Inspection on 15/09/05 for Keeper`s Cottage

This inspection was carried out on 15th September 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 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

Keeper`s Cottage 20/03/07

Keeper`s Cottage 21/02/06

Keeper`s Cottage 23/03/05

Keeper`s Cottage 22/06/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Keeper`s Cottage Rear Of 7 Gibraltar Lane Laceby Grimsby North East Lincs DN37 7AU Lead Inspector Mrs Jane Lyons Unannounced Inspection 15th September 2005 10:00 Keeper`s Cottage DS0000002924.V251485.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 Keeper`s Cottage DS0000002924.V251485.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. Keeper`s Cottage DS0000002924.V251485.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Keeper`s Cottage Address Rear Of 7 Gibraltar Lane Laceby Grimsby North East Lincs DN37 7AU 01472 871017 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) thecliftons@keeperscottage.org.uk Mr Donald Ashley Clifton Mrs Andrea Gillian Clifton Mrs Andrea Gillian Clifton Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Keeper`s Cottage DS0000002924.V251485.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd March 2005 Brief Description of the Service: Keepers Cottage is a care home providing personal care and accommodation for two adults with learning disabilities. The home is owned by Mr and Mrs Clifton and Mrs Clifton is the registered manager. The accommodation is provided in a large bungalow sited in a residential area in the village of Laceby. It is close to shops and local amenities with public transport links to the nearby town of Grimsby. The service users have their own bedrooms and share a lounge, kitchen/dining room, conservatory and bathroom facilities. There is a large, very well-maintained garden and ample parking provided. The home does not intend to admit any new service users to the home. Keeper`s Cottage DS0000002924.V251485.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over one day in September 2005, although a suitable day fro the inspection was arranged with the registered providers to ensure the service users would be present. The visit lasted three hours; the building was looked at as were resident’s records. It was very pleasing that both the service users residing at the home wanted to be present throughout the inspection visit; they took part in all the discussions, examination of documentation and tour of the premises. What the service does well: What has improved since the last inspection? The registered providers have supported the service users well to develop their independence with regard to the use of public transport; both service users are now very confident with travelling on the local bus into Grimsby for regular shopping trips and one service user has recently started to use the bus to travel to his work placement. Keeper`s Cottage DS0000002924.V251485.R01.S.doc Version 5.0 Page 6 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. Keeper`s Cottage DS0000002924.V251485.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 Keeper`s Cottage DS0000002924.V251485.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): 1,2 and 5 The home does not intend to admit any new service users to the home which is detailed in the statement of purpose. EVIDENCE: An up to date statement of purpose was in place. The two existing service users have all their assessment documentation; care plans and written contracts in place. Keeper`s Cottage DS0000002924.V251485.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): 6,7,8 and 9 Residents changing needs are well managed. Taking risk is seen as part of the resident’s choice in how they wish to live their lives. EVIDENCE: Keeper`s Cottage DS0000002924.V251485.R01.S.doc Version 5.0 Page 10 The home had developed care plans for the service users covering areas such as domestic skills; community and leisure; self-help skills; social and emotional needs and communication. The plans were written in plain English and pictures helped to identify the area the care plan covered. The care plans had been signed by the service user and the manager. Individual risk assessments had been developed for each service user and these clearly stated that there was no restriction on movement and freedom. Service users were involved in all day-to-day decision making in the home. All the service users agreed to their care plans and were fully involved in their six-monthly reviews. Service users confirmed that they made choices about activities and trips out. Both service users managed their own finances with support from the registered providers; they visited the local bank in the village weekly. Correspondence regarding benefits and finances was kept in the service users individual plans. Care plans showed that service users were given training to improve their personal safety skills. Both the service users had developed their safety skills to allow them to travel into Grimsby/ Cleethorpes on the bus unaccompanied to visit the sea front, shop, cafes etc. One of the service users had recently started to use the bus service to travel to his work placement. They had developed independence to manage visits to local amenities such as hairdresser, shops, bank and pub etc Keeper`s Cottage DS0000002924.V251485.R01.S.doc Version 5.0 Page 11 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): 11,12, 13,14, 15, 16 and 17 Residents are provided with an environment which supports their personal development; they have a fulfilling social life and are enabled to take advantage of local facilities. Residents are provided with a balanced and healthy diet and enjoy their meals. EVIDENCE: Keeper`s Cottage DS0000002924.V251485.R01.S.doc Version 5.0 Page 12 The service user’s individual plans and reviews evidenced that that service users had the opportunities to maintain and develop social, emotional, communication and independent living skills. College and work placements also provided service users with the opportunity to develop these skills. One of the service users college placements had now finished and he told the inspector how much he missed going to college; it was clear that the registered persons were providing support for him come to terms with the new routines and were currently looking at other options for work placements etc. The other service user told the inspector how much he enjoyed doing the writing and maths more than anything else at the college. Care plans identified practical household tasks that service users were supported to complete. Both service users described how they helped to clean and tidy their rooms and managed their ironing. They also commented on how they enjoyed helping out in the garden and described the new fencing and paving they had recently helped to complete. The service users had access to a wide range of social activities, for example meals out; a local club every Friday evening; local events and day trips to the coast. Service users were also supported to attend activities arranged by the college. Both service users had been to Whitby on holiday with then college this summer; they told the inspector how much they had enjoyed the trip especially “ The Dracula Experience.” Service users who wished to had games units, TV, video and hi-fi systems in their bedroom, one of the service users proudly showed the inspector his collection of records and videos. A TV, video and radio were also provided in the lounge. Both service users described how they enjoyed watching soap operas and films in the evenings, especially “Emmerdale” and “Carry On “ movies. One of the service users celebrates his fiftieth birthday later this year, he told the inspector how much he was looking forward to this but had not yet decided what to do to celebrate the event. The registered providers own a dog which both service users stated they liked very much. It was clear from discussions that the home supported and encouraged service users to maintain regular contact with family and friends. The two service users visited weekly the sister of one of the service users, which both said they enjoyed very much. The registered persons also supported visits during the year to one of the service user’s parents. It was clear that the service users were very settled and comfortable at home. Interviews with service users and the registered persons confirmed that daily routines in the home were flexible to individual needs although both service users preferred a degree of structure to their daily activities. The service users have developed a very close relationship with each other and choose to spend the majority of their time together. The home provides the residents with a varied, appealing, wholesome and nutritious diet; all the comments about the meals were very positive. Keeper`s Cottage DS0000002924.V251485.R01.S.doc Version 5.0 Page 13 Keeper`s Cottage DS0000002924.V251485.R01.S.doc Version 5.0 Page 14 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): 18,19 and 20 The health care needs of the residents are well catered for. EVIDENCE: The home provided care and support within a family-style atmosphere. The registered provider/proprietors acted as key workers for the service users. Neither of the service users required assistance with mobility or required any aids or additional technical support to meet their needs. At the time of the inspection neither of the service users had any specific health needs. Both were registered with a local GP and would be supported to access primary services as required. The registered persons confirmed that both service users remained in good health. Diary entries and correspondence seen in service user’s individual plans demonstrated that service users had been supported to access GP, dentist and optician. All plans evidenced that service users were supported to ensure good health through screening and having flu jabs. At the time of the inspection neither of the service users were taking prescribed medication. Keeper`s Cottage DS0000002924.V251485.R01.S.doc Version 5.0 Page 15 Keeper`s Cottage DS0000002924.V251485.R01.S.doc Version 5.0 Page 16 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 Residents felt their views are listened to, valued and acted on. The residents are protected from abuse. EVIDENCE: Residents knew who to approach if they had any complaints or concerns and they were sure these would be taken seriously and acted upon. One resident told the inspector how he would phone home or talk to the other service users relative if he had any problems. Details of the complaints policy were included in the home’s service user guide, statement of purpose and terms and conditions of residence. The home had a book to record complaints. No complaints had been received by the home in the last twelve months. The home had a copy of the N.E. Lincolnshire Protection of Vulnerable Adults Policy and would follow the procedures detailed in it. The registered providers had completed training on Protection of Vulnerable Adults. Keeper`s Cottage DS0000002924.V251485.R01.S.doc Version 5.0 Page 17 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 and 30 Service users live in a very safe, clean, comfortable and homely environment. EVIDENCE: All areas of the home accessed by the inspector were found to be very clean, tidy and free from offensive odours. The home was decorated and maintained to a high standard. Redecoration of individual service users rooms had been carried out this summer, both service users expressed their satisfaction with the choice of décor and furnishings and confirmed that they had been consulted. There were few changes in the home since the last inspection. Keeper`s Cottage DS0000002924.V251485.R01.S.doc Version 5.0 Page 18 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, 34 and 35 Service users are supported well by the registered providers. EVIDENCE: The home does not employ any staff. The registered providers have the support of a friend and their daughter at times when they take a holiday, usually once a year. During the inspection the friend who provides care at these times, visited the home. It was pleasing to see that the service users had a very positive relationship with her and described to the inspector how much they enjoyed the meals she provides and the trips out that they have. The home has ensured that a CRB check has been carried out. Keeper`s Cottage DS0000002924.V251485.R01.S.doc Version 5.0 Page 19 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 health, safety and welfare of service users are well promoted and protected. EVIDENCE: The registered manager was a qualified social worker with over 20 years experience; she has yet to gain the registered managers award. The providers managed the home in a homely/family-type manner with the service users being involved in all aspects of the home’s day-to-day running. Service users were treated as part of the family and shared activities, chores and holidays with the providers. An outline of key policies such as fire; data protection; medicines; complaints; aggression; alcohol; visitors were included in the home’s service user guide and statement of purpose. Systems were in place to ensure that the maintenance of the building and equipment was up-to-date. Records showed that the fire detection and alarm Keeper`s Cottage DS0000002924.V251485.R01.S.doc Version 5.0 Page 20 system had been serviced. Fire drills took place regularly with both service users confirming to the inspector their knowledge of where the smoke alarms were placed and where they went when they were activated. Keeper`s Cottage DS0000002924.V251485.R01.S.doc Version 5.0 Page 21 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 3 3 X X 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 4 X Standard No 24 25 26 27 28 29 30 STAFFING Score 4 X X X X X 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score N/A N/A N/A N/A N/A N/A CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Keeper`s Cottage Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 2 X 3 X 3 3 X DS0000002924.V251485.R01.S.doc Version 5.0 Page 22 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. 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 Refer to Standard YA37 Good Practice Recommendations The registered manager should have NVQ 4 in management by 2005. 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