Inspection on 11/01/06 for Harry Chamberlain Court Residential Home (12)

This inspection was carried out on 11th 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 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

Harry Chamberlain Court... 17/11/08

Harry Chamberlain Court... 29/01/07

Harry Chamberlain Court... 01/09/05

Harry Chamberlain Court... 17/11/04

Harry Chamberlain Court... 19/07/04

Harry Chamberlain Court... 25/02/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Harry Chamberlain Court Residential Home (12) 12 Harry Chamberlain Court Hollingsworth Road Lowestoft Suffolk NR32 4UG Lead Inspector Jane Offord Unannounced Inspection 11th January 2006 03:00 DS0000024404.V277761.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 DS0000024404.V277761.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. DS0000024404.V277761.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Harry Chamberlain Court Residential Home (12) Address 12 Harry Chamberlain Court Hollingsworth Road Lowestoft Suffolk NR32 4UG 01502 582561 01502 582561 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) www.mencap.org.uk Royal Mencap Society Ms Christine Morgan Care Home 5 Category(ies) of Learning disability (5) registration, with number of places DS0000024404.V277761.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st September 2005 Brief Description of the Service: 12, Harry Chamberlain Court is part of a large block of flats owned by Waveney District Council and located to the north of Lowestoft. The main town is a bus ride away but there are local shops and facilities within easy reach. The home provides accommodation for five residents with a learning disability between the ages of 18 and 65 and the Royal Mencap Society provides personal support. The accommodation is all on the ground floor and consists of five single bedrooms, a lounge, a kitchen and dining area and open plan garden to the rear of the property. There are adequate bathroom and toilet facilities and there is also a laundry and office space for the staff. DS0000024404.V277761.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on a weekday between 15.00 and 17.30. The manager was not available but the two staff present were helpful in supplying files and information. Two residents’ personal files and care plans, maintenance certificates, the accident/incident records and the complaints policy were all seen. A tour of the communal parts of the home was undertaken and the preparation of the evening meal was observed. All five residents were spoken with briefly and both members of staff. The home was clean and tidy. The residents returned from their daytime activities and were greeted by the staff. They were given choice about how they spent their time until supper. The conversation was generalised and appropriate. What the service does well: What has improved since the last inspection? What they could do better: The application for a variation to the Certificate of Registration needs to be processed. DS0000024404.V277761.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. DS0000024404.V277761.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 DS0000024404.V277761.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. People who use this service can expect that their needs are assessed and reviewed on a regular basis. EVIDENCE: In the personal files seen there was documented evidence that there was ongoing assessment of needs and revision of the care plan interventions. The health of one resident has been deteriorating and their life skills have reduced as a result. There were recently added risk assessments in the file to address newly identified needs. The resident gets tired more easily and their bedtime routine has been adapted to take account of that. The residents have a monthly one to one meeting with their key worker and the discussion is recorded in a special book kept in the resident’s file. One resident has recently had more difficulty concentrating and making decisions. The key worker has noted that although it is difficult to get an opinion from the resident they must still be offered choices. DS0000024404.V277761.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): 7, 8, 9 People who use this service can expect to be supported to make decisions, take risks and be consulted about their views of the home. EVIDENCE: There was evidence in the files that residents make decisions about which day service they wished to attend. One resident helps weekly on a conservation project and another does artwork, some of which has been framed and hung on the walls at the home. There were a number of risk assessments in the files to support activities outside the home. Areas such as road safety, using the minibus, mobility generally and the risk of falls were all covered. When the residents arrived home from their day service they were offered a drink and a choice of what they wanted to do until supper was ready. Some residents went to their room and some chose to watch television. The service has recently bought a ‘digi-box’ so there is a wider choice of programmes. One resident prepared their sandwiches for lunch the following day. DS0000024404.V277761.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): 12, 13, 15 People who use this service can expect to be supported to take part in appropriate community activities and maintain contact with family and friends as they choose. They can also expect to receive a healthy, well balanced diet. EVIDENCE: The personal files contained evidence of some of the outings, trips and holidays that individual residents had participated in. There were a number of photographs recording visits to places like the seaside and a funfair. One resident had been tin pin bowling and had a Christmas meal at the local public house called ‘The Jolly Sailors’. Four of the five residents had stayed with a family member for Christmas day. One resident said they had had a ‘lovely Christmas with masses of presents’. It was recorded in one file that, ‘my family are very important to me and we chat on the phone often’. There were family photographs in the files seen identifying family members. In the office was a list of important family birthdays to be remembered. The supper was prepared from fresh ingredients and was cottage pie with baked beans and a choice of fresh vegetables. Pudding was fresh fruit or DS0000024404.V277761.R01.S.doc Version 5.1 Page 11 yoghurt. A member of staff made a packed lunch for one resident for the following day and there was a choice of white or brown bread with a filling of cheese or meat or sandwich spread. The resident then chose their favourite yoghurt to go with the sandwiches. The home has had a new refrigerator and freezer since the last inspection. They both have a digital temperature display and both were within acceptable range for the safe storage of food. They were both well stocked with a variety of fresh and frozen foodstuffs. DS0000024404.V277761.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): 19, 21 People who use this service can expect to have their health needs met and any deterioration in their health, or a death, to be handled sensitively. EVIDENCE: There was evidence in the residents’ files of appointments with health professionals. One resident who has a diagnosis of dementia recently had a review with a consultant psychiatrist who recommended an alteration to their medication. Another resident had suffered a fracture while on holiday and was attending appointments with the physiotherapist. Their care plan gave details of the equipment they were to use inside the home and outside to help them regain their mobility. One resident can occasionally be aggressive and disrupts the other residents, when this happens staff have found that the resident responds well to having ‘sixties and seventies’ music being played in their own room. This intervention was recorded in the care plan and the risk assessment for managing aggressive behaviour. DS0000024404.V277761.R01.S.doc Version 5.1 Page 13 The files seen recorded the final wishes of the resident. One file had a prepaid funeral plan certificate and one recorded that the resident wished to be cremated and the ashes scattered. The person to handle the arrangements was also recorded. A member of staff said that one resident often says they miss their parents and expect them to visit. The parents have been dead for a number of years but the resident forgets this. There is an intervention recorded on how the situation should be managed to cause the resident the least distress. Another resident, with support from the staff group, recently attended the funeral and wake of a former resident. DS0000024404.V277761.R01.S.doc Version 5.1 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): 22 People who use this service can expect that their views and concerns will be listened to and taken seriously. EVIDENCE: In the personal files seen there was a copy of the complaints procedure written in simple language and illustrated. Staff said that it was the responsibility of the key worker of each resident to ensure that the resident understood the process. The records of the meetings with key workers showed that any concerns raised by a resident were addressed. DS0000024404.V277761.R01.S.doc Version 5.1 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): 28, 29, 30 People who use this service can expect clean and comfortable communal rooms and the use of specialist equipment, if required, to maximise their independence. EVIDENCE: On the day of inspection the communal areas of the home were clean and tidy. The furnishings were attractive and homely. The tables in the dining area were laid with cloths and dark green place mats. There were no unpleasant odours in the home. Personal records of one resident record that they have received a special trolley for helping their mobility when they are outside but it is not to be used indoors. They have another aid for indoor use. One resident has poor hearing and requires hearing aids. The care plan and risk assessment are detailed about the correct use of the hearing aids. Another resident has poor sight and mobility and they have a particular chair at the dining table that has arms to help them get up more easily. There is a garden to the rear of the home that is managed by a volunteer and has seating for the residents’ use. It was a communal garden with other DS0000024404.V277761.R01.S.doc Version 5.1 Page 16 services in the same building but has recently been fenced off to allow safe, private access for the residents of this service. DS0000024404.V277761.R01.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 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, 34, 35 People who use this service can expect to be supported by staff who have received training to meet their individual needs and volunteers who are appropriately recruited. EVIDENCE: The service has a volunteer gardener and a visitor who acts as an advocate for the residents. On the day of the inspection the staff were unable to say whether a Criminal Records Bureau (CRB) check had been done for the volunteers. The manager of the service has since contacted the inspector and given written evidence that the correct checks were done. All staff have received training in supporting a person with the diagnosis of dementia since the last inspection. The home does not currently have a registration category for caring for someone with dementia but an application for variation has been made. Additional training in the Ageing Process is planned, as all the residents are getting older and their needs are changing as a result. DS0000024404.V277761.R01.S.doc Version 5.1 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 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, 42 People who use this service can expect it will be well run and their health and safety will be protected. EVIDENCE: In the two personal files seen there was an individual contract and terms and conditions for the resident. As well as a written version there was a pictorial version so the resident was able to understand the detail. Records were seen of the monthly safety inspection for the fire exit door and the fire extinguisher. There was evidence of regular fire evacuation practices, checks on the fire alarm system, emergency lighting and the first aid box. The electrical equipment such as the kettle, microwave, oven, toaster, computer and television had also been tested recently. Water temperature and refrigerator and freezer temperatures were all recorded and within safe limits. There was a risk assessment in the event of a fire. It was recorded at some fire practices that sometimes a resident refused to leave their room. DS0000024404.V277761.R01.S.doc Version 5.1 Page 19 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 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 X 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 X 3 3 X X X X 3 X DS0000024404.V277761.R01.S.doc Version 5.1 Page 20 None 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. Refer to Standard Good Practice Recommendations DS0000024404.V277761.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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