Latest Inspection
This is the latest available inspection report for this service, carried out on 4th March 2008. CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.
The inspector found no outstanding requirements from the previous inspection report,
but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.
For extracts, read the latest CQC inspection for Strode Park Foundation (Coach House).
What the care home does well Students` comments about The Coach House included `staff treat us well`, `we have free time at the weekend` and `the food is good and we have choices`. Comments received from relative included `the team goes to great length to explain their plans and aims for continued development`, the independence training has helped way beyond expectations`, `helps students to gain new skills to increase independence` and helps the students to gain confidence`. What has improved since the last inspection? CARE HOME ADULTS 18-65
Strode Park Foundation (Coach House) Strode Park Herne Herne Bay Kent CT6 7NE Lead Inspector
Sandra Crosby Key Unannounced Inspection 4th March 2008 09:30 Strode Park Foundation (Coach House) DS0000023593.V359416.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 Strode Park Foundation (Coach House) DS0000023593.V359416.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. Strode Park Foundation (Coach House) DS0000023593.V359416.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Strode Park Foundation (Coach House) Address Strode Park Herne Herne Bay Kent CT6 7NE 01227 373292 01227 369646 zoelee@strodepark.org.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) Strode Park Foundation for Disabled People Mrs Zoe Lee Care Home 9 Category(ies) of Learning disability (0), Physical disability (0) registration, with number of places Strode Park Foundation (Coach House) DS0000023593.V359416.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 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) 2. Physical Disability (PD) The maximum number of service users to be accommodated is 9. Date of last inspection 10th July 2006 Brief Description of the Service: The Coach House has been specially adapted for its present use. The home is spacious and set in the grounds of Strode Park. There are eight single rooms and one bed-sit room all with a call bell system and TV point. Accommodation is set over two floors with a shaft lift accessing the first floor. All rooms and communal areas are suitable for wheelchair users. There is ample parking with mature gardens and extensive grounds. The Coach House aims to promote independence and develop life skills to enable students to live more independent lives. The Coach House provides an environment for the promotion of life skills and creative leisure activities for the young students. This enhances their self-esteem and confidence to meet lifes challenges. When students develop their skills there is opportunity to move to more independent living within the grounds of Strode Park. There is also a day centre on site. The home is situated in village of Herne on a bus route. There are local pubs, shops and post office. The town of Herne Bay is about 2 miles away. Service users at the Coach House prefer to be known as students. The Coach House makes information about the home available to prospective residents on request. The current fees are £1021.17 per week. Strode Park Foundation (Coach House) DS0000023593.V359416.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 star. This means that people who use this service experience excellent, quality outcomes.
This report contains the findings of the home’s key inspection and takes account of information obtained from various sources since the last inspection of 10 July 2006, including a visit to the home. An unannounced visit took place on the 04 March 2008 between 09.30 hours and 14.00 hours. The visit included talking with the registered manager, staff on duty and students, plus observing social interactions. All persons at the home or visiting the home were made welcome, and spoken to positively by staff. An accompanied tour of the home was made, and various records were seen. Information contained in the completed Annual Quality Assurance Assessment (AQAA), together with information contained in the seven completed student surveys and six completed relative surveys and information and observations made at the time of the inspection visit have been used when completing this report. The findings of this inspection, together with additional information received from the organisation indicates that this home provides good outcomes and sustained quality of provision for the students, but there are some areas around the environment that although adequate, need improvement. What the service does well:
Students’ comments about The Coach House included ‘staff treat us well’, ‘we have free time at the weekend’ and ‘the food is good and we have choices’. Comments received from relative included ‘the team goes to great length to explain their plans and aims for continued development’, the independence training has helped way beyond expectations’, ‘helps students to gain new skills to increase independence’ and helps the students to gain confidence’. Strode Park Foundation (Coach House) DS0000023593.V359416.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Strode Park Foundation (Coach House) DS0000023593.V359416.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Strode Park Foundation (Coach House) DS0000023593.V359416.R01.S.doc Version 5.2 Page 8 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2 was inspected at this inspection visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective students aspirations and needs are assessed. EVIDENCE: The records of two students were viewed during this visit. The placing authority and other professional provide detailed information prior to the Coach House staff completing an admission checklist. Strode Park Foundation (Coach House) DS0000023593.V359416.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7 and 9 were inspected at this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Students can be confident that their needs and goals are assessed and monitored. They can also be sure that they are involved in decisions and they will be supported to take risks if necessary. EVIDENCE: Two care plans were viewed and the inspector also spoke with the students whose plans they were. The plans are based on the assessments undertaken prior to a student’s admission. The care plans are person centred with the recent introduction of the ASDAN training module ‘All about Me’. Students confirmed that they are fully involved in this process and the documents used are written as from the point of view of the individual and also allow for people to sign their agreement. A keyworker system is in place, and keyworker teams now have their own individual meetings so that they can focus on detail.
Strode Park Foundation (Coach House) DS0000023593.V359416.R01.S.doc Version 5.2 Page 10 Talking to students and reviewing the surveys that were completed, it is clear that they make decisions about their lives. Individuals are supported according to their wishes and needs. The inspector was told about the advocate who although employed by Strode Park Foundation, has an independent role within the organisation. There are various risk assessments in place for individuals and these are regularly reviewed with the student. Students are supported to take risks as part of enabling as much independence as possible. Strode Park Foundation (Coach House) DS0000023593.V359416.R01.S.doc Version 5.2 Page 11 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,15,16 and 17 were inspected at this visit. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Students take part in appropriate activities and see themselves as part of the local community. They are supported in their relationships and their rights are respected. Students are offered a healthy diet and sociable mealtimes. EVIDENCE: The ethos of The Coach House includes the provision of training sessions and opportunities for building on existing skills or acquiring new ones. ASDAN courses are available as are work placements. Students can work in the café, which is in the grounds of Strode Park (currently being refurbished), or a café at Minster, a village a short distance away both of which are open to the public. There is also a small training kitchen for the students to use. The day service provision is next door to The Coach House and there are computers available to the students. The students spoken with said that they had plenty
Strode Park Foundation (Coach House) DS0000023593.V359416.R01.S.doc Version 5.2 Page 12 of opportunities for education, training and work experience. Two of the students spoken with work a few hours covering reception duties. Local facilities are used such as churches, pubs, gyms, swimming pools and theatres. The theatre in the grounds of Strode Park is open to the public and students can and do attend performances there. Staff are available for students at weekends and evenings to enable activities to happen at those times. Students told the inspector that they can welcome their friends and family members to visit them when they wish. Students make choices and decisions about their daily routines and what they want to do with their lives. The ‘person centred planning’ has sections inviting an individual to say what they would like to do, what are their aspirations, hopes and dreams. Privacy is respected. One student said that staff always knock before entering their room. Staff spoken to also confirmed that this was important. Students are able to have a key for their bedroom door if that is their wish. Housekeeping tasks are shared between the students and they are clear about their responsibilities. Students can choose to be alone in their rooms if they wish. All of the students spoken with indicated that they feel that staff treat them with respect and the completed surveys all answered ‘yes’ to the questions “Do staff treat you well?” and “Do staff listen to you?”. The inspector joined the students for lunch. This is a lively and busy time on weekdays as people who are attending the day unit join in. Choices are made prior to the meal and students can have a hot meal, sandwiches or a salad. The food was tasty. Staff join students at mealtimes. Breakfasts and suppers are prepared by the students with support as necessary, as this is all part of the life skills training. Strode Park Foundation (Coach House) DS0000023593.V359416.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18,19 and 20 were inspected at this visit. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Students receive personal support in the way they prefer and their health needs are identified. Students are protected by the home’s policies and procedures regarding medication. EVIDENCE: As noted in previous standards students are making choices about their lives all the time. There are male and female staff members. Students are encouraged to speak up for themselves, to be clear about how they want to be supported or assisted. The care plans contain sections relating to emotional and physical health and wellbeing. Students are registered with local GPs for the time they are living at The Coach House and the records show that healthcare needs are identified and responded to. Medication is appropriately stored and administered. Students have individual secure storage in their own rooms. Staff have received training regarding medications. Strode Park Foundation (Coach House) DS0000023593.V359416.R01.S.doc Version 5.2 Page 14 As indicated in the completed AQAA documentation and from information received following the inspection from the organisation and discussion with the registered manager at the time of the visit; students have on site access to speech and language therapy, physiotherapy and occupational therapy indicating that the Coach House has recognised potential areas for improvement in personal and healthcare support and have managed them well. Strode Park Foundation (Coach House) DS0000023593.V359416.R01.S.doc Version 5.2 Page 15 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): Standards 22 and 23 were inspected at this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Students’ views are listened to and acted on. They are protected from abuse, neglect and self-harm. EVIDENCE: The organisation has a clear, appropriate complaints procedure. Students, either in conversation or via surveys, said they felt safe and they knew who to talk to if they had problems or concerns. The manager and other staff said that things are dealt with at an early stage so they do not really become complaints. There are regular meetings involving staff and students. The manager showed the inspector information booklets with DVD on subjects such as ‘would you complain’, ‘mission impossible’ containing information about the Mental Heath Act together with one about abuse and these are discussed with students. Staff have received training and instruction regarding the protection of vulnerable adults and there are relevant policies and procedures such as adult protection and whistle blowing. Staff spoken with confirmed an awareness of their responsibilities. The organisation is aware of its responsibilities, including the protection of vulnerable adults register. The completed AQAA documentation states that no formal complaints have been received in the last twelve months.
Strode Park Foundation (Coach House) DS0000023593.V359416.R01.S.doc Version 5.2 Page 16 Strode Park Foundation (Coach House) DS0000023593.V359416.R01.S.doc Version 5.2 Page 17 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): Standards 24 and 30 were inspected at this visit. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The décor could be improved in parts, giving students a more pleasant environment. Students enjoy a mainly clean environment. EVIDENCE: The inspector toured most of the communal areas and some of the students’ accommodation. The home provides sufficient space for those living there. There is a small lounge that students can use if they do not want to be in the large dining/lounge area. The Coach House is situated in the grounds of a larger house and there are other buildings and facilities. There is a gateway to the side of The Coach House that is not locked. This entrance is on the edge of the property and faces a roadway. The Coach House is situated in a village and there are vehicles available to students for transport to various activities.
Strode Park Foundation (Coach House) DS0000023593.V359416.R01.S.doc Version 5.2 Page 18 There is also a regular bus service close by. accessible to wheelchair users. The building and grounds are Although generally the home is well maintained and furnished there are some areas that could do with decorating or improving. The bathrooms are in need of upgrading, and the corridors especially on the first floor need redecoration and re-carpeting. There were areas seen that could pose a health and safety risk in relation to the carpeting, and an infection control risk in relation to the flooring in some areas. Areas of improvement over the last twelve months as stated in the AQAA include 5 bedrooms that have been re-decorated and re-carpeted, the ‘Bed-sit’ – a transitional living suite - has been created and a new larger cooker has been installed. The home was clean at the time of the inspection and there were no offensive odours. The laundry facilities are satisfactory. There are in house policies regarding infection control, COSHH Regulations and disposal of clinical waste. Strode Park Foundation (Coach House) DS0000023593.V359416.R01.S.doc Version 5.2 Page 19 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): Standards 32,33,34,35 and 36 were inspected at this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Students benefit from the well-trained, enthusiastic and supportive staff team and students are supported and protected by the home’s recruitment policy and practices. EVIDENCE: Those staff observed and spoken with during this inspection, were approachable and interested in the students and what they were trying to achieve. Those spoken to clearly had an understanding of students’ needs. The completed AQAA documentation states that the home provides staff induction training that meets the National Minimum Standards for the service and that staff have a development plan that meets the National Minimum Standards for the service. Notices were seen in the staff room indicating training sessions that were planned over the coming months. It was indicated that there were sufficient staff on duty at the time of the visit to meet the needs of the current group of students. It was discussed with the
Strode Park Foundation (Coach House) DS0000023593.V359416.R01.S.doc Version 5.2 Page 20 manager the one sleep in person on duty during the night. One staff member spoken to said that the person sleeping in would retire at midnight and would be up around 6.00am, together with attending any call outs in the night. This way of working is being monitored and the manager said that there had been occasions when an extra member of staff had worked the night as necessary. There is a human resources department within the organisation. Records are kept within the home and two staff files were seen. A thorough recruitment system was seen to be in place, including references, criminal records bureau checks and the provision of written terms and conditions of employment. Equal opportunities monitoring, forms part of the recruitment process. Staff are given copies of the General Social Care Council’s code. The records seen also gave evidence of the training that has been undertaken. Staff receive regular one to one supervision with written records maintained, together with yearly appraisals being undertaken. The completed AQAA documentation states that during the last 12 months students have become more involved in the recruitment and interview process, for example each applicant for work is shown around the building by a student. Feedback is obtained from the student after the tour and is then considered by the interview panel. Students spoken with said very positive things about the staff and how they are supported. Strode Park Foundation (Coach House) DS0000023593.V359416.R01.S.doc Version 5.2 Page 21 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): Standards 37,39 and 42 were inspected at this visit. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The Coach House is a well run home where the health safety and welfare of students is mainly protected. They can also be confident that their views are taken into account. EVIDENCE: The manager is experienced and qualified. She has acquired her registered manager’s award and also undertakes training courses within the home. She is aware of the national minimum standards and the regulations that underpin them. She undertakes quality monitoring within the home, ensuring that students and others are consulted.
Strode Park Foundation (Coach House) DS0000023593.V359416.R01.S.doc Version 5.2 Page 22 Staff are provided with training in aspects of health and safety and there are appropriate policies and procedures in place regarding health and safety. The registered provider has provided to the Commission following the inspection a copy of the Strategic Review and Business Plan 2007/10 for the organisation. Key Objectives are set out within this documentation aimed at improving and expanding the service, thereby endeavouring to maintain sustained outcomes with continued growth. The completed AQAA documentation indicates that maintenance of equipment is completed as appropriate. Cars and other vehicles are regularly serviced and have in house checks also. It was stated in the last inspection report that the fire safety checks were appropriately recorded. Action needs to be taken in relation to the carpet in the corridors especially on the first floor, and some areas of flooring in the bathrooms in order to maintain health and safety for students and staff. Strode Park Foundation (Coach House) DS0000023593.V359416.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 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 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 4 X 4 X X 2 X Strode Park Foundation (Coach House) DS0000023593.V359416.R01.S.doc Version 5.2 Page 24 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA24 Regulation 16 Timescale for action The home’s premises are 31/12/08 suitable for its stated purpose; accessible, safe and well maintained; meet service users’ individual and collective needs in a comfortable and homely way; and have been designed with reference to relevant guidance Re-decorate and re-carpet corridors together with ensuring flooring in bathrooms does not pose an infection control risk Requirement RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Strode Park Foundation (Coach House) DS0000023593.V359416.R01.S.doc Version 5.2 Page 25 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
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