Inspection on 19/07/05 for Amber House

This inspection was carried out on 19th July 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 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Amber House 29/02/08

Amber House 17/05/07

Amber House 09/06/06

Amber House 06/12/05

Amber House 07/12/04

Amber House 22/07/04

Amber House 18/01/04

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 Amber House 68 Avondale Road Gorleston Great Yarmouth NR31 6DJ Lead Inspector Linda Wells Announced 19 July 2005, 9:30am th 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. Amber House I55 s27371 Amber House v232720 AN 190705 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Amber House Address 68 Avondale Road, Gorleston, Great Yarmouth, Norfolk. NR31 6DJ. 01493 603513 01493 656702 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 John White Mrs Paula Algar (to be registered) Care Home 10 Category(ies) of Learning disability over 65 years of age (10) registration, with number of places Amber House I55 s27371 Amber House v232720 AN 190705 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. 10 elderly people who may have learning disabilities and who may be over 65 years of age. Date of last inspection 7th December 2004 Brief Description of the Service: Amber House is a residential care home that provides accommodation and care for up to ten residents with a learning disability, some of whom may be over the age of sixty-five. The home is an older style, semi-detatched, three storey house with five single and two double bedrooms on the first floor and one double bedroom on the ground floor, some of which contain a wash basin. There is no assisted passage to the upper floors and service users have communial use of two bathrooms and three toilets, a lounge, dining room and conservatory. There is a small well kept garden to the rear of the building and road side parking to the front of the property. This is one of two homes owned by the proprietor, the second being 70, Avondale Road, which accommodates twelve service users with a learning disabilty. The homes are situated in the town of Gorleston close to the sea front and within easy walking distance of the shops and other facilities. There is a 24 hr bus service that links Gorleston to nearby Great Yarmouth and Lowestoft, each with many amenities and places of interest. There is easy access to the local doctors, dentists, opticians and other health care professionals. The proprietor has owned Amber House and 70 Avondale Road for a period of 40 years and some of the residents have been living there since the service began. Amber House I55 s27371 Amber House v232720 AN 190705 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection undertaken on the 19th July 2005 over five hours and was carried out as part of a routine inspection plan. Since the last inspection a new manager is in place and is about to begin the process of registering as the manager of Amber House and 70, Avondale Road. The report for Amber House will be similar to 70, Avondale Road because both homes are run as one establishment. The proprietor owns the property between Amber House and 70, Avondale Road and over the last eighteen months has been converting it to enable Amber House and 70, Avondale Road to be connected via the middle property and to improve the accommodation provided. This has resulted in some necessary redecoration and refurbishment in Amber House and 70, Avondale Road not being carried out until after the building works have been completed. The proprietor estimates that this will be in approximately six months time. Prior to inspection four service user and two relative/visitor comment cards were received and all expressed satisfaction with the care they received, two residents wished to be sometimes more involved in decision making and one resident felt that the activities provided were suitable sometimes. On the day of inspection residents were seen leaving for their day care, sitting in the lounge and dining room watching television, listening to music, drawing and having a snack lunch. Conversation was limited for some of the residents and staff members were seen to talk openly and inclusively with all residents in a warm, respectful manner that promoted choice. The inspection took the form of a tour of the premises and of the building works in the middle house, individual discussion with five residents, two staff members, the manager and the proprietor, observation of two residents individually and in a group, examination of care plans, records, certificates and compliance of requirements and recommendations from the last inspection. What the service does well: The home has a friendly, relaxed atmosphere and the five residents spoken to said that they liked living at the home, that staff were “nice and kind” to them and those that lived there, that staff “helped” them and they liked the food. Residents are well cared for and the two staff spoken to demonstrated their enthusiasm for their role and said that they enjoyed working at the home and that the home was run as a family home where the needs and wishes of the residents came first. Amber House I55 s27371 Amber House v232720 AN 190705 stage 4.doc Version 1.40 Page 6 What has improved since the last inspection? 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. Amber House I55 s27371 Amber House v232720 AN 190705 stage 4.doc Version 1.40 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 Amber House I55 s27371 Amber House v232720 AN 190705 stage 4.doc Version 1.40 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) 2, 3, 4, 5 The admission procedure and written information available is adequate and enables residents and staff to make a decision on whether the home will meet the needs of anyone living there. EVIDENCE: Residents have access to sufficient information about the home in the form of the Statement of Purpose and Service User Guide and a copy of the Terms and Conditions contract is held in the plan of care of each resident. To ensure that the needs of residents are identified as being able to be met by the home an assessment is completed prior to admission to the home and includes the views of residents, their family members and other professionals. Residents and their family and/or friends are encouraged to visit the home prior to admission often staying for a meal or short stay to ensure that they have an opportunity to decide if the home and the facilities are suitable for their needs. Amber House I55 s27371 Amber House v232720 AN 190705 stage 4.doc Version 1.40 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, 8, 9, The health, personal and social care needs of residents were met but records were not all stored in the plan of care. EVIDENCE: Residents were well looked after and three individual plans of care were examined and found to contain relevant health and social care information, daily records, involvement with healthcare professionals, weight records, an action plan and monthly reviews that demonstrated involvement, consultation and agreement of each resident on their plan of care. Risk assessments were held but were not stored correctly and a requirement was made that they be stored in the individual plan of care of each resident. Residents are encouraged to be independent and staff support residents in taking risks within their daily lives by maximising their potential around selfcare and promoting life skills. Amber House I55 s27371 Amber House v232720 AN 190705 stage 4.doc Version 1.40 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) 11, 13, 14, 17 Social activities and meals are planned and varied but do not fully provide interest for those living at the home. EVIDENCE: Residents take part in planned activities during the evenings and at the weekend such as the Lion’s Club, Gateway Club, bowling, shopping and walking along the beach. Most of the residents attend work placements, educational courses or day care services for one day or more each week but there was limited stimulation for those residents who remain at home during the day and a recommendation was made that the daily program of activities be increased. A further recommendation was made that all residents have a program of activities in their plan of care that reflects their leisure interests. The meals provided were balanced and varied and the residents spoken to all said that they enjoyed their meals. The manager was pleased to say that the home has received a certificate of excellence for food handling from the Department of Environmental Health and the senior staff member said that she devised the menus weekly and then organised the shopping at local venues where mainly fresh produce was purchased. She said that she compiled the menus based on the likes and dislikes of residents, any dietary need and the Amber House I55 s27371 Amber House v232720 AN 190705 stage 4.doc Version 1.40 Page 11 fresh produce available. Records were held that demonstrated the food consumed by residents but no menu or daily choice of menu was available or displayed and a requirement was made that the daily menu be produced and displayed to enable residents to make a choice. This requirement was completed during the inspection. Amber House I55 s27371 Amber House v232720 AN 190705 stage 4.doc Version 1.40 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 Personal support is given to residents in the way they prefer, their needs are met and they are protected by the homes medication policies and procedures. EVIDENCE: Residents receive personal, physical and emotional support and the residents spoken to said that they were helped to pick their own clothes by staff, were given help with the things they could not do themselves, that they were happy to have staff members assist them with their personal care and they indicated that their privacy was protected. Medication policies and procedures protected residents, staff had undertaken training and medication was stored, administered and recorded correctly. Amber House I55 s27371 Amber House v232720 AN 190705 stage 4.doc Version 1.40 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 and 23 The home has a complaints system in place that protects residents and supports the investigation of any cause for concern. EVIDENCE: Residents are protected by the home’s complaints policy and procedure. Three of the residents spoken to said that they would speak to the manager if they were unhappy and agreed that they would be listened to and the appropriate action taken to resolve the problem to the satisfaction of all concerned. Residents are protected from abuse, neglect and self-harm by the objectives, policies and procedures of the home and staff have undertaken training in Adult Abuse to help them recognise, prevent and deal with any potential abuse. Amber House I55 s27371 Amber House v232720 AN 190705 stage 4.doc Version 1.40 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, 25, 27, 28, 30 The standard of the environment within this home is mainly satisfactory and will be improved when the building works have been completed. EVIDENCE: Residents live in an environment that is decorated to a reasonable standard but their health and safety is not completely protected at the home and although the redecoration of the hall has taken place and a new oven has been fitted the radiators require guarding, the toilets and bathrooms require refurbishment and redecoration, some bedrooms require redecoration and some carpets in the home require replacing. Due to major building works taking place in the property next door and the plan to knock through into the home to increase the size of the home and link the home to 70, Avondale Road it has been agreed that these four requirements will be completed as the final stage of the build, which the proprietor said should be within six months. A requirement was made that the hot water in the downstairs toilet be regulated to ensure residents and visitors to the home are protected. Resident’s benefit from a home that is comfortable, clean and odour free and the home has recently been awarded a certificate of excellence by the department of Environmental Health. The downstairs bedroom is used to Amber House I55 s27371 Amber House v232720 AN 190705 stage 4.doc Version 1.40 Page 15 provide care to one or two very frail residents and a recommendation has been made that this room be made more attractive by the use of pictures, plants and redecoration in a lighter colour. Residents have personalised their bedrooms to reflect their personal choice and style and staff have access to specialist equipment to assist them in promoting and maintaining the independence of residents. Amber House I55 s27371 Amber House v232720 AN 190705 stage 4.doc Version 1.40 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, 34, 36 The procedure for the recruitment and training of staff provides safeguards to offer protection for the people living at the home. EVIDENCE: Residents are cared for by competent staff with the experience and knowledge to meet the range of needs of those that live at the home. The two staff members spoken to said that they were supported by the senior carer and manager, attended staff meetings and took part in supervision. The staff records seen demonstrated that residents were protected, that all staff recruitment checks were carried out and CRB, proof of identity, references and personal details were held. Staff had undertaken training and the staff spoken to had completed induction, foundation, Adult Abuse, medication, NVQ2 and NVQ3 training. Copies of certificates were held in staff files and the manager spoke of the TOPPS training staff were about to commence and the Nutrition and Health course the senior carer would start in September 2005 but no staff training records were held and a requirement was made that they be compiled to aid in the planning of staff training. Residents were cared for by adequate numbers of staff and the staff spoken to said that staff numbers were increased when necessary to meet the needs of Amber House I55 s27371 Amber House v232720 AN 190705 stage 4.doc Version 1.40 Page 17 residents. Two male staff members seen at the home had been employed to meet the needs of a male resident. Residents have their needs met and are protected by the supervision procedure. The records seen demonstrated that staff received regular supervision to review their work practise, clarify the aims and objectives of the home, the care provided to each resident and to identify, plan and review their training needs. Amber House I55 s27371 Amber House v232720 AN 190705 stage 4.doc Version 1.40 Page 18 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) 37, 39, 42 The home is well run and the manager provides clear leadership, guidance and direction to staff to ensure that residents receive a good standard of care. EVIDENCE: Residents are protected by the management and administration procedures carried out in the home. The manager has worked in the home for nine years, has been the manager for six months and is about to commence her application to be registered as the manager. She has completed NVQ 2 and NVQ 3 training and will commence the NVQ 4 Registered Managers award in September 2005. On completion of this award this part of the standard will be met. The best interests and rights of residents are not fully promoted because residents and visitors to the home are not consulted or feedback sought on the quality of care and facilities provided. A requirement was made that a quality assurance system must be in place that takes into account the views of residents and visitors to the home. This is a repeated requirement. Amber House I55 s27371 Amber House v232720 AN 190705 stage 4.doc Version 1.40 Page 19 To ensure that the health and safety of residents is protected the servicing and testing of equipment in the home had been carried out and relevant and timely certificates were held on all things except the servicing of the gas central heating system. A requirement was made that a current gas-servicing certificate be held. Amber House I55 s27371 Amber House v232720 AN 190705 stage 4.doc Version 1.40 Page 20 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 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 x 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 x 3 3 x 3 Standard No 11 12 13 14 15 16 17 3 x 3 2 x x 2 Standard No 31 32 33 34 35 36 Score x 3 3 3 2 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Amber House Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x 2 x x 2 x I55 s27371 Amber House v232720 AN 190705 stage 4.doc Version 1.40 Page 21 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 YA 9 Regulation 17.1 Timescale for action The proprietor must ensure that 30th the risk assessments completed September for each service user be stored in 2005 their individual plan of care. The proprietor must ensure that Completed a written menu is held and the at daily choice displayed for service inspection. users. The proprietor must ensure that Final stage the carpets that need replacing of build are replaced. 31st March 2006 The proprietor must ensure that Final stage the toilets and bathrooms are of build refurbished and redecorated. 31st March 2006 The proprietor must ensure that Final stage all radiators are guarded. of the build 31st March 2006 The proprietor must ensure that Final stage the bedrooms in need of of build redecoration are redecorated. 31st March 2006 The proprietor must ensure that 31st the hot water temperature is October regulated at all sources. 2006 The proprietor must ensure that 30th an up to date list of the training November staff have undertaken is held in 2006 each staff file. Version 1.40 Page 22 Requirement 2. YA17 17.2 3. YA24 23.2.b 4. YA24 23.2.b 5. YA24 23.2.b 6. YA24 23.2.d 7. 8. YA 24 YA35 13.4 17.3 Amber House I55 s27371 Amber House v232720 AN 190705 stage 4.doc 9. 10. YA39 YA42 24.1.a.b2.3 13.4 The proprietor must ensure that a Quality Assurance system is in place. REPEATED The proprietor must ensure that a current gas servicing certificate is held. 31st March 2006 30th September 2006 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. 2. 3. Refer to Standard YA14 YA14 YA24 Good Practice Recommendations It is recommended that the daily program of activities is increased to provide stimulation and interest to service users at home for the day. It is recommended that each service user has a program of activities held in their plan of care that reflects their leisure interests and activities. It is recommended that the downstairs bedroom is made more attractive. Amber House I55 s27371 Amber House v232720 AN 190705 stage 4.doc Version 1.40 Page 23 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 Amber House I55 s27371 Amber House v232720 AN 190705 stage 4.doc Version 1.40 Page 24 - 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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