Inspection on 01/03/07 for Iacha

This inspection was carried out on 1st March 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 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

Iacha 14/01/08

Iacha 06/03/06

Iacha 06/10/05

Iacha 15/03/05

Iacha 17/06/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

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 09/07/2008.

CARE HOME ADULTS 18-65 Iacha 78 First Avenue Springlands Sudbury Suffolk CO10 1QT Lead Inspector Jill Clarke Key Unannounced Inspection 1st March 2007 10:15 DS0000024547.V332029.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 DS0000024547.V332029.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. DS0000024547.V332029.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Iacha Address 78 First Avenue Springlands Sudbury Suffolk CO10 1QT 01787 378211 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) Mr A E Hewitt Mrs Iris Jean Hewitt Mr A E Hewitt Care Home 3 Category(ies) of Learning disability (3) registration, with number of places DS0000024547.V332029.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th March 2006 Brief Description of the Service: Iacha is a privately owned care home providing care for two named persons only, and is not open to the public. Although the owners have made the decision, they have not yet submitted a formal application to the CSCI, to vary their registration certificate to reflect this change. Iacha is located in a residential area on the outskirts of the town of Sudbury, with nearby bus routes into the town centre and other towns. The home is in an ordinary two storey domestic house with the registered persons living on site and carrying out both care and management tasks. The resident’s bedrooms are both single, and situated next to the family bathroom. Access to the first floor is via stairwell or chair lift. Communal space consists of a kitchen, leading off from the dining room, and lounge. There is a small enclosed garden, and off road parking for visitors. Current fees are given a £252 per week. DS0000024547.V332029.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection, lasting nearly 3 hours, which focused on the outcomes of the key standards relating to Younger adults. The report has been written using accumulated evidence gathered prior to, and during the inspection. During the visit the inspector met the 2 residents and spent time looking at care plans, medication records, Statement of Purpose and complaints procedure with Mrs. Hewitt (co-owner). The home is set up to work as a family unit, looking after the current residents only. The situation is to be formalised by the owners who said they will be submitting an application to the CSCI, to vary their registration permanently. As the home is not open to new residents, it was inspected against a limited number of standards. These will be the ones that cover the current residents physical, emotional, social and safety care needs, to evidence that they are being met. This and future reports will provide very little specific information in order to respect the privacy of the 2 residents. Previous discussions had identified that the people living at the home, preferred to be known as residents, rather than service users, this report respects their wishes. What the service does well: What has improved since the last inspection? Mrs Hewitt has continued to review and update records held, including complaints procedure and Statement of Purpose to ensure they hold all the required relevant information. Systems are now in place to record all medication received into the home, and records kept of the time medication is given out. DS0000024547.V332029.R01.S.doc Version 5.2 Page 6 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. DS0000024547.V332029.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 DS0000024547.V332029.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): 1 and 5. Due to the home not taking new residents, standards 2, 3 and 4 were not assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s Statement of Purpose has been updated to reflect their current situation, and the home’s aims and objectives. The residents have been given information on fees payable from their funding authorities. EVIDENCE: Time was spent during the inspection looking at the home’s amended hand written Statement of Purpose, against Schedule 1, of the National Minimum Standards (NMS). This was found to cover the relevant main points, with a couple of minor amendments (cost per week, room sizes), which the owner was addressing when the inspector left. Previous inspections showed that both residents, are funded by Social Care Services, and have received Social Care contracts, out lining their Terms of Conditions of residency. Discussions with 1 resident, confirmed that they were aware of the cost, and any monies payable to them. DS0000024547.V332029.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 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are involved in all decisions about their lives, and are fully consulted over level of care/support they wish to receive. EVIDENCE: The owners, after 15 years know the residents very well, and therefore do not need to refer to the care plans. However, they have ensured that the care plans contain sufficient detailed information, that in an emergency, a person (such as an agency worker) would be able to offer the same level of support. Entries showed that the contents, and care needs are reviewed every 6 to 12 months. The last review covered the period from July 2006 to February 2007. Each resident has their own diary, which contains risk assessments, as well as daily notes. The entries cover any relevant information on the resident’s physical and mental health. This includes visits to the Doctors and dentist. Discussions from this and previous inspections evidence that residents are fully involved with all decisions that affect them within the small family unit. The DS0000024547.V332029.R01.S.doc Version 5.2 Page 10 owners have gained a good insight over the years, to the residents assessed needs, and are able to give a good level of support. There is a lockable filing cabinet to hold any confidentially information securely, which was being used during the inspection. DS0000024547.V332029.R01.S.doc Version 5.2 Page 11 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): 11, 12, 13, 14, 15, 16 and 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is able to support the residents to maintain their independence, whilst living as part of a family. Social, cultural and recreational activities meet the resident’s individual expectations. EVIDENCE: Discussions and observations during this, and previous inspections show how the residents have developed their own daily routines, around their individual preferences. This is very flexible and will vary depending on the day, and other social commitments, which includes meals out as a family, shopping and following their individual pursuits and interests. The residents have formed friendships with their neighbours, and the owner’s family and friends over the years. They find that they are included as part of the family, and invited to any family/friends celebrations and weddings. The DS0000024547.V332029.R01.S.doc Version 5.2 Page 12 owner has previously confirmed that although the residents were included in any invites, it was up to the residents to decide if they wanted to go. The owners own a holiday chalet at the seaside, which is used frequently by the residents. Due to their different interests, when they are away, after breakfast one of the owners will go out with each of the residents to enable them to take part in the activities they want to, joining up as a four again later in the day. Records, and discussions previously with the residents showed that at the present moment they do not want to pursue any educational or occupational training. This is always under review, and the owners have stated their support, if at any time the residents changed their minds. The residents and owners very much live and socialise as a ‘foursome’ who enjoy each other’s company. They show a mutual respect for each other’s feelings, ensuring people can have their privacy and ‘own’ space when they need it. This is important taking into account 4 adults living together, within a normal domestic setting. This has also influence the owners and resident’s decision, not to open the home up for any new people, following the death of a previous resident who is well remembered, and still greatly missed. The owners view IACHA as a home for life, and have made arrangements for their son, to take over the home, and apply for registration if anything happens to them. Residents have keys to lock their bedrooms, and they receive their mail unopened. The owner was seen to knock and wait for an answer, before entering the resident’s bedrooms. Residents join in with housekeeping tasks such as food shopping and keeping their rooms tidy. DS0000024547.V332029.R01.S.doc Version 5.2 Page 13 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 and 20. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The health and personal care that the residents receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: Discussions with the residents, during this and previous inspections show that they receive a flexible, consistent, and responsive support with their care to meet their individual changing needs. Residents care plans give a good insight into the level of support given to support their mental and physical health needs. This included consulting and visiting Health professionals as required. To address the requirement made at the last inspection (6/3/06), the owners have liaised with their local pharmacist, who have supported them by supplying Medication Administration Records (MAR) sheets. The MAR sheets give information on each of the resident’s prescribed medication, including the dosage, and the time it should be taken. Mrs Hewitt initials the sheet to DS0000024547.V332029.R01.S.doc Version 5.2 Page 14 confirm that the medication has been given. Where a resident self-medicates one of their medications, systems are in place to monitor the amount taken. DS0000024547.V332029.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents can expect to be protected from abuse, and have any concerns listened to by the owners, and appropriate action taken to resolve them. EVIDENCE: During the inspection time was spent looking at the home’s updated complaints procedure, which now contains all the required information. Time spent talking to a resident, confirmed that they had “no complaints”. Previous discussions with the owners, confirmed that they are aware of what action to take if they had any concerns over the residents well being, including any suspicion of abuse. They have a copy of Suffolk’s Vulnerable Adult Protection Committee’s operational guidance for care homes. Their son, who covers if the owners are on holiday, also works in the care sector, and has attended vulnerable adult training. DS0000024547.V332029.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents live in a homely, well-maintained, clean, safe environment, which meets their needs. EVIDENCE: At the time of the inspection the hallway was stripped ready for re-decorating. Mrs Hewitt discussed what areas were going to be redecorated, and furniture being replaced. From discussions with the owner and one of the residents, it was clear that they had been fully consulted on what they would like done to their own rooms, including the purchase, by the owners of any new furniture. This and previous visits, always evidence a clean, pleasant, environment which the residents can treat, and do, call their home. DS0000024547.V332029.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The owners have the combined skills and knowledge, to be able to care for, and ensure that the residents physical, social and mental health needs are met. EVIDENCE: The home is the owner’s family house, and they provide all day-to-day care and support required. Although the home does not employ any staff, a family member gives any additional support, when the owners go on holiday. The person concerned works in another care home, at a management level. Evidence has been since previously of them being CRB checked through their full-time care post. The son’s training certificates looked at during a previous inspection, showed that they were well qualified to give the level of support required. The son has also known the residents since the home was established, therefore has a good understanding of their needs. Discussions during this inspection, identified a friend of the owner’s, who is also well known to the residents, had stated that they would be happy to offer assistance if in an emergency, or to take out socially. Mrs Hewitt was aware of DS0000024547.V332029.R01.S.doc Version 5.2 Page 18 her responsibility in ensuring that they obtained an enhanced CRB clearance, and obtained the relevant paperwork as set out in Regulation 19, Schedule 2, of the care Standards Act 2000 – Care Homes for Younger Adults and Adult Placements, before this could happen. DS0000024547.V332029.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run in the best interests of the residents, who are supported by the owners to maintain control over their lives. EVIDENCE: The owner’s Mr and Mrs Hewitt have known the residents for 15 years, therefore have a good insight to their needs, and support required. The home is not opened to new residents, taking this into account, they have not been asked by the CSCI to study for any management qualifications. If the circumstances of the home changed, and the owners decided to take new admissions, the situation over qualifications would need to be reviewed. Time spent with both owners, during different inspections, highlighted their commitment to ensure the current residents lead a meaningful life, surrounded by people who care for them. Taking into account the residents personal DS0000024547.V332029.R01.S.doc Version 5.2 Page 20 situations, the home would not benefit from sending out formal quality assurance surveys. There has never been any concerns raised, during this and previous inspections, that residents are not being fully consulted on any matters affecting the day-to-day running of the home. Recent examples were deciding which items of furniture to be replaced, as one resident did not want their comfortable chair changed – it will be re-covered to match the new. Mrs Hewitt gave assurances that any electrical work is undertaken by qualified tradespersons. The residents are young and fully mobile, therefore the owners do not require any knowledge in manual handling procedures at the current time. DS0000024547.V332029.R01.S.doc Version 5.2 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 3 2 N/A 3 N/A 4 N/A 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 3 26 3 27 X 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 4 3 3 LIFESTYLES Standard No Score 11 4 12 3 13 4 14 3 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 x 3 X 3 X X 3 x DS0000024547.V332029.R01.S.doc Version 5.2 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. 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 DS0000024547.V332029.R01.S.doc Version 5.2 Page 23 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. 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