Inspection on 21/04/05 for Strode Park Foundation (Coach House)

This inspection was carried out on 21st April 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 found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Strode Park Foundation (Coach... 10/07/06

Strode Park Foundation (Coach... 13/10/05

Strode Park Foundation (Coach... 10/11/04

Strode Park Foundation (Coach... 28/06/04

Similar services:

Thorndene

Sutton Lodge Nursing Home

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

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

CARE HOME ADULTS 18-65 Strode Park (Coach House) Strode Park Herne Herne Bay Kent CT6 7NE Lead Inspector Kim Rogers Unannounced 21/04/05 at 11:30 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Strode Park (Coach House) H56-H05 S23593 Strode Park Coach House V222798 210405 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Strode Park (Coach House) Address Strode Park Herne Herne Bay Kent CT6 7NE 01277 373292 01227 369033 www.strodepark.org.uk Strode Park Foundation for Disabled People Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Zoe Lee Care Home 8 Category(ies) of Learning Disability (8) registration, with number Physical Disability (8) of places Strode Park (Coach House) H56-H05 S23593 Strode Park Coach House V222798 210405 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: The home is registered to provide personal care and support to adults over 18 years who may have a physical and/or learning disability. Date of last inspection 10/11/04 Brief Description of the Service: The Coach House has been specially adapted for its present use. The home is spacious and set in the grounds of Strode Park. There are eight single rooms with a call bell system and TV point. Accomodation is set over two floors with a shaft lift accessing the first floor. All rooms and communal areas are suitable for wheelchair users. There is ample parking with mature gardens and extensive grounds. The Coach House aims to promote independence and develop life skills to enable students to live more independent lives. The Coach House provides an environment for the promotion of life skills and creative leisure activities for the young students. This enhances their self esteem and confidence to meet lifes challenges. When students develop their skills there is oppertunity to move to more independent living within the grounds of Strode Park. There is also a day centre on site. There are two units available in the grounds to develop skills further. The home is situated in village of Herne on a bus route. There are local pubs, shops and post office. The town of Herne Bay is about 2 miles away. Service users at the Coach House prefer to be known as students. Strode Park (Coach House) H56-H05 S23593 Strode Park Coach House V222798 210405 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection visit was unannounced and carried out over five hours on a Thursday afternoon. The Inspector spoke to the Manager, staff and students, looked around the home and looked at records. The Inspector spoke to a group of students in the day centre and spoke to students on an individual basis. The Inspector spent time with the Director of Human Resources looking at staff files and staff development. There are 6 students currently living at the Coach House. Students said they like the staff and they like the food. When asked ‘who is your favourite member of staff?’ One student said ‘All of them’ The atmosphere was welcoming, calm and relaxed. The home was clean and orderly. The Inspector spent time in the day centre on site. Some training is user lead like the cooking class that was in progress. Students said they enjoy coming to lots of different classes. Staff were talking to students in a positive respectful way. The Manager is very keen for students to develop their skills and move onto as independent a life as possible. The Manager spoke with understanding of students needs. The home has made progress towards meeting the requirements of the last inspection and has shown commitment towards meeting the National Minimum Standards. What the service does well: The service promotes and develops independent skills. Students are empowered to live as independently as possible and are encouraged to develop skills and move on. There is a bungalow and a ‘Lodge’ house in the grounds for students to move into when they are ready. Potential risks are managed so they do not restrict students. One student told the Inspector that they enjoyed their recent holiday with 3 friends. Person centred approaches are used for reviewing care and support with students empowered to choose the venue, date and participants of their review meetings. Staff are multi skilled and morale is high. Staff communication is good with daily handovers and regular staff meetings held. Recruitment procedures are thorough which protects students. Adaptations and equipment at the home suit the needs of students especially wheelchair users. The home is well run by a competent, experienced supportive Manager. Strode Park (Coach House) H56-H05 S23593 Strode Park Coach House V222798 210405 Stage 4.doc Version 1.30 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. Strode Park (Coach House) H56-H05 S23593 Strode Park Coach House V222798 210405 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Strode Park (Coach House) H56-H05 S23593 Strode Park Coach House V222798 210405 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2,3 and 5 Each Service User is aware of their role and responsibilities in the home. Service Users move into the home knowing that their needs can be met and that their independence will be maximised and promoted. Service users know that their goals and aspirations will be supported by the home. EVIDENCE: All students are issued with a contract of terms and conditions of residency. These have been updated since the last inspection to include details of the fee paid, by whom and what the fee includes. Staff go through contracts with students usually on a one to one basis or more generally at student meetings. Individual records are kept for each student. Records were sampled for three students and all contained a detailed assessment of needs. Assessments included detailed moving and handling guidelines. One student spoke of their care needs, which were detailed in the care plan. Staff spoke with knowledge of the needs of students. The Standards recognise the assessment process as crucial as the assessment forms the basis of the Service User plan. The home works closely with external professionals, including the local community team to ensure the assessed needs of students are met. The staff team is long standing and experienced. Some staff are skilled in alternative communication techniques including Makaton. Strode Park (Coach House) H56-H05 S23593 Strode Park Coach House V222798 210405 Stage 4.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 9 and 10 Students know that their personal goals are reflected in their individual plans and that potential risks are managed. Students know that their views are listened to and that their records will be kept securely maintaining confidentially. EVIDENCE: Each student has an individual Service User plan. Students are involved in the development of the plans. Support needs are detailed with actions taken by staff to support these needs. Potential risks are identified and the home takes steps to eliminate these risks where possible without restricting students’ independence. There was evidence that plans are regularly reviewed to reflect any changes in a persons needs. One student told the Inspector about their recent holiday, which they said ‘was great’. One student told the Inspector about their personal care needs. They said that staff support their needs in a respectful manner which protects their privacy and dignity. These needs were recorded in detail in the students Service User plan. Staff had a good understanding of students support needs. This was evident from the positive relationships and interactions between students and staff witnessed by the Inspector. Formal reviews are held regularly to ensure Strode Park (Coach House) H56-H05 S23593 Strode Park Coach House V222798 210405 Stage 4.doc Version 1.30 Page 10 that the home continues to meet students changing needs. A review was held on the morning of the visit. Person centred approaches are used with students choosing the venue, date and time and participants of review meetings. Students are empowered to achieve their dreams and aspirations with the while philosophy of the home being to promote and develop independent living skills so students may be enabled to move on to more independent living. Regular student meetings take place, which enables students to participate in the day-to-day running of the home as well as have support to make decisions about the home. Some staff have alternative communication skills. Strode Park (Coach House) H56-H05 S23593 Strode Park Coach House V222798 210405 Stage 4.doc Version 1.30 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 standard(s) 11,12,13,15,16,17 Links with the community are good and support and enrich students’ social and educational opportunities. Students have opportunities for personal and social development and are enabled to develop life skills. Life long learning is supported by the home. Daily routines respect students’ rights, responsibilities and individuality. Students know the relationships they form will be supported by the home. The meals in this home are good offering both choice and variety and catering for special diets. EVIDENCE: The home has built relationships with local colleges and providers of work experience. The home has been working with an organisation to develop employment and learning skills of students. One student showed the Inspector a workbook he was working from to develop cooking and food skills. Resources on site enable students to participate in a range of activities, including cooking, art and computing. This service is offered to Service Users living locally, which enables students to develop social skills and relationships. Relationships are Strode Park (Coach House) H56-H05 S23593 Strode Park Coach House V222798 210405 Stage 4.doc Version 1.30 Page 12 supported by the home. One student has extra support to maintain links with a family member who visits regularly. The home has offered the student a larger room to facilitate visits. One student said that they enjoy listening to a local radio station. Staff have supported the student to make visits to the radio station. The atmosphere was relaxed ad unhurried; interactions between staff and students were respectful and positive. Students were confident to joke with staff. Students have unrestricted access to communal areas and the grounds f the Coach House. The Inspector spoke to one of the cooks and looked around the dining room. The cooks prepare the lunchtime meal in the main kitchen. The day’s choices are displayed in the dining room. The cook said they always use fresh vegetables. Fresh fruit is available to students in between meals. Students are supported to prepare their breakfast and tea. There is also a training kitchen, which has been adapted to suit students’ needs and develop skills. Nutrition is monitored in care plans. Strode Park (Coach House) H56-H05 S23593 Strode Park Coach House V222798 210405 Stage 4.doc Version 1.30 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 standard(s) 18,19,20,21 The health needs of students are well met with evidence of good multi disciplinary working taking place on a regular basis. Personal care is offered in a way that protects students’ privacy and dignity and promotes independence. Some improvements on medication administration records are necessary to protect students. EVIDENCE: The home works closely with health professionals including district nurses, physiotherapists and occupational therapists. Some joint assessments have recently been completed to ensure students’ needs are being fully met. The Manager has sought advice about specialist equipment to maximise independence. One student told the Inspector they hope to get a new wheelchair soon. Personal care needs are detailed in care plans. One student told the Inspector that their personal care needs are being met. Details of students’ wishes in the event of becoming ill are recorded in Service User plans. Medication is stored in a locked trolley in the duty office. The Inspector looked at medication administration records. There were some gaps on the records. Staff said they thought staff had ‘forgot to sign’ when they administered medication. One record had changes made to it by hand with no detail of the prescibers authority for the change. One student had not had their 20.00 Strode Park (Coach House) H56-H05 S23593 Strode Park Coach House V222798 210405 Stage 4.doc Version 1.30 Page 14 medication for 17/20 days. Staff said this was because the student went to bed early. The Inspector required that the Manager look into the discrepancies in the medication administration records. Advice should be sought if a student does not take their prescribed medication. Strode Park (Coach House) H56-H05 S23593 Strode Park Coach House V222798 210405 Stage 4.doc Version 1.30 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 standard(s) 23 Students are safeguarded from abuse. EVIDENCE: All staff complete a detailed induction which includes the protection of vulnerable adults. Staff then attend refresher training on a regular basis. The home has an adult protection policy and has a copy of the local authority multi agency approach to adult protection. Staff have attended training in non aggressive physical intervention. Guidelines for supporting students who may challenge the service are detailed in their Service User plan, which are regularly reviewed. Specialist support services are accessed when necessary. Strode Park (Coach House) H56-H05 S23593 Strode Park Coach House V222798 210405 Stage 4.doc Version 1.30 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 standard(s) 24,25,26,27,29,30 The standard of the environment within the home is good providing students with an attractive and homely place to live. Student’s bedrooms suit their needs and lifestyles. EVIDENCE: The home was clean and orderly on the day of the visit. Some improvements to the environment have been made since the last inspection, including the redecoration of two bedrooms and the office. A walk in shower has been provided in one bathroom and a new sluice room has been created. Toilets and bathrooms are sited close to communal areas. One student told the Inspector that there was a suitable bathroom close to their bedroom. One student said that they were happy with their room and it suited their needs. Rooms are spacious and have adaptations and equipment to maintain and promote independence. All bedrooms are for single occupancy. Bedrooms are personalised. Some of the communal corridors are in need of redecoration, the Manager agrees that this is an ongoing issue due to the amount of wear by wheelchair users. This does not; however detract from the ambience of the home. Strode Park (Coach House) H56-H05 S23593 Strode Park Coach House V222798 210405 Stage 4.doc Version 1.30 Page 17 Strode Park (Coach House) H56-H05 S23593 Strode Park Coach House V222798 210405 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33, 34, 35 Staff morale is high resulting in an enthusiastic workforce that works positively with students to improve their whole quality of life. Staff are multi skilled ensuring good quality care and support. Students are protected by the home’s thorough recruitment procedures. The arrangements for the induction of staff are good with the staff demonstrating a clear understanding of their roles EVIDENCE: All staff have a job description and contract of employment. There is a detailed induction for staff, which is facilitated and supported by the home’s training Manager. One staff member showed the Inspector their induction workbook. Staff answer written questions relating to relevant areas. The Inspector recommended that the staff induction include some background and awareness of learning disabilities. The Manager agreed to address this. Staff sickness levels are low and staff retention is good. Most staff are longstanding and experienced. The home is fully staffed. Since the last inspection five staff have been recruited to form a relief bank of staff. These five staff cover any shortfalls in the permanent staff team such as sickness or annual leave. This means the students benefit from consistency of staff. The home has sufficient staff to meet students’ needs. The home has succeeded in registering 10 further members of staff on a National Vocational Qualification Strode Park (Coach House) H56-H05 S23593 Strode Park Coach House V222798 210405 Stage 4.doc Version 1.30 Page 19 course at level 2. Training courses are offered on a rolling programme by the training Manager. Staff have also researched other courses which the home has funded. This has developed staff autonomy and morale. Strode Park (Coach House) H56-H05 S23593 Strode Park Coach House V222798 210405 Stage 4.doc Version 1.30 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 41, 43 The Manager has a clear development plan and vision for the home, which she has effectively communicated to the students, staff and stakeholders. The Manager has a good understanding of what needs to improve in the home. Planning is in place and sets out how this improvement will be resourced and managed. The systems for student consultation are good with a variety of evidence that indicates that student and stakeholder views are sought. EVIDENCE: The Manager has the necessary qualification for running the home. The Manager has been managing the home for over three years and spoke with understanding of students needs. The Manager has a good relationship with the staff, students and stakeholders with an inclusive supportive management style. The Manager was observed communicating a clear sense of direction. The organisation makes a commitment to equal opportunities. The home is financially viable and had a business plan. Other staff support the operation of Strode Park (Coach House) H56-H05 S23593 Strode Park Coach House V222798 210405 Stage 4.doc Version 1.30 Page 21 the home including human resources staff, the training Manager and health and safety adviser. The home has the required public liability insurance cover. Strode Park (Coach House) H56-H05 S23593 Strode Park Coach House V222798 210405 Stage 4.doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score N/A 3 3 N/A 3 Standard No 22 23 ENVIRONMENT Score N/A 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 N/A 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 N/A 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 N/A 3 3 3 Standard No 31 32 33 34 35 36 Score 3 N/A 3 2 2 N/A CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Strode Park (Coach House) Score 3 3 2 3 Standard No 37 38 39 40 41 42 43 Score 3 3 N/A N/A 3 N/A 3 H56-H05 S23593 Strode Park Coach House V222798 210405 Stage 4.doc Version 1.30 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. 1. Standard YA20 Regulation 13(2) Requirement Medication administration records must be signed by staff when they administer medication. Staff files must contain the necessary documents and must be kept in the home. Any changes to medication administration records must detail the authority for the change. Advice must be sought when a student does not take their prescribed medication. Timescale for action 30/04/05 2. 3. YA34 YA20 Schedule 2 13(2) 30/10/05 21/05/05 4. YA20 12 30/04/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA35 YA32 Good Practice Recommendations Staff induction should include awareness and history of learning disablilty. 50 of staff should be qualified to at least NVQ level 2 by 2005. Strode Park (Coach House) H56-H05 S23593 Strode Park Coach House V222798 210405 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection 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. Extracts may not be used or reproduced without the express permission of CSCI Strode Park (Coach House) H56-H05 S23593 Strode Park Coach House V222798 210405 Stage 4.doc Version 1.30 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!