Inspection on 06/10/05 for St Brannocks

This inspection was carried out on 6th October 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

St Brannocks 17/11/08

St Brannocks 12/12/06

St Brannocks 14/06/05

St Brannocks 06/10/04

St Brannocks 04/05/04

Similar services:

Insight - Eastchurch

Southfields

Thorndene

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 St Brannocks St Brannocks Dymchurch Road New Romney Kent TN28 8UF Lead Inspector Wendy Mills Unannounced Inspection 6th October 2005 11:00 St Brannocks DS0000023556.V257083.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 St Brannocks DS0000023556.V257083.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. St Brannocks DS0000023556.V257083.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service St Brannocks Address St Brannocks Dymchurch Road New Romney Kent TN28 8UF 01797 366663 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) Parkcare Homes (No. 2) Limited Mrs Caroline Jane Davies Care Home 7 Category(ies) of Learning disability (7) registration, with number of places St Brannocks DS0000023556.V257083.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th July 2005 Brief Description of the Service: St Brannocks is a small home providing care for seven people with learning disabilities. The registered provider is Parkcare (no 2) homes This is part of the Craegmoor group of companies. The registered manager is Mrs Caroline Davies. The home is arranged over two floors and has seven good-sized single bedrooms, a lounge/dining room and a large, flat and enclosed garden. A seventh bedroom was registered with CSCI this year. There is a large conservatory and a good-sized activities room at rear of the property. St Brannock’s is situated on the main road at St Mary’s Bay, close to the small town of New Romney. It is within half an hour’s drive of the larger towns of Folkestone and Ashford. St Brannocks DS0000023556.V257083.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection began at 11am and lasted two and a half hours. Mrs Caroline Davies, the registered manager assisted throughout. During the course of the inspection the views of two relatives were sought. In addition it was possible to speak with five of the seven clients who live at the home. A tour of the home was undertaken and key documentation examined. Both direct and indirect observation was used throughout the inspection. What the service does well: The home provides a welcoming and homely atmosphere. It uses the communual space available. The Home continues to maintain a high quality of care that meets the National Minimum Standards. The clients are well cared and like living in the home. They are able to put their views forward and participate in the running of the home if they wish. The environment is well maintained and there is a continuous improvement plan. There is a stable staff team and the management of challenging behaviour in the home is good. Staffing levels reflect the very specific needs of the clients. All staff, including the manager, promote the independence of the clients. Activities are managed very well. There is an activities room that is equipped with computers and art and craft work facilities. An activities organiser is employed and she is both creative and consistent in her approach. The clients all have education programmes, college or work placements and have been on at least two holidays this year. The home provides very good support for clients who are bereaved, recognising cultural and religious needs. The clients are supported to recognise religious and cultural differences in all aspects of life. The home regularly holds “themed weeks”, when they learn about other countries and cultures. St Brannocks DS0000023556.V257083.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. St Brannocks DS0000023556.V257083.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 St Brannocks DS0000023556.V257083.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): No standards in this section were inspected at this visit. No new clients have been admitted since the last inspection. EVIDENCE: St Brannocks DS0000023556.V257083.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): 6,7,8,9&10 There is a clear and consistent care planning system in place. This means that the clients can identify their aims and know that the staff will support them in achieving their goals. EVIDENCE: A sample of care plans was examined. All were up-to-date and in order. Care plans contain risk assessments and clearly reflect the assessed needs of the clients and how these can best be managed. The clients said that they can talk to staff and that the staff tell someone else only if it is necessary. They were pleased to talk about their recent achievements. One client has continues to do well with a planned weight loss and another has increased his concentration span. St Brannocks DS0000023556.V257083.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): 11, 12, 13, 14, 15 & 16 The home maximises the abilities of the clients and this means that they are able to achieve good levels of independence. The clients are aware of their rights and responsibilities and the home provides clear and consistent boundaries EVIDENCE: Conversation with the clients and indirect observation showed that they are able to express their views and wishes. Staff listen to the clients and take their views into account. It was also good to note that the clients are aware of both their rights and responsibilities whilst living in the home. The clients talked about their latest achievements. They are currently working on a mural for the activities room. This is a large scene with a variety of jungle plants and animals. They said that they are planning to make a flamingo next. The clients have used several different techniques such as collage and mosaic. Some of the clients have overcome their dislike of touching sticky and messy things to help achieve the overall effect. They have all improved their art and craft skills by taking part in this project. They have St Brannocks DS0000023556.V257083.R01.S.doc Version 5.0 Page 11 learned about working together and improved their confidence and selfesteem. All the clients and the activities co-ordinator are congratulated for their achievement. The home helps the clients keep in contact with their friends and family. Relatives said that they are pleased with the way the home supports their visits. On the day of inspection one of the clients was getting ready for a visit to his family. The home provides transport for home visits and other activities but the clients are also encouraged to make their own way when possible. One client regularly makes his own way to the local gym. This visit was made during the Muslim festival of Ramadan. The staff were helping one of the clients from this faith to fast if he wished. The home holds “themed” weeks. During these weeks both the clients and staff learn about other countries and cultures. The clients chose a country. Then they do art and craft work, make meals and talk about life of that country. The last country that they studied was Africa. St Brannocks DS0000023556.V257083.R01.S.doc Version 5.0 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 the following standard(s): 18, 19, 20 & 21 The clients receive sensitive personal support and their health is promoted. This has resulted in all the clients maintaining good health and emotional wellbeing. The home helps the clients understand the process of aging illness and death. This means that the clients can cope better with bereavement. Medication in the home is well managed. This protects the clients from harm that can be caused by the inappropriate administration of medicines. EVIDENCE: All the clients were in very good health and spirits on the day of inspection. They are all the correct weight for their height and have clear and healthy skin. They all attend a local gym on a regular basis. They have made friends at the gym and going to work on individual training programmes within the next few months. Mrs Davies said that all the clients had maintained good health since the last inspection. The home has changed the way it stores medicines. A new cupboard has been created in the staff office. This means that there is additional security for medicines. Documentation is well maintained and there are clear systems for recording controlled drugs and PRN medicines. St Brannocks DS0000023556.V257083.R01.S.doc Version 5.0 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 the following standard(s): 22 & 23 The home deals with complaints well and there is a good understanding of Adult Protection issues EVIDENCE: There is a written complaints procedure. There have been no formal complaints since the last inspection. Mrs Davies deals with day-to-day concerns as they arise and these are noted in the clients’ daily books. All staff have received training in adult protection and the appropriate use of restraint. St Brannocks DS0000023556.V257083.R01.S.doc Version 5.0 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 the following standard(s): 24, 25, 26, 27, 28 & 30 The standard of the environment is good. It provides the residents with a homely and welcoming place to live. There is plenty of communual space and the toilet and bathing facilities meet the needs of the clients. EVIDENCE: A tour of the home showed that all areas were clean and tidy. The bedrooms are all of a good size. Two of the clients showed the inspector their rooms. One client was pleased that his room had been re-decorated. He had chosen new curtains, duvet covers and a new chair for his room. The other client was very pleased with his room. He said it is like his own bed-sit. New furniture, pictures and curtains have been purchased for the conservatory. The clients really like this room and there is more space for the clients to spend time quietly if they wish. A new and exciting mural is in progress in the activities room. The clients are making this themselves with the help of Kim, the activities co-ordinator. This has made the activities room much more interesting and attractive. St Brannocks DS0000023556.V257083.R01.S.doc Version 5.0 Page 15 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): 31, 32, 33 & 36 There is a well trained and settled staff team and staffing levels are good. This means that the clients are protected from harm and encouraged to gain independence. EVIDENCE: Mrs Davies said that there has been no change in the staff team since the last inspection. Appropriate staff training is in place and records show that all staff have trained in the management of challenging behaviour. Previous inspections have shown that staffing levels meet the needs of the clients. The religious, cultural, gender and age mix of the staff reflects that of the clients. The staff help the clients understand and value differences in cultural and religious backgrounds. They hold “themed” weeks where everyone learns abut life in other countries. St Brannocks DS0000023556.V257083.R01.S.doc Version 5.0 Page 16 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 & 42 The management of the home is good. This means that the clients benefit from a well run home. EVIDENCE: Mrs Davies, the registered manager, has an open and honest approach. She reports incidents appropriately, in accordance with Regulation 37. She has a clear vision for the home and ensures that it is properly maintained. The company makes monthly visits and reports in accordance with Regulation 26. There are regular health and safety checks. The clients are aware of their responsibilities in respect of health and safety. One said that he understood why he could not have a kettle in his room and another said that she understood about kitchen safety. No health and safety concerns were noted during a tour of the home. St Brannocks DS0000023556.V257083.R01.S.doc Version 5.0 Page 17 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 X X 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 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 X 3 LIFESTYLES Standard No Score 11 3 12 4 13 3 14 4 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 X X 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 St Brannocks Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 X X X X 3 X DS0000023556.V257083.R01.S.doc Version 5.0 Page 18 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 St Brannocks DS0000023556.V257083.R01.S.doc Version 5.0 Page 19 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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