Inspection on 22/12/05 for Casarita

This inspection was carried out on 22nd December 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

Casarita 02/03/09

Casarita 20/03/07

Casarita 12/05/05

Casarita 25/01/05

Casarita 19/07/04

Casarita 18/02/04

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 Casarita 270 Fakenham Road Taverham Norwich Norfolk NR8 6AD Lead Inspector Mrs Lella Andrews Unannounced Inspection 09.45a 22 December 2005 nd Casarita DS0000027656.V249825.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Casarita DS0000027656.V249825.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Casarita DS0000027656.V249825.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Casarita Address 270 Fakenham Road Taverham Norwich Norfolk NR8 6AD 01603 279222 01603 279529 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) Jeesal Residential Care Services Limited Mrs Amanda James Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Casarita DS0000027656.V249825.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th May 2005 Brief Description of the Service: Casarita is a modern, two storey detached house with a single storey annexe. The Home stands in its own grounds on the main road into Norwich in the suburb of Taverham. It is situated within a few minutes walk of shops, post office and a public house. The Home has two vehicles. Accommodation is provided for up to seven adults with a learning disability, some of whom demonstrate challenging behaviours. All of the service users have their own bedroom and the majority of these have ensuite shower and toilet. One of the service users lies separately in the annexe and has a dedicated staff team. The Home is owned and managed by Jeesal Residential Care Services Limited. Casarita DS0000027656.V249825.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Inspection was unannounced and took place between 9.45 and 10.45am on Thursday 22nd December 2005. The Manager provided information both verbally and in the form of records. The Inspector spoke to one member of staff on an individual basis and briefly to two of the tenants. There are six tenants living at the Home although one is currently in hospital. The previous Inspection was detailed and covered the majority of the National Minimum Standards. The purpose of this Inspection was to follow up the recommendations made in the previous Inspection report. What the service does well: What has improved since the last inspection? The staff now receive regular formal supervision from either the Manager or the Deputy Manager The dining room has been redecorated by the tenants with support from a member of staff The front garden has been redesigned and there are plans to do the same for the back garden Casarita DS0000027656.V249825.R01.S.doc Version 5.0 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. Casarita DS0000027656.V249825.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Casarita DS0000027656.V249825.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Prospective tenants individual aspirations and needs are assessed EVIDENCE: The Home would not usually admit a tenant on an emergency basis as the organisation has thorough admission and assessment procedures which take some time to carry out fully. However, recently a tenant has moved in as an emergency placement and this has been managed as effectively as possible in the circumstances. The staff were given brief information prior to the tenant moving in and have been putting a care plan together based on information gathered from getting to know the tenant. The tenant said that he has been made to feel welcome and that the staff and other tenants have helped him to settle in. Casarita DS0000027656.V249825.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were measured on this occasion EVIDENCE: N/A Casarita DS0000027656.V249825.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were measured on this occasion EVIDENCE: N/A Casarita DS0000027656.V249825.R01.S.doc Version 5.0 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 The tenants are protected by the Homes policies and procedures for dealing with medicines EVIDENCE: The Inspector was shown the procedures in place for ordering, storing, administering and recording of medication. The Home has a written medication procedure of which staff are aware. The medication is stored appropriately but plans to move the location of the cupboard will be an improvement as the current location is quite dark. None of the tenants look after their own medication but one tenant is supported to take his own medication with staff support with a view to the tenant being able to look after his own medication at some point in the future. The records of administration are kept appropriately. It is recommended that a record is kept of medication which is put into the pot to be returned to the pharmacy. Staff receive training with regard to the safe administration of medication from one of the trainers within the organisation and individual competence is assessed by the Deputy Manager. Administration of medication is always carried out by two members of staff together. Casarita DS0000027656.V249825.R01.S.doc Version 5.0 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Tenants are aware of who they can make a complaint to The procedures and training provided to staff aim to protect the tenants from abuse of any kind EVIDENCE: The organisation has extensive policies and procedures, the majority of which aim to protect the tenants from any form of abuse. The staff all receive training about the Protection of Vulnerable Adults within their induction. This was confirmed by a member of staff who has recently started working at the Home and has completed this training. The Manager is aware of the role of the Adult Protection team within Norfolk and of the procedure to follow in the event of any allegation. Staff are aware of the whistleblowing procedure and are confident that any concerns will be taken seriously. The Home has a complaints procedure which is also available in symbol format. One of the tenants said that they would speak to the Manager or to another member of staff if they wanted to complain about anything. Tenants are encouraged to air their views at the weekly tenants meeting and at their monthly care plan reviews with their keyworker. Casarita DS0000027656.V249825.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 The tenants live in a homely, comfortable and safe environment EVIDENCE: The communal areas of the Home were seen by the Inspector. The dining room has recently been redecorated in an innovative manner by the tenants who were supported by a member of staff. The Home was attractively decorated for Christmas. Recent alterations have provided the opportunity for the end of the building to be closed from the rest of the Home which would provide bedroom, bathroom and lounge accommodation for one of the tenants. Currently this is not being used as separate accommodation but may be used by one of the tenants shortly. The front garden has been redesigned and provides an attractive area for tenants and staff to use. The back garden is still in the process of being redesigned. Alterations have been made to the fencing so that the back garden is now secure. Casarita DS0000027656.V249825.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 36 Staff receive support and supervision, both formally and informally EVIDENCE: Staff said that they receive good support from the Manager and Deputy Manager. Supervision is provided on a monthly basis and informal support is offered on a daily basis from all members of the team. The Inspector saw records that show that formal supervision is now taking place on a regular basis and that this covers both professional and personal issues. Regular team meetings take place and the minutes show that these cover issues relating to individual tenants as well as more general issues relating to the running of the Home. Casarita DS0000027656.V249825.R01.S.doc Version 5.0 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 42 The recommendations made in the last Inspection report with regard to health and safety have been met EVIDENCE: This standard was not inspected in full on this occasion as it had been during the previous Inspection. The recommendations made in the previous report were inspected and these were found to be have been met. The record of fire drills now contain the names of the staff who have taken part so that the Manager can ensure that all staff take part on a regular basis as part of their ongoing fire safety training. The Inspector also saw the certificates for the maintenance of the fire safety equipment. Casarita DS0000027656.V249825.R01.S.doc Version 5.0 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Casarita Score X X 3 X Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000027656.V249825.R01.S.doc Version 5.0 Page 17 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Casarita DS0000027656.V249825.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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