Inspection on 04/01/07 for Jamesons Residential Care Home Limited

This inspection was carried out on 4th January 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

Jamesons Residential Care Home... 22/03/06

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

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 Jamesons Residential Care Home Limited Wormingford Road Fordham Colchester Essex CO6 3NS Lead Inspector Marion Angold Key Unannounced Inspection 4th January 2007 11:05 Jamesons Residential Care Home Limited DS0000064089.V326355.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 Jamesons Residential Care Home Limited DS0000064089.V326355.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. Jamesons Residential Care Home Limited DS0000064089.V326355.R01.S.doc Version 5.2 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 21 Category(ies) of Learning disability (21) registration, with number of places Jamesons Residential Care Home Limited DS0000064089.V326355.R01.S.doc Version 5.2 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 21 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, and 1 person to be accommodated in 189a Mill Road, Colchester, Essex. 22nd March 2006 Date of last inspection Brief Description of the Service: Jamesons is registered to provide care and accommodation to 21 adults with learning disabilities. 16 people are accommodated in the main house, a twostorey detached property situated in Fordham, a village on the outskirts of Colchester. The accommodation in the main house is on two floors. 12 service users have their own rooms on the first floor (one with en suite facilities). Communal areas, including lounges and dining rooms are on the ground floor. The remaining 4 service users live in a newer, single storey extension to the rear of the home. These service users have a more independent lifestyle and en suite 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. An additional 5 service users live off the main site, in separate annexes, supporting more independent living. The property at Mill Road Colchester, accommodating one person, has been registered with the Commission since the last inspection. 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. At the time of inspection, the weekly charge for a room ranged from £980 to £1150. This was subject to individual assessment and a review of needs after 3 months. The cost of dry cleaning, hairdressing, holidays, fee-based recreational pursuits, personal items, such as toiletries and newspapers, and Jamesons Residential Care Home Limited DS0000064089.V326355.R01.S.doc Version 5.2 Page 5 specialist services, such as chiropody, were not included in the overall charge. Jamesons Residential Care Home Limited DS0000064089.V326355.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The inspector went to the home without telling anyone she was going to visit on the morning of Thursday, 4 January 2007. During this visit the inspector • • • • • • talked with the people in charge talked with staff talked with service users watched how service users and staff got along together looked around some of the home and out buildings looked at some records In writing this report, the inspector also used records she already had about the home, including information sent in by the people in charge and comments made by service users’ relatives and people professionally involved with the home, in response to the Commission’s survey of views. Over all, 25 Standards were inspected. • • 24 Standards were ‘met’. These are the things the home does well for people living at Jamesons. 1 Standard was ‘nearly met’. This means that a little improvement could result in a better outcome for people living at Jamesons. What the service does well: Service users who spoke with the inspector said or showed was that they • • • • • • • liked living at Jamesons enjoyed their meals and activities enjoyed making their own drinks and using the training kitchen enjoyed shopping with their key worker and choosing their own clothes liked having a communication ‘passport’ so they could talk about their favourite people and the things that mattered to them were happy with their room found that staff were ‘helpful’ Relatives said: Jamesons Residential Care Home Limited DS0000064089.V326355.R01.S.doc Version 5.2 Page 7 • ‘We are most impressed with the standards and quality of care – (named service user) is happier and better cared for than s/he has been for many years at ‘Jamesons’. Staff and management are first class.’ ‘We are more than happy with the care. (Named service user) always looks clean and smart and has the opportunity to do activities.’ ‘Jamesons always act upon and listen to my complaints’. • • Professional people in contact with Jamesons, said: • I have had the advantage of being able to observe all aspects of care and activities at Jamesons and I have found the service delivery to be of a high standard. The home is well run and the service users are happy and occupied. The home is always busy but very welcoming. I find the staff always very helpful; if there are any problems, they can always sort them out. • • Staff said: • • • • I love working here The support I have received has been brilliant. Our ideas are acted on. Service users have lots of opportunities here. They are always out and occupied. What has improved since the last inspection? What they could do better: • The home should find out what kind of soap dispenser and hand dryer would be convenient and safe for people to use in the upstairs bathroom, whenever they need to wash their hands. A photograph of each service user should be kept with their Medication Administration Record to help staff to be sure they are giving medication to the right person. DS0000064089.V326355.R01.S.doc Version 5.2 Page 8 • Jamesons Residential Care Home Limited • The people in charge or working at Jamesons should keep a log of any issues or concerns that people bring to them, as this information can help them provide better care for people living at the home. Some changes need to be made to the staff roster (staffing plan) so that it is possible to see how many staff are providing care and support to residents of Jamesons at any one time. • 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. Jamesons Residential Care Home Limited DS0000064089.V326355.R01.S.doc Version 5.2 Page 9 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.V326355.R01.S.doc Version 5.2 Page 10 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 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. • • 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. EVIDENCE: Suitable revision had been made to the Statement of Purpose in connection with the registration of the annex in Mill Road. The inspector was advised that there had been no new service users to demonstrate ongoing compliance with NMS 2. However this Standard was met at previous inspections. Jamesons Residential Care Home Limited DS0000064089.V326355.R01.S.doc Version 5.2 Page 11 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 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. • • • Service users’ assessed and changing needs were reflected in their care plan. Service users were supported to make decisions about their lives. Service users were supported to take risks. EVIDENCE: Two care plans were sampled. Both covered a broad range of needs, personal and environmental risks and evidenced regular evaluations and reviews. Staff said that service users were consulted as much as possible about their care plans. Service users, who were able, had signed to show their involvement. Respondents to the Commission’s survey of views indicated that they were kept informed of important matters affecting their relative and felt consulted about their care. The inspector came across one instance where the Jamesons Residential Care Home Limited DS0000064089.V326355.R01.S.doc Version 5.2 Page 12 service user’s views about sharing the content of their care plan had been respected. Staff said that the shift leader was responsible for completing daily records, based on reports received from staff. The sample of daily records provided meaningful comment. ‘Passports’, documents made up of personal information and photographs, were being developed for each service user to help others get to know them and facilitate communication. The inspector was able to use the passport as a basis for talking with a service user. It was evident from records and discussion that service users had access to an advocate, who called in periodically and spent time with them. The advocate also attended reviews and helped service users complete user satisfaction questionnaires for the annual quality assurance audit. The arrangements for the home to support service users with their personal money were sampled in respect of two people and found to be satisfactory. One care plan, inspected in this connection, showed how the person liked to spend their money. They had their own savings account within the provider’s account and benefited from the interest that accrued to them. They had signed each transaction record to show their involvement. The manager stated that personal finances were discussed at individual care reviews and the records produced for the social worker to approve. Records receipts and balances were inspected for both service users in the sample and found to be in order. Jamesons Residential Care Home Limited DS0000064089.V326355.R01.S.doc Version 5.2 Page 13 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 good. This judgement has been made using available evidence including a visit to this service. • • • • Service users were able to take part in appropriate activities at Jamesons and in the community. Service users had contact with the people who mattered to them. Consideration was given to service users’ rights and responsibilities. Service users were offered a healthy diet and enjoyed their meals and mealtimes. EVIDENCE: During the inspector’s tour of the day care facilities service users were engaged in craft activities, singing and relaxing in the snoozelem. The computer room and aromatherapy facility were not in use at the time. Some service users had been for a ramble in the grounds. The day’s activities, as displayed on a white board in one of the communal areas had also included reflexology and bird watching. Some planned activities, such as swimming bowling, horse riding and trampolining involved use of community facilities. Jamesons Residential Care Home Limited DS0000064089.V326355.R01.S.doc Version 5.2 Page 14 The programme included individual outings and time spent with key workers. A number of mini buses were provided for outings. Staff indicated that the activity programme was drawn up daily and used flexibly, service users being able to choose whether to participate. There were no set activities at the weekend. The manager said that service users enjoyed a change of rhythm, getting up later, having a cooked breakfast and ‘chilling out’. Discussions and records showed that service users were given a choice of holidays. Relatives, responding to the Commission’s survey, indicated that staff made them welcome and that they could see the person they visited in private, if they wished to. In November 2006, Jamesons launched a monthly newsletter for service users’ relatives and representatives, giving them information about recent events and new developments in the service. Newsletters and various complimentary letters showed that relatives had been invited to social and festive events during the year. It was evident from discussion and records that service users were supported with visits home and keeping in contact with the important people in their lives. The communication documents (passports) being developed with each service user also showed that links with family and friends were promoted. This was confirmed in discussion with a service user about their friends. Service users said and showed that they enjoyed their meals. Nearly all food was prepared on the premises from basic ingredients, avoiding additives. A dietician, whose visit to the home coincided with this inspection, was consulted about all new menu plans. Long service at Jamesons meant that the cook was familiar with individual needs and preferences. Staff also had care plans for reference. The cook had achieved NVQ Level 3 in supporting independence. This was reflected in how they involved service users in shopping and menu planning. A training kitchen was also available for service users to make bread and cakes and prepare their own drinks, as they confirmed. The dining room offered pleasant surroundings and the atmosphere, observed at lunchtime, was relaxed and congenial, with staff on hand to provide support, as necessary. Jamesons Residential Care Home Limited DS0000064089.V326355.R01.S.doc Version 5.2 Page 15 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. • • • Service users received personal support in the way that suited them. Service users’ health needs were met. Service users were protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: Various records, and discussions with staff and management, indicated that they were working to ensure that care practice promoted the dignity of service users. It was evident that service users had some choice about their routines, such as when they went to bed and that, in contrast to weekdays, when service users were involved in a programme of activities, weekends were unscheduled, giving them a chance to have a lie in and ‘chill out’. Staff indicated that female staff supported female service users with personal care and that care was taken to ensure that service users would be comfortable with the key worker allocated to them. One service user described going with their key worker to do personal shopping and choose their own clothes. Jamesons Residential Care Home Limited DS0000064089.V326355.R01.S.doc Version 5.2 Page 16 Records and discussions showed that the home had been reviewing their nutritional care policy in line with guidance from the Commission and in consultation with a dietician. The dietician was very positive about the home’s approach to dietary needs and improved outcomes in this area for service users. Work was continuing in the area of communication, with involvement from a speech and language therapist, use of Makaton and signage and the development of user-friendly information about each service user as an aid to communicating with them. The sample of care plans showed appropriate monitoring and management of health related issues and access to NHS services. One person had not attended the dentist since May 2005; even though their teeth had been found to be sound, they should still have the regular checks they are entitled to. Respondents to the Commission’s survey, who were involved with the health care of service users, indicated that the home communicated clearly and worked in partnership with them. They had also found that service users’ medication had been appropriately managed by the home. The home was served by a single GP practice. Confirmation of the GP’s annual review of homely remedies was displayed in the homely remedies cabinet. The home operated a monitored dosage system of prescribed medication. There were only 3 other items of medication and lack of stocks indicated a methodical system of ordering and returns. Medication was appropriately secured and administration records satisfactory, as sampled. The list of senior staff authorised to give medication, and their signatures, had been removed from the Medication Administration Records for updating but was available for inspection. It is recommended that a photograph of each service user be kept with their Medication Administration Record to help with identity. Instructions for the use of PRN (as needed) medication were included in care plans. The care plans sampled specified the indications for use and advised staff to ensure that all other steps had been taken before resorting to medication. One care plan included the signatures of staff authorised to administer the particular medication. Jamesons Residential Care Home Limited DS0000064089.V326355.R01.S.doc Version 5.2 Page 17 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 felt their views were listened to and acted on. Service users were protected from abuse. EVIDENCE: Service users’ views of staff were positive and a good rapport was observed between staff and service users during the inspection. One service user enthusiastically put names to all the pictures of staff displayed on the wall. Professional people interviewed, or responding to the Commission’s survey, commented favourably on care practice. A file of complimentary letters from relatives also attested to their satisfaction with the care provided. Although the last entry in the complaint log was made on 26/11/97, two respondents to the Commission’s survey said they had made a complaint. One person added the comment that Jamesons ‘always act upon and listen to my complaints’. The manager said that he and the staff were not aware of any complaints. They had dealt with ‘queries’ and requests for change, documenting any discussion on the appropriate service user’s file, but they had not regarded these as complaints. Whilst it is commendable that staff respond to people’s concerns in a timely and positive way, so that they do not proceed to formal complaints, the home should log any issues or negative feedback as this helps to identify trends and inform better practice. Jamesons Residential Care Home Limited DS0000064089.V326355.R01.S.doc Version 5.2 Page 18 The staff training programme covered the protection of vulnerable adults. Observation, discussion and feedback evidenced that service users were well treated. All respondents to the Commission’s survey expressed satisfaction with the overall care provided. Jamesons Residential Care Home Limited DS0000064089.V326355.R01.S.doc Version 5.2 Page 19 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 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. • • Service users lived in a homely, comfortable and safe environment. The home was clean and hygienic although existing provision in the upstairs bathroom did not encourage service users to wash their hands. EVIDENCE: Areas inspected were found to be well maintained and fit for purpose. Records evidenced a monthly review of the premises and a maintenance programme. New carpet and furniture had been provided for the lounge since the last inspection. Residents benefited from acres of outdoor space and separate outbuildings for their activities. The tour of premises included a sample of bedrooms, which were bright, warm and comfortable and reflected the individual needs and interests of the occupants. Jamesons Residential Care Home Limited DS0000064089.V326355.R01.S.doc Version 5.2 Page 20 Radiator covers had been fitted subject to risk assessment and, appropriately, not in bedrooms where the occupant was identified as not being at risk. One shower room was out of action and needed to be restored to use. All areas inspected were clean and fresh. The laundry was fit for purpose and locked for safety. The manager said that the home had complied with a requirement from the last inspection to introduce liquid soap and paper towels in shared bathrooms, with a view to reducing the risk of cross infection. However, with the bathroom on the first floor, they had found that paper towels had potential for blocking the toilet and bottles of soap posed a risk to particular service users. They had therefore removed both paper towels and soap and asked people using this bathroom to bring with them their personal soap and towel. In response to the inspector’s concern that this might discourage people from washing their hands, the manager gave assurance that service users were carefully monitored in this area. However, on the day of inspection there was a hand towel in the upstairs bathroom, reportedly left behind by a service user; others might have used this, increasing the risk of cross infection. Whilst it is appropriate for people to collect their own soap and towels for bathing and daily personal hygiene, some kind of provision should be in place for people needing to wash their hands. The manager should seek advice about how this can be achieved in the interests and safety of all service users. Jamesons Residential Care Home Limited DS0000064089.V326355.R01.S.doc Version 5.2 Page 21 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): 32, 33, 34, 35 and 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. • • • Service users were supported by an effective team of suitably trained and qualified staff. The staff roster did not provide a complete picture of arrangements for supporting service users. Service users were protected by the home’s recruitment practices. EVIDENCE: The main house appeared to be adequately staffed during the inspection. Rosters showed a wide variation in the number of staff on duty at different times of the day and week. This was mainly due to extra staff providing support with day care activities, both to service users and some non-residents of Jamesons. The manager stated that they were exceeding overall levels recommended by the Residential Forum (Department of Health tool for calculating staffing levels). Professional respondents to the CSCI survey indicated that there was always a senior member of staff to confer with and, with one exception, relatives, who responded, thought there were sufficient numbers of staff on duty. The relative, who differed, did not think the home Jamesons Residential Care Home Limited DS0000064089.V326355.R01.S.doc Version 5.2 Page 22 was always adequately staffed on Sundays. The roster for the week of the inspection showed that fewer staff were around on Saturday and Sunday because management, administrative and day care staff were not on duty at the weekend. However, the roster for Sunday 7/1/07 showed that 5 support workers were on duty throughout the day at the main house. Discussion was held with the manager about improving the presentation of the staff roster as it was not clear from the one inspected exactly how many care hours were provided. For example, the roster did not identify staff working mainly in the kitchen, and not as carers, or how many hours the night staff worked. Some of the colours used in the roster were not consistent with the key. It was also noted that, according to the roster, there were no staff at The Bungalow on Sunday 7/1/07 or on Saturday 6/1/07 up to 10 a.m., although the manager said that this was an oversight, as other staff would have provided cover. Records evidenced robust recruitment procedures, including the return of full and satisfactory Criminal Record Bureau disclosures before staff started work. From the records it appeared that one member of staff had not given a full employment history. Although the manager and team leader had explored this at interview, such information needs to be documented. Records showed that the home had been using a combination of Skills for Care and in house induction programmes, cross referencing their own programme with units of Skills for Care. Staff had to evidence in writing what they had learned from different exercises. One member of staff indicated that their initial training had prepared them well for the work they had to do. Records showed that staff went on to complete a programme of foundation training. For example, in the course of 16 months, one person had attended training on autism, COSHH (Care of Substances Hazardous to Health), Basic First Aid, Moving and Handling, Protection of Vulnerable Adults, 4 days of PRICE training (Protecting Rights In a Caring Environment), Safe Food Hygiene, First Aid and Fire Safety. During this period, they had also attained the National Vocational Qualification in care, Level 2 (NVQ 2). With four more staff enrolled for the National Vocational Qualification in care, Level 2, the home demonstrated its commitment to providing a qualified workforce. Staff confirmed that the home promoted training. One person said night staff were paid for going on courses when they were off duty. Records showed that staff received individual supervision and small group supervision alternating on a 12-week cycle, with either a group or individual session every six weeks. The manager and shift leader said that group supervision was more popular as it gave staff the confidence to raise and discuss issues. The notes of one group supervision, involving four staff, showed that issues relevant to service users and staff had been discussed. Jamesons Residential Care Home Limited DS0000064089.V326355.R01.S.doc Version 5.2 Page 23 One member of staff said group meetings were good for sharing ideas about how to handle situations and meet the individual needs of service users. They felt that the meetings had led to action that had benefited service users. Jamesons Residential Care Home Limited DS0000064089.V326355.R01.S.doc Version 5.2 Page 24 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. • • • Service users were benefiting from a well run home. Service users’ views were taken into account in the development of the home. The health, safety and welfare of service users were promoted. EVIDENCE: Feedback from relatives and healthcare professionals involved with the home was positive in respect of management. For example, a relative said, ‘Staff and management are first class’; a professional worker said, ‘I have found the service delivery to be of a high standard. The home is well run’. A member of staff said they loved working at Jamesons and spoke highly of the support they received from the staff team and management. Lines of accountability were clear, with staff understanding the various leadership roles within the home. Jamesons Residential Care Home Limited DS0000064089.V326355.R01.S.doc Version 5.2 Page 25 Management had an inclusive management style, which involved service users and their relatives/representatives in an exchange of information and views. For example, relatives’ contributions to the newsletter had been welcomed. The quality of service was monitored on a monthly basis, as evidenced by the provider’s reports, and reviewed annually, in conjunction with a survey of service users’ views, obtained with the help of an advocate. Records showed that installations and equipment were routinely checked and serviced and that staff had covered the required health and safety training. A member of staff had been designated to keep first aid stocks replenished. Thermostatic valves had been fitted to baths and basins, as required, and appropriate action taken in respect of changes to food safety requirements. No risks to the health and safety of service users and staff were identified in the course of this inspection. Jamesons Residential Care Home Limited DS0000064089.V326355.R01.S.doc Version 5.2 Page 26 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 3 3 X 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 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Jamesons Residential Care Home Limited DS0000064089.V326355.R01.S.doc Version 5.2 Page 27 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. 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. 1. 2. 2. 3. Refer to Standard YA20 YA16 Good Practice Recommendations It is recommended that a photograph of each service user be kept with their Medication Administration Record to help with identity. The home should keep a log of the issues and concerns that people raise, as this information can help in the provision of better care for people living at the home. The registered person should obtain further advice about providing service users with suitable hand washing facilities in communal bathrooms. The staff roster should show clearly how many care staff are on duty at any one time. YA30 YA33 Jamesons Residential Care Home Limited DS0000064089.V326355.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Colchester Local Office 1st Floor, 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. Extracts may not be used or reproduced without the express permission of CSCI Jamesons Residential Care Home Limited DS0000064089.V326355.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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