Care Home: Ivy Cottage

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What the care home does well Residents gave positive feedback both during the visit and through their surveys. Comments included "I like living here", "I like Jenny (the registered manager)", "Jenny is OK she sorts things out", "the staff are very nice that work with me and they help me a lot", " I`m very happy", "I am happy here, there is nothing bad" and "if I need any help staff are available". Residents confirmed that they have a say in how the home is run and what outings they go on. Relatives gave positive feedback and comments included they `make the residents feel they are important`, `there has always been good contract ref any problems with my X behaviour`, `they are always in touch, give the residents a real home feeling`, `COT is home form home what more can you ask for`, `they have the correct balance of work, education and leisure`, `we are more than satisfied with the care` Residents are able to make decisions regarding their own lives as well as the day-to-day running of the home. Staff encourage independence and taking responsibilities. Some residents are able to live semi-independently in the real sense of the word. Residents have plenty of opportunities to get out and about into the local community. They are encouraged to try new interests and hobbies whilst already having a wide range of leisure, work/volunteer and educational activities. They plan their holidays to places they want to go. Relationships (personal and with families) are well supported. Professionals are used for advice and guidance where appropriate. The home is clean, safe, homely and well maintained. Resident`s private space (bedroom/apartment) is respected and all have keys to their own room. What has improved since the last inspection? The staff and registered manager appear more committed to the ethos of the home, which is developing resident`s skills and improving their independence. Staff morale is high with them working as a team to put the aims of the home into practice. The recruitment of a male member of staff has helped balance the team and bought benefits to male residents. New ideas are being used to further decision-making. Involvement in daily tasks and responsibilities within Ivy Cottage has increased. Individual residents confidences has grown giving a more even balance within the home. Staff said, "residents have more of a say in what goes on, it`s a meaningful say" and "there are opportunities and options for their views they are more independent". Improved support/care plan folders have been developed with the residents and implemented. Residents are encouraged to have aspirations and goals, which can then be worked towards. Staff have worked with residents to achieve new opportunities for work and leisure. Professionals and staff have worked with the residents and families of Jasmine and Rock to move forward the goal of real independent living. Copies of professional assessments are now all held on current working files. Improvements have been made to the medication system. More residents are now involved in self-administration or part administration. Complaints and finance records have been improved. What the care home could do better: The guidance in place for dealing with aggression must be reviewed in line with training staff, the homes policy on restraint and reducing risks to all residents and staff. CARE HOME ADULTS 18-65 Ivy Cottage-Jasmine House-Rock Cottage Highlands Farm Woodchurch Ashford Kent TN26 3RJ Lead Inspector Mrs Sally Gill Key Unannounced Inspection 16th October 2007 10:15a Ivy Cottage-Jasmine House-Rock Cottage DS0000023447.V351868.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 Ivy Cottage-Jasmine House-Rock Cottage DS0000023447.V351868.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. Ivy Cottage-Jasmine House-Rock Cottage DS0000023447.V351868.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ivy Cottage-Jasmine House-Rock Cottage Address Highlands Farm Woodchurch Ashford Kent TN26 3RJ 01233 861493 01233 860433 lovelypeople@theivycottage.wannado.co.uk 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) Canterbury Oast Trust Mrs Jennifer Ann Gorham Care Home 11 Category(ies) of Learning disability (11) registration, with number of places Ivy Cottage-Jasmine House-Rock Cottage DS0000023447.V351868.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th June 2006 Brief Description of the Service: Ivy, Jasmine & Rock Cottages are registered to provide accommodation for up to 11 adults with a learning disability and admits people with low dependency needs. Jasmine House and Rock Cottage are used as semi-independent living units. Canterbury Oast Trust (COT) owns the home and the registered manager Jenny Gorham has day-to-day control. Ivy, Jasmine & Rock Cottage are three separate purpose built units with accommodation on one level. Jasmine is a unit accommodating four residents in self-contained apartments with their own bed sit, kitchen and shower/toilet. Rock accommodates two residents with their own bed-sits and they share a kitchen and bathroom. Ivy accommodates five residents in single rooms and has a shower/toilet, bath/toilet, toilet, laundry, kitchen and lounge/diner. Ivy and Jasmine would be suitable for those with mobility problems. Residents have access to a garden area with lawn and patio area with seating. The home is situated at Highlands Farm, which is a well-known tourist attraction in a rural area on the outskirts of the village of Woodchurch. A short drive will take you to the towns of Ashford or Tenterden, and approximately three miles away is Hamstreet train station. Within the village of Woodchurch there is the local GPs surgery, post office, church and two pubs. The home has transport, which can be used for residents if they wish and a local bus service passes the farm. The staff compliment consists of a registered manager, team leader and support workers. Support workers work a rota that includes a minimum of two staff on duty. At night two staff are on the premises sleeping in but can be called if needed. The current fees are Ivy Cottage £818.66 & Jasmine & Rock Cottages £533.71 per week. Additional charges are made for some activities, newspaper and magazines, hairdressing and toiletries. Previous inspection reports are available from the Provider or can be viewed and downloaded from www.csci.org.uk. Ivy Cottage-Jasmine House-Rock Cottage DS0000023447.V351868.R01.S.doc Version 5.2 Page 5 Ivy Cottage-Jasmine House-Rock Cottage DS0000023447.V351868.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was carried out over a period of time and concluded with an unannounced visit to the home between 9.10am and 6pm. The registered manager assisted throughout. We spoke to three residents and staff during the visit. Interactions were observed. Eleven people were living at the home on the day of the visit with no vacancies. The Trust has put in an application to reduce the number of residents to five. This will be achieved by de-registering Rock and Jasmine, which will become supported living units. Surveys were sent to the home to distribute to residents, relatives and health and social care professionals. Feedback was received from relatives and a professional, which was positive. Feedback from residents spoken to was very good. The care of two residents was tracked to gain evidence. Various records were viewed during the inspection and a tour of parts of the home undertaken including a bedroom and apartment by invitation, toilet and communal areas. Those living at the home prefer to be called residents so this term will be used in the report. What the service does well: Residents gave positive feedback both during the visit and through their surveys. Comments included “I like living here”, “I like Jenny (the registered manager)”, “Jenny is OK she sorts things out”, “the staff are very nice that work with me and they help me a lot”, “ I’m very happy”, “I am happy here, there is nothing bad” and “if I need any help staff are available”. Residents confirmed that they have a say in how the home is run and what outings they go on. Relatives gave positive feedback and comments included they ‘make the residents feel they are important’, ‘there has always been good contract ref any problems with my X behaviour’, ‘they are always in touch, give the residents a real home feeling’, ‘COT is home form home what more can you ask for’, ‘they have the correct balance of work, education and leisure’, ‘we are more than satisfied with the care’ Residents are able to make decisions regarding their own lives as well as the day-to-day running of the home. Staff encourage independence and taking responsibilities. Some residents are able to live semi-independently in the real sense of the word. Ivy Cottage-Jasmine House-Rock Cottage DS0000023447.V351868.R01.S.doc Version 5.2 Page 7 Residents have plenty of opportunities to get out and about into the local community. They are encouraged to try new interests and hobbies whilst already having a wide range of leisure, work/volunteer and educational activities. They plan their holidays to places they want to go. Relationships (personal and with families) are well supported. Professionals are used for advice and guidance where appropriate. The home is clean, safe, homely and well maintained. Resident’s private space (bedroom/apartment) is respected and all have keys to their own room. What has improved since the last inspection? What they could do better: Ivy Cottage-Jasmine House-Rock Cottage DS0000023447.V351868.R01.S.doc Version 5.2 Page 8 The guidance in place for dealing with aggression must be reviewed in line with training staff, the homes policy on restraint and reducing risks to all residents and staff. 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. Ivy Cottage-Jasmine House-Rock Cottage DS0000023447.V351868.R01.S.doc Version 5.2 Page 9 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 Ivy Cottage-Jasmine House-Rock Cottage DS0000023447.V351868.R01.S.doc Version 5.2 Page 10 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): 1, 2 & 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have the information they need and their needs assessed in order to make a choice as to whether this home is right for them and can meet their needs. EVIDENCE: The manager advised that the service user guide has been reviewed. A copy is held in the resident’s folder in the lounge together with other information such as the staff rota. There have been no new admissions since the last inspection and most people have lived here for some years. There is a policy in place to ensure a thorough admissions process takes place. The manager is aware of the importance of people having all their needs assessed prior to admission both by the home and professionals. Copies of all assessments are now held on current files. Existing residents have their needs and hopes for the future reviewed regularly. Contracts were seen to be in place, which are agreed with residents. These had been updated when fees have increased. Ivy Cottage-Jasmine House-Rock Cottage DS0000023447.V351868.R01.S.doc Version 5.2 Page 11 Ivy Cottage-Jasmine House-Rock Cottage DS0000023447.V351868.R01.S.doc Version 5.2 Page 12 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, 8 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals now have increased involvement in decisions about their lives and planning the care and support they receive. EVIDENCE: Since the last inspection work has gone into improving the care folders, which are easy to use. Care plans are informative, describe the support a person needs and state the individual goals. Residents spoken to confirm that these have been developed with them, they are how they want to be supported and they are involved in reviews. A key worker system is in place and residents are fully aware of who their key worker is and what their role is. It is very pleasing to see far more emphasis on empowering residents in their day-to-day lives within Ivy Cottage. It is now evident that staff understand the importance of all residents being supported to take control of their lives and to encourage and enable them to exercise their rights and make their own decisions and choices. The introduction of one to one talk time has been a Ivy Cottage-Jasmine House-Rock Cottage DS0000023447.V351868.R01.S.doc Version 5.2 Page 13 good opportunity to facilitate this, as has the meal suggestion note and the staff team working as a whole to implement changes and put into practice the aims of the home. Residents in Rock and Jasmine continue to live as independently as possible in their self-contained units. Ivy Cottage residents have increased their involvement in the home and it is hoped this involvement will continue to develop. In Ivy Cottage although regular residents meetings are held staff say residents contributions at this group meeting are not great, although they do put forward agenda items to be discussed and staff continue to encourage participation. Risk taking is managed well, and restrictions are clearly explained and agreed with individuals. The home sees that personal development will incur some risks, and strategies are put in place to reduce these, which are reviewed regularly. Ivy Cottage-Jasmine House-Rock Cottage DS0000023447.V351868.R01.S.doc Version 5.2 Page 14 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): 11, 12, 13, 14, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service are able to make choices about their life style, and are being supported to develop their life skills. They have a wide range of social, work/volunteer, educational and recreational activities opportunities. EVIDENCE: Residents are being supported to develop skills such as communication, emotional and independent living. Most residents are able to travel independently and staff are working with another to develop their skills in this area. Residents are being encouraged to identify goals and then work to achieve them. One resident is attending an assertiveness group, which is obviously having a good effect. Others are having input from members of the Community Learning Disability Team (CLDT) for things such as relationships and aggression. For the residents of Rock and Jasmine professionals have been Ivy Cottage-Jasmine House-Rock Cottage DS0000023447.V351868.R01.S.doc Version 5.2 Page 15 working with the home and residents to progress de-registration of these units to independent living. Within Ivy Cottage rights and responsibilities in daily living tasks have improved. One resident said that they would like to be more independent with their budgeting and this was passed to the manager. After agreement between themselves they are responsible for cleaning different areas of the home. Residents within Rock and Jasmine are responsible for their own meal preparation, shopping and cleaning and laundry, staff support is given only where needed. Residents have a full programme of educational, work and leisure activities. They are encouraged to say what they want to do and when they wish to make a change to their programme. Residents that wish attend local churches. Work and volunteer opportunities include both COT and outside organisations. Staff have worked with residents to develop new opportunities in this area. The home is shortly meeting with one organisation to discuss changing volunteer work to paid employment. A relative felt the home has the balance right of work, education and leisure. Residents also have a good range of leisure activities including boot fairs, gym, reflexology, line dancing, ramblers group, disco and swimming (including lessons). Once a month residents of Ivy Cottage chose and plan a location for a special outing such as the London Dungeons, a show, Chessington World of Adventure or Brighton Sea Life Centre. A photo album has been developed as a reminder of these trips out. Individuals are able to see their families as they wish. A regular newsletter has been developed by the home to keep relatives informed. Close personal relationships are well-supported involving professionals for appropriate advice and guidance. Relatives confirmed that they are kept informed and communication with the home is good. Residents all have keys to their rooms and are able to access their home as they wish. In Ivy Cottage each resident is involved with meal preparation, which has been developed since the last inspection. All prepare their own breakfasts and lunches. Menus are planned weekly. Residents are being encouraged to introduce new dishes to try and a suggestions note is fix to the fridge. Staff help guide residents to make healthy choices. The kitchens are unrestricted and residents can make drinks and snacks as they wish. Ivy Cottage-Jasmine House-Rock Cottage DS0000023447.V351868.R01.S.doc Version 5.2 Page 16 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. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: Care plans are clear about support is needed and resident’s say they are supported how they wish to be. Residents are all independent in their personal hygiene. Residents confirmed that staff respect their privacy. Observations confirmed that staff interact well with residents often with the use of good humour. Staff advised that one resident has instigated a key worker day and they have plans to use it to go shopping for clothes. Perhaps a key worker day is something that could be developed for all residents. Staff felt that the recruitment of a male member of staff to the team has benefited some male residents. Residents have access to regularly health care checks including doctors, opticians, dentist and chiropodist. They are supported with appointments when necessary. Any concerns are monitored and referred as appropriate. Ivy Cottage-Jasmine House-Rock Cottage DS0000023447.V351868.R01.S.doc Version 5.2 Page 17 A relative felt a recently organised football tournament was a good idea to bring in exercise in a fun way. They felt more sports like this would be a good idea. Medication management has developed. The chemist supplying the medication has changed. Most residents are responsible for their own administration and those that are not the home is working with where possible to develop these skills. Risk assessments for all self-administration or part of are in place, one minor change is suggested. Medication Administration Records (MAR) charts are much improved with correct use of signatures and codes. The forms are being used, as designed, for all medication related purposes. Staff have training and updates. A one off competency assessments is under taken and it is suggested this is undertaken on a more regular basis. Ivy Cottage-Jasmine House-Rock Cottage DS0000023447.V351868.R01.S.doc Version 5.2 Page 18 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 who use the service feel able to express their concerns. Further empowerment could be achieved with practice runs. Clearer messages are needed to handle any resident’s aggression and risks must be minimised. EVIDENCE: The complaints procedure is displayed with the home. Residents said they would go to staff if they had a concern or problem. One resident said that they had complained and Jenny (the manager) had sort it out for them. Staff said that when issues arise Jenny promptly take action. Although the home had eight complaints logged most of these were not in fact against this home but others within the trust. The manager had taken appropriate action in her power. However it is recommended that these are recorded and a copy held on the residents file making the complaint and then logged on the register for the home (staff member/resident) that the complaint is against. One staff member although clear about reporting complaints was unclear about the recording process. It is suggested a practice session could benefit both residents and staff. Adult protection training is given to staff. The manager has also carried out training sessions on adult protection for residents. Staff were aware of where and how to report any abuse. No adult protection referrals have been made since the last inspection. Ivy Cottage-Jasmine House-Rock Cottage DS0000023447.V351868.R01.S.doc Version 5.2 Page 19 One incident of aggression was discussed. Guidelines have been put into place, which indicate that staff trained in restraint (one member) could use this as a last resort. This must be reviewed. Staff must all use a consistent approach, which must be documented. The homes policy should be check to ensure this guideline does not contravene its own policy of no restraint. The manager is reviewing the need for all staff to be trained. Given that restraint has had to be used already in one incident in the home consideration must be given to training all staff at the earliest opportunity to reduce any further risk in this area. Ivy Cottage-Jasmine House-Rock Cottage DS0000023447.V351868.R01.S.doc Version 5.2 Page 20 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, 26,27, 28 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is comfortable, hygienic, safe and very homely. EVIDENCE: The home is purpose built with sufficient space and facilities. It is attractive, well maintained and has a comfortable and homely feel. Apartments allow maximum independence for residents. Residents have full and unrestricted access to all parts of their home. Visits to other houses are by invitation. Residents have keys to their own rooms. Since the last inspection there have been several improvements to the home. Ivy Cottage has had a new hall and lounge carpet, new television with free view for the lounge, new lounge suite, two bedrooms have been redecorated, some new bedroom furniture and televisions and a new bathroom suite. Rock and Jasmine have had a new hallway carpet, two apartments have been redecorated, two have had new televisions and two have had new fridge freezers. Residents confirmed that they chose the new carpets and furniture. Ivy Cottage-Jasmine House-Rock Cottage DS0000023447.V351868.R01.S.doc Version 5.2 Page 21 Apartment and bedrooms are individual; reflect personal taste and residents say they are happy with their rooms. The gardens have been pruned for the winter and are safe and accessible although not totally private. Staff advised that maintenance jobs are carried out in good time. The only outstanding job is the painting of the outside woodwork, which will probably be completed now next spring. The home was clean and hygienic. Ivy Cottage-Jasmine House-Rock Cottage DS0000023447.V351868.R01.S.doc Version 5.2 Page 22 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, 33, 34, 35 & 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s benefit from sufficient number of staff that are experienced and skilled. EVIDENCE: Staff files were examined. Files evidenced a robust recruitment process is followed. There was some discussion to the extent of resident’s involvement in recruitment of staff, which could improve. Turnover of staff is low. The manager advised that 76 of staff is qualified to National Vocational Qualification (NVQ) level 2 or above. The Trust now has a programme in place for staff induction (Skills for Care specification), mandatory and some specialist training. This is in conjunction with a training provider. The manager advised that mandatory training will be updated more frequently than in the past. Regular competency checks on staff skills and knowledge would be an enhancement. Ivy Cottage-Jasmine House-Rock Cottage DS0000023447.V351868.R01.S.doc Version 5.2 Page 23 In addition to the manager a minimum of two staff are on duty in Ivy Cottage between 7.30am and 9.30pm with a staff member sleeping in over night. In Rock and Jasmine a member of staff is on duty early morning and evenings plus sleeping in. Addition support is in place as needed. Residents have benefited from the addition of a male member of staff to the team. Resident’s say they are satisfied with the care they receive. As previously stated staff appear to working better as a team and the aims of the home are certainly more evident in their practice and outcomes for residents. Staff said they are happy working here, feel well supported and receive regular supervision and any issues are raised and dealt with. Regular staff meetings also take place. Ivy Cottage-Jasmine House-Rock Cottage DS0000023447.V351868.R01.S.doc Version 5.2 Page 24 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 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run and has achieved considerable improvement in residents acknowledging their responsibilities within the home and developing their independence. Residents can be confident their views underpin the running of the home. EVIDENCE: Jenny has been the manager at the home for some considerable years and is qualified to NVQ level 4 in care and management and has good experience within learning disability services. She has recently updated some of her mandatory training. Residents and staff confirmed that manager is supportive and that she is quick to resolve any issues that arise. The atmosphere in home was relaxed. The Ivy Cottage-Jasmine House-Rock Cottage DS0000023447.V351868.R01.S.doc Version 5.2 Page 25 manager and staff have worked hard to improve the level of responsibility and involvement of residents particularly in Ivy Cottage. The staff team have been pulled together and are working to the aims of the home. A relative commented that COT is constantly adjusting to the overall increasing age of those in care in a sensitive caring way. The Trust holds a residents panel meeting every three months, which is chaired by the manager. One to one time and residents meetings provide good opportunities for them to voice their views. A regular newsletter has been developed by the home to keep relatives informed. Residents, relatives and professionals complete quality assurance questionnaires annually usually about the time of a residents review. If these were not positive the registered manager responds in writing. A development plan is in place for the home. Regulation 26 visits take place regularly where again residents are asked their views of the home. Health and safety checks are carries out regularly and a new form has been introduced for better recording. The home and equipment is well maintained. The accident book was viewed and all reports are recorded appropriately. Staff are trained in core subjects. Residents have received training in health and safety and food hygiene. The fire safety logbook showed all tests are carried out to timescales. A fire risk assessment is in place. The fire safety office has visited recently. Ivy Cottage-Jasmine House-Rock Cottage DS0000023447.V351868.R01.S.doc Version 5.2 Page 26 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 3 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 4 12 4 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 4 3 X X 3 X Ivy Cottage-Jasmine House-Rock Cottage DS0000023447.V351868.R01.S.doc Version 5.2 Page 27 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. 1 Standard YA23 Regulation 12(6) Requirement The guidance in place for dealing with aggression must be reviewed and then must be supported by staff training, the homes policy on restraint and reducing risks to all residents and staff. Action plan to be submitted to CSCI by Timescale for action 27/11/07 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 YA22 Good Practice Recommendations Complaints should be logged in the home they are against not the home making the complaint. Ivy Cottage-Jasmine House-Rock Cottage DS0000023447.V351868.R01.S.doc Version 5.2 Page 28 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 Ivy Cottage-Jasmine House-Rock Cottage DS0000023447.V351868.R01.S.doc Version 5.2 Page 29 - 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. 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