Inspection on 17/02/09 for 14 Churchfields

This inspection was carried out on 17th February 2009.

CSCI found this care home to be providing an Good service.

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 01/03/07

14 Churchfields 13/11/05

14 Churchfields 11/04/05

14 Churchfields 11/10/04

14 Churchfields 24/05/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 18/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 14 Churchfields 14 Churchfields Hethersett Norwich Norfolk NR9 3AF     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Susan Golphin     Date: 1 7 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 20 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 20 Information about the care home Name of care home: Address: 14 Churchfields 14 Churchfields Hethersett Norwich Norfolk NR9 3AF 01603812082 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mr Michael Cammack,Mrs Brenda Cammack Name of registered manager (if applicable) Mr Michael Cammack Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Date of last inspection Brief description of the care home 14 Churchfields is a modern detached, four bedroomed family house, located in a residential area on the outskirts of Hethersett. The home is registered to provide accommodation for three people with a learning disability who wish to live in a family type setting. There are local community and social facilities nearby that are easily accessible. The current cost per week is £367.00. 3 Over 65 0 care home 3 Care Homes for Adults (18-65 years) Page 4 of 20 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: Before visiting the home we looked at all the information we had been sent by the people running the service. We spent four hours in the home altogether, and that included having a look round the house and talking and listening to the people who live there. During the visit we looked at records that show how people are supported and cared for on an everyday basis and how they are helped to be independent and make choices and decisions about their own lives. Care Homes for Adults (18-65 years) Page 5 of 20 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 6 of 20 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 7 of 20 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents living in the home have their needs assessed so that they can be supported appropriately by the staff. Evidence: There are three people resident at this home. Two people spoke to the inspector on their return from day services, and said that they werevery happy living in the home. From the files seen peoples needs are assessed and reviewed and other information about their health and general well being is also in place. The registered providers have a good understanding of the residents needs. The service is run in a relaxed and homely way. Care Homes for Adults (18-65 years) Page 8 of 20 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Those living in the home are involved in the support care planning and receive the support they need. Evidence: The support plans are in place and reflect the individual needs of people living in the home. During the discussions on the day it was confirmed that residents can make decisions about what they wish to do . Good examples were given where residents have been consulted about daily activities, outings and holidays. There is information in the support plans with details of health care monitoring and good record of events and actions that affect residents lifestyles. This year the registered providers intend to review the support planning process and may revise the format currently in use to ensure the information is relevant and reflects the residents personal lifestyle. Care Homes for Adults (18-65 years) Page 9 of 20 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Everyone has the opportunity to undertake social and recreational and educational activities and is supported to manage their own lives. Evidence: All the residents at the home attend centres or work places and from the discussions and information provided people are encouraged to make best use of the facilities and support from the providers. Risk assessments are in place for each person with a clear understanding of the extent of their limitations. All the residents can access the kitchen and can be involved in the preparation of meals and packed lunches, but this is not a regular activity. Everyone spoken to said the meals and meal choices are lovely and enjoy sitting down as a family to eat. All the residents are assisted by Mr Cammack to manage their financial affairs, and there is a clear audit trail of income and expenditure for each person. Care Homes for Adults (18-65 years) Page 10 of 20 Evidence: From the information provided residents attend sheltered workshops or work placements. At week ends they join with the residents from the other small home which is also owned by Mr and Mrs Cammack, to go to the local pubs or outings or shopping expeditions. Residents said that they also spend time with their own families whenever possible. Care Homes for Adults (18-65 years) Page 11 of 20 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents personal and health care needs are well supported and met in the way they choose. Evidence: From the information provided and from the discussions on the day, the health care needs and well being of the residents is paramount. Mr and Mrs Cammack were able to give good examples of healthcare processes that they are working through with residents to ensure that the best treatment options are available and accessible to them. Examples of monitoring and screening were available and it was clear from the records that residents are encouraged with discreet supervision to maintain contact with their dentist and doctors and attend specialist treatments as recommended. Support is provided to manage medication and a clear record of medication administration is maintained. Care Homes for Adults (18-65 years) Page 12 of 20 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are good procedures in place to protect people from self harm and abuse. Residents are confident that their concerns are listened to and acted on. Evidence: Residents seen on the day said that they are happy to take any concerns to Mrs or Mr Cammack the registered providers and were confident that any problems would be sorted out. because the residents live as a small family unit it was said that things tend to get discussed openly before they get to any serious stage of complaint. From the information provided residents can also access people outside of the home if they have any issues or complaints. Mr and Mrs Cammack and their family who work in both homes have all attended safeguarding adults training in 2008. Care Homes for Adults (18-65 years) Page 13 of 20 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from a comfortable family home which is safe and well maintained. Evidence: Three residents live at Churchfields all have their own room and access to other communal facilities. Two residents showed me their rooms which are homely and domestic in style as they would be within any ordinary family home. The house is well maintained and the decor and furnishings and fittings of a high standard. Mr and Mrs Cammack have completed and updated their training in Infection control and food hygiene. Residents have access to the kitchen and laundry facilities and are assisted with all the household and cooking tasks. Care Homes for Adults (18-65 years) Page 14 of 20 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from a consistent family lifestyle with support and care that meets their needs. Evidence: There are no staff employed as such in that the service is family run By Mr and Mrs Cammack and other members of their family. Everyone has been subjected to Criminal Records Bureau Check including two volunteers who are occasionally called on to assist if Mr or Mrs Cammack are absent. Mr and Mrs Cammack both have NVQ 3 qualification in care and continue to update their own knowledge and care skills through relevant training. Residents spoke fondly and warmly about the family and said that they can rely on them for everything. Good examples of how residents have been supported and assisted in their every day life including maintaining family contacts, making their own decisions about finances and relationships and also being part of Mr and Mrs Cammacks family which more recently has included attending a family wedding and going on holidays and week end breaks. From the information provided and from the discussions the residents expressed complete satisfaction with their care and support. Care Homes for Adults (18-65 years) Page 15 of 20 Care Homes for Adults (18-65 years) Page 16 of 20 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents benefit from a very well managed and run service which is supported by good procedures and safe practices. Evidence: Whilst this service is run as a family home in a flexible and relaxed way, the registered providers also maintain good management records and have a business like approach to managing the service which complies with the regulation and current legislation. The views of the residents and other healthcare professionals involved in the service are also sought as part of the monitoring process to ensure that the service maintains the best standards and promotes the independence and safety and well being of the residents. Care Homes for Adults (18-65 years) Page 17 of 20 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 18 of 20 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 19 of 20 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 20 of 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!