Inspection on 28/06/06 for Rose Cottage

This inspection was carried out on 28th June 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 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Rose Cottage 05/01/06

Rose Cottage 23/09/05

Rose Cottage 27/05/04

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 Rose Cottage Rose Cottage Church Road Mersham Ashford Kent TN25 6NT Lead Inspector Paul Stibbons Unannounced Inspection 28th June 2006 11:00 Rose Cottage DS0000023535.V297657.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 Rose Cottage DS0000023535.V297657.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. Rose Cottage DS0000023535.V297657.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rose Cottage Address 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) Rose Cottage Church Road Mersham Ashford Kent TN25 6NT 01233 502223 rosecottage@counticare.co.uk Counticare Limited Andrew Shore Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Rose Cottage DS0000023535.V297657.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th January 2006 Brief Description of the Service: Rose Cottage provides accommodation for a maximum of four people with a learning disability aged between 18 and 65. The premises consists of a spacious cottage situated in the rural village of Mersham. The local pubs and village shop are a short walk from the home. There is a public bus service to the larger towns of Ashford, Hythe and Folkestone. The home has a large secluded garden and access to country walks. The scale of charges as at 27/06/06 range between £1202.05 and £1436.95 per week, there are additional charges for Horse riding, rock climbing, trampoline sessions, ten pin bowling and hairdressing. Rose Cottage DS0000023535.V297657.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and was of approximately four hours duration. The completed pre-inspection questionnaire was received by the CSCI prior to the inspection date. Also returned were four surveys from service users. A tour of the premises was conducted and a variety of records and documents were examined. The inspector spoke with two service users and three members of staff and observed the interactions and practices within the home. Time was spent with the person in charge to discuss the findings of the inspection. 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. Rose Cottage DS0000023535.V297657.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 Rose Cottage DS0000023535.V297657.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have the information they need to make an informed choice on whether the home is able to meet their needs. EVIDENCE: Care plans viewed showed that a full assessment of individual aspirations and needs had been carried out. A service user guide is available in pictorial format to enable understanding of those individuals with communication difficulties. Each service user has an individual contract detailing terms and conditions of the home. Rose Cottage DS0000023535.V297657.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9, 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users personal goals are not adequately monitored for progress. Confidentiality of written and verbal information is compromised. EVIDENCE: Support plans viewed contain a lot of information relating to individual routines, likes and dislikes, and general risk assessments for activities. Many of the personal goals recorded are repetitive and agreed some time ago. A discussion with the person in charge followed and it was agreed that individual goals need updating and monitoring against progress in achieving. One service user was observed doing cooking with support from a member of staff. Service users spoken with appeared happy with their lifestyles. The office area is open plan and people are constantly walking through to other parts of the home. Care plans and financial information are displayed on open shelves and therefore not secure from unauthorised individuals, likewise telephone conversations can be overheard by anyone passing through the area. This issue has been raised in previous reports by the CSCI and discussions with the Rose Cottage DS0000023535.V297657.R01.S.doc Version 5.2 Page 9 Quality assurance manager and home manager confirms the provider is aware of the need to review the facilities. Rose Cottage DS0000023535.V297657.R01.S.doc Version 5.2 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13,14, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have the opportunity to participate in a range of social, educational and leisure activities and enjoy meals that are varied and of their choice. EVIDENCE: Activity records examined showed that the majority of day-care is based around the Martello day centre where a range of activities are provided. At the time of the visit 2 service users were out and one was engaged in a cooking session supported by a member of staff. Service users have the opportunity to attend social events at the Martello, Special Olympics, and local public house three evenings per week. The person in charge states that additional staff are available if required to facilitate activities at weekends. Service users have recently had a holiday at a Butlins holiday camp and they spoke well of the experience. Menus viewed looked varied and balanced and service users spoken with said they enjoyed their food. Rose Cottage DS0000023535.V297657.R01.S.doc Version 5.2 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users physical and emotional needs are met and they are protected by the homes policies and procedures for dealing with medication. EVIDENCE: Support plans viewed contain a lot of information relating to individual routines, likes and dislikes, and general risk assessments for activities. As required by a previous inspection the medication cabinet has been moved to a more suitable location. The staff team has received training on the safe handling of medication evidenced on the staff training matrix. The homes manager states that he assesses each member of staff for competence on medication issues and this is recorded in their files. Care plans viewed evidence referrals to other relevant healthcare professionals when required. Rose Cottage DS0000023535.V297657.R01.S.doc Version 5.2 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users know their concerns will be listened to and acted on, and they are protected from abuse by the homes policies and procedures. EVIDENCE: The homes Adult abuse policy has been amended as advised in the last inspection. All staff have now attended training on adult protection issues. Members of staff spoken with were clear in their understanding of reporting procedures when allegations arise. Service users spoken to stated that they would approach staff members with any concerns they might have. Rose Cottage DS0000023535.V297657.R01.S.doc Version 5.2 Page 13 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): 24,25,28,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from living in a homely, safe environment with adequate personal and communal space for their needs. EVIDENCE: The home has recently purchased new lounge furniture as required by the previous inspection. A tour of the building indicated a clean and safe environment with no obvious health and safety hazards. Individual bedrooms reflected the interests and lifestyles of service users and where furnishings are sparse documented risk assessments explain the reasons. Service users’ benefit from the use of very large and well-maintained gardens. Rose Cottage DS0000023535.V297657.R01.S.doc Version 5.2 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from having a stable staff team in the home who are clear about their roles and responsibilities and are well supported and supervised. EVIDENCE: All staff have completed their induction package to ensure clarity of roles and responsibilities. Training matrix viewed shows relevant staff training is ongoing and core training requirements are scheduled to take place where required. Two members of staff have NVQ care awards and two others are currently undergoing training. Robust recruitment practices are in place for the protection of service users evidenced by individual CRB, POVA and reference checks on employees. A rota for staff supervisions is displayed and the senior states that seniors supervise support workers and the manager supervises the seniors. Rose Cottage DS0000023535.V297657.R01.S.doc Version 5.2 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users and staff benefit from the leadership and management approach of the home and their views are sought in the running of the home. EVIDENCE: Staff members spoken with demonstrated a commitment to providing a good service and the homes manager and senior were observed to provide leadership and an open approach to management. Service users are encouraged to express their views on a daily basis and have regular meetings with their key worker. The company quality assurance manager arrived during the visit to conduct a Reg.26 visit and was observed to speak with service users. Surveys received back from service users were generally positive and responses from those spoken with support this view. A tour of the premises did not identify any obvious health and safety hazards and various charts monitoring health hazards were examined. Rose Cottage DS0000023535.V297657.R01.S.doc Version 5.2 Page 16 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 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 x 27 x 28 3 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 x 3 1 LIFESTYLES Standard No Score 11 x 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 x 3 x x 3 x Rose Cottage DS0000023535.V297657.R01.S.doc Version 5.2 Page 17 Are there any outstanding requirements from the last inspection? Yes 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 Ensure office area allows for confidentiality, privacy and security of records. Previous timescale 06/04/06. Timescale for action 06/09/06 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 Residents’ personal goals to be updated and closely monitored. Rose Cottage DS0000023535.V297657.R01.S.doc Version 5.2 Page 18 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 Rose Cottage DS0000023535.V297657.R01.S.doc Version 5.2 Page 19 - 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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