Inspection on 26/01/06 for The Old School House

This inspection was carried out on 26th January 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 Old School House 26/03/08

The Old School House 13/10/06

The Old School House 23/08/05

The Old School House 28/02/05

The Old School House 15/06/04

The Old School House 19/02/04

The Old School House 23/09/03

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Southfields

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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 Old School House The Old School House Church Lane New Romney Kent TN28 8ES Lead Inspector Geoff Senior Announced Inspection 26th January 2006 09:45 The Old School House DS0000023565.V267362.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.V267362.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.V267362.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.V267362.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 10th November 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.V267362.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 announced, was undertaken on 26/01/06 at 09:45am. During the course of the visit the inspector was able to meet and talk with the Manager, staff on duty and a number of the service user group. Parts of the premises were viewed, a range of documentation seen 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.V267362.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.V267362.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): Not assessed at this visit EVIDENCE: The Old School House DS0000023565.V267362.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): Not assessed at this visit EVIDENCE: The Old School House DS0000023565.V267362.R01.S.doc Version 5.0 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not assessed at this visit EVIDENCE: The Old School House DS0000023565.V267362.R01.S.doc Version 5.0 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, 21. Service users are treated with respect and privacy is maintained. Healthcare needs are monitored and needs addressed. Medication administration and records are satisfactory and up to date. EVIDENCE: Service users appear to be treated with dignity and respect and levels of privacy are maintained. A number of service users may require assistance and support in matters relating to personal hygiene and appearance, it is only offered when required. The personal support needs of the service users are well documented in their case files. Service users choose and wear their own clothes and are assisted to live their lives as autonomously as possible. The healthcare needs of the service users are monitored and addressed. It was reported that all service users are registered with the local GP surgery and the home has developed positive relationships with other professionals who offer a good level of support. Additional equipment and facilities are assessed and provided according to need. Medication storage and records appeared to be satisfactory and up to date. There are Organisation and local protocols in place. The Manager stated that he is satisfied with the competency of the staff administering medication and the training that they are offered. The Old School House DS0000023565.V267362.R01.S.doc Version 5.0 Page 11 The home aims to provide long term care and accommodation for the service users and would continue for as long as is appropriate and practicable. This would be undertaken with support from appropriate healthcare agencies. The Old School House DS0000023565.V267362.R01.S.doc Version 5.0 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not assessed at this visit EVIDENCE: The Old School House DS0000023565.V267362.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24-30 The Home presents a well-maintained and adequately decorated environment. Private and communal areas are well furnished. Facilities are appropriate to the service users needs. A good level of cleanliness and hygiene is maintained. EVIDENCE: The Home appeared to be generally well maintained and presented a comfortable, welcoming and varied environment in which to live and work. It was reported that private areas are decorated according to service users choice and preference. The toilet and bathroom facilities appear to be adequate for the current service users needs and provide appropriate privacy. A ‘Closimat’ wc is fitted in one of the bathrooms. The home is in liaison with the local CLDT OT and Physio in assessing, identifying and purchasing specialist equipment and adaptations as required. At the time of inspection the premises appeared to be clean, tidy and free from undue odours. The manager reported awareness among staff of ‘universal precautions’ and measures taken to control the spread of infection. Laundry facilities appeared adequate for the needs of the home. Health and safety posters are on display. Designated staff undertake COSHH and other safety related duties and checks. The Old School House DS0000023565.V267362.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35. The client to staff on duty ratio appears to be adequately maintained. Staff recruitment and development practices are sound. EVIDENCE: Staff files seen indicated that appropriate checks and references are obtained prior to commencement of duties. Staff are clear about their roles and responsibilities within the home. The relationship and communication between service users and staff appeared to be open, friendly and mutually respectful. Staff are offered a good development programme. Mandatory training is offered on a cyclical programme with updates and refreshers available as required. Staff are encouraged to undertake NVQ training. A number of staff are currently attending at level 2 & 3. The Manager intends to have two staff as NVQ assessors within the next month. The Old School House DS0000023565.V267362.R01.S.doc Version 5.0 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42. The home is well run with an open and inclusive atmosphere. The ethos of the home supports and encourages the development of service users. Policy and practice endeavours to ensure the health and welfare of service users is promoted and protected. EVIDENCE: The manager appears to foster an open and positive ethos in the home enabling staff, service users and relatives to feedback thoughts, ideas and concerns for the service. Representatives of the organisation undertake monthly visits. Appropriate format questionnaires are circulated to service users prior to their meetings and review questionnaires are offered to parents and care managers twice a year. The health, safety and welfare of service users, staff and visitors is addressed in induction and training, written guidance and routine maintenance and service checks. The Old School House DS0000023565.V267362.R01.S.doc Version 5.0 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Old School House Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X 3 X DS0000023565.V267362.R01.S.doc Version 5.0 Page 17 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.V267362.R01.S.doc Version 5.0 Page 18 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. 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