Inspection on 28/02/06 for Harry Chamberlain Court Residential Home (44)

This inspection was carried out on 28th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 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... 17/10/05

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 28th February 2006 10:00 Harry Chamberlain Court Residential Home (44) DS0000024405.V284793.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 Harry Chamberlain Court Residential Home (44) DS0000024405.V284793.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. Harry Chamberlain Court Residential Home (44) DS0000024405.V284793.R01.S.doc Version 5.1 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) www.mencap.org.uk Royal Mencap Society Mrs Christine Brown Care Home 6 Category(ies) of Learning disability (6), Learning disability over registration, with number 65 years of age (1), Physical disability (6) of places Harry Chamberlain Court Residential Home (44) DS0000024405.V284793.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service Users with Physical Disability The Home may only accommodate people with a Physical Disability if they also have a Learning Disability. One named person in the category of Learning Disability over the age of 65 One named person in the category of Learning Disability over the age of 65 made known to the Commission for Social Care Inspection on 20 April 2005 (as named in the application) 17th October 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.V284793.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an Unannounced Inspection of 44 Harry Chamberlain Court, a six bedded residential resource 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. The home is owned by Waveney District Council and staffed and administered by the Royal Mencap Society, who provide services for people with learning disabilities on a nationwide basis. This was the second inspection in the inspection year 2005/2006 and was carried out on 28 February 2006 over a period of two hours. All key standards have been assessed over the two inspections and this document should be read in conjunction with the report of the Unannounced Inspection which took place on 17 October 2005. 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 Registered Manager was present at the time of the inspection and assisted with the inspection process. On this occasion, key standards not assessed as part of the previous inspection were examined and any requirements made at that time were re-assessed. The Inspector had the opportunity to speak to both residents and staff. What the service does well: The service provides residents with very person centred care in a homely, relaxed and domestic style. Residents are supported to maximise their independence and to make choices around how and at what level they wish to be supported. Residents are encouraged to become involved in the day-to-day domestic life of the home and there is a warm and inclusive atmosphere. The Inspector asked all the residents what they liked about the home: Comments included: “I like watching TV and helping the other residents” “I like looking after my bedroom and answering the telephone” Harry Chamberlain Court Residential Home (44) DS0000024405.V284793.R01.S.doc Version 5.1 Page 6 “It’s a nice place and they have a budgerigar” “I like going to the Gateway Club.” 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. Harry Chamberlain Court Residential Home (44) DS0000024405.V284793.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 Harry Chamberlain Court Residential Home (44) DS0000024405.V284793.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): Not assessed as part of this inspection. EVIDENCE: Standards 1, 2 and 5 were assessed as part of the previous Unannounced Inspection which took place on 17 October 2005. Harry Chamberlain Court Residential Home (44) DS0000024405.V284793.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): Not assessed as part of this inspection. EVIDENCE: Standards 6, 7, 8,9 and 10 were assessed as part of the previous Unannounced Inspection which took place on 17 October 2005. Harry Chamberlain Court Residential Home (44) DS0000024405.V284793.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 and 15 Residents living at the home can expect to be enabled to access work opportunities and to maintain links with family and friends. EVIDENCE: Standards 11,13, 14, 16 and 17 were assessed as part of the previous inspection which took place on 17 October 2006. The home was able to evidence that although no service users were attending college courses at the present time, several were attending work projects. One resident advised that they had just returned from working in a garden centre and also attended a work resource called Aid and Assist. One resident also advised that they attended a work project called Step Forward where they had been painting fences and making garden furniture. The home encourages residents to maximise their daily living skills and independence and one service user reported that they travelled to and from their day service unaccompanied. The home evidenced that it enabled service users to maintain strong links with family and friends, although social acquaintances were mainly within the spectrum of learning disability services. One service user reported that they Harry Chamberlain Court Residential Home (44) DS0000024405.V284793.R01.S.doc Version 5.1 Page 11 visited their Mother every day and the majority of other residents maintained weekly contact with parents and/or siblings. Harry Chamberlain Court Residential Home (44) DS0000024405.V284793.R01.S.doc Version 5.1 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 and 20 Residents living at the home can expect their personal care needs to be addressed in a way that takes account of their preferred routines. 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: Standards 19 and 20 were assessed as part of the previous Unannounced Inspection which took place on 17 October 2005. As part of the inspection the way in which residents were offered personal care was assessed. The home was able to evidence that residents’ preferences in relation to personal care are documented within a very detailed daily routine sheet. The daily routine sheet for one resident set out how they liked to have their bath in the mornings and gave detailed information of what level of assistance and support they needed to carry out other personal care tasks and how they preferred to be assisted. It was clear that the home had placed a high priority on ensuring that personal care was delivered in accordance with the wishes of service users. In the previous inspection the current storage for resident medication was found to be not “fit for use” as a locked filing cabinet was being used. This Harry Chamberlain Court Residential Home (44) DS0000024405.V284793.R01.S.doc Version 5.1 Page 13 facility was not secure and did not comply with the Guidance for the Misuse of Drugs (Safe Custody) Regulations 1973. A requirement was made that the home provide a “fit for purpose” medication cabinet or trolley. At the time of this inspection medication was still being stored in a locked filing cabinet. Harry Chamberlain Court Residential Home (44) DS0000024405.V284793.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 and 23 Residents living at the home can expect to be provided with sufficient information to allow them or their families to make a complaint about the quality of the service. Service Users are protected by the home’s policies, procedures and training on abuse. EVIDENCE: The home was able to evidence that it has a Complaints Procedure which is produced by the owning organisation which tells residents and their families how they can make a complaint about the service. On the day of the inspection a copy of this procedure was displayed on the resident notice board. Contact details for the Commission for Social Care Inspection were provided within this procedure. The procedure is also available on audio tape for service users with reading and comprehension difficulties. The manager was able to advise how she had supported two residents to make a complaint to the owning organisation using the agreed procedure. All staff receive training on the Protection of Vulnerable Adults as part of the Foundation Training Programme. The home had a copy of the Suffolk procedure on the Protection of Vulnerable Adults, although this has since been revised. Contact details were provided to the Manager to enable the home to obtain an up to date copy for use within the home. Harry Chamberlain Court Residential Home (44) DS0000024405.V284793.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): 24 - 30 Residents can expect to be provided with accommodation which is comfortable, homely and well-maintained and which meets their assessed needs. EVIDENCE: Standards 24-30 were assessed as part of the previous Unannounced Inspection which took place on 17 October 2005. These standards were reassessed as part of this most recent inspection. 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 advantage of ensuite facilities, the home has two well equipped communal bathrooms, one of which has an assisted bathing facility and the other has an ordinary bath and shower. Both bathrooms have a WC. As in previous inspections, the home was maintained to a high standard of decorative order and repair and provided a very homely environment for service users. Since the previous inspection, the communal lounge had been redecorated and a new attractive frieze had been added which had been Harry Chamberlain Court Residential Home (44) DS0000024405.V284793.R01.S.doc Version 5.1 Page 16 chosen by two of the residents. New light fittings had been provided in the kitchen and new carpet had been laid in the hallway. Resident bedrooms were decorated and furnished to a high standard and had been made very personal by each occupant, reflecting both personal tastes and interests. The kitchen was well-equipped and domestic in style, with two separate dining tables where residents could come together to eat their meals. The kitchen/dining room appeared to be the focal point of the home with residents arriving back from day services and helping themselves to drinks and preparing packed lunches for the following day. All areas of the home were maintained to a high standard of cleanliness and hygiene and no unpleasant odours were detected. It was note don the day of the inspection that the home was experiencing problems with the heating system which was being attended to by engineers. Harry Chamberlain Court Residential Home (44) DS0000024405.V284793.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): 33, 34 and 35 The home’s recruitment procedures seek to protect residents, although all required documentation must be available for inspection. Residents can expect to be supported by trained staff at a level which is appropriate to meet their assessed needs. EVIDENCE: Standards 32, 33 and 36 were assessed as part of the previous Unannounced Inspection which took place on 17 October 2005. As part of the inspection process, the personnel files for the two most recently employed staff members were examined. In both cases the home was able to evidence that staff members are subject to both an Enhanced Disclosure via the Criminal Records Bureau and a POVA check. The home was able to evidence that newly employed staff were provided with a copy of their terms and conditions of employment. Whilst the home was able to evidence that in the case of one of the two staff members, satisfactory written references had been obtained prior to the commencement of employment, in the case of the other staff member these documents were not available for inspection. On the day of the inspection the home was being staffed by the Registered Manager, assisted by one support worker. During the night residents are supported by one member of staff on a “sleep-in” basis. Harry Chamberlain Court Residential Home (44) DS0000024405.V284793.R01.S.doc Version 5.1 Page 18 The home employs seven support staff in total, including the Registered Manager. The home was able to evidence that all staff undertake a formal Induction and Foundation training package which complies with TOPPS standards. Training records are maintained for each staff member and evidence that staff are provided with training in all mandatory areas such as moving and handling, first aid, basic food hygiene and fire safety. Staff training is also provided in service specific areas such as communication and risk assessment. The home was able to evidence that one staff member had recently completed training in the care of people with dementia thus acknowledging the needs of service users who were advancing in years. Harry Chamberlain Court Residential Home (44) DS0000024405.V284793.R01.S.doc Version 5.1 Page 19 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 and 39 Residents can expect to reside in a home which is managed and administered effectively. Residents and their families can also expect that their opinions will be actively sought as to the quality of the services provided. EVIDENCE: Standard 42 was assessed as part of the previous Unannounced Inspection, which took place on 17 October 2006. The Registered Manager, Ms. Christine Brown, has worked at the home since its opening and has been its Manager for over 12 years. Ms. Brown has commenced the Registered Manager’s Award, having completed four units. It was noted that the home had an open and inclusive atmosphere and on their return from day services, residents came directly to the Manager to tell her how their day had been and what they had been doing. Harry Chamberlain Court Residential Home (44) DS0000024405.V284793.R01.S.doc Version 5.1 Page 20 The home provides the Commission with a monthly report of the quality assurance visits carried out in compliance with Regulation 26 of the Care Homes Regulations 2001. Additionally the home holds regular resident meeting. Minutes of these minutes were seen and evidenced that all residents were asked to give their opinion of the services provided. The service provider distributes a stakeholder and family questionnaire to gain feedback for quality assurance purposes. Harry Chamberlain Court Residential Home (44) DS0000024405.V284793.R01.S.doc Version 5.1 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 Standard No Score 1 x 2 x 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 4 23 3 ENVIRONMENT Standard No Score 24 4 25 4 26 4 27 3 28 4 29 3 30 3 STAFFING Standard No Score 31 x 32 x 33 3 34 2 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 DS0000024405.V284793.R01.S.doc x x x x x LIFESTYLES Standard No Score 11 x 12 3 13 x 14 x 15 4 16 x 17 x Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 x 2 x 3 x 3 x x x x Version 5.1 Page 22 Harry Chamberlain Court Residential Home (44) YES 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 YA20 Regulation 13(2) Requirement 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. The Registered Persons must ensure that two satisfactory written references are obtained prior to any prospective staff member commencing duties. These references must be available for inspection. Timescale for action 01/05/06 2 YA34 19(1)(b) 28/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA23 Good Practice Recommendations The Registered Persons should obtain a copy of the revised local authority procedure for the Protection of Vulnerable Adults. DS0000024405.V284793.R01.S.doc Version 5.1 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.V284793.R01.S.doc Version 5.1 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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