Inspection on 22/11/05 for Whiston House

This inspection was carried out on 22nd November 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.

Other inspections for this house

Whiston House 09/05/07

Whiston House 15/12/06

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

1 Marten Road

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

CARE HOME ADULTS 18-65 Whiston House Whiston Avenue Bethersden Ashford Kent TN26 3LA Lead Inspector Wendy Mills Announced Inspection 09:30 22 November 2005 nd Whiston House DS0000065343.V258051.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 Whiston House DS0000065343.V258051.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. Whiston House DS0000065343.V258051.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Whiston House Address Whiston Avenue Bethersden Ashford Kent TN26 3LA 01233 820912 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) CareTech Community Services (No.2) Ltd Mr Robin Philip Erskine Care Home 15 Category(ies) of Learning disability (14), Mental disorder, registration, with number excluding learning disability or dementia (1) of places Whiston House DS0000065343.V258051.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users over the age of 65 are restriced to one (1) whose DOB is 16/06/1938. 29/07/05 and 03/08/05 Date of last inspection Brief Description of the Service: Whiston House is a care home that is registered to provide accommodation, personal care and support for up to 15 young adults. It is situated in the village of Bethersden, close to local amenities and approximately nine miles from Ashford. Whiston house is a listed building and the accommodation is arranged over three floors. The home has just received planning permission to make alterations to the home to allow for the residents to live in two units in a more homely environment. There are three self-contained flatlets within the grounds for residents who are able to lead more independent lives. Currently there are ten residents at the home. Whiston House DS0000065343.V258051.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection began at 9.30 am and lasted five hours. Mr Robin Erskine, the registered manager, assisted throughout. The inspection consisted of conversation with staff and residents, in depth discussion with the registered manager, and examination of key documentation such as care plans and policies and procedures. A tour of the home was undertaken in company of the registered manager. The residents were found to be well cared for by a dedicated staff team, however, the environment remains in urgent need of attention. This makes it difficult for staff to maximise the independence of the residents. It is good to note that planning approval has just been obtained to make the necessary alterations and improvements to the building in order to improve the environments. Work is expected to begin early in 2006 What the service does well: What has improved since the last inspection? Team working and morale has improved. The home is now fully staffed and there is less need to use agency staff. Staff with excellent qualifications have been recruited since the last inspection. Whiston House DS0000065343.V258051.R01.S.doc Version 5.0 Page 6 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. Whiston House DS0000065343.V258051.R01.S.doc Version 5.0 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 Whiston House DS0000065343.V258051.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 & 3 The statement of purpose and the service user guide are good. The residents are aware of their roles and responsibilities and know that their independence will be promoted. They know that their goals and aspirations will be supported by the Home. EVIDENCE: The statement of purpose and the service user guide enable residents to understand what to expect from the Home. No new residents have joined the Home since the last inspection although two have moved out of the area to be nearer their family. Residents said that the home helps them do the things they want to and helps them live interesting and enjoyable lives. Indirect observation confirmed that staff encourage the residents to be as independent as possible. Individual needs and goals are reflected in the care plans and risk assessments are in place. Whiston House DS0000065343.V258051.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 The residents and their supporters know that the Home will respect their confidentiality and value their views. There is a clear and consistent care planning process that the residents and their supporters understand and records are maintained securely EVIDENCE: Conversation with staff and residents, and both direct and indirect observation, showed that staff support the residents to participate, in as far as is possible, in decision-making. Staff told the inspector that they can discuss ideas for improving the Home and any other general concerns with the registered manager or team leaders. Documentation containing personal information is stored securely and the residents said that they can trust the staff to ensure that information about them is only shared with those who need to know about it. Inspection of care plans confirmed that they are in order, up-to-date, and clearly identify the needs of the residents. Staff are clear about their responsibility in respect of confidentiality and record storage. Whiston House DS0000065343.V258051.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): 12, 14, 16 & 17 The home offers opportunities for the residents to participate in a range of appropriate activities. It assists and encourages the residents to lead fulfilling lives. The quality of meals is good and special diets are catered for when indicated. EVIDENCE: The residents take part in a variety of leisure and educational activities. Care plans and activity schedules confirmed that college placements and other activities are scheduled. Residents said that they sometimes go to the local shops and pub. They also take part in activities within the local community. Inspection of the kitchen showed that there was a plentiful supply of good quality food available. The residents said that they can help plan meals and some clearly understood their dietary needs. Fridge temperatures are recorded correctly and there is a good understanding of kitchen hygiene Whiston House DS0000065343.V258051.R01.S.doc Version 5.0 Page 11 amongst the staff. The residents said that they enjoy their meals and most like helping in the kitchen. Whiston House DS0000065343.V258051.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): 19 & 20 The home meets the physical and emotional needs of the residents well and promotes their health and independence. The systems for the management and administration of medicines are good. EVIDENCE: Staff understand the need to respect confidentiality. Care plans showed that the residents’ health needs are met and that healthcare professionals are consulted appropriately. Residents are supported to attend healthcare appointments. Staffing levels are now adequate to enable staff to support the residents when attending healthcare appointments without this being to the detriment of the other residents. The policies and practices in connection with the administration of medicines are sound. Medicines are stored appropriately. Whiston House DS0000065343.V258051.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 Staff have a very good knowledge and understanding of Adult Protection issues and how to protect the residents from all forms of abuse. The residents know that their concerns will be listened to and acted upon. EVIDENCE: Staff have a very good knowledge and understanding of Adult Protection issues and how to protect the residents from all forms of abuse. The residents know that their concerns will be listened to and acted upon. Residents said that they could talk to the manager or any of the staff if they had any concerns. There have been no formal complaints since the last inspection. However, a record of minor concerns and complaints is maintained and acted upon. These records were examined and found to be in good order. Inspection of staff training records showed a good level of staff training. Supervision records showed that staff have plenty of opportunities to make a complaint o behalf of a resident should the need arise. Staff said that they would have no hesitation in using the whistle-blowing procedure if they ever suspected that a resident was being subjected to any form of abuse. There is excellent in-house training in Adult Protection issues. Whiston House DS0000065343.V258051.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): 24, 28 & 30 The environment of the home remains poor but the plans to improve it are moving forward. The home is kept very clean and free from offensive odours despite the poor environment that makes cleaning a difficult task. EVIDENCE: The Company and the registered manager have a good understanding of the need to improve the environment of the home. Planning permission is now in place and it is hoped that work will begin early in 2006. The home is large and the layout gives a very institutionalised impression but the plans for the proposed work were available and showed that the alterations will provide the accommodation in two family-sized units rather that one large home. Whiston House DS0000065343.V258051.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): 32, 33, 34 & 36 Staff morale is generally high and most of the workforce is enthusiastic. The communication and the arrangements for staff training are good. Recruitment policies have been consistently followed and this results in the residents receiving care from appropriately vetted staff. There are excellent arrangements for staff consultation and supervision. EVIDENCE: Interviews, in private, with staff and inspection of staff files showed that appropriate checks are made on all staff prior to employment. Staff said that there is good communication in the home and that the staff handovers are good. They said that there is an adequate number of staff on duty. There has been less need to use agency staff since the last inspection. The residents and the home already know any agency staff that are used. Inspection of supervision records showed that regular one-to-one staff supervision takes place. There is a format for recording supervision and records were found to be up-to-date and in order. Whiston House DS0000065343.V258051.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): 37, 38, 39 & 42 The registered manager is well supported by staff. There is clear leadership throughout the home. The company have improved their input into the home and are beginning to offer better support to the manager. EVIDENCE: There is an open and honest management culture and observation of interaction between the registered manager and his senior staff confirmed that they relate well to each other. Staff spoke highly of the manager and the support he gives them. Relatives said that the manger communicates well with them and that they respect his judgements Documentation held within the home is well maintained and all documents requested during the inspection were immediately to hand. The Company is sends regular reports to the CSCI in accordance with Regulation 26. Whiston House DS0000065343.V258051.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 X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 1 X X X 2 X 2 LIFESTYLES Standard No Score 11 3 12 3 13 X 14 3 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 X 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Whiston House Score X 3 3 X Standard No 37 38 39 40 41 42 43 Score 4 3 3 X X 3 x DS0000065343.V258051.R01.S.doc Version 5.0 Page 18 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. Refer to Standard Good Practice Recommendations Whiston House DS0000065343.V258051.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. 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