Inspection on 21/02/06 for Keeper`s Cottage

This inspection was carried out on 21st February 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 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 15/09/05

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 21st February 2006 10:30 Keeper`s Cottage DS0000002924.V285549.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 Keeper`s Cottage DS0000002924.V285549.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. Keeper`s Cottage DS0000002924.V285549.R01.S.doc Version 5.1 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.V285549.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th September 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 wellmaintained garden and ample parking provided. The home does not intend to admit any new service users to the home. Keeper`s Cottage DS0000002924.V285549.R01.S.doc Version 5.1 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 February 2006, although a suitable day and time for the inspection was arranged with the registered providers to ensure the service users would be present. All the key standards were inspected at the previous inspection and therefore at this visit the inspector focused on talking to the residents and the owners. The visit lasted two hours. What the service does well: What has improved since the last inspection? What they could do better: There were no requirements and one outstanding recommendation from this inspection. Keeper`s Cottage DS0000002924.V285549.R01.S.doc Version 5.1 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Keeper`s Cottage DS0000002924.V285549.R01.S.doc Version 5.1 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.V285549.R01.S.doc Version 5.1 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): EVIDENCE: The key area was inspected at the previous visit and the standard was met. The home does not intend to admit any new service users to the home, which is detailed in the statement of purpose. Keeper`s Cottage DS0000002924.V285549.R01.S.doc Version 5.1 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.V285549.R01.S.doc Version 5.1 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, they had 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 had been 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 is now fully independent to use the local bus service to travel confidently his work placement; he told the inspector that he had got to know the bus drivers and had not encountered any problems. Both service users have developed independence to manage visits to local amenities such as hairdresser, shops, bank and pub etc, they told the inspector about the local people they met when they went into the village. Keeper`s Cottage DS0000002924.V285549.R01.S.doc Version 5.1 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): 12,13,15,16 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.V285549.R01.S.doc Version 5.1 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, at the previous visit he told the inspector how much he had missed going to college although it was clear at this visit that the registered persons had supported him to accept this change and he was pleased that his work placement had been increased by another day. He told the inspector how much he enjoyed working at the care home and how he had got to know lots of the staff and residents there. The other service user told the inspector that his college placement would be stopping in the summer and that he thought he would probably spend more time helping out in the garden. 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 coalbunker they had recently helped to complete and that they enjoyed collecting the leaves up. 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. They told the inspector how much they enjoyed their trips into Grimsby looking around the shops and having their lunch in a café. In recent years the service users had accessed holidays through the college; with both placements coming to an end, this year the registered providers are planning a holiday in the summer to Spain; they confirmed that both service users had current passports. Both service users told the inspector how they preferred to spend their time at home watching T.V. they described how they enjoyed watching soap operas and films in the evenings, especially “Emmerdale” and “Carry On “ movies. One of the service users celebrated his fiftieth birthday recently; he told the inspector that they had all celebrated the event with a Chinese take- away which he had really enjoyed. 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 regularly 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; the last trip had been at Christmas when they had taken presents and gone out for a meal. 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.V285549.R01.S.doc Version 5.1 Page 13 Keeper`s Cottage DS0000002924.V285549.R01.S.doc Version 5.1 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.V285549.R01.S.doc Version 5.1 Page 15 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): EVIDENCE: Key standards met at previous inspection. Both service users confirmed that they knew who to contact and talk to if they had any issues. Keeper`s Cottage DS0000002924.V285549.R01.S.doc Version 5.1 Page 16 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 last 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.V285549.R01.S.doc Version 5.1 Page 17 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 manage all the service users’ care needs. The registered providers have the support of a friend and their daughter at times when they take a holiday, usually once a year. The home has ensured that a CRB checks have been carried out. The service users told the inspector that the registered provides had recently been away, that they really liked the friend that came to look after them and that their were able to carry on doing all the things they liked to do. Keeper`s Cottage DS0000002924.V285549.R01.S.doc Version 5.1 Page 18 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.V285549.R01.S.doc Version 5.1 Page 19 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.V285549.R01.S.doc Version 5.1 Page 20 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 X 2 X 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 X 23 X ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 N/A 32 3 33 N/A 34 3 35 3 36 N/A CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 4 x LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 2 X 3 X X 3 X Keeper`s Cottage DS0000002924.V285549.R01.S.doc Version 5.1 Page 21 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 2006. Keeper`s Cottage DS0000002924.V285549.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Hessle Area Office First Floor 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Keeper`s Cottage DS0000002924.V285549.R01.S.doc Version 5.1 Page 23 - 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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