Inspection on 13/11/05 for 14 Churchfields

This inspection was carried out on 13th November 2005.

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 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 11/04/05

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 Mrs Dorothy Binns Unannounced Inspection 13th November 2005 12:30 14 Churchfields DS0000027602.V266196.R01.S.doc Version 5.0 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 14 Churchfields DS0000027602.V266196.R01.S.doc Version 5.0 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. 14 Churchfields DS0000027602.V266196.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 14 Churchfields Address Hethersett Norwich Norfolk NR9 3AF 01603 812082 NO FAX # 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) 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 DS0000027602.V266196.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th April 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 nonsmoking home. 14 Churchfields DS0000027602.V266196.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a short unannounced inspection on a Sunday morning, the purpose being to see how the Home functioned at the weekend and what the service users were doing. One service user on the premises was spoken to and the owners Mr and Mrs Cammack were seen. Care, medication and financial records were also inspected 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. 14 Churchfields DS0000027602.V266196.R01.S.doc Version 5.0 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 14 Churchfields DS0000027602.V266196.R01.S.doc Version 5.0 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): Not inspected on this occasion EVIDENCE: None of these standards were inspected. 14 Churchfields DS0000027602.V266196.R01.S.doc Version 5.0 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): 6 and 7 The needs and activities of the service users are reflected in their individual care plans showing how they are being looked after in the home. Service users are assisted to make decisions with their money and it is properly looked after by the home. EVIDENCE: Care records were examined. An assessment document outlines the needs and abilities of the service users and states where assistance will be needed. Information about family, routines and interests are also recorded. As the service users have been there for a long time they are treated on a daily basis as part of the family. However regular reviews and summaries of their needs and activities are recorded keeping the record up to date with what has been happening to the service user. In terms of the service users being able to make decisions for themselves, they are encouraged as much as possible but have some support from Mr and Mrs Cammack when it comes to their money. They look after the money but keep good records. For the service user seen at the inspection, he is given his money three times a week in small amounts so he can handle it properly. 14 Churchfields DS0000027602.V266196.R01.S.doc Version 5.0 Page 9 However the records show a full financial profile showing all the benefits collected, what happens to them and what is deposited in the bank for the service user. Money handed over to the service user is recorded and a running total kept. Some spare cash is held for the service user and this was checked against the record and found correct. Bank details were also checked. An audit is carried out monthly with the service user who signs the record. 14 Churchfields DS0000027602.V266196.R01.S.doc Version 5.0 Page 10 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): 12,14,15 and 16 Service users are able to enjoy sheltered employment and appropriate work activities. Leisure activities are offered both individually and with the family and the service users enjoy holidays outside of the home. Service users are encouraged to stay in touch with their family. Service users are able to exercise choice in their daily routines and their rights are respected. 14 Churchfields DS0000027602.V266196.R01.S.doc Version 5.0 Page 11 EVIDENCE: Both of the service users attend a sheltered workshop operating a garden centre five days a week which they enjoy. Both service users enjoy their own activities, one service user at home showing the inspector his music collection and his collection of ornaments. The family cat was asleep on his bed and he was clearly happy about that. They also go out to the pub occasionally and both service users can go independently to the local shops and village. Mr and Mrs Cammack take the service users out to family parties and to the city and were taking them out to the pub for a Sunday lunch on the day of the inspection. The service users have also had two holidays this year with a trip to Spain recently and earlier a trip to Holland. The service user visited, showed what purchases he had made in Spain and told what he had done there. He also had enjoyed attending a family wedding and photos were seen of both service users attending this event. Mr and Mrs Cammack encourage the service users to stay in touch with their families and one of them was out for the day seeing his family. In terms of the service users having their own routines, one service user said how he attended to his own shaving and personal care and could get up and get his own breakfast. He had a lie in on the weekends but knew he had to get up at 7.30 on week days for work. He said he could sit in his room when he liked or go downstairs as he preferred. Sometimes he sat in the other service user’s room. Overall the routines seemed to be quite flexible. 14 Churchfields DS0000027602.V266196.R01.S.doc Version 5.0 Page 12 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 and 20 Service users’ healthcare needs are monitored and action taken if necessary. Service users look after their own medication with help from the provider who keeps a satisfactory record. EVIDENCE: Any contacts with community medical services are documented in the records. Visits to the doctor, dentist and optician were all recorded though the service users were reported to be in good health generally. A review of medication with the doctor was also noted and Mrs Cammack said that one of the service users was seeing the dentist this week. Whilst Mrs Cammack is in overall charge of the medication, the service users are able to look after their medication a week at a time in dosset boxes made up by Mrs Cammack. She signs the record to show she has received the medication from the pharmacist then keeps a record to show she has made up the dosset boxes. She also keeps a record of stock control. One service user showed the inspector his box of medication and how he took his tablets every day. 14 Churchfields DS0000027602.V266196.R01.S.doc Version 5.0 Page 13 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): Not inspected on this occasion EVIDENCE: None of these standards were inspected. 14 Churchfields DS0000027602.V266196.R01.S.doc Version 5.0 Page 14 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 and 26 Service users live in a comfortable family home that is suitable for their needs and lifestyle. They have their own rooms giving them privacy and a place for themselves. EVIDENCE: Not all the building was inspected but this is a comfortable family home with lovely communal space and with each service user having a single bedroom. It has a large garden which is used regularly in the summer for barbecues and is located in a residential area not too far from the shops. Neither of the service users have any mobility problems and are able to climb the stairs and use a normal bath. One service user’s room was seen. It was warm and cosy with evidence of his own tastes and possessions. He had his own television and music centre. He was quite happy with it. Service users have the use of a bathroom for themselves. 14 Churchfields DS0000027602.V266196.R01.S.doc Version 5.0 Page 15 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): Not inspected EVIDENCE: There are no staff employed in the home. 14 Churchfields DS0000027602.V266196.R01.S.doc Version 5.0 Page 16 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): Not inspected on this occasion EVIDENCE: None of these standards were inspected. 14 Churchfields DS0000027602.V266196.R01.S.doc Version 5.0 Page 17 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 Score x x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 x x x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x 3 x x x x LIFESTYLES Standard No Score 11 x 12 3 13 x 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 14 Churchfields Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x x x DS0000027602.V266196.R01.S.doc Version 5.0 Page 18 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. Standard Regulation 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. Refer to Standard Good Practice Recommendations 14 Churchfields DS0000027602.V266196.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Norfolk Area Office 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 DS0000027602.V266196.R01.S.doc Version 5.0 Page 20 - 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!