Inspection on 13/06/06 for The Island Home

This inspection was carried out on 13th June 2006.

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 Island Home 12/11/09

The Island Home 21/09/07

The Island Home 20/01/06

The Island Home 26/07/05

The Island Home 03/09/04

The Island Home 26/05/04

Similar services:

The Shelley

Thorndene

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

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

CARE HOME ADULTS 18-65 The Island Home Main Road Leysdown On Sea Sheerness Kent ME12 4LH Lead Inspector Graham Cummings Unannounced Inspection 13th June 2006 09:45 The Island Home DS0000024028.V298333.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 Island Home DS0000024028.V298333.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 Island Home DS0000024028.V298333.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Island Home Address Main Road Leysdown On Sea Sheerness Kent ME12 4LH 01795 510271 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) Dr Jagjit Singh Pawar Mrs Kuldish Kaur Pawar Mrs Christine Susan Annette Strawbridge Dr Jagjit Pawar Care Home 44 Category(ies) of Learning disability (1), Old age, not falling registration, with number within any other category (23), Physical of places disability (20) The Island Home DS0000024028.V298333.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Residential care for people with a leaning disability is restricted to one resident whose date of birth is 26/10/1937 20th January 2006 Date of last inspection Brief Description of the Service: The Island Home is a large purpose adapted, two storey building which is split into two units. The upper floor provides care for twenty four older people. The ground floor provides care for people under 65 who have a physical disability; this is for twenty residents and has been adapted to allow for wheelchair access to all areas. Each area has its own communal areas and bathing facilities. There is a passenger lift. Each floor has its own staff team and in addition to care staff the home also employs catering, domestic, administrative and maintenance staff. There is a first floor patio area as well as large communal gardens. The home is located in the village of Leysdown which has local facilities, and there is a bus service to Sheerness which has more facilities and a railway connection. There is plenty of off road parking available. The fees charged by the home range from £550.00 to £650.00 per week. The Island Home DS0000024028.V298333.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced site visit was carried out on the 13th June 2006 and completed the Key Inspection. The report consists of information gathered from previous inspection reports, comments received from 7 Service Users, 3 care managers, 6 Health professionals and GP’s and 6 family members. The Inspector viewed documentation, toured the home, talked to Service Users, staff, Manager and Provider. The home is registered for 44 Service Users, presently there are 32 people in placement, the Inspector was informed that it was highly unlikely that the number would rise above 37 as that would mean using some of the larger rooms as doubles. Comments received from Relatives included, ‘ an excellent home in every way’ ‘I think my brother is able to make some of his own decisions’. A Care Manager said that ‘their Service User has been subject to several Adult Protection investigations and in my opinion the carers and Manager have always been open and honest about the circumstances…..I believe he is well supported and understood by those who care for him’. The Manager has completed the Fit Person Interview and is now formally registered as the Home’s Manager. The home has worked hard at improving the quality of paperwork and still in the process of completing this and it is being put onto the computer. There is a wide range of activities and outings available for Service Users to choose from, including day trips to France, cinema, shows and shopping. On the day of the unannounced visit, due to the hot weather, the Manager had arranged for a BBQ lunch, this consisted of sausages, burgers, chicken, chips, fresh pasta and salads and plenty more. One Service User later passed the office and thanked the Manager for a ‘lovely lunch’. The rooms seen were well furnished with Service Users personal belongings in abundance. The home offers and provides a good standard of care to Service Users living there. The home has recently gone through an Adult Protection enquiry that has now concluded, throughout the whole process the Manager and Provider have worked closely with all parties concerned to ensure that they were and are working in line with all of the Care Standards and Regulations. The Manager said the staff team is caring and sensitive to the needs of the Service Users and they have a core of long-term staff, however, there is a shortage of staff with NVQ training. At the time of the site visit 12 out of 33 care staff had an NVQ and 3 were completing it. The Manager and Provider are to address this issue. Although the home has made a lot of progress in the paperwork and recording, the Inspector noted that this was not always signed and dated. The Island Home DS0000024028.V298333.R01.S.doc Version 5.2 Page 6 The overall conclusion of the Inspection is that the home is working hard at bringing the recording and paperwork systems up to the good standard of care provided. 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 Island Home DS0000024028.V298333.R01.S.doc Version 5.2 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 The Island Home DS0000024028.V298333.R01.S.doc Version 5.2 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): 1,2,4,5 The quality of the service provided is good. Prospective Service Users have information available to make an informed choice about where to live. Prospective Service Users have their individual needs assessed and can visit the home prior to any placement. All Service User files seen contained a written contract. EVIDENCE: The Statement of Purpose and Service User Guide were updated in July 2005 and no new changes have occurred since. The home has produced a new Pre Placement Assessment form and this is now being used to ensure that any future individuals placement needs can be fully met. The home follows admission procedures that allow for prospective Service users to visit the home before agreeing to a placement. Initially all new placements are agreed on a 6 week probation period for both parties. The Inspector looked at 3 Service User files and found that they all contained contracts, however these were not all signed or dated. The Island Home DS0000024028.V298333.R01.S.doc Version 5.2 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 The quality of service provided is good. Service Users assessed and changing needs are reflected in their plans and information is stored appropriately so that confidences are kept. Service Users are consulted on and participate in making decisions about their life and are supported to take risks. EVIDENCE: The Care Plans are in the process of being updated and are also being transferred onto the computer. Service Users, family and care managers are fully involved in making the care plan and attend reviews. Individual risk assessments were seen on file. Service user meetings are held weekly and they make decisions and choices on the menu and activities for the week. The majority of the paperwork seen was not signed or dated, however, the Inspector did see a new blank care plan that had space for the signatures of both the Manager and Service User. The Island Home DS0000024028.V298333.R01.S.doc Version 5.2 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): 11,12,13,14,15,16,17 The quality of the service provided is good. Service Users have opportunities for personal development and take part in age and peer appropriate activity. Service Users are part of the local community EVIDENCE: The Inspector saw an activities rota on display that included, bowling, gardening, arts and crafts, singing, karaoke, bingo, quizzes and boot fairs. There was also 4 notices giving details of outings being planned for the future and asking Service Users to put their names down if interested. One of the trips included a day out to France. The home also spends time in the local community by visiting, pubs, clubs, shops, seaside and cafes. Families can visit at any time that is reasonable. Families are advised to call if they are travelling a long distance to ensure that their relative/friend is available to see them. Service Users rights are respected and staff were seen to knock on Service user bedroom doors before entering, the Inspector also noted that staff spoke to Service Users with respect. Service Users were responsible for choosing their clothes for the day and got up in the mornings when they wanted. In the The Island Home DS0000024028.V298333.R01.S.doc Version 5.2 Page 11 evenings Service Users chose when they wanted to go to bed, they were asked to go to their rooms about midnight as cleaning of the communal areas took place, it was not expected that they would go to bed. The food is purchased weekly in bulk and ordered by the cook. On the day of the inspection due to the hot weather it had been arranged for a BBQ for lunch, the Inspector noted the variety of choice available including, sausages, chicken, burgers, pasta, salad and chips. One Service User chose not to eat anything hot and asked for a cheese sandwich that he was given. The Island Home DS0000024028.V298333.R01.S.doc Version 5.2 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 quality of service provided is good. Service Users’ physical needs are met and they receive their personal support in the way they prefer. Service Users are protected by the homes policies and procedures regarding medication and their wishes regarding illness and death are recorded. EVIDENCE: Service Users’ care plans indicate that the personal care given is carried out in the way that individuals have asked for. All Service Users are registered with a G.P., Opticians and Dentist in the local community. Medication is securely stored in locked cabinets inside a locked area of a locked room. The senior member of staff on duty dispenses medication and 2 signatures are recorded. The Inspector checked 3 Service User files and all contained the wishes of the individuals regarding illness and death. The Island Home DS0000024028.V298333.R01.S.doc Version 5.2 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 quality of service provided is good. Service Users views are listened to and they are protected from abuse. EVIDENCE: Service Users are fully involved in the making of their care plans and have weekly meetings to discuss the menu and activities they would like to participate in. The home has not received any complaints or concerns since the last inspection in January 2006. The Manager, Provider and staff have worked hard over the last 5/6 months to address some of the minor shortfalls highlighted in the Adult Protection meetings. The Inspector looked at how the finances were handled and was informed that Service Users money was individually kept in a locked tin inside a locked draw that was in a locked office. The Inspector found an audit trail of income and expenditure that was signed by Service users and indicated good practice. Staff have attended NAPPI training which includes de-escalation and talk down techniques with Service Users who become anxious or agitated. The Island Home DS0000024028.V298333.R01.S.doc Version 5.2 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): 24,25,27,28,30 The quality of the service provided is good. Service Users live in a homely, safe, clean and hygienic home with ample communal living space. Service Users’ bedrooms and bathrooms provide privacy and suit their needs. EVIDENCE: The home is well laid out and spacious. There is an ongoing programme of redecoration and on the day of the inspection the kitchen was having a major clean up with the walls being washed and cupboards cleaned. The home had a leaking pipe in the downstairs corridor that meant the carpet had to be pulled up so the repair could be carried out, the carpet has been relaid and the joints covered with tape until a new carpet is purchased. The patio/garden area has a small fish pond and an aviary with plenty of seating areas so that Service Users can sit in groups or by themselves. The Inspector saw 4 bedrooms and all of them were personalised with photographs, pictures, ornaments and cuddly toys. The Island Home DS0000024028.V298333.R01.S.doc Version 5.2 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): 31,32,33,34,35,36 The quality of this service is good. Service users benefit from an effective and competent staff team who have clear roles and responsibilities. Service Users benefit from a well supported and supervised staff team and are protected by the homes recruitment practices. EVIDENCE: The Inspector looked at the staff training matrix for 2006. The courses included were First Aid, Food Hygiene, Fire, Health and Safety, Adult Protection, Manual Handling, Induction and Foundation for new staff, Medication and Dementia. The number of staff with NVQ qualifications falls short of the standards required with approximately 31 of staff with an NVQ certificate. The Manager and Provider assured the Inspector that this will be addressed through their NVQ provider Heathercroft. The Inspector looked at 3 staff files, 2 new and 1 long term member of staff and found 2 had no ID photographs or CRB, although the CRB’s had been applied for and 1 Induction training was not available. The Inspector was assured that both staff were on the rota as supernumerary and did not and would not carry out personal care until the CRB;s had been received and were clear. The staff receive individual Supervision every 8 weeks and there is a monthly staff meeting with minutes kept, these were not signed. The next team meeting was due on the 28/06/06. The Island Home DS0000024028.V298333.R01.S.doc Version 5.2 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): The quality of the service provided is good. Service Users benefit from a well run home with a competent and accountable Manager. Service Users are safeguarded by the homes record keeping, but this is not all signed and dated. Service Users’ views underpin the running of the home and their health, safety and welfare is protected. EVIDENCE: The hard work of the Manager, Provider and staff team has enabled the home to move forward and provide a good quality service and outcome to the Service Users. They achieve this through the involvement of Service Users in making their care plans and supporting them to make informed choices and The Island Home DS0000024028.V298333.R01.S.doc Version 5.2 Page 17 risks in their daily lives. Service Users are given a yearly questionnaire regarding activities and outings they would like to participate in. The Acting Manager at the last Inspection was successful in their Fit Person Interview and is now the Registered Manager. The Inspector noted that there was a good supportive working relationship between the Manager and Provider who are steadily implementing new paperwork systems and audit trails. The Manager needs to ensure that dates of when documents are produced are dated and signed. The home carries out monthly Health and Safety checks and these records were seen but were not signed. The Manager has almost completed their NVQ4 Care and Management and needs to allow herself time to complete this training. The Island Home DS0000024028.V298333.R01.S.doc Version 5.2 Page 18 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 3 2 3 3 X 4 3 5 2 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 3 25 3 26 X 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 39 40 41 42 43 3 X 3 X 2 3 3 The Island Home DS0000024028.V298333.R01.S.doc Version 5.2 Page 19 Are there any outstanding requirements from the last inspection? NO 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. 2. 3. Refer to Standard OP5 OP37 OP31 OP35 Good Practice Recommendations The Manager must make sure that all paperwork is signed and dated. The manager should complete NVQs (Care and Management Level 4) as planned. The Manager makes sure that the of staff with NVQ qualifications is improved to bring it in line with the standards. The Island Home DS0000024028.V298333.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Island Home DS0000024028.V298333.R01.S.doc Version 5.2 Page 21 - 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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