Care Home: Kenneth House

Similar services:

• Clover House
• Parkside
• Park Lodge
• Mere Hall View
• St Bonaventures
• Hudson Road
• Whitewalls
• Home Farm

What the care home does well The personal support plans gave enough information to show how each persons personal care, social support and likes and dislikes would be met. They showed how each person would be supported with a range of diverse needs including their medical needs which helped show a good standard of support in everyday life. Each persons file showed that staff try to plan social events and activities and also carry out risk assessments to help make activities as safe as possible. Plans showed information to help support people with eg, going out to the club, hobbies and holidays. Each person is provided with a range of opportunities to help with their personal development and they have a time table of activities that they would do during the week at day service provided by the company, such as, horticulture, swimming, technology, art therapy and woodwork. Regular checks are made on the safety of the building and equipment to make sure the service is a safe place to live. What has improved since the last inspection? The service is meeting the vast majority of the national minimum standards showing good standards in facilities and good support given to people who live there. The service has produced good information and brochures about the home which uses some pictures to help some people who may like the use of pictures to describe various things. Staff give these documents to people who are thinking about moving to Kenneth House. They have procedures in place for assessing peoples needs including trial visits which happened recently when 2 people recently moved in. Staff also developed. "transition assessments." These records were a good example of how people were supported in making decisions and included in moving to their new home. Wirral Autistic society`s aims and plans for the future are published in a company document called, " Our future strategy for 08/09-2012/13". This has helped to keep everyone involved and updated with the aims of the organisation including the plans to expand the services. The service had procedures for responding to concerns and complaints and for making sure that people have a pictorial complaints procedure which is clear to read and understand. The commission have not received any complaint about the service following the last inspection . There have been no additional visits to the service since our last visit to Kenneth House. The company and staff have managed to deal sensitively with one subject that is often difficult to discuss. They have produced a sensitive document requesting information regarding bereavement and support offered. A staff satisfaction survey carried out by Wirral Autistic Society dated Oct 08 was overall very positive with 3/4 of the staff team, saying overall, "...feeling the society is a good place to work..." Staff that we met were very positive about Kenneth house and said it was a good place to work in.Staff are regularly supported by the manager with regular appraisals and supervision. This is an example of how the staff are supported and helped to develop while working at the service. We have received 1 survey from a health professional who was overall very positive and made comments such as, "Provides excellent care tailored to individual needs." "...they have a learning culture and the services improves year on year." Following this report we received 2 surveys from relatives received 27/2/09. Their comments were overall very positive about the service in regarding to the support given to their relatives. Some comments included, "Kenneth House seems to provide a homely relaxed atmosphere for its clients. Its always clean when we visit." "I`m always impressed by the standard of the facilities and the dedication of staff...." What the care home could do better: Full feed back was given to the manager both during and on conclusion of our visit. The manager should have clear procedures and records regarding all finances stored at head office to show how each persons finances are managed. This will help to provide clear and transparent financial procedures accessible to everyone. People should be included in the management procedures offered in managing all of their finances. Capacity assessments will help show they are managed in each persons best interest. To have updated individual training and development plans for each member of staff so they can be supported with updated training to help them with their job roles and be supported in keeping up to date with safe practices. A training development plan will help people be aware of what training they will be provided with. This should include detailed 6 monthly inductions and timescales for refresher courses including specific timescales for eg, medication, health and safety and safeguarding, food hygiene, epilepsy and autism. To provide evidence of at least 5 days paid training per person each year. To carry out monthly visits to Kenneth House and to include the opinions of people living and working at the service while carrying out these checks, so that their views can be considered regarding their home. The manager should have all necessary information accessible to him so that he can evidence systems are safely managed and show evidence of good practice and management of peoples finances, training and personnel checks. The manager should keep records of employment checks such as (crb) police checks, proof of identification and and two references. These checks help to make sure the people living there are safe and that staff are suitable to support them. To provide a development plan for Kenneth House and include details when people can have their bathroom redecorated and refurbished, so they can be kept informed andincluded in the developments of their home. To look at plans to offer redecoration of bedrooms for any new person moving to the service. This will help show they are included in the decor and style of their living area and offered the choice to personalise the decoration of the room the way they want it. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Kenneth House 121 Raeburn Avenue Eastham Wirral CH62 8BD     The quality rating for this care home is:   two star good service 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: Diane Sharrock     Date: 1 1 0 2 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. that people have said are important to them: They reflect the things 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. Care Homes for Adults (18-65 years) Page 2 of 32 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. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 32 Information about the care home Name of care home: Address: Kenneth House 121 Raeburn Avenue Eastham Wirral CH62 8BD 01513273680 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): phil.hatton@was.demon.co.uk Wirral Autistic Society Name of registered manager (if applicable) Mr Phillip Hatton Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The registered person may provide the following category of service only: Care home only - Code PC. To service users of the following gender: Either. Whose primary care needs on admission to the home is within the following category: Learning disability Code LD. The maximum number of service users who can be accommodated is: 4. Date of last inspection Brief description of the care home Kenneth House is registered to provide personal care for four people with autism. The home is a two storey semi-detached property located in a residential area. On the ground floor there is a lounge with patio doors leading to a large garden, dining room, kitchen and a toilet. On the first floor there are four single bedrooms, an office/staff sleep in room, a bathroom and a shower room. Parking is available on the main road. Kenneth House is close to local shops and to public transport services. Wirral Autistic Society have several care homes for adults with a learning disability in the area. The Society provides a range of services and facilities which are utilised by people living at Kenneth House. The weekly cost for the service ranged from 894.00 pounds to 1256.00. pounds. A copy of the statement of purpose, which describes the services Care Homes for Adults (18-65 years) Page 4 of 32 4 Over 65 0 care home 4 Brief description of the care home offered at Kenneth House, is made available to everyone including relatives and social workers. The manager will make sure there is an up to date inspection report available to anyone who would like to see it. Care Homes for Adults (18-65 years) Page 5 of 32 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: two star good 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 peterchart Poor Adequate Good Excellent How we did our inspection: The overall quality rating for this service is 2 star. This means that people who use the service experience good quality outcomes. This unannounced visit took place on the 11th February 2009 over a period of 5 hours. This was carried out with the help of the registered manager and we met the people who live there and the 2 staff on duty. We gathered information for this visit in a number of ways. We (the commission) looked at various records and included comments made in any comment cards received to us. We also included details from surveys carried out by Wirral Autistic Society. Before our visit we sent a selection of comment cards to staff and people at Kenneth Care Homes for Adults (18-65 years) Page 6 of 32 house and to a health professional. We also left some comment cards for relatives to give their opinions of what the service was like. Case tracking was used as part of the visit to the service. This involves meeting people who live at Kenneth house, looking at the support and care a person gets from the staff including their support plans, medication, money and their living conditions. The manager completed a questionnaire we sent before our visit. The information from this was used by us to plan this visit and in writing this report. The document was completed and was returned to the commission before this visit took place. What the care home does well: What has improved since the last inspection? The service is meeting the vast majority of the national minimum standards showing good standards in facilities and good support given to people who live there. The service has produced good information and brochures about the home which uses some pictures to help some people who may like the use of pictures to describe various things. Staff give these documents to people who are thinking about moving to Kenneth House. They have procedures in place for assessing peoples needs including trial visits which happened recently when 2 people recently moved in. Staff also developed. transition assessments. These records were a good example of how people were supported in making decisions and included in moving to their new home. Wirral Autistic societys aims and plans for the future are published in a company document called, Our future strategy for 08/09-2012/13. This has helped to keep everyone involved and updated with the aims of the organisation including the plans to expand the services. The service had procedures for responding to concerns and complaints and for making sure that people have a pictorial complaints procedure which is clear to read and understand. The commission have not received any complaint about the service following the last inspection . There have been no additional visits to the service since our last visit to Kenneth House. The company and staff have managed to deal sensitively with one subject that is often difficult to discuss. They have produced a sensitive document requesting information regarding bereavement and support offered. A staff satisfaction survey carried out by Wirral Autistic Society dated Oct 08 was overall very positive with 3/4 of the staff team, saying overall, ...feeling the society is a good place to work... Staff that we met were very positive about Kenneth house and said it was a good place to work in. Care Homes for Adults (18-65 years) Page 8 of 32 Staff are regularly supported by the manager with regular appraisals and supervision. This is an example of how the staff are supported and helped to develop while working at the service. We have received 1 survey from a health professional who was overall very positive and made comments such as, Provides excellent care tailored to individual needs. ...they have a learning culture and the services improves year on year. Following this report we received 2 surveys from relatives received 27/2/09. Their comments were overall very positive about the service in regarding to the support given to their relatives. Some comments included, Kenneth House seems to provide a homely relaxed atmosphere for its clients. Its always clean when we visit. Im always impressed by the standard of the facilities and the dedication of staff.... What they could do better: Full feed back was given to the manager both during and on conclusion of our visit. The manager should have clear procedures and records regarding all finances stored at head office to show how each persons finances are managed. This will help to provide clear and transparent financial procedures accessible to everyone. People should be included in the management procedures offered in managing all of their finances. Capacity assessments will help show they are managed in each persons best interest. To have updated individual training and development plans for each member of staff so they can be supported with updated training to help them with their job roles and be supported in keeping up to date with safe practices. A training development plan will help people be aware of what training they will be provided with. This should include detailed 6 monthly inductions and timescales for refresher courses including specific timescales for eg, medication, health and safety and safeguarding, food hygiene, epilepsy and autism. To provide evidence of at least 5 days paid training per person each year. To carry out monthly visits to Kenneth House and to include the opinions of people living and working at the service while carrying out these checks, so that their views can be considered regarding their home. The manager should have all necessary information accessible to him so that he can evidence systems are safely managed and show evidence of good practice and management of peoples finances, training and personnel checks. The manager should keep records of employment checks such as (crb) police checks, proof of identification and and two references. These checks help to make sure the people living there are safe and that staff are suitable to support them. To provide a development plan for Kenneth House and include details when people can have their bathroom redecorated and refurbished, so they can be kept informed and Care Homes for Adults (18-65 years) Page 9 of 32 included in the developments of their home. To look at plans to offer redecoration of bedrooms for any new person moving to the service. This will help show they are included in the decor and style of their living area and offered the choice to personalise the decoration of the room the way they want it. 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.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 10 of 32 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 Care Homes for Adults (18-65 years) Page 11 of 32 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good information is given to anyone thinking about choosing to live at Kenneth House. This makes sure that the service is the right place for a person to live in and that their needs can be met. Evidence: Great consideration is taken with someone new moving in so that everyone is in agreement to who moves to Kenneth House and is able to get to know the new person. Recently two people have moved to Kenneth House. Staff have completed detailed assessments called, transition assessments, which have helped people to gradually get to know everyone and to help make a decision to move there. Each person had been to the service for coffee to have a look around before they actually decided to moved in. Two staff members have also recently transferred to Kenneth house. They worked at the previous service were the 2 new people lived so this has helped in the general move for people to have a consistent approach to their support. This was Care Homes for Adults (18-65 years) Page 12 of 32 Evidence: identified as a good example of how the company adapted their services and skill mix of staff to meet the changing health needs of people within the service. Good information is given to any prospective person including the option of having a trial visit to the home. This makes sure that Kenneth House is the right place for the person to live in and and that their needs can be met. The manager has developed a residents guide and a statement of purpose which are available to anyone. They also have pictures of people at head office and an explanation of their role. The guides include good levels of information on the purpose of the home and the facilities on offer and includes visual pictures of all the staff which may help some people understand the information given. The manager has advised in his questionnaire filled in prior to this visit that he plans to develop these records with more pictures and simple language to help make it clear and easy to look at. Care Homes for Adults (18-65 years) Page 13 of 32 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 individual needs and choices of the people living at Kenneth House are identified so that staff can support them to meet those needs, choices and varied aspects of daily to day living. Evidence: Detailed individual support plans were available for each person, we looked at two of them. One plan had an annual planner which identified alot of significant appointments and dates important to the person such as, birthdays and health care appointments. This helped keep everyone updated and informed of important dates to remember and be prompted by. A recent care management review was detailed and covered all of the support each person received. Staff had developed a good review tool which helped making certain questions easy to be understood and helped include the person in giving their opinions of the service. They indicated in their review they were happy and liked the house. Care Homes for Adults (18-65 years) Page 14 of 32 Evidence: The plans were detailed and regularly reviewed in most sections and gave enough information to show how their personal and social needs would be met and covered a diverse range of needs, eg Each plan was very individualised stating exactly how each person likes to be supported including sometimes what times they like to be supported with in getting up in the mornings and getting ready for day services. Staff explained various activities and routines that each person liked to do. They described how they supported each person. We met some people living at Kenneth House and the staff working there who were all busy getting ready for tea then out to the weekly trip to the local club. Everyone said they enjoyed socialising at this club and met up with everyone on a weekly basis. Staff explained that some people choose not to go to certain activities and they felt there were enough staff on duty to help support people with their choices of what they wanted to do. Some of the services policies and procedures have been developed to make them more user friendly for some people who may like the use of pictures to describe a policy. eg the complaints procedure has been developed to include pictures to describe its procedures, there is also a group of pictures of the fire appliances including the fire extinguisher. We looked at a sample of financial records kept at the service of personal allowances which were well kept and accurate and in good order. One support plan had a section called, my personal allowance guideline, this person also had a risk assessment covering the management and support of their personal allowance. However the manager explained that various monies were stored and managed at head office. There was no evidence of whether capacity assessments had taken place. There was no record of any other type of benefit claimed on their behalf. It wasnt clear as to whether peoples benefits were used for the use of the communal vehicle or whether permission or assessment had been sought regarding the use and management of it. The manager arranges meetings for everyone at the service to discuss the running of the service. We looked at these records which showed good discussions on alot of things, keeping everyone informed and included in some developments in their home. The manager explained that now they had 2 new people moved into the home and 2 new staff, that he would develop both staff meetings and meetings for people living there to help them all to feel included and take part in the development of their home. Care Homes for Adults (18-65 years) Page 15 of 32 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. People living at Kenneth House are supported in living how they want to. Evidence: In discussions with the manager and in looking at records, it showed that the people living at Kenneth House receive the support they need to get out and about regularly in their local community. During our visit everyone was out at the day centre in accordance with their wishes and abilities. The support plans showed that each person is provided with a range of opportunities to help their personal development and they have a time table of activities that they would do during the week, such as, horticulture, technology, art therapy and woodwork. Care Homes for Adults (18-65 years) Page 16 of 32 Evidence: Each persons file showed that staff try to plan social events, holidays and activities and also carry out risk assessments to help make activities as safe as possible. During our visit we met people that live at the service when they arrived home from day services. They were getting ready for their evening meal then off out to the club which they socialised in every week. They all said how they really enjoyed this weekly activity especially in meeting up with friends. The service shares a communal vehicle with another local house. The records around the management and funding of the communal vehicle wasnt clear. This needs to be reviewed to show that everyone is included and in agreement to the current arrangements regarding who manages, maintains and funds this service. Staff felt that each persons benefits stored at head office was used to pay towards the use of company vehicles. Records of meals served,showed that a variety of meals are served in order to offer people as much choice as possible. Staff explained how they support people in choosing what they would like for their meal and they have a lists of what people like and dont they. The dining room was very modern and well maintained offering a homely environment to enjoy meals in. The manager organises regular house meetings to discuss the running of the home. We looked at recent minutes and they showed good discussions on alot of things at the service keeping everyone informed and included in developments of their home. Care Homes for Adults (18-65 years) Page 17 of 32 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People coming to live at Kenneth House are supported with keeping healthy and safe. Evidence: Support plans were available for each person we looked at two of them. Some parts of the plans had been recently updated and revised and gave enough information to show how their personal care and support would be met. Some plans still needed to be updated in parts with more recent review dates so they were sure they were accurate and reflected the persons most up to date needs. The plans provided staff with guidance and were appropriate instructions as to the support each person needed. The plans covered guidance with their medication and their diet. They showed that they are supported in accessing health care services if it was needed, especially the doctor, optician, podiatrist and care managers. The system for recording health checks makes sure that each person is offered regular health examinations and checks to keep healthy and safe. These sections were called, health passports. They were mostly uptodate and gave details of any health concerns or conditions the doctor or hospital were treating. Care Homes for Adults (18-65 years) Page 18 of 32 Evidence: The manager advised that they are waiting for their communications department to finalise, communication passports for each person. He felt that once they had all been completed they would help show how each person could be individually supported with their communication needs. Following our visit we have received an update from the company advising that one person already had a completed communication passport, (which helps the staff to understand this persons communication needs and is person centred) and another passport has been completed and is awaiting final completion from the companies communications department. The company and staff have also managed to deal sensitively with one subject that is often difficult to discuss. They have produced a sensitive document requesting information regarding bereavement. The questionnaire helps identify personal wishes such as, are there any instructions or requests that effect how the individual should be treated after death. We looked at the storage and procedures of managing medications at the service and they were found to be well maintained and safely managed. Support plans also gave advice and guidance on how each person should be assisted with any type of medication that should be given only when they needed it . This type of medication is different to those prescribed to be given regularly at the same time each day. This information helps to keep people healthy and supported in the right way with their health.The medication records were detailed and offered accurate and up to date medication records, providing a safe system of supporting people with the administration and storage of their medications. We have received 1 survey from a health professional who was overall very positive and made comments such as, Provides excellent care tailored to individual needs. ...they have a learning culture and the services improves year on year. Care Homes for Adults (18-65 years) Page 19 of 32 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. People are protected by the services procedure for responding to concerns and complaints. Evidence: Information about how to raise a concern or complaint is made available to the people living at Kenneth House in a pictorial format. This is good practice as it helps to increase the opportunities for people using the service to have a better understanding of the ways in which they can raise concerns. We looked at a sample of staff training records which described various training that they had attended including, safeguarding and abuse awareness. However in looking at a sample of training records it was noted that some staff had not received an update to some subjects for some time. There was no other evidence of how staff are updated in this area during their employment or how they keep up to date with this topic which is necessary to help staff be kept up to date in safeguarding people they support. The service helps to manage small amounts of money for each person who comes to live at Kenneth House. These records were detailed and accurately maintained. We discussed how the financial procedures were carried out and how they were maintained to help safe guard the financial affairs of each persons. However each Care Homes for Adults (18-65 years) Page 20 of 32 Evidence: person had other money stored at head office and this information was not in a persons support plan regarding how and were each persons money was stored. Care Homes for Adults (18-65 years) Page 21 of 32 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People at Kenneth House live in a homely, comfortable and safe environment which meets their needs. Evidence: We were shown around the home and looked at a sample of areas. Each person has their own bedroom were they are encouraged to have personal belongings and to individualise the room the way they want. Two people had recently moved to Kenneth House and it was noted they had the same decor that the originally people living there had. The rooms had not been decorated for the new people moving to the service. One person showed us their bedroom and said they had everything they needed in their room. They had lots of personal belongings that helped them settle in and feel comfortable. They were happy with their room. The kitchen, lounge and dining room offer a domestic style facility accessible to everyone. The home was decorated to a very good standard offering a homely environment to live in suitable to the needs of people living there. The manager did not have any planned maintenance and decorating programme for the service however he explained that he had recently asked head office for the funds to have one bathroom completely refurbished. This room was in need of redecoration as it was Care Homes for Adults (18-65 years) Page 22 of 32 Evidence: worn and dated and would benefit from being decorated to match the same high standards of living conditions already achieved else were in the service. The manager didnt have any date or permission as to whether this area was to be refurbished this year but he was hopeful to hear very soon. We looked at a sample of maintenance certificates which showed up to date checks as listed in the homes pre inspection questionnaire including the fire extinguishers and gas supply. This helped show what actions were taken to keep the service safe. Care Homes for Adults (18-65 years) Page 23 of 32 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported by staff who offer a good rapport and understanding to each persons needs. Evidence: Staff personnel records are stored and managed at head office so we were unable to look at them during our visit to Kenneth House. The manager felt that they always had access to the personnel records to evidence that necessary checks are in place prior to employing new staff to help make sure they are the right person for the job. We looked at staff training records which showed what training had been provided. Staff had received various training while employed by the service. However some staff had not received refresher training for necessary subjects since 2004 for eg safeguarding, medications, autism, epilepsy, food hygiene and health and safety.. Staff need updated training to help keep them up to date in their practices and help to appropriately support people. Staff were positive about working at Kenneth house and discussed how they support people with their individual needs. They were able to talk about alot of activities that people are supported with when they come home from day services so that everyone Care Homes for Adults (18-65 years) Page 24 of 32 Evidence: has an active social life. We met both the staff and people living at the service during our visit and found that they had a good rapport with each other. Everyone seemed to get on well with each other and they were all looking forward to the weekly trip to the club that evening. The manager provided various dates that showed staff are regularly supported by the manager with appraisals and supervision. This is a good example of how the manager supports staff while working at the service. New staff have had an induction to working at the service however there was no evidence of continued training and induction to alot of necessary subjects necessary to support people with autism. Care Homes for Adults (18-65 years) Page 25 of 32 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. Kenneth House is well managed and the health and safety of everyone at the service is promoted and protected. Evidence: The service continues to benefit from an experienced and appropriately qualified manager who is able to demonstrate that he effectively manages the service in the best interest of everyone living there. The manager explained that they are due to have a reorganisation to the managers allocated to each home and that he would be taking over the management of another additional home in March 2009 but will still be responsible for managing Kenneth House. We discussed how this would effect the day to day management of the service. The manager felt that the reorganising of the service should identify team leaders in each service to offer day to day support with management. The focus of the service is very much on providing the best for people living there and responding to their needs. Support plans showed a personalised approach and we saw Care Homes for Adults (18-65 years) Page 26 of 32 Evidence: alot of activity and planning to support people with an active quality of life. The manager meets with people on a regular basis and the minutes of these meetings shows good communication keeping everyone up to date and included with plans at the service. We looked at a sample of minutes which showed varied agendas including things such as, staff rotas, cleaning schedules, Christmas celebrations and support plans. The home is visited on a regular basis by a representative of the organisation. These visits form part of the quality assurance process and form an opinion on the standard of care and support provided. These visits are also a requirement of the care home regulations and a report has to be produced to show evidence of quality checks. There have been problems in getting these reports done previously but the manager explained that they have started to be completed for 2009. The last recorded report we could see was dated October 2008. The manager explained a development within the company were registered managers meet every 2 weeks within the organisation to develop good practice with all the services. They have an aim to eventually have excellent ratings for all their services and to share and develop good practices with each service. Records and certificates showed that regular checks are carried out on the building. This includes checking electrical installation, fire alarms and equipment and the gas supply. These checks help to make sure that the environment is well managed and is a safe place to live and work in. The organisation had developed a publication of a recent staff satisfaction survey dated Oct 08. Overall it was very positive with 3/4 of the staff team expressing comments such as, feeling the society is a good place to work. The organisation were able to use the survey for a benchmark to the future and following the survey the Chief Executive of the company visited each establishment to discuss the findings and the developments for the future. Staff that we met were very positive about working within the organsiation and felt it was a good place to work. The organisation had published a document called, Our future strategy for 08/092012/13. The manager explained they had given a copy to every staff member. This has helped to keep everyone involved and updated with the aims of the organisation, especially in the plans to extend the services of the organsiation. The manager explained that various records such as, personnel files, training and financial records are usually kept at head office. This meant that the manager was not Care Homes for Adults (18-65 years) Page 27 of 32 Evidence: always in receipt of necessary records covering Kenneth House. We discussed the managers responsibilities within the care home regulations whereby all necessary information should be accessible to him. This will allow him to always be able to evidence that the service is safely managed and show evidence of good practice and management of finances, training, personnel and safe recruitment checks. The manager showed us a house file. This file had alot of information about the service. This helped keep new staff informed and up to date about various practices, policies and procedures at Kenneth House and helped them locate necessary information such as emergency contact numbers. This was a good example of how the manager had introduced something to help staff safely manage the service while they were on duty. Care Homes for Adults (18-65 years) Page 28 of 32 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 29 of 32 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, 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 Requirement Timescale for action 1 7 20 To have updated financial 18/08/2009 records, support plans in place. They must include the management of all benefits and finances managed for each person. To provide people with the name of the appointee. These records must be clear and accessible to everyone residing at Kenneth House and their representatives. To show clear and transparent records as to how each persons monies, benefits are managed and safeguarded. 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 1 7 The manager should have clear procedures and records to show how each persons finances are managed, inclusive of all benefits stored and managed for each person. This will Page 30 of 32 Care Homes for Adults (18-65 years) help to evidence they are kept in the best interest of everyone living in Kenneth House. 2 24 To develop a maintenance, decorating and development plan for everyone at Kenneth House so they can be kept informed and included in the developments of their home. To include information as to when they can have their bathroom redecorated and refurbished. To look at plans to offer redecoration of bedrooms for any new person moving to the service. This will help show they are included in the decor and style of their living area and offered the choice to personalise the decoration of the room the way they want it. To have updated individual training and development plans for each member of staff so they can be supported with up to date training to help them with their job roles in supporting people with specific needs. A training development plan for Kenneth house will help people be aware of what training they will be provided with, including timescales for refresher courses such as safeguarding, medication, autism, health and safety, food hygiene and epilepsy. New staff should receive structured induction training and foundation training covering 6 months to help assist them in developing their role to appropriately support people living at Kenneth house. To provide evidence of at least 5 days paid training per person each year. The manager should keep records of employment checks such as (crb) police checks, proof of identification and and two references. These checks help to make sure the people living there are safe and that staff are suitable to support them. To carry out monthly visits to check the standards of support at the service. To include the opinions of people at Kenneth House while carrying out monthly checks, so that their views can be considered regarding the service. The manager should have all necessary information accessible to him so that he can evidence systems are safely managed and show evidence of good practice and management of peoples finances, training and personnel checks. 3 24 4 35 5 36 6 39 7 39 Care Homes for Adults (18-65 years) Page 31 of 32 Helpline: 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 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. Care Homes for Adults (18-65 years) Page 32 of 32 - 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!