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Inspection on 23/08/05 for The Old School House

Also see our care home review for The Old School House for more information

This inspection was carried out on 23rd August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

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 Old School House provides a caring and supportive environment for the service users. There is a good range of activities available based on collective and individual needs. The staff work positively with the service users in assisting them to communicate their needs and develop greater levels of independence. Service user development targets are well defined. Service user views are expressed and heard and acted upon.

What has improved since the last inspection?

The Manager and staff team continue to examine the support and care that is provided and look to further develop the service. Work has continued assisting and empowering service users in the development of independence skills.

What the care home could do better:

There were no requirements identified from this visit. The appropriateness and security of the current medication storage arrangements were however discussed and the Manager will review in accordance with the RPSGB guidelines.

CARE HOME ADULTS 18-65 The Old School House The Old School House Church Lane New Romney Kent TN28 8ES Lead Inspector Geoff Senior Unannounced Inspection 10:30 23 August & 10th Nov 2005 rd The Old School House DS0000023565.V265713.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 Old School House DS0000023565.V265713.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 Old School House DS0000023565.V265713.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Old School House Address The Old School House Church Lane New Romney Kent TN28 8ES 01797 366477 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) Canterbury Oast Trust Mrs Paula Filler Care Home 8 Category(ies) of Learning disability (8) registration, with number of places The Old School House DS0000023565.V265713.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The 2 residents with physical disabilities should also have learning disabilities 28th February 2005 Date of last inspection Brief Description of the Service: The Old School House is registered as a Care Home for up to eight adults with a learning disability. This may include two people who, in addition to a learning disability also have a significant physical disability. The Canterbury Oast Trust is the registered Provider. Mr A Nunn is the non-registered manager in day-today control of the Home. The home is a large modern detached property set in a residential area of the town of New Romney. The accommodation comprises eight single bedrooms for resident’s use. There is a large lounge and kitchen dining/room providing communal day space. Service users may also access the well-maintained and partially enclosed garden to the rear of the house. Car parking is available to the rear and side of the property. Local facilities (shops, pub, GP, church and post office are all within walking distance The Old School House DS0000023565.V265713.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection, which was unannounced, was undertaken during two visits to the home. The first, on 23/8/05 was curtailed as there was only one member of staff in the home and she was in a meeting with an NVQ assessor and the one service user present was with the occupational therapist. The second visit was on 10/11/05 and commenced at approx 1:pm. The inspector was able to meet and talk with the Manager, staff on duty and a number of the service user group. A range of documentation was viewed and staff /service user interaction observed. 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 Old School House DS0000023565.V265713.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 Old School House DS0000023565.V265713.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): 1-5 The information for prospective service uses is informative and available in alternative formats. Aspirations and needs are well supported. EVIDENCE: The content and format of the statement of purpose was previously reported as being common to all the homes within the Trust and reflective only of the general aims and philosophy of the organisation. This has now been collated with additional information specific to the home and, when combined with the revised service user guide, offers a more comprehensive account of the services and facilities provided at the Old School House. There have been no recent admissions to the home, the most recent being May ’01. The majority of service users have resided at the old School Hse since 1993. The Inspector was informed that any prospective placement to the home would be subject to a protracted and detailed introduction and assessment period prior to any admissions. Prospective service users would be invited to visit for a day and then weekend stays to ascertain the mutual suitability of the placement and ensure that the home can effectively respond to the individual’s needs. There is an awareness of the need to complete an assessment of prospective service users and of the level of detail required by the Standard. The service user, family and care manager would be encouraged to be involved at all stages The service user agreement appeared to generally address the requirements of the Standard. The Old School House DS0000023565.V265713.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): 6-10 Service user plans identify the needs of the resident group. Service users are enabled to make decisions affecting their daily lives. Risks are assessed positively. EVIDENCE: The Manager reported that there has been no significant changes to individual service user care plan documentation. This was previously seen to contain detail on aspects of need and delivery of services and included physical and social needs, health care, medical information behavioural guidelines. The short and long-term goal-planning element is included in the care plans documentation. It was reported that service users are encouraged to be involved in the formulation of care plans and participate in the regular reviews The service users are encouraged and supported in their participation of the day-to-day running of the home and engagement in domestic chores and routines. It was reported that resident’s house meetings are held fortnightly. Most staff have basic skills in Makaton and assist in discussion topics and service user participation. Service users are encouraged to maintain and exercise their independence for as long as possible within safe and acceptable limits. The Management undertakes and records individual risk assessments where potentially The Old School House DS0000023565.V265713.R01.S.doc Version 5.0 Page 9 hazardous activities are identified or planned to ensure service users can participate in chosen activities with staff support There was no public display of personal or confidential information. Records are securely stored away from communal areas. Staff have access to information pertinent to their duties The Old School House DS0000023565.V265713.R01.S.doc Version 5.0 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): 11-17 The Home offers a good range of therapeutic and leisure activities based on personal needs, wishes and interests. Family and friends are welcomed to the home and contact with the local community is maintained. A varied and balanced diet is offered to the service users. EVIDENCE: The home aim to maximize the service users potential and life skills training is central to life at The Old School House. They support the development of independence and life skills on a daily basis as part of the general living routines. These are dependent on varying levels of ability and need. Service users are encouraged to take part in meal preparation and kitchen duties and household tasks. A daily programme has been developed, to increase the use of the training kitchen for up to three service users. . A full programme of day care was reported for in-house and external activities. In addition to house or college based activities the service users may work at the farm and public areas at the Trust’s Rare Breeds Centre in Woodchurch. The programme is predominantly for daytime activities with ‘quieter evenings’ in house The Old School House DS0000023565.V265713.R01.S.doc Version 5.0 Page 11 The Home has use of a mini bus and cars for clients. Visitors are encouraged and welcomed without restriction and may be received in the resident’s own rooms or in the communal areas. Private space is available if required. Family contacts and home visits are facilitated where it is the service users wish The service users group is generally well established. The staff members are aware of individual likes and dislikes relating to food and cater accordingly. Staff and service users spoken to confirmed that a choice is offered at mealtimes. A pictorial menu is displayed and choices are recorded. Guidelines for specific diet and support needs are available to staff. The Old School House DS0000023565.V265713.R01.S.doc Version 5.0 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): EVIDENCE: Not fully inspected. The medication storage arrangements were noted and discussed with the manager. The Old School House DS0000023565.V265713.R01.S.doc Version 5.0 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 Service users views and concerns are listened to and acted upon. Systems are in place to promote and maintain protection from abuse. EVIDENCE: The home has a complaints procedure that is on display and available to service users and visitors. Records are maintained detailing the content, response and review of any complaint received. The Management oversees these. The service users may write entries in the book or with assistance from staff. Issues raised may be addressed individually or in house meetings. The manager reported that a number of the current staff group have attended Adult Protection training. The COT policy and the Local Authority AP protocol is available to staff who are requested to sign that they have read and understood the content. The Old School House DS0000023565.V265713.R01.S.doc Version 5.0 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): Not assessed at this visit EVIDENCE: The Old School House DS0000023565.V265713.R01.S.doc Version 5.0 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): Not assessed at this visit EVIDENCE: The Old School House DS0000023565.V265713.R01.S.doc Version 5.0 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): Not assessed at this visit EVIDENCE: The Old School House DS0000023565.V265713.R01.S.doc Version 5.0 Page 17 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 3 3 3 3 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score X 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 Old School House Score X X X X Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000023565.V265713.R01.S.doc Version 5.0 Page 18 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. Refer to Standard Good Practice Recommendations The Old School House DS0000023565.V265713.R01.S.doc Version 5.0 Page 19 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 Old School House DS0000023565.V265713.R01.S.doc Version 5.0 Page 20 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!