Inspection on 06/10/05 for Rainbow

This inspection was carried out on 6th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Rainbow 04/09/07

Rainbow 26/10/06

Rainbow 24/03/06

Rainbow 17/03/05

Rainbow 07/09/04

Rainbow 26/02/04

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 Rainbow 5 Victoria Road Canterbury Kent CT1 3SG Lead Inspector Elizabeth Hendry Unannounced Inspection 6th October 2005 11:45 Rainbow DS0000023531.V254742.R01.S.doc Version 5.0 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 Rainbow DS0000023531.V254742.R01.S.doc Version 5.0 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. Rainbow DS0000023531.V254742.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Rainbow Address 5 Victoria Road Canterbury Kent CT1 3SG 01227 455745 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) L`Arche (Registered Office) Miss Dorota Wozniak Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Rainbow DS0000023531.V254742.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th March 2005 Brief Description of the Service: Rainbow is a care home providing personal care and accommodation for up to five people with learning disabilities. It is operated by L’Arche which is an international community within which are homes for people with learning disabilities. L’Arche Kent is the owner of Rainbow. The home is situated close to the city centre of Canterbury with all its amenities. The home was opened in June 1994 and comprises of a large semi detached house. All the residents have single rooms. There is an enclosed garden to the rear with off street parking. Staff join the home to become part of the community with many living on the premises. Staff and residents are known as members of the community. Rainbow DS0000023531.V254742.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes first annual unannounced inspection, which took place over the course of an afternoon. All of the service users were attending their respective day activities and were absent from the home throughout the inspection. The Registered Manager was spoken with and a tour of the home was undertaken. 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. Rainbow DS0000023531.V254742.R01.S.doc Version 5.0 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 Rainbow DS0000023531.V254742.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 The homes statement of purpose and service user guide require further development to ensure prospective service users are provided with sufficient information to be sure that the home can meet their needs. EVIDENCE: A copy of the homes service user guide and statement of purpose was viewed and found to be in need of updating. The registered manager confirmed that they had begun the process of reviewing the contents and were in the final stages before printing the final draft. The registered manager explained in detail the contents of the new service user guide and statement of purpose, all of which were found to comply with the Care Standard Act 2000. Rainbow DS0000023531.V254742.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,8 and 9 The care planning system is clear and consistent, providing staff with the information they need to meet the service users needs. Service users are actively encouraged to participate in the day-to-day running of the home. Service users are supported to take risks as part of an independent lifestyle. EVIDENCE: Individual care plans viewed clearly identified the level of need and assistance each service user requires. The registered manager confirmed that individual care plans are reviewed on a regularly basis, dates and signatures viewed confirmed this, however no evidence of service user involvement or consent could be found. The registered manager spoke of the service users attending and participating in formal weekly house meetings and being given the opportunity to meet with the director of the organisation four times a year. Individual and environmental risk assessments viewed clearly addressed the hazard, level of risk and gave clear instruction for measures to take to reduce the level of risk. The registered manager confirmed that detailed risk assessments are undertaken as part of the admission and assessment process. Rainbow DS0000023531.V254742.R01.S.doc Version 5.0 Page 9 A copy of the homes missing person’s policy was viewed and found to contain all relevant information. Rainbow DS0000023531.V254742.R01.S.doc Version 5.0 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 and 17 Links with the community are good, which support and enrich Service Users social and educational opportunities. The meals in the home are good offering both choice and variety and catering for special diets. EVIDENCE: The registered manager spoke of service users attending Canterbury college, a local day centre, community craft workshop, and gardening classes depending upon personal tastes and interests. For those service users interested in obtaining part time voluntary employment, staff members within the home provide full support and assistance. The registered manager spoke of a few residents enjoying helping out at a local farm. The home has use of a car and mini bus, and service users are encouraged to use public transport wherever possible to increase levels of independence. The home is actively involved within the community in particular a local church with the majority of service users enjoying regular attendance. Staff rotas are flexible to enable service users to access the wider community and take part in activities. Rainbow DS0000023531.V254742.R01.S.doc Version 5.0 Page 11 Service users are encouraged to choose and prepare meals where appropriate. The registered manager spoke of residents and staff choosing to regularly dine together within the large dining room. Mealtimes are flexible and dependent upon individual activities. Snacks and drinks are available at all times. The home has regular input from a dietician to ensure special diets are fully catered for and health needs are met. Rainbow DS0000023531.V254742.R01.S.doc Version 5.0 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): 20 The systems for medication recording require development to ensure the safety and well being of service users. EVIDENCE: The registered manager confirmed that none of the service users selfadminister medication. Medication administration records viewed were found to tally with drugs stored. No written consent could be found from service users to authorise staff to manager their medication. Handwritten medication entries on medication administration records had not been countersigned by a second member of staff. Medication records of drugs entering and leaving the home were found to be in a loose-leaf file, with some pages missing. The registered manager spoke of service users having frequent medication reviews with their GP. Rainbow DS0000023531.V254742.R01.S.doc Version 5.0 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): 23 Staff have a sound understanding of Adult Protection issues, which protects service users from possible abuse. EVIDENCE: The registered manager had a sound understanding of adult protection issues and the homes policy and procedure on reporting possible cases of abuse. Copies of the homes adult protection and whistle blowing policy were viewed and found to contain sufficient information. The registered manager confirmed that adult protection and abuse awareness training forms the basis of the induction process. Enhanced criminal records bureau checks are carried out for all members of staff. Rainbow DS0000023531.V254742.R01.S.doc Version 5.0 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 and 30 The standard of décor within the home is good, providing service users with an attractive and homely environment in which to live. Infection control measures currently in place assist in the promotion of the wellbeing and health and safety of service users. EVIDENCE: A tour of the home was undertaken, all areas were found to be clean, and decorated to a good standard. Fixtures and fittings were domestic in nature and of good quality. Paper hand towels were absent from hand wash facilities within the home. The registered manager confirmed that staff undertake infection control training as part of the induction process. Rainbow DS0000023531.V254742.R01.S.doc Version 5.0 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): These standards were not inspected on this occasion. EVIDENCE: Rainbow DS0000023531.V254742.R01.S.doc Version 5.0 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): These standards were not inspected on this occasion EVIDENCE: Rainbow DS0000023531.V254742.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 X X X X Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X 3 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 2 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Rainbow Score X X 2 X Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000023531.V254742.R01.S.doc Version 5.0 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. 1 Standard YA1 Regulation 6 Requirement Timescale for action 01/11/05 2 YA30 13 3 YA20 13 The registered person shall keep under review and, where appropriate, revise the statement of purpose and the service user’s guide. The registered person shall make 01/11/05 suitable arrangements to prevent infection, toxic conditions and the spread of infection at the care home. The registered person shall make 01/11/05 arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home. 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 YA6 Good Practice Recommendations All service users to sign care plan and medication authorisation. Rainbow DS0000023531.V254742.R01.S.doc Version 5.0 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 Rainbow DS0000023531.V254742.R01.S.doc Version 5.0 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. 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