Inspection on 16/01/06 for 2 School Cottages

This inspection was carried out on 16th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 10/11/05

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 Mrs Ginette Amis Unannounced Inspection 16th January 2006 15.40 2 School Cottages DS0000027581.V277392.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 2 School Cottages DS0000027581.V277392.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. 2 School Cottages DS0000027581.V277392.R01.S.doc Version 5.1 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.V277392.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th November 2005 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.V277392.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 3.40 pm. to 5.45 pm. on Monday 16th January 2006. The care home’s manager and joint owner, along with other members of her family and both residents were present there during the inspection. All were welcoming and friendly and Mrs Scott assisted with supplying information in a pleasant and open manner. Both residents were observed to be happy and at ease in their surroundings and one articulated how she “never wanted to move away” being so “happy here”. What the service does well: What has improved since the last inspection? Mrs Scott had completed accreditation for the award in Care Home Management, NVQ Level 4. The residents’ private lounge had been redecorated. 2 School Cottages DS0000027581.V277392.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. 2 School Cottages DS0000027581.V277392.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 2 School Cottages DS0000027581.V277392.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): 125 Useful information about the services provided by the care home was readily available. The terms of residence had been explained to both residents. The needs of both residents had been thoroughly assessed. EVIDENCE: A guidebook was available that comprehensively described the services available at the care home. The terms and conditions of residence had been explained to both residents, in company with their representatives, and contracts with the care home signed by all parties to the agreement. Both residents had been living at the care home for some time. Their personal files contained evidence that their needs were not only assessed at the time of their admission but had been continually reviewed to ensure appropriate adjustments could be made to care plans. 2 School Cottages DS0000027581.V277392.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): 689 Individual care plans were detailed and thorough, were routinely reviewed and agreed with the resident concerned at regular intervals. Residents were able to participate in family life. Their views were respected, taken into account and appropriately accommodated. The independence of each resident was promoted, possible risks assessed and care taken to ensure safety. EVIDENCE: Residents’ care plans were comprehensive, well organised, clear and user friendly. Both residents were observed to be relaxed and at ease with family members at the care home. One resident was able to describe how much she enjoyed her days and said that having moved a number of times before in her life she wanted to “stay here always” adding she was “very happy”. Documentation revealed how one service user had requested special arrangements at meal times and how this request had been accommodated. One resident regularly visited the city, making independent use of public transport. Any potential risks involved had been assessed and steps taken to minimise them. In addition to assessment of the personal needs of each individual resident, a thorough risk assessment programme had addressed a 2 School Cottages DS0000027581.V277392.R01.S.doc Version 5.1 Page 10 wide range of potential hazards around the care home so as to enable residents to live as unrestricted a life style as possible. 2 School Cottages DS0000027581.V277392.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): 11 12 16 With encouragement and guidance from the providers, residents were able to develop their abilities and live a full, contented lifestyle. Contacts with friends, family and access to a range of activities were all encouraged and residents’ independence actively promoted. EVIDENCE: One resident, having reached retirement age had elected to spend her days at home with the care home’s manager and family. Her time was filled with creative activities and she took pleasure in presenting some of her handy-work for inspection. The same resident had recently learned to use the computer to write letters. Contact with residents’ own family and friends outside of the care home was encouraged. There were photographs on display depicting visits by relatives and outings made with them as well as those taken on a recent holiday organised as a family holiday for the care home. The second resident attended a day centre each week-day and was involved there in a range of activities, a favourite being shopping trips. Activities undertaken, likes and dislikes along with developmental growth was documented and reviewed with the resident by social services representatives on an annual basis. 2 School Cottages DS0000027581.V277392.R01.S.doc Version 5.1 Page 12 Both residents were encouraged to take a pride in their personal appearance, their own rooms and to accept some responsibilities around the care home, helping with everyday tasks, such as cleaning and care of their own belongings. Both residents took charge of their own personal finances. 2 School Cottages DS0000027581.V277392.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): 18 20 Residents received the personal support they needed in a manner acceptable to them. Medication was appropriately stored and administered by the care home. EVIDENCE: As a result of the ageing process one resident now required additional support when bathing. The level of assistance required had been agreed with her and appropriate equipment supplied as a result of an occupational therapist’s assessment. Medication was safely stored, administered by the care home by persons who had undergone training to do so, with appropriate records kept regarding the receipt, administration and where necessary return of medication to the issuing pharmacist. 2 School Cottages DS0000027581.V277392.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): 22 23 Residents’ views were noted, recorded and acted upon no matter how small the issue. The providers were mindful of the need to protect their residents from any form of abuse. EVIDENCE: The care home’s complaints procedure was readily available and a log-book showed how even relatively small concerns were noted and dealt with in a thoughtful and timely manner. Both providers had attended a training course regarding the protection of vulnerable adults from abuse. 2 School Cottages DS0000027581.V277392.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 30 The care home was found to be comfortable, clean and tidy throughout. Residents were clearly at home in this safe and pleasant environment. EVIDENCE: Both residents had their own room, an adjacent bathroom they shared between them and their own private lounge where they could if they wished take their meals. They were equally free to access other communal areas of the house and to join with family members when they wished to. All areas of the house had been risk assessed. Records were available showing how the providers had been advised by visiting fire officers regarding evacuation procedures and how these were regularly rehearsed. Fire detectors were regularly tested and emergency lighting was in place. At the time of this unannounced inspection all areas of the care home inspected were clean and tidy and appeared very well maintained. 2 School Cottages DS0000027581.V277392.R01.S.doc Version 5.1 Page 16 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): 35 Residents were well supported by the care home’s owners and a volunteer. EVIDENCE: Although the care home did not employ members of staff, being run by its owners, with Mrs Scott appointed as manager, occasional assistance was received from a volunteer. Records were made available showing how this volunteer had been subject to thorough recruitment procedures, was CRB checked and had supplied 2 references despite having been known to the providers for many years. In addition, the volunteer along with both providers had completed a range of training courses and received supervision and an annual appraisal. 2 School Cottages DS0000027581.V277392.R01.S.doc Version 5.1 Page 17 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 Given the small scale of the undertaking, the care home was being operated to a commendably high standard EVIDENCE: The care home’s manager had recently completed NVQ Level 4 accreditation in care management. Her husband and partner had completed NVQ Level 3. Both regularly assessed their own and each other’s development and performance as service providers. A development plan had been devised in preceding years, progress carefully monitored and a subsequent new plan put in place for 2006. The views of service users and other interested parties had been collated and acted upon. 2 School Cottages DS0000027581.V277392.R01.S.doc Version 5.1 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 Standard No Score 1 3 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X 3 4 X LIFESTYLES Standard No Score 11 3 12 3 13 X 14 X 15 X 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X 3 X 4 X X X X X X 2 School Cottages DS0000027581.V277392.R01.S.doc Version 5.1 Page 19 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.V277392.R01.S.doc Version 5.1 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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