Care Home: Inchwater

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 People live with the family and are involved with day to day family life. People are looked after well.The owners have responded to the changing needs of the people living in the home.The people living in the home are supported well to make their needs and wishes known.The day is well organised so that there is a mixture of daily household chores, outdoor activities, attending the day centre, activities set in the community and leisure both in and outside the home.The owners are motivated and continue to improve and develop the services provided to the people living there. What has improved since the last inspection? The owners have continued to research and study courses related to meeting the people`s needs. The kitchen has been redesigned and decorated. It provides a good family area for everybody to participate with meal times and preparation. The owners have recently bought a fridge freezer that has a display thermometre on the outside for maintaining safe temperatures. The owners have spent some time developing their quality monitoring of the service. What the care home could do better: The paperwork does not reflect all the support given. The owners agreed to further develop the person centred plans. They are going to try different designs to help the people living in the home to be involved. The owners are going to continue to develop communication support for the people living in the home. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Inchwater 92 Maison Dieu Road Dover Kent CT16 1RU three star excellent service The quality rating for this care home is: 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Julie Sumner Date: 0 8 0 4 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. They reflect the things that people have said are important to them: 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 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Internet address www.cqc.org.uk Information about the care home Name of care home: Address: Inchwater 92 Maison Dieu Road Dover Kent CT16 1RU 01304226445 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Paul Watts care home 3 Number of places (if applicable): Under 65 Over 65 3 0 learning disability Additional conditions: 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) The maximum number of service users to be accommodated is 3. Date of last inspection A bit about the care home Inchwater is a family home. Three people with learning disabilities can live here with the family. Each person has their own bedroom. There are stairs to get into the home and stairs to the bedrooms so it is not suitable for people who have difficulty walking or need a wheelchair. There is a spacious garden at the back of the house. There is car parking for up to 3 cars in the front of the house. The house is in the town of Dover and is close to the shops, swimming pool, buses and trains. It costs around £660 a week to live here. The cost is agreed depending on what people need. The owners take people on one holiday a year which is included in the cost. To find out about the home they have a brochure, a statement of purpose and a service user guide. 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 How we did our inspection: This is what the inspector did when they were at the care home We telephoned the home to say we were coming today to make sure the people living in the home were in and not too busy. We came in and said hello to the people living in the home. We talked to the owners. We talked to the people living in the home. We had a look around parts of the home and looked at the new kitchen. We looked at some of the plans and records for supporting the people living in the home. What the care home does well People live with the family and are involved with day to day family life. People are looked after well. The owners have responded to the changing needs of the people living in the home. The people living in the home are supported well to make their needs and wishes known. The day is well organised so that there is a mixture of daily household chores, outdoor activities, attending the day centre, activities set in the community and leisure both in and outside the home. The owners are motivated and continue to improve and develop the services provided to the people living there. What has got better from the last inspection The owners have continued to research and study courses related to meeting the peoples needs. The kitchen has been redesigned and decorated. It provides a good family area for everybody to participate with meal times and preparation. The owners have recently bought a fridge freezer that has a display thermometre on the outside for maintaining safe temperatures. The owners have spent some time developing their quality monitoring of the service. What the care home could do better If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Julie Sumner 33 Greycoat Street London SW1P 2QF 02079792000 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 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 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 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Clear information is provided. Each person has an assessment before moving into the home to make sure their needs can be met. Evidence: The home has a brochure, statement of purpose and service user guide giving information of the services provided. Each person has an assessment which is reviewed by a care manager. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The owners are aware of the importance of people taking control of their own lives and support this in practice. Evidence: The people living in the home have lived with the family for many years. The owners and their family have got to know the people very well. Both people have some communication difficulties and are supported with this. We talked to the people in the home and they were able to tell us a little about their life in the home. They are able to let the owners know what they want to do and if they are ok, like when they want to go out and when they are unwell. Each person has a care plan and this is reviewed by the care manager twice a year. Each plan is individual to the person and has descriptions of their care needs and risk assessments. The owners have got to know each person and have interpreted their preferences from what they have said and how they have behaved. The owners are considering different ways to enable each person to be more involved in the style of the person centred plan. The owners assess the risk associated with activities and day to day life and make sure that they are not restricted but are supported safely to carry out activities. 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 . The people living in Inchwater are able to enjoy a full and stimulating lifestyle with a variety of options to choose from. People living in the home are actively encouraged to maintain relationships that are important to them. Evidence: The people living in Inchwater are involved in family life. They are given choices from a range of activities. People spoke about what they like to do. They said they like going into town, walking along the sea front, one person likes the wind, they like gardening and watching films. They are also able to attend the local day centre. Holidays are arranged each year and these have ranged from active surfing holidays in Cornwall, walking holidays in Wales and short city breaks. The owners have got to know the people living in the home very well over the years and are able to understand what they are saying either verbally or non verbally. There was a discussion about assisting their communication further, so that they would be able to talk or interact with other people more easily and to assist with making choices when away from the home. Speech and language therapy advice has already been sought and their advice taken into account. It was agreed that further support for communication is needed to develop this. The owners said this was because not all the people they come into contact with are able to understand them. The owners are going to pursue this. Evidence: We saw that people are offered choices throughout the day. The owners explained how they choose what activities they want to participate in and when. They also use objects as reference to help with communication. The owners continue to help the people keep in touch with relatives. The owners keep relatives informed and they are as involved as they and the people in the home wish them to be. Meals are home cooked or they go out to eat. One of the people said he liked helping in the garden and they had grown potatoes which are his favourite. Menus are flexible and depend on what everyone feels like eating, the weather and what food is in season. The owners said they continue to like to grow their own organic vegetables and fruit which the people living in the home participate in. 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 . The people living in the home have effective personal and healthcare support using a person centred approach. Evidence: The people living in the home are assisted to attend regular health check appointments including dentist and optician. All appointments are recorded in the home diary. The owners have got to know the people very well and have been able to find out if there is something wrong or they are unwell. We talked to the owners and the people living in the home about their recent experiences. The owners have been able to access specialist health support and together have determined health conditions that have required treatment. We found that the owners had taken time and made considerable effort to advocate for the people and support communication with the relevant health specialists so that medical conditions have been identified. They then continued to support the person by communicating their response to the health specialist to find the most effective treatment. The people living in the home looked very well and healthy. There is a small amount of medication in the home. We looked at the medication that was prescribed and saw that the records were clearly completed and up to date. We also looked at the record of incoming medication. The owners have attended medication training and updated the homes medication policy following their 3 month training course. 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 . The home has a working complaints system and arrangements are in place to safeguard the people living in the home. Evidence: The home has a simple complaints procedure and there is a log book available to make records. There have been no formal complaints since the home opened. The owners said that if any issues were to arise they would probably be discussed and they would find a way to resolve it. They gave some examples of some discussions with the day centre over time and the home produced a communication book to make sure messages were passed between them both. This has been useful although it has got lost at times. We discussed making this into a communication passport for one of the people so that they can be involved in the communication between the home and the day centre. The owners said they were happy to do this. The home has an safeguarding policy, which includes whistle blowing, and the owners have received safeguarding training. Each person has an inventory of their belongings. The home has a system in place to protect peoples money. Each person has a representative who manages their money overall. The home keep records of money spent and invoice depending on what is needed. Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The standard and cleanliness of the home is very good providing people with an attractive, safe and homely place to live. Evidence: Inchwater is a spacious family home. The people living in the home have thier own space as well as being able to join in with the family. There are big family rooms with lots of comforable furniture. The kitchen has recently had some major refurbishment so that it is bigger. The way it is arranged is good for the people living in the home to partipate in the meal preparation and just be around which they enjoy. There is a laundry room and the washing machine has a high temperature facility if needed. The home is clean and well maintained. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The people living in the home have confidence in the owners who support them. Evidence: The owners have employed staff in the past but there are no staff currently working in the home. The owners have continued to research information regarding the client group and to access appropriate training. One of the owners is currently studying for a social work qualification. We saw that the people in the home expressed themselves and were responded to by the owners. The people living in the home smiled and looked content throughout the visit. 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 . The owners are person centred in their approach and have good business planning skills. Evidence: The owners Mr and Mrs Watts have been providing support for people with learning disabilities for many years. They both have various relevant qualifications and are currently studying courses. The owners have developed an appropriate quality assurance system for the home and have invited visitors and relatives to complete surveys. They explained how they support individuals to communicate their feelings and this determines what happens in the home. Individual behaviour and wellbeing indicates whether the people living in the home are happy with what is being provided. The owners have demonstrated in discussion that they have a clear idea of how to develop the service provided to the people living in the home. It would be good to have a written development plan which the owners agreed to do. The AQAA clearly states when maintenance checks have been carried out and all relevant ones are included. The home is kept in safe working order with regular servicing and there is a linked fire protection system. The owners have recently bought a fridge freezer that has a display thermometre on the outside for maintaining safe temperatures. Are there any outstanding requirements from the last inspection? Yes No 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 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 Description 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 Description 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 Helpline: Telephone: 03000 616161 or Textphone : or 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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. - 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!