Inspection on 14/01/08 for Iacha

This inspection was carried out on 14th January 2008.

CSCI found this care home to be providing an Good service.

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 01/03/07

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 Jane Greaves Unannounced Inspection 14th January 2008 09:00 Iacha DS0000024547.V357821.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 Iacha DS0000024547.V357821.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. Iacha DS0000024547.V357821.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 2 Category(ies) of Learning disability (2) registration, with number of places Iacha DS0000024547.V357821.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. To only offer care and accommodation to 2 named persons - as given in Application No V39877 1st March 2007 Date of last inspection 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. 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 family 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 at £252 per week. Iacha DS0000024547.V357821.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This unannounced key inspection took place in January 2008 over a period of 2 ½ hours. The visit focused on the outcomes of the National Minimum Standards relating to Younger adults. The report has been written using accumulated evidence gathered prior to, and during the inspection site visit. The registered persons were not present at the home on this day however a family member was in charge and was able to provide us with any information required and one person living at the home was happy to chat to us about the experience of living at the home. As the home is not open to new people, it was inspected against a limited number of standards. These cover the current residents’ physical, emotional, social and safety care needs, to confirm 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. 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. Iacha DS0000024547.V357821.R01.S.doc Version 5.2 Page 6 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. Iacha DS0000024547.V357821.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 Iacha DS0000024547.V357821.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): Quality in this outcome area was not assessed at this visit. This judgement has been made using available evidence including a visit to this service. Not applicable. EVIDENCE: As the service is not admitting any new residents this outcome group was not assessed at this visit. Iacha DS0000024547.V357821.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 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living at Iacha are involved in all decisions about their daily lives, and are fully consulted over the level of care and support they wish to receive. EVIDENCE: The service involves the people living there in the planning of care and embraces the importance of individuals being supported to take control of their own lives. People are encouraged to make their own decisions and choices and are supported to live independently of each other ensuring that their individuality is valued and promoted. Care plans took the form of a diary for each person. Medication was listed at the front along with any particular care needs. Risk assessments were at the back of the diary and these included areas such as risks of scalds from tea making, carrying a tray with hot drinks and gardening etc. Iacha DS0000024547.V357821.R01.S.doc Version 5.2 Page 10 Daily notes did not contain detail describing what people did with their lives or what support was provided to each individual daily however it was evident from discussion at this visit that the individuals residing at Iacha enjoyed a happy and settled family life in a safe and supportive atmosphere. Iacha DS0000024547.V357821.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): 12, 13, 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 service supports people to maintain their independence, whilst living as part of a family. Social, cultural and recreational activities meet individual expectations. EVIDENCE: Individuals are involved in meaningful daytime activities of their own choice and according to their individual interests, diverse needs and capabilities. They are supported and encouraged to access and enjoy the opportunities available in their local community, such as the local shops and medical centre. The service is committed to the principles of inclusion and promotes and fosters good relationships with friends, neighbours and other members of the local community. People are involved in the daily domestic routines of the house. Opportunities are available for people to be involved in food shopping and the preparation of Iacha DS0000024547.V357821.R01.S.doc Version 5.2 Page 12 meals, it was reported that “We get a variety of good food here; occasionally I mention that I would like something in particular and they get is for me but most of the time they know what I like”. Iacha DS0000024547.V357821.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 good. This judgement has been made using available evidence including a visit to this service. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice EVIDENCE: Personal support is responsive to the varied and individual needs and preferences. Personal care is achieved by prompting individuals and is flexible, consistent, reliable, and person centred. The principles of privacy, respect and dignity are incorporated into daily life for the people living at Iacha. Residents care plans give an insight into the level of support given to support their mental and physical health needs. This included consulting and visiting Health professionals as required. The Medication Administration Record sheets give information on each of the resident’s prescribed medication, including the dosage, and the time it should be taken. Sheets seen at this visit did not contain the initials of the person Iacha DS0000024547.V357821.R01.S.doc Version 5.2 Page 14 administering the medication. A discussion was held with the person in charge about the necessity of completing these records appropriately. Where a resident self-medicates one of their medications, systems are in place to monitor the amount taken. Discussions with one person confirmed that they had received their medication as prescribed, and they knew what medication they were taking, and what it was for Iacha DS0000024547.V357821.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. People living at the home could be confident their views are listened to and acted upon and they are protected from abuse, neglect and self harm EVIDENCE: There is an open culture that allows people to express their views and concerns in a safe, family environment. Individuals report that they are happy living at the home and feel safe and well supported by a service that has their protection and safety as a priority. Discussions during this visit confirmed that people would be totally confident to raise any concerns they may have with the owners and they were aware of the role of the Commission for Social Care Inspection. Iacha DS0000024547.V357821.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 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a safe, well-maintained and comfortable family environment. EVIDENCE: Discussion with a person living at the home confirmed that the owners respected that the people’s bedrooms were their own ‘space’, and free to furnish as they wished. The home is a family home and a very pleasant, safe place to live. Iacha DS0000024547.V357821.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 individuals living at the home are cared for by people who have a good understanding of their individual needs. EVIDENCE: The home is the owner’s family house, and they provide all day-to-day care and support required. Although the service does not employ any external staff, family members provide any additional support needed when the owners go on holiday. All family members have known the residents since the home was established; therefore have a good understanding of their needs. Iacha DS0000024547.V357821.R01.S.doc Version 5.2 Page 18 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 people living there EVIDENCE: As stated in previous inspection reports for this service the owner’s have known the residents for many years, and therefore have a good insight to their needs and support required. The home is not open to new residents and taking this into account, the owners have not been asked by the commission to study for any management qualifications. Whilst the service does not have a formal annual quality assurance system in place it is recognised that the individuals living there are involved in and influence all aspects of daily life including areas such as what food they eat, Iacha DS0000024547.V357821.R01.S.doc Version 5.2 Page 19 what they do on holiday, the refurbishment of the environment and replacement of household furnishings. Iacha DS0000024547.V357821.R01.S.doc Version 5.2 Page 20 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 N/A 2 N/A 3 N/A 4 N/A 5 N/A 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 X 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 X LIFESTYLES Standard No Score 11 X 12 3 13 4 14 X 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 Iacha DS0000024547.V357821.R01.S.doc Version 5.2 Page 21 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 Iacha DS0000024547.V357821.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Colchester Fairfax House Causton Road Colchester Essex CO1 1RJ 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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