Inspection on 02/05/06 for Whiteleaf Cottage

This inspection was carried out on 2nd May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Whiteleaf Cottage 15/10/07

Similar services:

Thorndene

Insight - Eastchurch

Southfields

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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 Whiteleaf Cottage Lower Road Teynham Sittingbourne Kent ME9 9LR Lead Inspector Sarah Montgomery Key Unannounced Inspection 2nd May 2006 and 8th May 2006. 09:30 Whiteleaf Cottage DS0000067132.V292404.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 Whiteleaf Cottage DS0000067132.V292404.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. Whiteleaf Cottage DS0000067132.V292404.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Whiteleaf Cottage Address Lower Road Teynham Sittingbourne Kent ME9 9LR 01795 520965 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) Cartref Homes UK Limited Christopher Brennan Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Whiteleaf Cottage DS0000067132.V292404.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection This is a new service. Brief Description of the Service: Whiteleaf Cottage is a registered care home for 5 Adults with learning disabilities. It is a specialised service designed to meet the needs of male service users either with a previous forensic background, or service users who have been assessed as at risk from offending. The service user guide, statement of purpose, and reports from the Commission for Social Care inspection are available to service users and are kept in the office. All service users have their own copy of the service user guide. Monthly fees start at £2225. Charges for additional needs of service users are individually assessed. Purchasers of the service will be given a full breakdown of the fees charged. The home is staffed 24 hours. There is a registered manager and a team of support staff. Clinical support is provided from local psychiatry and psychology services. Whiteleaf Cottage is situated in a rural area in the village of Teynham. It is close to the towns of Sittingbourne and Faversham. The village has some amenities, including a train station, pub and small shop. Whiteleaf Cottage DS0000067132.V292404.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Sarah Montgomery conducted this unannounced inspection on 2nd and 8th May 2006. Evidence was gathered from reading documents, talking to staff and management, and speaking with both service users. All 22 key standards were inspected and were met. 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. Whiteleaf Cottage DS0000067132.V292404.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 Whiteleaf Cottage DS0000067132.V292404.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): 2. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Prospective service users can be confident that their individual aspirations and needs are assessed. EVIDENCE: At the time of inspection two service users were living at Whiteleaf Cottage. In assessing this standard, the inspector looked at both service user’s preassessment documentation, spoke to each service user individually, and discussed with staff and management the home’s process of gathering information. In addition, the statement of purpose and service user guide was read in order to cross reference, and to enable a judgement regarding suitability of placement. The home has demonstrated a thorough approach to pre-assessment, gathering information from a range of sources, and from conducting their own assessment. The process of assessment is fully documented, and not only details the needs of the service user, but gives a service response. Whiteleaf Cottage DS0000067132.V292404.R01.S.doc Version 5.1 Page 8 By being so detailed, the home has ensured as much as possible that they will be aware of all support needs, and that the assessment will serve as a meaningful document to care planning and risk assessment during the initial period of the service user’s stay. Service users spoke with the inspector about their support needs. They demonstrated awareness of their needs and of the support given by staff at the home. Conversations with staff evidenced that they had a detailed knowledge of service users assessed needs, and observation of staff evidenced a consistent approach to meeting and supporting individual service users assessed needs. Whiteleaf Cottage DS0000067132.V292404.R01.S.doc Version 5.1 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 and 9. Quality in this outcome group is excellent. This judgement has been made using available evidence including a visit to this service. Service users can be confident that they will be supported fully regarding their individual needs and choices. EVIDENCE: To assess the above standards, the inspector read through care plans and risk assessments, looked at a sample of notes from 1-1 meetings and individual daily recordings, and spoke with service users and staff. The staff team at Whiteleaf Cottage have developed individual care plans based on the service user’s assessed needs. Care plans have a clear link to the information gathered during assessment. Individual care plans are written under the main headings of Health, Personal Care, Problem Solving, Education and Work, Community and Independent Living, Relationships, Social and Recreation, and Communication. The care plan is then summarised, and the service user and their keyworker then fill out a separate ‘agreed aims’ sheet. This describes the need, the start Whiteleaf Cottage DS0000067132.V292404.R01.S.doc Version 5.1 Page 10 date, the completion date, and who is responsible. This document also records dates of discussion regarding the care plan, with the service user. The care plan is then broken down into a further stage of ‘teaching targets’. This process is completed for each separately headed care plan. Care plans are reviewed weekly, and updated or changed if required. Service users confirmed their involvement with their care plans, and gave examples of consultation with staff and support from staff regarding decisionmaking. Risk assessments are equally thorough. All risk assessments are accompanied by behavioural guidelines and agreed boundaries. Risk assessments and care plans are written in accessible language, and this provides clarity for service users. Daily notes and minutes of 1-1 sessions confirmed that staff and service users are working towards goals set in care plans, and also evidenced that service users are consulted appropriately about the care and support they receive. Whiteleaf Cottage DS0000067132.V292404.R01.S.doc Version 5.1 Page 11 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, 13, 15 16, and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be confident they will be supported to develop and maintain a lifestyle of their choice, and that they will be offered guidance regarding their choices. EVIDENCE: Whiteleaf Cottage is a specialised service designed for young adult men with learning difficulties who have, or are assessed as potentially having, a forensic history. It is not intended as a long-term residential placement. Whiteleaf Cottage staff team aims to work intensively with service users, implementing behaviour management strategies, with the identified outcome being the service user returning to ordinary community provision as quickly as possible. Therefore, working alongside service users regarding their ‘lifestyle’ choices is the defining aim of Whiteleaf Cottage. Whiteleaf Cottage DS0000067132.V292404.R01.S.doc Version 5.1 Page 12 The home draws on clinical expertise from within its own staff group, and also works closely with psychology and psychiatry services. Care plans, risk assessments and 1-1 notes all evidence that service users are guided and supported in making decisions about their lives. Service users are encouraged to recognise their strengths as well as needs, and are supported to link their strengths and needs to education, work and leisure activities. Both service users spoke enthusiastically about activities they were doing, and about researching with staff activities (including work and education) they might do. It was clear from talking with service users that their rights and responsibilities are recognised, and that staff spend time supporting and guiding them towards positive lifestyle decisions and choices. Records demonstrated and staff and service users confirmed, that links to family and friends remain strong. Whiteleaf Cottage supports individuals with remaining in contact with their friends and families, taking into account the wishes of the service user and of any history that may carry restrictions with contact. Service users are encouraged to take responsibility for leading a healthy lifestyle. To this aim, they are involved in planning and preparing meals, and are supported to do this by staff. Service users have access to several cookery books and additional literature that outlines options for healthy cooking. Whiteleaf Cottage DS0000067132.V292404.R01.S.doc Version 5.1 Page 13 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 and 20. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users can be confident that all their personal and healthcare support needs will be met. EVIDENCE: In consultation with service users, and using information gathered during preassessment and ongoing assessment, the home has developed (and is continually developing) individual care plans outlining all personal and healthcare support needs. A team of trained staff supports Service users. All staff have received an intensive induction, which has included guidance on meeting the emotional needs of service users. In addition, service users have regular contact with psychology and psychiatry, and have individual behaviour guidelines. The manager is a Registered nurse and is knowledgeable about the health needs of individual service users. All staff have been trained in administering medication. Discussion with staff and the manager evidenced they have an acceptable knowledge of the health care needs of service users. Whiteleaf Cottage DS0000067132.V292404.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be confident that their views are listened to and acted upon, and that they are protected from harm. EVIDENCE: Whiteleaf cottage has an accessible complaints procedure. All service users are supplied with a copy of this. In addition, service users have regular 1-1 sessions with their keyworker or other support staff. Service users are encouraged to talk about their feelings, including any concerns or complaints they may have. The inspector spoke with a service user about making a complaint. Although he seemed unsure of the complaints procedure and process, he was clear about his rights in making a complaint, and knew a selection of appropriate people he could talk to if necessary. The home has received one complaint. At the time of inspection the complaint was being investigated. The home were addressing the complaint professionally and conducting an appropriate investigation. The staff team have all received basic adult protection training during their induction. The manager spoke knowledgably about his responsibilities in ensuring that service users are protected from harm. Whiteleaf Cottage DS0000067132.V292404.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this area is excellent. This judgement has been made using available evidence including a visit to this service. Service users live in a comfortable, homely and clean environment. EVIDENCE: Whiteleaf Cottage is a spacious bungalow. It is a new service and benefits from all the décor and furniture being fresh and new. The team have clearly put a lot of effort into creating a homely and welcoming environment for service users. The home has five bedrooms, all are ensuite. All bedrooms are furnished to a high standard. Service users are encouraged to make their rooms ‘their own’. Service users have access to all communal areas and a large enclosed garden. The communal areas and spacious layout of the home provides real options for service users to enjoy some quiet time, or choose to be with others. A tour of the premises evidenced that the home is clean and hygienic. Whiteleaf Cottage DS0000067132.V292404.R01.S.doc Version 5.1 Page 16 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 and 35. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users benefit from being supported by competent staff. Service users further benefit from the home’s robust recruitment policy and practice. EVIDENCE: Staff were employed six weeks prior to the home opening. During this time staff received a thorough induction. This included; LDAFF, NAPPI, Fire safety, food hygiene, and Health and safety. In addition to this, the staff team also received an induction into the philosophy and aims of the Cartref group which is centred on ‘valuing people’ and ‘O’Brien’s service accomplishments’. Regular supervision and team meetings ensure that staff are kept up to date on any changes or developments, and also are given opportunities to discuss issues within a team setting. Three members of staff were spoken with. Each spoke competently about the service, and about the individual needs of service users. They displayed a detailed knowledge of individual care plans, and described a cohesive staff team lead by a strong management group. Whiteleaf Cottage DS0000067132.V292404.R01.S.doc Version 5.1 Page 17 Inspection of staff files evidenced a robust approach to recruitment, ensuring the protection of service users and facilitating employment of suitable staff. Whiteleaf Cottage DS0000067132.V292404.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 and 39. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users benefit from living in a home that is well run. Service users can be confident that their views underpin all self-monitoring and review by the home. EVIDENCE: Given that this is a new service, which only opened in March, Whiteleaf Cottage has succeeded in meeting every standard inspected. It cannot be underestimated that this has been achieved by a combination of excellent planning, a dedicated and professional staff team, and hard work. Service users have moved into a home that is well run and is dedicated to meet their needs in a planned and proactive way. The manager and team at Whiteleaf are supported in their roles by the Director of Care and Head of Care who provide regular monitoring visits, Whiteleaf Cottage DS0000067132.V292404.R01.S.doc Version 5.1 Page 19 ensuring that the home continually evolves to meet the needs of service users, and that it continues to meet national minimum standards. Whiteleaf Cottage DS0000067132.V292404.R01.S.doc Version 5.1 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 X 2 3 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 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X X X Whiteleaf Cottage DS0000067132.V292404.R01.S.doc Version 5.1 Page 21 NA 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 Whiteleaf Cottage DS0000067132.V292404.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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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