Inspection on 12/08/05 for Merle Boddy House

This inspection was carried out on 12th August 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

Merle Boddy House 06/12/06

Merle Boddy House 04/01/06

Merle Boddy House 09/11/04

Merle Boddy House 13/07/04

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 Merle Boddy House 55 Norwich Road Dereham Norfolk NR20 3AX Lead Inspector Susan Golphin Announced 12 August 2005 at 12:15 th 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. Merle Boddy House I55 s27459 Merle Boddy House v236645 AN 120805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Merle Boddy House Address 55 Norwich Road, Dereham, Norfolk. NR20 3AX. 01362 694643 01362 699403 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) Mid Norfolk Mencap Society Christopher Towndrow Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Merle Boddy House I55 s27459 Merle Boddy House v236645 AN 120805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: There are no additional conditions of registration. Date of last inspection 09th November 2004 Brief Description of the Service: Merle Boddy House is a detached building set back slightly from one of the main roads leading out of Dereham. There is parking on the gravel driveway to the front, and it is in keeping with other properties in the area. The home is registered to provide personal care and accommodation to up to 10 adults with learning disabilities. Nursing care is not provided. Accommodation is spread over two floors, with the majority of service user’s bedrooms, and all communal space, being on the ground floor. Merle Boddy House I55 s27459 Merle Boddy House v236645 AN 120805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine announced inspection which took place between 12.30pm and 5pm with the Residential Support and Development Manager Chris Towndrow and Head of Care Helen Luxon. A brief tour of the premises and the garden areas was undertaken, and the inspector was able to speak to three residents and two staff during the course of the visit. Four comment cards were received from relatives and three comment cards from residents, all expressed satisfaction with the service, and where appropriate their opinions have been reflected in the report. Resident’s care plans and records relating to administration and staff recruitment and training were also seen during the day. Feedback on the day was given to the Manager at the end of the inspection. What the service does well: What has improved since the last inspection? A number of small but significant changes have taken place in the home since the appointment of the new manager and head of care. All the requirements from the previous inspection have been met. The policies and procedures for the home are under revision, and will be updated in line with the changes in the home and within the Mid Norfolk Mencap charity. A new computer and business broadband has been installed providing easy access to the internet and more efficient administrative processes and improved record keeping. Some redecoration and minor repairs have been carried out both to the premises and the garden areas. Merle Boddy House I55 s27459 Merle Boddy House v236645 AN 120805 Stage 4.doc Version 1.40 Page 6 A review of the staffing levels is also taking place both in the home and also as part of the wider review of the service. 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. Merle Boddy House I55 s27459 Merle Boddy House v236645 AN 120805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Merle Boddy House I55 s27459 Merle Boddy House v236645 AN 120805 Stage 4.doc Version 1.40 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 standard(s) 2 The home makes appropriate admissions to the home based on a comprehensive assessment of resident’s needs and personal wishes. EVIDENCE: All new or prospective resident’s or their representative are provided with detailed information about the service. Assessments are carried out usually through a multi disciplinary process, and resident’s wishes and health care needs are identified and acknowledged. The information is recorded and maintained in a personal plan of care and reviewed regularly or where changes may indicate. Feedback from residents and their families or their representatives confirmed that they are always involved in the process. Merle Boddy House I55 s27459 Merle Boddy House v236645 AN 120805 Stage 4.doc Version 1.40 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 standard(s) 6,7,9 Residents are encouraged and supported to manage their own lifestyle and take control of their everyday activities. Support staff consult residents about everyday routine and encourage personal independence and individuality EVIDENCE: From the documentation available through the care plans, risk assessments and from the discussions it is clear that resident’s individual wishes and needs are supported and met by staff. Residents spoke warmly of their key carer and of the activities they undertake as well as things they are able to take part in each day. Clear but discreet information around the home helps residents to follow their own agreed plan of care. There are weekly meeting with the residents with a wide range of discussion topics including choice of meals , activities, social events and outings and annual holidays. Residents views or requests and suggestions are recorded. Simple or straightforward requests are usually actioned immediately. The current care planning system is under review to try and reduce some of the bulk within the documents and refine the information so that the care plan is easier to use . ( see recommendation ) Merle Boddy House I55 s27459 Merle Boddy House v236645 AN 120805 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) 11,13,17 The residents live as part of the community. They are valued as individuals and can contribute to the running of the home. Links with the community are good and support and promote the residents social and personal opportunities. Residents are involved in the meal planning process and their dietary needs are well catered for. EVIDENCE: From the information available and from the discussions with staff residents can and do attend clubs and social activities of their choice, including visits to the local pub, restaurants and cinema . One resident was preparing to go off on a sailing week- end. Final preparations are also being made for the resident’s own summer holidays . One small group are holidaying on the coast in self catering chalets others in a hotel in quieter surroundings. Photograph and pictures/ symbols are used for assembling shopping lists and meal planning, and the system is used easily by the residents to assist in meal choices and participation in meal preparation and other domestic and routine chores. Merle Boddy House I55 s27459 Merle Boddy House v236645 AN 120805 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) 18,19 The personal support in this home is offered in such a way as to promote the emotional well being and independence of the residents at all times. EVIDENCE: Each resident has a plan of care which gives a clear account of how their healthcare needs will be met . The plan of care also gives a good account of how the resident would like their support to be provided. Residents confirmed they are supported and assisted to access other medical services such as dentists, chiropody, and GP practice as may be needed. Merle Boddy House I55 s27459 Merle Boddy House v236645 AN 120805 Stage 4.doc Version 1.40 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 standard(s) 22,23 This home operates in such a way as to promote and protect the rights and views of residents through a clear complaints procedure and advocacy arrangements. EVIDENCE: The home have policies and procedure in place for dealing with complaints and key carers confirmed they make sure that residents can access the process easily. The information about the complaints procedure is made available on admission to the home. Staff receive recognised training in respect of adult abuse awareness . Ten members of staff have achieved NVQ 2 or/and 3 and have completed training which includes input on protecting vulnerable adults. Merle Boddy House I55 s27459 Merle Boddy House v236645 AN 120805 Stage 4.doc Version 1.40 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 standard(s) 24,25,30 The standard of the environment within this home is good and provides residents with a comfortable and homely place to live. EVIDENCE: Merle Boddy House is a large comfortable family type home. Three residents invited the inspector to see their rooms which reflect personal taste and are attractively furnished and well maintained. The home is designed and furnished in a domestic style and offers all the usual facilities which residents can access without restrictions. Some minor redecoration and replacement work has been completed , and some minor upgrade on the shower room and one of the bathrooms is being carried out. The garden area is compact and well laid out and offers a pleasant setting for eating or sitting outdoors . The garden area is well maintained and external storage facilities have been upgraded recently. Work on the external fencing is in progress. The home is clean and hygienic and health and safety advice and practice in place. Risk assessments associated with everyday domestic routines and activities are in place. Merle Boddy House I55 s27459 Merle Boddy House v236645 AN 120805 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32,34,35 There is clear management and direction, with staff demonstrating a clear understanding of their roles and responsibilities, and they work effectively to meet the wants and needs of the residents. EVIDENCE: The home has a stable staff group and a clear recruitment procedure in place. All prospective staff are checked through the Criminal Records Bureau, and this information is in place and up to date. A review of the staffing levels / restructuring for this service is currently taking place and has not been inspected in detail on this occasion other than to establish that there are sufficient numbers of staff on duty each day. This outcome will be re assessed at the next inspection. ( see recommendation) Residents spoke warmly of their carers and how they help them to ‘do everything they want’ The staff clearly provide a comfortable and homely environment where people feel safe and secure. Ten of the staff have achieved NVQ 2 or / and 3 qualifications and have also undertaken specialist and mandatory training which includes moving and handling and health and safety sessions. Merle Boddy House I55 s27459 Merle Boddy House v236645 AN 120805 Stage 4.doc Version 1.40 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 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) 37,39 The home is well managed and puts resident’s interests and lifestyles to the fore. The management have a clear development plan and vision for the home and promote improved support services. EVIDENCE: From the conversations with residents, staff and from the responses on the comment cards it is clear that the management and staff are liked and well regarded. The home is well managed and staff remain focused on residents which is demonstrated by the daily activities and social events of individual residents. Merle Boddy House I55 s27459 Merle Boddy House v236645 AN 120805 Stage 4.doc Version 1.40 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 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x x x x 3 Standard No 11 12 13 14 15 16 17 3 x 3 x x x 3 Standard No 31 32 33 34 35 36 Score x 3 x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Merle Boddy House Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 3 x 3 x x x x I55 s27459 Merle Boddy House v236645 AN 120805 Stage 4.doc Version 1.40 Page 17 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 none 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 6 Good Practice Recommendations It is recommended that the management continue with their plan to review the care planning system for the home to ensure the process is easy to use and provides a positive working tool for the staff group. It is recommended that the management continue with their plan to review the staffing levels / restructuring in the home to reflect the assessed needs of the residents. 2. 33 Merle Boddy House I55 s27459 Merle Boddy House v236645 AN 120805 Stage 4.doc Version 1.40 Page 18 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 Merle Boddy House I55 s27459 Merle Boddy House v236645 AN 120805 Stage 4.doc Version 1.40 Page 19 - 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. 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