Inspection on 26/10/05 for Highwater House

This inspection was carried out on 26th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Highwater House 17/05/06

Highwater House 20/04/05

Highwater House 06/12/04

Highwater House 05/07/04

Highwater House 16/12/03

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 St Martins House Westwick Street Norwich Norfolk NR2 4SZ Lead Inspector Mr Roger Andrews Unannounced Inspection 26th October 2005 11:00 St Martins House DS0000027464.V263124.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 St Martins House DS0000027464.V263124.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. St Martins House DS0000027464.V263124.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service St Martins House Address Westwick Street Norwich Norfolk NR2 4SZ 01603 766627 01603 766672 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) St Martins Housing Trust Miss Angela Herbert Care Home 22 Category(ies) of Learning disability (22), Mental disorder, registration, with number excluding learning disability or dementia (22), of places Physical disability (22) St Martins House DS0000027464.V263124.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th April 2005 Brief Description of the Service: St Martins House is a care home operated by the St Martins Housing Trust, a Norwich based registered charity working with people who have experienced homelessness. The care home is registered to accommodate up to a maximum of 22 people who fall within one or other or a combination of categories: people with mental disorder, learning difficulties (excluding dementia) or physical disabilities. Service users may also have problems with substance or alcohol misuse. Although the care home does not offer specific rehabilitative services, service users are encouraged to develop confidence and skills to potentially enable them to ultimately acquire greater independence. The premises were originally designed to offer hostel accommodation to homeless people and as such fail to meet National Minimum Standards for a care home. However, this should be rectified as a substantial redevelopment of the property is planned. St Martins House DS0000027464.V263124.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced. Its purpose was to briefly look at the routine of the residents, chat with some residents and staff and make a tour of the building. Not all of the National Minimum Standards were inspected on this visit. For a more detailed picture of St Martins House the previous inspection report should be read as well. The comments and summary represent what was seen and talked about on the day. What the service does well: 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. St Martins House DS0000027464.V263124.R01.S.doc Version 5.0 Page 6 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 St Martins House DS0000027464.V263124.R01.S.doc Version 5.0 Page 7 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): These standards were not inspected on this occasion. EVIDENCE: St Martins House DS0000027464.V263124.R01.S.doc Version 5.0 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7&8 Residents receive help and support from the staff and are consulted on changes affecting St Martins House. EVIDENCE: A resident outlined the support he received from the staff. He was very complimentary about the staff team and thought they did a good job with people who could present them with a range of challenges because of drinking or other problems. He felt St martins had made a difference to his lifestyle and that he had made progress over the time he had lived there. He particularly liked the holiday mobile home which the organisation has near the beach which residents are able to use for local breaks with the support of the staff. He also said that the food was good. This resident said he was free to come and go. There were a few rules, such as no drinking on the premises, but residents understood why these rules were in place. The residents are aware of the forthcoming plans to improve the building. This will involve a period of transition as parts of the building are demolished and reconstructed. One of the residents talked with on the day said that he was looking forward to the improvements. St Martins House DS0000027464.V263124.R01.S.doc Version 5.0 Page 9 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): 17 There is a choice of menu and mealtimes are flexible. EVIDENCE: Some residents were having their midday meal. The menu is displayed in the large dining room, though the chef reported that alternatives are always provided. Some residents have their meals in their rooms and their diet is monitored, e.g. for health reasons. Dietary advice from the community nurse is recorded. Meal times are flexible and the kitchen is available from 7.30am through to 6.30pm. St Martins House DS0000027464.V263124.R01.S.doc Version 5.0 Page 10 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): Standards not inspected on this occasion. No complaints have been received by the Commission about this service since the previous inspection. EVIDENCE: St Martins House DS0000027464.V263124.R01.S.doc Version 5.0 Page 11 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): Standards not inspected on this occasion. EVIDENCE: St Martins House DS0000027464.V263124.R01.S.doc Version 5.0 Page 12 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 The building does not meet current standards, but substantial improvements are planned. EVIDENCE: As noted in the previous inspection report, the building requires considerable upgrading to provide acceptable standards of accommodation. This includes undersize bedrooms and the need to replace bathroom and shower facilities. However, substantial plans have been drawn up and shared with the Commission setting out the improvements which will be made. This will bring the premises up to a standard where they will comply with current regulations. Some of the bedrooms are currently being decorated as a short-term measure. No obvious hazards were noted during a tour of the building. St Martins House DS0000027464.V263124.R01.S.doc Version 5.0 Page 13 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 & 34 A thorough recruitment process is in operation. Residents benefit from an experienced and stable staff group. EVIDENCE: The manager has a list of Criminal Records Bureau checks undertaken and the date on which she has viewed the originals at head office. It was agreed that the head office should supply the manager with a letter, each time a member of staff is employed, stating that an enhanced Criminal Records Bureau check has been undertaken and this can be kept on the staff file. No staff have left or been recruited since the previous inspection took place. Two members of staff were chatted with. They both commented on the strong support and team work and the good support they receive from the manager. This reflects a similar picture to that given at the previous inspection. The majority of staff have worked at St Martins for many years and are very experienced in supporting residents. St Martins House DS0000027464.V263124.R01.S.doc Version 5.0 Page 14 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): Standards not inspected on this occasion. EVIDENCE: St Martins House DS0000027464.V263124.R01.S.doc Version 5.0 Page 15 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 X X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 3 X X Standard No 24 25 26 27 28 29 30 STAFFING Score 1 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 St Martins House Score X X X X Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000027464.V263124.R01.S.doc Version 5.0 Page 16 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations St Martins House DS0000027464.V263124.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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