Inspection on 28/02/06 for Lambert House

This inspection was carried out on 28th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Lambert House 04/09/07

Lambert House 20/04/06

Lambert House 27/09/05

Lambert House 03/03/05

Lambert House 14/06/04

Lambert House 12/02/04

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 Lambert House 36 Notridge Road Bowthorpe Norwich Norfolk NR5 9BE Lead Inspector Clive Lucas Unannounced Inspection 28 February 2006 10:00 Lambert House DS0000027475.V279226.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 Lambert House DS0000027475.V279226.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. Lambert House DS0000027475.V279226.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Lambert House Address 36 Notridge Road Bowthorpe Norwich Norfolk NR5 9BE 01603 749845 01603 749460 nacha2@zoom.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) Norfolk Autistic Community Housing Association Limited Mr Michael George Patterson Care Home 11 Category(ies) of Learning disability (11) registration, with number of places Lambert House DS0000027475.V279226.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: There are no additional conditions of registration. Date of last inspection 27 September 2005 Brief Description of the Service: Lambert House is situated in the middle of a residential area. It is a large, detached, two storey building with parking to the front. There is a secure garden to the front of the Home and a secure paved area to the rear. Accommodation is provided to up to eleven adults with a learning disability with autistic spectrum disorders. All service users have a single bedroom, either on the ground or first floors. The Home does not have a passenger lift. There are several communal rooms including activity rooms and a swimming pool. Lambert House DS0000027475.V279226.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. The manager and two members of staff were spoken with, some records were looked at and lunch was taken with staff and service users. What the service does well: 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 report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Lambert House DS0000027475.V279226.R01.S.doc Version 5.1 Page 6 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 Lambert House DS0000027475.V279226.R01.S.doc Version 5.1 Page 7 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): 2 A decision on an admission to the home was made without full information being available to the manager. EVIDENCE: One service user has moved into the home since the previous inspection. He has been at the home for only a few days. The manager said that an assessment had been carried out by another NACHA home, where it was initially planned that he would live. As there was not a vacancy there, the service user moved to Lambert House. It was acknowledged by the manager that this service user functions at a higher level than other service users at the home, but explained that there is a short term plan for this person to live at Lambert House while he gets used to living away from home, and then to move to supported living with a friend who lives at another NACHA home. Their friendship is being supported with regular visits and joint activities. It was a choice of the service user and his family that he should move to Lambert House for this plan, rather than a placement in another county. The service user’s file did contain detailed information on his needs and abilities, provided by him and his mother. However, it was not appropriate for him to have moved to Lambert House without the assessment being available for the manager and staff so that appropriate planning could take place right from the start of the placement. Lambert House DS0000027475.V279226.R01.S.doc Version 5.1 Page 8 The registered manager must ensure that new service users are only admitted to the home on the basis of a full assessment, to ensure that the home is able to meet their needs. Lambert House DS0000027475.V279226.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): EVIDENCE: These standards were not inspected on this occasion. Lambert House DS0000027475.V279226.R01.S.doc Version 5.1 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): 16 and 17 Service users are able to exercise choice in their daily lives. They are offered a healthy diet and are encouraged to be as involved in preparing meals as they are able to. EVIDENCE: Service users are able to exercise choice in their daily lives, as far as their ability allows. Discussions with staff and reading service users’ files evidenced this. Records also evidenced that service users have choice about rising and bedtimes, as well as when they can stay in their rooms. Service users are able to smoke outside of the building if they choose, but at present none do. Menus are well balanced. The inspector observed service users being involved in preparing their lunch and staff interacting with them over lunch. Staff said that service users are able to choose alternatives for their main meal if they do not want what has been prepared, but the cook is aware of individual Lambert House DS0000027475.V279226.R01.S.doc Version 5.1 Page 11 preferences. Staff (including the cook) are aware of the individual nutritional needs of service users. Staff said that they always knock before entering service users’ rooms. One service user has a key to his room. This has not been assessed as appropriate for other service users. Individual plans set out the household tasks that service users are able to take part in. There is an expectation that service users will be encouraged and supported in domestic tasks such as cooking and putting laundry away, as far as they are able. Lambert House DS0000027475.V279226.R01.S.doc Version 5.1 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 the following standard(s): 18 Personal care is appropriately provided. EVIDENCE: Personal care is provided for some service users. Individual care plans give clear and comprehensive guidance on what personal care individuals need and how to provide it. Shopping for clothes is done individually and those service users who can exercise choice over clothing, toiletries and hairstyle are encouraged to do so. Lambert House DS0000027475.V279226.R01.S.doc Version 5.1 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 the following standard(s): EVIDENCE: These standards were not inspected on this occasion. Lambert House DS0000027475.V279226.R01.S.doc Version 5.1 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 the following standard(s): 30 The home was clean and hygienic. EVIDENCE: A sluice facility is available for washing soiled linen. Staff said that protective clothing is also available. The laundry room floor is impermeable and walls are readily cleanable. Hand washing facilities are available. The home was clean, hygienic and free from offensive odours. Lambert House DS0000027475.V279226.R01.S.doc Version 5.1 Page 15 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): 35 Staff receive training in a range of subjects, to support them in doing their jobs. EVIDENCE: A wide range of training is provided, including emergency aid, health and safety, REACT, food handling and fire safety. Some staff have not yet had training in food handling, but do prepare service user’s food. The manager advised that these staff would receive instruction in food handling during induction, which fills the gap until they get a place on a dedicated course. Seven staff have NVQ or equivalent another seven are currently undergoing NVQ assessment. An additional visit to the home on 8 December 2005 found that there had been significant improvements in recruitment checks. All staff had a POVA First check and Criminal Records Bureau checks had been sought for those staff that needed them. Lambert House DS0000027475.V279226.R01.S.doc Version 5.1 Page 16 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): 39 and 42 The quality of care is not being appropriately reviewed. Health and safety matters have been addressed. EVIDENCE: There has not been a review of the quality of care as specified in regulation 24 of the Care Homes Regulations 2001. The registered manager must ensure that this is done within the timescales of this report. Risk assessments looked at had been reviewed within the recommended timescales and hot water temperatures were being checked weekly. Lambert House DS0000027475.V279226.R01.S.doc Version 5.1 Page 17 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 2 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 24 25 26 27 28 29 30 Score X X X X X X X X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X X X X X 1 X X 3 X Lambert House DS0000027475.V279226.R01.S.doc Version 5.1 Page 18 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 YA2 Regulation 12 Requirement The registered manager must ensure that new service users are only admitted to the home on the basis of a full assessment, to ensure that the home is able to meet their needs. The registered manager must ensure that a review of the quality of care as specified in regulation 24 of the Care Homes Regulations 2001 is undertaken within the timescales of this report. Timescale for action 31/03/06 2. YA39 24 31/05/06 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 Lambert House DS0000027475.V279226.R01.S.doc Version 5.1 Page 19 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 © 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 Lambert House DS0000027475.V279226.R01.S.doc Version 5.1 Page 20 - 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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