Inspection on 30/05/07 for Osborne Court

This inspection was carried out on 30th May 2007.

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

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

Other inspections for this house

Osborne Court 03/05/06

Osborne Court 13/02/06

Osborne Court 31/07/05

Osborne Court 14/10/04

Osborne Court 04/05/04

Similar services:

Southfields

Thorndene

Insight - Eastchurch

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 Osborne Court Lower Road Faversham Kent ME13 7NT Lead Inspector Paul Stibbons Key Unannounced Inspection 30th May 2007 11:15 Osborne Court DS0000037715.V337020.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 Osborne Court DS0000037715.V337020.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. Osborne Court DS0000037715.V337020.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Osborne Court Address Lower Road Faversham Kent ME13 7NT 01795 533352 01795 533352 wendy,hughsman@kent.gov.uk 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) Kent County Council Post Vacant Care Home 13 Category(ies) of Learning disability (13) registration, with number of places Osborne Court DS0000037715.V337020.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th November 2006 Brief Description of the Service: Osborne Court is a two storey detached property set in the grounds of Faversham Day Centre. It is located on the outskirts of Faversham close to the village of Ospringe. There is a large garden with ample parking spaces available. The nearest shops and other public amenities are easily accessible by bus, taxi or the home’s own transport. There is a shop within walking distance. The home offers single room accommodation on both floors. Seven rooms on the ground floor can accommodate people with multiple disabilities. The home provides short-term care for people with learning disabilities. Service users can stay from one night to a few weeks. The home aims to provide 24-hour care for adults between the ages of 18-65. The fee range for this service is £689.80 for low dependency, £763.87 for medium dependency and £894 for high dependency service users per week. Osborne Court DS0000037715.V337020.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was conducted over a period of 3 hours and an AQAA (Annual quality assurance assessment) had been completed and returned to the CSCI. A tour of the building was carried out and a variety of records and documents were examined. The inspector was assisted by the shift leader in the manager’s absence. Members of staff on duty were spoken with as were those residents able to verbally communicate. What the service does well: 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. Osborne Court DS0000037715.V337020.R01.S.doc Version 5.2 Page 6 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 Osborne Court DS0000037715.V337020.R01.S.doc Version 5.2 Page 7 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): 2,3,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A full assessment of need is carried out on people who use the service prior to admission. People who use the service are provided with a written contract of terms and conditions. EVIDENCE: The Statement of Purpose, Service user guides and previous inspection report are available in the entrance hall to the home. The care manager has assessed the needs of individual residents and all relevant information is recorded. The home then undertakes a joint assessment using the Hampshire assessment tool to cover all aspects of care required. KCC contracts are on file stating the terms and conditions for residents. Osborne Court DS0000037715.V337020.R01.S.doc Version 5.2 Page 8 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): 6,7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individual care plans reflect the changing needs and personal goals of residents. Residents are consulted about aspects of life within the home and are supported in taking risks as part of an independent lifestyle. Their right to confidentiality of information is upheld. EVIDENCE: Care plans viewed cover all aspects of the residents’ life and identify goals. For long term residents individual plans are reviewed every 12 weeks, for respite on each occasion they stay. Risk assessments viewed have been reviewed and signed by staff members. Daily logs are kept on individuals but need to be placed in some sort of order as currently they are in different places. Osborne Court DS0000037715.V337020.R01.S.doc Version 5.2 Page 9 The home has now put in place monthly resident meetings to gain feedback from residents. Confidential records are kept in a secure location within the home. Osborne Court DS0000037715.V337020.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 good. This judgement has been made using available evidence including a visit to this service. There is a range of activities that the residents have access to and a day centre is attached to the home. Residents have a varied and nutritious diet according to their choices. EVIDENCE: The home has set up a training kitchen for long term residents to improve their cooking skills with staff support. There is a games room with a pool table and computers that residents can access. The majority of residents use the attached day centre from where trips out are arranged, arts and crafts, gardening, bowling and fishing are among the opportunities offered. Sessions are arranged through care managers and Ambition where residents may go out shopping or participate in other activities that they care to pursue on a 1-1 basis. Osborne Court DS0000037715.V337020.R01.S.doc Version 5.2 Page 11 The home has large gardens that residents can access and the home arranges several functions in the gardens throughout the year. The home has a well-equipped kitchen and plenty of fresh fruit and vegetables was evident. The cook maintains records of likes and dislikes of individual residents as well as any special requirements. Menus are varied and nutritious and there is a range of snacks available when the cook is not present. Osborne Court DS0000037715.V337020.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. 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. Physical and emotional health needs are met by the multi-disciplinary team, and residents’ receive personal support in the manner they prefer. Residents are protected by the home’s policies and procedures for dealing with medication. EVIDENCE: Individual care records have been reviewed to ensure that residents receive personal support in the way they prefer and require. Staff support residents in attending medical appointments and refer them to other healthcare professionals where required. Residents bring their own medication into the home on respite care. Comprehensive records are kept of all medication coming into the unit, the administration of it, and records of quantities on discharge. Osborne Court DS0000037715.V337020.R01.S.doc Version 5.2 Page 13 Medication storage and administration complies with current legislation and guidelines. All staff responsible for dealing with medication have been appropriately trained in procedures. Osborne Court DS0000037715.V337020.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. 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. Residents can be confident that complaints will be taken seriously and acted upon. Residents are protected from harm through the home’s policies and procedures around adult protection issues. EVIDENCE: The manager states that there have been no official complaints since arriving into post in January 07. Records evidence that incidents are recorded and forwarded to appropriate authorities. There is a complaints policy and procedure in place and the manager is introducing awareness of the procedures through monthly resident meetings and staff supervisions. There has been difficulty in the past in accessing training around adult protection issues despite requests to the training department. However, training has now been arranged for all staff before the end of June 07. Osborne Court DS0000037715.V337020.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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a homely, comfortable and safe environment. They have adequate personal and communal space to meet their needs and specialist equipment to maximise their independence is provided. There are sufficient toilet and washing facilities to meet the needs of individuals. EVIDENCE: The home is generally well-maintained although some areas are showing signs of wear and are in need of re-decoration. The home is subject to a feasibility study at the moment to identify the future plans for the building and any changes to the service. Osborne Court DS0000037715.V337020.R01.S.doc Version 5.2 Page 16 There have been some new furnishings bought for the lounges and some bedrooms. Bedrooms do not have many personal possessions on view as residents are usually only at the home for a short stay. Residents spoken with said they enjoyed their stays at the home and observations evidenced a homely environment. Specialist equipment to aid independence is regularly serviced and the home has recently purchased a new shower chair/commode to assist one individual to enjoy showers instead of bed baths. There are ample washing and toilet facilities to meet the needs of individuals. The use of ‘walkie talkies’ and baby alarms to monitor emergencies during the night was discussed and decisions around a more appropriate call alarm system will be made when the future plans for the building are finalised. At the time of the visit the home was clean and tidy and dedicated domestic and maintenance staff are employed. There is a self-contained flat for independent living to develop daily living skills but it was unoccupied at this time. The laundry facilities are adequate and the home has recently purchased a new washing machine. There is a very large garden and patio area that is accessible to residents and at the time of the visit a group was observed making use of it and doing some gardening. Osborne Court DS0000037715.V337020.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. 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. Residents are supported by sufficient numbers of competent staff to meet their needs. Robust recruitment practices are in place for the protection of residents. EVIDENCE: A new matrix has been introduced to monitor staff training and all new staff are required to undertake LDAF (learning disability award framework) training. A training programme has been put in place to ensure staff skills and knowledge is current and will commence at the end of June 07. A high percentage of staff have achieved an NVQ qualification. Staff rotas are flexible to meet the needs of residents at times of high occupancy. There is evidence of staff supervisions in staff files, however one file examined shows the last supervision to have been held in 2005. It is a recommendation Osborne Court DS0000037715.V337020.R01.S.doc Version 5.2 Page 18 of this report that supervision of staff takes place a minimum of 6 times yearly and is clearly recorded. Staff files examined evidenced that robust recruitment procedures are in place with references, CRB and POVA checks taking place. At the time of this visit sufficient numbers of staff were on duty to meet the needs of residents. Osborne Court DS0000037715.V337020.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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from the ethos, leadership and management approach of the home and their health, safety and welfare is promoted and protected. The views of residents are considered when reviewing the development of the home. EVIDENCE: Osborne Court DS0000037715.V337020.R01.S.doc Version 5.2 Page 20 The home has appointed a new manager to run the unit as from January 07. An action plan is now in place and highlights areas that are in need of improvement. The unit is currently undergoing a feasibility study; the outcomes of which will influence future developments. Monthly resident meetings have been introduced as a forum for residents to express their wishes and contribute to the development of the unit. The new manager is aware of the need to have a complete overview of the unit’s policies and procedures and is reviewing all systems in place. There were no obvious health and safety hazards noted during this visit and the last health and safety audit was recorded as 23/05/07. QA questionnaires are sent out to all stakeholders annually, shift leaders meet with the unit manager fortnightly and reg. 26 visits are conducted monthly to monitor the service provided. The last Reg. 26 visit conducted was on 16/05/07. Osborne Court DS0000037715.V337020.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 3 4 X 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 3 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 3 3 3 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 X 3 X Osborne Court DS0000037715.V337020.R01.S.doc Version 5.2 Page 22 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA24 Regulation 23 Requirement The registered person must produce a development plan for the home regarding improvements needed to décor, with particular attention on the bathrooms. Timescale for action 31/08/07 2. YA32 18 Previous timescale 31/12/06 Staff have the competencies and 31/08/07 qualities required to meet service users’ needs, by ensuring that all staff training needs are met Previous timescale 31/03/07 The registered person ensures that service users are safeguarded from physical, financial or material, psychological or sexual abuse, neglect, discriminatory abuse or self harm, or inhuman or degrading treatment, through deliberate intent, negligence or ignorance, in accordance with written policy by ensuring that all staff have adult protection training Previous timescale 31/01/07 31/07/07 3. YA23 13 Osborne Court DS0000037715.V337020.R01.S.doc Version 5.2 Page 23 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. YA36 Refer to Standard Good Practice Recommendations All staff should receive supervision a minimum of 6 times annually. Osborne Court DS0000037715.V337020.R01.S.doc Version 5.2 Page 24 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 Osborne Court DS0000037715.V337020.R01.S.doc Version 5.2 Page 25 - 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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