Inspection on 29/01/07 for Harry Chamberlain Court Residential Home (12)

This inspection was carried out on 29th January 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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Harry Chamberlain Court... 17/11/08

Harry Chamberlain Court... 11/01/06

Harry Chamberlain Court... 01/09/05

Harry Chamberlain Court... 17/11/04

Harry Chamberlain Court... 19/07/04

Harry Chamberlain Court... 25/02/04

Similar services:

Coopers Mill Ltd

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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 Harry Chamberlain Court Residential Home (12) 12 Harry Chamberlain Court Hollingsworth Road Lowestoft Suffolk NR32 4UG Lead Inspector Julie Small Unannounced Inspection 29th January 2007 14:10 Harry Chamberlain Court Residential Home (12) DS0000024404.V324068.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 Harry Chamberlain Court Residential Home (12) DS0000024404.V324068.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. Harry Chamberlain Court Residential Home (12) DS0000024404.V324068.R01.S.doc Version 5.2 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 Vacant Care Home 5 Category(ies) of Dementia (1), Learning disability (5) registration, with number of places Harry Chamberlain Court Residential Home (12) DS0000024404.V324068.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 12 Harry Chamberlain Court may also care for one service user who has both a learning disability and dementia, falling in the registration categories of LD, DE as detailed in the correspondence with the Commission for Social Care Inspection. 11th January 2006 Date of last inspection 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. At the time of the inspection the pre inspection questionnaire stated that the current scale of charge was £62.35 to £94.45. Harry Chamberlain Court Residential Home (12) DS0000024404.V324068.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place on Tuesday 23rd January 2007 over a period of six and half hours. The inspection was a key inspection which focused on the core standards relating to adults and was undertaken by regulatory inspector Julie Small. This report has been written using accumulated evidence gained prior to and during the inspection. The homes acting manager, Mr Andrew Harvey facilitated the inspection. The registered manager had left the home 4th December 2006 and the post was now vacant. A registered manager from another Royal Mencap Society home was undertaking management responsibilities. They informed the inspector that they were present at 12 Harry Chamberlain Court for three days each week. There was a full time deputy manager who took responsibility for the home in the acting managers absence. Three relatives/visitors comment cards and the pre inspection questionnaire (PIQ) was received prior to the inspection. Four residents of the home were met and two was spoken with and three staff members were met and two were spoken with during the inspection. A tour of the building and observation of practice was undertaken and a range of records were viewed. Records viewed included three residents’ records, four staff recruitment and training records, health and safety checks, medication records and quality assurance records. Further records viewed are identified in the main body of the report. Service users and staff made the inspector welcome and all information requested was provided promptly. What the service does well: The home was clean, tidy, well maintained and homely. Resident’s bedrooms were personalised and contained their belongings. The interaction between staff and residents was observed to be positive, friendly and respectful. Residents reported that the staff helped them when they needed it. Resident’s records were well maintained and detailed. Each resident had a life story book. Records were regularly updated and identified their progress and changing needs, there was a good record of their prescribed medications which included possible side effects. One resident showed the inspector their person centre plan, which was displayed on their bedroom wall and identified a step by step plan of actions they had planned to achieve their chosen goals. Harry Chamberlain Court Residential Home (12) DS0000024404.V324068.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Harry Chamberlain Court Residential Home (12) DS0000024404.V324068.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 Harry Chamberlain Court Residential Home (12) DS0000024404.V324068.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): 2, 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents can expect that their needs and aspirations are assessed and that they have individual contracts in the home. EVIDENCE: Three residents records were viewed and each included an assessment of their needs which had been completed prior to them moving into the home by the placing authority. There were also assessments which had been completed by the home. Four of the five residents had lived at the home for over 17 years and two of the longstanding residents records were viewed and held updated assessments of their aspirations and needs completed by the home. Each resident’s records contained an individual care plan which reflected the assessments. There were signed contracts, which included the terms and conditions of the home in the residents records which were viewed. Harry Chamberlain Court Residential Home (12) DS0000024404.V324068.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect that their assessed and changing needs are reflected in their individual plan, they are supported in making decisions about their lives and are consulted aspects of life in the home and that they are supported to take risks as part of an independent lifestyle. EVIDENCE: Three residents records viewed included detailed care plans which identified how their individual aspirations and needs would be met at the home. The care plans the resident’s preferences and needs regarding personal care, communication methods, likes and dislikes, mobility, how they manage their finances and procedures for assisting them with issues around their behaviours. Each resident had an allocated key worker. There were minutes from service reviews which involved the resident, their family, and other professionals involved in their care and the home. There was Harry Chamberlain Court Residential Home (12) DS0000024404.V324068.R01.S.doc Version 5.2 Page 10 evidence that their needs were regularly assessed and care plans were regularly updated with their changing needs, preferences and progress. The care plan updates identified the reasons for the changes and what the changes were. There was evidence that residents were routinely consulted with about the care they received at the home. Residents spoken with said that staff always ask them about what they want to do and if they were happy. One resident showed the inspector their person centred planning which was displayed in their bedroom which was in picture and text format and identified step by step actions they would take to achieve their chosen goals. Their goals were to plan a holiday and a party. They said that they had already completed the party and that they were planning the holiday and that they had changed their mind about the type of holiday they were taking. During the inspection the residents participated in a house meeting, they discussed aspects of their lives in the home including the progress of a rota which they had introduced following the last house meeting which identified housekeeping duties each resident had responsibility for. The minutes for the last house meeting were viewed and were in picture and text format. Residents daily records viewed evidenced that they were routinely consulted with and made choices about their daily lives. Residents records viewed identified that they managed their own finances, this was confirmed in the PIQ. The acting manager said that the home had a home’s visitor who residents could speak to if they wished to. A visitors comment card was received from the visitor. The acting manager said that they involved residents in all aspects of their lives in the home and that they were encouraged to participate in the recruitment of staff at the home. Resident’s satisfaction questionnaires were viewed which had recently been undertaken, they were in a format, which was accessible to the residents. There were risk assessments in each resident’s records viewed which identified the risks and how the risks were to be minimised or prevented in activities of their daily lives which they participated in. Individual risk assessments included using the bath, making hot drinks, using the local dial-a-ride provision, attending external activities, going on holiday and the home’s environment. Each record included procedures which should be taken if a resident was missing from the home. Harry Chamberlain Court Residential Home (12) DS0000024404.V324068.R01.S.doc Version 5.2 Page 11 Harry Chamberlain Court Residential Home (12) DS0000024404.V324068.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): 12, 13, 14, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect that they are supported to participate in appropriate activities, maintain appropriate relationships, that their rights and responsibilities are respected and that they are provided with a healthy diet. EVIDENCE: During the inspection four residents were attending their day centres. One resident did attend a day centre, however they were not well and had remained at the home. Records viewed evidenced that they attended day centres regularly. The manager was spoken with and explained that the home was discussing the possibility of providing day services for the residents. There were some instances where the day service provision for some residents may be withdrawn. A power point presentation was viewed which identified the homes idea for ensuring that residents were provided with meaningful activities in the community if they were without day services. Harry Chamberlain Court Residential Home (12) DS0000024404.V324068.R01.S.doc Version 5.2 Page 13 Two residents spoken with said that they attended their centre regularly, one said that they did painting at their centre and that they were looking at an alternative service which they could attend. Residents reported that they were provided with lots of opportunities to explore their interests. One resident said that they were going to a football match. They showed the inspector their person centred plan which was displayed in their bedroom where they were planning a party and to go on holiday. One resident said that they enjoyed sewing and showed the inspector a rug which they were making with the assistance of a staff member. A staff member said that residents were supported to participate in activities which interest them. They gave examples of how they supported one resident in a shopping trip and afternoon tea, which they had previously enjoyed, but due to mobility problems they had been reluctant to take part. They said that they had talked to the resident about continuing with their interests and that they had a good day. Records viewed evidenced that residents participated in activities such as bingo, coffee mornings, shopping and using the local ‘dial-a-ride’ service. The records evidenced that residents were supported in maintaining relationships with their families and friends, which included visits in and outside the home. Residents spoken with said that their family visited them in the home and that they also went out with their family and spoke to them on the telephone. One resident said that they had organised a Christmas party at the home and that their family members had been invited. Three relatives/visitors comment cards received stated that they were welcomed into the home at any time. Two stated that they could visit their relative/friend in private and one was non applicable because they were the homes official visitor. A resident spoken with said that they had a key for their bedroom door and a key for the homes front door. Residents said that staff knocked their bedroom door before entering. During the inspection the inspector was shown resident’s bedrooms by the individual resident. Interaction observed between staff and residents was positive, friendly and respectful and staff included the residents in their discussions. The homes menu’s were viewed and were balanced and healthy. There was a copy of the weeks menu displayed on the fridge door and one resident showed the inspector what they were eating that day. Residents were observed enjoying their evening meal, one resident said it was nice and another had not eaten all of their meal. They did not give any information as to why they had Harry Chamberlain Court Residential Home (12) DS0000024404.V324068.R01.S.doc Version 5.2 Page 14 not eaten it, they said that they did not want it. Staff ate with the residents. One resident had chosen to have their meal in the lounge and staff was observed assisting them to eat. There was an attractive dining area with sufficient seating for residents and staff. There was a bowl of fresh fruit, which residents could help themselves to and there was a good stock of fresh vegetables and meat. The manager said that the home were encouraging healthy eating and using fresh goods. A resident said that they enjoyed baking and gave examples of what they had recently cooked. Harry Chamberlain Court Residential Home (12) DS0000024404.V324068.R01.S.doc Version 5.2 Page 15 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, 21 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect that they receive personal support in the way they prefer and require, that their physical and emotional needs are met, that they are protected by the homes medication procedures and that their ageing, illness and death are handled with respect and as they would wish. EVIDENCE: Residents spoken with said that they chose their own clothing and toiletries, which they shopped for. Records viewed included care plans, which identified the support they required and preferred with personal care. Records viewed included information about the specific support each resident required regarding their physical and emotional health needs. There were details of the support services they accessed which included the GP, optician, chiropodist and specialist support such as psychiatrist. Appointments and outcomes were clearly recorded. There were details in one residents records regarding the support they required with the dementia and one residents Harry Chamberlain Court Residential Home (12) DS0000024404.V324068.R01.S.doc Version 5.2 Page 16 records included details of their diabetes and the support they required in managing it. Each residents care plan included an information document which included their photograph, a list of prescribed medication, reasons for the prescription, possible side effects and when staff should contact the GP for advice. These documents were also included in the medication records. The storage of medication was viewed, the home had a lockable metal cabinet which was attached to the wall in the office. The home used a monitored dosage system (MDS) and they used a medication administration record (MAR). The medication storage and recording was appropriate and well maintained. There was evidence that the medication was regularly audited. The manager reported that the pharmacy had recently provided the home with a medication storage refrigerator and a camera and they would input a photograph on the MDS. Residents records viewed included clear information regarding the arrangements in the event of death. One resident’s records included details which identified that they had paid and arranged for their funeral. A staff member explained how they were supporting a service user who were having difficulties with their mobility due to ageing, which included supporting them to enjoy going out of the home for activities. Harry Chamberlain Court Residential Home (12) DS0000024404.V324068.R01.S.doc Version 5.2 Page 17 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. This judgement has been made using available evidence including a visit to this service. Residents can expect that their views are listened to and acted on and that they are protected from abuse. EVIDENCE: The home had a complaints procedure and a summary was also provided to residents. Three relatives/visitors comment cards received stated that they were aware of how to make a complaint. The complaints records were viewed and there had been one complaint received regarding personal care, this was noted to be managed appropriately within timescales. There was a record of a complaint which had been made by a resident of the home about the day centre they attended. There was evidence that the home had worked with the resident and raised the complaint to the day centre. Training records were viewed and evidenced that all but three staff had attended POVA (protection of vulnerable adults) training in November 2006. One of the staff members who had not received the training was spoken with and said that they had watched the ‘no secrets’ training video and they were reading the ‘purple book’, which was stored in the office. This was the ‘Vulnerable adult Protection Committee Local Authority Handbook’. Staff spoken with had an understanding of their roles in the protection of residents in the home from abuse. Harry Chamberlain Court Residential Home (12) DS0000024404.V324068.R01.S.doc Version 5.2 Page 18 Residents records viewed included the arrangements for the managing of resident’s finances. All managed their finances themselves, however, there were records of what spending had occurred. One residents record was viewed and clearly explained issues that they had with managing their behaviour and actions staff should take if they were aggressive to staff or other residents. Harry Chamberlain Court Residential Home (12) DS0000024404.V324068.R01.S.doc Version 5.2 Page 19 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, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect that they live in a homely, comfortable, clean, hygienic and safe environment. EVIDENCE: The PIQ stated that the home had recently been equipped with a new shower, new bedroom furniture for one resident, a bedroom was redecorated, the kitchen was refurbished and that there had been new chairs had been purchased. These were viewed during a tour of the building. The home was warm, clean, well maintained and homely. Residents spoken with said that they did some housekeeping in the home and that it was clean and warm. The acting manager confirmed that residents and staff kept the home clean. They said that there were further plans to redecorate other areas in the home. Harry Chamberlain Court Residential Home (12) DS0000024404.V324068.R01.S.doc Version 5.2 Page 20 The laundry was viewed, which included a washing machine and dryer and had hand washing facilities. The acting manager said that they had requested a new washing machine and dryer be purchased. There were no unpleasant odours in the home. Harry Chamberlain Court Residential Home (12) DS0000024404.V324068.R01.S.doc Version 5.2 Page 21 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): 32, 34, 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents can expect that they are supported by competent and qualified staff. Residents cannot be assured that the home’s recruitment practices meets with regulation and that staff are provided with appropriate training. EVIDENCE: The PIQ stated that the home had achieved the target of 50 of staff to have achieved a minimum of NVQ level 2 by 2005. Records viewed in the home evidenced this. The acting manager showed the inspector training records which stated that staff had been provided with first aid and health and safety training, however there was no evidence present in the home. They said that they had approached the training section of the service to request evidence from training courses. There was evidence that staff had been provided with training regarding working safely with medicines, POVA, person centre planning and ageing. The acting manager confirmed that they were planning for staff to be provided with further training such as dementia, epilepsy and food and Harry Chamberlain Court Residential Home (12) DS0000024404.V324068.R01.S.doc Version 5.2 Page 22 hygiene. They explained their plans for completing personal development plans for each staff member. There was evidence that staff had received TOPSS (now skills for care) induction training. Two staff members were spoken with and said that they had received training courses such as ageism, fire safety, medication, epilepsy and food hygiene. Four staff recruitment records were viewed held required information such as two references, proof of identification and an application form. However, two did not hold CRB checks completed by the home. One held a CRB check from a previous work place and a number of another CRB. They were spoken with and said that they had completed a check and they had provided it to the homes previous manager. The acting manager evidenced that they had contacted the homes human resource department and asked for a copy or evidence that a CRB had been received. There was a copy of a CRB application in one record which the manager had said they must apply for if they could not provide evidence that it had been completed. The acting manager reported that the staff members were not allowed unsupervised contact with residents until evidence could be obtained. The PIQ stated that the two staff members did not have evidence of a CRB check on file. Staff rotas were viewed, staff and residents spoken with and visitors/relatives questionnaires said that there was sufficient staff on duty at all times. Harry Chamberlain Court Residential Home (12) DS0000024404.V324068.R01.S.doc Version 5.2 Page 23 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, 39, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered manager post was vacant, however there were arrangements in place for the management of the home during the vacancy. Residents can expect that their views underpin self monitoring, review and development of the home and that their health, safety and welfare is promoted and protected. EVIDENCE: The homes registered manager left the service, which leaves the registration as vacant. There was an acting manager who manages another service who worked at the home for 3 days each week. The PIQ stated that the home had a full time assistant manager and the homes area services manager would provide further support. The acting manager confirmed that they had achieved Harry Chamberlain Court Residential Home (12) DS0000024404.V324068.R01.S.doc Version 5.2 Page 24 an NVQ level 4 in care and NVQ level 4 in management. They said that the assistant manager had achieved an NVQ level 3 care. There was a good range of quality assurance records viewed during the inspection, which included service user satisfaction questionnaires, questionnaires completed by other professionals who provided a service to the residents. There were regular Regulation 26 visit reports, these were also routinely forwarded to the CSCI and report regarding the management compliance of the home, which detailed actions they had taken to improve the service and what they had planned to take. There were clear procedures and guidelines related to the health and safety of the home which were regularly updated. Risk assessments for the environment were viewed, which were regularly updated. There was a fire risk assessment and evidence that fire safety checks were regularly undertaken. During the inspection there was a fire drill and a resident helped the inspector leave the building and reported that there were regular fire drills. During a tour of the building it was noted that all bathrooms and toilets had hand wash gel, disposable towels and gloves. Records were viewed which evidenced that there was recent gas safety checks, water temperature checks, shower head de-scaling and first aid box checks. There was a COSHH (control of substances hazardous to health) folder which included evaluation of risk and COSHH information. There were contractors/visitors clearance forms which were completed when any external visitors did work in the home such as repairs. The acting manager explained that the electrical appliances were to be checked in February 2007, which should have been completed January 2007. However, they had requested they be checked within the timescale and the date provided was the earlier they could access. Harry Chamberlain Court Residential Home (12) DS0000024404.V324068.R01.S.doc Version 5.2 Page 25 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 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 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 DS0000024404.V324068.R01.S.doc 3 3 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 2 X 3 X X 3 X Version 5.2 Page 26 Harry Chamberlain Court Residential Home (12) 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 YA37 Regulation 8(1)(a) Requirement Timescale for action 28/02/07 2. YA35 18(c)(i) 3. YA34 19 Schedule 2 The registered provider must inform CSCI of the long term plans for management in the home The registered provider must 31/03/07 evidence that staff are provided with training appropriate to the work they are to perform There must be evidence that 28/02/07 information set out in Schedule 2 with regards to the recruitment of staff be kept in the home for inspection RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA35 Good Practice Recommendations It is recommended that all staff be provided with a personal development programme Harry Chamberlain Court Residential Home (12) DS0000024404.V324068.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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 Harry Chamberlain Court Residential Home (12) DS0000024404.V324068.R01.S.doc Version 5.2 Page 28 - 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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