Inspection on 15/02/07 for Thorndene

This inspection was carried out on 15th February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Thorndene 10/05/05

Thorndene 04/01/05

Thorndene 07/09/04

Thorndene 08/04/04

Similar services:

Sutton Lodge Nursing Home

Insight - Eastchurch

Southfields

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 Thorndene Canterbury Road Swingfield Dover Kent CT15 7HZ Lead Inspector Wendy Mills Unannounced Inspection 15 February 2007 11:30 th Thorndene DS0000023562.V327956.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 Thorndene DS0000023562.V327956.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 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. Thorndene DS0000023562.V327956.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Thorndene Address Canterbury Road Swingfield Dover Kent CT15 7HZ 01303 892244 01303 894553 thorndene@talk21.com 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) Thorndene Ltd Mrs Patricia Ann Moore Care Home 20 Category(ies) of Learning disability (18), Learning disability over registration, with number 65 years of age (2), Physical disability (3) of places Thorndene DS0000023562.V327956.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One (1) resident with a date of birth of 14.06.1936 and one (1) resident with a date of birth of 19.04.1938 10th May 2005 Date of last inspection Brief Description of the Service: Thorndene is a care home for up to twenty people with a learning disability. It is situated in a rural position in village of Swingfield, near Hawkinge, Kent. Thorndene is a not-for-profit organisation. Its philosophy is to encourage each resident to maximise his or her potential within a safe and supportive environment. Respect and understanding for individual strengths and needs are seen as paramount. The home offers spacious accommodation. It is a large country house, arranged in small homely groups, with a separate, smaller annex. The annex is currently undergoing redevelopment to provide accommodation designed to promote increased independence. There are extensive and well-maintained grounds. The home is very well maintained. It is beautifully decorated and furnished. There have been extensive improvements over the past year. These improvements are nearly finished. Local shops are close by both in the village and nearby Hawkinge. There is easy access by road and public transport to the larger towns of Dover, Canterbury and Folkestone. The registered manger, Mrs Pat Moore, ensures that there is a person-centred approach. There is a wide range of cultural, educational and recreational activities. The Home has consistently met, and frequently exceeded, the National Minimum Standards. The weekly fees range from £495 to £818. Additional charges are made for those residents who have a high level of dependency and require one to one support. Thorndene DS0000023562.V327956.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit formed part of the CSCI inspection process for the home under the Care Standards Act 2000. It lasted five hours. During the course of the visit it was possible to speak to eight of the residents. Two members of staff were spoken to in private and in-depth discussion was help with the manager, Mrs Pat Moore. It was also possible to speak to the cook and administrators. Supporters and health and social care professionals were contacted by telephone to seek their views. Documentation was examined and a tour of the home was made. Both direct and indirect observation was used throughout this visit. The home continues to meet, and often exceed, the National Minimum Standards. All those who contributed their views throughout the inspection process expressed a high level of satisfaction with all aspects of the home and several examples of exemplary care practice were noted. All at Thorndene are commended for the mutual respect and support that is evident throughout the home. Also for their enthusiasm and the way they continue to maintain, and improve upon, best care practice. All at Thorndene, particularly the residents, are thanked for the warm welcome they gave and their help during this visit. What the service does well: Thorndene is well run and provides a supportive and homely environment in which the residents are encouraged to maximise their independence and develop new skills. The home is proactive and innovative in the way it meets the needs of the residents and organises training and development for staff. It provides exemplary person centred care. There is a wide choice of leisure and other activities. The way the home helps the residents to make choices about the way they spend their time is excellent. Residents are very well supported to maintain a healthy lifestyle and health and social care professionals are consulted when appropriate. The internal long-term planning and quality assurance systems are excellent. Thorndene DS0000023562.V327956.R01.S.doc Version 5.2 Page 6 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 summary of this inspection report can be made available in other formats on request. Thorndene DS0000023562.V327956.R01.S.doc Version 5.2 Page 7 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 Thorndene DS0000023562.V327956.R01.S.doc Version 5.2 Page 8 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1&2 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home provides the residents, their relatives and supporters, with very good information about the home. Appropriate and thorough pre-admission assessments are made. EVIDENCE: The Statement of Purpose and the Service User Guide are produced in a variety of formats such as plain English and Widget. Two new residents have joined the Home since the last inspection. They indicated that they are happy and settled. Inspection of care plans confirmed that very thorough pre-admission assessments had been made. The new residents had been able to make visits to the home before they decided to move in. Thorndene DS0000023562.V327956.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 & 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. There is a clear and consistent care planning process that the residents understand and in which they participate. EVIDENCE: The Home offers a very wide range of choices in all areas. There are excellent opportunities for personal development. Appropriate family links are maintained. The Home fosters a strong culture of mutual respect and support. Several of the residents spoke about the choices they make. They were clear about their goals and how they were working to meet them. Care plans are up-to-date and record the goals and aspirations of the residents. Thorndene DS0000023562.V327956.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 & 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The residents are supported to maximise their skills and independence in all aspects of their lives. EVIDENCE: There is a wide range of leisure activities. The home employs an activities cocoordinator. Each resident is individually assessed for the activities in which they take part. They talk about their dreams, goals and aspirations. These are recorded and discussed. Then a plan is made and the appropriate activities are accessed. Residents said that they are able to do the things they want to do. They are clear about their rights to choose but they also know that they have to be responsible. For example, some residents have pets. They know that they have to be responsible for their care. Other residents have part time jobs. They know that they have to get up in time to get to their jobs. Thorndene DS0000023562.V327956.R01.S.doc Version 5.2 Page 11 Residents said that the home helps them to keep in contact with their families and friends. There are lots of events, such as a Strawberry tea in the summer, concerts and Christmas celebrations that the home puts on. Residents said that they invite their families to these occasions and love to entertain them. Nutrition at the home is excellent. The advice of a qualified nutritionalist is sought. There are seasonal menus. Good quality, fresh food is purchased locally. There was plenty of good quality, fresh produce on the day of this visit. Since the last CSCI visit a new cook has been appointed. Cooking at the home has always been of a high standard but the enthusiasm and skill of the new cook has brought this to an even better level. Discussion with the cook confirmed that, not only is she very competent at her job, but she has a good understanding of care practice. She is currently planning menus to fully recognise all the cultural backgrounds of the residents. Thorndene DS0000023562.V327956.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The privacy and dignity of the residents is respected and the home promotes all aspects of their health. EVIDENCE: The residents said that the staff respect their confidentiality and that they feel confident discussing personal issues with the staff. Indirect observation confirmed that personal care, when needed, was offered in a discreet and sensitive manner. Visiting health care professional said that that the home supports their work and that the advice they give in taken. A new role of administrator with responsibility for monitoring health and social care appointments has been created. The recording and co-rdination of these appointments is now much improved. Thorndene DS0000023562.V327956.R01.S.doc Version 5.2 Page 13 There are sound systems for the management of medicines within the home. The deputy manager, who takes overall responsibility for mediation, is commended for her diligence in this aspect of her role. Many of the residents are of an age where bereavement due to loss of a close family member is inevitable. The residents are able to talk comfortably about their losses. They say that if they are sad they can talk to Pat (the registered manager) or any of the staff. There are excellent policies and procedures in place to deal with bereavement. One recently bereaved resident spoke of how the home had helped him deal with the death of a parent. He talked affectionately of his lost parent and summed up the way the home had helped him in saying, “We got through it”. He was also able to feel proud of the way he had helped other members of his family deal with the situation. Thorndene DS0000023562.V327956.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home protects the residents from all forms of abuse and residents know that their concerns will be listened to and acted upon. EVIDENCE: The residents said that they could talk to any of the staff if they are worried. Several said that they would “Talk to Pat”, if they had any concerns. Records show that there are regular residents meetings and day-to-day comments, concerns and complaints are noted and acted upon immediately. Staff were clear about their responsibilities in respect of protecting the residents from harm and said they would have no hesitation in reporting any concerns immediately. They said they are confident that Pat (the registered manager) would act immediately if there was even a suggestion of abuse. Sound policies and procedures for the protection of vulnerable adults is in place and up-to-date. Thorndene DS0000023562.V327956.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, &30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The environment is very attractive and homely. It continues to improve and to promote the independence of the residents. EVIDENCE: Since the last inspection there has been a lot of redevelopment. The architect has made very good use of the available space. Pat, the registered manager, is commended for the way in which she has managed the home with all the building work that has been going on. She made sure that there was very little disruption to the residents and staff. Major building work has created a new activities room, a new quiet room, a new, large storage room and a larger staff office. Both the lounge and dining room have been completely refurbished. Thorndene DS0000023562.V327956.R01.S.doc Version 5.2 Page 16 Outside there is a new, safer entrance to the home, a new patio area and safer and increased parking facilities. A new duck pond has been made and a section of the garden is being redesigned to create a dry garden with interesting plants. Several bedrooms have been refurbished. New trendy furniture has been provided. This gives the rooms a more spacious feel and provides better storage space. A plasma screen television has been a great success with all the residents. Thorndene DS0000023562.V327956.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 & 36 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. There is a well-trained, committed and positive staff team. EVIDENCE: The Home had a dedicated member of staff whose main role is to co-ordinate training and development. Since he took up this post, the administrator has continued to develop his role, in conjunction with the registered manager. The system for staff supervision has continued to improve. The way training needs are assessed and met is maintained at a high level. The training administrator is now a regular and respected contributor to a weekly care magazine. This means that he keeps the home informed about up-to-date care practice and improves the networking amongst care providers. Last year the home sought external support in order to help provide better staff supervision. This is now established. Thorndene DS0000023562.V327956.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 & 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The Home is very well managed. EVIDENCE: The registered manager, Pat Moore, is well supported by the directors. She is a registered nurse who has maintained her continuing professional development. Residents, directors, staff, supporters and health and social care professionals all speak highly of her ability, dedication and care. Thorndene DS0000023562.V327956.R01.S.doc Version 5.2 Page 19 Residents said that Pat listens to their ideas and works out ways to make them happen. There are sound systems in place for quality assurance and the residents said that the people (the directors) come and talk to them. The Home achieved the Investors in People (IIP) award on first assessment. The CSCI receives regular, informative reports from the directors in accordance with Regulation 26 of the Care Standards Act. Thorndene DS0000023562.V327956.R01.S.doc Version 5.2 Page 20 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 Score 1 4 2 4 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 4 ENVIRONMENT Standard No Score 24 4 25 4 26 4 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 4 33 X 34 4 35 4 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 4 4 X LIFESTYLES Standard No Score 11 4 12 4 13 4 14 4 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 4 X 4 4 4 X X 4 X Thorndene DS0000023562.V327956.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? No 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 YA2 Good Practice Recommendations The manager and the board should review the way the home intends to market the new rooms that are being created. 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