Inspection on 22/03/06 for Jamesons Residential Care Home Limited

This inspection was carried out on 22nd March 2006.

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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Jamesons Residential Care Home... 04/01/07

Jamesons Residential Care Home... 04/05/05

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

CARE HOME ADULTS 18-65 Jamesons Residential Care Home Limited Wormingford Road Fordham Colchester Essex CO6 3NS Lead Inspector Clare Walker Unannounced Inspection 22nd March 2006 10:30 Jamesons Residential Care Home Limited DS0000064089.V272078.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 Jamesons Residential Care Home Limited DS0000064089.V272078.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. Jamesons Residential Care Home Limited DS0000064089.V272078.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Jamesons Residential Care Home Limited Address Wormingford Road Fordham Colchester Essex CO6 3NS 01206 242282 01206 241741 info@jamesonsresidential.co.uk 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) Jamesons Residential Care Home Limited Mr Fidel Catantan Care Home 20 Category(ies) of Learning disability (20) registration, with number of places Jamesons Residential Care Home Limited DS0000064089.V272078.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Persons of either sex, under the age of 65 years, who require care by reason of a learning disability (not to exceed 20 persons) 16 persons to be accommodated in Jamesons Residential Care Home, 2 persons to be accommodated in 32 Turner Road, Colchester, Essex and 2 persons to be accommodated in 58a Nayland Road, Colchester, Essex 4th May 2005 Date of last inspection Brief Description of the Service: Jamesons is a two-storey detached property situated in Fordham, a village on the outskirts of Colchester. The home is registered to provide care and accommodation to 20 adults with learning disabilities. Jamesons is owned by Mr and Mrs Catantan and managed by Mr Catantan who has many years experience of caring for this service user group. The accommodation in the main house is over two floors. Bedrooms are on the first floor for 12 service users, with each service user having their own room, one of which has ensuite facilities. Communal areas, including lounges and dining rooms are on the ground floor. The remaining four service users are accommodated within a newer, single storey extension to the rear of the home. Service users living within this area of the home have a more independent lifestyle and each of these single rooms benefit from ensuite facilities. The home is set in approximately 4 acres of land, most of which is accessible to the service users. Set within the grounds are a number of outbuildings that are equipped to offer daytime activities for those living at the home as well as up to six individuals who attend Jamesons from the community for day services. Jamesons Residential Care Home Limited DS0000064089.V272078.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place in one day, over 6 hours. In the course of the inspection a tour of the premises was made, 6 services users were met, discussions were held with 3 if these service users, discussions were held with the shift leader, the day care co-ordinator, the cook, 1 director and the residential manager/managing director and 3 support workers. 3 files were care tracked, 2 staff files were reviewed, as was health and safety information, policies and procedures. Service users said “(the staff) look after me” “I choose what garden”. do” “nice Staff were clear that “I’m really happy here,” “load’s of training” and of the manager “brilliant man, really understands people”. 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. Jamesons Residential Care Home Limited DS0000064089.V272078.R01.S.doc Version 5.1 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 Jamesons Residential Care Home Limited DS0000064089.V272078.R01.S.doc Version 5.1 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): 1, 3 Prospective service users are given clear and comprehensive information about the services provided in the home prior to moving in. There are opportunities to visit and move in on a temporary basis. EVIDENCE: The Statement of Purpose is comprehensive. The Service Users Guide is written in plain English and contains pictures for those who have conceptual difficulties. There is an audio version of the Service Users Guide. In conversation with the manager it was clear that effort is made to ensure that the staff try to make the service information accessible to all. The shift manager and residential manager outlined a clear process of helping individuals become familiar with the service through visits, prior to residence. The documentation is clear that a placement is initially for 6 weeks at which time there is a meeting to confirm whether a person is happy to staff or not. Care plans demonstrate that these meetings take place and that decisions are made and recorded. Jamesons Residential Care Home Limited DS0000064089.V272078.R01.S.doc Version 5.1 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): 6, 7, 8, 10 Service users were aware of their care plans, that things change in the plans and that they had choice in what they do. EVIDENCE: In discussion with service users, they were aware of their care plans. Individuals spoke of the decisions that they had been involved in i.e. going to college or not, “I choose what do”. The service users are involved in choosing menus, in staff appointments and holiday arrangements. Service users are also consulted and involved in the day to day running of the unit, as evidenced by observation, the service users meeting notes and through discussion with service users and staff. In discussions staff modelled their way of dealing with sensitive material and checking with service users if material could be shared with the inspector. Jamesons Residential Care Home Limited DS0000064089.V272078.R01.S.doc Version 5.1 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): None of these standards were inspected on this occasion. EVIDENCE: Jamesons Residential Care Home Limited DS0000064089.V272078.R01.S.doc Version 5.1 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): 19,21 Service users receive personal support in all aspects of their lives, including physical and emotional health. EVIDENCE: Service users spoke of feeling helped by the staff and this was observed to happen. Care plans detail needs and what needs to happen to address needs. There was also evidence on files and through discussions of the range of medical and pars-medical staff who are mobilised to met identified needs. In discussion with staff there is awareness of the importance of planning with the service users in relation to their ageing, which includes planning for moving on at 65 years old and dealing with terminal illness. Jamesons Residential Care Home Limited DS0000064089.V272078.R01.S.doc Version 5.1 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): 22, 23 Service users are protected from abuse and their views are listened and acted upon. EVIDENCE: The unit has a strong commitment to staff training, which includes training to protect vulnerable adults from abuse. The staff training programme and staff files shows training completed. Staff spoke of the training that they had received. There is a complaints procedure and a complaints and compliments book. Currently there are no outstanding complaints. Jamesons Residential Care Home Limited DS0000064089.V272078.R01.S.doc Version 5.1 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, 25, 28, 29, 30 Service users have a homely environment, suited to their needs and choose their individual bedroom style. Shared spaces complement and supplement the residents’ own space. There is a need to provide paper towels in bathrooms and toilets to prevent cross-infection. EVIDENCE: All the rooms seen, individual and communal, were of a high standard of decoration and fit for purpose. One service user prized his room “nice room.” The communal spaces were well-furnished and showed attention to detail. Around the campus there are port-a-cabins and a barn. Each building has a designated purpose and is decorated and set out for the appropriate activity. The bathrooms and toilets now have liquid soap, but no hand drying facilities or in the case of the staff toilet/shower room a shared towel. This is a cross infection matter, which must be addressed. Otherwise the home was clean and hygienic with no offensive odours. Jamesons Residential Care Home Limited DS0000064089.V272078.R01.S.doc Version 5.1 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): 31, 33, 34, 36 Appropriately trained, competent and qualified staff supported service users’ needs. EVIDENCE: In discussion with staff and managers everyone was clear of their role and responsibility within the unit. The staff team were observed to work together and spoke of working as a team. There are regular staff training events, distance learning is encouraged and records show that there is a full induction of new staff. Individual staff spoke of how supported they feel in carrying out their work. The staff files show that there is a robust recruitment procedure, which includes the taking of references and Criminal Record Bureau checks prior to a person taking up posts in the organisation. Staff are regularly supervised and said this helped their work. Jamesons Residential Care Home Limited DS0000064089.V272078.R01.S.doc Version 5.1 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): 37, 39, 40, 41, 43 Service users benefit from the ethos, leadership and management within the home, which promotes their welfare EVIDENCE: The leadership style within the home is open, positive and based on the needs and welfare of the residents being paramount. Staff praised their manager for his openness and availability. Workers spoke of having a positive experience of work within the unit, going to work was a good experience. The atmosphere within the home was active but not frenetic. All staff knowing what their task was, where they should be and what they should be doing. The policies and procedures are clear and have the residents best interests at their heart. All records looked at were up to date and are held securely. Observation through the day of inspection showed administrative systems to be in place and that the records held within the system to be meaningful in the delivery of service within the unit. All health and safety certificates were in place and up to date. Jamesons Residential Care Home Limited DS0000064089.V272078.R01.S.doc Version 5.1 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 Standard No Score 1 3 2 X 3 3 4 X 5 X 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 X 27 X 28 3 29 3 30 2 STAFFING Standard No Score 31 3 32 X 33 3 34 3 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 3 X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 X 3 3 X 3 3 3 X 3 Jamesons Residential Care Home Limited DS0000064089.V272078.R01.S.doc Version 5.1 Page 16 Are there any outstanding requirements from the last inspection? No 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 YA30 Regulation 12(1a) 13(3) 13(4c) Timescale for action The registered person must 01/05/06 ensure that communal handtowels are removed from communal bathrooms and toilets, including the staff facilities, and provide disposable towels to reduce present potential cross infection risks. Requirement 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 Jamesons Residential Care Home Limited DS0000064089.V272078.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Jamesons Residential Care Home Limited DS0000064089.V272078.R01.S.doc Version 5.1 Page 18 - 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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