Care Home: 89 Hastings Avenue

Similar services:

• Thorndene
• Sutton Lodge Nursing Home
• Insight - Eastchurch
• Southfields
• Magenta
• Seabourne House
• 33 St John`s Church Road
• Dovedale Court

What the care home does well The comments from relatives reflect their satisfaction with the home. Residents are very much seen as individuals and staff take time to make sure that residents are given opportunities to communicate their wishes. The care plans are person-centred and reflect staff commitment to ensuring that individuals` wishes as well as their needs are taken into account. The staff team are confident about looking at how they work and what happens within the home with the view to make improvements or changes which will benefit residents. What has improved since the last inspection? There were no requirements from the previous inspection. What the care home could do better: Although there are no formal requirements from this inspection the registered manager identified the following things for improvement in the AQAA completed for this inspection:- changes to the rota to give staff time within their working hours on a weekly basis to review and update all paperwork; to support one particular resident to further develop a person-centred plan; to review the format for risk assessments; to look into services and facilities and how to access them for young people with learning difficulties and sensory impairments within the local community, working with the local learning disability partnership board; to review and revise the personal care policy including involving one resident in the process; various areas have been identified for redecoration and improvements and some improvements are planned in the garden to increase residents` pleasure. CARE HOME ADULTS 18-65 89 Hastings Avenue 89 Hastings Avenue Margate Kent CT9 2SQ Lead Inspector Christine Lawrence Unannounced Inspection 22 February 2008 14:00 89 Hastings Avenue DS0000023298.V357901.R01.S.doc Version 5.2 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 89 Hastings Avenue DS0000023298.V357901.R01.S.doc Version 5.2 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. 89 Hastings Avenue DS0000023298.V357901.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 89 Hastings Avenue Address 89 Hastings Avenue Margate Kent CT9 2SQ 01843 232767 01843 232952 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) www.sense.org.uk Sense, The National Deafblind and Rubella Association Sarah-Kate Anderson Thurman Care Home 4 Category(ies) of Learning disability (4), Physical disability (4), registration, with number Sensory impairment (4) of places 89 Hastings Avenue DS0000023298.V357901.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22 February 2007 Brief Description of the Service: 89 Hastings Avenue provides accommodation and support for four people who have sensory and physical disabilities. The property is a detached, purposebuilt house with step-free access on the ground floor. Each of the bedrooms has its own wash hand basin and one of them also has a private bathroom. The property is located in a residential area of Margate. It is reasonably near to public transport and to other community-based services. There are some parking spaces at the front of the property and on-street parking is available. Information about the home will be provided on request. The weekly fees are from £1750 to £2100 and are based on assessed needs. 89 Hastings Avenue DS0000023298.V357901.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report takes account of information received since the last inspection, including a visit to the home. The manager completed an annual quality assurance assessment (AQAA) prior to this inspection which contained clearly written and relevant information. A short notice visit was arranged to ensure it would be at a time when people living there would be at home and when staff would be available to help with signing/communication. This was undertaken on 22 February 2008 between 14.00 and 17.30. The visit included talking to the manager, staff and with people living at the home. Some records and all areas of the home were seen. At the time of the visit there were four people living at the home although two were away. The two people who were present were supported by staff to participate in the inspection as they wished. Information from surveys completed by two relatives, one resident with support from a relative, and one resident with support from a key worker is also used for making judgements about this home. The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. What the service does well: What has improved since the last inspection? What they could do better: 89 Hastings Avenue DS0000023298.V357901.R01.S.doc Version 5.2 Page 6 Although there are no formal requirements from this inspection the registered manager identified the following things for improvement in the AQAA completed for this inspection:- changes to the rota to give staff time within their working hours on a weekly basis to review and update all paperwork; to support one particular resident to further develop a person-centred plan; to review the format for risk assessments; to look into services and facilities and how to access them for young people with learning difficulties and sensory impairments within the local community, working with the local learning disability partnership board; to review and revise the personal care policy including involving one resident in the process; various areas have been identified for redecoration and improvements and some improvements are planned in the garden to increase residents’ pleasure. 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. The summary of this inspection report can be made available in other formats on request. 89 Hastings Avenue DS0000023298.V357901.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 89 Hastings Avenue DS0000023298.V357901.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Prospective residents’ individual aspirations and needs will be assessed. EVIDENCE: No new person has been admitted to the home since the last inspection but it is clear from the information provided in the AQAA, as well as discussions with the manager, that a detailed pre-admission assessment would be undertaken. She confirmed that an experienced and competent person would carry out this assessment. The care plans seen for this inspection indicate that any assessment would be centred on the individual’s wishes as well as their needs. 89 Hastings Avenue DS0000023298.V357901.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents can be confident that their changing needs will be noted in their individual plans and that they will be supported to make decisions and take risks to enable as independent lifestyle as possible. EVIDENCE: We looked at two individual care plans for this inspection. There is a great deal of relevant information within two parts. One part identifies various care needs covering a range of subjects such as personal care needs, functional assessments of hearing and vision, communication, eating and drinking, behaviour and sleeping. There are guidelines for staff about supporting individuals which are informative and clearly written. The second part of the care plan is the individual person-centred identification of wishes and things and people that are important to individuals. One resident showed her plan, with the support of the key worker. The person centred plans are very individual and they use photographs and other forms of illustration to make 89 Hastings Avenue DS0000023298.V357901.R01.S.doc Version 5.2 Page 10 them meaningful to the individuals concerned. Staff demonstrated an understanding of why this way of working is important to the individual resident. Staff confirmed that these plans are developed with residents, not for them. Risk assessments are in place and they showed that the emphasis is on empowerment and choice ie managing risks rather than avoiding things which are risky. 89 Hastings Avenue DS0000023298.V357901.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The residents enjoy their chosen activities, many of which are undertaken in the community, supporting both choice and independence. They are supported to maintain contacts with families and friends and they enjoy a balanced and healthy diet. EVIDENCE: The records seen, as well as comments from staff and information included in the AQAA showed that everyone is supported and encouraged to undertake activities both within the home and in the community. Two of the individuals attend a local adult education centre to undertake a music and movement course and one individual attends the local college. Activities, holidays and day programmes are discussed and chosen with each individual through house, key worker and person centred plan (PCP) meetings. Some examples of activities/interests are painting, horse riding, going to the pub, walking to 89 Hastings Avenue DS0000023298.V357901.R01.S.doc Version 5.2 Page 12 the park, lunches/dinners out, trampolining, cooking, cleaning own bedroom, shopping for clothes and food, planning holidays, bowling, beauty nights, DVD nights, theme nights which include a meal from a particular country and maybe learning a little about the culture (residents are taking it in turns to choose a country from a large map of the world on display in the conservatory), going to the beach and enjoying BBQs. Residents’ rooms are respected as private. Staff were diligent about including people in conversations and discussions when they were not working one to one with individuals, while at the same time respecting when people wanted to be on their own. All four of the people who live in the home are encouraged and supported to maintain contact with their family and other people who are important. Some examples included regular visits to stay with family, letters and emails sent and remembrance of special occasions. Menus are written on a weekly basis with the residents assisting to choose. Two people have special dietary requirements and these are also catered for within the menu choice. Meal times are informal and not to set times. 89 Hastings Avenue DS0000023298.V357901.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents are protected by the home’s policies and procedures regarding medication and their physical and emotional needs will be responded to. Their preferences and requirements for support are respected. EVIDENCE: Individual’s plans contain clear guidelines about their preferences for support. Privacy and dignity are considered by staff to be an important part of supporting residents and one member of staff said that it was important to understand what an individual wanted, not to make assumptions. A person centred approach is also evident in identifying residents’ health care needs. Those seen were individual and informative. There was evidence in the records to show that people living at 89 Hastings Avenue access health care professionals both routinely and for specialist input. Medication storage and administration is appropriate and an example was noted of one resident being encouraged and supported in controlling a part of their medication management in order to give as much independence as possible. There are relevant policies and procedures and staff who administer medication have received training. 89 Hastings Avenue DS0000023298.V357901.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents are protected from abuse and their views are listened to and acted on. EVIDENCE: 89 Hastings Avenue has a complaints procedure in place that explains how someone can make a complaint about the facilities and services provided by Hastings Avenue. The complaints procedure is also found within every individual’s guide to 89 Hastings Avenue in an appropriate format. The key worker meetings and the house meetings are also used to sort out any issues before they become problems. There are policies and procedures in place, including a whistle blowing policy, to underpin training regarding the protection of vulnerable people and what might be abusive. Personal expenditure for every individual is documented and a full audit of personal finances is undertaken every 2 months. 89 Hastings Avenue DS0000023298.V357901.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25 and 30 People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is clean, comfortable and safe for the residents. This home provides an attractive, spacious, safe and homely environment that suits the individual and collective needs of the people living in it very well. EVIDENCE: Residents have their own rooms, which are considered private. Each room is individual and reflects the personality of the person living there. The communal areas allow for various activities, with a separate lounge, dining/kitchen area and a spacious conservatory. Everywhere is well maintained and décor and furniture are good quality and domestic in style. 89 Hastings Avenue is situated in a residential area of Margate and individuals are supported to access the local facilities. A vehicle is available which allows residents them to access the wider community but individuals are also 89 Hastings Avenue DS0000023298.V357901.R01.S.doc Version 5.2 Page 16 supported to use public transport where appropriate. The garden is attractive and accessible and has a decked area and a built-in barbeque facility. Appropriate equipment is in place to support independence, including: access lights prior to entry into personal rooms, fire alerts and indicators that the doorbell is ringing. There is also specialist equipment to meet the individual needs of people living in the home. The home was clean and fresh at the time of the inspection. Staff confirmed that they had received training with regards to infection control and food hygiene. The laundry is suitable and the people living in the home are encouraged and enabled to 89 Hastings Avenue DS0000023298.V357901.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Sound recruitment procedures and training provided to staff will have a beneficial impact on residents. The well-trained, enthusiastic and supportive staff team at this home enhances the quality of life of the people living there. EVIDENCE: The manager explained that time is taken with the recruitment of new staff to ensure that the person has the right attributes for working at 89 Hastings Avenue. Application forms are used as part of this process and a formal interview also takes place. Members of the staff team contribute by making observations of how a prospective member of staff interacts with people living at the home and residents are also asked for their opinions, as they will be involved in showing applicants around the home. The records seen for this inspection show that the induction of new staff is detailed and includes an induction into the organization as well as to the home. There are clear written guidelines about the level of support that residents might need and these are used to ensure that all staff work consistently. This also applies to the 89 Hastings Avenue DS0000023298.V357901.R01.S.doc Version 5.2 Page 18 occasions when agency staff are used. The manager explained that when agency staff are necessary the home uses the same two people who are aware of the way the home runs and know the residents and their preferences. Criminal record bureau checks are undertaken for all new staff and the organization operates an equal opportunities policy throughout their recruitment procedures. There is a training programme and staff confirmed that they have opportunities to do training courses including national vocational qualifications. We observed staff during this inspection and there were examples of good and consistent communication with residents. Staff were responsive to residents and they appeared to be genuinely interested in them. Comments from relatives, made in the surveys included “…staff are knowledgeable…” “…staff give the care and support needed to maintain independence…” “…staff have the right skills and I think that is down to what Sense expects of them…” “…I have been increasingly pleased and impressed…”. 89 Hastings Avenue DS0000023298.V357901.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 and 42 People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents benefit from a living in a home which is well run and focuses on the individuals living there, and their health and safety is promoted and protected. EVIDENCE: The manager is appropriately qualified and experienced. Staff said she was open and responsive and treated people as individuals with something to contribute. In discussions with the manager she confirmed her knowledge and awareness of both the home’s and the organization’s aims and objectives. She is responsible for writing an annual operational plan and sets targets for things to be achieved. This is done in consultation with staff and she also tries to ensure that goals identified within the person centred planning are reflected in any operational plan. House meetings and staff meetings are used to make 89 Hastings Avenue DS0000023298.V357901.R01.S.doc Version 5.2 Page 20 sure that individuals have an opportunity to express their opinions. She also demonstrated her responsibilities with regard to managing the budget for the home. A spot check on maintenance and service contracts showed that these were appropriate and up to date. Health and safety policies and procedures are in place and staff are kept up to date with training relating to health and safety. Risk assessments regarding the environment are in place and accidents are properly recorded. 89 Hastings Avenue DS0000023298.V357901.R01.S.doc Version 5.2 Page 21 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 4 25 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 4 X 4 4 3 X X 3 X 89 Hastings Avenue DS0000023298.V357901.R01.S.doc Version 5.2 Page 22 NO 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 89 Hastings Avenue DS0000023298.V357901.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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. Extracts may not be used or reproduced without the express permission of CSCI 89 Hastings Avenue DS0000023298.V357901.R01.S.doc Version 5.2 Page 24 - 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!