Inspection on 21/02/07 for Cremers Drift

This inspection was carried out on 21st February 2007.

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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Cremers Drift 07/02/09

Cremers Drift 24/01/06

Cremers Drift 26/10/05

Cremers Drift 31/01/05

Cremers Drift 01/10/04

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 Cremers Drift The Street Claxton Norwich Norfolk NR14 7AS Lead Inspector Debby Allen Key Unannounced 21st February 2007 01:00 Cremers Drift DS0000027617.V331312.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 Cremers Drift DS0000027617.V331312.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. Cremers Drift DS0000027617.V331312.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cremers Drift Address The Street Claxton Norwich Norfolk NR14 7AS 01508 480685 NO FAX NUMBER larryhindle@ntlworld.com 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 Lawrence Hindle Mrs Winifred Hindle Mr Lawrence Hindle Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Cremers Drift DS0000027617.V331312.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th January 2006 Brief Description of the Service: Cremers Drift is a chalet style bungalow set in 5 acres of garden and outlying pasture on the edge of the village of Claxton. The home can accommodate three service users who live within a family setting and are supported by Mr and Mrs Hindle. Each of the service users have their own bed room, near to a communal bathroom and share the sitting and dining room facilities with the family, dog and a cat. Cremers Drift DS0000027617.V331312.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 previous inspections, information from the providers, the residents and their relatives, as well as others who work in or visit the home. This has included a recent unannounced visit to the home. This report gives a brief overview of the service and the current judgements for each outcome group. This key inspection was unannounced and carried out over a period of two and a half hours. None of the residents were at home at the time of the initial inspection, so a return visit, which lasted a further one-hour, was made to meet with two of the people who use the service. During the inspection a tour of the premises was carried out, service users’ care plans were looked at, together with the home’s health and safety records and a discussion took place with the proprietors. Three Service User Surveys and one Relative’s Comment Card were returned prior to the inspection. The relative’s comment card stated “Larry and Win are brilliant and always make me feel very welcome. Although I haven’t seen an inspection report, if I wanted to they would show me. They are open and we work together”. One requirement has been made as a result of this inspection. What the service does well: What has improved since the last inspection? The Quality Assurance system has been improved since the last inspection and now includes the views and feedback from relatives, visitors and external professionals who have involvement with the service or the people using it. Cremers Drift DS0000027617.V331312.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Cremers Drift DS0000027617.V331312.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 Cremers Drift DS0000027617.V331312.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): 1, 2, 3, 4 & 5 Quality in this outcome area is good. The people who live at Cremers Drift received the information they needed in order to make an informed choice about where to live, they each had their individual aspirations and needs assessed and knew that Cremers Drift would meet these. Each person had the opportunity of visiting the home prior to moving in. Each person using the service has an individual written contract and service users’ guide. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There have been no new admissions for a number of years and all three people using the service appear to be well settled and happy. The proprietors have no plans for any further admissions and are keen to assure the three people living there of ongoing security. One person spoken to told me how he had originally been informed about the home, how he had visited and then made the decision to move in. Cremers Drift DS0000027617.V331312.R01.S.doc Version 5.2 Page 9 Terms, conditions and procedures were seen to have been provided to each person using the service. However, section 13 (complaints) of these needs to be updated to read the Commission for Social Care Inspection(CSCI) and not the National Care Standards Commission. Also, that a complaint can be made at any time to the Commission and not just as a final measure. Cremers Drift DS0000027617.V331312.R01.S.doc Version 5.2 Page 10 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, 8, 9 & 10 Quality in this outcome area is good. People’s assessed and changing needs and personal goals are shown in their personal plans. Each person using the service is consulted on, and takes part in, all aspects of life in the home and they are supported to take risks and make decisions as part of an independent lifestyle. The people using the service are confident that information about them is kept confidential. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three care plans were looked at in detail and found to contain information to show how people’s needs continue to be met and included details of how the service could adapt to meet changes in personal circumstances, where required. Cremers Drift DS0000027617.V331312.R01.S.doc Version 5.2 Page 11 The care plans roll on from year to year and include progress reports, which are completed twice yearly with each individual, and an annual review with the relevant social worker. Other documentation seen in the care plans included daily notes, incident reports, medical needs and action, risk assessments, behaviour reports and regular reviews with the providers. It was apparent through the records seen, and discussions with two people, that they take part in all aspects of life in the home and are supported to take risks appropriately. The people spoken to said they trusted the proprietors and knew that information about them was kept private. Cremers Drift DS0000027617.V331312.R01.S.doc Version 5.2 Page 12 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): 11, 12, 13, 14, 15, 16 & 17 Quality in this outcome area is good. The people living at the service have a number of opportunities for personal development, are part of the local community and take part in appropriate activities. Each person is supported to have appropriate personal, family and sexual relationships and their rights and responsibilities are respected and recognised in their day-to-day lives. Mealtimes are an enjoyable occasion and people are offered a healthy diet. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All three people living at the service either go to work or day centres during the week. One person said he particularly enjoyed doing courses such as Information, Communication & Technology (ICT), Spanish and Heraldry. Another person said how much he enjoyed going to work. Cremers Drift DS0000027617.V331312.R01.S.doc Version 5.2 Page 13 Other activities were also noted such as the Monday Club, Theatre trips and various days out. The people spoken to told me about various holidays they had been on and enjoyed, such as Crete and Gran-Canaria. One person took me for a walk around the garden and grounds and told me how he liked helping to cut the grass and look after the flower beds. He also showed me areas of the garden where outdoor activities such as football, golf, basketball and rounders were regularly enjoyed. The two people I spoke to said they were able to have regular contact with family or friends and one person was out with his relative during my visit. The people spoken to said they enjoyed their meals and two comment cards stated that they ate together as a family. Menus and food records were looked at, which confirmed that the diet is wholesome, nutritious and varied. Cremers Drift DS0000027617.V331312.R01.S.doc Version 5.2 Page 14 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 good. The people using the service receive personal support in the way they prefer and require and their physical and emotional health needs are met. The home’s policies and procedures for dealing with medication ensures that the people using the service are protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Records were seen to support the fact that each person is able to have the personal support they want. One person said that he liked living at Cremers Drift because he could have the support he wanted and have his independence. The care plans confirmed access to, and showed appropriate involvement with, healthcare professionals as required. Cremers Drift DS0000027617.V331312.R01.S.doc Version 5.2 Page 15 None of the people living at the service are currently prescribed any medication but a lockable cupboard and MAR sheets were seen and discussion with the proprietor confirmed that, should the situation change, medication could be stored, administered and recorded correctly, ensuring the protection of the people using the service. Cremers Drift DS0000027617.V331312.R01.S.doc Version 5.2 Page 16 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 good. The people using the service feel their views are listened to and acted on and they are protected from abuse, neglect and self-harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: No complaints have been made since the last inspection and the people spoken to said they would talk to the proprietors if they were unhappy and that they knew they would be listened to and have their problems sorted out. The surveys received also confirmed this fact. There is a good support network for each of the people using the service and evidence was seen of good communication between external resources and the proprietors, which helps to ensure all three people remain safe whilst maintaining their independence. Cremers Drift DS0000027617.V331312.R01.S.doc Version 5.2 Page 17 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, 26, 27, 28 & 30 Quality in this outcome area is good. Cremers Drift is a very homely, comfortable and safe environment, which provides the people living there with their own rooms, which suit their needs and lifestyles and promote their independence. Toilets and bathrooms provide sufficient privacy and communal areas complement people’s personal space. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour of the premises was carried out and all areas of the home were found to be clean and hygienic, with no unwanted odours. Décor and furnishings were of a high standard and the whole atmosphere was very comfortable and homely. People’s own rooms were seen to be very individual and personalised and the two people spoken to said they liked their rooms very much. One person said Cremers Drift DS0000027617.V331312.R01.S.doc Version 5.2 Page 18 he particularly liked his skylight window, as he liked to watch the sky and see the stars at night. The people using the service were seen to be able to safely access all areas of the home and, during the inspection, were observed being able to make drinks and snacks as they wanted. It was also confirmed that the people living at Cremers Drift help with domestic chores and do their own laundry. The proprietor showed me a number of improvements to the environment that have been completed since the last inspection and plans were discussed for further alterations, which will give the benefit of a full upstairs bathroom. Cremers Drift DS0000027617.V331312.R01.S.doc Version 5.2 Page 19 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): 31, 32, 33, 34, 35 & 36 Quality in this outcome area is good. The service is run by the proprietors and their daughter, who have all undergone full recruitment checks. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The proprietors jointly run the service as a small family home, but have clearly defined roles and responsibilities. Mrs Hindle provides general day-to-day care and meals, Mr Hindle oversees the management and maintenance of the home and their daughter provides additional and relief care and support. It is planned that the proprietors’ daughter will start working towards her NVQ and Registered Manager’s Award in the foreseeable future. Records seen, showed that full recruitment checks have been carried out and clear CRB disclosures, references, proof of identity and personal details are all held on file. Cremers Drift DS0000027617.V331312.R01.S.doc Version 5.2 Page 20 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, 38, 39, 40, 41 & 42 Quality in this outcome area is good. The people who use the service continue to benefit from a home, which is well run by competent proprietors. Policies, procedures and record keeping safeguard the service users’ rights and best interests and their health and safety is promoted and protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The people spoken to said the home was well run, that they all lived together as a family and they were happy there. The three surveys received prior to the inspection also confirmed that people knew they could talk to the proprietors if they had a problem or were unhappy. The proprietors and their daughter keep themselves up to date with regulation changes and self-training in areas such as health and safety and fire safety. Cremers Drift DS0000027617.V331312.R01.S.doc Version 5.2 Page 21 None of the people using the service currently have moving and handling requirements, so lack of training in this area is not an issue at this time. It was confirmed that the proprietors’ daughter will be undertaking first aid and food hygiene training in the next few months and enquiries are being made for her to commence her NVQ4 Registered Manager’s Award. The Quality Assurance system was looked at and seen to have improved since the last inspection. It now includes the views and feedback from relatives, visitors and external professionals who have involvement with the service or the people using it. Policies and procedures were available for inspection and found to be clearly written and designed to promote and protect the rights and best interests of the people living at the home. Records were seen to confirm that the servicing and testing of equipment is carried out on a regular basis, thus ensuring the ongoing health and safety of the people using the service. Cremers Drift DS0000027617.V331312.R01.S.doc Version 5.2 Page 22 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 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 3 32 2 33 3 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 3 3 3 X Cremers Drift DS0000027617.V331312.R01.S.doc Version 5.2 Page 23 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 YA22 Regulation 5 Requirement Section 13 (complaints) of the home’s Terms, Conditions and Procedures must be updated to read the Commission for Social Care Inspection(CSCI) and not the National Care Standards Commission. Also, state the fact that a complaint can be made at any time to the Commission and not just as a final measure. Timescale for action 30/06/07 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 Cremers Drift DS0000027617.V331312.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Cremers Drift DS0000027617.V331312.R01.S.doc Version 5.2 Page 25 - 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. 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