Inspection on 03/06/05 for Aitken House

This inspection was carried out on 3rd June 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

Aitken House 25/08/06

Aitken House 08/02/06

Aitken House 07/10/04

Aitken House 22/04/04

Similar services:

Chesham House

Argyll House

Dorset Lodge

Acacia House

Falcon House

Dial House Nursing Home

Cromwell Avenue (9)

Abbey Lodge

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

CARE HOME ADULTS 18-65 Aitken House 28 Yarmouth Road North Walsham Norfolk NR28 9AT Lead Inspector Hilda Stephenson Unannounced 3 June 2005-10.30am 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 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 Stationary 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. Aitken House I55 S27309 Aitken House V230365 030605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Aitken House Address 28 Yarmouth Road North Walsham Norfolk NR28 9AT 01692 404502 Telephone number Fax number Email 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 Khemraj Joory Mrs Toongbhadra Joory Mr Khemraj Joory Care Home 20 Category(ies) of Mental Disorder (19) registration, with number Mental Disorder - over 65 (1) of places Aitken House I55 S27309 Aitken House V230365 030605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7 October 2004 Brief Description of the Service: Aitken House is a two storey building situated in the town of North Walsham that accommodates up to 20 adults with mental health problems. There are 14 single and 2 shared bedrooms situated on both the ground and first floors. The communal rooms consist of one quiet lounge, and one lounge with an attached smoking area, with two small dining rooms situated off the kitchen. The home has a large garden that is laid to lawn with a wild life pond. There is ample parking to the front of the building. The home is owned and managed by Mr & Mrs Joory. Aitken House I55 S27309 Aitken House V230365 030605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place during the late part of the morning, taking two and a half hours. The majority of the time was taken up with talking to nine of the fourteen residents and two of the staff on duty. A partial tour of the home took place, staff records and care plans were examined. The home was found to be clean and tidy with some residents taking part with everyday household chores while others were attending to their personal interests. What the service does well: What has improved since the last inspection? Several areas of the home have been redecorated since the previous announced inspection such as the quiet lounge and dining room. The shower room has been completed to give residents the option for having either a shower or a bath, and the kitchen has been retiled. The proprietors have encouraged more staff to complete the recommended NVQ training to further develop their care skills. Aitken House I55 S27309 Aitken House V230365 030605 Stage 4.doc Version 1.30 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. Aitken House I55 S27309 Aitken House V230365 030605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Aitken House I55 S27309 Aitken House V230365 030605 Stage 4.doc Version 1.30 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 standard(s) EVIDENCE: None of these standards were checked during this visit. Aitken House I55 S27309 Aitken House V230365 030605 Stage 4.doc Version 1.30 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 standard(s) 6,7,9 Care plans identify health, personal and mental health needs of the residents and with their input, these are reviewed regularly to continue to meet their needs. EVIDENCE: Three care plans were examined and found to contain in depth detail of residents’ personal care, social, health and mental health needs. Residents are involved at the time the care plans are written by their key worker and are invited to attend regular reviews, to discuss development and changes with their care. When talking with residents it was confirmed that they make their own decisions regarding their daily needs, with several going out during the day. The care plans contained individual risk taking with the relevant assessment details in place, which is good practice to ensure that both the resident and the staff are aware of their commitment to each other. Within the care plans were records of support given by the visiting Community Psychiatric Nurses and GPs, although the majority of the time the residents visit the GP at the surgery. Aitken House I55 S27309 Aitken House V230365 030605 Stage 4.doc Version 1.30 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 standard(s) 12,13,14,15,17 Residents live in a communal setting and meal times are included as part of their socialising. Private individual time is also recognised. Social activities are arranged during the week. EVIDENCE: Several residents either go out to work, college, shopping or to visit friends. Their individual interests are included within the care plan and staff encourage residents to continue with their social interests and hobbies. Several of the residents go out shopping and assist those residents who are less inclined to go out with their shopping needs. Visitors are made welcome and can visit at any time. Staff confirmed that several friends of some residents visit during weekends or evenings. One of the residents confirmed that she does not get visitors very often and that staff assist when she wishes to go out, stating ‘she enjoys the occasional shopping trip and coffee and day out to the seaside’. Aitken House I55 S27309 Aitken House V230365 030605 Stage 4.doc Version 1.30 Page 11 Several residents have part time jobs in the local town and one resident attends college. Staff confirmed that social activities are arranged usually in the evenings when all the residents are at home and they make the decision what they wish to do. Staff respect those who do not wish to take part in arranged activities. During the summer months the occasional outing to local tourist spots are arranged. One resident stated ‘I enjoyed the barbecue that we had last weekend, and we were lucky with the weather it was lovely and warm’. The home provides a selection of wholesome meals, several residents enjoy helping the staff by setting the tables for meal times and preparing vegetables and making drinks for other residents. The senior carer was cooking during this visit with one of the resident’s assisting with the vegetables and laying the tables for lunch. This resident stated ‘we put our own ideas for meals to the cook and these are included in the menu’, which is good practice. Aitken House I55 S27309 Aitken House V230365 030605 Stage 4.doc Version 1.30 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 standard(s) 18,19,20 Residents are well supported by staff and visiting professionals. Medication is stored and administered safely. EVIDENCE: Residents confirmed that they speak regularly with staff either on their own or within a group to discuss their personal needs and social aspects of their life. The care plans contained records of visits from the Community Psychiatric Nurse who visits some of the residents to help monitor their mental health needs, with some attending appointments with a Consultant Psychiatrist. Any medical needs are arranged through the local GP surgery with residents visiting the surgery themselves. One resident who has lived at the home for several years stated ‘the staff are very kind and I can talk to them whenever I feel low’. The medication charts for three residents were checked and had been completed satisfactorily. One resident continues to self medicate with relevant risks having been assessed. The staff have attended medication administration training, with medication stored and checked safely. Written procedures are in place and both the Proprietors are trained nurses who oversee and supervise when necessary. Aitken House I55 S27309 Aitken House V230365 030605 Stage 4.doc Version 1.30 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 standard(s) 22 The home has a complaints system in place with evidence of resident’s views being listened and acted upon. EVIDENCE: The complaints procedure is displayed in the dining room and each resident has a copy in his or her rooms, this also confirms that residents can complain directly to the Commission if necessary. The home retains copies of past complaints with the action taken. Residents and staff commented that they prefer to speak to the Proprietor if they had any concerns. No complaints were received during this inspection. Aitken House I55 S27309 Aitken House V230365 030605 Stage 4.doc Version 1.30 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 standard(s) 24,27,30 The home is clean and tidy, with comfortable communal space. EVIDENCE: A partial tour of the home was undertaken, with communal areas seen. The lounge next to the smoke room has been redecorated since the previous inspection and contains comfortable furniture with a television and several coffee tables. The second lounge is bright and is preferred by residents who wish to listen to music with the radio playing during this visit. Several residents were seen reading and chatting and one was enjoying knitting. One resident stated ‘I enjoy this lounge because I prefer listening to music than watching television’. The home provides a small smoking room overlooking the garden. The proprietors have converted a bathroom to accommodate a large walk in shower for the residents who prefer this facility. Aitken House I55 S27309 Aitken House V230365 030605 Stage 4.doc Version 1.30 Page 15 The building is surrounded by well-maintained gardens with seating and tables for those who wish to sit outside. All personal laundry is undertaken by the home. Aitken House I55 S27309 Aitken House V230365 030605 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32,33,35 The home provides knowledgeable, competent staff to meet the needs of the residents. EVIDENCE: Two care staff were on duty, although the domestic and cook were absent during this visit, the two care staff on duty were undertaking cooking and cleaning chores taking them away from the residents care needs, so the proprietor must ensure that adequate staffing levels are on duty to meet the needs of the residents. The home has one vacancy for a carer at weekends; the staff currently fill the hours. More than half the staff team have achieved the recommended NVQ qualification and the home should be praised for this. Staff files were seen and confirmed that staff have recently achieved the food hygiene certificate, completed the health and safety certificate, and have a medication update planned later this month. Both proprietors are trained Psychiatric Nurses and arrange training for staff to promote awareness of mental health issues. Aitken House I55 S27309 Aitken House V230365 030605 Stage 4.doc Version 1.30 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42,43 Both proprietors manage the home with Mr Joory taking overall responsibility. The home has good health and safety procedures in place. EVIDENCE: The senior carer manages the home on a daily basis with one of the proprietors visiting each day. Mr Joory takes overall responsibility for the day to day management of the home. He is a trained mental health nurse, offering support to both residents and staff. The home has good health and safety procedures in place to ensure the safety of residents and staff. The fire records, infection control, missing person and medication policies were examined during this visit and were satisfactory. The home has changed their recording of accidents in line with current legislation. Aitken House I55 S27309 Aitken House V230365 030605 Stage 4.doc Version 1.30 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 x x x x x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x 4 2 x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Aitken House Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 3 I55 S27309 Aitken House V230365 030605 Stage 4.doc Version 1.30 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. 1. Standard 32 Regulation 18 Requirement The proprietor must ensure staffing levels meet residents needs at all times. Timescale for action Immediate and ongoing 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 Good Practice Recommendations Aitken House I55 S27309 Aitken House V230365 030605 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection 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 Aitken House I55 S27309 Aitken House V230365 030605 Stage 4.doc Version 1.30 Page 21 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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