Inspection on 01/09/05 for The Foam

This inspection was carried out on 1st September 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

The Foam 20/02/09

The Foam 21/03/08

The Foam 06/07/06

The Foam 18/01/06

The Foam 08/02/05

The Foam 31/08/04

The Foam 24/02/04

The Foam 31/01/03

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 The Foam Chapel Road Dymchurch Romney Marsh, Kent TN29 0TD Lead Inspector Geoff Senior Announced 1 September 2005 10:00 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. The Foam H56 H05 S23232 The Foam V240263 010905 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Foam Address Chapel Road, Dymchurch, Romney Marsh, Kent, TN29 0TD 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) 01303 875151 Parkcare Homes Limited Mr Keith Yarnley Care Home only 3 Category(ies) of Learning Disability x 3 registration, with number of places The Foam H56 H05 S23232 The Foam V240263 010905 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: The Foam is registered as a Care home providing care and accommodation for up to three people with a learning disability. Creagmoor Healthcare (ParkCare Homes no 2) are the registered prroviders. Mr K Yarnley fulfils the role of day to day management and control in addition to his duties as registered Manager at nearby Cotswold Lodge. The home is a detached bungalow in a residential area of Dymchurch. The accommodation comprises three service user bedrooms. a lounge/diner and office/sleep in room. The service users have access to the kitchen and one WC. The Foam H56 H05 S23232 The Foam V240263 010905 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced and was undertaken on 1/9/05 between 09:50 and 14:30. The inspector met and spent time with the manager, spoke generally with all staff and specifically with one.. The inspector spoke with a service users who was at home during the course of the visit. The Inspector viewed the premises and inspected a range of records. What the service does well: 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. The Foam H56 H05 S23232 The Foam V240263 010905 Stage 4.doc Version 1.30 Page 6 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 The Foam H56 H05 S23232 The Foam V240263 010905 Stage 4.doc Version 1.30 Page 7 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) 2-5 There is a system in place for undertaking pre-admission assessments of prospective service users and an understanding of the need to ensure compatibility with the existing resident group. EVIDENCE: The service user group has remained the same for the past six years and the individuals have been accommodated within the organisation for 8-10 years. The move from other establishments to a quieter, smaller environment has proved beneficial in meeting assessed needs and modifying some challenging behaviours. The manager is aware of the level of detail required by the NMS relating to admissions. The company admission procedure and process allows for a protracted introduction and assessment period prior to any admission. It includes; visits, overnight stays, re-evaluation before the final agreement and encourages the involvement of family and representatives in all stages. Service user agreements and sponsoring authority contracts are maintained on the individual’s file. The Foam H56 H05 S23232 The Foam V240263 010905 Stage 4.doc Version 1.30 Page 8 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) 6-10 Care plans are clear and accessible. They are cross-referenced with risk assessments where appropriate to manage risk and promote independence. Staff have a good understanding of residents’ rights with regard to decision making and consultation on general matters affecting them. The documentation should indicate what involvement, if any, the service user, family and or advocate. EVIDENCE: Each service user has an individual Care plan. Support needs are identified and guidelines are in place to help staff address the requirements. Potential risks are identified and steps taken to manage them without compromising service users rights. Service users are consulted and encouraged to indicate their preferences or voice an opinion relating to their personal circumstances or, more generally, mealtimes, activities or issues requiring their participation. Service user family involvement in the care planning process and service user access to independent advocates was not clearly defined in the documentation viewed.. There was no public display of confidential or personal information. Records are securely stored; there was no public display of personal or confidential information The Foam H56 H05 S23232 The Foam V240263 010905 Stage 4.doc Version 1.30 Page 9 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) Not inspected EVIDENCE: The Foam H56 H05 S23232 The Foam V240263 010905 Stage 4.doc Version 1.30 Page 10 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. Management systems are in place to monitor and review the on going health needs of the service users. Staff are generally aware of the personal care needs of the service users and deliver care in a manner that promotes privacy and maintains dignity EVIDENCE: Staff are expected to monitor and report on the general health and well being of individuals and record in report books any significant changes or forthcoming appointments. Staff are generally aware of the personal care needs of the service users and deliver care in a manner that promotes privacy and maintains dignity. Guidance on the level of support required with personal hygiene, dressing and toileting is contained within care plan files. The arrangements for managing the administration of medication were satisfactory. Mr Yarnley reported that staff have received training commensurate with the requirements of the NMS and he is satisfied with the competency levels. The Foam H56 H05 S23232 The Foam V240263 010905 Stage 4.doc Version 1.30 Page 11 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) Not inspected EVIDENCE: The Foam H56 H05 S23232 The Foam V240263 010905 Stage 4.doc Version 1.30 Page 12 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) 24-30 The standard of the environment within the home is generally good and provides the service users with a comfortable and homely place to live EVIDENCE: The premises appeared to be clean and free from undue odours. Two private rooms were seen at this visit and were adequately furnished and personalised. One had recently been decorated. Communal space is limited but new furniture and decor in the lounge provides a comfortable and useable room. Toilet and bathroom facilities are reportedly adequate for current needs. One of the staff members has specific responsibility for health and safety and maintenance monitoring and action. The home is non smoking save the staff office/sleep in room which is also due for refurbishment. The Foam H56 H05 S23232 The Foam V240263 010905 Stage 4.doc Version 1.30 Page 13 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) 31-36 Recruitment practices provide for the protection of service users. Staff are supported to access training courses to enable them to work more effectively with the service users. The staff team is well supported and supervised by the management and is clear about its roles and responsibilities EVIDENCE: Staff were noted interacting with service users in a friendly, attentive and non patronising manner. Service users were seen approaching staff and management without inhibition. The manager has commenced RMA training, 2 staff have just started NVQ2.. Appropriate checks are undertaken prior to appointment or unsupervised staff access to service users. Induction and foundation training is included in the Craegmoor training and career development programme. It was suggested that longer established staff whio may not be pursuing formal training may benefit from completing the induction and foundation programme to appraise their practice and competencies. Staff confirmed that they receive regular one to one supervision The Foam H56 H05 S23232 The Foam V240263 010905 Stage 4.doc Version 1.30 Page 14 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) Not inspected EVIDENCE: The Foam H56 H05 S23232 The Foam V240263 010905 Stage 4.doc Version 1.30 Page 15 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 3 3 3 3 Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 x x x x x x x Standard No 31 32 33 34 35 36 Score 3 3 3 3 2 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Foam Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x x x H56 H05 S23232 The Foam V240263 010905 Stage 4.doc Version 1.30 Page 16 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 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. 1. Refer to Standard 35 Good Practice Recommendations It was suggested that longer established staff whio may not be pursuing formal training may benefit from completing the induction and foundation programme to appraise their practice and competencies The Foam H56 H05 S23232 The Foam V240263 010905 Stage 4.doc Version 1.30 Page 17 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 The Foam H56 H05 S23232 The Foam V240263 010905 Stage 4.doc Version 1.30 Page 18 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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