Inspection on 22/06/07 for Kenderbrae

This inspection was carried out on 22nd June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Kenderbrae 09/03/06

Kenderbrae 02/09/05

Kenderbrae 07/03/05

Kenderbrae 22/06/04

Kenderbrae 02/02/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

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33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Kenderbrae 57 Watson Avenue Chatham Kent ME5 9SJ Lead Inspector Sarah Montgomery Key Unannounced Inspection 22nd June 2007 10:00 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 Kenderbrae DS0000028902.V336682.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. Kenderbrae DS0000028902.V336682.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kenderbrae Address 57 Watson Avenue Chatham Kent ME5 9SJ 01634 669129 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) Jprawl@blueyonder.co.uk Mr Junor Arlington Prawl Mrs Paula J Prawl Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Kenderbrae DS0000028902.V336682.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th March 2006 Brief Description of the Service: Kenderbrae is a registered care home providing 24-hour care and support to adults with learning disabilities. It has registration for three service users. At present, two service users live at the home. Kenderbrae is a large detached house located in a quiet residential area near the town of Chatham, with local amenities nearby. The service users have access to a car. Accommodation consists of three large single bedrooms, two bathrooms, a lounge, a kitchen diner, a conservatory and a large garden. The home is owned and run by Mr and Mrs Prawl. No staff are employed. The home’s philosophy is to create a supportive family environment. The statement of purpose and service user guide are accessible to service users. Monthly fees range from £1585-£1930. Kenderbrae DS0000028902.V336682.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Sarah Montgomery conducted this inspection on June 22nd 2007. Evidence was gathered by speaking with the owner and by inspection of documents and policies. The residents were out at their day service and were not present at the inspection. Discussion with the owner, reading of care plans, and inspection of policies and individual records, all evidenced that this home is committed to promoting and practicing equality and diversity for all service users and staff. Outcomes for service users are positive, and all information gathered evidences that service users living at this home are leading valued and fulfilling lives. What the service does well: What has improved since the last inspection? What they could do better: No recommendations. Kenderbrae DS0000028902.V336682.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Kenderbrae DS0000028902.V336682.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 Kenderbrae DS0000028902.V336682.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): Standard 2. Quality in this outcome area is good. Service users can be confident that their individual needs and aspirations will be assessed and met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: No new service users have been admitted to the home for a number of years. Although the home has one vacancy in terms of number of registered places, the home do not intend to fill this vacancy. We looked at the pre assessment documentation for the two service users living at the home. Both assessments were through and evidenced that the support needs of service users were researched, assessed and care planned for prior to admission. Service users views regarding their aspirations and goals, as well as their support needs were sought and acted upon. The home has continued to regularly assess and review service users support needs to ensure that needs are met. Kenderbrae DS0000028902.V336682.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7, and 9. Quality in this outcome area is excellent. Service users can be confident they will be supported to make decisions and choices in accordance with their assessed needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Both care plans were inspected. These documents are written in a person centred style, concentrating on the individual’s strengths, while documenting assessed needs and support. The home has developed individual care plans based on the service user’s assessed needs. Care plans have a clear link to the information gathered during ongoing assessments. All care plans give clear guidance regarding the level of support required by the service user to achieve a goal. Kenderbrae DS0000028902.V336682.R01.S.doc Version 5.2 Page 10 Regular on-going assessment of service users is apparent. Care plans are reviewed formally twice a year. This meeting involves the service user, care manager, and key worker from the day centre. Service users have opportunities daily (should they wish) to discuss areas within their care plans, including goals and aspirations met, and decisions are made on differing levels of support needed. All care plans are centred on increasing and maintaining independent living skills of service users. Risk assessments are equally thorough, and identify risks and support needs. All risk assessments contain the views of service users. Risk assessments and care plans are written in accessible language, and this provides clarity for service users. Discussion with the homeowner evidenced that service users are supported and encouraged to make decisions about their lives. Examples were given of past choices and decisions made by service users. These examples evidenced that clear information was provided to service users to enable them to make informed choices about their lives. Kenderbrae DS0000028902.V336682.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 15, 16 and 17. Quality in this outcome area is excellent. Service users can be confident they will be supported to make positive lifestyle choices. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Kenderbrae excels in supporting service users to realise their aspirations and lifestyle choices. A key objective of the home is to promote individuals right to live a meaningful life, both in the home and in the community. Both service users choose to attend a day service Monday to Friday. At the day service they both have opportunities for personal development as well as pursuing leisure activities. Examples given were; cookery lessons, shopping, sports, and bowling. Kenderbrae DS0000028902.V336682.R01.S.doc Version 5.2 Page 12 Service users are supported to have an active social life. They attend two evening clubs in the week, and weekends are usually spent playing golf, supporting the local football team, shopping, eating out and going to the cinema. Holidays are frequent, and service users go to Spain and Bournemouth every year. Records demonstrated and the homeowner confirmed, that links to family and friends remain strong. Kenderbrae supports individuals with remaining in contact with their friends and families, taking into account the wishes of the service user and of any history that may carry restrictions with contact. Discussion throughout the inspection with the owner evidenced a service committed to involving residents in all areas of their lives, supporting and encouraging decision making, and providing information for residents to make informed choices. Service users are encouraged to eat healthily and follow a healthy lifestyle. Discussion with the owner regarding meals evidenced a balanced and nutritious diet. Kenderbrae DS0000028902.V336682.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18, 19 and 20. Service users can be confident that their personal and healthcare support needs will be assessed and met. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. EVIDENCE: In consultation with service users, and using information gathered during preassessment and ongoing assessment, the home has developed individual care plans outlining all personal and healthcare support needs. The owners ensure that service users receive appropriate care regarding their physical and emotional health. Records inspected evidenced regular contact with health services, with all appointments including outcomes of appointments recorded. One service user has had significant health concerns. It was clear from discussion and records kept, that the home supported this service user both Kenderbrae DS0000028902.V336682.R01.S.doc Version 5.2 Page 14 practically and emotionally, and enabled this service user to manage a difficult time with support, sensitivity and professionalism. Service users continue to self medicate. This is reviewed and risk assessed regularly. Records of medication are kept by the home. Kenderbrae DS0000028902.V336682.R01.S.doc Version 5.2 Page 15 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): Standards 22 and 23 Service users can be confident that their views will be listened to and acted upon. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a clear complaints procedure that is written in accessible language. Service users have access to the procedure and clear guidance is provided regarding how and who to make a complaint to. The home has received no complaints. Discussion with the owner evidenced in depth knowledge on protection of vulnerable adults, and the home’s responsibility regarding reporting of concerns. Both owners ensure they are up to date on changes in policy and procedure regarding adult protection. The home has the multi agency adult protection procedures alongside their own policy. Both owners have recently attended adult protection training. Kenderbrae DS0000028902.V336682.R01.S.doc Version 5.2 Page 16 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): Standards 24 and 30. Quality in this outcome area is excellent. Service users benefit from living in an environment that is homely, safe, comfortable, clean and hygienic. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Kenderbrae is comfortable, well maintained, and homely environment. It is decorated and furnished to a high standard throughout. All communal areas are accessible and safe. Kenderbrae is a family home, and all areas are accessible to service users. The communal areas comprise of a kitchen diner, a conservatory and a lounge. There are two bathrooms, and service users have sinks in their rooms. There is a large landscaped garden that is accessible and safe. Kenderbrae DS0000028902.V336682.R01.S.doc Version 5.2 Page 17 Service users bedrooms are decorated, furnished and accessorised according to individual residents tastes and wishes. The home is spotlessly clean. The owners are incredibly vigilant about hygiene and have experience and knowledge of health and safety and infection control in a care home setting. Kenderbrae DS0000028902.V336682.R01.S.doc Version 5.2 Page 18 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): Standards 32 and 35. Standard 34 does not apply. Quality in this outcome area is excellent. Service users are supported by a competent and effective staff team. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Kenderbrae do not employ a staff team. It is run as a family home, with the owners providing all care and support to the residents. Information gathered during inspection evidences that the owners provide excellent care and that residents benefit from being supported competently and effectively. The owners are aware of the need to update their training to ensure best practice and to ensure their knowledge on care practices and current developments are up to date. Kenderbrae DS0000028902.V336682.R01.S.doc Version 5.2 Page 19 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): Standards 37, 39 and 42. Service users benefit from living in a well run home. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The inspection process has evidenced compliance in meeting Standards in every area inspected. The positive report owes much to the hard work put in by the homeowners. Kenderbrae is a home that is focussed on the needs of service users, and strives for excellence in service delivery. The owner displayed in depth knowledge of the service user group, of individuals within that group, and of management skills required to manage a Kenderbrae DS0000028902.V336682.R01.S.doc Version 5.2 Page 20 service, and skills needed to bring all the knowledge together to translate them into a home which people want to live in, and is forever evolving and changing in response to service users. The owners ensure their knowledge on care practices and current developments are up to date, by attending training courses and by keeping abreast of government, national and CSCI through research on the internet and through media. Residents are consulted on all areas of their lives, from day to day matters, to making difficult decisions regarding life choices. Residents, care managers, families and other stakeholders are consulted frequently by the home regarding quality assurance. The home has robust health and safety procedures, and has a good record of meeting health and safety requirements and legislation. Residents are aware of potential hazards in the home, and feel confident that the owners will keep them safe. Kenderbrae DS0000028902.V336682.R01.S.doc Version 5.2 Page 21 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 X 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 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 x 32 4 33 x 34 N/A 35 4 36 N/A CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 4 x 4 X 3 X X 4 X Kenderbrae DS0000028902.V336682.R01.S.doc Version 5.2 Page 22 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. Refer to Standard Good Practice Recommendations Kenderbrae DS0000028902.V336682.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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. 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