Care Home: 99 Tonge Road

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What the care home does well The people living at the home are responsible for it`s daily running. they have devised rota`s for the use of the bathroom in the morning and cooking and food preparation. One of the people has taken responsibility for completing paperwork relating to fridge/freezer temperatures, pest control, water temperature, fire alarm tests and 1st Aid box, they have also made a file up to contain all this information and included copies of homes insurance, gas, electrical PAT test results and a copy of the last inspection report. What has improved since the last inspection? Since the last visit all of the bedrooms have been redecorated, this was completed in the colour of the individuals choice. A new coffee table has also been purchased. As stated at the last inspection training in the use of the computer was carried out and is now used daily by the people living in the home. What the care home could do better: The home is run the way the people living there want, they expressed this with comments such as `I can do what I want when I want` ` if I need any help or not sure of something I have the telephone number of the other home and staffs mobile number`. CARE HOME ADULTS 18-65 99 Tonge Road Murston Sittingbourne Kent ME10 3NR Lead Inspector Graham Cummings Unannounced Inspection 11th May 2007 09:00 99 Tonge Road DS0000023797.V330967.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 99 Tonge Road DS0000023797.V330967.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. 99 Tonge Road DS0000023797.V330967.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 99 Tonge Road Address Murston Sittingbourne Kent ME10 3NR 01795 479166 01795 420065 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.caremanagementgroup.com Care Management Group Limited Ms Margot Carter Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 99 Tonge Road DS0000023797.V330967.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th October 2005 Brief Description of the Service: 99 Tonge Road is a small terraced house in a side road to the east of Sittingbourne. It is owned by Care Management Group Ltd, a large organisation owning several homes elsewhere in the country and a number in the immediate locality. It provides accommodation for three service users, each in a single room. There is a garden to the rear and limited on-road parking to the front. The home is not staffed on a regular basis, as the service users are very largely self-caring. It is supported by the manager and some staff from a nearby home. The home functions as a supported living establishment, rather than as a care home. 99 Tonge Road DS0000023797.V330967.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes first Key Inspection under Inspecting for Better Lives. The inspection consisted of speaking with staff and the two people living at the home, documentation was also viewed. The home is registered for three people and one of the people has moved onto another placement following a hospital admission and a return to the family home. The two people living at the home have been together for the last 17 years and know each others routines and habits. The home continues to run extremely well with the two people taking the lead role in the decision-making and running of the home. There are no permanent staff employed at the home but approximately 25 hours a week of support from a sister home a mile up the road is allocated. This is by named staff and people living at the home visit the sister home daily, they both have mobile phones as well as the home phone of the sister home and staff should they need to contact anyone at any time for advice or support. The home is relaxed and homely and the two people confirmed that they were very happy living at 99 Tonge Road and would like to stay there. What the service does well: What has improved since the last inspection? Since the last visit all of the bedrooms have been redecorated, this was completed in the colour of the individuals choice. A new coffee table has also been purchased. As stated at the last inspection training in the use of the computer was carried out and is now used daily by the people living in the home. 99 Tonge Road DS0000023797.V330967.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. 99 Tonge Road DS0000023797.V330967.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 99 Tonge Road DS0000023797.V330967.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home are fully involved in the admission of any new person. EVIDENCE: Since the last visit to the home one of the people living there has moved onto another placement. The staff spoken to said that no placement would be made at the home without the agreement of the people living there. A policy and procedure is in place regarding the admission process. 99 Tonge Road DS0000023797.V330967.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): 6,7,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home have their changing needs reflected in their individual plans and are supported to live as independently as possible with appropriate support. EVIDENCE: Individual plans were in place and evaluated on a monthly basis, people living at the home are fully involved in this process. Both of the people living at the home said that they are able to make decisions about their daily lives and are encouraged to be as independent as possible, they make the menu, do the shopping and cook their own meals. Risk assessments are in place to cover these areas. People living at the home are able to take responsibility to run the home on a daily basis with the support and encouragement of staff. 99 Tonge Road DS0000023797.V330967.R01.S.doc Version 5.2 Page 10 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): 12,13,15,16,17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People living at the home are able to live a lifestyle of their choice and participate in risk assessed activities. EVIDENCE: The people living at the home take part in appropriate activities and are involved in the local community with one person working in a local pub in the kitchen whilst the other person attends and helps out at Age Concern. They can also access any of the outings and activities carried out at the other company home about one mile away. The people living at the home have an agreed list of responsibilities and take these seriously. One person has made a folder to contain some of the paperwork required to be completed daily or weekly such as fridge/freezer temperatures, fire alarm tests, pest control, and 1st aid box. Staff carry out monthly Health and Safety checks. 99 Tonge Road DS0000023797.V330967.R01.S.doc Version 5.2 Page 11 The two people living at the home decide the menu weekly, they write down the items required so they can buy them when they go shopping. They also go bowling, pictures, out for meals to cafes, restaurants and pubs. Since the training has been provided on using the computer both people spend time playing solitaire, one person also makes the forms to record the menu and other required paperwork used at the home. Both people living at the home attend the local college, one does Reading and Numbers the other Independence skills. 99 Tonge Road DS0000023797.V330967.R01.S.doc Version 5.2 Page 12 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): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home have their individual healthcare and personal needs met and are protected by the homes policies and procedures for dealing with medication. EVIDENCE: People living at the home are all registered with a local Doctor, Dentist and Optician. Both people living at the home are capable of carrying out their own self care and staff attend the home for 25 hours a week mainly for emotional support. One person living at the home self medicates. The medication is stored in the individuals bedroom in a locked tin in a locked draw. Medication is given to them on a weekly basis from the main home a mile away. Staff check on a daily basis that the medication has been taken and the individual concerned marks a calendar in their room to say she has taken it. 99 Tonge Road DS0000023797.V330967.R01.S.doc Version 5.2 Page 13 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): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home have their views listened to and are protected from abuse. EVIDENCE: People at the home live happily together with few arguments, these are normally settled between them, they then inform the staff what has happened and the resolution. Occasionally staff do assist with limited advice and guidance and the people are then able to make an informed choice of the outcome they wish. Both people have lived at the home for the last 17 years. There have been no complaints made concerning the home. People are aware of the procedures to follow in emergencies and they have the nearby homes telephone number and the Managers mobile and home telephone number should they require it. There have been no concerns, complaints or allegations received by CSCI or the providers. 99 Tonge Road DS0000023797.V330967.R01.S.doc Version 5.2 Page 14 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): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a comfortable, safe and clean environment. EVIDENCE: The home was clean and free from any offensive odours. People living at the home carry out the cleaning and they inform visiting staff of any breakages or maintenance required. The people living at the home are very house proud and it was an important part of their life. The furniture seen was in good order and there was plenty of seating available for visitors. 99 Tonge Road DS0000023797.V330967.R01.S.doc Version 5.2 Page 15 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): 32,34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home benefit from having access to a staff team that is well trained and competent. EVIDENCE: People living at the home are able to meet most of their own needs with minimal input from staff and mainly require emotional support only. Staff visit the house daily and on average they are at the home for about 25 hours per week. People living at the home also spend time at the larger home a mile up the road and have telephone numbers for the home as well as the Managers mobile number for emergencies. It would be beneficial if staff signed the visitors book on arrival and departure to show when they are visiting. The staff receive training that enables them to have the skills and knowledge to allow them to carry out their responsibilities to a good standard. The staff recruitment process includes the input from people living at the home. 99 Tonge Road DS0000023797.V330967.R01.S.doc Version 5.2 Page 16 No staff records were seen as they are kept at the main home nearby called 78/82 Park Road. When the inspection was carried out at this home the staff records were complete and in good order. 99 Tonge Road DS0000023797.V330967.R01.S.doc Version 5.2 Page 17 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): 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home benefit from being able to run it in the way they want and their health, safety and welfare is promoted and protected. EVIDENCE: The two people living at the home run it in the way that they want, they have minimal staff support in meeting their personal care but require emotional support and encouragement to confirm their decisions and choices are acceptable and safe. The paperwork is mainly completed by the people living at the home apart from the daily notes that staff do along with the regular Health and Safety checks. A new manager is in place and is a regular visitor to the home. 99 Tonge Road DS0000023797.V330967.R01.S.doc Version 5.2 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X 99 Tonge Road DS0000023797.V330967.R01.S.doc Version 5.2 Page 19 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. 1. Refer to Standard YA32 Good Practice Recommendations That staff when arriving and leaving the home sign the visitors book to show to record that support has been given or is available to the people living at the home. 99 Tonge Road DS0000023797.V330967.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Maidstone Local 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 99 Tonge Road DS0000023797.V330967.R01.S.doc Version 5.2 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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