Inspection on 08/02/07 for Magenta

This inspection was carried out on 8th February 2007.

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 09/09/05

Magenta 01/06/05

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 John`s Church Road Folkestone Kent CT19 5BH Lead Inspector Wendy Mills Key Unannounced Inspection 8th February 2007 11:30 Magenta DS0000023236.V328224.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 Magenta DS0000023236.V328224.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. Magenta DS0000023236.V328224.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Magenta Address 31 St John`s Church Road Folkestone Kent CT19 5BH 01303 254904 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) Blythson Limited Vacant Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Magenta DS0000023236.V328224.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th September 2005 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 provider is 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 kitchen. 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. The weekly fees range between £1,500 and £1,860 and are based on the assessed needs of the service users. Magenta DS0000023236.V328224.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit lasted five hours. During that time, it was possible to talk to one service user. The other two service users were out at the time of this visit. Three relatives were contacted by telephone and health and social care professionals gave their opinions. Two members of staff were spoken to in private and in-depth discussion was held with Amy Moffatt, the manager. Information received prior to the visit was considered and documentation, including care plans and staff files, was examined. A tour of the home was made. The home meets, and often exceeds, the National Minimum Standards. All those consulted during this inspection gave very positive feedback about the home. The manager, the service users and staff are thanked for the welcome they gave and their assistance throughout this visit. Relatives and health and social care professionals are also thanked for their input into the inspection process. What the service does well: The Home and its parent company continue to strive for excellence in care practice. They meet, and often exceed, the National Minimum Standards. The home provides a high standard of person-centred care in a pleasant, tastefully decorated, homely and supportive environment. Challenging behaviour is very well managed. The home consults with the service users very well. There is a weekly meeting where they are reminded of their rights and responsibilities and agreements made about the day-to-day running of the home. The home provides a wide range of activities that are tailored to the individual needs and aspirations of the service users. Good relationships are maintained with relatives and supporters. There are very good staffing levels. Staff training is of an excellent standard and staff morale is high. The home is well managed and the company keeps up-to-date with new concepts in best care practice. There are excellent systems in place for the home and the company to monitor progress and continue to improve. Magenta DS0000023236.V328224.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Magenta DS0000023236.V328224.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 Magenta DS0000023236.V328224.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 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home provides the service users, their relatives and supporters, with the information they need. Appropriate pre-admission assessments are made. EVIDENCE: The home has a statement of purpose and a service user guide that give very good information about the home. Each service user has a written contract in place. The terms of residence are explained to service users in a way they can understand. There is a weekly meeting where they are reminded of their rights and responsibilities. There is a rigorous pre-admission process that includes detailed assessment, visits to the home and discussion with relatives and supporters. Inspection of care plans showed that detailed written pre-admission assessments are in place. No new residents have been admitted since the last inspection. Magenta DS0000023236.V328224.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 & 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The care in the home is well planned. The home supports the service users to make informed choices and take responsible risks. EVIDENCE: Care plans were up-to-date and well maintained. They record the goals and aspirations of the service users, and describe how these needs will be met. The home is currently working to improve person centres planning. One of the service users said that he was aware of his care plan and talked confidently about the things he was doing to meet his goal of becoming more independent living. He spoke enthusiastically about the variety of activities in which he takes part. Risk assessments are in place both for the environment and for activities. The service users are encouraged to take responsible risks. Magenta DS0000023236.V328224.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 & 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The service users lead healthy lifestyles and take part in a wide range of activities that promote their independence. EVIDENCE: The home offers a wide range of opportunities for personal development. There is a regular Personal Development Course that includes activities such as camping, canoeing and abseiling. The service use all have part time paid employment and attend college. They also lead busy social lives, taking part in a variety of leisure activities such as discos and swimming. The home promotes healthy living. It encourages the service users to understand the importance of a healthy diet and exercise. Records show that they all maintain a good level of general health. Magenta DS0000023236.V328224.R01.S.doc Version 5.2 Page 11 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 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home supports the service users to make healthy choices and to understand how to live a healthy lifestyle. EVIDENCE: Care plans show that the health care needs have been assessed and met. All appropriate healthcare appointments are made and kept. Staff said that there are always enough staff to support the residents when attending these appointments. The home actively encourages the service users to look after their health and is working to encourage the ability to self medicate. Medication in the home is well managed. Staff have received appropriate training and there are sound policies and procedures for ordering medicines and returning unused medicines. Storage is safe and secure. Magenta DS0000023236.V328224.R01.S.doc Version 5.2 Page 12 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 & 23 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home responds positively to concerns and complaints. EVIDENCE: There are sound written policies and procedures in respect of concerns, complaints and adult protection. Staff are very clear about the whistle-blowing policies and procedures. They said they had no complaints and love working in the home. They said that there is an open atmosphere and that they can always talk to the manager or the registered providers. Relatives said that the home is “Absolutely brilliant”. They said they had no complaints and were very pleased with the way the home keeps them informed about progress in general, and of other things such as review meetings. They said that they did not think it likely that they would have to make a complaint but knew who to speak to if they had any concerns. One resident said that he had no complaints but knew exactly what to do if he did have to complain. He was very clear about the complaints procedure. It was good to hear that he knew that he could ultimately contact the CSCI if necessary. He said that the staff listen to him and that he can talk to Amy, the manager if he is concerned. Magenta DS0000023236.V328224.R01.S.doc Version 5.2 Page 13 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 & 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is very well maintained and has a welcoming and friendly atmosphere EVIDENCE: The home is safe, spacious and tastefully decorated. It smells very pleasant and there is a very friendly, welcoming atmosphere. There are spacious communal areas. There is a kitchen, morning room, dining room and lounge. Upstairs there are three bedrooms, a bathroom and an additional toilet. There are plans to extend the kitchen in the near future. Outside there is a pleasant, well maintained, courtyard garden. Each year the company holds a garden competition and a Christmas decoration competition. All the homes in the group take part. Magenta DS0000023236.V328224.R01.S.doc Version 5.2 Page 14 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): 32, 34, 35 &36 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Staffing levels, staff training and recruitment practices are of a high standard EVIDENCE: There is a wide spread of skills amongst the staff. Staffing rosters show that there are good staffing levels at all times. Staff said that they always have enough time to ensure that the residents get appropriate support. One service user said that the staff are helpful and kind. He said that they are easy to talk to and good fun. Staff were clear about their roles and responsibilities. They said that they love working in the home and that they have good training opportunities. They receive plenty of support and supervision. Relatives said that the staff are always polite, friendly and helpful. They said that they kept them informed and support the service users appropriately. Magenta DS0000023236.V328224.R01.S.doc Version 5.2 Page 15 The home has a rigorous recruitment procedure. The views of the residents are taken into account when appointing new staff. Service users are given the opportunity to meet prospective staff and to think up questions to be asked at the interview stage of the recruitment process. Examination of staff files showed that all appropriate checks had been made before a post at the home is offered. There is also a six-month trial period before a permanent contract is offered to a staff member. Magenta DS0000023236.V328224.R01.S.doc Version 5.2 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 & 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is very well managed and the company is committed to selfmonitoring and best care practice. EVIDENCE: Amy Moffatt, the home manager, has only recently been appointed to the post. She has worked for the company for a number of years. As the previous manager, Kerry Castle, has moved to another management post within the company there has been an opportunity for a good handover period. Magenta DS0000023236.V328224.R01.S.doc Version 5.2 Page 17 Amy has been able to shadow another manager within the company and attend courses to support her management skills. She is currently undertaking the NVQ level IV and is in the process of applying for registration with the CSCI. She talked knowledgeably about best care practice. One resident said that he liked her and that she has a good sense of humour. Relatives said that she has done well since she took over the management of the home. They said that the feel she listens to them and that she is well organised. Staff said that she is fair and hard working. The office is well organised and all documentation is in order. All documents requested during this visit were to hand when requested. The providers visit the home often. They send regular, comprehensive reports about the home to the CSCI. There are systems in place for regular quality monitoring. Any maintenance needs that are noted by the providers on their visits are dealt with in good time. Staff say that they can talk easily to the manager and providers. There is an open and honest management culture in the home. They say that their views are listened to and acted upon when appropriate. Indirect observation showed that the manager interacts well with the residents and the staff. No health and safety hazards were identified during a tour of the home. Magenta DS0000023236.V328224.R01.S.doc Version 5.2 Page 18 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 4 2 4 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 4 23 4 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 4 33 X 34 4 35 4 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 4 12 4 13 4 14 4 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 4 4 4 X X 4 X Magenta DS0000023236.V328224.R01.S.doc Version 5.2 Page 19 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 YA20 Good Practice Recommendations The Home should ensure that service users who are moving on to more independent living are able to selfmedicate Magenta DS0000023236.V328224.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Magenta DS0000023236.V328224.R01.S.doc Version 5.2 Page 21 - 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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