Inspection on 18/01/06 for The Foam

This inspection was carried out on 18th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Foam 20/02/09

The Foam 21/03/08

The Foam 06/07/06

The Foam 01/09/05

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 Unannounced Inspection 11:50 18 January 2006 th The Foam DS0000023232.V265353.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 The Foam DS0000023232.V265353.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. The Foam DS0000023232.V265353.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Foam Address Chapel Road Dymchurch Romney Marsh Kent TN29 0TD 01303 875151 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 Mr Keith Yarnley Care Home 3 Category(ies) of Learning disability (3) registration, with number of places The Foam DS0000023232.V265353.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st September 2005 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. Craegmoor Healthcare (ParkCare Homes no 2) are the registered providers. Ms L Ford currently undertakes the day-to-day management and control in her role as acting manager. 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 DS0000023232.V265353.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and was undertaken on 18/01/06 between 11:50 and 15:30. The inspector met and spent time with the manager and spoke with all staff on duty. The inspector spoke with the three service users who were at home during the course of the visit. The Inspector viewed the premises and inspected a range of records. The Inspector also spoke to the area manager, Ms O’Mara on he phone, to seek confirmation that repairs/improvement to the windows in the office were being actioned without delay. It was reported that they would be completed within 4 weeks. 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 DS0000023232.V265353.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection The Foam DS0000023232.V265353.R01.S.doc Version 5.0 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 the following standard(s): Assessed 1/9/05 EVIDENCE: The Foam DS0000023232.V265353.R01.S.doc Version 5.0 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 the following standard(s): 6 Service user files contain information pertinent to the ongoing care of the service users. The format is undergoing review by the acting manager to ensure they are up to date and relevant to the current status. EVIDENCE: Each service user has an individual Care plan. Support needs are identified and guidelines are in place to help staff address the requirements. Goals are identified numerically and staff note in the daily records whether or not the targets have been met. An example seen showed that a progress evaluation review had recently been undertaken. The Manager reported that she is in the process of revamping the care plan format to ensure that they remain up to date and relevant to the current status. The Foam DS0000023232.V265353.R01.S.doc Version 5.0 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 the following standard(s): 11-17 The home offers recreational and leisure activities based on personal needs, wishes and interests. The home encourages service user family contact, visits and participation in the decision-making process. EVIDENCE: The mobility of two of the service users is slightly impaired but steps have been taken to help them come and go as they please in the communal areas and grounds. The house is a non-smoking environment. Staff may use the garden for this purpose. Staff confirmed that the daily routines are flexible and respect the service users rights and individuality. Activities may be limited by service user ability, application and inclination. A previous inspection report noted that there was little evidence of structured activity or stimulating pastimes. There is now a day activity plan for one service user who has a more structured week. The other two have very different needs, which are responded to on a daily basis. The home has a vehicle available for transporting service users to and from trips out, social venues and home visits. The Foam DS0000023232.V265353.R01.S.doc Version 5.0 Page 10 The menu record showed a varied and balanced selection of meals. Staff are aware of service user likes, dislike and preferences and cater accordingly. Service users are supported to maintain links with family. The home will consult and inform them of any major issues relating to the service users. The Foam DS0000023232.V265353.R01.S.doc Version 5.0 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Assessed 1/9/05 EVIDENCE: The Foam DS0000023232.V265353.R01.S.doc Version 5.0 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23. The home has a complaints procedure with written information available to service users and visitors. Staff have received training in the protection of vulnerable adults. EVIDENCE: There is written information relating to complaints, on display in the home. A company complaints procedure and record form is held in the policy folder. Staff have attended training in the understanding of adult protection issues in order to protect service users from possible harm or abuse. A whistle blowing policy is in place for staff reference. The Foam DS0000023232.V265353.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 The staff endeavour to provide a homely environment. The communal space is however limited to one room for relaxing, eating and, if necessary holding meetings. The staff facilities are equally limited. The small office/sleep in room is in need of repair and refurbishment at the earliest opportunity EVIDENCE: This group of standards were generally assessed at the last inspection visit. It was noted at the time that the office/sleep in room was due for refurbishment and alteration following advice from the fire safety officer. The work has yet to be done. The sliding window however is damaged and although temporary repairs have been effected appropriate measures should be taken without delay. The inspector spoke with the area manager by phone who indicated that the works would be completed within 4 weeks of the inspection. The Foam DS0000023232.V265353.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Assessed 1/9/05 EVIDENCE: The Foam DS0000023232.V265353.R01.S.doc Version 5.0 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,42. The home is well managed and provides a caring and supportive service that promotes development, health and welfare of the service users. There appears to be an open and inclusive atmosphere within the home. The staff and service users have the opportunity to express views and opinions. EVIDENCE: Since the last inspection visit Ms. Ford’s role in the home has changed from Team Leader to Acting Manager. It would appear that she has taken on additional responsibilities whilst retaining her approachable and inclusive style of management. She has recently commenced NVQ4/RMA training. The apparently relaxed atmosphere within The Foam encourages service users and their advocate’s opinions to be gathered informally. Visits by the registered provider (Regulation 26) are undertaken and recorded monthly. Apart from the damage to the office window previously mentioned, it would appear that the environment is reasonably maintained and steps taken to promote the continuing welfare of the service users. The Foam DS0000023232.V265353.R01.S.doc Version 5.0 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 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 X X X X x Standard No 24 25 26 27 28 29 30 STAFFING Score 1 X X X X X x LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X X X X x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Foam Score X X X X Standard No 37 38 39 40 41 42 43 Score 3 3 3 X X 1 x DS0000023232.V265353.R01.S.doc Version 5.0 Page 17 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA42YA24 Regulation 23(2) (b) Requirement Sliding window in office to be repaired/replaced. Timescale for action 17/02/06 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 YA35 Good Practice Recommendations It was suggested at the last visit that longer established staff who may not be pursuing formal training may benefit from completing the induction and foundation programme to appraise their practice and competencies. 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