Inspection on 30/01/06 for 18 Barker Way

This inspection was carried out on 30th January 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

18 Barker Way 07/01/09

18 Barker Way 22/02/07

18 Barker Way 05/12/05

18 Barker Way 03/03/05

18 Barker Way 23/11/04

18 Barker Way 30/03/04

18 Barker Way 29/01/04

Similar services:

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

Coopers Mill Ltd

Bramley Avenue (73)

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

CARE HOME ADULTS 18-65 18 Barker Way 18 Barker Way Thorpe End Norwich NR13 5EZ Lead Inspector Mrs Ginette Amis Unannounced Inspection 30th January 2006 16:00 18 Barker Way DS0000027569.V277458.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 18 Barker Way DS0000027569.V277458.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. 18 Barker Way DS0000027569.V277458.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 18 Barker Way Address 18 Barker Way Thorpe End Norwich NR13 5EZ 01603 439865 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) Ms Linda Crisp Ms Linda Crisp Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 18 Barker Way DS0000027569.V277458.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th December 2005 Brief Description of the Service: Number 18 Barker Way is a detached modern residence situated in a quiet residential area on the outskirts of Norwich. The house is the family home of the provider and her son and they share this with the 2 residents who are integrated into the household. Although the care home is registered to accommodate 3 residents with learning difficulties, it is not the intention of the provider to continue to offer the service beyond existing arrangements. 18 Barker Way DS0000027569.V277458.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place from 16:00 to 17:15 pm on the afternoon of Monday 30th January 2006. The provider, her son and both of the two residents were at home. All were welcoming, friendly and helpful. At the time, the provider was preparing to go on holiday the following Wednesday and finalising arrangements made for the care of both residents during her absence. In light of this, and as it was only a short time since the previous inspection of this care home, standards taken into account were not extensive. Residents continued to enjoy the comfort of the facilities available to them. Each resident had their own room while sharing use of a private bathroom between them. Residents also enjoyed unlimited access to other communal areas of the house, living there as part of the family unit. Both residents appeared well and cheerful and were accepting of the anticipated short interruption to their normal routine. What the service does well: What has improved since the last inspection? The provider has made arrangements to complete a training course on the protection of vulnerable adults from abuse. Evacuation drills, rehearsing how to act in the event of a fire have taken place. 18 Barker Way DS0000027569.V277458.R01.S.doc Version 5.1 Page 6 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. 18 Barker Way DS0000027569.V277458.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection 18 Barker Way DS0000027569.V277458.R01.S.doc Version 5.1 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 the following standard(s): 1–5 As the provider does not intend offering the service to other than existing residents standards 1 – 4 are no longer applicable. The two current residents have previously been informed about the terms and conditions of residence. EVIDENCE: Existing residents have been provided with written terms and conditions of residence. The 2 residents of this care home have lived there as members of the family for many years. The provider does not intend offering the service to anyone else. 18 Barker Way DS0000027569.V277458.R01.S.doc Version 5.1 Page 9 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): 67 8 Residents needs are assessed, their care plans regularly reviewed and their views and wishes taken into account. EVIDENCE: Both residents have had their needs assessed and their care plans have been regularly reviewed. One resident’s needs were very recently reviewed by social services at the day centre he attends. He was about to undertake a holiday with his parents. The other resident was about to take up a respite care place in a residential home and had had her needs assessed by that home for this to take place. The assessments had been arranged to enable the provider to take a holiday following a recent period of ill health. Within the scope of their understanding, residents were aware as to why the provider was for the first time taking a holiday without them. While her own care plans had not been reviewed since the previous inspection of December 2005, it was the stated intention of the provider to review both residents’ care plans on her return from this break. The residents’ experiences and those of their carers would be taken into account at that point. Both residents have lived at the care home for many years, integrated into the family group. It was apparent how both were regularly consulted as to their 18 Barker Way DS0000027569.V277458.R01.S.doc Version 5.1 Page 10 views and wishes and had an open relationship with the provider and her family. 18 Barker Way DS0000027569.V277458.R01.S.doc Version 5.1 Page 11 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): 1114 17 Both residents enjoy an active and pleasurable lifestyle. Both enjoy their food and look forward to meal times and eating out. Both kept in regular contact with members of their own family. EVIDENCE: Both residents attended day centres each weekday and had undertaken a range of training programmes and activities there. The diary of significant events kept for one resident was inspected and this noted his participation in, amongst other things, organised bicycle rides and bowling. The other resident gave an account of a holiday to Cuba she had been taken on by the provider to mark her 60th birthday and spoke of other leisure activities she had enjoyed such as dancing. The family undertook at least one holiday each year. In addition, the family regularly went out for meals together, for walks in the country or by the seaside. Residents enjoyed eating out and at home and were enthusiastic about the fish supper that was prepared for them that evening. Meals at home were taken in a pleasant and comfortable dining room. Both residents were able to keep in regular contact with their own relatives. 18 Barker Way DS0000027569.V277458.R01.S.doc Version 5.1 Page 12 Christmas had been spent quietly, with one resident going to stay with his parents but the family had attended a party for new-year. “We made up for it then, with lots of music and dancing and had a great time,” one resident said. 18 Barker Way DS0000027569.V277458.R01.S.doc Version 5.1 Page 13 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 Both residents were in good health and were offered regular check ups and health screening EVIDENCE: Since December 2005 residents had both received eye tests, had appointments made with the dentist and one had attended a screening clinic. 18 Barker Way DS0000027569.V277458.R01.S.doc Version 5.1 Page 14 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): 23 The provider had responded to the requirement to attend for training regarding the protection of vulnerable adults from abuse. EVIDENCE: The provider had made appropriate enquiries and arranged that on her return from holiday she would attend a social services led training course regarding the protection of vulnerable adults from abuse. 18 Barker Way DS0000027569.V277458.R01.S.doc Version 5.1 Page 15 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 28 30 The care home was clean, tidy and comfortable, well maintained and generally safe. A requirement was repeated regarding the servicing of fire fighting equipment. It was accepted that the repetition resulted from misunderstanding. EVIDENCE: The care home is particularly clean and tidy and well maintained. It provides a pleasantly attractive and comfortable, generally safe environment. Since the last inspection the provider had contacted the local fire service who had she said assured her that on their previous visit (a year beforehand) they had found no cause for concern. The requirement of the previous inspection for the provider to contact the supplier of her fire extinguisher so as to check when and how often this equipment should be serviced had not, due to some misunderstanding, been acted upon so was repeated. The provider had introduced regular fire evacuation practice for the residents and family and a recommendation was made for her to keep a record of whenever this drill takes place. Residents obviously enjoyed the freedom to access all communal areas at the care home while continuing to have their own private areas of the house as well. 18 Barker Way DS0000027569.V277458.R01.S.doc Version 5.1 Page 16 18 Barker Way DS0000027569.V277458.R01.S.doc Version 5.1 Page 17 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): None of the above standards apply as the care home does not employ any staff EVIDENCE: 18 Barker Way DS0000027569.V277458.R01.S.doc Version 5.1 Page 18 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): None of the above standards were inspected on this occasion EVIDENCE: 18 Barker Way DS0000027569.V277458.R01.S.doc Version 5.1 Page 19 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 N/A 2 N/A 3 N/A 4 N/A 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 N/A 32 N/A 33 N/A 34 N/A 35 N/A 36 N/A CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 X X LIFESTYLES Standard No Score 11 3 12 X 13 X 14 3 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 X X X X X X X X X 18 Barker Way DS0000027569.V277458.R01.S.doc Version 5.1 Page 20 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 YA42 Regulation 23 (4) c Requirement The provider must contact the supplier of her fire extinguisher to check if and when this equipment needs to be serviced Timescale for action 21/02/06 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 YA24 Good Practice Recommendations The provider should keep a record of the periodic fire evacuation drills undertaken by residents and the family 18 Barker Way DS0000027569.V277458.R01.S.doc Version 5.1 Page 21 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 18 Barker Way DS0000027569.V277458.R01.S.doc Version 5.1 Page 22 - 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. 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