Inspection on 06/07/06 for The Foam

This inspection was carried out on 6th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 18/01/06

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 Paul Stibbons Unannounced Inspection 6th July 2006 09:00 The Foam DS0000023232.V299946.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 The Foam DS0000023232.V299946.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. The Foam DS0000023232.V299946.R01.S.doc Version 5.2 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) www.craegmoor.co.uk 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.V299946.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th January 2006 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. As at 12th July 2006 weekly charges range between £905 and £1195.88. The Foam DS0000023232.V299946.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Key unannounced inspection was carried out between 1445 and 1700 on the 12th July 2006 and was conducted by Regulatory inspector Paul Stibbons. The completed pre-inspection questionnaire, comment cards from Social workers, GP, Relatives and service users were received by the CSCI prior to the visit. A tour of the building was conducted and a variety of documents and records were inspected. The inspector spoke with three members of staff and two service users during the course of the visit. 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.V299946.R01.S.doc Version 5.2 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.V299946.R01.S.doc Version 5.2 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): 2, 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users needs are assessed and they know the home they choose will meet their needs and aspirations EVIDENCE: Care plans viewed evidenced that full assessments of service users’ needs have been carried out. Service user guides and Terms and conditions of residency are in place along with individual written contracts to enable informed choices to be made. The Foam DS0000023232.V299946.R01.S.doc Version 5.2 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, 7, 9, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users assessed needs and personal goals are reflected in their individual plans and they are supported to take risks as part of an independent lifestyle. Their right to confidentiality is upheld. EVIDENCE: Support plans examined documented service user likes and dislikes and their daily routines as guidance for staff to follow. Risk assessments are in place in individual support plans to enable an independent lifestyle within a safe framework. Service users are consulted through bi-monthly resident meetings on all aspects of life in the home. Care plans and other sensitive information is securely stored in the managers office. The Foam DS0000023232.V299946.R01.S.doc Version 5.2 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): 12,13,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are offered a range of appropriate activities to participate in and are encouraged to maintain family links. They are offered a healthy and varied menu according to their wishes. EVIDENCE: The home provides the opportunity for service users to participate in a range of activities both within the home and the wider community. There is a social resource centre at Folkestone with sessions in art and craft, pottery, gardening and a “snoozelem” facility. There is the opportunity to visit local public houses, shopping trips, meals out and walks. Service users do not always have the inclination to participate and their needs are addressed on a daily basis. Family contact is maintained by telephone and visits and one service user visits his mother from Friday to Monday. Menus appear to be balanced and healthy and staff have good knowledge of service user likes and dislikes. The Foam DS0000023232.V299946.R01.S.doc Version 5.2 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 the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive personal support in the way they prefer and require and their physical and emotional health needs are met. They are protected by the homes policies and procedures for dealing with medication. EVIDENCE: Records examined demonstrates that service users are supported in attending health checks at dentists, opticians and other relevant healthcare professionals when required. Service users are unable to administer their own medication and are supported by staff who have been trained in the safe handling of medication. Examination of procedures showed that medication is securely stored within the required temperature range with a clear audit trail of drugs received, administered and returned. Records inspected were accurate and complete. The Foam DS0000023232.V299946.R01.S.doc Version 5.2 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 the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users feel their views are listened to and acted on and they are protected from abuse EVIDENCE: There are complaints policies and procedures in place and service users spoken with stated that they would raise concerns with the manager or other members of staff. Training records show that all staff have had training around Adult abuse issues. Resident meetings are held bi-monthly where service users can raise any concerns they may have although being a small home issues would normally be addressed as and when they arise. The Foam DS0000023232.V299946.R01.S.doc Version 5.2 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 the following standard(s): 24,25,28,30 Quality in this outcome area is Adequate. This judgement has been made using available evidence including a visit to this service. Service users live in a homely environment although communal space is limited. The home is in need of some re-decoration. EVIDENCE: Service user bedrooms reflect the interests and lifestyles of the individuals and are of a good size. Handrails are fixed throughout the walkways to assist those with mobility issues. The home is clean and tidy but carpets and general decoration are looking rather worn. The home would benefit from re-decoration to improve the environment for service users. The window in the office has been repaired as required by the last inspection and the fire officers recommendations have been addressed. Communal space is limited but meets the needs of current service users. The Foam DS0000023232.V299946.R01.S.doc Version 5.2 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 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): 32,34,35,36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported by competent staff and individual and joint needs are met. They are protected by the homes recruitment policy and practices. EVIDENCE: Training files examined evidence that staff have received relevant core training and two members of staff have gained NVQ care awards. Members of staff not enrolled on NVQ programmes are in the process of having core areas of competence assessed by the homes manager. Four staff personal files were inspected and each have had the appropriate checks carried out for the protection of service users and evidence of supervision sessions on a regular basis. The Foam DS0000023232.V299946.R01.S.doc Version 5.2 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 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 good. This judgement has been made using available evidence including a visit to this service. Service users benefit from living in a well run home where their views underpin all self-monitoring. Their health, safety and welfare is promoted and protected. EVIDENCE: The acting homes manager has a City and Guilds Foundation Management in Care Award and is currently enrolled on the Registered Managers Award. There appears to be an open and inclusive atmosphere within the home where individuals are comfortable in expressing their views. Health and safety meetings take place quarterly and audits annually. The most recent Health and safety audit was conducted in April 2006. The homes manager was informed during the visit that the home has just been awarded The Investors in People Award. The Foam DS0000023232.V299946.R01.S.doc Version 5.2 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 Standard No Score 1 x 2 3 3 x 4 x 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 x 27 x 28 2 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 3 LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x The Foam DS0000023232.V299946.R01.S.doc Version 5.2 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. 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 YA24 Good Practice Recommendations The home would benefit from some re-decoration and cleaning or replacement of carpeting. The Foam DS0000023232.V299946.R01.S.doc Version 5.2 Page 17 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. Extracts may not be used or reproduced without the express permission of CSCI The Foam DS0000023232.V299946.R01.S.doc Version 5.2 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. 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. 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