Care Home: 30 The Close

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What the care home does well There is a range of documentation in place which gives guidelines on how to support people. Each person is supported by clear information in their individual care plan, behavioural guidelines and risk assessments. These fully identify how to support people with their individual needs. Records showed that these are regularly reviewed and updated. There are guidelines in place in respect to routines and behaviours and how to support people with this. There are clear triggers identified and how staff are to assist the individual person. Clear intervention procedures are in place and positive outcomes identified for people. Care plans include comprehensive risk assessments which takes into account the specialist individual needs of the person. Where there are limitations on choices or facilities there are clear recorded reasons as to why this is in the persons best interests. There was evidence in the records of best interests meetings held with multi disciplinary teams and evidence that individual mental capacity and any restrictions on liberty areassessed. People attend a day centre during the day and are supported with individual chosen activities. One person had recently enjoyed a holiday to France where they were able to go fishing, which is an activity they enjoy. Recently the home had arranged an activities week and everyone in the home was able to participate in a range of activities that they were able to choose and this included camping and outings. Healthcare needs are well managed and supported. There are clear risk assessments in place for specialist needs. The home acts upon advice from relevant healthcare professionals. Medication was seen to be well managed and the home supports people to manage their own medication where this has been assessed as appropriate. The Annual Quality Assurance Assessment (AQAA) tells us that there are robust recruitment procedures in place, we did not look at staff records in relation to recruitment at this visit, but we spoke the Team Leader and a member of the management team for the Kent Autistic Trust Society and they were able to clearly describe the procedure. They told us that staff do not start work until all relevant checks are received including references and a Criminal Records Bureau (CRB) check. As part of the recruitment procedure prospective members of staff are invited to visit the home on a supervised basis in order to ensure that they have the empathy and aptitude the organisation looks for in their staff. Staff are trained in the specialist needs of the people living in the home and each member of staff has a training and development plan. Records showed that training is up to date and that ongoing training is arranged on a rolling program. Staffing levels are in accordance with the needs of the people living in the home. There is a complaints procedure in place and robust procedures for ensuring that people living in the home are safeguarded. The service takes appropriate action if they have concerns about any of the people living in the home. We (the Commission) have not received any complaints about the service. The Annual Quality Assurance Assessment tells us that all necessary checks are carried out on a regular basis and that there are regular health and safety audits in place. The registered provider continues to look at ways at improving the service and outcomes for the people living in the home. They are currently in the process of reviewing the communication passports and healthcare records so that people can become more involved in their care planning. What the care home could do better: As a result of this visit we have not made any requirements or recommendations. The service continues to promote excellent outcomes for the people living in the home and make improvements where they identify a need. Random inspection report Care homes for adults (18-65 years) Name: Address: 30 The Close 30 The Close Rochester KENT ME1 1SD three star excellent service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme 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 review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Anne Butts Date: 2 9 0 6 2 0 1 0 Information about the care home Name of care home: Address: 30 The Close 30 The Close Rochester KENT ME1 1SD 01634401854 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Tracy Jane Long Type of registration: Number of places registered: Conditions of registration: Category(ies) : The Kent Autistic Trust care home 6 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 6 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 30 The Close is a semi detached premises, owned by Hyde Housing Association and managed on a day-to-day basis by The Kent Autistic Trust. Accommodation comprises of six single bedrooms and adequate day space to for the number of peoples the establishment is registered for. The home is located in a residential area in Rochester Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home within close proximity to public transport and local amenities. The local shops are approximately a 5-minute walk away and the town centre of Rochester within walking distance. Fees are are according to assessment and available upon request. Care Homes for Adults (18-65 years) Page 3 of 8 What we found: At the last key inspection the quality rating for this service was 3 stars. This means that the people who use the service experience excellent quality outcomes. We carried out a random unannounced to look at how the service has continued to support people. We visited on Tuesday 29 June 2010, on an unannounced basis. All the people living in the home was attending a day centre and were not available at the time of our visit. We spent time talking to senior members of staff and looking at a selection of key documents and this included information relating to care plans, risk assessments and medication. We also looked at records which showed how people were supported in spending their time. At the time of our visit we had the opportunity to speak to the relative of one person living in the home. Before we visited the home we had requested an Annual Quality Assurance Assessment (AQAA). This was returned to us within timescales and gave us detailed information about the service. We have taken the information in this document into account as part of this inspection process. We had also asked people living in the home and staff to complete surveys. We wanted them to tell us what they think of the service provided. We received eleven surveys back. Seven from members of staff and four from the people living in the home. People living in the home were assisted to complete the surveys. The surveys from people living in the home told us that they felt well treated and indicated that they were able to choose things they liked including pastimes and preferred foods. Staff surveys told us that they felt they were given enough information about the people living in the home and that they felt well supported. A visiting relative told us that they were very happy with the support provided in the home. What the care home does well: There is a range of documentation in place which gives guidelines on how to support people. Each person is supported by clear information in their individual care plan, behavioural guidelines and risk assessments. These fully identify how to support people with their individual needs. Records showed that these are regularly reviewed and updated. There are guidelines in place in respect to routines and behaviours and how to support people with this. There are clear triggers identified and how staff are to assist the individual person. Clear intervention procedures are in place and positive outcomes identified for people. Care plans include comprehensive risk assessments which takes into account the specialist individual needs of the person. Where there are limitations on choices or facilities there are clear recorded reasons as to why this is in the persons best interests. There was evidence in the records of best interests meetings held with multi disciplinary teams and evidence that individual mental capacity and any restrictions on liberty are Care Homes for Adults (18-65 years) Page 4 of 8 assessed. People attend a day centre during the day and are supported with individual chosen activities. One person had recently enjoyed a holiday to France where they were able to go fishing, which is an activity they enjoy. Recently the home had arranged an activities week and everyone in the home was able to participate in a range of activities that they were able to choose and this included camping and outings. Healthcare needs are well managed and supported. There are clear risk assessments in place for specialist needs. The home acts upon advice from relevant healthcare professionals. Medication was seen to be well managed and the home supports people to manage their own medication where this has been assessed as appropriate. The Annual Quality Assurance Assessment (AQAA) tells us that there are robust recruitment procedures in place, we did not look at staff records in relation to recruitment at this visit, but we spoke the Team Leader and a member of the management team for the Kent Autistic Trust Society and they were able to clearly describe the procedure. They told us that staff do not start work until all relevant checks are received including references and a Criminal Records Bureau (CRB) check. As part of the recruitment procedure prospective members of staff are invited to visit the home on a supervised basis in order to ensure that they have the empathy and aptitude the organisation looks for in their staff. Staff are trained in the specialist needs of the people living in the home and each member of staff has a training and development plan. Records showed that training is up to date and that ongoing training is arranged on a rolling program. Staffing levels are in accordance with the needs of the people living in the home. There is a complaints procedure in place and robust procedures for ensuring that people living in the home are safeguarded. The service takes appropriate action if they have concerns about any of the people living in the home. We (the Commission) have not received any complaints about the service. The Annual Quality Assurance Assessment tells us that all necessary checks are carried out on a regular basis and that there are regular health and safety audits in place. The registered provider continues to look at ways at improving the service and outcomes for the people living in the home. They are currently in the process of reviewing the communication passports and healthcare records so that people can become more involved in their care planning. 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 set out on page 2. Care Homes for Adults (18-65 years) Page 5 of 8 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, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 6 of 8 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, 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 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got 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 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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