Inspection on 07/02/09 for Cremers Drift

This inspection was carried out on 7th February 2009.

CSCI found this care home to be providing an Excellent service.

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

Cremers Drift 21/02/07

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

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Newton Court (1-2)

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Pemdale

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Cremers Drift The Street Claxton Norwich Norfolk NR14 7AS     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Debra Allen     Date: 0 7 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 26 Information about the care home Name of care home: Address: Cremers Drift The Street Claxton Norwich Norfolk NR14 7AS 01508480685 NOFAXNUMBER larryhindle@ntlworld.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mrs Winifred Hindle,Mr Lawrence Hindle Name of registered manager (if applicable) Mr Lawrence Hindle Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Date of last inspection Brief description of the care home 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. 3 Over 65 0 care home 3 Care Homes for Adults (18-65 years) Page 4 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our 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 inspection was carried out over a period of three and a half hours, during which time a discussion was held with the proprietors daughter/manager, records and files were checked, a tour of the premises was carried out and all three people living at the home were met and spoken with. Care Homes for Adults (18-65 years) Page 5 of 26 An Annual Quality Assurance Assesment (AQAA) was completed and submitted it to The Commission prior to this inspection. All three people living at Cremers Drift returned completed CSCI surveys, which contained positive responses in all areas, although no additional comments were made. Following a previous discussion with the three people living at Cremers Drift an Easy Read Summary has not been produced for this report as everyone said they preferred this format. One recommendation has been made as a result of this inspection. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 7 of 26 Care Homes for Adults (18-65 years) Page 8 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users individual needs and aspirations continue to be assessed on an ongoing basis, which helps ensure the service continues to meet their needs. Evidence: As with previous inspections, there have been no new admissions for many years, all three people living at Cremers Drift remain settled and there are no foreseeable plans for any future admissions. However, it is stated in the Homes Terms and Conditions that potential residents will have a full needs assessment carried out and the opportunity of visiting Cremers Drift before making the decision to move in. Meanwhile, the proprietors continue to assure the three people currently living at Cremers Drift of ongoing security. Care Homes for Adults (18-65 years) Page 10 of 26 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples assessed and changing needs and personal goals continue to be shown in their personal plans. Each person livving at Cremers Drift continues to be consulted on, and take part in, all aspects of life in the home and they are actively supported to take risks and make decisions as part of an independent lifestyle. All three people remain confident that information about them is kept confidential. Evidence: Personal records and care plans were looked at during the inspection and these were found to contain detailed information about each individual and how they are supported. The records were also were noted to have been updated on a regular basis and included details of how the service could adapt to meet changes in personal circumstances, if and when required. As with previous inspections, the care plans continue to roll on from year to year and Care Homes for Adults (18-65 years) Page 11 of 26 Evidence: 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 an indepth discussion with one person, that all three residents continue to take part in all aspects of life in the home and are supported to take risks appropriately. A recommendation has been made however, for each of the care plans to be reorganised, with subject dividers, to make finding information and updating/reviewing easier and more effective. It is also recommended that there is a specific section for risk assessments. Meanwhile, observations during the inspection confirmed that each individuals personal information continues to be kept private and secure. Care Homes for Adults (18-65 years) Page 12 of 26 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. All three people living at Cremers Drift continue to be able to pursue their own hobbies and interests and have work placements during the week. Regular contact with friends and family is maintained and each person continues to enjoy their meals, be involved in food shopping and deciding what they want to eat. Evidence: All three people were seen and spoken to during the inspection and each person appeared happy living at Cremers Drift. Observations, records seen and discussions provided confirmation that each person continues to have their own hobbies and interests such as reading, puzzle books, astronomy, using the lap-top computer, using the play station, gardening and listening to music. Care Homes for Adults (18-65 years) Page 13 of 26 Evidence: Each person also attends work placements or educational programmes during the week, which include gardening/horticulture, computer courses, camera courses and one person described how they were enjoying a current project redesigning a jacket and how they have recently started their NVQ level 2. Other activities noted included meeting friends, meals and drinks out, shopping trips, days out to the beach or Thetford Forest and attending the Monday Club. Recent holidays have included a week in Majorca and weekends away in the motor-home. Meanwhile, during the inspection, one person returned home from a morning out in Norwich and records and discussions confirmed how another person has been supported through the illness and death of their relative. Some very positive comments were noted from Cremers Drifts external quality assurance questionnaires, which included: Cremers Drift is an excellent residential care home, where the residents are treated as part of the family and all their individual needs are extremely well catered for. Cremers Drift is a very good residential care home, giving the residents a great family life. With regard to meals, one person, spoken to individually, said that they enjoyed their food and observations confirmed that everyone is able to choose what they want to eat, with all three people seen choosing and preparing their own lunches. Care Homes for Adults (18-65 years) Page 14 of 26 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Each of the three people living at Cremers Drift receives personal care and support in the way they choose and their physical and emotional healthcare needs continue to be met. No-one is currently prescribed any medication but policies and procedures are in place to ensure all three people are protected if this situation changes. Evidence: As with previous inspections, all three people continue to be capable of carrying out virtually all of their own personal care needs and generally only require very minimal encouragement or prompting. One person in particular commented how they like having their independence. As described in the previous Key Inspection report, none of the people living at Cremers Drift are currently prescribed any medication but a lockable cupboard and MAR sheets are in place and a discussion with the manager confirmed that, should the situation change, medication could be stored, administered and recorded correctly, Care Homes for Adults (18-65 years) Page 15 of 26 Evidence: ensuring the protection of the people using the service. Meanwhile, each person continues to be registered with the local doctor and dentist and visits to other healthcare professionals such as optician were also noted. The care plans were seen to be regularly updated to include information regarding all healthcare issues and appointments/medical history. It was also noted, from one particular care plan, that information was recorded in respect of the persons individual wishes for their funeral arrangements. Care Homes for Adults (18-65 years) Page 16 of 26 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living at Cremers Drift feel safe, know who to talk to if they have any problems or concerns and they are protected from abuse, neglect and self-harm as much as is possible. Evidence: No complaints have been made since the last inspection and all three people confirmed in their recent surveys that they knew who to talk to if they were unhappy and how to make a complaint. A very good support network remains in place for each person living at Cremers Drift and, as with previous key inspections, evidence is available to confirm good communication between external resources and the proprietors, which helps to ensure all three people remain safe whilst maintaining their independence. Care Homes for Adults (18-65 years) Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Cremers Drift is a very homely, comfortable and safe environment, which is clean and hygienic and peoples bedrooms suit their needs and lifestyles and promote their independence. 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. Decor and furnishings were of a very high standard and the whole atmosphere was very comfortable and homely. All three people continue to have their own bedrooms, one of whom has recently moved to a larger room following the completion of the recent home improvement works. This person commented that they are very happy with their room, as it has a larger window for seeing the night sky, which is ideal for their interest in astronomy. As with previous inspections, the people living at Cremers Drift were seen to be able to safely access all areas of the home and everybody appears to have benefitted from the various improvements, which have included the kitchen and dining room, an extended utility room, a large under-cover porch area, the upstairs landing, bedroom and bathroom. Care Homes for Adults (18-65 years) Page 18 of 26 Evidence: Safety and building certificates were seen for the recent works and overall, the home was found to be safe and free from hazards. Care Homes for Adults (18-65 years) Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. All three people living at Cremers Drift continue to be competently supported by the proprietors and their daughter, who have all undergone full recruitment checks and continue to access appropriate training. Evidence: As with previous inspections, the proprietors continue to 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. The proprietors daughter confirmed that she has completed her NVQ4 and is awaiting certification for the Registered Managers Award. In addition to this, she will be attending training courses for Safeguarding Adults, Advanced Safeguarding Adults and Deprivation of Liberty from March onwards. Other courses attended and certificated include First Aid, Food Hygiene and the Mental Capacity Act. Care Homes for Adults (18-65 years) Page 20 of 26 Evidence: Previous 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. Care Homes for Adults (18-65 years) Page 21 of 26 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. All three people livving at Cremers Drift continue to benefit from a home, which is well run by competent proprietors/management. Policies, procedures and record keeping continue to safeguard the service users rights and best interests and their health and safety is promoted and protected. Evidence: As with previous inspections, the people spoken to said the home was well run, that they all lived together as a family and they were happy there. Three surveys were received prior to the inspection, which also confirmed that people knew they could talk to the proprietors if they had a problem or were unhappy. The proprietors and their daughter continue to keep themselves up to date with regulation changes and self-training in areas such as health and safety and fire safety. The Quality Assurance system has continued as before and includes the views and Care Homes for Adults (18-65 years) Page 22 of 26 Evidence: feedback from relatives, visitors and external professionals as well as from the people who live at Cremers Drift. Policies and procedures were, once again, 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. These were also noted to have been reviewed and updated where necessary in January 2009 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. Care Homes for Adults (18-65 years) Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 6 It is recommended that each of the care plans are reorganised, with subject dividers, to make finding information and updating/reviewing easier and more effective. It is also recommended that there is a specific section for risk assessments. Care Homes for Adults (18-65 years) Page 25 of 26 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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