Care Home: 2a Higham Road

Similar services:

• Thorndene
• Insight - Eastchurch
• Southfields
• Magenta
• Seabourne House
• 33 St John`s Church Road
• Dovedale Court
• Lyncol House

What the care home does well Care guideline records continue to reflect the assessed and changing needs of residents. They contain information about how residents are progressing, aims of care identified by staff and agreed with residents, their health requirements and risks associated with their daily living and activities. The AQAA referrred to an on-going committment to ensure that each individual is valued and listened too. The owning company supports staff well in order to meet the needs of residents. The garden is suitable for use by residents, staff and visitors. The premises are suitable for use by vulnerable people. For residents who might have reduced mobility, the stair lift would prove useful. What has improved since the last inspection? The AQAA referrred to an on-going committment to ensure that each individual is valued and listened too. Different forms of support for the longer term are under consideration. What the care home could do better: This report contains no recommendations or requirements. Key inspection report Care homes for adults (18-65 years) Name: Address: 2a Higham Road 2a Higham Road Wainscott Rochester Kent ME3 8BB     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: Eamonn Kelly     Date: 0 4 1 1 2 0 0 9 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 26 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 26 Information about the care home Name of care home: Address: 2a Higham Road 2a Higham Road Wainscott Rochester Kent ME3 8BB 02083082900 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: glebe.house@theavenuestrust.co.uk Avenues Support Services care home 3 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 3. 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 The premises provide support for up to 3 residents. One bedroom is on the ground floor and two are on the first floor. There a stair lift for residents with reduced mobility. Staff, residents and visitors have access to front and rear gardens. The premises have a lounge/dining room, kitchen, utility room and sufficient bathroom facilities. There are local shops and amenities to which residents have access particularly with Care Homes for Adults (18-65 years) Page 4 of 26 Over 65 0 3 Brief description of the care home the convenience of a company owned vehicle. Information about fees and other costs many be obtained from the manager. Care Homes for Adults (18-65 years) Page 5 of 26 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: The quality rating for this service is 3-Star. This means that people who use the service continue to experience excellent quality outcomes. The inspection took place on 4th November 2009. It comprised discussions with the acting manager. Both residents were at other locations accompanied by two members of staff. Care practices were discussed and all parts of the premises were visited. Some records were discussed during the visit principally those addressing the personal and healthcare support of residents. The Commission received an annual quality assurance assessment (AQAA). This provided information about how residents are currently supported and how the service is being developed. Care Homes for Adults (18-65 years) Page 6 of 26 The previous inspection report was checked as part of this inspection. Issues referred to in that report have been addressed in the meantime. The evidence of this inspection visit and that contained in the AQAA (annual quality assurance assessment) indicated that progress is being made in the interests of resident welfare and comfort and towards meeting the overall objectives of the service. Care Homes for Adults (18-65 years) Page 7 of 26 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. 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 8 of 26 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 9 of 26 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. Prospective service users can be confident that their individual aspirations and needs are assessed. Evidence: During a discussion with the acting house manager, Mrs Melanie Bentley, it was evident that, in the years since The Avenues Trust became the care provider they have undertaken detailed assessments of residents aspirations and support needs. This conclusion was reached on the basis of information provided by Mrs Bentley, from the AQAA submitted to the Commission and from other information gathered by the Commission, for example, notifications of incidents and how these were dealt with by members of staff. The Trust uses a person centred planning approach to enable assessments to be tailored to individuals. This method of individual care planning is being used also to determine the support needs of residents as other forms of care (for example, supported accommodation) is under active consideration. Care Homes for Adults (18-65 years) Page 10 of 26 Evidence: On this occasion, two residents only were at the service and at the time of the inspection both were out with two carers. No new residents have moved into the premises for many years and current residents are supported by a manager and support workers and these staff members have the support of other specialists within the owner organisation. Care Homes for Adults (18-65 years) Page 11 of 26 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. Residents preferences and capabilities are assessed and recorded. These are reviewed at regular intervals and individual support plans are amended accordingly. Evidence: The acting manager outlined how the support needs and capabilities of both residents are identified and recorded in individual support plans. These are used a basis for the way members of staff provide support and guidance to them. Currently, the owner organisation is undertaking person-centred planning to identify/consider alternative models of care and accommodation for residents. Supported accommodation is currently an option for some residents at the home and other homes owned by The Avenues Trust. Information maintained by the service included activities time table, participation record and holistic profiles. Care Homes for Adults (18-65 years) Page 12 of 26 Evidence: Preferences and abilities were identified and recorded. Copies of risk assessments, weight charts, health visits, assessment of cultural needs and faiths, therapeutic certificates, outcomes of reviews, speech and language records and medication reviews are maintained at the service. There was evidence that these are reviwed by a visiting member of staff from time to time. Care Homes for Adults (18-65 years) Page 13 of 26 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. Residents have opportunities for personal development through the provision of a range of activities and participation in mainstream life. They are helped to make choices about day-to-day life and how they wish to spend their time and use their skills. Evidence: According to profiles discussed with the acting manager, both residents have access to a range of activities to meet their needs. Records are maintained to track and review this aspect of support. The AQAA outlined how staff support residents and examples are outlined. At the time of the inspection visit, both residents were visiting local high street locations with two support workers. They were undertaking a number of activities, for Care Homes for Adults (18-65 years) Page 14 of 26 Evidence: example, banking, shopping and having lunch. Staff and residents are able to plan different events at short notice and they have the benefit of immediate access to a car owned by the service. The acting manager said that several members of staff are able to drive the vehicle. Residents routinely visit the cinema, attend hydrotherapyand have reflexology, massage and sensory activities. They visit cafes and evening clubs, have meals out, they go bowling and have holidays which they plan and choose. As on the previous occasion when an inspection took place, the range and frequency of activities continue. The evidence was that there is continuing contact by residents with their friends and relatives. The AQAA outlined how staff are encouraged to provide good food, to enable residents to participate in decisions about food purchasing and cooking and to monitor residents health and preferences. Care Homes for Adults (18-65 years) Page 15 of 26 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents receive support as necessary and their physical and emotional health needs are met. Evidence: According to profiles of residents as discussed with the acting manager and to the information submitted in the AQAA, residents receive personal care and support in the way they prefer and require. Guidelines for undertaking aspects of personal care are maintained in residents personal files. Daily records of how residents are progressing are also maintained. Individual personal plans contain information about how residents have access to GPs and to other healthcare facilities. The homes medication facilities were not inspected on this occasion. The AQAA stated that staff are properly trained and supported so that, for example, any medication errors are identiffied and immediately addressed. Care Homes for Adults (18-65 years) Page 16 of 26 Evidence: During a previous inspection, it was determined that medication was stored and administered well. The acting manager stated that medication training has been reviewed for all staff and that their performance in this area of support is reviewed and noted. The AQAA indicated that the previous requirement in this area has been met. Care Homes for Adults (18-65 years) Page 17 of 26 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents and their families know that their concerns will be listened to and acted upon. Residents are protected from abuse, neglect and self-harm. Evidence: From information provided by the acting manager and from the AQAA, it was clear that the service has a complaints procedure that meets current requirements for supporting vulnerable people. It is understood that POVA training for staff is provided by the Trust. There was evidence that concerns and complaints are taken seriously. No complaints have been made in the last 12 months as far as the Commission is aware. There are currently no safeguarding adults procedures underway by local authorities. According to the acting manager and to the information shown in the AQAA, adult protection procedures and policies are in place and kept up-to-date. Recruitment procedures are such that the current range of required checks are undertaken for all staff. Care Homes for Adults (18-65 years) Page 18 of 26 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in premises that are suitable for their support needs. Evidence: All areas of the premises were visited. Residents have single bedrooms. One bedroom is on the ground floor: two are located on the first floor. The premises have a stair lift which is not currently used by either resident. There was a slight urine smell in one bedroom. Although the carpet is cleaned regularly, it is possible that a new assessment would indicate that alternative flooring might be preferable. The premises are reasonably well maintained by the owners (a PCT) of the property: some aspects aspects of upkeep and furnishings are probably in need of review. The acting manager stated that the Trust is considering new care paths for residents and this could mean closure of the home in due course. Care Homes for Adults (18-65 years) Page 19 of 26 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. Residents are protected by a range of policies and procedures including those relating to recruitment and training procedures. Evidence: The Commission is aware of how the Trust has centrally administered procedures in place for recruitment and training of staff. Managers of individual premises have participation in all aspects of these functions and have responsibilities for ensuring that they are properly administered. The acting manager confirmed how managers are involved in these procedures. At the time of the inspection, there was an acting manager in place as well as two members of staff (who were escorting the two residents at local locations). Mrs Bentley outlined how staff are deployed to homes and how the owner organisation maintained an effective training service for staff. The AQAA provided details of the policy followed and procedures in place. This includes induction procedures for new staff, certificated training, mandatory training topics and one-off training to meet specific requirements relating to residents support Care Homes for Adults (18-65 years) Page 20 of 26 Evidence: needs. The acting manager confirmed that there is excellent support for staff and that she is receiving supervision at more regular intervals to enable her to gain experience needed to manger two registered services. Care Homes for Adults (18-65 years) Page 21 of 26 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are supported in an environment that is well conducted. Evidence: The acting manager, Mrs Melanie Bentley, is resonsible for this service and for a similiar service a short distance away. She said that an application for registration would be made to the Commission soon. She was advised to get this application underway as soon as possible because the home has been without a registered manager for some time. This advice is confirmed irrespective of the consideration reportedly being given towards possible new plans for service delivery. The acting manager has several years experience of working with this client group as a support worker and now in a management capacity. She was able to provide good responses during the inspection to enable this report to be made. Observations amde during the inspection and discussion with the acting manager Care Homes for Adults (18-65 years) Page 22 of 26 Evidence: evidenced that the home is continuing to provide an effective service. The AQAA provided an outline of how the service is conducted and some plans for thew future. It contained a declaration about how safety of the premises is maintained. Care Homes for Adults (18-65 years) Page 23 of 26 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 24 of 26 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 25 of 26 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). 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. Care Homes for Adults (18-65 years) Page 26 of 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!