Inspection on 11/04/05 for 14 Churchfields

This inspection was carried out on 11th April 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

14 Churchfields 17/02/09

14 Churchfields 01/03/07

14 Churchfields 13/11/05

14 Churchfields 11/10/04

14 Churchfields 24/05/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 14 Churchfields Hethersett Norwich Norfolk NR9 3AF Lead Inspector Dot Binns Announced 11 April 2005 1.00pm 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 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 Stationary 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. 14 Churchfields I55 S27602 14 Churchfields V214148 110405 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service 14 Churchfields Address Hethersett Norwich Norfolk NR9 3AF 01603 812082 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Michael Cammack Mrs Brenda Cammack Mr Michael Cammack Care Home 2 Category(ies) of Learning Disability (2) registration, with number of places 14 Churchfields I55 S27602 14 Churchfields V214148 110405 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11 October 2005 Brief Description of the Service: 14 Churchfields is a modern detached, four bedroomed family house, standing in a residential area on the outskirts of Hethersett. The home is registered to provide accommodation for two people with a learning disability who live in a family situation. Accommodation is provided in single rooms using a shared bathroom. The dining room and lounge are shared with the family. Contact with relatives and friends, and use of local community facilities is encouraged. Service users use local health care services as and when needed. This is a non-smoking home. 14 Churchfields I55 S27602 14 Churchfields V214148 110405 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection to Churchfields and was combined with an inspection of Woodstock, a care Home in the same village for three service users owned by the same family though staffed separately. Both homes share policies and records. The total time for both inspections took 5 hours. Time was spent at Churchfields looking at the policies and records as well as seeing the service users in private in their rooms. What the service does well: What has improved since the last inspection? What they could do better: The service is performing well and the providers need to continue what they are doing and promote the independence of the service users, ensuring that they are offered opportunities in the community. 14 Churchfields I55 S27602 14 Churchfields V214148 110405 Stage 4.doc Version 1.20 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 14 Churchfields I55 S27602 14 Churchfields V214148 110405 Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection 14 Churchfields I55 S27602 14 Churchfields V214148 110405 Stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3 and 4 Service users are provided with detailed information before coming into the Home so they can make an informed choice. An assessment of need and full liaison with the social worker takes place before admission so staff understand how best to look after the service user. This is a family home and the owners take care to only admit service users they can make comfortable in the Home. Admission procedures are satisfactory. EVIDENCE: A comprehensive statement of purpose and guide was seen at the inspection and is available for all service users. The manager confirmed that all service users have a copy together with their terms of residence. Having only two service users there is little turnover in the Home but the records showed that each service user had a full assessment of their needs with detailed information on the care required. 14 Churchfields I55 S27602 14 Churchfields V214148 110405 Stage 4.doc Version 1.20 Page 9 Both service users were seen by the inspector and said they felt very happy in the home and were well catered for. They were relaxed and talkative and the inspector could not discern any difficulties with the home meeting their needs. Both Mr and Mrs Cammack impressed the inspector with their knowledge of the service users indicating they were familiar with their needs and individual differences. The manager described the admission procedure which in normal circumstances allows the service user to visit the home, come for a meal, meet the other service user and gradually stay for a weekend before deciding whether to stay. However all admissions are carried out in liaison with a social worker and on occasion a more urgent admission has had to be made. In those circumstances, the manager gives extra support to the service user and extends the period of assessment. Both of these processes would meet the standard of practice expected. 14 Churchfields I55 S27602 14 Churchfields V214148 110405 Stage 4.doc Version 1.20 Page 10 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 standard(s) 6,7,8 and 9 Service users needs and goals are reflected in the care plans. Service users do make as many decisions as they can sometimes with assistance from staff. Service users are happy in the Home and had a sense that they could speak up to Mr and Mrs Cammack and have a say in as much as they were able. Service users are supported to take risks as part of an independent lifestyle. EVIDENCE: This is a small family home and staff said that discussions about choices and what service users want to do is dealt with on a day to day basis. However care plans were very comprehensive documents with lots of information about personal care needs, mobility, bedtimes, activities and other topics. They described the assistance needed from staff and goals were identified which the service users would need help to achieve. Reviews of progress were written about every two months or more frequently if needed. 14 Churchfields I55 S27602 14 Churchfields V214148 110405 Stage 4.doc Version 1.20 Page 11 Service users are both able to express themselves with regard to choices and activities and felt supported by the staff. Service users were able to tell the inspector about their activities and what their routines were. They were assisted to make decisions if necessary but had a degree of freedom to make up their own minds. Eg in going out. This was also related to their ability and reflected in the care plans. For instance one service user needed more help with personal care than the other, both needed a bit of help with organising their money. Records were seen showing how the Home helped the service users with their money. These records were properly kept with receipts and separate cash books and when cash was checked against the record, it was correct. The manager was able to give examples where he had not had to restrict activities but promoted discussions with the service user about being aware of the risks (eg one service user being responsible for another service user when in town). In terms of the service users participation in the running of the Home, the manager’s view was that this is a family home with discussions as they go along. Service users confirmed they can say what they do and don’t like about the food and join in discussions with the family. They have full access to the family every day and have a say in activities. They do not eat with the family all the time and it was not clear how much this was offered, although the manager and his wife reported a lot of barbecues in the garden and some family parties. Risk assessments were seen on the care plans, for example one on training to use the bus. Service users were able to describe the range of activities they were involved in and whether they were able to do this alone. It was clear that they are encouraged to be as independent as possible including going out themselves. 14 Churchfields I55 S27602 14 Churchfields V214148 110405 Stage 4.doc Version 1.20 Page 12 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 standard(s) 12,14,15 and 17 The service users enjoy their lifestyle and the providers are ensuring that they are part of the local community and enjoy appropriate leisure activities. EVIDENCE: Both service users confirmed they enjoy working fulltime at their sheltered work placement at a garden centre. One goes in for extra work because he enjoys it so much. Service users were able to talk about what they did in their spare time. They went together to the pub on a weekly basis. They liked long walks and enjoyed a holiday in Malta. They both went regularly into the city, catching the bus and this gave them a good degree of independence. They also said that they had barbecues at the home and went on outings. Mr and Mrs Cammack said the service users came on all the family outings and parties in the community and were accepted as part of the family. They will be attending a family wedding. The family has a minibus for transport. Both kept in touch with their family, both visiting and phoning them. One service user had a girlfriend whom he saw at work. 14 Churchfields I55 S27602 14 Churchfields V214148 110405 Stage 4.doc Version 1.20 Page 13 In terms of the food, the service users are able to make their own lunchboxes and help themselves to breakfast. One said “like food”. Both can boil kettles and make tea. Mr and Mrs Cammack said the family eat together with Mrs Cammack doing the cooking and they have a lot of barbecues in the summer. A record of the food provided is kept and the likes and dislikes of the service users were seen in the care plan. 14 Churchfields I55 S27602 14 Churchfields V214148 110405 Stage 4.doc Version 1.20 Page 14 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 standard(s) 18,19 and 20 Service users are quite happy with the support they receive and are encouraged to be as independent as possible. All aspects of health needs are met including emotional needs. Service users are encouraged to look after their own medication and appropriate records are in place to monitor those practices. EVIDENCE: Only one service user needs help with personal care and that is in running the water for the bath. He confirmed this was the case and that staff would help him when he wanted. Otherwise both service users are able to deal with their own personal care. They also prepare their own breakfasts and lunchboxes and choose when to get up themselves though they said their routines were more structured during the week as they went off to their work centres quite early. They got up later at weekends if they wanted to. They had their own televisions in their rooms and could watch the programmes late if they wanted to. 14 Churchfields I55 S27602 14 Churchfields V214148 110405 Stage 4.doc Version 1.20 Page 15 Both service users looked smart and have some help from Mrs Cammack when buying clothes. The care records showed contact with medical personnel including dentists visits, contact with a psychiatrist and blood pressure checks. The manager was also able to talk fluently about any health needs including emotional health and convinced the inspector that service users health is monitored. Only one service user is on medication which he looks after himself on a weekly basis. The weekly supply is made up by Mrs Cammack into a special box and the service user keeps this in a locked cupboard. A record of the medication received and made up for the service user is kept and was checked and satisfactory. 14 Churchfields I55 S27602 14 Churchfields V214148 110405 Stage 4.doc Version 1.20 Page 16 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 standard(s) 22 and 23 Service users do feel listened to and felt comfortable in the Home. The service users are protected by policies from abuse and the attitude of the manager gave the inspector confidence that service users would be well cared for. EVIDENCE: The complaints procedure was in place and included the timescale in which the manager would respond to a complaint. The address of the Commission was included. A complaints record was kept but empty. This may be because service users talk to the manager and his wife every day and they say that if they want something changed or do not like something, they deal with it straightaway. The service users had no complaints at all and told the inspector they really liked living in the home. The Home has policies on bullying and dealing with aggression, and on whistle blowing. There is also a gifts policy though no staff except the family are recruited. However all the family sign to say they have read the policies and understood them. The manager said that training on abuse is also planned for this year. 14 Churchfields I55 S27602 14 Churchfields V214148 110405 Stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,26,27,28 and 30. This is a lovely family home for the service users with good communal space and garden. Service users have their own rooms which though not large are private and individual. They share a bathroom. EVIDENCE: This is a family home where the owners are providing a home for two service users. Their son also lives on the premises. The house is well furnished and attractive. The service users have their own rooms and separate bathroom. They also share the communal facilities which comprise a lovely sitting room, a dining room and a large kitchen. There is also a well laid out garden equipped with barbecue equipment and garden furniture. Service users said they enjoyed their rooms and there was evidence of personal possessions making them homely. Posters were on the walls and they had their own electrical and musical equipment. 14 Churchfields I55 S27602 14 Churchfields V214148 110405 Stage 4.doc Version 1.20 Page 18 The bathroom was well decorated and tidy and the manager said that a valve was on the tank to prevent hot water from overheating. The Home was clean and free from any odours. The laundry is carried out by Mrs Cammack. 14 Churchfields I55 S27602 14 Churchfields V214148 110405 Stage 4.doc Version 1.20 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not inspected as no outside staff are employed. EVIDENCE: 14 Churchfields I55 S27602 14 Churchfields V214148 110405 Stage 4.doc Version 1.20 Page 20 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,39,40,41 and 42 Mr and Mrs Cammack run the home well. Policies and records are appropriately in place. Health and safety issues are addressed. EVIDENCE: Mr and Mrs Cammack have both completed their NVQ3 and take their responsibilities to care for the service users seriously. The documentation relating to caring for the service users is in place and the Home is comfortable and complies with requirements. A quality assurance survey of the views of relatives, social workers and friends had been completed in August 2004. These gave glowing reports with comments such as “much healthier than he was before”, “is looked after in every way”, ”more interesting and fulfilling life”. There is also good contact with the daycare centres to ensure the service users are happy. 14 Churchfields I55 S27602 14 Churchfields V214148 110405 Stage 4.doc Version 1.20 Page 21 Policies and procedures were in place and signed by all family members to show they had understood them. Records required for regulation were in place and properly maintained. 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. Where there is no score against a standard it has not been looked at during this inspection. 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 x 3 Standard No 14 Churchfields Standard No 31 32 Score x x Version 1.20 Page 22 I55 S27602 14 Churchfields V214148 110405 Stage 4.doc 11 12 13 14 15 16 17 x 3 x 3 3 x 3 33 34 35 36 x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x 3 3 3 3 x 14 Churchfields I55 S27602 14 Churchfields V214148 110405 Stage 4.doc Version 1.20 Page 23 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 Regulation None Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard None Good Practice Recommendations 14 Churchfields I55 S27602 14 Churchfields V214148 110405 Stage 4.doc Version 1.20 Page 24 Commission for Social Care Inspection 3rd Floor Cavell House St Crispins Road Norwich NR3 1YF 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. Extracts may not be used or reproduced without the express permission of CSCI 14 Churchfields I55 S27602 14 Churchfields V214148 110405 Stage 4.doc Version 1.20 Page 25 - 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!