CARE HOME ADULTS 18-65
Klair House 236 Wroxham Road Sprowston Norwich Norfolk NR7 8BE Lead Inspector
Hilary Shephard Unannounced Inspection 4:10 31 January 2006
st Klair House DS0000055729.V275874.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 Klair House DS0000055729.V275874.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. Klair House DS0000055729.V275874.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Klair House Address 236 Wroxham Road Sprowston Norwich Norfolk NR7 8BE 01603 417617 01603 400038 klairhouse@lineone.net 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) Klair House Ltd Mr Robert Ian Arneil Care Home 10 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (10) of places Klair House DS0000055729.V275874.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 27th June 2005 Brief Description of the Service: Klair House offers care for up to ten adults with mental heath needs. It is a domestic style detached house situated in a residential area on the outskirts of Norwich and the home blends extremely well into its surroundings. The bedroom accommodation is situated on both ground and first floors. There is good car parking space at the front of the house and a well-maintained garden area at the rear. Klair House DS0000055729.V275874.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This routine unannounced inspection took place over 2 ½ hours during which time the inspector spoke with 5 residents and 1 member of staff. The views of residents and staff, where appropriate, are reflected in the findings in the report. A tour was made of the building with one of the residents and the inspector looked at samples of care plans and staff files. At the end of the inspection feedback was given to the Manager. No requirements or recommendations were made. Following receipt of a letter from the provider regarding the draft report, amendments have been made to inaccuracies in the report regarding staffing numbers and qualifications. What the service does well: What has improved since the last inspection?
The care plans have improved significantly since the previous inspection, most of them have been updated and the home has introduced a new format which is easier to use. Medication management has improved as the manager now ensures all medication is booked in properly. Recruitment practices have improved and the home now ensures that no staff commences without proper checks being made. Klair House DS0000055729.V275874.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. Klair House DS0000055729.V275874.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 Klair House DS0000055729.V275874.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): Standards not assessed at this inspection. EVIDENCE: Klair House DS0000055729.V275874.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): Standard 6 Significant improvements have been made to care plans which clearly identify residents needs and aspirations. EVIDENCE: The manager advised that about 5 care plans have been reviewed and updated and changed into a new format and that staff were working on all of the others. A new format has been introduced which enables staff and residents to record clearer guidelines and plans for addressing their needs and personal goals. The new format encourages staff and residents to be realistic about setting goals, as at reviews they ask if these goals are met. Klair House DS0000055729.V275874.R01.S.doc Version 5.0 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 the following standard(s): Standards 12, 13, 15 and 16 The home continues to provide opportunities for residents to develop new skills, residents’ abilities are encouraged and promoted, residents maintain appropriate relationships and they feel they are treated with respect and dignity. EVIDENCE: Residents said they have plenty to do during the day, they attend various day services and clubs, visit the city, see relatives and friends, keep up their hobbies and enjoy attending the homes weekly art and craft classes. Residents said the staff treated them properly with respect and allowed them to make their own decisions but were always there to help if needed. Care plans also address residents’ need for occupation and meaningful activity. Klair House DS0000055729.V275874.R01.S.doc Version 5.0 Page 11 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): Standards not assessed at this inspection. EVIDENCE: Klair House DS0000055729.V275874.R01.S.doc Version 5.0 Page 12 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): Standards not assessed at this inspection. EVIDENCE: Klair House DS0000055729.V275874.R01.S.doc Version 5.0 Page 13 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): Standards 24 and 30 Residents’ benefit from living in a home that is clean and well-maintained. EVIDENCE: A tour was made of the premises with one of the residents. The home was very clean and residents said that staff cleaned their rooms and did their laundry for them. The manager has had plans approved for building work to the interior and exterior, which will increase the accommodation, communal space and offer better facilities. Klair House DS0000055729.V275874.R01.S.doc Version 5.0 Page 14 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): Standards 32 and 34 Residents are well supported by competent and trained staff and are protected from harm by the home following proper recruitment practices. EVIDENCE: Residents said they thought the staff were excellent and gave them good support when they needed it, but left them to make their own decisions and showed respect. Out of eight care staff, three have achieved NVQ level 2. One member of staff is currently working towards NVQ level 3. Staff were seen to have a good rapport with residents. One new member of staff had commenced since the previous inspection and the file was inspected. This showed that the home had obtained all preemployment checks before commencement. Klair House DS0000055729.V275874.R01.S.doc Version 5.0 Page 15 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): Standard 37 The home is well run by an experienced, well-qualified and competent manager. EVIDENCE: The manager has worked in the home for six years, during which time he has achieved three management qualifications including the Registered Managers Award (RMA) and an Open University qualification in mental health. Staff and residents said they thought the manager was good, they would go to him with any concerns and felt confident that issues raised with him would be dealt with. Klair House DS0000055729.V275874.R01.S.doc Version 5.0 Page 16 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 X X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X X X Standard No 24 25 26 27 28 29 30
STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Klair House Score X X 3 X Standard No 37 38 39 40 41 42 43 Score 3 X X X X X X DS0000055729.V275874.R01.S.doc Version 5.0 Page 17 None 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. Refer to Standard Good Practice Recommendations Klair House DS0000055729.V275874.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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