Inspection on 01/06/05 for Magenta

This inspection was carried out on 1st June 2005.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Magenta 08/02/07

Magenta 09/09/05

Magenta 20/10/04

Magenta 24/06/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

Greenacres

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

CARE HOME ADULTS 18-65 Magenta 31 St Johns Church Road Folkestone Kent CT19 5BH Lead Inspector Wendy Mills Announced 1 June 2005 9:00 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 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 Stationary 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. Magenta H56-H05 S23236 Magenta V224780 010605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Magenta Address 31 St Johns Church Road, Folkestone, Kent, CT20 2RL Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01303 254904 Blythson Limited Miss Kerri Castle Care Home only 3 Category(ies) of Learning Disability x 3 registration, with number of places Magenta H56-H05 S23236 Magenta V224780 010605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20/10/04 Brief Description of the Service: Magenta is a residential home providing care and proactive support for three people with a learning disability and challenging behaviour. The registered providers are Bltyhson Ltd. Magenta is a large, late Victorian town house situated close to Folkestone town centre and local amenities. It provides spacious and tastefully decorated accommodation. There are three large bedrooms, a spacious lounge, a dining room, breakfast room and kichen. The service users participate in a wide range of meaningful activities. The home maintains a consistent and positive approach to the management of challenging behaviour and has been inspected in accordance with the Care Standards Act 2000 for the past two years. Magenta H56-H05 S23236 Magenta V224780 010605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection began at 09.00hours and lasted for six hours. The inspector was able to speak to two of the service users and staff members. Discussion was held with the registered manager, Ms Kerry Castle and a tour of the home and garden was undertaken. Key documentation and care plans were examined in detail. Both direct and indirect observation was used throughout the inspection. The Home and its parent company continue to strive for excellence in care practice, meeting, and often exceeding, all of the National Minimum Standards. The accommodation is maintained to a very high standard and is both well decorated and tastefully furnished. The service users have a great deal of input into all decisions made about the home and their lives. They have all made excellent progress since joining the home. Several examples of exemplary care practice were found. There is a good level of staff supervision and training. The morale of both the service users and staff is very good. What the service does well: The Home provides a spacious, comfortable and homely environment in which the service users are able to develop new skills and maximise their independence. It is proactive in the way it identifies and meets the needs of the service users. There are high staffing levels and the Company provides excellent support for staff at all levels. It is innovative in the way it motivates both the staff and the service users. The Home demonstrates exemplary practice in the way it manages challenging behaviours and builds on the strengths of the service users. There is an excellent system for the organisation of training and development within the company that links the needs of the service users to the training programme and staff supervision. The quality assurance systems are excellent and the company and the Home continuously strive for excellence. Magenta H56-H05 S23236 Magenta V224780 010605 Stage 4.doc Version 1.30 Page 6 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. Magenta H56-H05 S23236 Magenta V224780 010605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Magenta H56-H05 S23236 Magenta V224780 010605 Stage 4.doc Version 1.30 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 standard(s) 1,2,3,4&5 The Statement of Purpose and the Service User Guide provide the service users and prospective service users with the information they need to make a decision about moving into the Home. EVIDENCE: The Home has rigorous pre-admission policies and procedures. Inspection of care plans and discussion with the service user most recently admitted to the Home confirmed that these procedures had been followed. The service user said that there had been visits to the Home for meals and to meet the other service users before she decided to move into Magenta. The service users said that they understood their rights and responsibilities whilst living in the Home. The aspirations and goals of the service users are recorded on the care plans and the service users clearly express their aims and how they might achieve them. Magenta H56-H05 S23236 Magenta V224780 010605 Stage 4.doc Version 1.30 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 standard(s) 6,7,8,9&10 The service users know their needs are valued and that they can trust the staff at the Home to maintain confidentiality. There is a clear and consistent care planning process that is understood by the service users and in which they participate fully. EVIDENCE: Care plans are comprehensive and identify the needs of the service users in all aspects of their lives. The service users said that they are involved in making decisions about the care planning and care review process. They are confident that the staff will support them to express their views. Indirect observation confirmed that staff interact very well with the service users and help them express themselves. Risk assessments are in place and the service users are encouraged to strive for maximum independence. Since the last inspection two of the service users have made further progress towards more independent living. Magenta H56-H05 S23236 Magenta V224780 010605 Stage 4.doc Version 1.30 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 standard(s) 11,12,13,14,15,16&17 The Home offers excellent opportunities for personal development and is both innovative and proactive in its approach to all aspects of care planning. Appropriate familiy links are supported and the Home fosters a culture of mutual respect. There is an adequate shopping budget and good support to enable the service users to plan and prepare nutritious and appetising meals. EVIDENCE: The service users are involved in a wide range of activities. They attend college courses, go to clubs, become involved in local church events and some maintain part-time paid employment. They have recently returned from an activity holiday where they took part in activities such as rock climbing, creative art and music and drama The service users said that they trust the staff and that they know they can ask them for help if necessary. Magenta H56-H05 S23236 Magenta V224780 010605 Stage 4.doc Version 1.30 Page 11 The service users now lead the menu planning for the Home. They then take turns to shop for, prepare and cook the evening meal. The inspector met a service user who just returned with the ingredients for the evening meal. She said that she had been able to stay within budget and was now going to prepare the evening meal as agreed with the others. The service users and staff who support them are commended for this progress towards independence whilst maintaining a healthy eating programme. Magenta H56-H05 S23236 Magenta V224780 010605 Stage 4.doc Version 1.30 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 standard(s) 18,19&20 Personal support is offered in such a way that protects the privacy and dignity of the service users and promotes their independence. There are clear and comprehensive systems for the management and administration of medicines and the Home promotes good health. EVIDENCE: Records show that personal issues are discussed in a sensitive way. The service users say that they trust the staff to maintain their confidentiality. Inspection of care plans showed that health and emotional needs are identified and met. All appropriate specialist heath care is accessed on behalf of the service users and they are supported to attend appointments at the hospital or local GP practice. Staff training is linked to specific needs of the service users. Inspection of the systems for the management of medicines in the Home confirmed that there is good practice in the administration of medicines. However, as some of the service users are moving towards further independence it is recommended that the Home review the possibility of supporting them to self-medicate. Magenta H56-H05 S23236 Magenta V224780 010605 Stage 4.doc Version 1.30 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 standard(s) 22&23 Staff have excellent knowledge of Adult Protection issues and how to protect the service users from all forms of abuse. The service users know their concerns will be listened to and acted upon. EVIDENCE: The service users said that they are happy to talk to the staff if they are worried. Records show that there is regular consultation with the service users. Staff said that they believe the way the service users are involved in all aspects of the Home is one of its greatest strengths. There are clear and comprehensive adult protection procedures and all staff receive adult protection training. There are good systems in place for regular staff supervision. One-to-one supervision is in place. Magenta H56-H05 S23236 Magenta V224780 010605 Stage 4.doc Version 1.30 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 standard(s) 24,25,26,27,28,&30 The standard of the environment within the Home is very good and provides the service users with an attractive and homely place to live. EVIDENCE: A tour of the home was undertaken. All areas are tastefully decorated. Furnishings are of good quality and soft furnishings co-ordinate well with the décor. The Home is well maintained and the bedrooms reflect the personalities of the service users. All areas of the Home were very clean and hygienic on the day of inspection. The registered providers undertake regular inspections of the Home and their reports confirm that they are rigorous in their insistence on a high standard of maintenance and cleanliness. Magenta H56-H05 S23236 Magenta V224780 010605 Stage 4.doc Version 1.30 Page 15 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35&36 Staff morale is high and there is an enthusiastic workforce that positively promotes the independence of the service users. The arrangements for staff recruitment, induction and training and development are excellent. There is clarity of roles and responsibilities within the Home. EVIDENCE: There are excellent staffing levels and staff said that they really love working in the Home. They are particularly pleased when they see that the service users have made good progress. The Company has a member of staff who takes responsibility for the coordination of training and development across the Blythson Homes. The service users said that the staff are always willing to help them if needed. Magenta H56-H05 S23236 Magenta V224780 010605 Stage 4.doc Version 1.30 Page 16 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39,40,41&42 The Manager is well supported by senior staff and the registered providers in providing clear leadership throughout the Home. There is clarity of organisational structures and of roles and responsibilities. EVIDENCE: The registered manager, Ms Castle, is registered with the CSCI and is due to complete the NVQ IV in Management and Care very soon. Staff spoke highly of her organisational skills and leadership. They said that they knew she could be trusted to deal with any concerns or worries they may have. The quality assurance systems in the home are excellent. The providers send regular, comprehensive reports to the CSCI in accordance with Regulation 26. In addition, they are committed to a continuous improvement plan and have recently introduced a new quality audit checklist. Magenta H56-H05 S23236 Magenta V224780 010605 Stage 4.doc Version 1.30 Page 17 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 4 4 3 Standard No 22 23 ENVIRONMENT Score 3 4 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 3 4 4 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 3 3 3 3 x 3 Standard No 11 12 13 14 15 16 17 4 3 3 3 3 3 4 Standard No 31 32 33 34 35 36 Score 4 4 3 3 4 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Magenta Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 4 3 3 3 x H56-H05 S23236 Magenta V224780 010605 Stage 4.doc Version 1.30 Page 18 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 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 20 Good Practice Recommendations The Home should consider ways of helping some of to self-medicacte Magenta H56-H05 S23236 Magenta V224780 010605 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection 11th Floor, International House Dover Place Ashford, Kent TN23 1HU 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 Magenta H56-H05 S23236 Magenta V224780 010605 Stage 4.doc Version 1.30 Page 20 - 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. 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