Inspection on 07/10/05 for The Sands

This inspection was carried out on 7th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also 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 07/02/06

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 Unannounced Inspection 6th October 2005 09:30 The Sands DS0000023111.V252163.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 Sands DS0000023111.V252163.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 Sands DS0000023111.V252163.R01.S.doc Version 5.0 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.V252163.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th January 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.V252163.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection on the 7th October 2005. The visit lasted approximately 3.5 hrs.The Inspector was able to speak with the two 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.V252163.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 Sands DS0000023111.V252163.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 documentation available to prospective service users and their representatives is informative and is being developed in a user-friendly format. EVIDENCE: The statement of purpose provides detail of the service the home is aiming to provide. A sample service user agreement was provided. This has yet to be initiated and will be further discussed at the next inspection visit. The Sands DS0000023111.V252163.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): 6,7,8,9,10. Service user plans identify the needs of the service users and the home endeavours to ensue that the healthcare needs of the service users are met. Service users are enabled to make decisions on matters affecting their daily lives. Risks are assessed positively. EVIDENCE: The home has developed well-structured and informative service users files which, the manager states will become increasingly person centred. The needs of each individual are clearly identified as are actions required of staff to support the service users. Staff expressed an awareness and clarity of their role in the keyworker system. The home has a system of risk assessment and management. Issues are addressed and independence promoted within the structure. Service users are facilitated to express decisions on matters affecting their daily lives with regard to, for example, routine matters, trips out, activities and food choices. The Sands DS0000023111.V252163.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): 11-17 The home and company provide a range of therapeutic and leisure activities based on personal needs, interest and inclination. Family and friends are welcome in the home and contact with local community is maintained. EVIDENCE: The service users have lived in the home for a number of years and staff have been able to establish their individual and collective interests, likes and dislikes. The home is supported by the organisation in providing a wide range of activities, both formal and informal. A service user was pleased to inform the inspector the details of the recent ‘house’ holiday and was observed discussing with a member of staff arrangements for the afternoon’s activity and for meeting his girlfriend. Keyworkers are in regular contact with service user families where requested and may provide ‘status or progress’ reports. Service users have opportunity to use local facilities. The Sands DS0000023111.V252163.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. Service users are treated in a respectful and non-patronising manner. Healthcare need are identified and addressed. The home needs to demonstrate that staff are trained to an appropriate level in the handling and administration of medication EVIDENCE: Service user are treated with dignity and respect and levels of privacy are maintained.. The service users generally require only limited assistance with aspects of personal care and hygiene. Service users choose and wear their own clothes. The healthcare needs are monitored and issued addressed 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 inspection 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.V252163.R01.S.doc Version 5.0 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): Not Inspected EVIDENCE: The Sands DS0000023111.V252163.R01.S.doc Version 5.0 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): 24,25,30. 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.V252163.R01.S.doc Version 5.0 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 Sands DS0000023111.V252163.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): Not inspected EVIDENCE: The Sands DS0000023111.V252163.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): Not inspected EVIDENCE: The Sands DS0000023111.V252163.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 3 X X X X Standard No 22 23 Score X X 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 3 3 X X X X 2 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 Sands Score 3 3 1 x Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000023111.V252163.R01.S.doc Version 5.0 Page 17 yes 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 31/12/05 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. 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.V252163.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. Extracts may not be used or reproduced without the express permission of CSCI The Sands DS0000023111.V252163.R01.S.doc Version 5.0 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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