Inspection on 01/10/05 for Cranleigh

This inspection was carried out on 1st October 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

Cranleigh 14/06/07

Cranleigh 24/05/05

Cranleigh 09/12/04

Cranleigh 05/04/04

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 Cranleigh 21 Vicarage Road Cromer Norfolk NR27 9DQ Lead Inspector Ann Catterick Unannounced Inspection 1st October 2005 13.15 Cranleigh DS0000027297.V249920.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 Cranleigh DS0000027297.V249920.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. Cranleigh DS0000027297.V249920.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Cranleigh Address 21 Vicarage Road Cromer Norfolk NR27 9DQ 01263 512478 01263 512478 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 Simon Fuller Mrs Susan Fuller Mr Simon Fuller Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Cranleigh DS0000027297.V249920.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. That the home be registered as a care home only. That the maximum number of service users accommodated should not exceed 8 (eight). That only persons with learning disabilities be accommodated at the home. That only person`s up to the age of 65 may be accommodated at the home. 24th May 2005 Date of last inspection Brief Description of the Service: Cranleigh is a care home providing care and accommodation for 8 adults with learning disabilities. It is owned by Mr Simon Fuller and Mrs Susan Fuller. Mrs Susan Fuller is the registered manager. The home is located in the coastal town of Cromer and is close to shops, public houses, beach and other community facilities. The home is a three-storey red brick building with front and rear garden/patio areas. All bedrooms are single rooms and three have en suite facilities. The communal areas are of a homely nature and provide appropriate facilities for the service users. Cranleigh DS0000027297.V249920.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place on Saturday 1st of October 2005 in the afternoon. The service users were going out swimming at 3.30pm so the inspection was carried out over a period of two hours. The home was clean and tidy with service users all involved in different activities, depending on their preferences. One service user was away for the weekend, another was in town helping a member of staff with shopping, one had been horse riding in the morning whilst another had been to town. A cook was on duty and had provided a substantial lunch of meat pie; vegetables and potatoes followed by jam tart and ice cream. A home -made trifle was in the fridge for later. All service users spoke very positively about the food provided within the home. Service users were relaxed and very keen to tell me what they had been doing and to show me some of the achievements they had made over recent months. Many of the service users were involved with adult education, including art, music and self-advocacy. Another service user was pleased to tell me that she now belonged to the library and had learnt to use the computer to access and order books. Two of the service users had ordered new full size tricycles. One was at the home and the other was due in a few days. Staff were in the home in sufficient numbers to meet service users needs and all appeared happy and competent in their roles and were seen to relate well to service users. In conclusion the quality of the care being provided was very good and all service users were settled and happy in their placement. What the service does well: The relationship between the staff and service users was seen to be very good and service users were very positive about the staff. Comments such as “very kind” and “well trained” were expressed by several of the service users. The environment is well cared for with quality furniture and fittings. The service users are able to be involved in a wide range of activities if they choose to do so. Cranleigh DS0000027297.V249920.R01.S.doc Version 5.0 Page 6 Service users are encouraged to be as independent as possible making choices and being self -determined in their lives. 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. Cranleigh DS0000027297.V249920.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 Cranleigh DS0000027297.V249920.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 service user’s needs and aspirations are assessed prior to admission to ensure that these can be met within the home. EVIDENCE: The care plan of the service users who had most recently been admitted to the home was seen and an assessment prior to admission had been made. The service user was spoken to and had settled well into the home and felt that his needs were being met. Cranleigh DS0000027297.V249920.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): 6, 7 and 9 All service users have a comprehensive care plan and are aware that this is reviewed on a regular basis and changed to meet need. Service users are empowered to make decisions about their lives and are supported in this area, if need, by staff. Service users are supported to take risks enabling them to have as independent lifestyle as possible. EVIDENCE: Care plans were seen and included all of the information needed to ensure that the needs of service users are met. Progress reports are made and service users can track how well their own development and achievements in different areas is progressing. All of the service users have different social and health needs and these are identified in a way that ensures that staff work with service users in the most appropriate way depending on individual need. Service users are encouraged to be self-determined and make decisions about their own lives. Evidence was seen that service users are able to make Cranleigh DS0000027297.V249920.R01.S.doc Version 5.0 Page 10 decisions on how and where to spend their leisure time. For example one service user had chosen to spend the weekend away. Another two service users have decided to purchase tricycles, as this would give more opportunity for fun and a different activity within the local community. Service users are encouraged to take informed risks and when appropriate risk assessments are completed and placed within the care plan. Risk assessments were seen within care plans. Cranleigh DS0000027297.V249920.R01.S.doc Version 5.0 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 the following standard(s): 12, 13, 15 and 17 Service users are able to take part in all appropriate activities for their age and preferred life style. Service users access services within their local community. The home supports service users to maintain family links, and friendships inside and outside of the home subject to any restriction within individual care plans. The home provides good quality food that is varied and nutritious. EVIDENCE: The inspection took place on a Saturday. One service user was away for the weekend, another was out with staff buying food for the weekend and others had been out during the morning. All service users were going to a swimming pool in the afternoon and plans for the evening were flexible. Several service users have become involved with local adult education projects including art, music and self-advocacy programmes. It was clear to see that service users Cranleigh DS0000027297.V249920.R01.S.doc Version 5.0 Page 12 have an active lifestyle that includes much involvement in the local community. On the day of inspection the parents of one of the service users were visiting. They spoke very positively about the home and the quality of care their son received. They said they were always made welcome and had only praise for the home. Service users who develop intimate personal relationships within or outside the home would be supported and given relevant advice and information with risk assessments being completed when appropriate. On the day of inspection the cook was on duty and had just cooked a substantial lunch. Whilst the inspector was at the home a member of staff and service user returned from the shops with lots of fruit and food for the weekend. Service users spoke positively about the food saying it was always good. They also have the opportunity to have a take away or eat out at least once a week. Residents enjoy water and the proprietor has recently purchased a water cooler to enable service users to have access to cold water at all times. Cranleigh DS0000027297.V249920.R01.S.doc Version 5.0 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 the following standard(s): None of these standards were inspected on this occasion. EVIDENCE: Cranleigh DS0000027297.V249920.R01.S.doc Version 5.0 Page 14 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): None of these standards were inspected on this occasion. EVIDENCE: Cranleigh DS0000027297.V249920.R01.S.doc Version 5.0 Page 15 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): 19, 28 and 30 The home is a comfortable and safe environment for service users to be living in and is kept clean and hygienic. EVIDENCE: The home is well decorated and furnished offering pleasant communal and private accommodation for service users to live. There is a large lounge area that is well furnished and a dining area adjacent to the kitchen. All fixtures and fittings are of good quality and the lounge has a large television with SKY TV. A service user who had not lived in the home for very long showed the inspector his room and this was comfortable and reflected his personality and preferences. The inspector did not look at other bedrooms on this occasion but has in the past and they are all very individual and furnished and decorated to the occupant’s preferences. The home is local to all of the amenities within the seaside town of Cromer. Since the last inspection the laundry room has been refurbished. All areas of the home were clean and hygienic offering a safe and infection free environment in which service user live. Cranleigh DS0000027297.V249920.R01.S.doc Version 5.0 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 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): 33 An effective staff team supports Service users with staff being on duty in such numbers as to meet their needs. EVIDENCE: The staff rota was looked at and it showed that at all times there were enough staff on duty to meet need. The inspection took place on a Saturday and an additional staff member was on duty during the afternoon to enable service users to be taken swimming. The rota showed that additional staff were on duty every Saturday afternoon. Those staff on duty were competent and experienced able to fulfil their responsibilities in full. All of those service users spoken to spoke very highly of the staff saying that they were very kind and well trained. Cranleigh DS0000027297.V249920.R01.S.doc Version 5.0 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 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): 37 The home is managed by a qualified registered manager who has a wealth of experience and knowledge. This was reflected by the way the home was running in her absence. EVIDENCE: The manager was not on duty on the day of inspection but the quality of the care being provided and the general ethos of the home and satisfaction of service users was clear evidence that the home is well run. A service user said that the Simon and Susan Fuller were very good and spoke very positively about them. Cranleigh DS0000027297.V249920.R01.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 Score x x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x 3 x 3 LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 x 17 Standard No 31 32 33 34 35 36 Score x x 3 x x x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Cranleigh Score x x x x Standard No 37 38 39 40 41 42 43 Score 3 x x x x x x DS0000027297.V249920.R01.S.doc Version 5.0 Page 19 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 YA6 Good Practice Recommendations It would be seen as good practice to review the care plans on a more regular basis. Cranleigh DS0000027297.V249920.R01.S.doc Version 5.0 Page 20 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. Extracts may not be used or reproduced without the express permission of CSCI Cranleigh DS0000027297.V249920.R01.S.doc Version 5.0 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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