• Care Home
  • Care home

Archived: L'Arche Kent Cana

Overall: Good read more about inspection ratings

Chapel Hill, Eythorne, Dover, Kent, CT15 4AY (01304) 831739

Provided and run by:
L'Arche

All Inspections

16 January 2018

During a routine inspection

L’Arche Cana is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. L’Arche Kent Cana provides accommodation and personal care to five people with learning disabilities. There were five people living at the service when we inspected.

The service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities using the service can live as ordinary a life as any citizen.

Rating at last inspection

At the last inspection, the service was rated ‘Good.’

Rating at this inspection

At this inspection we found the service remained 'Good'.

Why the service is rated Good

People had lived at the service for some considerable time and continued to feel safe and well looked after. Staff were aware of how to protect people from abuse and had received training to keep people safe. The service was clean and everyone was supported to help with the domestic tasks. Checks were made on the premises to make sure it was safe, including fire and health and safety checks. Adaptations were made to the service to support people with their mobility such as additional hand rails and a walk in shower.

People were supported to do what they wanted to do and staff helped them in the least restrictive ways to take risks and enjoy their lives.

People enjoyed varied activities of their choice and were able to access the community when they wanted. People were at the centre of the service and encouraged to follow their goals and dreams; they went out regularly, participated in day activities and met their friends and family.

There was enough staff on duty to ensure people received the care they needed. Staff were trained and checked before they started to work at the service to ensure they were safe to work with people. People told us the staff were good and they knew them well.

There was an emphasis on person centred care and people were treated with dignity, respect and compassion. People’s support and care plans were reviewed regularly and staff responded to people’s changing needs. Support plans were clear with detailed information to make sure people received the right support.

Everyone had a health care plan and information to take with them should they need to go to hospital. People were supported to keep healthy and received their medicines safely.

The registered manager told us that they were in the process of asking people how they wanted to be cared for at the end of their lives. People’s records were stored securely to ensure confidential information was protected.

Staff treated people with mutual respect and equality making sure that everyone had choices and was involved in their care. Everyone was given the opportunity to voice their opinions on the service and to be involved in the service. People, staff and visitors told us about the L’Arche community and how they met up with old friends and staff who used to work at the service. They described how the community enriched people’s lives and form lasting friendships.

The service had a registered manager who was supported by a very experience senior manager in the service. Staff told us that the management were always available for guidance and support. Regular staff meetings and supervision ensured staff received the support they needed to carry out their roles. The management team carried out audits regularly to assess the quality of the care being provided and took any required action to continuously improve the service.

Everyone was treated as an individual and there was an atmosphere of equality throughout the service. Staff told us how the service celebrated different faiths and encouraged people to follow their own beliefs. The culture of the service was open and inclusive and there were strong links with the community, such as the local church, people in the village and the neighbours.

Incidents or accidents were recorded and were reviewed and action taken to reduce the risks to people living at the service. People were able to express if they were unhappy but there had been no complaints since the last inspection. The complaints procedure was clear with pictures to help people to understand how they could raise any issues.

Further information is in the detailed findings below.

3 September 2015

During a routine inspection

This inspection took place on 3 September 2015.

L’Arche Kent Cana is home for five people with learning disabilities. It is part of a community run by L’Arche Kent, a charitable organisation. The home is a detached property in the rural village of Eythorne, near Dover. Each person had their own bedroom decorated in the way they chose. There were two lounges and a dining room that people could spent time in together. The people and some of the staff, called assistants, lived in the home together. There were two vehicles for people to use to get out and about in the local area and to access a variety of activities. At the time of the inspection there were five people living at the home.

There was a registered manager working at the service. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The Care Quality Commission is required by law to monitor the operation of the Deprivation of Liberty Safeguards. The registered manager and staff showed that they understood their responsibilities under the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards (DoLS). Mental capacity assessments had been carried out to determine people’s level of capacity to make decisions in their day to day lives and for more complex decisions when needed. DoLS authorisations were in place, or applications had been made, for people who needed constant supervision because of their disabilities. There were no unnecessary restrictions to people’s lifestyles.

People’s needs were assessed and their preferences taken into account when they moved into the home. People were given time to get to know people and to settle into the home. Each person had a key worker who was the person who would take a particular interest in making sure they had what they needed. Care and support plans were designed around people’s individual interests and needs. These were written in a way people could understand and included pictures and photos.

People told us they felt safe living at the service. There were effective systems in place to make sure people were supported to keep safe but without being restricted. Risk assessments were designed to support people in developing their skills and experience. The risk assessments were clear and detailed so that staff had the guidance necessary to protect people as far as possible from accidents or harm whilst still encouraging independence.

People had the support they need to remain well and healthy. Medicines were managed safely and people were supported to be as involved as possible with their medicines. Everyone was involved in planning and preparing the meals, snacks and drinks.

People had good relationships with their support staff who knew them well and used their shared interests to help people live interesting lives. There were plenty of staff available to meet people’s needs and people led active and busy lifestyles and engaged in the local community. Checks were carried out on prospective staff to make sure they were suitable to work with people. Developing and supporting lasting friendships was of high importance in the service. People met up with their friends and relatives. People who were important to them including friends they had got to know in the village attended meetings to help them make decisions about their care if they wished.

People were treated with kindness and compassion and there was a strong emphasis on person centred care. People were involved in all aspects of planning their care and support so that they received a service in the way they wanted and met their needs. The service was flexible and responded positively to changes in people’s needs. Staff were trained and felt well supported.

The whole environment supported communication which enabled people to plan activities and events to enrich their lifestyle. People were able to express their opinions and views and they were encouraged and supported to have their voices heard within their local and wider community. They played an active role in the running of the service, in the L’Arche community and in their local community.

People and their loved ones were fully involved, in a meaningful way, in developing and shaping the service. There were effective quality monitoring systems in place to make sure the service was provided in the way people wanted. There was a culture of openness and inclusion with everyone taking a role in the running of the service. There were strong links with the local and wider community and people had friends in the village and knew their neighbours.

23 September 2013

During a routine inspection

We gave short notice to the service of our inspection so that they could let people using the service know that we were coming. This was because some people needed time to prepare for an unfamiliar person being in the house. There were five people using the service and we met, spent time with or spoke with all of them. People said or indicated that they were happy with the service. One person said 'It is nice here. I have learned a lot since I've been here.'

People were encouraged to be fully involved in the running of the service and were taking part in activities including cleaning the house and cooking. One person said that they had responsibility for some health and safety checks which included checking the fire system and the vehicles.

People told us about their recent holidays and one person said that they took the opportunity to visit their relatives while on holiday. People's hobbies and interests were supported and people had support to achieve the personal goals and aspirations.

People maintained good health because the service worked closely with health and social care professionals. There was enough skilled and experienced staff to meet peoples' needs and staff engaged with people in a calm, respectful and reassuring manner. One person told us 'I've got quite a few friends here. I like (the manager) a lot. She is nice.'

The robust quality assurance and monitoring systems ensured that the service was safe. The home was safe and well maintained and suited people's needs.

13 December 2012

During a routine inspection

We spoke with people who use the service, the manager and to staff members. There were three people using the service. We met and spoke with all of them and everyone we spoke with said or indicated that they were very happy living at Cana.

People told us or indicated that they felt safe and well looked after. People told us or indicated that they could express any problems to the staff who would listen and act. People indicated that they thought the staff were kind and caring. Staffing was planned around individual needs and activities.

People looked happy and relaxed in the company of each other and staff. We saw that people took part in a range of community based activities that they enjoyed and were involved in the local and wider community. People had support to take part in the cooking and cleaning and had the opportunity to go food shopping and prepare their own meals. Everyone was fully involved and included in the running of the service.

People's health needs were supported and the service worked closely with health and social care professionals to maintain and improve people's health and well being.

8 March 2012

During a routine inspection

We visited over two days because all of the people using the service were not at home on the first day of our visit. We arranged to go back to talk to people using the service. People told us or expressed that that they were happy living at Cana. People were relaxing at home on the day we visited. People looked relaxed and were smiling. They were taking part in a 'house day' which was one day a week when people were at home taking part in various activities.

People told us or expressed that the staff were kind and helpful and that they felt safe. One person said '(Staff member's name) is my favourite'. We saw that staff spoke to people with kindness and patience.

Peoples' hobbies and interests were supported and people had support to keep in touch with and visit their family and friends. Cultural needs were supported and respected. People were part of the local and wider community and had support to access and take part in a wide range of leisure and vocational activities.

The service worked very closely with health and social care professionals to ensure that people had the support they needed to remain well and healthy.

The home was clean and everyone we spoke to said or expressed that they were happy with their bedrooms and other facilities. One person showed us their room and said that they were happy with it.