Inspection on 07/02/06 for The Sands

This inspection was carried out on 7th February 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Sands 15/11/07

The Sands 28/07/06

The Sands 07/10/05

The Sands 18/01/05

The Sands 23/08/04

The Sands 26/02/04

The Sands 18/12/03

Similar services:

Insight - Eastchurch

Southfields

Thorndene

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 The Sands 40 Lower Sands Dymchurch Kent TN29 0NF Lead Inspector Geoff Senior Announced Inspection 7th February 2006 09:50a The Sands DS0000023111.V273729.R01.S.doc Version 5.1 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 Sands DS0000023111.V273729.R01.S.doc Version 5.1 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 Sands DS0000023111.V273729.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Sands Address 40 Lower Sands Dymchurch Kent TN29 0NF 01905 795088 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) Lothlorien Community Ltd Tina Gillard Care Home 3 Category(ies) of Learning disability (3) registration, with number of places The Sands DS0000023111.V273729.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th October 2005 Brief Description of the Service: The Sands is registered to provide accommodation and personal care for up to three people who have a learning disability. Ms Tina Gillard is the manager in the day to day control of the home. At the time of the inspection there were two staff on duty and three people in residence. The Sands is a chalet style detached bungalow located on a private residential road close to the centre of Dymchurch. The accommodation is provided on two floors. All of the service users have their own bedroom. The garden area is well kept and access is suitable for the service users. Dymchurch has a selection of shops, cafes and entertainment particularly in the summer months. Local transport facilities are close by as well as the sea with a large sandy beach. The Sands DS0000023111.V273729.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection on the 7/2/06.The Inspector was able to speak with the Manager and members of staff on duty and two of the three service users accommodated at the home. A range of documentation was viewed and an accompanied tour of the premises undertaken. The findings of the visit and any requirements or recommendations are contained within the body of the report. 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 Sands DS0000023111.V273729.R01.S.doc Version 5.1 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 Sands DS0000023111.V273729.R01.S.doc Version 5.1 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): 1-4 There is a system in place for undertaking pre-admission assessments of prospective service users and an understanding of the need to ensure compatibility with the existing resident group. EVIDENCE: The Service user group is generally well established with no new admissions. Any interested parties would be given the opportunity to visit, meet and spend time with the existing residents and staff and view the accommodation. The company admission process is then initiated. Whilst every effort is made to ensure the move to The Sands is appropriate, the opportunity to move on is available should the placement not prove to be mutually beneficial or needs cannot be met. The manager confirmed that a statement of the terms and conditions under which care and accommodation is offered, and a service user agreement is made available to all service users. The Sands DS0000023111.V273729.R01.S.doc Version 5.1 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 Sands DS0000023111.V273729.R01.S.doc Version 5.1 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 Sands DS0000023111.V273729.R01.S.doc Version 5.1 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): 20 The home needs to demonstrate that staff are trained to an appropriate level in the handling and administration of medication. EVIDENCE: The home operates a monitored dosage system of medication administration. The arrangements for storage and records appeared generally satisfactory and up to date. The number of staff and level of training in medication administration was not clear. The registered person was reminded at the last two inspections that training must include: basic knowledge of how medicines are used and how to recognise and deal with problems in use; and the principles behind all aspects of the home’s policy on medicines handling and records. It is for the provider to evidence that they have invested in training care staff who handle medicines and have incorporated a form of competence assessment before allowing care workers to administer medicines. This remains a requirement. The Sands DS0000023111.V273729.R01.S.doc Version 5.1 Page 11 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23. Service users views and concerns are listened to and acted upon. Systems are in place to promote and maintain protection from abuse. EVIDENCE: There is a ‘company’ complaints procedure on file with a shortened version available for inclusion in the Service User Guide. The Manager reported that she operates an ‘open door’ policy and service users are encouraged to interact and voice concerns and ideas to staff at all levels. The Manager confirmed that policies relating to Adult protection, whistle blowing and restraint are in place and guidelines available to staff. The manager reported that all staff have attended Adult Protection training and there is available, a copy of the revised local authority protocol. The Sands DS0000023111.V273729.R01.S.doc Version 5.1 Page 12 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24-30 The premises appear to be generally well maintained, clean and hygienic. The home provides a comfortable environment in which to live and work. The laundry facilities and hygiene arrangements need attention. EVIDENCE: The Sands DS0000023111.V273729.R01.S.doc Version 5.1 Page 13 The Home appeared to be generally well maintained and presented a comfortable, environment in which to live and work. Private rooms seen appeared to be generally well maintained, adequately furnished and reasonably decorated. Service users are encouraged to personalise their private space, some have to a considerable degree, with all manner of possessions, ornament and special items reflecting the individual and their interests. The property is of a domestic style and is in keeping with the neighbourhood. Shared spaces are adequate for the activities of the home. A no smoking policy operates in the home but a separate smoking area is designated in the garage There is an enclosed rear garden The current occupants of The Sands reportedly do not have a need for major environmental adaptations or equipment. The laundry facilities are sited in the garage away from food storage and preparation areas. The NMS requires that laundry floor finishes are impermeable and these and wall finishes are readily cleanable. This is not the case in the garage as the floor and walls are unfinished concrete or mortar. The bathroom is reasonably decorated but the stains left by the dripping taps and the mould on the shower tile grout diminish the appearance. The Sands DS0000023111.V273729.R01.S.doc Version 5.1 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): 31-35 Recruitment practices provide for the protection of service users. Staff are supported to access training courses to enable them to work more effectively with the service users. The staff team is well supported and supervised by the management and is clear about its roles and responsibilities. EVIDENCE: Staff were noted interacting with service users in a friendly, attentive and non patronising manner. Service users were seen approaching staff and management without inhibition and openly discussed issues they were concerned about. The manager has commenced NVQ Level4 & RMA training, 1 staff has completed NVQ level 2, 2 have just started. 2 are currently undertaking level 3. Staff files viewed showed appropriate checks had been undertaken prior to appointment or unsupervised access to service users. Staff confirmed that they receive regular one to one supervision. The Sands DS0000023111.V273729.R01.S.doc Version 5.1 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 ethos of inclusion, support and development. The health, safety and welfare appears to be promoted and protected. EVIDENCE: It appeared from discussion and observation that the Manager is approachable and supportive. She operates an open door policy and frequently meets with staff individually and collectively on a formal and informal basis. An open and inclusive atmosphere appears to have been established within the Home. The Inspector was assured that the service users views are actively sought in all matters relating to their lifestyle and daily routine at the Home. Service user and staff meetings are a regular feature and service users are encouraged to voice their opinions at any time. The home is regularly visited by a representative of the organisation not directly involved with its management and reports submitted in accordance with Regulation 26. The Sands DS0000023111.V273729.R01.S.doc Version 5.1 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 Standard No 1 2 3 4 5 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 2 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 DS0000023111.V273729.R01.S.doc 3 3 3 3 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X X Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Sands Score X X 1 x 3 X 3 X X 3 x Version 5.1 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. 1. Standard YA20 Regulation 18 Timescale for action The registered manager and staff 12/05/06 encourage and support service users to retain, administer and control their own medication, within a risk management framework, and comply with the home’s policy and procedure for the receipt, recording, storage, handling, administration and disposal of medicines.(Previously 31/12/05) Requirement 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 YA30 Good Practice Recommendations The NMS requires that laundry floor finishes are impermeable and these and wall finishes are readily cleanable The Sands DS0000023111.V273729.R01.S.doc Version 5.1 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. Extracts may not be used or reproduced without the express permission of CSCI The Sands DS0000023111.V273729.R01.S.doc Version 5.1 Page 19 - 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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