Inspection on 02/09/05 for Kenderbrae

This inspection was carried out on 2nd September 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Kenderbrae 22/06/07

Kenderbrae 09/03/06

Kenderbrae 07/03/05

Kenderbrae 22/06/04

Kenderbrae 02/02/04

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

CARE HOME ADULTS 18-65 Kenderbrae 57 Watson Avenue Chatham Kent ME5 9SJ Lead Inspector Lucy Ansell Announced 2 September 2005 10:00am 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. Kenderbrae H56-H06 S28902 Kenderbrae V243535 020905 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Kenderbrae Address 57 Watson Avenue Chatham Kent ME5 9SJ 01634 669129 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) Mr Junor Arlington Prawl Care Home only 3 Category(ies) of LD Learning Disability (3) registration, with number of places Kenderbrae H56-H06 S28902 Kenderbrae V243535 020905 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7 March 2005 Brief Description of the Service: Kenderbrae is a privately owned, family run, residential care home for adults with learning difficulties. It has registration for 2 service users. It is a large detached property set in a quiet residential location, its nearest town being Chatham. The home has a car, which Service Users have access to. Trips out include: evening clubs, the theatre, visiting friends, shopping, the cinema, and going into town. The home provides care and support to this service user group. It is managed and run by the owners, Mr and Mrs Prawl they have no staff. Kenderbrae H56-H06 S28902 Kenderbrae V243535 020905 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Announced Inspection at Kenderbrae Care Home took place on 2nd September 2005 by one inspector Lucy Ansell. The Inspector agreed and explained the inspection process with the Registered Providers and discussed the ethos and values of the home. Documentation and records were read, including care plans. Time was spent reviewing a sample of written policies and procedures, looking at care plans and records kept within the home. A tour of premises was undertaken. The focus of the inspection was to assess Kenderbrae Care Home in accordance to the National Minimum Standards for Young Adults and principally on resident’s views of the home. In some instances the judgement of compliance was based solely on verbal responses given by those spoken with. Some Standards were not inspected in full and the last report should be read in conjunction to obtain a full picture. What the service does well: The owners have an excellent understanding of the support needs of the residents. This is evident from the positive relationships, which have been formed between staff and residents. One resident was quoted as saying “I love it here this is my home and my family”. From evidence gained it was noted that the homes primary focus was on developing a tailor made service to enable the clients to develop their independence and their living skills. Evidence was seen that the daily routines of the home were entirely focussed on the choice and freedom of the two service users. The meals in this home are good and the home was clean and tidy with a high standard of furnishings. Kenderbrae H56-H06 S28902 Kenderbrae V243535 020905 Stage 4.doc Version 1.30 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. Kenderbrae H56-H06 S28902 Kenderbrae V243535 020905 Stage 4.doc Version 1.30 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 Kenderbrae H56-H06 S28902 Kenderbrae V243535 020905 Stage 4.doc Version 1.30 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 Residents have enough information to make an informed decision about moving into the home, and are confident the home can meet their needs EVIDENCE: The home’s Statement of Purpose and Service Users Guide contained the required information. It is clear and concise with all relevant information included. The home was advised to change the statement of purpose to reflect that the home is now registered for two residents. Evidence was seen of the home more than meeting the residents’ needs and the residents live as part of the family. Residents are admitted following a full assessment by the homes owner; however evidence was not looked for, as the newest resident will have been with the home five years and the other resident ten years. Kenderbrae H56-H06 S28902 Kenderbrae V243535 020905 Stage 4.doc Version 1.30 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) 6,9 Resident’s individual needs and choices are well met. Residents are well supported to take risks as part of an independent lifestyle. EVIDENCE: Both residents care plans were looked at. These were very detailed documents that contained, risk assessments; individual plans for daily living, and health needs. The home has six monthly reviews but was advised to ensure reviews are written up on a separate sheet. There was clear evidence of multi-agency reviews taking place, which are person centre and formatted to suit the individual’s personal wishes and capabilities. Where service users rights to make decisions are limited, the home has recorded reasons on the care plans and in risk assessments, which have all been updated. Evidence was seen during the inspection of an environment in which the residents are encouraged and enabled to make decisions and are treated as part of the family. Kenderbrae H56-H06 S28902 Kenderbrae V243535 020905 Stage 4.doc Version 1.30 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14 Residents are encouraged to make choices about all aspects of their daily lives through the support of a range of activities in the home and local community. EVIDENCE: The care plans and direct observation clearly evidence that residents are encouraged to learn, maintain and develop practical life skills to the best of their abilities. Both residents attend daycentres; both go to Greatfield Lodge 5 days a week this provides valued and fulfilling activities that perfectly meets their needs. One resident attends Balfour Enhanced Care Unit for half a day a week to attend a specialist course for residents with hearing loss. It was apparent through discussion with the owner and both of the residents that they had control over the activities they did or did not participate in. The residents accessed the local community to do their shopping, go to the local garden centre, and use the cinema, pubs and restaurants. The Residents at the weekends go out on activities with the family, one resident is an avid Gillingham Football fan and attends the matches he can. Kenderbrae H56-H06 S28902 Kenderbrae V243535 020905 Stage 4.doc Version 1.30 Page 11 Evidence was seen in the care plans and spoken about of a range of leisure activities that they choose to participate in. The owner explained that they have family contact or visits when they wish. The owner has just had a month’s holiday with the two residents in Spain and they are hoping to go again in January for another month. Kenderbrae H56-H06 S28902 Kenderbrae V243535 020905 Stage 4.doc Version 1.30 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 standard(s) 18,19 The personal and health care needs of residents are well met, promoting and protecting resident’s privacy, dignity and independence. EVIDENCE: It was evident from speaking to the owner and looking through the documentation that they are very aware of the needs of their residents. The owner indicated that all support offered was aimed to maximise the resident’s independence. The manager described how routines of the home were flexible to suit the needs and wishes of the residents; this was backed up by the documentation. The health needs of residents are well met with evidence of good multidisciplinary working taking place on a regular basis. One of the residents is very independent with her personal care needs so is offered guidance and supervision, and the other resident who needs more assistance, is offered this in as sensitively way as possible. The home promotes and maintains residents health through supporting and facilitating medical appointments as required. The Manager stated that all service users are registered with a GP of their choice. Care plans showed clear evidence of medication reviews happening and optician and dentist, G.P appointments. Kenderbrae H56-H06 S28902 Kenderbrae V243535 020905 Stage 4.doc Version 1.30 Page 13 The owner was observed indirectly throughout the inspection, and was seen to interact in a positive and respectful manner with clear affection and genuine regard from both parties. Medication was seen kept in a secure cabinet with all medication administration sheets filled in and stored securely. Kenderbrae H56-H06 S28902 Kenderbrae V243535 020905 Stage 4.doc Version 1.30 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 Residents benefit from having access to a complaints procedure and are protected from abuse by the home’s policies and procedures. EVIDENCE: The home has a clear step-by-step complaints procedure, however this does not meet with the requirement of the regulations. The complaints procedure needs to have timescales written on it and details of outcomes need to be added. The home has received no complaints since the last inspection. The home is using the new Kent and Medways Adult protection policy as its guidelines. The home is using the Local Authority procedures, as this is a small home, which does not employ any staff and a written policy would not be appropriate. The home needs to ensure training on Adult Protection is kept current. Kenderbrae H56-H06 S28902 Kenderbrae V243535 020905 Stage 4.doc Version 1.30 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 Residents benefit from living in a safe, well maintained, clean and homely environment in which the standard of décor, furnishings and fittings are high. EVIDENCE: The home’s location and layout is suitable for its stated purpose; it provides a homely environment for the residents. The home was decorated and furnished to a high standard and the resident’s room was personalised to their own tastes. The residents had their individual personal belongings like lots of c.ds and tapes, audio and televisiual equipment. The residents also displayed items personal to them that individualised their rooms. The home has two bathrooms and toilets provide privacy by being lockable and meet their needs in terms of space and equipment. Kenderbrae H56-H06 S28902 Kenderbrae V243535 020905 Stage 4.doc Version 1.30 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) The home does not employ any staff. EVIDENCE: Kenderbrae H56-H06 S28902 Kenderbrae V243535 020905 Stage 4.doc Version 1.30 Page 17 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 The residents benefit from effective day to day running of the home and the ethos and quality of the care home. Residents benefit from an atmosphere of openness and respect and feel valued and can be confident that their opinions matter. EVIDENCE: The residents benefit from the management approach of the home and an open and inclusive atmosphere is created. The processes of managing and running the home are open and transparent and the residents live very much as part of the family. The residents were able to speak openly to the inspector and the views expressed were of satisfaction and quality of care. The owner checks regularly with the residents they are happy and if they would like anything. Kenderbrae H56-H06 S28902 Kenderbrae V243535 020905 Stage 4.doc Version 1.30 Page 18 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 x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 4 4 4 x x x Standard No 11 12 13 14 15 16 17 4 4 4 x x x x Standard No 31 32 33 34 35 36 Score N/A N/A N/A N/A N/A N/A CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Kenderbrae Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 3 3 3 x x x x H56-H06 S28902 Kenderbrae V243535 020905 Stage 4.doc Version 1.30 Page 19 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 YA22 Regulation 22(4) Requirement A requirement was made for the time scales and notification of outcomes to be added to the complaints procedure Timescale for action Nov 2005 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 YA1 YA6 YA23 Good Practice Recommendations The home was advised to change the statement of purpose to reflect that the home is now registered for two residents. The home has six monthly reviews but was advised to ensure reviews are written up on a separate sheet. The home needs to ensure training on Adult Protection is kept current. Kenderbrae H56-H06 S28902 Kenderbrae V243535 020905 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection The Oast Hermitage Court Hermitage Lane, Maidstone Kent. 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. Extracts may not be used or reproduced without the express permission of CSCI Kenderbrae H56-H06 S28902 Kenderbrae V243535 020905 Stage 4.doc Version 1.30 Page 21 - 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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