Inspection on 19/10/06 for Coralyn House

This inspection was carried out on 19th October 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

Coralyn House 05/01/06

Coralyn House 26/07/05

Coralyn House 16/02/05

Coralyn House 21/12/04

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 Coralyn House 12 Glebe Avenue Hunstanton Norfolk PE36 6BS Lead Inspector Mr Roger Andrews Unannounced Inspection 19th October 2006 02:00 Coralyn House DS0000027590.V317368.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 Coralyn House DS0000027590.V317368.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. Coralyn House DS0000027590.V317368.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Coralyn House Address 12 Glebe Avenue Hunstanton Norfolk PE36 6BS 01485 535999 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 Arthur Chapman Mrs Jennifer Chapman Mr Arthur Chapman Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Coralyn House DS0000027590.V317368.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th January 2006 Brief Description of the Service: Coralyn House is a large, semi-detached, three story, house situated in a quiet, residential area of Hunstanton. The home has ample living space and the proprietors and three residents share the use of a large lounge, a breakfast room, dining room, conservatory, kitchen, bathroom, two toilets and a rear, paved and decked garden. All residents bedrooms are situated on the first floor, are single rooms with hand washing facilities and near to a separate toilet and bathroom containing shower, bath and toilet. There is roadside parking for two cars and the home is close to the seafront, shops and other local amenities. The proprietors, Mr & Mrs Chapman, run Coralyn as a family home. Coralyn House DS0000027590.V317368.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 the providers, the service users as well as others who work at the service. This has included a recent announced visit to the service. This report gives a brief overview of the service and the current judgements for each outcome group. What the service does well: What has improved since the last inspection? What they could do better: When people come to check things like the gas boiler they should make sure they leave Mr and Mrs Chapman a ‘certificate’ to show when the work was done and who did it. Coralyn House DS0000027590.V317368.R01.S.doc Version 5.2 Page 6 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. Coralyn House DS0000027590.V317368.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 Coralyn House DS0000027590.V317368.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. This judgement has been made using available evidence including a visit to this service. Residents are properly assessed so that they receive the support they need EVIDENCE: The current residents have lived at Coralyn for some years now and there have been no new admissions. However, appropriate paperwork and admission assessment documentation is available if required. The residents’ survey, which is carried out on an annual basis, asks if residents felt they had enough information to enable them to choose their home. All of the residents, (who were helped to fill in the surveys by someone other than Mr & Mrs Chapman), gave a ‘strongly agree’ answer to this question. Prospective residents would be able to make preliminary visits to the home as part of any admission process. Coralyn House DS0000027590.V317368.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 & 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The records kept on residents are detailed and give a good reflection of their needs and abilities. Residents can make decisions and contribute their views about their daily lifestyles. EVIDENCE: All three care plans were viewed. They contain a personal profile of the residents as well as personal care assessments and risk assessments. Risk assessments relate to aspects of daily living such as road safety and bathing. Activities and preferences are recorded, e.g. food likes and dislikes and each resident has a financial profile showing what income and outgoings they have. A daily record is also kept. This reflects the lifestyle of each resident giving a good impression of work and leisure activities and of contact with friends and family members. All of this material is appropriately reviewed with review Coralyn House DS0000027590.V317368.R01.S.doc Version 5.2 Page 10 dates recorded and an update is produced every three months as a summary of the daily records and other important events. Excellent review reports have been produced for the residents’ social workers and Mrs Chapman reads these to the resident concerned so they know the content of the report. Information in care plans is neat and filed in an orderly fashion. Residents’ views are taken into consideration on an informal basis, usually during discussion around the table at mealtimes. Residents contribute views on clothes, (one resident was wearing a new pair of trousers she had purchased recently with some of her birthday money), and residents take responsibility for personal care tasks such as keeping their own rooms clean, doing ironing, making hot drinks when they want and where to spend time in the house during their leisure time. Where able to do so residents can manage their own money and one resident is able to do this independently. Coralyn House DS0000027590.V317368.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents enjoy a varied social life and enjoy nice food. EVIDENCE: All three residents attend day services during the week. They also attend various clubs and participate in regular outings. On the evening of the inspection the residents were going to a fortnightly club that they attend. The residents chatted about various parties they have/were going to attend and one of the residents chatted about her recent birthday party. They also talked about their two-week holiday earlier in the year to Tenerife which they clearly enjoyed. Mr & Mrs Chapman have compiled a story book/photo album of the holiday and the various activities that they and the residents participated in. The home is situated within easy walking distance of the town centre and many local amenities including shops, entertainment and the beach. The Coralyn House DS0000027590.V317368.R01.S.doc Version 5.2 Page 12 residents are able to use the local shop without supervision and collect a regular magazine each week. Residents can pursue individual hobbies; for example, one of the residents has recently purchased a camcorder and has been busy recording events such as day trips so that the whole house can watch the recorded highlights on the television! Daily notes indicate regular contact with family members including visits to see them at home, going shopping, going to the local theatre regularly to watch a summer talent contest, involvement in a local stage production of Joseph and meeting with friends from other care services in the locality. The menu is varied and residents take turns in choosing the teatime meal. They reported that they have a cooked breakfast every Sunday and they all liked the food served in the home. The daily notes referred to a number of barbeques during the summer. Coralyn House DS0000027590.V317368.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Personal and healthcare needs are met and medication is properly managed and recorded. EVIDENCE: The care plans contain information on the personal care needs and healthcare needs of each resident and their capacity to undertake personal care on their own behalf. Generally the residents are all quite able and capable of taking care of most of their personal care needs. All of the residents are female and any intimate personal care will be given by Mrs Chapman as this protects the privacy and dignity of the residents. Residents are encouraged to be as independent as possible in their daily care including keeping their own rooms clean, changing their beds weekly and doing their ironing. Care plans gave examples of healthcare needs being followed up with relevant bodies such as the opticians and the hospital. All of the residents stated in their questionnaire replies that they felt their privacy and dignity were respected. Coralyn House DS0000027590.V317368.R01.S.doc Version 5.2 Page 14 The residents are able to make choices about the clothes they wear and have access to a bath and shower. At present none of the residents manage their own medication, though have done so in the past. Medication is currently administered from a monitored dosage system. The daily medication administration records were checked and were up to date. Medication is stored in a locked room and, at present, only one of the residents is on regular medication. Mr Chapman has recently undertaken a medication update course. Coralyn House DS0000027590.V317368.R01.S.doc Version 5.2 Page 15 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 & 23 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Mr and Mrs Chapman are aware of adult protection processes and issues, which help protect residents. The residents feel they can talk to Mr and Mrs Chapman and know about the role of the inspector. EVIDENCE: There is a complaints procedure and a detailed adult protection process. The latter is in line with Norfolk’s agreed protocols and Mr Chapman has attended the training seminars on this subject. He also plays a role in continuing to be an active participant in meetings held by the local adult protection agencies. The adult protection guidance policy was reviewed in August 2006. There have been no complaints either directly to the service or to the Commission. The residents reported that they can talk to Mr and Mrs Chapman and they have people at day services they can also talk to. Coralyn House DS0000027590.V317368.R01.S.doc Version 5.2 Page 16 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, 25 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment that the residents live in is well maintained and residents can express personal preferences, e.g. the colours of their bedrooms. EVIDENCE: The house is well maintained and has a choice of communal areas, which include a large rear conservatory area, dining area and a comfortable lounge. Each of the residents has their own room. All bedrooms are nicely personalised with the colour choices selected by residents. The bedrooms reflect each resident’s preferences and interests and are pleasant places in which to spend time when they do not wish to use the communal areas of the house. Bedroom walls have a variety of pictures/posters/certificates of merit and residents are able to have their own television and music equipment. There is a pleasant garden at the rear with a covered area that offers a nice venue for barbeques. No obvious hazards were noted during a tour of the premises and all areas were clean and odour free. Coralyn House DS0000027590.V317368.R01.S.doc Version 5.2 Page 17 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 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents receive care from people they know and who have been vetted so that residents are protected. EVIDENCE: Mr and Mrs Chapman are the main carers. They are periodically assisted by one other person, (when they have an occasional break), on who appropriate checks such as a Criminal Records Bureau check have been carried out. An induction process was also carried out. Mr and Mrs Chapman also occasionally receive assistance from, (and give assistance to), other local care homeowners. These are people who have been checked by and are registered with the Commission For Social Care Inspection. From observation during the inspection visit and from previous visits to this service there is a good level of interaction between the residents and Mr & Mrs Chapman and the residents obviously feel relaxed when at home. Coralyn House DS0000027590.V317368.R01.S.doc Version 5.2 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is well managed, has an excellent quality assurance process in place and is attentive to health and safety issues. EVIDENCE: Mr Chapman has completed his Registered Managers Award and has also been involved in other training opportunities, which have recently included a medication update course, and ethnicity training. He is an active participant in meetings and training seminars run by one of the care service support organisations. The quality assurance process operated by Mr & Mrs Chapman is excellent. It comprises of surveys of residents and their relatives carried out by an outside Coralyn House DS0000027590.V317368.R01.S.doc Version 5.2 Page 19 organisation. In addition, there are two other documents, which cover reviews of policies and procedures, an audit of building maintenance, training undertaken and health & safety issues. These examples are not exhaustive. Relatives and residents expressed a high degree of satisfaction with the service. One comment by a relative stated that “I am very happy how (resident) is cared for, particularly with the holidays”. Fire records were looked at. Mr & Mrs Chapman have obtained the recent government guidelines on fire risk assessment processes in care homes. The fire risk assessment carried out in April 2005 has been reviewed this year. Smoke detectors are checked on a regular basis and fire systems are serviced in line with recommendations. The annual fire check was carried out in September 2006. The residents’ financial records were looked at. Expenditure and income is properly documented and cross-referenced to receipts. Each of the residents has a savings account and statements are on file. Each resident has a financial breakdown of their income on their support plan file and each of the residents has signed this to indicate it has been explained to them. Money held on behalf of residents is stored securely in a safe. Although an accident book is available there have been no incidents to report since the previous inspection. There have also been no incidents that the providers have needed to notify to the Commission. A written plan is in place which sets out how residents will be cared for if anything happens to Mr and Mrs Chapman. Health & Safety issues are attended to. All electrical units are tested annually and an outside contractor services the gas boiler on a regular basis. However, formal documentation is required from this engineer to confirm the work carried out. See recommendation. Coralyn House DS0000027590.V317368.R01.S.doc Version 5.2 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 Standard No Score 1 X 2 3 3 X 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 4 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 X 4 X 4 X X 3 X Coralyn House DS0000027590.V317368.R01.S.doc Version 5.2 Page 21 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. 1 Refer to Standard YA42 Good Practice Recommendations It is recommended that all work carried out by engineers, i.e. servicing of the gas boiler, is authenticated by a signed and dated document completed by the engineer concerned. 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