Inspection on 06/10/05 for Iacha

This inspection was carried out on 6th 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 found no outstanding requirements from the previous inspection report, but made 2 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 06/03/06

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 6 October 2005 3.25pm Iacha DS0000024547.V257207.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 Iacha DS0000024547.V257207.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. Iacha DS0000024547.V257207.R01.S.doc Version 5.0 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.V257207.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th March 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. It 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.V257207.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This routine unannounced inspection took place over two hours on a Thursday afternoon in October. During the inspection, time was spent with Mrs Hewitt, co-owner of the home, to discuss the residents care needs. To not upset the resident’s own daily routines, the residents took the lead in how much time they wanted to spend with the Inspector, which was respected. The walk around the home took in 1 resident’s bedroom (with their permission), lounge, kitchen and dining area. Records looked at included care records (care plans), Statement of Purpose and complaints policy, residents guide, confidentiality statement, missing persons and abuse policies. Discussions with the owner confirmed that they were applying to change their registration to care for the current 2 residents only. Therefore, the home will not be taking any new residents. Taking this into account, the home will be inspected against a limited number of standards. These will be the ones that check to see that the current residents physical, emotional, social and safety care needs have been 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: Although the owners have produced their Statement of Purpose, it still requires some extra information to be added. Iacha DS0000024547.V257207.R01.S.doc Version 5.0 Page 6 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.V257207.R01.S.doc Version 5.0 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.V257207.R01.S.doc Version 5.0 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 information held in the Home’s Statement of Purpose, does not reflect the current situation in the home, and requires updating. EVIDENCE: Due to the home not taking new residents, standards 2, 3, and 4 were not assessed. The owners have produced their Statement of Purpose, which needs more information added to support their application to reduce their registration from 3 residents to 2. The statement also needs to cover all the areas as given in the National Minumim Standards (NMS) Schedule 1. Iacha DS0000024547.V257207.R01.S.doc Version 5.0 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): 6, 7 and 8. The residents are able to make their own decisions, and are fully consulted on all aspects on the running of the home. EVIDENCE: The owners have supported both residents for over 13 years with their physical, emotional and mental health needs. Care plans gave a good level of information. This included family and medical history, if any support/prompting was required with their physical care, and the residents likes and dislikes. Conversations between the residents and owner, during the visit, showed that residents were involved in any decision making which affected them. Iacha DS0000024547.V257207.R01.S.doc Version 5.0 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, 13, 15, 16 and 17. 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. EVIDENCE: Time spent with a resident and one of the owners, showed that the resident had been offered/tried different day services over the years, but had decided not to attend any longer. 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 owner said that although the residents were included in any invites, it was up to the residents to decide if they wanted to go. The owner described how the residents liked to spend their day, and the residents joined in with the conversations if they wished. Iacha DS0000024547.V257207.R01.S.doc Version 5.0 Page 11 A resident confirmed that they are able to decide for themselves what they wanted to do during the day. This included spending time on their own in their bedroom if they wanted too. The owner said that the residents liked eating out, as well as eating home cooked meals. This was confirmed during a conversation with 1 resident, about the different places they go for meals, which included one of their favourites “hot curries”. The owners own a holiday chalet at the seaside, which is used frequently by the residents. The residents and owners do not all go together; instead they take turns, with 1 owner and resident going to the chalet. This leaves the other owner and resident who has stayed at home, time to pursue other interests. The owners said this has worked well, and takes into account the different interests and age differences between the residents. Residents are free to lock their bedrooms if they wish. 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. Iacha DS0000024547.V257207.R01.S.doc Version 5.0 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 19, Residents are given the level of support they require to maintain their personal and mental health. EVIDENCE: Residents care plans gave 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. Discussions with the owner, confirmed that they would contact the local mental health team if required. Iacha DS0000024547.V257207.R01.S.doc Version 5.0 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 and 23. The residents can expect any concerns to be listened to by the owners, and appropriate action taken to resolve them. EVIDENCE: Since the last inspection the owners have been sent a copy of the Vulnerable Adults Protection Committee (Suffolk) guidelines. It was suggested that the home’s abuse policy should also include contact numbers, of the organisations that would need to be contacted, when reporting an incident or suspicion of abuse. The home’s complaint procedure does not give the reader any time scales, or information on how to contact the CSCI. Time spent with the residents showed that they would raise any concerns direct with the owners, and they were aware of the role of the CSCI. Iacha DS0000024547.V257207.R01.S.doc Version 5.0 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): 24, 25, 26, 28, and 30. The residents live in a homely, well-maintained, clean, safe environment, which meets their needs. EVIDENCE: Time was spent with 1 resident who showed the inspector their bedroom, which they had personalised with their possessions. The owners respected that the residents bedrooms were their own ‘space’, and free to furnish as they wished. The dining room, which led onto the kitchen, was used as a focal point of the home. The residents came downstairs from their bedrooms to have a cup of tea, cigarette or join in with general conversations, which included the inspection. The home was clean, furnished, and decorated to a good standard. Discussions with the owner, whilst they cooked the evening meal– showed they practised a good standard of hygiene and cleanliness. Iacha DS0000024547.V257207.R01.S.doc Version 5.0 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): 32. Residents 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 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. Records looked at, during the last inspection, showed that they were well qualified to give the level of support required and having known the residents for 13 years, had a good understanding of their needs. Iacha DS0000024547.V257207.R01.S.doc Version 5.0 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, 39 and 42. 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 home is run as a family unit, with residents deciding on a daily basis how they want to spend their time. Time spent with the residents showed that they felt at home, and comfortable to speak up for themselves, and join in with making any decision. Iacha DS0000024547.V257207.R01.S.doc Version 5.0 Page 17 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 2 N/A N/A N/A X Standard No 22 23 Score 2 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 X 3 X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X X N/A N/A CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Iacha Score 3 3 X X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X 3 X DS0000024547.V257207.R01.S.doc Version 5.0 Page 18 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 (1) (c) Schedule 1 22 (4) (7) Requirement The home must update their Statement of Purpose to ensure it covers all applicable areas as detailed in the regulations. The home’s complaint procedures must give details of how the complaint will be investigated, timescales and information on the CSCI. Timescale for action 10/01/06 2 YA22 10/01/06 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 owners should include contact numbers (telephone and Fax were applicable) of the organisations they would need to contact when reporting, or notifying, of an incident or suspicion of abuse (Customer First, Police, CSCI) Iacha DS0000024547.V257207.R01.S.doc Version 5.0 Page 19 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.V257207.R01.S.doc Version 5.0 Page 20 - 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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