Inspection on 06/03/06 for Iacha

This inspection was carried out on 6th March 2006.

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

Iacha 14/01/08

Iacha 01/03/07

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 Unannounced Inspection 6th March 2006 2:35 Iacha DS0000024547.V285128.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 Iacha DS0000024547.V285128.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. Iacha DS0000024547.V285128.R01.S.doc Version 5.1 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 Iacha DS0000024547.V285128.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th October 2005 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 residents 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. Iacha DS0000024547.V285128.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second of 2 regulatory inspections, undertaken between 1 April 2005 and 31 March 2006. The unannounced inspection was undertaken by the Lead Inspector for the home, and took place over 3 ½ hours, on a Monday in March. During the inspection, time was spent with the residents and the owners, who made the inspector feel welcome, and took an active part in the inspection. The home has been asked to submit an application to vary their registration so their certificate reflects theirs, and the current residents decision not to take any new residents, following the death of the third resident, who lived as part of the strong family unit. As the home is not open to new residents, it will be 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? What they could do better: The home now needs to submit an application, to formally change their registration from 3, to 2 named residents. Procedures for giving and recording medication held, needs to be reviewed, to ensure it meets current guidelines. The home has updated their Statement of Purpose to reflect the current situation, which just needs a small amended to replace the residents names, Iacha DS0000024547.V285128.R01.S.doc Version 5.1 Page 6 with the category they are registered to care for, as stated on their registration certificate. 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. Iacha DS0000024547.V285128.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 Iacha DS0000024547.V285128.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): 1. The home’s Statement of Purpose has been updated, to reflect their current situation, and the home’s aims and objectives. EVIDENCE: Due to the home not taking new residents, standards 2, 3 and 4 were not assessed. Since the last inspection, in readiness for submitting an application to vary their registration from 3 to 2 residents, the home has updated their Statement of Purpose, a copy of which was sent to the Commission for Social Care Inspection (CSCI). This was looked at with the owners during the inspection. It contained a good level of information on the level of service provided, including the home’s aims and objectives. The Statement of Purpose clearly states why they are requesting a change in registration from 3 to 2 residents, keeping the document personalised by naming the residents. This will be used as part of their application, but to ensure confidentiality of the residents, their names must be removed from the Home’s Statement of Purpose, which could be looked at by members of the public. Iacha DS0000024547.V285128.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): 9. Residents are supported to take risks, as part of their daily lives. EVIDENCE: Standards 6, 7 and 8, were assessed as met during the last inspection (6 October 2005). This resulted in the following judgement being made ‘The residents are able to make their own decisions, and are fully consulted on all aspects on the running of the home.’ Records showed that any risks to the residents, as part of their daily lives, had been assessed, which included any medical conditions. Where possible the risk had been eliminated or reduced, to an acceptable level. Time spent with 1 resident confirmed that they were able to take part in what activities they wanted, and did not feel restricted. Iacha DS0000024547.V285128.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): 14. Residents are supported to join in activities, and follow their interests and hobbies. EVIDENCE: Standards 12, 13, 15, 16 and 17, were assessed as met during the last inspection (6 October 2005). This resulted in the following judgement being made ‘The home is able to support the residents to maintain their independence, whilst living as part of a family. The residents can expect to have their privacy and views respected, and be invited to join in social activities with the family.’ Discussions with the residents during this, and previous visits, showed that they followed their own individual interests, which included gardening, watching DVD’s, and listening to their music systems. They were free to have their “own space” when they wanted, or could join in as a family, going out on social outings and holidays at the owner’s holiday home. Iacha DS0000024547.V285128.R01.S.doc Version 5.1 Page 11 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): 20. The home needs to follow safe medication guidelines, to reduce any potential risk of errors, and to confirm that medication is being given out as prescribed. EVIDENCE: Standards 18 and 19 were assessed as met during the last inspection (6 October 2005). This resulted in the following judgement being made ‘Residents are given the level of support they require, to maintain their personal and mental health.’ Medication was stored securely, with each resident’s medication kept in a sealed container, within a lockable cabinet. However, it was noted that, although the medication was kept in different closable containers, the owner had already taken the medication out of it’s original pharmacist container and placed it in an open pot, ready to give out at a later date. This led to discussions that although the containers were held in a secured cabinet, and the person who had prepared the medication would be giving it out, this practice could lead to a potential mistake being made. There were no records kept, to be able to fully audit what medication was coming into, and out of the home, and confirm when it was given. However, discussions with 1 of the resident’s, did confirmed that they had received their Iacha DS0000024547.V285128.R01.S.doc Version 5.1 Page 12 medication as prescribed, and they knew what medication they were taking, and what it was for. Iacha DS0000024547.V285128.R01.S.doc Version 5.1 Page 13 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. The home’s complaint procedure does not clearly inform the complainant what action will be taken, within the required timescales. EVIDENCE: Standard 23 was assessed as met during the last inspection (6 October 2005). This resulted in the following judgement being made ‘The residents can expect any concerns to be listened to by the owners, and appropriate action taken to resolve them’. Discussions during this and previous visits, confirmed that the residents are aware if they had any concerns, they would discuss these with the owners. The resident’s control what contact they have with Social Care services, rather than have regular reviews. During the last visit, the resident confirmed that they had contact numbers of Health & Social Care representatives, if they felt they needed to contact them, to discuss any aspect of their care. The owners had sent the CSCI a copy of their complaints procedure, which the inspector took with them; so they could in person, discuss which areas required fuller information. This included timescales, and to ensure it clearly covered all the information relating to regulation 22, and Standard 22 of the Care Homes for Younger Adults and Adults Placements, National Minimum Standards. Iacha DS0000024547.V285128.R01.S.doc Version 5.1 Page 14 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): None. See below. EVIDENCE: Standards 24, 25, 26, 28, and 30 were assessed as met during the last inspection (6 October 2005). This resulted in the following judgement being made ‘The residents live in a homely, well-maintained, clean, safe environment, which meets their needs.’ Time spent in the home, raised no concerns that the above judgement did not still stand. Iacha DS0000024547.V285128.R01.S.doc Version 5.1 Page 15 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): 31 and 35. The owners have the combined skills, to be able to care for, and ensure the residents physical, social and mental needs are met. EVIDENCE: Standard 32 was assessed as met during the last inspection (6 October 2005). This resulted in the following judgement being made ‘Residents are cared for by people who have a good understanding of their individual needs.’’ Time spent with the owners, confirmed that they have a good level of knowledge of the residents physical, and mental health needs, to be able to give them the required level of support. This was also confirmed during discussions with 1 of the resident’s, and observation during this, and previous visits. The owners are aware of their limitations, and know when to seek Health Professional’s advice/help, to support the resident’s individual physical and mental health. The owners do not employ staff, a family relative well known by the residents, who works in another care establishment, and is completing their National Vocational Qualification level 3 in care, gives any extra support. Iacha DS0000024547.V285128.R01.S.doc Version 5.1 Page 16 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 (re-assessed) 38. The home is well run, and has a good family atmosphere. EVIDENCE: Standards 37, 39 and 42 were assessed as met during the last inspection 6 October 2005. This resulted in the following judgement being made ‘The home is run in the best interests of the residents, who are supported by the owners to maintain control over their lives.’ Mr & Mrs Hewitt jointly run the home together. Although they do not hold the Registered Manager’s Award, Mr Hewitt has previously held a management position in a care establishment. Time spent with Mr & Mrs Hewitt demonstrated that they have the experience, knowledge, and commitment in ensuring the current residents lead a meaningful life, surrounded by people that care for them. If the circumstances at the home changed, and the owners decided to take new admissions, the situation over qualifications would need to be reviewed. Iacha DS0000024547.V285128.R01.S.doc Version 5.1 Page 17 Although the residents are aware that the owners are not their blood relations, having known them for over 13 years, close links have developed. This was especially evident with the writing on the birthday cards that one of the resident’s showed the inspector they had sent, saying the wording summed up how they felt towards the owners. Iacha DS0000024547.V285128.R01.S.doc Version 5.1 Page 18 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 2 2 N/A 3 N/A 4 N/A 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 3 32 X 33 X 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X 3 X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 3 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 2 X 3 3 X X X X X Iacha DS0000024547.V285128.R01.S.doc Version 5.1 Page 19 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 YA1 Regulation 4 Requirement The home’s Statement of Purpose must include the categories and age group they are registered for. As a public document this must not include resident’s names. The home must review current medication practice, to ensure records are kept of all medications held, confirmation when they are given, and medication not being removed from its original container until it is required. The home’s complaint procedures must give details of how the complaint will be investigated, timescales and information on the CSCI. (This is a repeat requirement 6/10/05, which had not been fully met) Timescale for action 01/06/06 2. YA20 13 (2) 01/05/06 3. YA22 22 (4) (7) 01/06/06 Iacha DS0000024547.V285128.R01.S.doc Version 5.1 Page 20 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.V285128.R01.S.doc Version 5.1 Page 21 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 Iacha DS0000024547.V285128.R01.S.doc Version 5.1 Page 22 - 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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