their Assessors award. On completion the service will be able to offer a more robust NVQ programme with appropriate support. The files of the two most recent members staff were examined and contained all of the required information and checks before they commenced working in the home. These included references, proof of identity and POVA/CRB clearance. Staff files also included relevant qualifications. The manager covering the service said they would ensure that one additional reference would be requested for one of the staff files, also, the next recruitment drive will actively endeavour to employ a higher percentage of disabled staff, in order to meet the 20 target as stipulated by the organisation. Staff spoken with and personal development files seen confirmed that they had undertaken the relevant training to meet the diverse needs of people using the service. SCOPE employs trainers who deliver equality and diversity training for staff. Kelvedon Project DS0000017860.V351036.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. The temporary management of the home is good ensuring that the health and safety of residents’ and others are promoted. The systems for resident consultation helps to ensure their views are being both sought and acted upon. Further development and a final report of the findings was required. EVIDENCE: A recent management restructure has resulted in the registered manager being made redundant. This has meant a period of change for the service and the staff team are working hard to ensure that people living at the home are not unduly effected. Kelvedon Project DS0000017860.V351036.R01.S.doc Version 5.2 Page 22 An interim strategy has been implemented whereby another Service Manager, who is both local and has a great deal of experience of the service, is overseeing, supporting and directing the staff team until another manager is appointed. There is an annual process of obtaining quality assurance feedback in place following questionnaires being sent out to relatives and professionals. Information from the last process has been collated, analysed and an action plan produced in response. The manager covering the service explained that the service will ensure that it compiles a Quality Assurance report, using the information colated from the process, so that the service has clear objectives for development in the future. Stakeholder and family feedback obtained from the last quality assurance process indicated that the home is offering a service that is providing best value. Certificates for gas appliances, electrical installations and insurance cover were seen to be in place and up to date. Staff training and development files included health and safety training in safe working practices. Kelvedon Project DS0000017860.V351036.R01.S.doc Version 5.2 Page 23 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 X 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 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 3 X Kelvedon Project DS0000017860.V351036.R01.S.doc Version 5.2 Page 24 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. 1. 2. Refer to Standard YA32 YA39 Good Practice Recommendations The registered manager should continue to support staff to obtain an NVQ qualification at level 2 or above. The registered manager should continue to develop the Quality Assurance system and ensure that a report is available for inspection. Staff training in care planning and recording would benefit the home’s records and ensure changing needs are addressed if needed. 3 YA6 Kelvedon Project DS0000017860.V351036.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Kelvedon Project DS0000017860.V351036.R01.S.doc Version 5.2 Page 26 - 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. 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