Care Home: 118 Beaver Lane

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What the care home does well The manager and staff team is stable and most are longstanding so they know service users well. Staffing is planned around peoples needs to ensure that people have support when they need it. People have their personal goals as well as their needs recorded and supported. There are clear plans in place which are reviewed regularly so staff know if they are giving the right support for people to achieve their goals. People have good support with communication to help them make choices and decisions. Staff know how to use alternative methods of communication and there are systems in place to show people about the staff on duty and meal choices. People have support to lead busy and ordinary lives. One person said they like going shopping to buy their food for the week. People have had support to get jobs and attend colleges. Everyone is out doing something during the week and evenings and people have support to have the holidays they want. Two people have their own flats and another person is having kitchen facilities installed in their room to give them more opportunities. Relationships with family and friends are well supported. What has improved since the last inspection? Communication passports have been developed with people so the way people prefer to communicate is supported. Goal planning in care plans has been improved so goals are clearly recorded and tracked to make sure that people have the support they need to achieve. One person has had support to get a job. There are plans to improve the garden. Staff said they are planning a vegetable plot and decked area. There are plans to produce a DVD about the home so people can see what life is like at Beaver Lane. What the care home could do better: The AQAA completed by the manager identifies what could be better and the manager has good ideas about improving the service for people. There are no requirements for improvement. Key inspection report Care homes for adults (18-65 years) Name: Address: 118 Beaver Lane 118 Beaver Lane Ashford Kent TN23 5NX     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Kim Rogers     Date: 3 0 0 1 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 25 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 25 Information about the care home Name of care home: Address: 118 Beaver Lane 118 Beaver Lane Ashford Kent TN23 5NX 01233650526 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: The Kent Autistic Trust care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users to be accommodated is 6. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD). Date of last inspection Brief description of the care home 118 Beaver Lane is registered to provide care and accommodation for a maximum of 6 adults with a learning disability. It is a purpose built detached property owned by the London and Quadrant Housing Association. The Registered Provider is The Kent Autistic Trust. The Manager Ms Zoe Rodda is in day to day control. The home aims to provide a caring, supportive and empowering service for people with Autistic Spectrum Condition. The house is situated in a residential area of Ashford, within 15 minutes walking distance of the town centre, with easy access to public transport, health and adult education centres, shops, churches, a swimming pool and other amenities. All service Care Homes for Adults (18-65 years) Page 4 of 25 Over 65 0 6 Brief description of the care home users have their own en-suite room or self-contained flat. The reported fees are within the range of about £1180 - £2128 per week. For more information about fees and services please contact the Provider. Care Homes for Adults (18-65 years) Page 5 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This was a key inspection of the service and included an unannounced site visit by one inspector. We went to the home on a Saturday afternoon, 30/01/10, and spent just over an hour talking to service users and staff and observing what was going on. We sampled records, made observations and had a look around the home. There was a very relaxed atmosphere with people choosing how to spend their weekend. We spoke to the manager by phone twice, before and after the inspection. All of the key minimum standards were assessed. The previous key inspection was carried out on 2/02/07. This inspection was very positive with no requirements for improvement made. We carried out an Annual Service Review on 31/03/08. The home is rated as excellent and we found that the home continues to provide an excellent service. We looked at the Annual Quality Assurance Assessment or AQAA that the manager Care Homes for Adults (18-65 years) Page 6 of 25 completed. This is well completed and gives detailed information about what the home does well, what could be better and how they intend to improve. We looked at other information we have received about the home including any concerns, complaints and notifications about incidents or accidents. Care Homes for Adults (18-65 years) Page 7 of 25 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. Care Homes for Adults (18-65 years) Page 8 of 25 The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 25 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Detailed assessments are carried out before a person moves in to make sure they get the right support. There is user friendly information available to help people decide about moving in. Evidence: An assessment is carried out before a person moves in. This is so the manager knows about a persons needs and aspirations so they can make sure the home can meet them. Trial stays are offered so people can get a feel of what it is like to live at Beaver Lane. They have successfully supported a person to move in since the last inspection. There is information about the home available. This has colour photographs and pictures. They are planning to make a DVD about life at Beaver Lane so that prospective service users can see what it is like. This all helps people make a decision about moving in. Care Homes for Adults (18-65 years) Page 11 of 25 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have the support they need to achieve their aspirations. Risk taking is supported so that people are not restricted. People have the support they need to make choices and decisions. Evidence: Each person has a service user plan that they have been involved in developing. The plan sets out peoples needs and personal goals for the future. It shows what staff need to do to give the right support. There are records showing that people have had the support they need to achieve their goals. Plans are person centred in that the things people want out of life are identified, recorded and supported. People told us that staff give them the support they need. Staff said when we have supported people to achieve a goal, we move onto the next goal. Staff said everyone has a goal plan; we break goals down into little steps. The AQAA shows that they have improved goal planning and recording. The manager said she plans to make plans more individual to each person so they mean more. Care Homes for Adults (18-65 years) Page 12 of 25 Evidence: Regular reviews are held with care managers, family and friends to check people are still getting the right support. As well as this formal review staff carry out monthly reviews with service users to make sure people are getting the support they need. Potential risks are identified and assessed to ensure that people are safe but not restricted. The way that people prefer to communicate is recorded in individual plans. We saw staff using a sign language, Makaton, to communicate with people. The environment supports communication with pictures of who is on duty and what the meal choices are for that day. This means that people can find out for them selves without having to rely on staff telling them. This gives people some control and support to make choices. Staff said we try to use lots of visual aids, it helps people to choose. We have a folder of food pictures so that people can have a choice. Care Homes for Adults (18-65 years) Page 13 of 25 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have the opportunity to take part in a wide range of activities. Everyone is involved in the running of the home. Relationships are supported and people have a healthy balanced diet. Evidence: There are a wide range of activities on offer that people can take part in. Each person has an activity planner showing what the choices are. Everyone goes out during the week to day services and colleges. One person has had support to get a job. One person is having support to learn to drive. Extra staff come in to support evening and weekend activities when needed and to support people on a one to one basis to places like the cinema and bowling. One person said I like all my activities. Staff said there is always something going on, never a dull day here. Whatever people are interested in, we try to fulfil it. For Care Homes for Adults (18-65 years) Page 14 of 25 Evidence: example one person likes football and has had support to see local matches. Another person likes horse riding so will be starting this soon. Individual holidays to support peoples needs have been arranged. Staff said that people have varied hobbies so staff support people on a one to one basis so they can continue to enjoy their hobbies. Everyone is involved in the daily chores and housework. Staff encouraged one person to help lay the table for dinner. There is a rota showing what people will be doing like laundry. Staff said they try to involve everyone in the running of the home. This means that people have the opportunity to increase their skills. People have support to keep in touch with family and friends. Staff said friends and families are invited to barbeques and parties held at the home. People have support to eat healthy balanced meals with everyone involved in planning and preparing meals. Some people plan their own menu and do their own food shopping. This is because some people have their own kitchen facilities. The menu is shown in words and pictures so that everyone knows what the choices are. Special diets are catered for and alternative meal choices always on offer. People have the support they need to maintain a healthy weight. Care Homes for Adults (18-65 years) Page 15 of 25 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have the support they need with personal care. People have support to lead a healthy life and medication practice is safe. Evidence: The support people need with personal care is recorded in individual plans. There is monitoring and guidance in place so that staff know how people prefer to be supported. Health needs are recorded. The manager said she plans to introduce individual health action plans so that service users can be involved and have more control over their health and well being. Staff said that people have support to attend health appointments including the doctor and dentist. Staff have training in how to support specific health needs. Medication practice continues to be safe. Storage is safe with senior staff having responsibility for the keys. Staff have training before they can administer medication. Care Homes for Adults (18-65 years) Page 16 of 25 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is a user friendly complaints procedure. People are protected from harm and abuse. Evidence: There is a complaints procedure. This is produced in a user friendly format so that more people can use it. Staff have training in how to communicate with service users so they can find out if there is something wrong. Staff meet with service users individually on a monthly basis giving opportunity for people to raise any concerns. Neither the home nor the Commission have received a complaint since the last inspection. There is a safeguarding policy and procedure that shows how they protect people from harm and abuse. Staff have training so they know how to recognise and respond to possible abuse. People who need them have a positive behaviour support plan that they have been fully involved in developing. There is detailed guidance for staff to follow so they know how to give the right support. There are systems in place to safeguard service users money. Care Homes for Adults (18-65 years) Page 17 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is clean and well maintained and suits peoples needs. Evidence: Staff showed us around the home which is clean and well maintained. Each room is single with en suite facilities. Two people have self contained flats. One person told us they are very happy with their flat and they like living at Beaver Lane. They recently picked the paint colours when the flat was redecorated. One person is having kitchen facilities installed in their room to enable them to make drinks and snacks. There are communal areas like a lounge with dining area and a large kitchen. There is garden with plans to have a decked area and a vegetable plot. Staff said they try to encourage people to be involved in the gardening. Everyone is involved in keeping the house clean. Care Homes for Adults (18-65 years) Page 18 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are enough trained staff to meet peoples needs and to support people to lead fulfilling lives. Recruitment checks are carried out protecting service users. Evidence: Staffing is planned around peoples needs. Extra staff are available when needed, for example to support one to one activities. There were four staff on duty including a senior staff when we visited the home for five service users as one was away. The AQAA shows that there is a full staff complement and a high ratio of staff to service users. This means that staff are available when people need them. The staff team is stable with some long standing members of staff who know service users well. There are photographs showing who is on duty so people know who will be supporting them. Staff spoke with understanding of service users needs. The AQAA shows that the induction is sound and that recruitment checks are carried out before a person starts working at the home. A new member of staff confirmed this and told us about their week long induction and shadowing and recruitment checks. Staff have mandatory training as well as training in subjects related to peoples needs. One staff member said, The manager logs training and books courses. I am fully up to date with my training. We get extra training too. There is Makaton and Mental Health Care Homes for Adults (18-65 years) Page 19 of 25 Evidence: awareness coming up. One staff said I went to a seminar about Autism in London over three days. It was fascinating, really good. We have sensory training too. Staff said they have the opportunity to attend regular team meetings and one to one meetings with a line manager. This means they get some support and mentoring. We observed staff communicating effectively with a service user using Makaton. Staff noticed the person was becoming anxious so guided them to another task of laying the table ready for dinner. This reduced their anxiety and got them involved. One staff said, It is so important to us that service users are happy Care Homes for Adults (18-65 years) Page 20 of 25 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and is managed in service users best interests. People know that their health and safety is protected Evidence: The same manager is in post as at the last inspection. The manager has been at the home for several years and has the qualifications and experience necessary. This means that the manager knows the service and the service users well. The manager is registered with us so she has passed our fit person process. Staff said the manager is a good manager. Staff said the manager has plans to improve the service. There are systems in place to check the quality of the service and monitor practice. Service users views are sought and changes made based on their views. People have the opportunity to have one to one meetings with their key worker so they can talk about how things are and staff know if they then need to make any changes. Families and friends are involved in giving feedback and airing their views about the service. The AQAA shows that the required health and safety checks are carried out on the Care Homes for Adults (18-65 years) Page 21 of 25 Evidence: building and equipment. Staff have training in areas related to health and safety including first aid, food safety and fire awareness. Staff said the manager plans and books courses so that everyone is always up to date. Care Homes for Adults (18-65 years) Page 22 of 25 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 23 of 25 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 24 of 25 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). 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