Inspection on 03/03/07 for King Edward House

This inspection was carried out on 3rd March 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

King Edward House 22/02/08

King Edward House 10/01/06

King Edward House 21/06/05

King Edward House 03/12/04

King Edward House 15/06/04

Similar services:

Insight - Eastchurch

Southfields

Thorndene

Magenta

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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 King Edward House 77 New Street Ash Canterbury Kent CT3 2BW Lead Inspector Kim Rogers Unannounced Inspection 3 March 2007 10:00 rd King Edward House DS0000023215.V301292.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 King Edward House DS0000023215.V301292.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. King Edward House DS0000023215.V301292.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service King Edward House Address 77 New Street Ash Canterbury Kent CT3 2BW 01304 812953 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) Mr Rex Slade Cadman Mr Rod-Rennie Cadman Care Home 6 Category(ies) of Learning disability (6) registration, with number of places King Edward House DS0000023215.V301292.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th January 2006 Brief Description of the Service: King Edward House is in the village of Ash approximately 10 miles from Canterbury. The home is registered to provide personal care and support to 6 people with learning disabilities. There are two main care staff who live in at the home and this is supplemented by an additional day carer and a part time cleaner. The accommodation for the service users consists of 3 single bedrooms and one double bedroom. There are two bathrooms one on the east side and one to the west side of the home. On the ground floor there is a large living room, kitchen with dining area and additional small lounge, utility room and conservatory area. There are grounds that are laid mainly to lawn, with a parking area to the front and side of the property. The fee for this home starts at £323.01. For more information about the fees and what it includes please contact the Provider. King Edward House DS0000023215.V301292.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One inspector carried out this key inspection. The staff had a few hours notice of the site visit which was carried out on a Saturday morning. Notice was given as the inspector visited the home the previous day and no one was home. Work was carried out prior to the site visit including surveying service users and care managers. The manager sent in a pre inspection questionnaire, which gives details of domestic servicing and checks carried out at the home. Service users showed the inspector around the home and some records were sampled. The inspector spent time talking to service users and staff about life at the home. The five service users have all lived at the home for over twenty years. All said they are happy and feel safe. Service users said they all get on and like the peace and quiet atmosphere that King Edward House provides. Service users said that it is nice to live with your friends. I like the peace and quiet I like going to Monday club I’ve moved to a bigger room, it’s better What the service does well: What has improved since the last inspection? There is now a staff rota as required at the last inspection. King Edward House DS0000023215.V301292.R01.S.doc Version 5.2 Page 6 Staff have had adult protection training and now have regular supervision. Review of care plans and risk assessments is more frequent so changing needs are identified sooner. 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. King Edward House DS0000023215.V301292.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 King Edward House DS0000023215.V301292.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Service users know their needs will be assessed. This assessment should also include personal goals and aspirations. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A service user plan was sampled. This was cross-referenced with observations and talking to service users and staff. An assessment of the person’s needs was present although some information needs updating. For example an assessment dated a couple of years ago, relating to medication said that the person did not know what their medication was for and when asked they did know. There was no record of personal goals and aspirations although service users talked about their personal goals for the future. These should be identified and recorded so service users can have the support they need to lead the life they want. There is a service user guide and Statement of Purpose giving information about the home. This should be reviewed to include the fact that the home can King Edward House DS0000023215.V301292.R01.S.doc Version 5.2 Page 9 continue to support people who are over 65 years of age. The deputy manager agreed to do this. King Edward House DS0000023215.V301292.R01.S.doc Version 5.2 Page 10 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): 6,7,9 Service user plans should be more person centred and include aspirations. Service users are able to make decisions about their own lives. Risks are identified, recorded and minimised ensuring that service users are protected and enabled. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each person has an individual service user plan. A service user plan was sampled. Details of the person’s needs are recorded with actions by staff to support these needs. The plan had evidence of regular review. After reading a plan you do not get a feel for who the person is, what life they have had and what life they want. Some important information about a person’s life and their past was not included in their plan. For example a service user told the inspector detail about their life and their aspirations which was not recorded in their plan. This could be addressed with the introduction of King Edward House DS0000023215.V301292.R01.S.doc Version 5.2 Page 11 person centred planning. The manager must ensure that individual personal goals are recorded and supported. Risk assessments are included in plans and showed regular review. Service users have support to make decisions and choices. Staff were observed supporting choice making. Service user plans include choices about how people want to be supported with daily records showing that choice making is supported. King Edward House DS0000023215.V301292.R01.S.doc Version 5.2 Page 12 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): 12,13,15,16,17 Service users have opportunity to take part in a variety of meaningful activities and are supported to access the community. Relationships are supported. Service users are supported to take responsibility in daily life. Service users have a healthy diet, however, some could be more involved in preparing food and drinks. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users said they have enough to do and told the inspector about a variety of activities they take part in. Some showed the inspector pieces of artwork and certificates they have achieved. Service users said they enjoy going into the village to the local shops and to visit friends nearby. Hobbies are supported. King Edward House DS0000023215.V301292.R01.S.doc Version 5.2 Page 13 Service users have the support they need to keep in contact with friends and family. Service users get on together and one said they have friends at King Edward House and that it is nice to live with friends. The atmosphere was relaxed on the day of the visit and service users said the pace of life suits them. Some said they like the peace and quiet. Service users said they share the household tasks and take responsibility for cleaning their own room. No one has a key to their room or to the front door. When asked service users said they are happy with this arrangement and do not want keys. Staff said food is bought in bulk and service users take part in choosing what to have. A service user said they would like to be more independent with making hot drinks. Staff said this would be supported. All eat the hot meal of the day together. Service users all said the food is good. King Edward House DS0000023215.V301292.R01.S.doc Version 5.2 Page 14 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 Personal care needs are recorded and supported enabling service users to be as independent as possible. Health needs are met. Medication practice is safe and some service users could have more control of their medication. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Personal care needs are recorded in individual plans with an emphasis on maximising and maintaining independence. Service users said they have the support they need with personal care and that bathrooms are adequate. A record of health needs and appointments is kept. Service users said they have support to make appointments and see the doctor and other health care professionals when they need to. Medication is reviewed regularly. The inspector spoke to the senior staff about medication practice. Medication is stored appropriately with records of receipt and administration kept. Currently no one self-administers or controls their King Edward House DS0000023215.V301292.R01.S.doc Version 5.2 Page 15 own medication. There may be potential for some service users to take more control of their medication and this should be reassessed. King Edward House DS0000023215.V301292.R01.S.doc Version 5.2 Page 16 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 know who to complain to and know their views will be listened to. Service users are protected from abuse. 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 complaints procedure. Regular service user meetings enable people to air their views about the service. Service users said they would talk to staff if they were not happy about something. The home has an adult protection policy and whistle blowing policy. Service users said they feel safe and well cared for. Staff said they have attended training in safeguarding vulnerable adults as required at the last inspection. The senior staff has completed a National Vocational Qualification which includes a unit covering adult protection. The home manages some service users monies and keeps individual records of all transactions. King Edward House DS0000023215.V301292.R01.S.doc Version 5.2 Page 17 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): 24,30 Service users live in a safe, clean home. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users showed the inspector around the home. The home is spacious and homely and was clean on the day of the visit. Service users said they enjoy taking part in the housework especially the vacuuming. Service users said they have the support they need to keep their rooms clean and tidy. Two service users showed the inspector their bedrooms, which are personalised and individual. Two service users share a bedroom and said they continue to be happy with this arrangement. Everyone said they feel safe. One service user said they fancy growing tomatoes again this year and staff said this would be supported. King Edward House DS0000023215.V301292.R01.S.doc Version 5.2 Page 18 Some minor redecoration is necessary for example there is a stain in one bath and some rust on a radiator. Staff said this would be included in the development plan for the home. King Edward House DS0000023215.V301292.R01.S.doc Version 5.2 Page 19 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): 32,34,35 There are sufficient numbers of trained staff to meet service users needs. Recruitment checks are carried out which protects service users. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is now a staff rota on display and staff are regularly supervised as required at the last inspection. Staffing is flexible with two staff on duty when needed. Extra staff can be called on for outings, activities etc. Staff have the training they need for the job they do. Staff were observed interacting positively and respectfully with service users and showed a good understanding of individual needs. It was observed that the staff are accessible and approachable to the service users and are able to exhibit good listening and communication skills. A staff file was sampled and showed records of recruitment checks and qualifications etc. The current staff team is relatively long standing. King Edward House DS0000023215.V301292.R01.S.doc Version 5.2 Page 20 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): 37,39,42 The home is adequately managed. The quality assurance system should be developed to show that improvement and development is based on service users views. Health and safety is protected but some policies need reviewing. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a senior staff at the home supported by a deputy manager and manager based at a larger nearby home. The registered manager is not based full time at the home but is available for support and advice when needed. The registered manager has not yet completed the qualification required by the Minimum Standards. King Edward House DS0000023215.V301292.R01.S.doc Version 5.2 Page 21 The home has some quality assurance and monitoring tools in place. Service users are given questionnaires on a regular basis where they are asked for their views on the home and the service they receive. There is no evidence to show if their views are then acted on and what the out-comes are. Therefore there are shortfalls to the minimum standard. The home has a fire risk assessment. Staff were not sure if this had been reviewed following recent changes to legislation and should check this. Service users take part in fire drills and told the inspector about the procedures. The pre inspection questionnaire supplied by the manager showed that some policies have not been reviewed since 2002 so may not have taken changes in legislation into account. The manager should ensure that the home’s policies are updated and reviewed where necessary. King Edward House DS0000023215.V301292.R01.S.doc Version 5.2 Page 22 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 2 2 2 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 3 X King Edward House DS0000023215.V301292.R01.S.doc Version 5.2 Page 23 Yes 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 YA39 Regulation 24 Requirement Effective quality assurance and quality monitoring systems, based on the views of service users, must be in place to measure success in achieving the aims, objectives and underpin improvement and development of the home by 30/04/06 (not met so revised date) Personal goals and aspirations must be assessed and supported in service user plans. Review the fire risk assessment in light of recent changes to legislation. Timescale for action 31/05/07 2. YA6 15 30/06/07 3. YA42 23 30/04/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. King Edward House DS0000023215.V301292.R01.S.doc Version 5.2 Page 24 No. 1. 2. Refer to Standard YA1 YA40 Good Practice Recommendations Review the Statement of Purpose and service user guide where necessary. Review policies and procedures to comply with current legislation. King Edward House DS0000023215.V301292.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Kent and Medway Area Office The Oast Hermitage Court Hermitage Lane Maidstone Kent ME16 9NT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI King Edward House DS0000023215.V301292.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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