Inspection on 20/09/05 for Scotts Project Trust

This inspection was carried out on 20th September 2005.

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

Scotts Project Trust 11/11/08

Scotts Project Trust 25/09/07

Scotts Project Trust 14/11/06

Scotts Project Trust 13/02/06

Scotts Project Trust 27/10/04

Scotts Project Trust 13/05/04

Scotts Project Trust 30/12/03

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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 Scotts Project Trust 1-3 St Peters Row, Delarue Close Shipbourne Road Tonbridge Kent TN11 9NN Lead Inspector Paul Stibbons Unannounced 20 September 2005 11:00 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 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 Stationary 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. Scotts Project Trust H56-H06 S24009 Scotts Project Trust V246571 200905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Scotts Project Trust Address 1-3 St Peters Row Delarue Close Shipbourne Road Tonbridge Kent TN11 9NN 01732 771593 01732 378945 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Scotts Project Trust Miss Alise Dawn Garrett CRH Care Home 14 Category(ies) of Learning disability (14) registration, with number of places Scotts Project Trust H56-H06 S24009 Scotts Project Trust V246571 200905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. People with a learning disability may also have a physical disability Date of last inspection 27 October 2004 Brief Description of the Service: The Scotts Project Trust is a detached terrace of three interconnecting houses with accomodation on two floors. There are fourteen single bedrooms all with a television point and three of these bedrooms are on the ground floor as there is no lift to enable disabled access to the first floor. None of the rooms have en-suite facilities or call points installed. There is one bathroom to every two bedrooms. There are no facilities for guests to stay overnight. There is a large multi-purpose hall and a converted barn on the site for the use of the service users and day users. The project is approximately two miles from the town of Tonbridge in a quiet cul-de-sac set back from the main road. There are local shops, including a post office, chemist and library, and also a public house and church just half a mile away. Scotts Project Trust H56-H06 S24009 Scotts Project Trust V246571 200905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Regulatory inspector Paul Stibbons carried out this unannounced inspection and the home’s manager was present. A tour of the building was conducted and a number of records were inspected. The manager gave feedback on issues raised from the previous inspection and the inspector spoke with three members of staff and four service users who were present. What the service does well: What has improved since the last inspection? Since the last inspection the home has drawn up plans to erect a building to enable service users to meet visitors in private, the aim is to complete this project by spring 2006. The home has also consulted with specialists to redesign the kitchen area as a user-friendlier environment for wheelchair users and quotes obtained have been submitted for approval to the Trust. Senior members of staff responsible for the supervision of others have now had appropriate training for this role. Scotts Project Trust H56-H06 S24009 Scotts Project Trust V246571 200905 Stage 4.doc Version 1.40 Page 6 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. Scotts Project Trust H56-H06 S24009 Scotts Project Trust V246571 200905 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Scotts Project Trust H56-H06 S24009 Scotts Project Trust V246571 200905 Stage 4.doc Version 1.40 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 standard(s) 1, 2, 3, 4, 5 Service users are provided with sufficient information for them to make an informed choice about the home and whether their needs will be catered for within the service. EVIDENCE: The home conducts a comprehensive assessment of needs covering health, physical, social and emotional needs. Service users have the opportunity to stay for a trial period before making a decision to take up permanent residence. Care plans viewed evidenced the assessment process and support plans clearly directed the staff team on support needs. Service user guides viewed detailed rights and responsibilities of residents along with a signed individual contract of terms and conditions for their information. Scotts Project Trust H56-H06 S24009 Scotts Project Trust V246571 200905 Stage 4.doc Version 1.40 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 standard(s) 6, 7, 8, 10 Individual care plans reflect the changing needs and personal goals of service users and their right to confidentiality is upheld. EVIDENCE: The home is adopting a person centred planning approach for service users to gain a holistic view of individual requirements. The inspector viewed one completed example and the manager states that keyworkers’ are currently working with service users to develop this with them. Various charts viewed in the home evidenced that service users participate in decision-making around household tasks, choice of food and activities. The manager stated that service users held regular meetings to organise these tasks. During the inspection one service user was observed cleaning her room with support from a staff member. Sensitive service user information was seen to be securely stored when not in use and procedures observed evidenced that the right to confidentiality was actively promoted. Scotts Project Trust H56-H06 S24009 Scotts Project Trust V246571 200905 Stage 4.doc Version 1.40 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 standard(s) 11, 12, 13, 14, 15, 16, 17 Service users have the opportunity to participate in a range of activities that meet their spiritual, educational, social and leisure needs. They are supported in maintaining friendships and family contacts and given guidance as to their rights and responsibilities. They receive a healthy and a balanced diet around their choice of food. EVIDENCE: Service users are supported in accessing a vast array of activities for personal development, social and leisure purposes. The local college is used for life skills training and the Adult education centre for literacy, numeracy and computers. Other facilities used in the community include, swimming, horse riding, drama classes, cinema, public houses, boot fairs, ten-pin bowling, social clubs and shows at the Assembly Hall. Activities arranged on site include art and craft, gardening and current affairs sessions. All of the service users have had an annual holiday this year at either Butlins at Minehead, Scotland, Bognor Regis or Wales. In addition the home arranges day trips to France for service users. Service users are supported in using the local church when they wish. The inspector viewed activity schedules for individuals and daily reports Scotts Project Trust H56-H06 S24009 Scotts Project Trust V246571 200905 Stage 4.doc Version 1.40 Page 11 confirm the participation of service users in their chosen activities. In addition service users spoken with told of their enjoyment in undertaking chosen interests, one service user stated he was a team member of a local bowls club. Works of art were on display throughout the home and the manager confirmed they were the works of service users. This standard is judged as commendable in recognition of the opportunities afforded by the service. Service users are supported in maintaining family contact and one spoke of a visit to Scotland to see a relative, others showed the inspector family photographs in their rooms. The manager commented on two service users who have formed a close relationship and explained how professional input had been sought to ensure the parties were aware of their rights and responsibilities. The staff sleep-in room has been re-arranged to also accommodate private visits for service users; the manager acknowledges this is not a permanent solution and has agreement in principle to the erection of a garden room for all three homes. Due to the need to raise funds for this project the timescale for this project will be extended. Service users choose when and where to eat and participate in suggesting the menus. Those menus viewed indicated a varied and balanced diet. Staff stated that service users took turns in cooking the meals with support and a rota was displayed confirming this. Scotts Project Trust H56-H06 S24009 Scotts Project Trust V246571 200905 Stage 4.doc Version 1.40 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 standard(s) 18, 20 Service users receive personal support in a respectful and dignified manner using appropriate equipment to promote their independence. Competent staff using safe procedures, support service users who are unable to administer their own medication. EVIDENCE: Staff were observed interacting with service users in a respectful manner and with meaningful conversations. The home has provided assisted baths and a walk-in shower for disabled access to promote the independence of service users. The manager stated that quotes had been obtained to make the kitchen facilities more user friendly to wheelchair users, as was recommended in a previous inspection. A new refrigerator has been purchased that enables access by wheelchair users. Medication records viewed were accurately completed and securely stored, however, there is a requirement to record explicit guidelines for staff on administering “as required” medication for the safety of service users. Medication is stored in a lockable cabinet situated in the lounge area; a thermometer must be fitted to maintain temperature control and the quality of service user medication. Medication inspected was correctly labelled and within the expiry date. Scotts Project Trust H56-H06 S24009 Scotts Project Trust V246571 200905 Stage 4.doc Version 1.40 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 standard(s) 22, 23 Service users are protected from abuse by the home’s policies and procedures and staff training. They can be confident that their concerns are listened to and acted upon. EVIDENCE: Service users hold house meetings and attend some team meetings and are encouraged to raise any concerns they may have. The complaints file was viewed by the inspector and all complaints were appropriately responded to by the home’s manager and recorded accordingly. The home’s manager states that all staff receive training on adult protection and training schedules evidenced POVA training is booked for 21st October 2005. All service users have a designated keyworker and a copy of the home’s complaints procedures through which to raise concerns. Scotts Project Trust H56-H06 S24009 Scotts Project Trust V246571 200905 Stage 4.doc Version 1.40 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 standard(s) 24, 25, 26, 27, 28, 29, 30 The home provides a safe, comfortable and well-maintained environment and there is adequate personal and communal space for service users. Specialist equipment is provided to maximise independence for them. EVIDENCE: The home is homely and comfortable and adequately furnished to meet the needs of service users. The three homes are interconnecting each with their own lounge, kitchen and bathrooms. The manager explained that service users from each home respect the privacy of others and only use their own designated entrance door; it was noted that interconnecting doors had a notice on them to this effect. Each home has laundry facilities that are appropriate for the needs of service users. All three homes have access to spacious and well-maintained gardens. Service user bedrooms reflect their individual interests and many personal possessions were on display. All bedrooms have a washbasin and television point installed and service users spoken with confirmed their rooms met all their needs. Four bedrooms are fitted with detectors to alert staff during the Scotts Project Trust H56-H06 S24009 Scotts Project Trust V246571 200905 Stage 4.doc Version 1.40 Page 15 night if their support is required. There are six bathrooms in total; two of them have assisted baths and a shower room also has disabled access. On the day of the inspection all areas of the home seen were clean and tidy and free from offensive odours. Scotts Project Trust H56-H06 S24009 Scotts Project Trust V246571 200905 Stage 4.doc Version 1.40 Page 16 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34, 35, 36 Service users’ individual and joint needs are met by a competent and qualified staff team and they benefit from clarity of staff roles and responsibilities. EVIDENCE: Care staff spoken with during the inspection stated that they have received job descriptions detailing their roles and responsibilities. There is a staff training matrix on view in the office and staff confirmed they had received induction training and other courses appropriate to their roles, for example, manual handling, first aid, food hygiene and the management of physical and verbal aggression. Six members of staff have attained NVQ level 2/3 and a further eight are currently working towards this award. Staff stated that they have monthly supervision from a senior and the manager confirmed that seniors have had appropriate training to carry out this role. Service users are protected by the home’s recruitment procedures as evidenced by personnel files viewed containing two written references and a CRB check. The manager stated that CRB checks had been destroyed to comply with data protection; the inspector discussed this with the manager and recommends the recording of the date and reference number of the check as evidence it had been received. Scotts Project Trust H56-H06 S24009 Scotts Project Trust V246571 200905 Stage 4.doc Version 1.40 Page 17 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 39, 41 Service users benefit from living in a home that is run by a qualified, competent and approachable manager. They are consulted on their views on the running of the home and know their opinions are valued. EVIDENCE: The homes manager has PG Dip. In Management and NVQ level 4 in Care. Members of staff spoken with felt that the management approach of the home was positive and inclusive. The Trustees undertake a monthly audit where a service user is interviewed in private, service users and their relatives are provided with a service questionnaire annually, and the manager has devised a format to evaluate the service. Samples of records required by regulation for the protection of service users and efficient running of the home were viewed and seen to be accurate and complete. Scotts Project Trust H56-H06 S24009 Scotts Project Trust V246571 200905 Stage 4.doc Version 1.40 Page 18 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 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 x 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 4 4 4 4 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Scotts Project Trust Score 3 x 2 x Standard No 37 38 39 40 41 42 43 Score 3 3 3 x 3 x x H56-H06 S24009 Scotts Project Trust V246571 200905 Stage 4.doc Version 1.40 Page 19 NO 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. 2. Standard YA 20 YA 20 Regulation 13 (2) 13 (2) Requirement Clear guidelines must be in place for when to administer as required medication. A thermometer must be in place to monitor temperatures in medication cabinets for the safe storage of medication. Timescale for action By 30 November 2005 By 30 November 2005 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 YA 34 Good Practice Recommendations A record of CRB checks on staff should be recorded Scotts Project Trust H56-H06 S24009 Scotts Project Trust V246571 200905 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection The Oast, Hermitage Court Hermitage Lane Maidstone Kent ME16 9NT 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 Scotts Project Trust H56-H06 S24009 Scotts Project Trust V246571 200905 Stage 4.doc Version 1.40 Page 21 - 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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