Inspection on 05/12/05 for 18 Barker Way

This inspection was carried out on 5th December 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 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 3 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 30/01/06

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 5th December 2005 15.30 18 Barker Way DS0000027569.V269683.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 18 Barker Way DS0000027569.V269683.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. 18 Barker Way DS0000027569.V269683.R01.S.doc Version 5.0 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.V269683.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd March 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.V269683.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place between 3.30 pm and 5.30 pm on the 5th December 2005. The provider, her son and both of the 2 residents were at home. All were courteous and helpful, in particular the provider who had been unwell that day but never the less responded positively to the inspection. Not all standards could be applied to this care home as the 2 residents live as members of the family and there are no staff employed. In addition the provider has no intention of extending this service to any other than current residents. What the service does well: What has improved since the last inspection? What they could do better: The provider has yet to access training regarding the protection of vulnerable adults from abuse and to develop her own whistle blowing procedures. 18 Barker Way DS0000027569.V269683.R01.S.doc Version 5.0 Page 6 Fire fighting equipment must be regularly serviced and residents along with the provider and family must rehearse their own fire evacuation plan. 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.V269683.R01.S.doc Version 5.0 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.V269683.R01.S.doc Version 5.0 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): 15 As the provider does not intend admitting residents in the future, standards in this section were mainly not applicable. A statement of the terms and conditions of residence had been produced for those persons already resident at the care home. EVIDENCE: The provider stated she has no intention of admitting additional or other residents in the future. Though the home is registered with 3 places only 2 persons were resident. Both residents had lived at this care home for many years. A statement of the terms of residence had been produced and was made available. 18 Barker Way DS0000027569.V269683.R01.S.doc Version 5.0 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): 679 Residents were integrated into the household, living as members of the family. They were consulted as to their views and wishes regarding different aspects of daily life. Residents’ needs and progress were regularly and thoughtfully reviewed. EVIDENCE: The 2 residents had lived with the provider as part of her family for 10 and 6 years respectively. From observed interactions between all members of the household it was evident that residents were consulted and involved in home life. A detailed review of residents’ needs and progress had been produced at 3 monthly intervals. These reviews took account of any change in health, emotional and social needs and recorded how any particular concern or event was dealt with. The assessment of potential risks had been further developed to address on going activities undertaken by the residents. 18 Barker Way DS0000027569.V269683.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 13 14 15 16 17 Both residents enjoyed being part of the family group and as such took part in many, varied social events. Both attended day centres and were enthusiastic about the activities they enjoyed there and benefited from. Records depicted steady improvements in confidence and social skills for both residents. EVIDENCE: Both residents regularly attended day centres on each week day. There, they engaged in a wide range of activities designed to aid personal development. One resident was learning literacy skills, undertook some paid employment and assisted at a charity shop. The second resident’s activities included cycling, dancing, craftwork and sports. One resident described going out for meals in local restaurants as something “I really like.” Along with shopping trips “especially for clothes.” The cinema was visited frequently and an account given of a recent trip to a spectacular horse show. Both residents kept in contact with family members and were aware they would be visiting relatives at Christmas. Family photographs were displayed in one residents’ room and these were identified. Both residents were members of a local club and had been away on outings and holidays with these groups. 18 Barker Way DS0000027569.V269683.R01.S.doc Version 5.0 Page 11 Both had also been on holiday with the provider as part of the family group. This holiday was happily recalled. Both residents had good appetites and looked forward to mealtimes. Curries and roast dinners were special favourite meals. Both residents took some minor responsibility for household tasks such as helping clear meal tables or tidying their possessions in their own rooms. 18 Barker Way DS0000027569.V269683.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 20 Residents were in good health and records related that any concerns that arose had been appropriately dealt with. The administration of medication was being appropriately recorded. EVIDENCE: Residents’ on going health care needs were monitored and appropriately dealt with. The provider was attempting to teach one resident to be responsible for her own medication by daily explanation of its’ administration and arranging for this to be securely stored in the residents’ own room. 18 Barker Way DS0000027569.V269683.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): 22 23 Residents indicated they felt secure regarding their views being listened to. Training for the provider regarding the protection of vulnerable adults from abuse had not been accessed and as a result the requirement from the previous inspection was repeated. It remained for the provider to develop a whistle blowing procedure. EVIDENCE: Though one resident had very limited communication skills he was able to clearly state his agreement/disagreement with propositions put to him. The other resident ably articulated her views and implied she would readily say if unhappy about anything. Both residents were in regular contact with family members. A complaints procedure was in place. The requirement from the previous inspection for the provider to develop her own policy for dealing with issues of concern and to undertake training regarding how to protect vulnerable adults from abuse, where or when ever such a concern might arise had not yet been complied with and was subsequently repeated. 18 Barker Way DS0000027569.V269683.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 30 Residents enjoyed living in a comfortable and homely environment, each with their own room and having access to all the communal areas of the house and garden. All areas of the premises were maintained to a high standard and clean and tidy. EVIDENCE: Residents had access to all the communal areas of the house. These areas were spacious, well furnished and attractively decorated. The standards of cleanliness throughout the house were high. There was good access from the front and into the rear garden. Each resident had their own good-sized room and there were bathing and toilet facilities on both the ground and first floor. Since the previous inspection the provider had gained a food hygiene certificate and been visited by the environmental health officer. While the provider was able to relate the EHO was fully satisfied, written confirmation of this was not to hand. 18 Barker Way DS0000027569.V269683.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): 31 As no one is employed to work at this care home non of these standards were applicable. EVIDENCE: 18 Barker Way DS0000027569.V269683.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): 42 While the care home was generally safe and well maintained, the limitations of only having to hand a fire blanket and fire extinguisher that had never been checked or serviced was viewed as unsatisfactory. The provider and residents needed to rehearse a fire evacuation plan. Requirements were made accordingly. EVIDENCE: While there care home was evidently well maintained and benefited from having fire detectors in all areas, the single fire extinguisher available had been in place for in excess of one year. The provider readily agreed to the urgent requirement to contact her supplier the following day to arrange for the extinguisher to be serviced and to gain professional advice over needs and the deployment of extinguishers in the house. A requirement was made for evacuation of the property to be regularly rehearsed with both residents so that all members of the household would be aware of what action to take in any event of fire. As recommended in the last inspection, the provider was keeping records of any mileage costs paid to her by the residents. 18 Barker Way DS0000027569.V269683.R01.S.doc Version 5.0 Page 17 18 Barker Way DS0000027569.V269683.R01.S.doc Version 5.0 Page 18 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 N/A N/A N/A N/A 3 Standard No 22 23 Score 3 1 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score N/A N/A N/A N/A N/A N/A CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 18 Barker Way Score X 3 3 X Standard No 37 38 39 40 41 42 43 Score X X X X X 2 X DS0000027569.V269683.R01.S.doc Version 5.0 Page 19 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 YA23 Regulation 13 (6) Requirement The provider must undergo training regarding the need to, and means of protecting vulnerable adults from abuse and then produce her own guidelines as a procedure to follow in the event of any concern arising. (This requirement has been repeated from the previous inspection) Fire fighting equipment must be regularly serviced and professional advice sought over its deployment All members of the household must be familiar with a fire evacuation plan Timescale for action 31/01/06 2 YA42 23 (4) c 14/12/05 2 YA42 23 (4) c 31/12/05 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 18 Barker Way DS0000027569.V269683.R01.S.doc Version 5.0 Page 20 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. 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