Inspection on 01/12/06 for May Morning

This inspection was carried out on 1st December 2006.

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

The inspector 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

May Morning 23/01/06

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

CARE HOME ADULTS 18-65 May Morning Barrow Hill Sellindge Ashford Kent TN25 6JG Lead Inspector Geoff Senior Key Unannounced Inspection 1st December 2006 10:00 May Morning DS0000065338.V302052.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 May Morning DS0000065338.V302052.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. May Morning DS0000065338.V302052.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service May Morning Address Barrow Hill Sellindge Ashford Kent TN25 6JG 01303 813166 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) CareTech Community Services (No.2) Ltd Miss Amanda Clare Ena Waghorne Post Vacant Care Home 8 Category(ies) of Learning disability (8) registration, with number of places May Morning DS0000065338.V302052.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd January 2006 Brief Description of the Service: May Morning is a large property which offers care for a maximum of 8 service users who have learning disabilities; current Residents predominately having Autistic Spectrum conditions or Asperger’s syndrome. It is situated in Sellindge, with access to a local shop and pub 10 minutes walk away. The towns of Ashford, Hythe and Folkestone are accessible by the public bus service and by using the home’s dedicated vehicle. The home is owned and operated by Caretech Community Services (No 2) Ltd. Day to day management is conducted by Registered Manger, Miss Amanda Waghorne.. The home is set in approximately 2 acres of ground, and shares some outdoor space with another Care Tech property. The home offers 5 communal rooms, two lounges, one dining room, a snoezelen room, and an art and activities room, which can be accessed for private use if required. All bedrooms are registered for single occupancy. May Morning has a restricted access policy in place, which is a requirement to manage specific service user behaviour and to ensure no unaccompanied service users come into contact with the busy road nearby. The Home has reviewed safer access to the garden and now is able to offer a greater level of freedom for the residents. Reported fees are £1247-1760 per week. May Morning DS0000065338.V302052.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 was undertaken on 1/12/06. Time was spent talking with the manager and with staff on duty. The opportunity to discuss with the service users’ their experiences and opinions of the home was limited by their involvement in activities and their inclination to communicate or not. Observations indicated that they were settled in the home, were comfortable in the company of staff and had plenty to do. Throughout the visit, the staff’s attention to the service users’ needs, their patient, friendly and respectful manner and their treatment of each service user as an individual were observed and noted. The premises were viewed and a range of records were inspected. The comments of family members, in phone conversations after the site visit and from written comment cards were generally supportive of the service offered. Not all NMS were inspected at this visit. Unless noted, only the core standards were inspected in each outcome group. What the service does well: What has improved since the last inspection? The manager and staff team continue to examine the care and support that is provided, looking to innovate and further develop the service. The lifestyle and quality of experience for individuals in the home is subject to ongoing improvement . It was also noted that the requirements of the previous inspection report had been addressed in a timely fashion. May Morning DS0000065338.V302052.R01.S.doc Version 5.2 Page 6 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. May Morning DS0000065338.V302052.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 May Morning DS0000065338.V302052.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The information available to prospective service users is informative and aims to use appropriate communication. The assessment process aims to ensure that needs and aspirations can be appropriately supported by the home EVIDENCE: The last inspection report noted: ‘The standard statement of purpose and service user guide (SUG) is written in plain English. The SUG is aided with pictures, and, as part of the pre-admission assessment process; individual photographic introductions to the home have been created making it more meaningful to the person. Individual assessments are carried out by experienced managers and staff, and take place in the persons current home, covering the full range of necessary topics. Funding is discussed prior to placement being offered, ensuring any special support requirements or hobbies are adequately supported.’ The manager reported at this visit that there have been no admissions to the home since that report and confirmed that the procedures for admission remain unchanged May Morning DS0000065338.V302052.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individual needs are identified and monitored so that support can be adjusted accordingly Service users are helped to make decisions affecting their lives. Risks are assessed positively to promote participation. EVIDENCE: The home has developed well-structured and informative service user files. They are updated at least every six months. The needs of the individual are clearly identified, as are the actions required by staff to support the service user. The management’s aim is to instruct staff in the support planning system and achieve a consistent, enabling approach. Individual support requirements are linked to written risk assessments to enable increased participation whilst reducing the risk of harm. Service users are helped to make decisions affecting their daily lives with regard to routines, activities, trips out and food choices amongst other things. May Morning DS0000065338.V302052.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13,15,16, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service The home provides a range of activities based on the educational and therapeutic needs of the individual Family and friends are welcome in the home and contact with the local community is maintained. EVIDENCE: Staff in the home have worked positively with the service users to establish interests, likes and dislikes. They are supported by the organisation to provide a wide range of formal and informal activities. The manager reported that the service users may now utilise the ‘Pathways’ courses at the local college and use the Martello centre for day services and social gatherings. Service users were recently supported, in small groups, to holiday at Centre Parcs. Family and friends are welcome in the home. Where this is not practicable staff will, as confirmed by a family member, ring them with up-dates and support the service users in making phone calls. Activity and social diaries are used to May Morning DS0000065338.V302052.R01.S.doc Version 5.2 Page 11 monitor levels of interactions and activity to help determine the value of participation in any given area. May Morning DS0000065338.V302052.R01.S.doc Version 5.2 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service Service users are treated with respect and privacy is respected. Healthcare needs are monitored and addressed. Medication systems appear satisfactory and up to date EVIDENCE: Service users are encouraged to do as much as possible for themselves in order to maintain their dignity, independence and control over their lives. Staff are always on hand to help when needed and offer guidance where appropriate. The staff were observed responding to service users in a friendly and non patronising manner. Privacy is respected and service users may, subject to assessment, have a key for their own room. Healthcare needs are monitored and addressed. It was reported that the home has developed positive relationships with the local healthcare agencies and relevant professionals. Medication storage and administration is satisfactory. The requirements of the previous report have been addressed but the manager reported that she is May Morning DS0000065338.V302052.R01.S.doc Version 5.2 Page 13 awaiting a replacement drugs fridge. There are written guidelines for medication administration and protocols for PRN for staff who have received appropriate training and have been assessed as competent to be involved in the management of medication. May Morning DS0000065338.V302052.R01.S.doc Version 5.2 Page 14 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service Service users have access to the pictorial complaints process, but rely on staff to listen and act on their behalf, which is well supported. Policies and procedures are in place to protect service users from risk of harm. EVIDENCE: The organisation has a service user complaints procedure that is in simple, plain English. Staff are offered training to ensure that they are fully aware of their role, to ensure people living in the home are protected from abuse in all its forms and that they are the service users main key to having their views heard. Feedback from service user families indicated a lack of awareness of the complaint procedure. However, those spoken to would have no hesitation in approaching the manager with any concerns. May Morning DS0000065338.V302052.R01.S.doc Version 5.2 Page 15 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service The home provides a homely, comfortable and safe environment for the service users. Everyone accommodated in the home has their own bedroom. There are sufficient toilets and bathrooms to meet the presenting needs of all the residents. There is appropriate special equipment to ensure service users’ independence is treated as paramount. The practices conducted in the home indicate that it is hygienic and clean. EVIDENCE: The last visit report noted that the home recently underwent significant redecoration to a number of bedrooms and the communal areas. It served to provide a good standard of décor and refurbishment in an environment that is welcoming, homely and comfortable. The service users were seen to be making full use of the communal areas and some, it was reported, enjoy the May Morning DS0000065338.V302052.R01.S.doc Version 5.2 Page 16 use of the relaxation room.. The kitchen is functional and EHO approved, but looks shabby and dark, the cupboard doors having been repainted in dark red –this would benefit from refurbishment in the long term. The laundry was clean and tidy. The Manager indicated that health and safety aspects of the building were given regular attention. The requirements of the previous inspection report have been addressed. May Morning DS0000065338.V302052.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home endeavours to ensure that the staff are competent and appropriately qualified to fulfil their roles and responsibilities. The home safeguards the service users’ welfare with appropriate procedures and policies on the selection and recruitment of appropriate staff. The presenting needs of the service users are identified and met with appropriately trained staff. The home conducts good support and supervision networks for the care staff. EVIDENCE: The home has a good training programme for the care staff. This not only considers the statutory obligations for each staff member, but also enables staff to undertake training in areas that relate to the different presenting needs of the service users. Staff spoken to indicated a clear understanding of the aims of the home and the value of clear and accurate communication. The staff skill mix and their ability to interact with each other was seen by the inspector whilst observing aspects of the delivery of care to the service users. May Morning DS0000065338.V302052.R01.S.doc Version 5.2 Page 18 The home conducts good support and supervision networks for the care staff. One to one supervision is available on a regular basis. The manager confirmed that appropriate checks are undertaken on prospective staff prior to appointment and commencement of duties. New staff are expected to complete, within the probationary period, LDAF based induction and foundation training. May Morning DS0000065338.V302052.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service The home is well run with an open and inclusive atmosphere. The ethos of the home supports and encourages the development of service users. Policy and practice endeavours to ensure the health and welfare of service users is promoted and protected. EVIDENCE: The manager appears to foster an open and positive ethos in the home enabling staff, service users and relatives to feedback thoughts, ideas and concerns for the service. Representatives of the organisation undertake monthly visits. May Morning DS0000065338.V302052.R01.S.doc Version 5.2 Page 20 The health, safety and welfare of service users, staff and visitors is addressed in induction and training, written guidance and routine maintenance and service checks. May Morning DS0000065338.V302052.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 x 2 3 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 3 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 3 x x 3 x May Morning DS0000065338.V302052.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. Refer to Standard Good Practice Recommendations May Morning DS0000065338.V302052.R01.S.doc Version 5.2 Page 23 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 May Morning DS0000065338.V302052.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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!