Inspection on 17/01/06 for Southfields

This inspection was carried out on 17th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Southfields 09/01/07

Southfields 02/08/05

Southfields 01/03/05

Southfields 10/01/05

Southfields 26/01/04

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Thorndene

Insight - Eastchurch

Magenta

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Greenacres

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Southfields Stanhope Road Ashford Kent TN23 5RW Lead Inspector Mrs Sue Gaskell Announced Inspection 17th January 2006 09.45 Southfields DS0000037785.V265422.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 Southfields DS0000037785.V265422.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. Southfields DS0000037785.V265422.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Southfields Address Stanhope Road Ashford Kent TN23 5RW 01233 620256 01233 631952 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) Kent County Council Mrs Amanda Dorothy Hood Care Home 15 Category(ies) of Learning disability (15) registration, with number of places Southfields DS0000037785.V265422.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Respite care to be provided for one (1) resident with physical disability whose date of birth is 04.06.1974. Service users over the age of 65 are restricted to 1 (one) whose DOB is 26.01.1939. 2nd August 2005 Date of last inspection Brief Description of the Service: Southfields is owned by the Kent County Council and provides respite care to up to 15 adults with learning disabilities. The home comprises a two storey purpose built detached building which includes 15 single bedrooms, a large lounge, social room, dining room, smoking room, sensory room, kitchen, laundry and 2 offices. There are 2 self contained flatlets and all rooms have TV points and an alarm call. There are suitably adapted bathrooms, toilets and showers and the home has a lift. There is a large well maintained garden which has patio areas and furniture suitable for the residents to use. The home is located in a residential area of Ashford, within easy travelling distance of shops, health facilities, a swimming pool, churches, and a cinema complex. Staffing comprises the Registered Manager, team leaders, care support staff, catering and domestic staff and an administrative assistant . Southfields DS0000037785.V265422.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over approximately 4 hours. The inspector spoke with the Registered Manager, team leader and 3 support workers and 1 resident who was in her bedroom. A tour was made of the other parts of the building and a number of records were examined. The inspector also appreciated an offer to view the nearby Kent County Council Day Centre which, although not requiring inspection, is used by many of the people who stay at Southfields. What the service does well: What has improved since the last inspection? The issue regarding amending the Statement of Purpose over one resident’s care is no longer applicable as that resident has moved to a long term placement. The environment has been considerably improved by an intensive programme of redecoration by the maintenance man, and the choice of pictures and floral displays by staff and clients. Ground floor windows have been provided with restrictors. Southfields DS0000037785.V265422.R01.S.doc Version 5.0 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. Southfields DS0000037785.V265422.R01.S.doc Version 5.0 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 Southfields DS0000037785.V265422.R01.S.doc Version 5.0 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 the following standard(s): 1 and 2 The Statement of Purpose and Service User guide provide prospective clients with the information they require. There are sound systems for assessing prospective residents’ individual needs and aspirations. EVIDENCE: The Statement of Purpose and Service User guide have been regularly reviewed and a brochure is produced in a format more easily accessible to prospective clients. The issue regarding amending the Statement of Purpose over one resident’s care is no longer applicable as that resident has moved to a long term placement. The records showed that comprehensive pre-admission assessments are carried out prior to people coming to the home for respite care. These include input from their homes, existing placement and/or from healthcare professionals. Southfields DS0000037785.V265422.R01.S.doc Version 5.0 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 the following standard(s): 6,7 and 9 There is a clear and consistent care planning system in place which includes all the information necessary to ensure that staff can meet people’s needs. The people staying in the home participate in their assessments and reviews as far as is possible, and are consulted on the running of the home. Residents are enabled and supported in taking risks as part of an independent lifestyle. EVIDENCE: All client’s have an individual care plan which is compiled either prior to, or immediately upon, admission. These include health care and social details, aims and objectives, risk assessments and clear guidelines on how best to assist them. The risk assessments covered a variety of activities and areas. Information is also compiled in pictorial form to enable input from clients. One resident indicated that she is asked what she would like do and how she wants to be assisted. Southfields DS0000037785.V265422.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): 12,14, 16 and 17 The people who come to stay in the home have good access to a range of leisure activities which are appropriate to their behavioural needs, age, peer group and culture. The home’s relationship with the community is a positive one and enhances their social, recreational and educational opportunities. People’s nutritional needs are well catered for, with a varied and balanced selection of foods available to meet their choice and cultural needs. EVIDENCE: The daily records contained information which confirmed that the people staying in the home enjoy a range of leisure activities and that there are sufficient resources, in terms of funding and staffing, to support these activities. Residents have access to many and varied events within the local community. Staff said that advice is given as and when necessary regarding personal relationships and that care plans would also provide guidelines. There was a good selection of foodstuffs, fresh fruit and vegetables etc in the store cupboard. There was evidence in one residents’ file and on the menu record to confirm that residents cultural dietary needs are observed and met. Southfields DS0000037785.V265422.R01.S.doc Version 5.0 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 and 20 The registered manager and staff have a good understanding of residents’ support needs and personal support is offered in such a way as to promote and protect residents’ privacy, dignity and independence. The health care needs of residents are well met with evidence of regular monitoring. There are generally sound systems for the receipt, storage, administering and disposal of medication. EVIDENCE: Residents care plans and daily records referred to clear guidelines on providing support and monitoring health care and social care needs. One resident showed the inspector her room and was seen to be well supported whilst being encouraged to be an independent as possible. Staff confirmed that only trained staff would administer medication and that the procedures are in the medication file. The medication administration record charts were clear and current and showed that medication is audited on clients’ arrival and departure. Any changes are clearly recorded. Risk assessments are prepared for residents who look after their own medication and the medication was seen to be stored safely. Southfields DS0000037785.V265422.R01.S.doc Version 5.0 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 and 23 There is a clear and easily accessible complaints process and residents’ views and listened to and acted upon. The systems in the home are designed to protect residents from abuse, neglect and self harm. EVIDENCE: Staff and residents were provided with details of the home’s complaint procedure. Staff referred to training on adult protection awareness and referred to issues where they have sought advice. Southfields DS0000037785.V265422.R01.S.doc Version 5.0 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, 28, 29 and 30 The communal areas and bedrooms are generally of a good standard, although are some areas of the environment which would benefit from attention. Residents who come for respite care are provided with a range of specialist equipment. EVIDENCE: Several areas of the home have been redecorated and re-furnished since the last inspection and the inspector was satisfied that there is an on-going programme to complete this. New pictures and floral arrangements enhance the general appearance of the home. There were various items and specialist equipment which enable residents to make use of the facilities in the home. Southfields DS0000037785.V265422.R01.S.doc Version 5.0 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, 33, 34, 35 and 36 Residents benefit from a committed, competent, well trained and effective staff team. Staff are well supervised and supported. EVIDENCE: Staff turnover remains at a low level. The staff to resident ratio is based on a dependency assessment format which ensures that staffing levels are appropriate to the needs of the residents at any given time. Staff explained that this enables them to provide more individual attention and a better quality of care. Staff are provided with a range of induction and on-going training and newer members of staff said that they have benefited from the new 4 week induction period. All of the staff interviewed referred to the high level of supervision and support provided by the registered manager, team leaders and area manager. Southfields DS0000037785.V265422.R01.S.doc Version 5.0 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 and 43 The home regularly reviews aspects of its performance through self review, and consultation with residents, their relatives or representatives and staff. There are clear and comprehensive systems in place to ensure that the health, safety and welfare of residents is protected and promoted. Residents benefit from a management system which is competent and accountable. EVIDENCE: The systems and formats which were introduced to enable better monitoring of care issues and quality are clear and effective. The newsletter which is produced for residents, families and carers, provides general news as well as feedback to their responses on the quality monitoring forms. The Manager and staff showed a good awareness of health and safety issues and there were no obvious hazards around the premises. The service is well managed and the inspector was able to see various audit trails, eg in admission procedures or medication administration, to ensure that this Kent County Council run service operates on an effective, fair and accountable basis. Southfields DS0000037785.V265422.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X 3 3 3 LIFESTYLES Standard No Score 11 X 12 3 13 X 14 3 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 4 3 3 4 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Southfields Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score 3 X 4 X X 3 4 DS0000037785.V265422.R01.S.doc Version 5.0 Page 17 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 Southfields DS0000037785.V265422.R01.S.doc Version 5.0 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. 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