Inspection on 09/03/06 for Kenderbrae

This inspection was carried out on 9th March 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 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 02/09/05

Kenderbrae 07/03/05

Kenderbrae 22/06/04

Kenderbrae 02/02/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

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 Debbie Sullivan Announced Inspection 9th March 2006 10:00 Kenderbrae DS0000028902.V284575.R01.S.doc Version 5.1 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 Kenderbrae DS0000028902.V284575.R01.S.doc Version 5.1 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.V284575.R01.S.doc Version 5.1 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) JPrawllueyonder.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.V284575.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd September 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 3 service users and is a large detached property set in a quiet residential location, the 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, no staff are employed at the home. Kenderbrae DS0000028902.V284575.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes’ announced inspection for the year running from 1st April 2005 to 31st March 2006. Information was gained from speaking with Mr and Mrs Prawl, the two residents living at the home, from reading documentation; general observation and a tour of the premises. During the inspection the day-to-day life of the home continued as usual and the two residents were helpful in providing verbal information. Due to the nature of this service as a small family run home, full compliance with some of the standards is not in place, although Kenderbrae provides a tailor made service to the residents living there, which adapts to their needs and at previous inspections has been viewed as offering an excellent standard of care, this view of the service remains the same. What the service does well: What has improved since the last inspection? A timescale for response has been added to the homes’ complaints procedure. Kenderbrae DS0000028902.V284575.R01.S.doc Version 5.1 Page 6 Mrs Prawl has undertaken update adult protection training. Evidence is in place on care plans of review recording that involves other professionals. 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 DS0000028902.V284575.R01.S.doc Version 5.1 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.V284575.R01.S.doc Version 5.1 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): 1,2 and 3. Prospective residents are able to access information about the service and can feel confident that their needs will be met. EVIDENCE: The home has a statement of purpose and service user’s guide, a recommendation was made at the last inspection that the service user’s guide be amended as the home is registered for three residents although it only currently has two, the registration will remain unchanged for the present allowing for the occasional and very temporary accommodation of a friend of the residents, when their carer has unavoidable commitments. No new residents have been admitted for six years and there are currently no plans to fill the third place permanently, although verbal information was provided on the work done to introduce a resident to the home. Both residents were very settled and happy and it was clear that the home meets their needs. Kenderbrae DS0000028902.V284575.R01.S.doc Version 5.1 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): 6,7,8,9 and 10. Residents are supported to be as independent as possible, to make decisions and are consulted about the running of the home. Care plans are clear and reflect the needs of the residents. EVIDENCE: The residents’ care plans were read, both contained comprehensive and clear up to date information including, risk assessments, evidence of monthly and multi disciplinary reviews, information on daily care needs and on health needs and appointments. The care plans were signed by the residents and accessible to them. A separate book is kept purely for recording information on any health issues, such as dates of epileptic seizures, any hospital appointments or other relevant information, this helps to track any pattern of changes in health. It was clear from the comments made by the residents during the inspection that they are enabled and encouraged to make decisions about their lives and the day to ay running of the home in line with acceptable risk taking, for example they choose what to spend their money on, social activities to take part in and discuss meal choices. Kenderbrae DS0000028902.V284575.R01.S.doc Version 5.1 Page 10 Both residents have a number of health care needs, in one case the preference of the resident to participate in several evening leisure activities sometimes needs to be carefully assessed against their health at the time. Support in making a decision whether or not to attend is given, so that they do not become too tired but take part in as many chosen activities as possible. Independence in all areas of daily living is promoted; the residents and homeowner gave several examples of this, such as almost total independence with personal care, finances and sharing responsibility for cleaning bedrooms. Kenderbrae DS0000028902.V284575.R01.S.doc Version 5.1 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): 11,12,13,14,15,16 and 17. Residents are encouraged to make choices in respect of their daily lives and are supported to maintain links with friends and family. Independence is promoted at all times. EVIDENCE: Both residents attend a local day opportunities centre and stated that they enjoyed attending, at the centre and at home they are enabled to develop independence and skills and to maintain life skills already acquired. The home owner discussed how one resident in particular had grown in confidence and independence since moving to the home and the residents spoke of activities they participate in at the centre and at home, these included cooking, shopping, going bowling, attending evening clubs, eating out, and going on holiday, to football matches and to visit family. Residents are viewed as part of the family and are able to choose whether or not to take part in an outing or activity and voice preferences. Discussion took place during the inspection about a summer holiday at a location that could accommodate the changed health needs of a resident. One of the residents was about to have a birthday so a meal out was being planned. Kenderbrae DS0000028902.V284575.R01.S.doc Version 5.1 Page 12 The home supports contact with friends and family and the close friendship between the residents. Both residents said they enjoyed their food and they have plenty of opportunity to make suggestions about daily meals, one resident said they especially liked toad in the hole and a fried breakfast at weekends. Kenderbrae DS0000028902.V284575.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 The personal and healthcare needs of residents are well met, promoting and protecting their privacy, dignity and independence. EVIDENCE: Residents’ preferences as regards their personal care are respected, the owner discussed their individual needs and it was clear that these are fully understood and accommodated and that there is flexibility of routine, for example choice of when to take a bath. Care plans reflected individual choices, the residents vary in the amount of support needed, one resident who follows very fixed routines regarding their personal care and hygiene has plenty of personal space and privacy. A great deal of importance is given to ensuring that health needs are fully met, care plans and health books evidenced that regular appointments such as optical and dental checkups take place, during the inspection both residents had health appointments arranged as they were at home for the day. One resident has poor sight and hearing, new glasses were on order and audiology appointments recorded, the resident attends a special group for those with hearing loss fortnightly. The owner discussed a serious illness that one resident had been diagnosed with shortly after the last inspection, how it very suddenly presented and hospital admission was necessary. The subsequent attention given to aiding the recovery of the resident, and sensitivity provided due to the Kenderbrae DS0000028902.V284575.R01.S.doc Version 5.1 Page 14 nature of the condition on the part of the placement, as evidenced verbally and via care plan and health book documentation is to be commended. The resident made mention of their illness and clearly had been glad to return home from hospital. A requirement is made that the CSCI must be notified of any resident who becomes seriously unwell. Medication is stored on a lockable cupboard, residents are supported to self medicate, one resident explained their personal medication regime Kenderbrae DS0000028902.V284575.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 The home has a complaints procedure in place. Residents are protected by the homes awareness of adult protection procedures and policies. EVIDENCE: Standards 22 and 23 were partially inspected. The home has a complaints procedure that has been updated since the last inspection to include the timescales in which any complaints should be addressed. Mrs Prawl has recently undertaken an update adult protection course given by an accredited provider, and the home refers to the most recent Kent and Medway Adult Protection procedures for guidance, the last inspection noted that it does not have it’s own policy as being a small home with no staff employed this is not appropriate. Kenderbrae DS0000028902.V284575.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28, and 30 The home provides a homely, clean, safe and well-maintained environment for residents to love in. Individual space meets needs and reflects personal tastes. EVIDENCE: The home is clean, well maintained and decorated and furnished to a high standard throughout, there is an attractive garden and a patio area. Residents own bedrooms reflect personal tastes and interests, such as football and music and were comfortable, homely and spacious. There is lockable space for money or other valuables to be stored. One resident has sole use of a bathroom and toilet, next to their bedroom. Shared space comprises of the lounge, dining room and kitchen and a conservatory in which one resident enjoys watching sky sports, there are also televisions in the lounge and bedrooms, so that there is choice of programme and locations in which to watch TV. The laundry area is located in the kitchen; as this is a small home and there are no soiled items of laundry the arrangement is seen as acceptable. Kenderbrae DS0000028902.V284575.R01.S.doc Version 5.1 Page 17 Kenderbrae DS0000028902.V284575.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: No staff are employed at the home although respite is provided for Mr and Mrs Prawl by two carers that the residents have known for a long time and who are conversant with their needs. The carers are CRB checked and update their training. Kenderbrae DS0000028902.V284575.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,40,41, 42 and 43. Residents benefit from living in a well run family environment in which they are respected and their views are valued. The health, safety and welfare of residents is promoted and seen as highly important. EVIDENCE: The home is run in the best interest of the residents offering a family environment that enables, promotes confidence and has an open and inclusive atmosphere. Mrs Prawl has extensive experience of caring for people with learning disabilities, demonstrated through understanding of the needs of the residents, has gained NVQ 3 and updates training as required in topics such as first aid and adult protection. During the inspection residents were comfortable in offering their views about the service, one said that they were “healthy and happy” and “ I’m quite happy here”. The home is constantly looking to refining the service offered and adapts to changes in needs, this is apparent in changes to lifestyle and routine Kenderbrae DS0000028902.V284575.R01.S.doc Version 5.1 Page 20 that have needed to be adopted to ensure that the resident who was ill last year maintains optimum health and has appropriate opportunities , whilst not compromising the choices of the other resident. The home has a portfolio of policies and procedures that are appropriate to its’ size and residents. Records inspected were in good order and the home has a valid insurance certificate. Kenderbrae DS0000028902.V284575.R01.S.doc Version 5.1 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 3 2 3 3 3 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 4 26 4 27 3 28 3 29 N/A 30 3 STAFFING Standard No Score 31 N/A 32 N/A 33 N/A 34 N/A 35 N/A 36 N/A CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 4 12 4 13 4 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 X 3 3 3 3 3 3 3 Kenderbrae DS0000028902.V284575.R01.S.doc Version 5.1 Page 22 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 YA42 Regulation Requirement Timescale for action 09/05/06 37(1)(d)(e) “The registered person shall give notice to the Commission without delay of the occurrence of serious illness of a service user at care home in which nursing is not provided and any event which adversely affects the well being or safety of any service user.” In that the Commission must be notified if a resident becomes seriously ill. 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.V284575.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone 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 DS0000028902.V284575.R01.S.doc Version 5.1 Page 24 - 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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