Inspection on 06/07/07 for Kendler House

This inspection was carried out on 6th July 2007.

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 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

Kendler House 27/09/06

Kendler House 18/01/06

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 1RP Lead Inspector Jane Gurnell Unannounced Inspection 6th July 2007 09:20 Kendler House DS0000061892.V345361.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Kendler House DS0000061892.V345361.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. Kendler House DS0000061892.V345361.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kendler House Address 57 Haddington Road Stoke Plymouth PL2 1RP 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 Daniel Alex Welch Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Kendler House DS0000061892.V345361.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Aged 16 - 35 One Service Users named elsewhere with Emotional, Behavioural difficulties. 27th September 2006 Date of last 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. This home is owned by Small House Homes Ltd. Kendler House is registered for four people who have a learning disability although there were only 2 people living there at the time of the inspection. The home aims to support people to learn independent living skills with a view to living on their own in the community. The house provides a lounge room, dining room, kitchen, office and sleeping-in room for staff on the ground floor; a laundry room and 3 bedrooms on the first floor, one with en suite shower room and the 2 others with a private bathroom each; and on the 2nd floor, a self contained flat. The kitchen opens onto a patio area. The home would not be suitable for people with restricted mobility as the kitchen and bedrooms are accessed by stairs. The weekly fees for this service are calculated on an individual basis depending upon the each person’s support needs. Information relating to the services provided by Kendler House can be obtained directly from the home. Kendler House DS0000061892.V345361.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and undertaken on Friday 6th July from 09:20 to 12:30 pm. The inspector spoke to both of the people living in the home as well as the Registered Manager and the staff on duty, and made a tour of the building. The records relating to the support needs of both people were examined, as were the personnel files for 2 staff members. What the service does well: The house is comfortable, warm and clean. There is plenty of good food. The people who live there have enough things to do to be happy. They can go to college and are helped to find a job. There are always enough staff to help. The people who live there get all the help they need to learn how to do new things. Each person can have their room just as they want it. The staff know how to help people and the staff do their best. If someone has a problem it is easy to get help. The staff are safe to be with. If you want to live there the staff will tell you about what it is like. Kendler House DS0000061892.V345361.R01.S.doc Version 5.2 Page 6 The staff are good at helping people to move in and be happy. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Kendler House DS0000061892.V345361.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 Kendler House DS0000061892.V345361.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Pre-admission assessments are comprehensive and visits to the service ensure that peoples’ needs are well known prior to deciding on the suitability of Kendler House EVIDENCE: The pre-admission assessment for one of the 2 people living in the home was examined in detail: it provided a very comprehensive description of the person’s needs. There had not been an admission to the home since before the previous inspection, however the Registered Manager described the process should there be a referral by someone considering the service: both he and the Organisation’s Operational Manager conduct an assessment and consult with the person themselves, their family or representative as well as others who know the person well such as social workers. The person would be invited to visit the home over a period of time to become familiar with the surroundings, the staff and the other people living in the home. A Service Users’ Guide is provided to each person considering Kendler House and it detailed the services provided. Both of the support plans for the people living in the home contained contracts confirming the person’s and the Organisations’ responsibilities. Kendler House DS0000061892.V345361.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): 6, 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are enabled to participate in, and make decisions about, all aspects of their lives. Confidentiality is respected. EVIDENCE: Discussions with one of the people living in the home and the staff confirmed that people are actively consulted and enabled to make choices and decisions about their lives. People are supported to take risks that have been carefully assessed: the risk assessments were particularly thorough and clear and the home is commended for this. For example, one person was spending periods of time in the community without the direct accompaniment of staff as part of moving towards a more independent lifestyle. The risks had been clearly assessed and a contract agreed with the person detailing his responsibilities and the limits to this free time. Staff on duty were fully aware of the needs of the people living in the home and these were described in detail in each person’s support plan ensuring that the support provided by staff is done so in a consistent manner. Any Kendler House DS0000061892.V345361.R01.S.doc Version 5.2 Page 10 restrictions on choice or freedom had been agreed with the person and other people involved in the person’s care: the restrictions in place were made to protect the person’s health and safety and recognised their responsibility towards others. The attitude and approach of the staff team promoted independence and empowered people to make decisions about lifestyles and daily routines. Each person was offered the support of a named keyworker, a member of the staff team, with specific responsibilities towards supporting the person to identify what was important to them, such as relationships, work and leisure activities, and who also supported the person to discuss issues that caused them anxiety or which they found difficult to deal with. Both people were supported to be as independent as possible with their finances and were offered advice regarding budgeting. One person kept money for safekeeping in the home’s office and the records relating to this money were very clear. Both people were expected to participate in the day-to-day running of the home, including housework and laundry, menu planning and shopping, and meal preparation and this was evident on the day of the inspection. Kendler House DS0000061892.V345361.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): 11, 12, 13, 14, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People can learn life skills, attend work and educational placements, participate in any community and leisure activities, choose their own daily routines and enjoy a healthy diet of their choice. EVIDENCE: Discussions with the people living in the home as well as staff showed that people are enabled to live as full a life as they wish to with opportunities for personal development. People are encouraged to carry out all the domestic tasks in the home and participate in leisure activities of their choice including holidays. One person explained that they all talk and agree on issues such as their day-to-day activities and commitments, shopping and meal planning and housework. People were encouraged and enabled to continue with their education at local colleges and to find paid employment. This was detailed in each person’s support plan. Although the home had a car for people to use, they were Kendler House DS0000061892.V345361.R01.S.doc Version 5.2 Page 12 encouraged to use public transport wherever possible. Should the house car be used there was no charge to the person. All activities were risk assessed and documented as to how staff will support the person to manage the activity safely. A weekly activity planner was displayed for each person so they know what was planned for the week ahead. Both people spoken to said that living at Kendler House was “OK” and “good”. Meetings are held each Friday evening to discuss the past and forthcoming weeks’ events and to resolve any issues of disagreement: notes of these meetings were kept and used to review the overall quality of the support and services being provided. The people living in the home choose the menu with guidance on healthy eating choices, do the shopping and prepare meals, drinks and snacks; on the day of the inspection, both people were making plans to shop and to prepare their own meals. Each person had a key to their bedroom with staff only having access with the person’s permission or for reasons of health and safety and to protect the well being of the person. It was agreed that those living in the home do not have access to the staff office to protect the confidentiality of the information held there: this was understood and respected. Contact with relatives and friends was supported and visits to the home were made in agreement with each person living in the home. Kendler House DS0000061892.V345361.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): 18, 19, 20 and 21. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at Kendler House receive support in the way, and at the time, that they want and need. Health care needs are addressed as soon as they are identified. EVIDENCE: The 2 people living at the home confirmed they were consulted about the level of personal support they need and they were being supported to live more independently. The support plans for both people were examined and these provided very clear descriptions of personal, emotional and health care needs and the goals and aims of this support. This clarity is important to ensure that the support team are fully aware of each person’s specific needs and can respond in a consistent manner. Evidence was recorded that people had been supported to see their GP, dentist and optician. Both people were in good health and it was understood that should a person become ill then they could remain at the home as long as their care needs could be met by the staff and that the home remains appropriate considering the layout of the building. Kendler House DS0000061892.V345361.R01.S.doc Version 5.2 Page 14 Incidents of inappropriate behaviour as a result of a person’s anxiety were documented and monitored by the Registered Manager and the Organisation’s Head of Operations, who is a member of the senior management team, to identify if further support and guidance is necessary to overcome these difficulties. People are supported by other healthcare professionals such as nurses, psychologists and psychiatrists, either employed by Small House Homes or from the Community Mental Health Teams, to enable them to express their concerns, to deal with situations that make them angry and to develop more appropriate coping strategies. Staff have received training in safe medication practices even though neither person at the home takes any prescribed medication. The home has suitable storage facilities should the situation change, or if another person is admitted to the home. Kendler House DS0000061892.V345361.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): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are protected from abuse, neglect and self-harm. People are listened to and complaints or concerns are taken seriously and acted upon immediately. EVIDENCE: Neither the home nor the Commission for Social Care Inspection have received any complaints regarding the service since the last inspection. Regular house meetings are held to discuss the day-to-day running of the home and any issues of concern, although it was also clear from the “moans and groans” record that people can raise issue at any time: the action taken to resolve these matters were also identified. Both the Registered Manager and the Organisation’s Head of Operations had been trained as Child and Adult Protection trainers by Devon County Council and therefore had been able to provide all staff with protection of vulnerable adults training and staff were aware of their responsibilities should they suspect a someone is at risk. Kendler House DS0000061892.V345361.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): 24, 25, 26, 27, 28 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The standard of the environment within this home is providing a comfortable and homely place to live. EVIDENCE: Kendler House is a large house which offers ample space to those living there. Although it was found to be clean some of the communal areas needed redecoration as paintwork was scuffed and chipped and many of the curtains were hanging down. The carpet in the dining room had come away from the walls and door thresholds and was starting to fray: whilst not causing a trip hazard at the time further fraying could do so. Each person had a single bedroom on the 1st floor; one had en suite facilities with the other 2 having access to a private bathroom each. Neither of the occupied rooms were looked at but the vacant room and self-contained flat on the 2nd floor were and provided very comfortable accommodation. Bedroom doors are fitted with locks providing privacy and security for belongings. Kendler House DS0000061892.V345361.R01.S.doc Version 5.2 Page 17 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): 31, 32, 33, 34, 35 and 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Recruitment procedures are robust. Staff are enthusiastic, have a good understanding of the peoples’ needs and work positively to improve their quality of life. EVIDENCE: A sample of staff files were examined, including one for a newly appointed staff member and showed a robust recruitment procedure. All the required information was available, including Criminal Record Bureau checks and 2 written references, ensuring as far as possible only suitable staff are employed. Regular staff meetings and individual supervision sessions took place and addressed the principles and values of the Organisation, staff performance and training and development needs, as well as day-to-day support issues. The Registered Manager and staff members confirmed that staff were expected to attend relevant training on topics such as supporting people whose behaviour is challenging, including physical and non-physical intervention and safe practices; child and adult protection; Autism; manual handling; safe medication practices and emergency first aid, ensuring they have the skills and confidence to support people on a day-to-day basis and also at times of crisis. Kendler House DS0000061892.V345361.R01.S.doc Version 5.2 Page 18 Newly employed staff are provided with induction training to introduce them to their role and the people they will be supporting and whilst on their probation period are offered supervision once a fortnight. Regular monthly supervision continues after this period which identifies ongoing training and development needs. At the time of the inspection there were 3 staff on duty in addition to the Registered Manager. A member of staff confirmed that as each person living in the home is staffed on a one-to-one basis there was always 2 staff on duty during the day and evening with one waking staff and one sleeping in at night. There is an ‘on call’ system whereby members of the management team are available both in and out of office hours. Staff were observed throughout the inspection to interact with the people living in the home and each other in an informal and respectful manner. Kendler House DS0000061892.V345361.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): 37, 38, 39, 40, 41, 42 and 43. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management approach is open, inclusive and positive, providing clear leadership and guidance. Peoples’ rights, health, safety and welfare are protected and promoted. EVIDENCE: The Registered Manager had many years’ experience working successfully with people who have a learning disability and behaviours that challenge services. Mr Welch holds the Registered Manager’s Award and a National Vocational Qualification in Care at level 4: both qualifications required Mr Welch to demonstrate his knowledge and skills in managing a care home and supporting people with complex support needs. The quality assurance system consists of a variety of consultation processes to gain the views of those living in the home, their family and other health care Kendler House DS0000061892.V345361.R01.S.doc Version 5.2 Page 20 professionals regarding the quality of the services provided at Kendler House. There was evidence that six-monthly questionnaires had been provided for those living in the home and sent to their families: the results of the latest survey showed a high level of satisfaction and included comments from relatives such as “there has been an improvement in his conversation and maturity” and “staff are very competent and the level of support is very good”. Weekly meetings between those living in the home and the staff as well as the issues recorded in the “moans and groans” book also provide evidence that issues relating to the management of the home and the support provided is discussed and reviewed. The Head of Operations for the Organisation had visited the home each month. These visits are used to ensure the home is being managed within the Organisation’s policies and procedures and included reviewing areas such as each person’s support plan; whether there have been any incidents where a person’s behaviour has placed either them or another person at risk; the homes’ financial records as well as those being held for safe keeping; issues relating to the management of the home and staff training and supervision. A report of these visits had been sent regularly to the Commission. Fire prevention records evidenced that tests are regularly undertaken on appliances and fire drills had taken place recently to ensure equipment is maintained in safe working order and staff are aware of their responsibilities. Risk assessments have been undertaken on all safe working topics. All the records that the home is required to keep regarding incidents and accidents were well maintained and available for inspection. Kendler House DS0000061892.V345361.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 3 2 3 3 3 4 3 5 3 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 2 25 3 26 3 27 3 28 3 29 X 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 3 3 4 3 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 3 3 3 3 3 3 3 3 3 Kendler House DS0000061892.V345361.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA24 Good Practice Recommendations The communal areas should be repainted and the curtains re-hung to improve the appearance of the interior of the home. The dining room carpet should be replaced before posing a trip hazard. Kendler House DS0000061892.V345361.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Kendler House DS0000061892.V345361.R01.S.doc Version 5.2 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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