Inspection on 07/06/07 for 2 School Cottages

This inspection was carried out on 7th June 2007.

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 16/01/06

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 2 School Cottages The Street Taverham Norwich Norfolk NR8 6TD Lead Inspector Mr Pearson Clarke Unannounced Inspection 7th June 2007 02:40 2 School Cottages DS0000027581.V342772.R01.S.doc Version 5.2 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.V342772.R01.S.doc Version 5.2 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.V342772.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 2 School Cottages Address 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) 2 School Cottages The Street Taverham Norwich Norfolk NR8 6TD 01603 262479 NO FAX # Mrs Lorraine Scott Mr Michael Scott Not applicable Care Home 2 Category(ies) of Learning disability (2) registration, with number of places 2 School Cottages DS0000027581.V342772.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th January 2006 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. The current fee levels for the service are £341 to £492 a week. 2 School Cottages DS0000027581.V342772.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Care services are judged against outcome groups which assess how well a provider delivers outcomes for people using the service. The key inspection of this service has been carried out by using information from previous inspections, information from the providers ,the residents and their relatives, as well as others who work in the agency. This has included a recent unannounced visit to the agency and this report gives a brief overview of the service and current judgements for each outcome. What the service does well: What has improved since the last inspection? The providers have continued to maintain the high standards seen at previous inspections. The service operates an annual development plan and use this to identify areas where improvement can be sought. 2 School Cottages DS0000027581.V342772.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. 2 School Cottages DS0000027581.V342772.R01.S.doc Version 5.2 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.V342772.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. That the provider makes sure people considering living at the home understand the care they can receive and that assessment takes place to ensure that their needs and wishes can be met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service continues to care for the same two people. From discussion with the manager it was clear that should future admissions take place then the service has an appropriate process of assessment and that necessary information is available and care would be taken to ensure that the information was understood. Care files demonstrated that those currently cared for have had their needs and aspirations assessed and that an ongoing process of review is taking place, leading to necessary adjustments in the care delivered. 2 School Cottages DS0000027581.V342772.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8 and 9 Quality in this outcome area is good. Those living at 2,School cottages are aware of their care plans and take an active part in the process. This combined with the approach of the providers, enables people to live a full life based on their wishes and with opportunities to exercise choice and control. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During the site visit the inspector looked at the individual care records for each of the people living at the home. These remain comprehensive, well organised, clear and person centred. It was clear from the records and discussion with the manager that the care plans are based on on going assessment and that peoples changing needs are regularly reviewed and individual goals adjusted as needed. The home functions as a family unit and people are enabled to play a full part in family life with their views taken in to account and support given to make decisions and exercise choice. There are comprehensive risk assessments in place and these risk assessments are used to support people in choosing an independent lifestyle. Examples of this were one person wishing to mow the lawn and to help with washing cars. 2 School Cottages DS0000027581.V342772.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17 Quality in this outcome area is good. Residents receive the support that they need to enable them to enjoy a fulfilling lifestyle, in which they exercise choice and appropriate self determination. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Both residents were seen during the site visit and both were seen to be relaxed and happy in their setting. Inspection of the record of external reviews , indicated that other professionals involved in their care felt that they were enjoying a fulfilling lifestyle. Discussion with the manager and residents indicated that a wide range of leisure activity is enjoyed. The home operates as a family with the normal range of family outings and leisure activities. Both people had been on holiday with the family this year and were intending to go away again. The providers enable good contact to be maintained with families and friends. People living at the home are supported to help with daily everyday tasks. Everyone eats together as a family and as such are able to exercise choice in choosing menus and helping with shopping. 2 School Cottages DS0000027581.V342772.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 Quality in this outcome area is good. People living at the home have the personal and healthcare support they need, delivered in a way which is acceptable to them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Detailed care plans seen at the site visit provided evidence of a comprehensive and effective approach to the meeting of healthcare and personal needs. One service users needs have changed significantly over recent months and it was possible to track how the service had worked with healthcare and other professionals to ensure that they continue to offer safe and appropriate care. The arrangements for the management of medication were inspected and were found to be satisfactory, with accurate records and secure storage. 2 School Cottages DS0000027581.V342772.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. People living at the home are able to raise any concerns feely in the knowledge that they will be taken seriously. The approach adopted by the providers helps contribute to the protection of those they care for. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The providers have undertaken training in relation to adult protection and the inspector was shown evidence of this. They also actively seek to keep abreast of good practice through access to the internet. The complaints record was seen by the inspector and demonstrated that any concerns raised by residents are taken seriously and are addressed. Residents spoken to were happy and relaxed and records of external reviews of their care showed them to be considered happy and secure. 2 School Cottages DS0000027581.V342772.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. Residents benefit from a home which is comfortable, well maintained and suitable for their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: 2 School cottages continues to offer residents a comfortable, clean and well maintained family home. Based on a tour of the premises, discussion with the manager and inspection of records the inspector could see that the environment is kept safe and in very good order. 2 School Cottages DS0000027581.V342772.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35 Quality in this outcome area is excellent. People living at the home have their lives enhanced by the approach to meeting their needs. As such every effort is made to access any relevant training and volunteer staff are supported and supervised to enable them to maintain the owners high standards. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All care is normally provided by Mr and Mrs Scott with occasional relief from two volunteers. Feedback received prior to the site visit and during time in the home was very positive about the overall standard of care. As there are no staff there are no formal staff records , however the approach adopted with the two volunteers is exemplary, with both having all necessary checks and being provided with formal supervision and a range of on going training. Despite being a small service offering family care, records seen showed that every effort is made to access training in order that the providers can continue to ensure that they can meet the needs of those cared for in the most effective way. 2 School Cottages DS0000027581.V342772.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39 and 42 Quality in this outcome area is excellent. The service is run in a way where the providers are striving for improvement so that those they care for can have the best possible outcomes This judgement has been made using available evidence including a visit to this service. EVIDENCE: From inspection of records and discussions with the manager the inspector could see that the providers running a very good quality service. An effective balance has been maintained between the small domestic style of service and a rigorous approach to management and improvement which would do justice to much larger services. The service has an annual development plan based on the results of surveys of stakeholders and this plan is monitored for progress at regular intervals. Health and safety is taken very seriously with full risk assessments in place and evidence of all necessary checks taking place. 2 School Cottages DS0000027581.V342772.R01.S.doc Version 5.2 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 Standard No Score 1 x 2 x 3 3 4 x 5 x 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 4 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 4 4 4 x x 4 x 2 School Cottages DS0000027581.V342772.R01.S.doc Version 5.2 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.V342772.R01.S.doc Version 5.2 Page 18 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF National Enquiry Line: 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 © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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