Inspection on 18/01/06 for Kendler House

This inspection was carried out on 18th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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

Kendler House 06/07/07

Kendler House 27/09/06

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Kendler House 57 Haddington Road Stoke Plymouth PL2 1RR Lead Inspector Tina Maddison Unannounced Inspection 18th January 2006 09:30 Kendler House DS0000061892.V264941.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 Kendler House DS0000061892.V264941.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. Kendler House DS0000061892.V264941.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Kendler House Address 57 Haddington Road Stoke Plymouth PL2 1RR 01752 550479 01752 265228 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Small House Homes Limited Wendy Louise Fiander Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Kendler House DS0000061892.V264941.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection First inspection Brief Description of the Service: Kendler House is a terrace property that is situated in a residential area of Stoke in Plymouth. It is situated close to local amenities and bus routes. The home is owned by the group of home known as Small House Homes. Kendler House is registered for four people who have a learning disability. The home aims to enable the service users independent living skills with a view to the service users living independently in the community. The house contains a fully self-contained flat. Kendler House DS0000061892.V264941.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection that has taken place at Kendler House since their registration in June 2005. This unannounced inspection took place on January 18th 2006 at 0930. Discussions were held with the Registered Manager and the shift leader. A tour of the building was undertaken, records and documents in a variety of areas were seen, and one service user was spoken with. What the service does well: 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. Kendler House DS0000061892.V264941.R01.S.doc Version 5.1 Page 6 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 Kendler House DS0000061892.V264941.R01.S.doc Version 5.1 Page 7 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): 1,2,3,4,5. Service users can be assured that Kendler House will meet their assessed care needs. A comprehensive statement of purpose and service users guide is available for service users. EVIDENCE: Kendler House has a statement of purpose and a service users’ guide that it offers to service users. These documents include all of the elements as required by this standard. All service users had a full care needs assessment on file. These pre admission assessments are obtained prior to admission by the Manager using an assessment pack. These assessments evidence that consultation takes place between the home and appropriate health and social care professionals, and the service users family if relevant. A copy of the service users placement plan was held on the file. Care is taken by the manager to ensure that the prospective service user will be compatible with the existing residents of the home. Prior to admission, the Manager can evidence that she will meet the prospective service user, undertake a full needs assessment, and offer a trial visit and overnight stay. Kendler House DS0000061892.V264941.R01.S.doc Version 5.1 Page 8 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): 6,7,8,9,10. Service users can be assured that staff will enable them to be as independent as possible and be encouraged to participate in all aspects of life in the home. EVIDENCE: All service users had a placement plan on file, that included details of any restrictions of freedom, and plans documented that this had been agreed by the relevant people. All assessed individual care needs are documented and include details of how these will be met at Kendler House. Individualised procedures were in place for service users in the event of aggression towards staff or other service users in the home. A key worker system is in place. There was evidence that plans are reviewed regularly. It was clear that in Kendler House staff respect service users rights to make decisions, and provide information, assistance and communication support that they need to make decisions about their lives. It was observed during the inspection that staff worked with the service users in a respectful and enabling manner, and sought their opinions regarding daily living tasks. Service users draw their own benefits and hold their own money. Assistance is given by staff so that service users can save for things like holidays. Service users are involved in the selection of new staff, and written minutes evidenced that resident’s meetings are held once a week. Kendler House DS0000061892.V264941.R01.S.doc Version 5.1 Page 9 Risk assessments are detailed and comprehensive, and evidence a balance of risk and respect for an individual’s rights. The home has a comprehensive missing persons procedure. Kendler House DS0000061892.V264941.R01.S.doc Version 5.1 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 the following standard(s): 11,12,13,14,15,16,17. Personal development is encouraged, enabling service users to maintain and develop their independent living skills. Service users can enjoy a range of activities that are available to all. Meals provided at Kendler are nutritious and varied. EVIDENCE: A weekly activity sheet is displayed in the home that details what activities the residents are undertaking that particular week. None of the service users are able to access paid work, but enjoy working with the Princes Trust and in a park in Plymouth. They can also access the school for educational activities that is operated by Small House Homes in Plymouth. Leisure activities that are enjoyed by the residents are trips to the cinema, shopping in the city centre, bowling, and holidays are taken individually in accordance with the service users choice of holiday. The Registered Manager has worked hard to ensure a good relationship with the neighbours. The home helps residents to maintain relationships with their families and could evidence that once a month staff accompany a resident to visit their family and stay overnight in a hotel. Family visits to the home are encouraged, and visitors are made to feel welcome. Menus evidence that healthy eating is encouraged. None of the current service users have special dietary needs. Service users choose the menus with Kendler House DS0000061892.V264941.R01.S.doc Version 5.1 Page 11 assistance with the staff. One night a week the service users cook the meal. The self contained flat has its own kitchen should the service user that occupies it wish to make their own meals. Kendler House DS0000061892.V264941.R01.S.doc Version 5.1 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Service users can be assured that their health care needs will be met. EVIDENCE: The current service users at Kendler House are mainly independent with their personal care, and only require prompting to complete self-care tasks such as shaving and showering. Service users confirmed that they are able to be as independent as possible and make their own choices regarding their clothes and daily routines. Healthcare needs are assessed and recognised. All service users are registered with the local General Practice. The home has a comprehensive policy and procedure regarding medication. Medication is appropriately stored in the home. Staff are trained regarding the dispensing of medication. Any homely remedies are approved by the relevant GP. Records regarding the medication kept in the home were found to be up to date and accurately recorded. Kendler House DS0000061892.V264941.R01.S.doc Version 5.1 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23. Service users can be confident that their concerns will be listened to, taken seriously, and acted upon. EVIDENCE: The home has a clear and effective complaints procedure and it was evident that the staff listen to any complaints that the service users have regarding the house, staff or other service users, and every effort is made to resolve any issues. Complaints and concerns are recorded and actions taken also recorded. No complaints have been received by The Commission for Social Care Inspection in the last six months since the home was registered. The home has robust procedures in place to respond to any suspicion of abuse and neglect. Most current staff have CRB checks in place. Three staff have sent applications in, and are awaiting their checks. Meanwhile they are not working alone. Physical and verbal aggression from service users is understood and dealt with appropriately. Physical intervention should it be used, is used as a last resort, by trained staff. Staff have received vulnerable adults and child protection training. Kendler House DS0000061892.V264941.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,29,30. Kendler House is well maintained, very clean and warm and bedrooms are well decorated and personalised. There is plenty of space for service users to relax or have quiet time alone. EVIDENCE: Kendler House was seen to provide a homely and very pleasant environment for the residents. All areas of the house were found to be clean, warm and well decorated. The house is situated in a residential area of Plymouth, and is well situated for access to shops, transport and leisure facilities, which suit the personal and lifestyle needs of the residents and the purpose of the home. The premises meet the requirements of the local fire service and environmental health department. Individual bedrooms are individually decorated. All bedrooms are single rooms and have access to their own bathrooms. Bedrooms are lockable and fitted with appropriate locks. Toilets and bathrooms offer sufficient personal privacy, and hot water outlets are fitted with temperature control valves. None of the residents have mobility difficulties, as the home would not be suitable because of the stairs for a person who was not fully mobile. The laundry room was found to be well organised and very clean. One of the bedrooms is incorporated in to a fully self-contained flat that is situated at the top of the house. This area has its own lounge, bathroom, kitchen and bedroom. Kendler House DS0000061892.V264941.R01.S.doc Version 5.1 Page 15 Outside there is a pleasant paved courtyard area that was used in the summer time by the service users. The communal areas, the lounges, dining room and kitchen are a good size and ensure that residents have sufficient space to relax. Kendler House DS0000061892.V264941.R01.S.doc Version 5.1 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36. Care staff numbers are sufficient to meet the care needs of the service users. There is a robust recruitment procedure and this offers protection to the service users. The staff team are skilled, committed and caring. EVIDENCE: Kendler was satisfactorily staffed on the day of the inspection. Staff have clear job descriptions and understand their and others roles and responsibilities. Staff were observed during the inspection to work in a respectful and enabling manner with the residents. Records evidenced that there is an induction procedure for staff. The home has a robust recruitment procedure that is overseen by Small House Homes head office. Three staff files were inspected, and contained all the required documents, including two references, identity checks, and CRB checks. Staffing levels are high due to the complex care needs of the residents. Staff rotas were available and showed that most days there are five staff on duty, sometimes six, and at night times there are two waking staff and two sleeping in staff. It was documented that staff received training in a number of topics, including first aid, fire safety, breakaway, and child protection, as one service user is under 18 years old. All staff have obtained an NVQ or are working towards this. There was a training plan available for the year. Staff receive regular supervision and supervision notes were available for inspection. Kendler House DS0000061892.V264941.R01.S.doc Version 5.1 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 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): 37,38,39,40,41,42,43. Kendler House is managed effectively by a skilled and competent Manager who has the respect and confidence of the staff team. The health, safety and welfare of service users are promoted and respected. EVIDENCE: The registered Manager, Mrs Fiander, is well qualified and holds an NVQ4 in Management and an NVQ5. She is currently working towards a degree in Health and Social Welfare. Mrs Fiander has managed the care home for three and a half years, both at its present and previous address. She updates her training regularly and was seen at the inspection to have an open door policy and good relationship with staff at the home. There are clear roles and responsibilities for staff within the home and clear leadership from Mrs Fiander. The home is working toward developing a quality assurance system. A six monthly questionnaire is sent to parents, and it is intended that an action plan will be developed from this. Policies and procedures on relevant topics to the home are available and are well ordered. Records inspected in a number of areas were found to be well kept and up to date. Kendler House DS0000061892.V264941.R01.S.doc Version 5.1 Page 18 The Manager stated that health and safety is a priority in the home, and records evidenced that fire safety precautions were up to date, and appropriate fire drills had taken place. One member of staff is responsible for all health and safety topics. Records evidenced that gas safety checks had taken place, and risk assessments had been undertaken on all safe working topics. Radiators are not covered but have been risk assessed. All accidents and injuries have been recorded. The manager was made aware that all notifiable incidents must be reported to the Commission for Social Care Inspection, as one incident involving a resident had not been reported. Following the inspection, incidents are now being reported to the Commission. Kendler House DS0000061892.V264941.R01.S.doc Version 5.1 Page 19 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 3 5 2 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 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 4 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 X 3 4 3 2 3 3 3 2 Kendler House DS0000061892.V264941.R01.S.doc Version 5.1 Page 20 NA 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 YA43 Regulation 37 Requirement The Registered Person must notify the Commission for Social Care Inspection of any death, illness or other significant events. Timescale for action 30/03/06 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 Refer to Standard YA39 Good Practice Recommendations The home’s quality assurance system should be further developed to include a cycle of planning, action and review. Kendler House DS0000061892.V264941.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Kendler House DS0000061892.V264941.R01.S.doc Version 5.1 Page 22 - 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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