Inspection on 09/01/07 for Southfields

This inspection was carried out on 9th January 2007.

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 17/01/06

Southfields 02/08/05

Southfields 01/03/05

Southfields 10/01/05

Southfields 26/01/04

Similar services:

Thorndene

Insight - Eastchurch

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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 Key Unannounced Inspection 9th January 2007 09:30 Southfields DS0000037785.V303640.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 Southfields DS0000037785.V303640.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. Southfields DS0000037785.V303640.R01.S.doc Version 5.2 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.V303640.R01.S.doc Version 5.2 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. 17th January 2006 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 fees are currently £490.37 per week. Residents are advised in advance that this does not include entrance and admission fees for leisure activities. 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. The registered manager is currently on short term secondment to another establishment. The home is being managed in her absence by the manager of the adjacent Day Centre and overseen by the service development manager. Southfields DS0000037785.V303640.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 9th January 2007 between 10.00am and 14.30pm. At the time of the inspection there were 5 people staying at the home. The inspector spoke to 3 residents, the service development manager, team leader 1 resident’s advocate, and 3 members of staff. One other resident had limited communication and therefore the inspector spent time with her to see whether she appeared relaxed and comfortable. The inspector toured the building and looked at all communal areas and the bedrooms. 1 resident showed the inspector her bedroom. The inspection process also consisted of information collected before and during the visit to the home, and feedback from 2 relatives and 2 Care Managers after the site visit finished. Other information seen included general assessments, risk assessments and care plans, medication records, the duty rota and staff recruitment and supervision records. There were no outstanding requirements from the previous inspection and no requirements made following this inspection. What the service does well: What has improved since the last inspection? What they could do better: Update and increase the IT facilities for non-management staff so that they have better access to information and communication. Southfields DS0000037785.V303640.R01.S.doc Version 5.2 Page 6 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.V303640.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 Southfields DS0000037785.V303640.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 & 5 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The statement of purpose, service user guide and individual statement of terms and conditions, clearly says what service will be offered. Prospective residents can be confident that their needs will be assessed and can be met. EVIDENCE: The Statement of Purpose and Service User guide are updated regularly and have been produced in such a way that any prospective residents can be helped to understand them. The Service User Guide includes information of the fees and gives details of what residents are expected to pay for. Although the residents only come for temporary respite care, a comprehensive pre-admission assessment of each person’s individual needs is carried out prior to their first visit to the home. This includes input from their families, existing placements and/or from healthcare professionals. Southfields DS0000037785.V303640.R01.S.doc Version 5.2 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 & 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All of the service user ’s current enjoying respite care in the home had a care plan. 4 of these care plans had been updated prior to the current visit, and there was a care plan for the person who is staying in the home for the first time. The files include personal profiles, various assessments, likes and dislikes, and guidelines on how the home will assist residents in achieving any relevant goals. Comprehensive risk assessments have been prepared for each resident’s needs or activities, and include specific guidelines on how to minimise any risk. The team leader on duty said that residents are consulted and included when the various assessments are carried out. Some information is also prepared in a pictorial format to enable clients to have more input. Three of the resident Southfields DS0000037785.V303640.R01.S.doc Version 5.2 Page 10 said that they are asked what they like do, how they would like to have their room, what they would like to eat and how they like to be assisted. The records showed that staff sign to acknowledge having read assessments and guidelines. The inspector was informed that the home maintains a level of three staff per shift plus the manager or team leader during the day with one waking and one sleeping staff at night. One member of staff said that extra staffing has always been provided if there is a necessity. Issues relating to personal needs, equality and confidentiality are addressed during the induction period. All records are stored in a lockable office and there was no public display of confidential or personal information. Southfields DS0000037785.V303640.R01.S.doc Version 5.2 Page 11 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): 12,13,15,16 & 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Daily life meets the residents’ lifestyle preferences and expectations. Residents have regular contact with their families and friends. Residents receive a nourishing and balanced diet. EVIDENCE: Information in the daily records indicated that the residents have access to a range of leisure activities whilst they are staying in the home. Staff said that staffing levels are sufficient to enable residents to go on group activities and, sometimes, individual activities, such as going to the local pub. Residents are made aware in advance of their visit to the home that they must pay for entrance fees or tickets for any activity. Southfields DS0000037785.V303640.R01.S.doc Version 5.2 Page 12 Residents have the opportunity to become part of the local community by taking part in the various events within the local community. This includes local club events, bowling, swimming, the cinema and theatre, and day trips to places of interest. 2 relatives of people who have stayed for respite care said that their relatives enjoy staying at the home and enjoy the activities. Although there are no current issues, staff said that advice and support is given as and when necessary regarding personal relationships, and that the care plans would be updated to provide further guidelines. The menu records showed that residents have a good choice of nourishing food and 3 of the people currently staying in the home said that they enjoy the food. The cook said that dietary and cultural needs are always met and that if residents require their food liquidised this would be done in such as way as to preserve the colour and texture of each of the foods. There was a varied selection of foodstuffs, fresh fruit and vegetables etc in the store cupboard. Some residents are able make their own refreshments and to do cooking in the flatlets. Southfields DS0000037785.V303640.R01.S.doc Version 5.2 Page 13 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 excellent. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents care plans and daily records referred to clear guidelines on providing support for social care and health care needs. There was evidence in residents’ files to show that residents’ personal and healthcare needs have been closely monitored and that even though they are generally only in the home for short periods of time, they have been referred for specialist help whenever necessary. One resident’s advocate said that she visits several residents who stay in the home and that the staff are always quick to respond to any issues regarding health, general care needs, or the residents’ wishes. 2 residents’ care managers also said how well their clients’ needs have been met. All 4 of the residents who were either spoken to, or around during the inspection, were seen to be relaxed and comfortable when they were talking to staff. Southfields DS0000037785.V303640.R01.S.doc Version 5.2 Page 14 Staff referred to ways in which residents are supported, such as with medical, nutritional or communication needs and showed that they are sensitive to the needs of each individual. Although the manager and team leaders tend to be office based and therefore take the lead in the preparation and review of health and general care needs, staff said that they are involved in the daily recording, care plans and referrals for specialist help. The team leader said that new members of staff are made aware of the importance of medical issues as part of their induction training. Staff have to sign to acknowledge having read any important guidelines. The home has sound medication procedures. All residents are risk assessed to judge whether they would be able to look after and administer their own medication. Staff confirmed that generally only the team leaders would administer medication but all staff have to read the procedures. Medication was stored securely and appropriately in lockable cupboards. There are very clear procedures and audits for the receipt of residents’ medication and for any unused medication when the residents leave. Southfields DS0000037785.V303640.R01.S.doc Version 5.2 Page 15 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 excellent. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a complaints procedure and complaints forms are available for residents and/or their families. 2 residents said that they would tell a member of staff if they were not happy. Staff confirmed that they are made aware of the Kent County Council adult protection procedures in the early stages of their induction training and that all staff receive comprehensive training on the different forms of adult abuse. One member of staff said that staff are also made aware of the “whistle blowing” procedures. Southfields DS0000037785.V303640.R01.S.doc Version 5.2 Page 16 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, 29 & 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All bedrooms and living areas are furnished and decorated to a good standard, and contained the type of furniture and equipment necessary to provide a homely environment. Residents have their own single rooms and most of the bedrooms have recently been provided with televisions. Residents may bring as many of their possessions as is practical for a short stay. 3 residents said that they like their bedrooms and one said that she had been asked how she would like the furniture arranged. Some bedrooms are fitted with hoists, all have alarm call systems, and there are specialist bathing facilities. The lounge has recently been provided with a play station, pool table and various other leisure items. The garden is attractive and well-maintained and there are various items of garden furniture which are used by the residents. Some rooms have been provided with net curtains and the provision of curtains in 1st floor rooms was discussed with the service development manager. Southfields DS0000037785.V303640.R01.S.doc Version 5.2 Page 17 Staff showed a good awareness of health and safety issues and referred to training in health and safety, COSHH, fire safety etc. All staff are trained in infection control and all areas were seen to be clean and hygienic. There is a separate laundry with commercial type washers and driers. Disposable hand drying towels and pump soap dispensers also reduce the risks of cross infection. The home is well maintained. Maintenance certificates are current, appropriate checks are carried out regularly and there are no outstanding health and safety requirements. Southfields DS0000037785.V303640.R01.S.doc Version 5.2 Page 18 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 excellent. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is still a low level of turnover of staff. A dependency assessment is carried out prior to the admission of each new resident and this ensures that the ration of staff to residents and staffing levels are appropriate to the needs of the residents at any given time. Staff said that this system enables them to provide a better quality of care and give individual attention to the residents. Since the last inspection a transitional support worker has also been appointed to carry out assessments for local service users. One member of staff said that the training provided is excellent and she will be attending HIV awareness training in February. Recent training includes infection control, medication administration, sexual awareness, and provision of specialist feeding techniques. New staff received a range of induction training over a 4 week period. Southfields DS0000037785.V303640.R01.S.doc Version 5.2 Page 19 5 staff files were examined and showed that there are sound recruitment systems in place. All staff have references and CRB checks taken up prior to employment or working unsupervised. Although the registered manager is currently temporarily seconded to another establishment, all of the staff interviewed referred to the high level of supervision and support provided by the Acting manager, team leaders and service manager. Southfields DS0000037785.V303640.R01.S.doc Version 5.2 Page 20 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 excellent. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Although the registered manager is currently temporarily seconded to another establishment, the service appears well managed in her absence by a manager from an adjacent KCC centre. She is supported by the area manager, who has an excellent knowledge of the home. All records required by law were seen to be current and clearly completed. There are various audit trails, eg in admission procedures or medication administration, to ensure that the service operates on an effective, fair and accountable basis. Regular monitoring checks are carried out and the home’s development plan is updated yearly. The local authority that operates the home also liaises with other local statutory agencies. There is a regular Southfields DS0000037785.V303640.R01.S.doc Version 5.2 Page 21 newsletter that is produced for residents, families and carers, which provides general news as well as feedback on quality monitoring forms. The team leader and staff, including ancillary staff, showed a good awareness of health and safety issues and there were no obvious hazards around the premises. Southfields DS0000037785.V303640.R01.S.doc Version 5.2 Page 22 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 4 2 4 3 X 4 X 5 4 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 4 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 4 30 4 STAFFING Standard No Score 31 X 32 4 33 X 34 4 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 4 X 4 X 4 X X 4 X Southfields DS0000037785.V303640.R01.S.doc Version 5.2 Page 23 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.V303640.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone 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 Southfields DS0000037785.V303640.R01.S.doc Version 5.2 Page 25 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!