Inspection on 20/07/05 for Mandela House

This inspection was carried out on 20th July 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

Mandela House 07/02/07

Mandela House 16/02/06

Mandela House 07/02/05

Mandela House 26/05/04

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 Mandela House 13 Vicarage Road Cromer Norfolk NR27 9DQ Lead Inspector Lella Andrews Unannounced 20th July 2005, 13:45. 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. Mandela House I55 s27484 Mandela House v239346 UN 210705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Mandela House Address 13 Vicarage Road, Cromer, Norfolk. NR27 9DQ. 01263 514747 01603 279529 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) Jeesal Residential Care Service Limited Mr Martyn ONeil-Cooper Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Mandela House I55 s27484 Mandela House v239346 UN 210705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th February 2005 Brief Description of the Service: Mandela House is a large terraced house in the town of Cromer. It is located in a residential area which is close to the town centre and to the seafront. The Home is registered to provide a service for up to eight adults with a learning disability. The Home is owned and managed by Jeesal Residential Care Services Ltd. The accommodation is on three floors and there is no passenger lift. The service users all have a single bedroom. The Home has a small garden to the rear. Mandela House I55 s27484 Mandela House v239346 UN 210705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Inspection was unannounced and took place between 1.45pm and 4.30pm on Wednesday 20th July 2005. There are currently six tenants living at the Home and the Inspector spoke to all of them briefly during the Inspection and to one of the tenants on an individual basis. The deputy Manager provided information throughout the Inspection, both verbally and through records. The Manager was present in the Home for part of the Inspection. This Inspection focused on a few standards and the remaining key standards will be measured during the next Inspection. 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. Mandela House I55 s27484 Mandela House v239346 UN 210705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Mandela House I55 s27484 Mandela House v239346 UN 210705 Stage 4.doc Version 1.40 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 standard(s) None of these standards were measured EVIDENCE: N/A Mandela House I55 s27484 Mandela House v239346 UN 210705 Stage 4.doc Version 1.40 Page 8 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) 7 and 8 The tenants are encouraged to make decisions about issues that affect them. The tenants are encouraged to participate in all aspects of life in the Home. EVIDENCE: Two of the care plans were seen during the Inspection. These show that the tenants are encouraged to take part in the reviews of aspects of their care and, where possible, sign to agree the care plans. The care plans contain information about situations which have involved the restriction of a tenants choice about an issue and the reasons for this. Risk assessments are carried out to provide evidence for decisions made. Tenants said that the staff give them advice and support about situations, for example, one of the tenants has recently given up smoking and they described the support that they have received with regard to this. Staff were heard to explain issues to the tenants and give clear explanations about why a particular request could not be carried out at that time. Staff receive training with regard to communication and are aware of the importance of effective communication. Mandela House I55 s27484 Mandela House v239346 UN 210705 Stage 4.doc Version 1.40 Page 9 Tenants take part in a daily tenants meeting and minutes are kept of these. Issues affecting the Home and individual tenants are discussed and all tenants are encouraged to voice their opinions. Tenants are encouraged to take part in household tasks and staff provide support for this to take place. Mandela House I55 s27484 Mandela House v239346 UN 210705 Stage 4.doc Version 1.40 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) None of these standards were measured EVIDENCE: N/A Mandela House I55 s27484 Mandela House v239346 UN 210705 Stage 4.doc Version 1.40 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 standard(s) 18 and 20 The tenants receive personal support in the way that they prefer and require. Medication is well managed, thereby promoting the tenants health. EVIDENCE: Tenants said that the staff are kind and are helpful to them. Tenants received varying levels of support with personal care depending on their individual needs. Tenants are encouraged to be as independent as possible with regard to personal care and the care plans describe the level of support required. Staff were seen to knock on tenants bedroom doors and tenants have keys to their own doors. Tenants said that they are able to choose when to get up and go to bed. One of the tenants has their own drink making facilities and fridge in their room and said that they like to get up early to make a cup of tea and watch the news. The tenants are clearly encouraged to develop their own sense of style with regard to clothing and hairstyles. One of the tenants showed the Inspector their bedroom and said that they are able to make their own choices about decoration and furnishings. Mandela House I55 s27484 Mandela House v239346 UN 210705 Stage 4.doc Version 1.40 Page 12 The system for storing, administering and recording medication was inspected. The staff follow the Homes medication procedures which ensure safe storage and administration. Staff have received training from a local pharmacy and will now receive more detailed training from the Manager of the Home who provides training to all staff within the organisation. Mandela House I55 s27484 Mandela House v239346 UN 210705 Stage 4.doc Version 1.40 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) neither of these standards were measured EVIDENCE: N/A Mandela House I55 s27484 Mandela House v239346 UN 210705 Stage 4.doc Version 1.40 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) none of these standards were measured EVIDENCE: N/A Mandela House I55 s27484 Mandela House v239346 UN 210705 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 The staffing levels are adequate to meet the needs of the tenants currently living at the Home but there will need to be an increase in staffing when additional tenants move into the Home. EVIDENCE: One of the tenants attends formal day services five days per week and the other five tenants attend a mixture of adult education classes, leisure activities and organised activities such as horticulture. The Home is situated very near to Cromer town centre and the seafront and the tenants told the Inspector that they regularly go shopping and out for drinks/meals in the town. Tenants said that they are able to spend time in their own bedrooms or in the communal areas of the Home, depending on what they prefer. One of the tenants showed the Inspector their room which is large and has a comfortable armchair, television, music centre and drink making facilities. Through observation of the staffing rotas and discussion with tenants and staff it appears that currently the needs of the tenants can be met by the staffing provided. However, the adult education classes will shortly end which will mean that more tenants are at home during the week. Staffing will need to be reviewed to enable tenants to access leisure/social activities across the summer. There are limited opportunities for tenants to go out during the Mandela House I55 s27484 Mandela House v239346 UN 210705 Stage 4.doc Version 1.40 Page 16 evenings and although tenants said that they are tired during the week it is recommended that staffing is reviewed in order to provide opportunities for tenants to be supported to go out during the evening, particularly at weekends. There are currently two vacancies at the Home and the staffing will need to be increased prior to any other tenants moving into the Home. The Home has staffing vacancies for which recruitment is almost completed. It is recommended that the Manager monitors the amount of additional hours that some staff are working to ensure that they are able to carry out their role effectively. The Home does not employ separate domestic or catering staff and so the care staff are expected to undertake these tasks. Tenants are encouraged to take responsibility for some household tasks. Team meetings take place on a regular basis. Mandela House I55 s27484 Mandela House v239346 UN 210705 Stage 4.doc Version 1.40 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) none of these standards were measured EVIDENCE: N/A Mandela House I55 s27484 Mandela House v239346 UN 210705 Stage 4.doc Version 1.40 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. 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 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x 3 3 x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x Standard No 11 12 13 14 15 16 17 x x x x x x x Standard No 31 32 33 34 35 36 Score x x 3 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Mandela House Score 3 x 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x x x I55 s27484 Mandela House v239346 UN 210705 Stage 4.doc Version 1.40 Page 19 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 Regulation n/a 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. 2. Refer to Standard 33 33 Good Practice Recommendations It is recommended that the staffing levels are increased in the evenings, particularly at weekends to enable tenants to go out t is recommended that the manager monitors the additional hours that some staff work to ensure that they are able to carry out their role effectively Mandela House I55 s27484 Mandela House v239346 UN 210705 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection 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 Mandela House I55 s27484 Mandela House v239346 UN 210705 Stage 4.doc Version 1.40 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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