Inspection on 04/05/05 for Jamesons Residential Care Home Limited

This inspection was carried out on 4th May 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

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

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

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Upaya Ananda

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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 Wormingford Road Fordham Colchester, Essex CO6 3NS Lead Inspector Neal Wolton-Harragan Unannounced 04/05/05 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 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 Stationary 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 Version 1.10 Page 3 SERVICE INFORMATION Name of service Jamesons Address Wormingford Road Fordham Colchester Essex CO6 3NS 01206 242282 01206 241741 infor@jamesonsresidential.co.uk Mr Fidel Catantan Mrs Estella Catantan Mr Fidel Catantan Care Home 16 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Category(ies) of Learning disability registration, with number of places Jamesons Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: 1. Persons of either sex, under the age of 65 years, who require care by reason of a learning disability. 2. The total number of the service users accommodated in the home must not exceed 16 persons. Date of last inspection 19 October 2004 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 16 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 seven individuals who attend Jamesons from the community for Day services. Jamesons Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over the course of one day in May 2005 and this was the first inspection at the home in the 2005/2006 inspection year. Mr Fidel Catantan, the owner and manager of the home, was at the home throughout the inspection and took an active role in the inspection process. During this inspection 29 of the 43 standards were looked at, 27 were met and two were partially met. During the day of inspection five members of staff were spoken with, as well as five service users. Staff and service users spoke well of the home and of its management, service users appeared at ease with the care staff and were happy to talk to the Inspector. Interactions between staff and service users observed during this inspection were positive. This inspection included a tour of the home, discussions with service users, staff and the home manager, as well as the opportunity to look at records of how people living at Jamesons are supported and how the staff are trained. What the service does well: The staff at Jamesons have received training to enable them to meet the needs of those living at the home and this is shown in the way the staff speak and behave with the service users. Every person living at the home has their own bedroom and some also have en-suite toilets. Each person’s bedroom is furnished and decorated to their own taste and records are kept where a person does not wish to have any additional decorations within their room. There is a good amount of shared space within the home, as well as various outbuildings that offer a good range of daytime activities for those living at the home, including arts and crafts and computers. Meals at Jamesons are of a very good standard with most foods prepared from raw ingredients at the home by the housekeeper. Jamesons Version 1.10 Page 6 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Jamesons Version 1.10 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 Standards Statutory Requirements Identified During the Inspection Jamesons Version 1.10 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 standard(s) 2, 4 and 5. Prospective service users’ needs and aspirations were comprehensively assessed prior to moving into the home, there are opportunities to visit the home and move in on a trial basis and each service user has a written contract of residency. EVIDENCE: Care records for the most recently admitted service user were examined and reflected that a comprehensive needs assessment was conducted prior to the person entering the home. These assessments formed the basis of the service users initial care plan and contributed to the on-going process of assessment within the home. Service user files also showed that each person living at the home was issued with a contract of residency and written within this was the expressed right of the individual to a six-week trial period prior to deciding whether to stay at the home on a permanent basis. Records relating to recently admitted service users and discussions with the manager gave evidence that prospective service users were offered the opportunity to visit the home prior to admission. Jamesons Version 1.10 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 standard(s) 6, 7, 8 and 9. Service users were aware of the contents of their individual plans and contributed to the decision-making process for their own care and life in the home. Service users were supported to take risks as part of an independent lifestyle. EVIDENCE: Service user plans examined at this inspection showed that individuals had contributed to their construction and that the contents of the plan had been read to them. Service user records gave details of the individuals contribution to the decision-making process and involvement in the review process. Each service user’s individual activity rota was presented in both written and pictorial formats to aid understanding. The service user records examined showed that comprehensive assessments had been undertaken and were regularly reviewed. risk Conversations with service users and staff indicated that people living at the home were consulted regarding activities and the day-to-day running of Jamesons and were able to participate in all aspects of life at the home. Jamesons Version 1.10 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 standard(s) 11, 12, 13, 14, 15, 16 and 17. Outcomes for all the standards in this section were looked at and all were met. EVIDENCE: The home had a variety of outbuildings where activities were available including arts and crafts, computers and sports activities. Service users were able to access these, as part of their planned activity programs, as well as attending colleges, horse riding, sports facilities and workshop placements. There was also a sensory room, a facility for aromatherapy which a reflexologist visited on a weekly basis. Service users spoken with on the day of inspection stated that they used community facilities as part of their daily lives and enjoyed the activities on offer. Service users are offered a healthy diet and spoke positively about the meals at the home. The housekeeper reported that she was afforded a reasonable budget and, having worked at the home for nearly 10 years, she had developed a good understanding of many of the likes and dislikes of the service users. The housekeeper preferred to make all the meals from raw ingredients rather than purchasing processed foods. By doing this she was Jamesons Version 1.10 Page 11 able to know what was contained within the food, as some of the service users were sensitive to some ingredients and additives. Discussion with service users and staff, as well as the examination of records, showed that service users rights were respected and appropriate personal relationships supported. Some service users had keys to their own rooms and chose to keep their doors locked. Jamesons Version 1.10 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 standard(s) 18, 19 and 20. Service users received personal support and their physical and emotional health needs were met. No service users retained, administered or controlled their own medications at the time of this inspection. EVIDENCE: Service users spoken with were happy with the way they were supported and this was reflected within the care plans examined. Care plans identified individual needs as well as the choices made by individuals as to how these needs were to be met. Care plans were well detailed, regularly monitored and formally reviewed at four to six month intervals depending on individual need. There was an ongoing process of assessment to take account of the changing needs of individuals and the services of healthcare professionals such as community nurses, speech and language therapists or psychologists were accessed as necessary. None of the service users retained, administered or controlled their own medications at the time of this inspection. This decision was taken on an individual basis for each service user, following a process of need and risk assessment. Jamesons Version 1.10 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 standard(s) 22 and 23. Service users were protected from abuse, neglect and self-harm and their views were listened to and acted upon. EVIDENCE: The Home had a robust complaints procedure and this was also presented in a manner that was easy for service users to understand. The adult protection policies and procedures were adequate to protect service users from abuse and where service users presented with behaviours likely to cause self-harm, these behaviours were identified within their care plans and management strategies devised. Advocacy services were made available to all service users. Jamesons Version 1.10 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 standard(s) 24, 25, 26, 27, 28 and 30. Service users’ bedrooms suited their needs and promoted their independence, toilets and bathrooms provided privacy and met their individual needs and shared spaces complemented and supplemented service users’ individual rooms. Although the environment was homely, comfortable and safe, areas within the home required redecoration and while the home was clean and hygienic, with no offensive odours present, there was a need to remove tablets of soap from shared bathrooms. EVIDENCE: An environmental tour provided evidence that service users’ rooms were individualised to varying degrees depending upon the individual. Where rooms were without curtains or pictures this was identified within individual service user plans as being the choice of the service user, a choice usually expressed through the service user removing any form of curtaining or posters put into the room. The environmental tour also showed that although the home was comfortable and safe, there was a need to refresh the décor in some areas, particularly in bedrooms where paintwork was scuffed or chipped. There was Jamesons Version 1.10 Page 15 also a need to install an appropriate step to the art and craft area as this presented a fall hazard for service users, staff and visitors. Communal bathrooms were provided in sufficient numbers for the service users and all four bedrooms in the newer extension, along with one bedroom in the main house, had en-suite facilities. The Home was clean, tidy and there were no offensive odours. However, while appropriate steps were taken to ensure a high level of hygiene through out the home, tablets of soap were present at both baths in the main house. This presented a cross infection risk to service users as well as potentially reducing individual choice, as although these may have been left by an individual after bathing, there was the possibility that these tablets of soap would then become communal. There were sufficient shared spaces throughout the home, and within its grounds, to complement and supplement service users’ individual rooms. Jamesons Version 1.10 Page 16 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32 and 35. Appropriately trained staff met Service users’ individual and group needs. Competent and qualified staff supported Service users. EVIDENCE: The home placed an emphasis on staff training and records showed that all staff had recently received training in relation to manual handling, food hygiene, Fire and COSHH. The manager/proprietor had completed the NVQ level 4 Registered Managers Award and more than 50 of the care team were trained to NVQ level 2 or above. All new care staff attended LDAF induction training and there was a full and varied training plan for the coming year. Staff spoken with on the day of inspection stated that training was regularly made available and the home manager fully supported staff in meeting their training needs. Jamesons Version 1.10 Page 17 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38 and 42. The service users benefited from the ethos, leadership and management approach to the home and the health, safety and welfare of service users are promoted and protected. EVIDENCE: The Service User Guide, Statement of Purpose and the records examined on the day of inspection gave evidence that the ethos, leadership and management approach to the home was open and inclusive. Service users and staff spoken with on the day of inspection were positive about the management style adopted in the home and staff felt able to raise concerns with, or make requests to, the proprietor/manager. Records examined showed that environmental risk assessment had been undertaken, as had specific risk assessments of activities undertaken by staff and service users. These assessments had formed the basis of risk management plans to ensure the health, safety and welfare of service users, staff and visitors was promoted and protected. Jamesons Version 1.10 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. Where there is no score against a standard it has not been looked at during this inspection. 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 x 3 x 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 3 x 2 Standard No 11 12 13 14 15 Jamesons 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x 3 x x 3 x Version 1.10 Page 19 16 17 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x 3 x x x 3 x Jamesons Version 1.10 Page 20 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 YA24 Regulation 23(2)(d) 13(4)(a) Requirement The registered provider must ensure that the environment is homely, comfortable and safe. This refers specifically to the need to formulate a plan to redecorate areas within the home and to install an appropriate step to the art and craft building. The registered person must ensure that communal tablets of soap are removed from shared bathrooms as to reduce present potential cross infection risks among the service user group. Timescale for action 31/08/05 2. YA30 12(1)(a) 13(3) 13(4)(c) Immediate 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 None Good Practice Recommendations Jamesons Version 1.10 Page 21 Commission for Social Care Inspection Fairfax House Causton Road Colchester 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 Version 1.10 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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