Inspection on 26/07/05 for Coralyn House

This inspection was carried out on 26th July 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

Coralyn House 19/10/06

Coralyn House 05/01/06

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 Roger Andrews Announced 26 July 2005 2:00. 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. CORALYN HOUSE I55 S27590 Coralyn House V223722 260705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Coralyn House Address 12 Glebe Avenue, Hunstanton, Norfolk, PE36 6BS 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) 01485 535999 Mr Arthur Chapman Mr Arthur Chapman Care Home 3 Category(ies) of LD Learning disability registration, with number of places CORALYN HOUSE I55 S27590 Coralyn House V223722 260705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16 February 2005 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. Coralyn is run as a family home by the proprietors, Mr & Mrs Chapman. CORALYN HOUSE I55 S27590 Coralyn House V223722 260705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced. Discussion took place with the proprietors, Mr and Mrs Chapman, as well as with all three residents. Records and care plans were also viewed. Coralyn House is not a home that the Commission receives complaints about. As such only the key standards, (those that the Commission thinks must be looked at each year), were inspected. What the service does well: What has improved since the last inspection? What they could do better: Based on what was looked at in this inspection the Commission thinks that Mr and Mrs Chapman are doing a good job and do not have any suggestions to make on this occasion. CORALYN HOUSE I55 S27590 Coralyn House V223722 260705 Stage 4.doc Version 1.30 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. CORALYN HOUSE I55 S27590 Coralyn House V223722 260705 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 CORALYN HOUSE I55 S27590 Coralyn House V223722 260705 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) 1 Residents and relatives have information about the home and its services. Relatives are provided with ongoing information so that they can see that the residents enjoy a good quality of life. EVIDENCE: There is a clear Statement of Purpose document setting out information about the home. The range and quality of information provided was one of the questions included in the home’s quality assurance survey of residents and relatives. The proprietors, Mr and Mrs Chapman, produce a newsletter as well as information about other events residents are involved in such as a written and photographic account of the residents’ recent holiday in Tenerife. The other standards were not inspected on this occasion as all of the residents have lived at Coralyn House for some years. The last admission was six years ago. CORALYN HOUSE I55 S27590 Coralyn House V223722 260705 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, 8 & 9 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 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. Residents reported that they were able to make choices and help decide on things such as holidays. They have just returned from Tenerife and all said they wanted to go back there next year as they liked it. The care plans give examples of ways in which residents are involved in independent living such as managing their personal care needs or making their beds and tidying their rooms. Residents reported that they did this every Saturday morning. On these CORALYN HOUSE I55 S27590 Coralyn House V223722 260705 Stage 4.doc Version 1.30 Page 10 days they usually had a ‘lie in’, though would get up earlier during the week as they had to be ready to go to their work places. Residents said they could get drinks when they wanted. Residents and Mr and Mrs Chapman have informal discussions about the planning of activities and events, though Sunday mornings when a cooked breakfast is served tends to be a good time for a weekly informal meeting. These used to be minuted, but are no longer recorded. CORALYN HOUSE I55 S27590 Coralyn House V223722 260705 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 & 17 The residents have a full work and social life with a variety of interesting activities and holidays. A good variety of food is served in the home which is enjoyed by the residents. EVIDENCE: All three residents attend day services during the week. They also attend various clubs and participate in regular outings. The residents said they are involved in discussions about which activities they attend. On the evening of the inspection the residents were going to the local theatre to watch a talent competition. The home is situated within easy walking distance of the town centre and many local amenities including shops, entertainment and the beach. After arriving home the residents went to one of the local shops to collect a regular magazine about T.V. ‘soaps’ which they enjoy watching. The daily record reflects various other activities such as birthday parties, swimming and CORALYN HOUSE I55 S27590 Coralyn House V223722 260705 Stage 4.doc Version 1.30 Page 12 photography. The residents have their own cameras so they can take their own pictures, for example, when they go on holiday. A record of main meals served is kept. The record reflects a good variety of food. Residents said they liked the food and that they also had meals out and had regular barbeques in the back garden. They said that they had a cooked breakfast every Sunday. During the week they would usually have cereals and toast. When they attend their day services they take sandwiches and have their main meal when they came home at tea time. CORALYN HOUSE I55 S27590 Coralyn House V223722 260705 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 & 20 Personal care needs are properly recorded and residents are helped to be as independent as possible in looking after these needs. Medication is properly managed and recorded which helps reduce the risk of errors. EVIDENCE: The care plans contain information on the personal care 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. Any intimate personal care help will be given by Mrs Chapman as they feel 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. The residents are able to wear clothes of their choice 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 CORALYN HOUSE I55 S27590 Coralyn House V223722 260705 Stage 4.doc Version 1.30 Page 14 dosage system. The daily medication administration records were checked and were up to date. CORALYN HOUSE I55 S27590 Coralyn House V223722 260705 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 & 23 Mr and Mrs Chapman are aware of adult protection processes and issues which helps protect residents. The residents feel they can talk to Mr and Mrs Chapman if they have concerns and also know they can talk to the inspector when he or she visits. 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 an active role in continuing to develop these standards. As already noted personal care is delivered in a way that helps protect the residents. In discussion with Mr and Mrs Chapman it was also apparent that they are aware of the importance of giving thought to situations so that, for example, residents, (and carers), are not encouraged to touch or cuddle inappropriately. The residents all said they found Mr and Mrs Chapman easy to talk to and from observations there was a relaxed and informal atmosphere in the home. The residents had all been told of the inspection and were aware that it was to help make sure they were being looked after. CORALYN HOUSE I55 S27590 Coralyn House V223722 260705 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 & 30 The environment in which the residents live is homely and well maintained. EVIDENCE: The house is domestic in style. All areas looked clean and nicely decorated. Each of the residents allowed access to their bedrooms. These are all pleasantly personalised reflecting individual tastes. There is a large conservatory area to the rear which tends to be used a lot during the warmer months. Residents have access to the lounge and other communal areas of the home. A tour of the building was made. No obvious hazards were identified. CORALYN HOUSE I55 S27590 Coralyn House V223722 260705 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 & 34 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 on whom appropriate checks such as a Criminal Records Bureau check have been carried out. Mr and Mrs Chapman also occasionally receive assistance from, (and give assistance to), other local care home owners. These are people who have been checked by and are registered with the Commission For Social Care Inspection. Mr Chapman is qualified to the required standard of NVQ 4. He also keeps up to date on relevant issues by attending meetings of his local organisation of care home owners. CORALYN HOUSE I55 S27590 Coralyn House V223722 260705 Stage 4.doc Version 1.30 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) 39 & 42 The views of residents and relatives are listened to and acted upon. Records are kept in a condition that allows others to see that the residents’ interests, such as financial, are being protected. EVIDENCE: A quality assurance process is in place in line with a requirement made in the previous inspection report. Mr and Mrs Chapman commissioned an independent report which surveyed the views of relatives and residents. They were able to show that they had acted upon issues that arose as a result of this process. A sample of records were viewed. These included the records of the residents’ finances. These records are detailed, containing evidence of expenditure and receipts. CORALYN HOUSE I55 S27590 Coralyn House V223722 260705 Stage 4.doc Version 1.30 Page 19 Fire records are kept and fire equipment is properly serviced. Discussion took place about the frequency of testing the domestic smoke alarms. It was agreed that these would be tested fortnightly and that the testing would be recorded. A fire risk assessment was carried out and documented in April 2005. The residents are given regular instruction about what to do in the event of a fire and regular drills are held. The residents were able to clearly describe what they would do if there was a fire. There have been no serious accidents at the home. An asbestos risk assessment has been carried out and documented. A written plan is in place which sets out how residents will be cared for if anything happens to Mr and Mrs Chapman. CORALYN HOUSE I55 S27590 Coralyn House V223722 260705 Stage 4.doc Version 1.30 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 3 x x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x 3 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 x x x 3 Standard No 31 32 33 34 35 36 Score x x 3 3 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 CORALYN HOUSE Score 3 x 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x I55 S27590 Coralyn House V223722 260705 Stage 4.doc Version 1.30 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. 1. Standard Regulation None 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 None Good Practice Recommendations CORALYN HOUSE I55 S27590 Coralyn House V223722 260705 Stage 4.doc Version 1.30 Page 22 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. 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