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Inspection on 10/02/06 for 13 Norfolk Street

Also see our care home review for 13 Norfolk Street for more information

This inspection was carried out on 10th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The most obvious impression was that this is a home well set up to meet the needs of the people currently living there, who were clearly appreciative of the support and help offered within an independent setting. The way everybody living in the home got on together and were supportive of each other can only reflect well on the service, the organisation, and on the people living at 13 Norfolk Street. The constant refrain heard during this inspection was the appreciation by the people living there of the service provided.

What has improved since the last inspection?

A number of requirements have been met from the previous inspection.

What the care home could do better:

Some environmental improvements are still to be actioned. These are detailed in the main body of the report. Some details about the home, mostly to do with space limitations, are probably insurmountable, and far outweighed by the positive impact of the environment on those living there. Nevertheless, the provider must ensure that maintenance and refurbishment issues are not allowed to lag.

CARE HOME ADULTS 18-65 13 Norfolk Street 13 Norfolk Street Leamington Spa Warwickshire CV32 5YQ Lead Inspector Martin Brown Unannounced Inspection 10th February 2006 3:30 13 Norfolk Street DS0000004479.V282518.R01.S.doc Version 5.1 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 13 Norfolk Street DS0000004479.V282518.R01.S.doc Version 5.1 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. 13 Norfolk Street DS0000004479.V282518.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 13 Norfolk Street Address 13 Norfolk Street Leamington Spa Warwickshire CV32 5YQ 01926 832552 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) Eden Place Limited Richard Mark Bloomer Care Home 4 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (4) of places 13 Norfolk Street DS0000004479.V282518.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Richard Bloomer (Registered Manager) must obtain his Registered Managers Award qualification by 1 January 2007. 9th November 2005 Date of last inspection Brief Description of the Service: Norfolk Street is part of the Eden Place group of homes. The home is registered for 4 younger people with enduring mental health problems. The service is designed for independent service users. Nursing support is provided from Eden Place nursing home and there is also housekeeper support for 20 hours per week. The home is approximately ½ mile from Leamington town centre and close to all amenities and town centre shopping. It is a midterraced house with 4 bedrooms, separate lounge and dining room, a bathroom and kitchen. There is a garden at the rear of the house that has been set to concrete. Each service user has a single bedroom. 13 Norfolk Street DS0000004479.V282518.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report is of the second unannounced inspection of the inspection year at this home, and should be read alongside the previous inspection report, from November 2005, for a fuller picture. Where key standards have been assessed on the previous inspection and have been met, these have not necessarily been inspected on this occasion. Three positive ‘comment’ cards received from people living in the home, the pre-inspection questionnaire, and a revised statement of purpose, have helped to inform this inspection. The inspection took place late on a weekday afternoon, and lasted just under two hours. All service users were seen, and the manager was spoken to on the phone. What the service does well: 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. 13 Norfolk Street DS0000004479.V282518.R01.S.doc Version 5.1 Page 6 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 13 Norfolk Street DS0000004479.V282518.R01.S.doc Version 5.1 Page 7 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,5 The home provides relevant information concerning the home, and individual contracts are in place. EVIDENCE: The statement of purpose is clear, straight-forward, and gives suitable information regarding the service. It does not state when it was produced. The people living at the home have all done so for a number of years, some for many years, and all were keen to say how happy they were there. No changes are therefore anticipated in this respect for the foreseeable future. Individual contracts were seen between the placing authority and the providers of the service, and signed by the person concerned. 13 Norfolk Street DS0000004479.V282518.R01.S.doc Version 5.1 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 Service users are given responsibility to make decisions about all aspects of their lives, safe in the knowledge that help and support is always at hand. EVIDENCE: There were comments from all the people living in the home throughout the inspection to the effect that help and support is always either directly available, or only a phone call away. The overwhelming impression was of a home in which people exercised responsible decision-making, but were very appreciative of the fact that help and advice was always on hand if needed. This was evident when I arrived, when I was very sensibly not allowed admission until my identity was confirmed. One person compared Norfolk Street favourably with where he lived previously, one of the reasons being that here he ‘could stay up late’. Further discussion made it clear that he exercised this ‘right’ responsibly, with due consideration for others. 13 Norfolk Street DS0000004479.V282518.R01.S.doc Version 5.1 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13,15,16 Service users are given the right level of support to pursue lifestyles they currently find comfortable and fulfilling. The impression gained with cooking and food, as with every other domestic arrangement, such as cleaning and other chores, was of four people living together in a very harmonious, co-operative, and tolerant way. EVIDENCE: One person told me how he was looking forward to going abroad to see his sister, and how the staff had helped him arrange this, and was continuing to support him with the visit. Other people living at the home spoke of their family and contacts. The home is well-located for local amenities, being near the town and other facilities, such as Newbold Common. One person told me he uses the local gym, another popped out to the local chip shop while I was there. People living at Norfolk Street also use the ‘sister’ home, which I was told is about a mile away, as a contact, and also go there for meals to varying degrees. They all cook for themselves, and have separate stocks of food in cupboards, the fridge, and freezer. 13 Norfolk Street DS0000004479.V282518.R01.S.doc Version 5.1 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 Service users are appreciative of, and confident that the service helps them to ensure that their health and other needs are met. EVIDENCE: Records showed that people living in the home were supported and encouraged with personal health needs. This was confirmed in discussion with individuals, with the common thread once again being their appreciation of help, support and advice always being on hand if and when needed. Regular outside support and reviews of health needs are maintained. 13 Norfolk Street DS0000004479.V282518.R01.S.doc Version 5.1 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): x EVIDENCE: These standards were met at the previous inspection, and were not assessed on this occasion. 13 Norfolk Street DS0000004479.V282518.R01.S.doc Version 5.1 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,30 All those living in the home are comfortable with it and it meets their needs and wishes. Areas as noted below require attention; of particular importance is ensuring the stair rail is maintained in prime condition, because of its important safety role. a net curtain, or similar, may assist privacy in the bathroom. EVIDENCE: The house was clean and tidy at the time of this unannounced inspection. The residents were clearly proud of this. Bedrooms reflect their individual personalities and interests, whether this involves weight-lifting or an extensive library. There is only one toilet/bathroom, but one resident explained that they were always considerate of each others’ needs, checking if anyone needed the toilet before having a bath. The bathroom has had shelves added. There is a large clear window in the bathroom. The toilet is situated right by this window. A net curtain has been removed leaving anyone using the bathroom rather visible to the outside world if they do not pull down the blind. The kitchen, though serviceable, is still awaiting refurbishment. The doorway by the entrance to the dining room is in need of repair. 13 Norfolk Street DS0000004479.V282518.R01.S.doc Version 5.1 Page 13 The stair rail has been extended; the main part of it is painted, this paint is starting to flake. 13 Norfolk Street DS0000004479.V282518.R01.S.doc Version 5.1 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): x EVIDENCE: These standards were not looked at on this visit, except to note the extremely positive comments of service users concerning staff and the running of the home. 13 Norfolk Street DS0000004479.V282518.R01.S.doc Version 5.1 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): x The positive remarks of the people living at the home showed that it continues to be a well-run home that meets their needs in a way that they are comfortable with. EVIDENCE: These standards were not fully assessed on this occasion, other than to note that the requirement as regards Quality Assurance still allows two more months for it to be met. Residents showed a good awareness of safety procedures and safe practices. The freezer had a slight build up of ice which, if left unchecked, could impede its effectiveness. 13 Norfolk Street DS0000004479.V282518.R01.S.doc Version 5.1 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 X 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 x 23 x ENVIRONMENT Standard No Score 24 2 25 3 26 3 27 3 28 3 29 x 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X X X LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 3 16 4 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x 3 x x X X X X X X x 13 Norfolk Street DS0000004479.V282518.R01.S.doc Version 5.1 Page 17 yes 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 YA6 Regulation 14 Requirement The registered person must approach social services on behalf of each resident for a community care assessment and care plan. (This is an outstanding requirement from the previous inspection.) The doorway by the entrance to the dining room is in need of repair. The registered person must ensure that the safety rail outside the back door is wellmaintained. The registered person must refurbish the kitchen and replace the fittings with new ones. (The date can be negotiated if structural work is intended.) Timescale for action 01/04/06 2. 3. YA24 YA24 13 13 01/04/06 01/04/06 4. YA24 13 01/04/06 13 Norfolk Street DS0000004479.V282518.R01.S.doc Version 5.1 Page 18 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3 Refer to Standard YA42 YA1 YA27 Good Practice Recommendations The registered person should develop policy and procedures on lone working. The statement of purpose might usefully be dated for future reference and review purposes. A net curtain, or similar, may assist privacy in the bathroom. 13 Norfolk Street DS0000004479.V282518.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Leamington Spa Office Imperial Court Holly Walk Leamington Spa CV32 4YB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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