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Inspection on 21/09/07 for The Island Home

Also see our care home review for The Island Home for more information

This inspection was carried out on 21st September 2007.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home puts the individual needs of the residents at the centre of what it does. Residents meetings are held weekly to give people the opportunity to say what they think about the level of care provided by the service. The management team spend time each day with the residents and welcome their visits to the office. The staff team are highly thought of by the residents. "Staff are outstanding", said one resident and another said that living at the home was like "paradise". An activities organiser is employed who records in great detail how residents have spent their day. As well as small group outings, time is spend individually with residents, having a chat, which is really important to the residents involved.

What has improved since the last inspection?

The number of staff that has completed their NVQ 2 has increased. This is recognised as a valuable qualification for people who work in the care sector. The checks that the home makes before recruiting new members of staff have got better. This makes sure that vulnerable residents are protected. The communal areas of the home have been decorated and the shower room changed to a wet room. This has improved the environment for the people who live in the home. The Island Home DS0000024028.V348278.R01.S.doc Version 5.2 Page 6

What the care home could do better:

The staff training record shows that many staff have not received up to date training in essential areas. Although there are plans in place to make sure that all staff receive the necessary training, the home should not have got so far behind in their training schedule. This potentially places residents at risk of being cared for by unskilled staff. The carpets in communal areas, although not dangerous are beginning to become uneven, which will make it difficult for people in wheelchairs. Plans are in place to replace the carpets in the near future.

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 The Island Home Main Road Leysdown On Sea Sheerness Kent ME12 4LH Lead Inspector Nicki Dawson Key Unannounced Inspection 21st September 2007 09:50 The Island Home DS0000024028.V348278.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.V348278.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 Older People and 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.V348278.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 01795 511747 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 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.V348278.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 13th June 2006 Date of last inspection Brief Description of the Service: The Island Home provides care for up to 44 people who are either over 65 years old, or who are under 65 years and have a physical disability. The home is divided into two, separate units with their own staff teams and communal areas. The ground floor is open-plan in design for wheelchair access and is home to up to 20 people with a physical disability. There is a passenger lift to the first floor. The first floor is home to up to 24 older people. All residents have the use of a garden at the side of the property. This is home to birds and chickens. There is also a patio garden on the first floor. The home is located in the village of Leysdown and is in walking distance of local facilities. There is a bus service to Sheerness. There is a car park at the home and additional off road parking. The fees charged by the home range from £387.28 to £579.30 per week. The Island Home DS0000024028.V348278.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced, which means that the residents, staff and home manager did not know that the inspector was calling at the home. The inspection started at 9.50 and took 7 hours. Discussion took place with residents, staff, the home manager and one of the homeowners, to gain their views and knowledge of the level of care, provided by the service. The shared areas of the home and a number of clients’ bedrooms were entered. A number of records to do with resident’s care and safety were looked at. Survey questionnaires “Have Your Say About...” were sent by the commission to residents, relatives and professionals before the inspection visit. Comments made were positive about the level of care provided at The Island Home. For example, “the home maintains a feeling of good will and cheerfulness”, “I am perfectly satisfied”, “I am very happy with the home”. The people who live at The Island Home are referred to as ‘residents’ throughout this report since this is what the care staff team calls them. What the service does well: What has improved since the last inspection? The number of staff that has completed their NVQ 2 has increased. This is recognised as a valuable qualification for people who work in the care sector. The checks that the home makes before recruiting new members of staff have got better. This makes sure that vulnerable residents are protected. The communal areas of the home have been decorated and the shower room changed to a wet room. This has improved the environment for the people who live in the home. The Island Home DS0000024028.V348278.R01.S.doc Version 5.2 Page 6 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 summary of this inspection report can be made available in other formats on request. The Island Home DS0000024028.V348278.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) The Island Home DS0000024028.V348278.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3, 4 and 5 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Before new residents move into the home, their needs are assessed and they have the opportunity to visit the home to decide whether it is the right home for them. EVIDENCE: Before a new resident moves into the home, a full assessment of their needs in a carried out to decide whether or not the home is a suitable place for the person to live. The home obtains and checks the validity of assessments carried out by other professionals. This is good practice. The Island Home DS0000024028.V348278.R01.S.doc Version 5.2 Page 9 A number of residents accommodated at the home have developed dementia. There is a staff training programme in place to make sure that staff are competent in caring for people with this additional need. Training is also provided for artificial feeding where this is necessary. All new residents are encouraged to visit the home, before making the decision to move into the home permanently. The first few weeks of the stay is used as a trial period. The new resident has the opportunity to ‘test drive’ the home, to see whether it meets their expectations. Residents said they have a written contract detailing the terms and conditions of their stay at the home. The resident or their relative signs the contact, to show their agreement. The Island Home DS0000024028.V348278.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14 and 33 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 and 9 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents receive care, based on their individual needs and choices. EVIDENCE: Each resident has a care plan that clearly sets out their health, social and personal care needs, together with the staff support that is required to meet these assessed needs. Care plans take into account the individual wishes of residents. For example, it is recorded if a resident does not want a key worker. Staff said that these plans are easy to understand and use on a daily The Island Home DS0000024028.V348278.R01.S.doc Version 5.2 Page 11 basis. Guidelines on managing individual’s behaviour have now been included in care plans to minimise the effect of potential risks to residents and staff. It was observed that when an incident of aggression took place, staff dealt the situation in a calm and effective way. Residents meetings are held regularly as an opportunity for residents to make their needs and choices known. People commenting of the quality of the service said that the home was “…prepaired to do that extra bit more to meet individuals needs”. “The home encourages independence in their clients where appropriate, they treat eveybody as individuals, identifying that persons needs”. The Island Home DS0000024028.V348278.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. Service Users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. Service users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 and 17 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The Island Home DS0000024028.V348278.R01.S.doc Version 5.2 Page 13 Residents are able to choose their life style and to keep in touch with family and friends. Residents enjoy their meals. EVIDENCE: The home employs a part-time activities organiser. She arranges regular activities for older people and physically disabled people. This includes swimming, bingo, meals out, walks and shopping trips. She also spends individual time talking to each resident. An activities folder is kept for each resident detailing the activities they have taken part in. One resident goes to college. Residents said there are usually enough opportunities to take part in leisure interests. The home plans to employ an activities organiser to take residents out for some evening and weekend trips. The home employs a gardener. Raised beds are going to be built so that more residents have the opportunity to take part in gardening. In the afternoon, residents were observed playing pool with care staff. Families can visit at any time that is reasonable. Staff showed residents respect by knocking on their bedroom doors before entering and talking with them in an individual manner. Staff explained that over time, they learn the most effective way to communicate with each resident. Most residents said that they always liked the meals that are served. If a resident does not like what is offered, they can choose an alternative. “I am offered meals that suit me”, commented one resident, who has specific dietary needs. Staff make sure that each resident receives a balanced diet, by monitoring their dietary needs. The Island Home DS0000024028.V348278.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents receive health and personal care based upon their individual needs. EVIDENCE: Residents care plans indicate that personal care given is carried out in the way that people have asked for. One resident said that, “you cannot fault them ”, when they were asked about how care staff attended to their personal care needs. The Island Home DS0000024028.V348278.R01.S.doc Version 5.2 Page 15 Care staff said that they know whom to contact to get the appropriate health care support for the residents that live at the home. All health care appointments are recorded separately in resident’s care notes. Care staff said that this makes it easier for them to monitor residents’ health care needs. Residents are registered with a G.P. optician and dentist in the local community. The home manager said that all staff that administer medication have received training in how to do this safely. Records kept of the medicines that staff give to residents are generally well maintained. This means that the arrangements for medicines in the home should help to make sure that each resident is given their medication in the way that it is intended by their GP. The Island Home DS0000024028.V348278.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16-18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 22-23 (Adults 18-65) and Standards 16-18 and 35 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents and their representative’s views are listened to and acted upon. Residents living at the home feel safe and protected. EVIDENCE: No complaints about the home have been received by the home or by the commission, since the last inspection. The home has a complaints procedure, which explains how residents or others can make a complaint about any aspect of the service provided. Residents said that if they had any concerns, that staff were easy to approach. Comments received before the inspection support this, “The home helps them (residents) to talk through whatever is bothering them” in a “non-judgemental way”. The Island Home DS0000024028.V348278.R01.S.doc Version 5.2 Page 17 Staff have a good understanding of what is good care practice. This helps them to protect residents from any form of abusive care practice. Body charts are used to clearly record any bruising sustained by residents. A staff training programme is in place to make sure that all staff are trained and competent to safeguard vulnerable adults. Some staff have received formal training in managing people who become anxious or agitated. As mentioned previously, during an incident of aggression behaviour at the inspection, staff dealt the situation in a calm and appropriate way. Where the home is responsible for monies held on behalf of a resident, clear records are kept of all financial transactions, which is good practice. The Island Home DS0000024028.V348278.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29 and 30 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents’ benefit from living in a clean and comfortable home. EVIDENCE: Relatives commented that the home has, a “calm, relaxed atmosphere”. The Island Home DS0000024028.V348278.R01.S.doc Version 5.2 Page 19 The home is laid out according to the differing needs of the residents. The ground floor is home to people with physical disabilities. Here the communal area is open plan to allow for easy wheelchair access. The home has recently been decorated which has brightened its appearance. There are plans to buy new carpets for the communal areas. There is a separate smoking room for residents on both floors. All residents have use of the garden. This is paved over for easy access all year round. It is home to birds and chickens. A gardener has recently been employed and improvements are being made for the benefit of residents. Each resident occupies a single room. If two residents choose to share, then a double room can be made available. Residents’ bedrooms are spacious and comfortable. Residents are able to personalise them according to their individual tastes. It was observed that one resident had their bedroom door wedged open which is a fire door. The homeowner explained that the fire officer had said that this did not present a hazard as long as the door was closed when the resident left the room. The home manager agreed to check this again with the fire officer to maintain the safety of all staff and residents. The downstairs shower room has been turned into a wet room for easy access for people with mobility problems or wheelchairs. Residents’ benefit from bathrooms that are fitted with hoists. All residents said that the home was usually fresh and clean. Staff follow the home’s procedures to minimise the spread of infection in the home. The Island Home DS0000024028.V348278.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 and 35 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents are in the care of a group of staff that are being trained to meet their care and support needs. EVIDENCE: Care staff said that there are sufficient numbers of them on duty to carry out their care tasks. There are three care staff in the older persons unit and two care staff in the younger adults unit each morning. Then two care staff in each The Island Home DS0000024028.V348278.R01.S.doc Version 5.2 Page 21 unit in the afternoon. At nighttime there is one care staff in each unit and a floating member of staff. The home falls just short of the National Minimum Standard that 50 of care staff are trained to NVQ 2. This award is useful because it helps staff develop good care practices and skills in working with people who live in a residential care home. The home has started a further eight care staff on the award and when they have completed the training programme, the home will exceed the standard. This is good practice. Before new members of staff are employed at the home, a number of checks are carried out to make sure that all members of staff working at the home are suitable to care for vulnerable residents. All new care staff receives the appropriate introductory training, which gives them the basic competencies they need to be able to work without direct supervision. A staff training programme is in place to make sure that all staff are trained in the essential areas that they need, to be able to care for the people in their care. There are some gaps in these areas of training. The home manager is making sure that staff who have not been trained in an area are trained first. Then those who need their training updating will receive refresher training. She says that all staff should be up to date in all essential areas in a year’s time. The Island Home DS0000024028.V348278.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. Service users live in a home which is run and managed by a person who is fit to be in charge of good character and able to discharge his or her responsibilities fully. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 and 42 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents’ benefit from a well run home. The Island Home DS0000024028.V348278.R01.S.doc Version 5.2 Page 23 EVIDENCE: The home manager, Sue Strawbridge, has worked in the care field for 17 years and 7 years of this has been in a management position. She has been the registered manager of the home for the last year. She holds the Registered Managers Award and is due to complete NVQ 4 in care in February 2008. These are formal qualifications recognised by the commission to be useful because they help to make sure that people who manage residential care services have the competencies that are necessary to do so. The home manager has a clear understanding of the aims and purpose of the home. Staff said that she and the registered owner, Kaldish Pawar, are approachable. There is a good working relationship and communication between the home manager and homeowner. Both are very focused on the needs of the residents. Residents’ and relatives’ views about the quality of the service are sought every year through questionnaires. Residents’ views about the activities on offer at the home are also sought. If someone is not happy about any part of the service, then action is taken to address his or her dissatisfaction. The homeowner said that all items of equipment in use in the home remain in good working order and are serviced regularly. As mentioned previously, there is a rolling staff programme in place to make sure that all staff are trained in the essential areas of first aid, moving and handling, food hygiene, adult protection and health and safety and infection control. The Island Home DS0000024028.V348278.R01.S.doc Version 5.2 Page 24 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 4 3 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 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT Standard No Score 37 3 38 3 39 3 40 X 41 X 42 3 43 X 3 3 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Island Home Score 3 3 3 X DS0000024028.V348278.R01.S.doc Version 5.2 Page 25 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 should consult the Fire Officer to make sure that when residents wedge open their bedroom doors that are fire doors, this is a safe practice for the residents and staff that live and work in the home. The Island Home DS0000024028.V348278.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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.V348278.R01.S.doc Version 5.2 Page 27 - 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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