Inspection on 24/01/06 for Cremers Drift

This inspection was carried out on 24th January 2006.

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 21/02/07

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 Linda Wells Unannounced Inspection 24th January 2006 2.30 Cremers Drift DS0000027617.V276084.R01.S.doc Version 5.1 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.V276084.R01.S.doc Version 5.1 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.V276084.R01.S.doc Version 5.1 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.V276084.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th October 2005 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.V276084.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection undertaken on the 24th January 2006 over three hours and was part of a routine inspection plan. On the day of inspection three residents were living at the home and were seen to return from local day and garden centres and work placements, to be sitting in their bedrooms and the lounge, making hot drinks and walking around the home. Two family members visited the home and the friendly dog and cat lived in the home. The inspection took the form of a tour of the premises, individual discussion with three residents and the proprietors, observation of residents in the home, examination of care plans, records, certificates and compliance with the requirement from the last inspection. What the service does well: What has improved since the last inspection? What they could do better: Residents said that they were included, given choice and encouraged to make their own decisions. However to ensure that feedback is fully sought from everyone known to the residents a requirement was made that the quality assurance system in place be further developed to include the views of residents, relatives, visitors and other professionals on the standard of care and service provided at the home, an action plan of improvements be produced and a copy sent to CSCI. Cremers Drift DS0000027617.V276084.R01.S.doc Version 5.1 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. Cremers Drift DS0000027617.V276084.R01.S.doc Version 5.1 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.V276084.R01.S.doc Version 5.1 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, 3, 5 The written information available about the home is complete and enables residents to make a decision on whether the home will meet the needs of anyone wishing to live there. EVIDENCE: The Statement of Purpose and Service User Guide were seen to be included in one document with the homes policies and procedures and reflected the aims and objectives of the home, the service provided and the Terms and Conditions of living at the home for each resident. It demonstrated that residents were given the information they need about the home and was written in an easy to understand format. No new resident had been admitted to the home in recent years. The records held on existing residents showed that an assessment was completed prior to admission to the home to ensure that the needs of residents were identified as being able to be met by the home, that the views of residents, their family members and other professionals were sought and that residents and their relatives, friends or advocates visited the home prior to admission. Cremers Drift DS0000027617.V276084.R01.S.doc Version 5.1 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, 8, 9 Residents are consulted and the information held in the individual plans of care ensures that the personal and health care needs of residents are identified and met. EVIDENCE: Residents said that they were well cared for by the proprietors who could be trusted to keep their confidences. Three individual plans of care were examined and found to contain relevant health, personal and social care information, a photograph, daily records, risk assessments, past history, involvement with health care professionals, weight records, behavioural management and quarterly progress reports. Residents said that they are encouraged to be independent, make their own choices and that the proprietors supported them in taking risks within their daily lives by maximising their potential around confidence, self-care and promoting life skills Cremers Drift DS0000027617.V276084.R01.S.doc Version 5.1 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 14, 15, 17 Social activities and meals are both planned around family life and provide variation and interest for the people living in the home. EVIDENCE: Residents said that they enjoyed their daily activities and records and photographs were seen to demonstrate that residents attend a local day or garden centre, educational schemes or work placement, take part in leisure activities and outings such as shopping, going for walks, attend community events such as the Monday Club, Gateway Club and the theatre and are taken on holiday by the proprietors and their family. Residents said that they were encouraged to maintain relationships with family members, had close personal relationships and regularly saw or visited them. One resident said that he stayed with his fiancée every weekend. The proprietors gave examples of how they support residents in their personal development and behavioural management by working with other professionals, encouraging each resident to be independent and to make Cremers Drift DS0000027617.V276084.R01.S.doc Version 5.1 Page 11 choices whilst ensuring that the rights of each resident were promoted and protected. Residents said that they enjoyed the meals cooked by the proprietor, Mrs Hindle, that they were given enough to eat and a choice. Records showed that the meals were varied and balanced and food hygiene certificates held. Cremers Drift DS0000027617.V276084.R01.S.doc Version 5.1 Page 12 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): 18, 21 Personal support is given to residents in the way they prefer, their needs are met, they are consulted and their wishes are known and recorded. EVIDENCE: The information seen held in the plans of care enables the proprietors to support residents in the manner they prefer whilst meeting their needs. All of the residents are mobile and self-caring and the proprietors said that they worked with residents to promote their independence and confidence around life skills and behavioural management and took advice from health care professionals. Residents said that they received personal and emotional support from the proprietors who were always willing to listen to them if “they were unhappy”. None of the residents living at the home were prescribed any medication and a lockable cupboard seen, contained a locked safe and Marr sheets to ensure that if medication was prescribed for residents it could be stored, administered and recorded correctly. Records held on residents showed that residents had been consulted on their arrangements at death and that their wishes were known. Cremers Drift DS0000027617.V276084.R01.S.doc Version 5.1 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 The home has an active procedure on the protection of vulnerable adults that protects residents and supports the investigation of any cause for concern. EVIDENCE: The home has not received any complaints about the service they provide and residents spoken to said that if they were unhappy they would tell the proprietors and all agreed that they would be listened to and the appropriate action taken to resolve the problem to the satisfaction of all concerned. Residents are protected from abuse, neglect and self-harm by the objectives, policies and procedures of the home and the proprietors had undertaken training in Adult Abuse to help them recognise, prevent and deal with any potential abuse. Cremers Drift DS0000027617.V276084.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 28, 29, 30 The standard of the environment within this home is good providing residents with an attractive, safe and homely place to live. EVIDENCE: Residents benefited from a home that was clean, odour free and decorated and furnished to a high standard. The toilets and bathrooms were of a domestic design that suited the needs of residents who were mobile and self-caring. Residents said that they were encouraged to be independent, had access to all of the facilities in the home, were comfortable and were seen to have personalised their bedrooms. Residents live in a family based environment and share the communal space with the proprietors and their pets, make themselves drinks and snacks as they wish, do their own laundry and help with the washing up and keeping their own bedrooms clean and tidy. Normal infection control measures were in place, residents did not require sluicing facilities and the utility room contained a domestic washing machine and tumble dryer. Cremers Drift DS0000027617.V276084.R01.S.doc Version 5.1 Page 15 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): 31, 32, 33, 35, 36 No staff members are employed at the home; but full recruitment safety checks have been carried out on all the family and this provides adequate safeguards to protect residents. EVIDENCE: The proprietors jointly run the home and have defined roles and responsibilities with Mrs Hindle providing the care and meals and Mr Hindle the management and maintenance. Residents said that they were well cared for and supported by the proprietors, who said that no staff members were employed but a family member was used occasionally to care for the residents when the proprietors were not available. Records showed that residents were fully protected because all recruitment checks had been carried out on the proprietors and anyone who cared for them and CRB, references, proof of identity and personal details were held. Cremers Drift DS0000027617.V276084.R01.S.doc Version 5.1 Page 16 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, 38,39, 41, 42, 43 The proprietors are competent and the home is run in a manner that ensures that residents receive a good standard of care and support. EVIDENCE: Residents said that the home was well run; they could talk to the proprietors if they had a problem and records demonstrated that residents are protected by the management and administration procedures carried out in the home. The proprietors have over thirty-one years experience of caring for those with a learning disability and have run the care home since 1993. They consider the home to be a family home that is run on a “home share” domestic basis and although they have in place many of the requirements in the care standards they have not undertaken training in first aid, moving and handling, equal opportunities and the NVQ4 Registered Manager award. The residents living at the home do not have moving and handling needs and the proprietors outlined their plan to retire in one year time and for their daughter to take over the care of the residents living at the home. When their daughter takes over she Cremers Drift DS0000027617.V276084.R01.S.doc Version 5.1 Page 17 will undertake the necessary training therefore this standard will not be met until this time. Policies and procedures have been produced and were seen on all aspects of the home and service provided. The records held were found to promote and protect the rights and best interests of each service user. A Quality Assurance system is in place that takes into account the views of residents but does not include the views of relatives, visitors, health professionals and other professionals visiting the home. A requirement was made that the quality assurance system be further developed and a copy of the results and action plan produced be sent to CSCI to demonstrate the level of satisfaction on the standard of services provided and the planned improvements. To ensure that the health and safety of residents is protected the servicing and testing of all equipment had been carried out, relevant and timely certificates were held and records were stored securely. The proprietors said that they were financially sound. Cremers Drift DS0000027617.V276084.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 3 3 3 4 X 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 X 27 X 28 3 29 N/A 30 3 STAFFING Standard No Score 31 N/A 32 N/A 33 N/A 34 X 35 N/A 36 N/A CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 x LIFESTYLES Standard No Score 11 3 12 3 13 X 14 3 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X X 3 2 3 2 X 3 3 3 Cremers Drift DS0000027617.V276084.R01.S.doc Version 5.1 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. 1. Standard YA39 Regulation 24.1.2 Requirement The registered person must ensure that the quality assurance system carried out is further developed to include feedback and the views of everyone known to the service users, the results and an action plan of improvements produced and a copy sent to CSCI. Timescale for action 31/08/06 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.V276084.R01.S.doc Version 5.1 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 Cremers Drift DS0000027617.V276084.R01.S.doc Version 5.1 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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