Inspection on 25/06/07 for Poppies

This inspection was carried out on 25th June 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 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

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Southfields

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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 Poppies The Ridgeway Southborough Tunbridge Wells Kent TN4 0AB Lead Inspector Wendy Gabriel Key Unannounced Inspection 25th June 2007 08:50 Poppies DS0000068943.V339102.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 Poppies DS0000068943.V339102.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. Poppies DS0000068943.V339102.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Poppies Address The Ridgeway Southborough Tunbridge Wells Kent TN4 0AB 01892 518208 01892 518208 poppies@pepenbury.info www.pepenbury.info Pepenbury 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) Leonie Kathryn Mary Waters Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Poppies DS0000068943.V339102.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection. This is the first inspection for this service. Brief Description of the Service: Poppies is a large detached house situated in a quiet road on the outskirts of Southborough and is opposite a large green with far reaching views over the rural area. The home provides care for up to six people with learning disability. There are six single bedrooms, two on the ground floor, three on the first floor and one to the top floor. All downstairs door widths meet standards for wheelchair access. All bedrooms have en-suite facilities. There is ample shared day space and a kitchen that is accessible to people living in the home. The garden is wheelchair accessible via a ramp. Southborough has shops, church, pubs and public bus and train links. Fees are in the range of £1018.39 - £2252.63. Please contact the provider for current fees. Poppies DS0000068943.V339102.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place as some residents were finishing breakfast, one was having a lie in and another arrived home following a weekend away with family. The home is fully occupied and there were four staff on duty including the Registered Manager and home manager. The company operations manager called into the home towards the end of the inspection. The home was registered in December 2006 and this was their first inspection. Poppies provides spacious accommodation and is equipped for wheelchair users. People living in the home were introduced to the Inspector and a little conversation took place. Some residents showed the Inspector their own rooms during the accompanied tour of the premises. Staff were busy but whilst preparing lunch spoke about the ethos of the home of giving choice to the residents. The home is furnished and decorated in a modern and homely manner and was clean and hygienic. The Registered Manager has many years experience in residential care and especially in physical disability and challenging behaviour. The Registered Manager is also a trained trainer for a number of different skills including adult abuse awareness. What the service does well: What has improved since the last inspection? What they could do better: Some recording formats as noted in the report will assist the home to maintain the high standard of recording currently undertaken. Poppies DS0000068943.V339102.R01.S.doc Version 5.2 Page 6 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. Poppies DS0000068943.V339102.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 Poppies DS0000068943.V339102.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): Quality in this outcome area is good. Visits to the home prior to becoming a permanent resident and pre assessments will be used to meet peoples’ needs and choices. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A pre assessment document was seen. This was fulsome and gave clear and detailed information about the person. New residents are reviewed 3 then 6 monthly. The care manager and the resident are included at the review where possible. The statement of purpose and service users guide uses picture format to aid residents. Some of the people have come from the companies other homes and have been assessed as being ready to move into Poppies and the lifestyle it offers. Contracts are between the company and the care managers. Poppies DS0000068943.V339102.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): Quality in this outcome area is excellent People living in the home know that detailed recording will reflect their needs and aspirations. Risk assessments promote participation in life skills and activities of choice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans are very detailed and include step-by-step guides for different care and social activities including risk assessments. The company has employed someone to regularly review the care plans in all the homes including Poppies, to ensure they contain all information that is necessary to maintain care. Key workers also write a forward to the care plans as a quick guide to each individual. Poppies DS0000068943.V339102.R01.S.doc Version 5.2 Page 10 Day reporting is on a useful format that details different aspects of the day. Separate medical information is easy for staff to refer to and may be quickly accessed should a resident need urgent attention. Confidential information is held in a secure office and the senior shift leader on duty holds keys. Poppies DS0000068943.V339102.R01.S.doc Version 5.2 Page 11 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): Quality in this outcome area is good. People are encouraged to participate in varied activities and to maintain family and community contact. Meals meet dietary and individual preferences. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Day services are offered by the company at their nearby premises where there is a variety of activities on offer including looking after animals, gardening, woodwork and arts and crafts. There is also a coffee shop where some may learn training for work. One person attends adult education and is taking a cookery course. Others are taking computer courses. Physiotherapy is undertaken in house as well as in the community for one person. Music therapy and aromatherapy is also enjoyed in house. The home has a vehicle for outings. Poppies DS0000068943.V339102.R01.S.doc Version 5.2 Page 12 Families are welcomed into the home and several people visit their families some weekends. One person visits the pub regularly with staff and is gaining new friends there. One person undertakes Church visits occasionally. People were able to enter the kitchen whilst staff were preparing lunch and were encouraged to become involved. The kitchen is well planned and people can enter easily. Menus are varied and there were fresh vegetables and fruit available. Poppies DS0000068943.V339102.R01.S.doc Version 5.2 Page 13 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): Quality in this outcome area is excellent. Residents know their personal and psychological needs will be supported. Medication administration is sound. Residents with deteriorating needs will be supported with respect. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each person in the home has a detailed record of his or her assessed needs including any 1-1 care. The Inspector observed the communication between staff and residents and was pleased to hear the good communication shown. Equipment to aid residents is situated where most needed and individual bedrooms have specialised equipment such as ceiling hoists. There was evidence of healthcare needs being identified and monitored. Poppies DS0000068943.V339102.R01.S.doc Version 5.2 Page 14 Medication administration and storage is robust. There was evidence of a large stock of a particular item and the Registered Manager said that this would not normally be allowed to happen but that this stock came with the resident from his family home and was being used gradually. All items were in date. Ageing, illness and death of residents was discussed and the Registered Manager showed insight into the procedures, support and care that the home would offer in those circumstances. Poppies DS0000068943.V339102.R01.S.doc Version 5.2 Page 15 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): Quality in this outcome area is good. People know that their views will be listened to. People are protected from abuse by staff training on understanding abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager is a trained trainer for adult abuse awareness and has a background of working with challenging behaviours. Staff receive suitable training for abuse awareness and how to respond to any incidents or suspected incidents. All staff receive a CRB check when employed. A detailed complaints procedure is displayed and the registered manager agreed to add a simple statement for visitors so they may be aware of who to contact if they have any concerns. The home has recorded instances of a complaint being made regarding an outside light being left on. A recommendation is made for a pre-printed format to be provided where concerns may be recorded on. Poppies DS0000068943.V339102.R01.S.doc Version 5.2 Page 16 Poppies DS0000068943.V339102.R01.S.doc Version 5.2 Page 17 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): Quality in this outcome area is excellent. The environment is homely, clean and well provided for specialist equipment to promote residents independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has clean light and spacious accommodation. Bedrooms include personal items that indicate peoples’ interests and hobbies. En-suites to bedrooms and separate bath and toilets are clean and hygienic. There is specialised equipment to assist staff moving and handling. The lounge and dining rooms are suitable for people living in the home and the kitchen is also accessible to people in wheelchairs. People were seen accessing all areas. Poppies DS0000068943.V339102.R01.S.doc Version 5.2 Page 18 Some people were in their own rooms and were clearly enjoying their own activities. One person working at the computer desk in his room was absorbed in the programme he was working on at the time. Poppies DS0000068943.V339102.R01.S.doc Version 5.2 Page 19 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): Quality in this outcome area is good. Residents are supported by qualified staff who understand their roles and responsibilities. Residents are protected by the homes recruitment practices. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has robust employment procedures and a staff file seen included references. CRB checks are also required. Induction is undertaken and there is a probationary period during which regular reports are made on progress. The registered manager and senior member of staff are trained trainers for adult abuse awareness, moving and handling, health and safety and infection control. Some people require 1-1 input and this is undertaken according to the care plans. Poppies DS0000068943.V339102.R01.S.doc Version 5.2 Page 20 There are four staff on duty am, three staff pm and at night there is a wake night and sleep in night staff on duty. There is currently a vacancy for a senior member of staff and part time for a member of staff to undertake 1-1 with a resident. Established staff currently undertakes both these posts. The inspector spoke to staff whilst they were working in the kitchen and there was a lot of knowledgeable rapport with residents who came into the kitchen. The atmosphere was warm and friendly and it was apparent that the people living in the home felt comfortable and relaxed with the staff. Poppies DS0000068943.V339102.R01.S.doc Version 5.2 Page 21 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): Quality in this outcome area is excellent. The leadership and management ethos of the home means staff and residents benefit from a well run home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager stated she has 19 years experience working with people with challenging behaviour and physical disabilities. Records maintained in the home are highly detailed and informative. Maintenance certificates and the fire records are up to date. The registered manager agreed to complete the risk assessment for the rear exit to the kitchen where there is a large portable ramp stored. Poppies DS0000068943.V339102.R01.S.doc Version 5.2 Page 22 The laundry is clean and hygienic and, although not a designated fire exit, had an item in front of the back door. The registered manager agreed to make sure this access is not blocked. Residents’ monies are well organised and recorded and receipts are kept of all transactions. A sample viewed was accurate. The owning company had employed a facilities officer, who has since left, to undertake monthly health and safety checks and update environmental risk assessments. This is a useful facility and it is hoped that this post may be continued in the future. The home is only six months old and the Registered Manager said that she was planning to use questionnaires for residents and/or their families later on in the year. Poppies DS0000068943.V339102.R01.S.doc Version 5.2 Page 23 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 “ ” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 4 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 4 25 4 26 4 27 4 28 4 29 4 30 4 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 X 3 3 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 4 3 3 3 4 4 X X 3 2 4 Poppies DS0000068943.V339102.R01.S.doc Version 5.2 Page 24 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. 2. Refer to Standard YA42 YA22 Good Practice Recommendations Complete the risk assessment for the rear exit to the kitchen and ensure the laundry exit is not blocked. A complaints format is to be used for recording. Poppies DS0000068943.V339102.R01.S.doc Version 5.2 Page 25 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 Poppies DS0000068943.V339102.R01.S.doc Version 5.2 Page 26 - 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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