Inspection on 17/10/05 for Harry Chamberlain Court Residential Home (44)

This inspection was carried out on 17th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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... 10/11/08

Harry Chamberlain Court... 05/03/07

Harry Chamberlain Court... 28/02/06

Harry Chamberlain Court... 16/03/05

Harry Chamberlain Court... 02/08/04

Harry Chamberlain Court... 11/02/04

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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 (44) 44 Harry Chamberlain Court Hollingsworth Road Lowestoft Suffolk NR32 4UG Lead Inspector Jane Higham Unannounced Inspection 17th October 2005 14.40 Harry Chamberlain Court Residential Home (44) DS0000024405.V259471.R01.S.doc Version 5.0 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 (44) DS0000024405.V259471.R01.S.doc Version 5.0 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 (44) DS0000024405.V259471.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Harry Chamberlain Court Residential Home (44) Address 44 Harry Chamberlain Court Hollingsworth Road Lowestoft Suffolk NR32 4UG 01502 564792 01502 564792 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) Royal Mencap (Housing & Support Services) Mrs Christine Brown Care Home 6 Category(ies) of Learning disability (6), Physical disability (6) registration, with number of places Harry Chamberlain Court Residential Home (44) DS0000024405.V259471.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service Users with Physical Disability The Home may only accommodate people with a Physical Disability if they also have a Learning Disability. 16th March 2005 Date of last inspection Brief Description of the Service: 44 Harry Chamberlain Court is a residential care home providing care and accommodation for up to six adults with a learning disability, who may also have some level of physical disability. The home is owned by the Royal Mencap Society and is situated in a mixed housing complex on the outskirts of Lowestoft. This resource was first registered in 1989. All accommodation is sited at ground floor level and there are two small garden areas accessible to service users and a large car park to the rear of the building. Harry Chamberlain Court Residential Home (44) DS0000024405.V259471.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an Unannounced Inspection of 44 Harry Chamberlain Court, a six bedded residential home for adults with learning disabilities, coupled with physical disabilities, owned and administered by Mencap and situated within a mixed housing complex in a residential area of Lowestoft. This was the first scheduled inspection in the inspection year 2005/2006 and was carried out on 17 October 2005 over a period of 3 hours. On this occasion the Registered Manager was not present during the inspection. The home was inspected against the National Minimum Standards: Care Homes for Adults and the Care Standards Act 2000. The National Minimum Standards and Care Homes Regulations 2001 are referred to throughout this report and any non compliance identified. The inspector spent time talking to staff and residents who were present at the time and an environmental tour of the premises was carried out. Records in relation to the care of residents and the staffing of the home were examined. What the service does well: What has improved since the last inspection? Harry Chamberlain Court Residential Home (44) DS0000024405.V259471.R01.S.doc Version 5.0 Page 6 Since the previous inspection, the home has ensured that the Commission receives a copy of the reports produced following the monthly quality assurance visits required under Regulation 37 of the Care Homes Regulations 2001. 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. Harry Chamberlain Court Residential Home (44) DS0000024405.V259471.R01.S.doc Version 5.0 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 (44) DS0000024405.V259471.R01.S.doc Version 5.0 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): 1, 2, 5 Prospective residents can expect to be provided with adequate information about the services and accommodation provided to enable them to make a decision about whether they would like to live there. No evidence was available to confirm that prospective residents could expect to receive a full assessment to ensure that the home was able to meet their needs. However, residents can expect to be issued with a contract which provides details on the terms and conditions of placement. EVIDENCE: The home has a Statement of Purpose and Service User Guide which is available to all service user and their advocates. This document sets out clearly the services and support that the home seeks to provide and has just been updated to reflect the services provided to one service user who has attained the age of 65. The home has a very stable resident group and the most recently admitted service user had been living at the home for over a year. Documentation in relation to their admission was examined but a pre-admission assessment (Community Care Assessment) was not available for inspection and therefore the home was unable to evidence what needs assessments had taken place prior to the resident moving into the home. However, the resident had been issued with a contract which also provided details of the terms and conditions of placement. Harry Chamberlain Court Residential Home (44) DS0000024405.V259471.R01.S.doc Version 5.0 Page 9 Harry Chamberlain Court Residential Home (44) DS0000024405.V259471.R01.S.doc Version 5.0 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 and 10 Residents can expect to be provided with a detailed plan of care which provides a clear picture of the needs and goals of individuals. Residents can also expect to be supported to make decisions about their lives on the basis of sound risk assessments and to be fully involved in the day to day running of the home. Service Users can be assured that confidential information is handled and stored securely. EVIDENCE: As part of the inspection process, the care plan of a resident who had been living at the home for over a year was examined. The home was able to evidence that a detailed care plan had been produced for this resident providing a clear picture as to what support they required in relation to all areas of daily living. Within the care planning system goals are set for each resident. In the case of this resident, goals had been set for them to enhance their social life by inviting a family member to tea. Strategies and goals had also been set in relation to managing behaviour. Evidence was available to show that these goals were reviewed regularly and recorded when they were achieved. Written guidelines for staff had also been produced in relation to the resident’s preferred daily routine and for showering, ironing and having a bath. Harry Chamberlain Court Residential Home (44) DS0000024405.V259471.R01.S.doc Version 5.0 Page 11 The resident in question showed the inspector how staff members knocked on their door in the morning and was also able to show the inspector where they had their bath each morning. It was evident from the care plan that this resident was encouraged and supported to be as independent as possible and to make decisions around their daily life. The home was able to evidence that a detailed risk assessment had been produced for this resident which included ten areas of risk. These ranged from travelling in a car as a passenger to having a shower. Risk assessments seen were very thorough and evidence was available to show that they had been reviewed regularly. Throughout the inspection, it was evident how residents were encouraged to play a full role in the running of the home. It was observed on the day of the inspection that residents returning home from day services were involved in washing up their own lunchboxes and preparing their sandwiches for the following day. Residents were involved in the evening meal preparation, were making themselves hot drinks and took part in putting away the weekly food shopping. The home was able to evidence that confidential information in relation to service users was stored securely Harry Chamberlain Court Residential Home (44) DS0000024405.V259471.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 13, 14, 16 and 17 Residents can expect to be supported to develop their independent living skills and to play a full and meaningful part in the day to day life of the home. Residents can also expect to take part in leisure activities of their choice and to access local resources and facilities. Residents can expect to be supported to maintain links with family members and to be provided with the opportunity to select meals from a planned and varied menu. EVIDENCE: During the course of the inspection, all residents returned to the home following various day services. Several residents had been attending local learning disability resource centres. On their return one resident reported that they had been to a resource called Aid and Assist where furniture is made and sold. On another day this particular resident also attends a resource called Step Forward which provides a sheltered workshop type environment. One resident showed the inspector various certificates of achievement that they had gained since living at the home. In addition to the provision of day services, residents are able to take part in group or individual activities. These may range from a meal in a local pub to using local shopping and leisure facilities. One resident reported that they had recently celebrated a birthday Harry Chamberlain Court Residential Home (44) DS0000024405.V259471.R01.S.doc Version 5.0 Page 13 and had been to the pub for a meal with a selection of friends. Two residents reported that they had been abroad for a holiday supported by staff members. This had been thoroughly enjoyed and the resident proudly showed their photographs of the trip. Throughout the inspection, residents were observed taking part in the daily tasks of the home. Residents were observed preparing the evening meal, preparing packed lunches for day services the following day, cleaning tasks and helping themselves and other residents to hot drinks. It was evident to the observer that residents were encouraged to be as independent as possible and to play a full role within the home. Residents were able to express choices around how they spent their leisure time. Attendance at day services and other community resources gave residents the opportunity to mix socially in a wider circle. Residents were supported to maintain contact with families and several made regular visits to stay with family members. Care plans for one service user indicated that they were due to invite a family member to the home for tea. During the week, the main meal is served in the evening as residents take a packed lunch to day services. Each resident has a “cook night” where they choose what they would like to cook for the five other service users. Residents will be involved in the planning and preparation of the meal. Meals are prepared from a planned menu which evidenced that service users are offered a varied and nutritious diet. Harry Chamberlain Court Residential Home (44) DS0000024405.V259471.R01.S.doc Version 5.0 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 20 Residents can expect that their physical and emotional health needs will be met via community health services. At the time of the inspection residents were not fully protected by the homes policies and procedures in relation to the safe storage of medication. EVIDENCE: Separate individual records were maintained for all GP visits to the home and any required medical interventions for a service user were documented. An accident involving a resident was recorded and also cross referenced on the appropriate accident report form. As part of the inspection process, the systems used for the safe keeping and administration of medication were examined. Service user medication is supplied by the local pharmacy and uses the monitored dosage system. Appropriate records were found to be completed in relation to the administration of medication to each resident. At the time of the inspection, the medication “blister packs” were stored in a locked filing cabinet within the office. This facility was not secure and does not comply with the Guidance for Misuse of Drugs (Safe Custody) Regulations 1973. Harry Chamberlain Court Residential Home (44) DS0000024405.V259471.R01.S.doc Version 5.0 Page 15 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): 19 and 20 Not assessed as part of this inspection. EVIDENCE: Not assessed as part of this inspection. Harry Chamberlain Court Residential Home (44) DS0000024405.V259471.R01.S.doc Version 5.0 Page 16 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): 24-30 Residents can expect to be provided with both communal and private accommodation which is maintained to a good standard of decorative order and repair, comfortably furnished and appropriate to their individual needs. Residents can expect to live in an environment which is both clean and safe. EVIDENCE: The home is situated in a mixed housing complex and occupies a ground floor position and therefore has level access throughout. There are six resident bedrooms all offered for single occupancy, a large lounge and kitchen/dining room. Whilst none of the bedrooms have the benefit of ensuite facilities, the home has two well equipped communal bathrooms, one of which has an assisited bathing facility and the other which has an ordinary bath and shower. Both bathrooms have a WC. On the day of the inspection, four resident bedrooms were seen at the invitation of the occupants. All four residents were very satisfied with the standard of their bedrooms. One of the residents pointed out their new bedspread and carpet and another reported that they were pleased with the amount of storage space provided. All four bedrooms seen were very individual and had been furnished to a high standard with the involvement of the occupant. Good use had been made of attractive soft furnishings and all four rooms reflected the interests and preferences of the occupant. Several of the residents rooms had a television and music centre Harry Chamberlain Court Residential Home (44) DS0000024405.V259471.R01.S.doc Version 5.0 Page 17 and had been made to look very homely with the addition of personal belongings and photographs. There is a spacious lounge which is sited centrally and provided with comfortable armchairs and settees and a television. During the inspection several residents spent time in this room and appeared very relaxed. The home also has a pet budgie who resides in the lounge. The kitchen/dining room is well-equipped with domestic equipment and is sufficiently spacious to enable several residents and staff to work in there together. The dining area is provided with two dining tables so that residents can eat together in smaller groups. This room leads directly out to the rear of the garden where there are small garden areas and car parking facilities. All areas of the home were maintained to a good standard of cleanliness and hygiene and no unpleasant odours were detected. A kitchen cleaning rota was maintained which evidenced that all cleaning tasks were completed at the required frequency and then signed off by the staff member responsible. Harry Chamberlain Court Residential Home (44) DS0000024405.V259471.R01.S.doc Version 5.0 Page 18 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): 32, 33 and 36 Residents living at the home can expect to be supported by staff who have relevant qualifications and are appropriately supervised. Residents can also expect to be supported by staff in sufficient numbers to ensure both their health and safety. EVIDENCE: On the day of the inspection, the registered manager was on annual leave but the home was being staffed by two support workers. This level of staffing is available throughout the day when residents are not attending day services. During the night period the home is staffed by one support worker on a “sleepin” basis. As the manager was not available, staff training and personnel files could not be accessed. However, one of the staff members was able to confirm that they had recently transferred from another Mencap resource and had completed both the Induction and Foundation training which complied with TOPPS standards. The staff member was also able to confirm that they were provided with regular one to one supervision by the registered manager. Supervision sessions for all staff members were marked on the staffing rota seen at the time of the inspection. The other staff member on duty was able to confirm that they had already achieved an NVQ Level 2 and 3 in care. The most recently recruited staff member commented that the home had a very stable and strong staff team who had an in-depth knowledge of the needs of service Harry Chamberlain Court Residential Home (44) DS0000024405.V259471.R01.S.doc Version 5.0 Page 19 users. Staff were observed to interact well with residents and to encourage them to be involved in the daily life of the home and to be as independent as possible. Harry Chamberlain Court Residential Home (44) DS0000024405.V259471.R01.S.doc Version 5.0 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 42 In general the home provides a safe environment for service users. One issue in relation to fire safety required addressing. EVIDENCE: The home was able to evidence that it documents any accident involving either a resident or staff member. Hot water delivered to all outlets accessible by residents were maintained within a safe range. Records seen evidenced that fire alarms were tested on a weekly basis. Emergency lighting was only tested on a three monthly basis and not monthly as per guidance produced by Suffolk Fire and Rescue Service. Detailed risk assessments are provided for each service user and reviewed on a regular basis (See standard 9). Harry Chamberlain Court Residential Home (44) DS0000024405.V259471.R01.S.doc Version 5.0 Page 21 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 2 x x 3 Standard No 22 23 Score x x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 4 4 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 4 3 4 3 3 LIFESTYLES Standard No Score 11 3 12 x 13 3 14 3 15 x 16 4 17 Standard No 31 32 33 34 35 36 Score 3 3 x x x x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x 3 2 x Standard No 37 38 39 40 41 42 43 Score x x x x x x 2 Harry Chamberlain Court Residential Home (44) DS0000024405.V259471.R01.S.doc Version 5.0 Page 22 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 YA2 Regulation 14(1) Requirement Timescale for action 17/10/05 2 YA20 3 YA42 The Registered Persons must ensure that a pre-admission assessment is completed for all prospective service users and must be available for inspection. 13(2) The Registered Persons must ensure that the home is provided with a “fit for purpose” medication storage unit which complies with the Guidance for Misuse of Drugs (Safe Custody) Regulations 1973. 23(4)(c)(v) The Registered Persons must ensure that emergency secondary lighting is tested every month as per Suffolk Fire and Rescue Service guidelines. 04/01/06 17/10/05 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 None Good Practice Recommendations None DS0000024405.V259471.R01.S.doc Version 5.0 Page 23 Harry Chamberlain Court Residential Home (44) 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. Extracts may not be used or reproduced without the express permission of CSCI Harry Chamberlain Court Residential Home (44) DS0000024405.V259471.R01.S.doc Version 5.0 Page 24 - 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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