Inspection on 10/11/05 for 2 School Cottages

This inspection was carried out on 10th 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

2 School Cottages 07/06/07

2 School Cottages 16/01/06

2 School Cottages 30/11/04

2 School Cottages 12/07/04

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 2 School Cottages The Street Taverham Norwich Norfolk NR8 6TD Lead Inspector Mr Pearson Clarke Unannounced Inspection 10th November 2005 12:30 2 School Cottages DS0000027581.V265610.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 2 School Cottages DS0000027581.V265610.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. 2 School Cottages DS0000027581.V265610.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 2 School Cottages Address The Street Taverham Norwich Norfolk NR8 6TD 01603 262479 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 Scott Mrs Lorraine Scott Mr Michael Scott Care Home 2 Category(ies) of Learning disability (2) registration, with number of places 2 School Cottages DS0000027581.V265610.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th November 2004 Brief Description of the Service: 2 School Cottages is situated in a residential area of Taverham, on the outskirts of Norwich. The house is the family home of the Proprietors, Mr and Mrs Scott, and their family. It provides a home for two adults with a learning disability. The Home offers separate lounge and bathroom facilities to the service users as well as single bedrooms. 2 School Cottages DS0000027581.V265610.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and the inspector was welcomed in to the home by both providers. Whilst inspecting he was able to spend time with one of the two service users, tour the building, look at records and talk to the providers. The atmosphere within the home was relaxed and the interaction with the resident was positive and appropriate. All of the above helped inform judgements made. What the service does well: What has improved since the last inspection? What they could do better: 2 School Cottages DS0000027581.V265610.R01.S.doc Version 5.0 Page 6 Mrs Scott confirmed that she would like to further develop policies and procedures with the intention of making them less generic and more specific to the service. 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. 2 School Cottages DS0000027581.V265610.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 2 School Cottages DS0000027581.V265610.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): EVIDENCE: These standards were not assessed as there have been no admissions since the last inspection and none are planned. The last inspection of the home indicated that these standards were met. 2 School Cottages DS0000027581.V265610.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): 6,7,8,9,10 The providers offer good quality care where service users are treated as family members, whose needs are assessed and then given opportunities for growth and development. The right to confidentiality is fully respected. EVIDENCE: The service is small with just two residents living as family members, however whilst offering family living the provider has maintained an appropriately professional approach. Extensive care plans have been created in conjunction with the service users and from these plans and other records the inspector could see that the approach to care was enabling and based on an understanding of the importance of promoting decision making. Risk assessments were in place and service users were being helped to differing activities in the context of these. During the inspection one service user was at home and the inspector spent time with this person. They were clearly very happy with the care they receive and their life in the home. The lifestyle described was fully supportive of the picture gained from records and from the providers. 2 School Cottages DS0000027581.V265610.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): 11,12,13,15,16,17 The homes ethos is centred on the development of the skills and potential of those cared for in a way which enables them to make the most of their lives. EVIDENCE: The inspector talked to the service user present who was able to describe with pride the personal development achieved since moving to the home a year ago. During that time she has developed computer skills, learnt upholstery whilst continuing to sew and knit. She has maintained contact with her family and this has improved through use of the computer to write letters. Family members all eat together and service users have input into the menu and enjoy choice. The person spoken to confirmed that she enjoyed the food. 2 School Cottages DS0000027581.V265610.R01.S.doc Version 5.0 Page 11 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): 18,19,20 Service users are given the emotional and physical support they need with due respect for their preferences and wishes. EVIDENCE: Discussion with the service user present on the day showed the inspector that the approach to care given was centred on the needs and wishes of the individual. The arrangements for the management of medication are thorough. Care plans are indicative of a good understanding of the care needs of service users and risk assessment is effectively used. 2 School Cottages DS0000027581.V265610.R01.S.doc Version 5.0 Page 12 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 Service users are kept safe and are looked after with care and commitment. EVIDENCE: There have been no complaints since the last inspection of the service and both of the providers have completed adult protection training. 2 School Cottages DS0000027581.V265610.R01.S.doc Version 5.0 Page 13 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 The service is the family home of the providers and offers a safe, comfortable, attractive and clean environment for those that they care for. EVIDENCE: The inspector was shown around the home and spent time with a service user who showed him her bedroom. It was clear that she enjoys the building, that is her home and that she is settled and confident in her surroundings. All areas seen were clean, attractive and comfortable. 2 School Cottages DS0000027581.V265610.R01.S.doc Version 5.0 Page 14 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): 32,34,35 The services structure allows for residents to be supported and cared for in an effective, caring and safe way. EVIDENCE: As in many such services there are no employed staff although the providers do have a volunteer who will cover for them to allow for breaks. This person has had a criminal records bureau check and is well known to the service users. The providers are competent experienced people who have sought all available opportunities for training to enhance their practice. 2 School Cottages DS0000027581.V265610.R01.S.doc Version 5.0 Page 15 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): 37,39,42 The home is run in a professional manner, but with due regard to its domestic status. Service users enjoy a warm family ethos in which their views are encouraged and protected. This is underpinned by an appropriate regard for safety. EVIDENCE: From discussion with the providers and observation on the day, the inspector formed the view that the providers have struck an effective balance between offering what is effectively a family lifestyle with a clear understanding of their wider responsibilities. Records, policies and procedures all show a commitment to meeting national standards and there is a sense of pride in what is done and a desire to be as good as they can be. 2 School Cottages DS0000027581.V265610.R01.S.doc Version 5.0 Page 16 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 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 4 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x 3 x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 2 School Cottages Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x 3 x x 3 x DS0000027581.V265610.R01.S.doc Version 5.0 Page 17 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 2 School Cottages DS0000027581.V265610.R01.S.doc Version 5.0 Page 18 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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