Inspection on 17/01/06 for Neptune House

This inspection was carried out on 17th January 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

Neptune House 16/08/05

Neptune House 07/03/05

Neptune House 21/01/05

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

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 Neptune House 8-10 Neptune Terrace Sheerness Kent ME12 2AW Lead Inspector Graham Cummings Announced Inspection 17th January 2006 09:30 Neptune House DS0000023983.V267130.R01.S.doc Version 5.1 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 Neptune House DS0000023983.V267130.R01.S.doc Version 5.1 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. Neptune House DS0000023983.V267130.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Neptune House Address 8-10 Neptune Terrace Sheerness Kent ME12 2AW 01795 581660 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) Neptune House Limited Miss Vivian Cumber Care Home 14 Category(ies) of Learning disability (14) registration, with number of places Neptune House DS0000023983.V267130.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. That room one (1) must always be used by someone without mobility problems. 16th August 2005 Date of last inspection Brief Description of the Service: The home occupies Grade 2 listed premises in the centre of Sheerness, overlooking the Thames estuary from the rear. There are no immediate parking facilities, but easy access to nearby side street parking. Public transport is within a short walking distance, as are all local amenities. There is a small paved area to the front of the property, leading to the main entrance, while access to the pleasant rear garden is from the lower ground floor. accommodation is on three floors, including the lower ground floor, with bedrooms being on the ground and first floors. There is spiral staircase access between the ground and lower ground floors. There is a fire exit on each floor. The home is attractively furnished and decorated to a good domestic standard and presents a warm and welcoming aspect. The home has now completed the extension into number 8 Neptune and the Registration has increased from 10 to 14 Service Users. Neptune House DS0000023983.V267130.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Graham Cummings carried out an announced inspection on the 17th January 2006. The Inspector arrived at 09:30 and left at 14:30. The inspection consisted of talking to Staff, Residents and Manager/Provider, viewing the home and documentation that consisted of 3 staff files and 3 Resident files and found them all to fully meet the National Minimum Standards, the care plans were of an extremely high standard. Prior to the Inspection the Inspector had received 10 visitor/Relatives comment cards and the completed Pre Inspection Questionnaire. At the Inspection Residents gave the Inspector their completed questionnaires. All of the information received was complimentary of the home and the caring management and staff team and the high quality of care provided. The Manager in discussion with all parties involved in the care of an individual are planning a program for the next 18 months that it is hoped will enable an individual to move on into a supported living environment due to the massive improvement they have made whilst living at Neptune House. The home is well decorated and furnished to a very good standard. Although the home has now increased it’s numbers from 10 to 14 the Manager is aware that any new placement will need to be carefully assessed as the existing group of Residents have been together for a long time. The Inspector had no concerns when leaving the premises for the health, safety or welfare of the Residents. What the service does well: What has improved since the last inspection? The purchase of the house next door has allowed the Manager and Administrator to move out of their small office into a larger more spacious room that has plenty of storage and archiving space. The Residents all went on holiday in 3 groups that included Disneyland Paris, Costa Del Sol and a hotel in Folkestone. The Residents travelled first class and stayed in executive accommodation. The large pumpkin grown in the garden last year was the centrepiece of the Halloween party and the Residents have had trips to the pictures to see King Kong, Narnia and Lassie, they have also attended the Marlow Theatre in Canterbury to see Grease and Cinderella and the local theatre groups pantomime production. The home has now acquired 2 chickens that the Residents take responsibility for with staff support and these are kept in a secure area at the end of the garden, plans are underway about what Neptune House DS0000023983.V267130.R01.S.doc Version 5.1 Page 6 fruits and vegetables are going to be grown this coming year. A continuous program of maintenance ensures that the home is safe and well presented. 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. Neptune House DS0000023983.V267130.R01.S.doc Version 5.1 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 Neptune House DS0000023983.V267130.R01.S.doc Version 5.1 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): 1,2,4,5 Prospective Residents have the information required to make an informed choice about where to live. Prospective Residents needs are assessed. Prospective Residents are able to visit the home prior to any placement being agreed. Each Resident has a Contract or Statement of terms and Conditions. EVIDENCE: The Homes Statement of Purpose and Service User Guide are being updated to reflect the opening of the 4 new bedrooms. The rooms have been ready for some time but the Manager is being selective about the enquiries for prospective Residents to make sure that any placement made is the right one for the existing Residents and the home. The Manager has met with the parents and potential Resident and given them the relevant information about the home, a second visit to the home is planned for Thursday 19th January 2006 to meet with staff and Residents. The Manager has received a Care Managers assessment of the young person. The Inspector looked at 3 Resident files and saw Statement of Terms and Conditions in each. Neptune House DS0000023983.V267130.R01.S.doc Version 5.1 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): 6,7,8,9 Residents know their changing needs are assessed and reflected in their individual plan. Residents take part in decisions regarding their lives and participate in all aspects of life in the home where appropriate. Residents are supported to take risks as part of an independent lifestyle. EVIDENCE: The Inspector looked at 3 Residents care plans, these were full of information, easy to read and excellently presented. The care plans had been evaluated at regular intervals and were signed and dated. The individual files had risk assessments and signatures of the residents had been got where possible. The Manager informed the Inspector that all Residents were consulted and participated in the making of their individual care plans wherever possible, this was confirmed by some of the individual residents spoken to. Residents all had daily programs in their care plan that set out to increase their daily social and living skills. Residents attend the fire safety training run at the home and on the 3 Resident files looked at all had received a certificate. Neptune House DS0000023983.V267130.R01.S.doc Version 5.1 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): 11,12,13,14,15,16,17 Residents have the opportunity for personal development. Residents take part in age appropriate peer and leisure activities. Residents are part of the local community. Residents have appropriate family and personal relationships. Residents rights are respected and recognised in their daily lives. Residents are offered a healthy and nutritious diet. EVIDENCE: The Inspector saw three Resident care plans and these showed that the individuals were given opportunities for personal and social development through internal and external activities, this included attendance at colleges and outings. Since the last inspection, Residents have been to the cinema to see King Kong, Narnia and Lassie as well as seeing Cinderella and Grease at the Marlow theatre in Canterbury. The Inspector observed positive interaction between staff and Residents, Residents spoken to told the inspector that they liked living at Neptune House with comments including ‘this is my home’ ‘I like living here’. The garden now has 2 chickens living in a sectioned off area and the Residents are responsible for the cleaning and fresh water. The vegetable plot project is starting to be discussed with the residents and decisions about what they will grow should be taken soon, last year there was a large Pumpkin Neptune House DS0000023983.V267130.R01.S.doc Version 5.1 Page 11 that was used at Halloween. The Residents were aware of the role of the Inspector and one Resident asked the Inspector if he was there to check that they ‘were being well cared for’. Residents have a meal out most weeks and had recently been invited by the local Mencap Society to attend a 3 course meal that was followed by a ‘disco’, the Residents were happy to tell the Inspector about their night and obviously thoroughly enjoyed themselves. The home works hard not to do things for the Residents, this was evident at lunchtime when the Residents who wanted Yoghurts were given the opportunity to open them themselves and not having it done for them. Family members and friends are welcome at any time but are encouraged to telephone prior to coming to ensure that the Resident will be in as they have a wide range of activities outside of the home. Neptune House DS0000023983.V267130.R01.S.doc Version 5.1 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 Residents receive personal support the way they prefer. Residents physical health needs are met. Residents who self medicate are protected by the homes policy and procedures EVIDENCE: Residents spoken to were able to tell the Inspector that they live their lives as they prefer and are encouraged to live as independent life as possible. Residents are fully involved in the making of their care plan and are able to access it if they wish. All of the Residents are registered with a local Doctor, Dentist and Optician, a chiropodist visits the home at regular intervals. There is one Resident who self medicates, this is risk assessed in the care plan and the home has policies and procedures in place to protect the Resident. Neptune House DS0000023983.V267130.R01.S.doc Version 5.1 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 the following standard(s): 22,23 Residents views are listened to and acted upon. Residents are protected from abuse, neglect and self harm. EVIDENCE: During the Inspection the Residents spoken to told the Inspector that they enjoyed living at the home and that the staff were really good, it was apparent from the conversations and interactions between Residents and staff that there were good relationships that encouraged Residents to express their views. Staff spoken to were aware of adult protection and have attended training on Abuse Awareness and Prevention, N.A.P.P.I. and P.O.V.A. Neither the home or C.SC.I. have received any complaints since the last inspection. Neptune House DS0000023983.V267130.R01.S.doc Version 5.1 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 the following standard(s): 24,25,26,27,28,30 Residents live in a homely, comfortable and safe environment. Residents bedrooms suit their needs and promote their independence. Residents privacy is met by sufficient toilets and bathrooms. Communal space compliments Residents individual space. The home is clean and hygienic. EVIDENCE: The home is in good decorative order and well furnished giving the Residents safe and comfortable surroundings. The Inspector did not look at Residents bedrooms during the visit but looked at several at the unannounced visit in August 2005 and found them to be of a very high standard and well furnished with Residents personal items, the Manager said this had not changed. Although there is going to be the possibility of an extra 4 Residents living at the home the communal space is ample. The home is clean and hygienic. The garden is split into 2 areas both with their own seating areas. Now that the office has been moved to a lower floor the old office can be used for a visitors room and computer room for the Residents. Neptune House DS0000023983.V267130.R01.S.doc Version 5.1 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 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): 31,32,33,34,35,36 Residents benefit from clarity of staff roles and are supported by a competent, qualified and effective staff team. Residents are protected by the homes recruitment policy and the staff are appropriately trained and supervised. EVIDENCE: The Inspector looked at 3 staff files and all had job descriptions, CRB’s, contracts, 2 references, application form, interview notes, birth certificates, photo and health questionnaire. Staff spoken to were able to confirm they understood their role within the home. The home has a team of competent and well trained staff with over 60 having achieved their NVQ Level 2 in Care. Training over the last year has consisted of Report Writing, Supervision, First Aid, Food Hygiene, Manual Handling and Fire Safety. The staff files seen showed that the home is following a recruitment process that protects residents. The staff team have regular meetings and are well supported by the Management team on a daily basis and through formal supervision. The Inspector noted that there was good positive interaction between the Residents and staff. Neptune House DS0000023983.V267130.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,41,42,43 Residents benefit from a well run home. Residents benefit from the leadership and management approach to the home. Residents rights and best interests are safeguarded by the homes record keeping. The health, safety and welfare of the Residents are promoted and protected. Residents benefit from competent and accountable management. EVIDENCE: The home is run to meet the needs of the Residents and they are involved in all aspects of their daily living. The homes record keeping is comprehensive and the Care Plans are evaluated frequently and any changes made are in consultation with the Resident, family and care manager. The Residents spoke highly of the management and staff team and the Inspector noted the positive and friendly relationships between staff and Residents. The staff informed the Inspector that they had confidence in their manager and received lots of support through supervision and informal discussions. The Manager does need to complete her NVQ level 4 and Registered Managers Award as soon as possible. The Inspector left the home with no concerns for the health safety and welfare of the Residents. Neptune House DS0000023983.V267130.R01.S.doc Version 5.1 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 Standard No Score 1 3 2 3 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 3 3 X 3 3 3 Neptune House DS0000023983.V267130.R01.S.doc Version 5.1 Page 18 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. 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 37 Good Practice Recommendations That the Manager complete her NVQ level 4 and Registered Managers Award as soon as possible. Neptune House DS0000023983.V267130.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Kent and Medway Area Office 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 Neptune House DS0000023983.V267130.R01.S.doc Version 5.1 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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