Inspection on 25/09/07 for Scotts Project Trust

This inspection was carried out on 25th September 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

Scotts Project Trust 11/11/08

Scotts Project Trust 14/11/06

Scotts Project Trust 13/02/06

Scotts Project Trust 20/09/05

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 Sarah Montgomery Key Unannounced Inspection 25 September 2007 10:25 th Scotts Project Trust DS0000024009.V343151.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 Scotts Project Trust DS0000024009.V343151.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. Scotts Project Trust DS0000024009.V343151.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Scotts Project Trust 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) 1-3 St Peters Row Delarue Close Shipbourne Road Tonbridge Kent TN11 9NN 01732 771593 01732 378945 Scotts Project Trust Miss Alise Dawn Garrett Care Home 14 Category(ies) of Learning disability (14) registration, with number of places Scotts Project Trust DS0000024009.V343151.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. People with a learning disability may also have a physical disability Date of last inspection 14th November 2006 Brief Description of the Service: The Scotts Project Trust is a Christian based registered charity. It is registered to provide residential care and support to 14 adults with learning disabilities. The home is separated into three houses, which are connected. There is a day centre in the grounds which the residents access. A team of staff supports residents, comprising of a manager, deputy manager, team leaders and care staff. There are fourteen single bedrooms all with a television point. Three bedrooms are on the ground floor, and are specifically for residents who have additional physical disabilities. None of the rooms have en-suite facilities. There is one bathroom to every two bedrooms. 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. The fees range from £762.99 to £1017.77 per week. Extra charges for Chiropody, toiletries, transport, haircuts, magazines, holidays and Hydrotherapy. Residents and their representatives have access to the homes’ statement of purpose and service user guide. These documents are kept in the office. Scotts Project Trust DS0000024009.V343151.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Sarah Montgomery conducted this key unannounced inspection on September 25th 2007. Evidence was gathered by speaking with residents, staff, and members of the management team. Several documents were inspected. These included care plans, risk assessments, policies and procedures. A partial tour of the home was undertaken. Most communal areas and a selection of bedrooms and bathrooms were inspected. What the service does well: What has improved since the last inspection? What they could do better: Residents would benefit if the home ensured clear support needs were documented in health care plans. Please contact the provider for advice of actions taken in response to this Scotts Project Trust DS0000024009.V343151.R01.S.doc Version 5.2 Page 6 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. Scotts Project Trust DS0000024009.V343151.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 Scotts Project Trust DS0000024009.V343151.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): Standards 1, 2, 3 and 4. Quality in this outcome area is good. Prospective residents can be confident their individual aspirations and needs will be assessed and met by the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has produced a pictorial service user guide. This is a comprehensive, easy to read document, and tells prospective residents and their representatives all about the home, the staff team, the surrounding area, and the kind of activities and support they may have. It includes information about the Commission and how to complain. The inspector spoke with a resident and a family member about the service user guide. Both commented on the helpfulness of the information contained within it. Pre assessment documentation was read. The assessment includes a full assessment of support needs. There is also a care manager assessment. Discussion with a resident and their parent confirmed full consultation and Scotts Project Trust DS0000024009.V343151.R01.S.doc Version 5.2 Page 9 input in the assessment. They also described a planned and structured transition period, which enabled a smooth move into the home. Since moving in, care plans and risk assessments have been developed, and the resident was happy and excited about the service, and feels it is meeting their needs, and reflects the kind of lifestyle they want. Scotts Project Trust DS0000024009.V343151.R01.S.doc Version 5.2 Page 10 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): Standards 6, 7, 9 and 10. Quality in this outcome area is good. Residents can be confident that their individual needs and choices will be assessed and met, and that they will be supported to make decisions and take risks. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans and risk assessments were cross-referenced with pre assessment documentation and daily records. The home is currently updating and changing their care planning system. The new system follows person centred planning principles, and is in a format that is easy to understand. Some resident care plans reflected this, while others are in the process of being re written. Scotts Project Trust DS0000024009.V343151.R01.S.doc Version 5.2 Page 11 All care plans viewed demonstrated a clear correlation with pre assessment and on going assessment documentation. Care plans and risk assessments were all detailed, and were generally good, based on positive outcomes, and centred on gaining and improving skills in independence. However, some care plans were contradictory. An example of this was a care plan about teeth cleaning which first stated ‘no support needed’, then went onto add ‘staff apply toothpaste and verbal prompts are required’. Residents would benefit from care plans including more detail about specific wishes of residents, particularly in the area of personal support. This will be documented further in Standards 18 and 19. Daily records evidenced that care plans and risk assessments were being carried out. Staff spoken with demonstrated knowledge and competence with regard to specific individual’s care plans. Residents also displayed an awareness of their care plans and risk assessments, and talked about how staff support them, and why they find this helpful. Scotts Project Trust DS0000024009.V343151.R01.S.doc Version 5.2 Page 12 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): Standards 11, 12, 13, 15, 16 and 17. Quality in this outcome area is good. Residents can be confident they will be supported to make positive lifestyle choices, and that these choices, including support needs, will be reflected in their individual plans. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Scotts Project has an on site day service. This is accessed by all residents, and can also be used by members of the local community. The day service offers a variety of activities, which range from education, leisure, work and skills. Many activities are community based. Residents all have individual timetables. The timetables are a reflection of assessed needs and of the wishes and the individual aspirations of the Scotts Project Trust DS0000024009.V343151.R01.S.doc Version 5.2 Page 13 resident. All residents are encouraged to make positive lifestyle choices, which will enhance their independence. Several residents spoke with the inspector about what they did in the day. Most of them were enthusiastic, and clearly gained much in terms of learning skills, having social opportunities and participating in leisure activities. They spoke of sometimes not feeling like going. Records (daily reports) indicated that residents were supported in making decisions and choices about their day, and if that included not wanting to participate, then this was supported and other activities were offered. One resident was particularly enthusiastic about the day service, and said it had opened up her life to friendships and opportunities for independence that she never thought would happen. Every resident has one evening a week where they cook a meal with staff support. Menus viewed were healthy and balanced. Residents confirmed that they have input into menus, and spoke highly of the quality and variety of food. Scotts Project Trust DS0000024009.V343151.R01.S.doc Version 5.2 Page 14 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): Standards 18, 19 and 20. Quality in this outcome area is good. Residents can be confident they will be supported with their personal and healthcare needs, but would benefit from having more detailed information recorded regarding support needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: As stated in Standard 6, care plans (including health care plans) are in the process of being re written and updated. Health care plans inspected lacked sufficient detail with regard to documenting specific wishes of individuals with respect of their preferences around personal support. Staff spoken with were able to demonstrate to the inspector they knew the wishes and support needs of individuals, but as noted above, this needs to be recorded. Scotts Project Trust DS0000024009.V343151.R01.S.doc Version 5.2 Page 15 Assessment documentation inspected evidenced that the physical and mental health needs of residents are known and are addressed. All health appointments are documented, and the home has good links with health professionals including specialists. The home has made changes in the way medication is managed. This has improved working practice. All medication charts are kept in the homes. These were inspected and found to be correct. The home has developed pain charts for residents to assist in the decision making around administering PRN medication. All individual medications have guidance around how individuals prefer to take their medication. All staff undergo medication training at the home, and all complete an accredited medication course. Scotts Project Trust DS0000024009.V343151.R01.S.doc Version 5.2 Page 16 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): Standards 22 and 23. Quality in this outcome area is good. Residents can be confident their views will be listened to and acted upon, and that they will be protected from harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A group of residents spoke to the inspector about how they put their views about the service across to staff and management, this involved sharing ideas, making complaints and wanting improvements. All of the residents spoke about the resident’s forum, and this seemed an active and important group, where all residents had a say, and decisions made were acted upon. The deputy manager facilitates the forum. Residents are encouraged to bring suggestions and general complaints to this. For specific and more personal complaints, residents will speak to their key worker or a member of the management team. All residents spoken with knew about the complaints procedure, and all felt comfortable about speaking to staff if they were unhappy. All staff are trained in adult protection protocols. Staff spoken with demonstrated awareness and competence around keeping residents safe, and were knowledgeable about the procedures to follow in order for this to happen. Scotts Project Trust DS0000024009.V343151.R01.S.doc Version 5.2 Page 17 Observations made during the inspection of staff interaction with residents evidenced an environment where residents are encouraged to speak out about anything that is bothering them. Scotts Project Trust DS0000024009.V343151.R01.S.doc Version 5.2 Page 18 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): Standards 24, 25, 27, 28, 29 and 30. Quality in this outcome area is good. Residents benefit from living in a comfortable, safe and homely environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour of the premises was undertaken. Most communal areas and a selection of bedrooms were inspected. All areas of the home presented as clean, hygienic and safe. Where adaptations were necessary, these had been made, and did not defer from the comfort or homeliness of the surroundings. Bedrooms were comfortable and welcoming. All bedrooms viewed had been personalised and were cosy and homely. Scotts Project Trust DS0000024009.V343151.R01.S.doc Version 5.2 Page 19 Bathrooms were clean and safe, and provided sufficient privacy and equipment for the assessed needs of residents. The gardens are spacious and well maintained. All service users spoken with talked about their home in positive terms, and seemed very proud of their environment. Scotts Project Trust DS0000024009.V343151.R01.S.doc Version 5.2 Page 20 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): Standards 31, 32, 33, 34, and 35. Quality in this outcome area is good. Residents benefit from being supported by an effective staff team and are protected from harm by robust recruitment practices. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff were observed throughout the inspection. Interactions between staff and residents were excellent, based on respect and promoting independence and choice. The staff team are highly trained, and staff are expected and encouraged to obtain NVQ3 in care. Staffing levels are good, and staff turnover is low. Because of the variety of services offered at the home, opportunities for staff to try new roles and develop other skills is high. Scotts Project Trust DS0000024009.V343151.R01.S.doc Version 5.2 Page 21 Staff files inspected evidenced the home operates a robust recruitment practice. Scotts Project Trust DS0000024009.V343151.R01.S.doc Version 5.2 Page 22 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): Standards 37, 38, 39 and 42. Quality in this outcome area is good. Residents benefit from living in a well run home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager is qualified and very experience. She has strong leadership skills and demonstrated a commitment to continual improvement of the service. It was clear that the services offered at the home are directly linked to the needs of individual residents. This includes not just assessed needs, but takes into account any ideas and suggestions put forward by the resident forum. Scotts Project Trust DS0000024009.V343151.R01.S.doc Version 5.2 Page 23 Staff are motivated and trained. Residents are protected by the home’s policies, and by the working knowledge of the policies by the staff team. The General manager provides support, guidance to the house manager, and also undertakes a quality assurance role. This is a positive addition, as it has given the manager more time for the day to day running of the home, and enabled her to undertake weekly shifts. Scotts Project Trust DS0000024009.V343151.R01.S.doc Version 5.2 Page 24 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 3 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 3 25 3 26 X 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 3 3 x 3 3 3 X X 3 x Scotts Project Trust DS0000024009.V343151.R01.S.doc Version 5.2 Page 25 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. 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. Refer to Standard Good Practice Recommendations Scotts Project Trust DS0000024009.V343151.R01.S.doc Version 5.2 Page 26 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 Scotts Project Trust DS0000024009.V343151.R01.S.doc Version 5.2 Page 27 - 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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