Inspection on 17/01/06 for 30 Norbins Road

This inspection was carried out on 17th January 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 found no outstanding requirements from the previous inspection report, but made 9 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

30 Norbins Road 01/12/06

30 Norbins Road 18/07/05

30 Norbins Road 21/01/05

30 Norbins Road 19/05/04

30 Norbins Road 25/03/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Norbins House and The Bungalow 30 Norbins Road Glastonbury Somerset BA6 9JF Lead Inspector Sally Murphy Unannounced Inspection 17th January 2006 12:30 Norbins House and The Bungalow DS0000016299.V277862.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 Norbins House and The Bungalow DS0000016299.V277862.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. Norbins House and The Bungalow DS0000016299.V277862.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Norbins House and The Bungalow Address 30 Norbins Road Glastonbury Somerset BA6 9JF 01458 833004 01458 830212 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) SENSE MRS PHILIPPA CLAIRE GREED Care Home 4 Category(ies) of Sensory impairment (4) registration, with number of places Norbins House and The Bungalow DS0000016299.V277862.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Three places in 30 Norbins Road One place in The Bungalow Date of last inspection 18th July 2005 Brief Description of the Service: 30 Norbins Road is small residential home situated within walking distance of Glastonbury town centre. Accommodation is provided for 3 people within the large Victorian house, whilst a fourth person lives more independently within the self-contained bungalow located at the rear of the property. The home is registered with the Commission for Social Care Inspection to provide care for up to four people who have a sensory impairment. The service users residing at this service also have additional care and support needs as a result of learning disabilities. The Registered Provider is SENSE. The Registered Manager, Pippa Greed, will shortly be leaving Norbins House. Jo Pearce, the Deputy Manager, will provide management cover until a Registered Manager is appointed. Norbins House and The Bungalow DS0000016299.V277862.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out as part of the planned annual programme of inspection. The inspection was unannounced and carried out by one inspector over one day. The previous inspection was announced and took place on 18th July 2005. On the day of the inspection there were four service users residing within the home. During the course of the visit service users, staff members and the Registered Manager were spoken with. Care practice was also observed, records examined and a tour of the premises was made. What the service does well: What has improved since the last inspection? What they could do better: Norbins House and The Bungalow DS0000016299.V277862.R01.S.doc Version 5.1 Page 6 A number of environmental and maintenance issues were identified during this inspection. These must be addressed to ensure that service users live within safe and comfortable environment. On the day of inspection two Immediate requirements were issued. These related to staff recruitment and fire safety training. For the protection of vulnerable service users two satisfactory references and a POVA first check must be obtained prior to a staff member commencing employment at the home. In order to promote the health and safety of staff and service users, all staff must receive regular training updates on fire safety. The complaints procedure must be updated to include the appropriate contact details for The Commission for Social Care Inspection. Portable appliances must also be tested on an annual basis. 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. Norbins House and The Bungalow DS0000016299.V277862.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 Norbins House and The Bungalow DS0000016299.V277862.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): 1, 2, 3 & 4. Service users and their families are provided with appropriate information regarding the home. Appropriate assessments are completed to ensure that the home will be able to meet service users’ needs. EVIDENCE: The home has a Statement of Purpose and Service User Guide that provide details of the services and facilities offered at the home. The Service User Guide is available in a format that is accessible to service users residing at the home. An assessment of need is completed prior to any service user moving into the home. There have been no admissions to the home for several years. Prospective service users would be invited to spend time at the home. Norbins House and The Bungalow DS0000016299.V277862.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, 9 & 10. The home has developed an appropriate care plan for each service user. Service users are supported to make choices regarding their life. Staff demonstrated a good knowledge of individual service users’ communication needs. Appropriate records are maintained in relation to service users’ finances. Records relating to service users are stored securely. EVIDENCE: Care plans are maintained for each service user. These consist of a working file containing all key documents and a further file containing archived material. Care plans provide details of service users needs, daily routines and preferences. Staff also maintain daily records addressing service users’ living skills, daily activities, exercise, communication, personal care and diet. Care plans included communication and behavioural guidelines. Risk assessments had been completed as required. Care plans had been regularly reviewed and updated as necessary. Service users are encouraged to exercise choice regarding their daily routines. There is a board displaying which staff will be on duty. None of the current Norbins House and The Bungalow DS0000016299.V277862.R01.S.doc Version 5.1 Page 10 service users have advocates. There is a circle of support for each service user. The home will keep money securely for any service user that wishes them to. Records are maintained of all transactions involving service user finances. Norbins House and The Bungalow DS0000016299.V277862.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): 11, 12, 13, 14, 15, 16 & 17. Service users are provided with a range of activities that are appropriate to their individual needs, and are supported in accessing the local community. Service users are involved in planning menus, and a choice is offered for each meal. EVIDENCE: An activities board is displayed for each service user. Service users are able to participate in a wide range of activities including: arts and crafts, games, sewing, keyboard, music, yoga, exercise bike, trampoline, tactile play, massage, foot spa, hair and beauty, making cards, cookery and gardening. Service users are also supported in accessing the local community and enjoy blind club, horse riding, and local walks. There is a computer available in the lounge of the home. Service users also attend courses at Strode College. There are regular trips out. A Hawaiian party was held to celebrate the Tenth anniversary of Norbins house. During the previous year service users have Norbins House and The Bungalow DS0000016299.V277862.R01.S.doc Version 5.1 Page 12 also recently been away for short stays to Glasgow, and Blue Anchor. One service user regularly goes to Spain to visit their family. Staff support service users in maintaining contact with family and friends. Visitors are welcomed at the home. Staff use a variety of methods to communicate with service users, including British Sign Language, symbols, and the pictorial exchange communication system. A communication board has been provided for one service user. Service users are involved in planning menus each week. A choice is provided at each meal. Specialist kettles have been provided to promote service users independence in preparing hot drinks. Service users are involved in food shopping and the preparation of meals as appropriate to their individual needs. Norbins House and The Bungalow DS0000016299.V277862.R01.S.doc Version 5.1 Page 13 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 & 20. Service users are provided with appropriate assistance to meet their personal care needs. The home supports service users in accessing healthcare services. EVIDENCE: Service users are provided with assistance to undertake personal care tasks as required. Staff support service users in accessing health care services, and ensure that specialist advice is sought as required. Staff at the home receive medications training. A competence-based assessment is completed, and regularly reviewed for each staff member involved in the administration of medications. Medication Administration Records include a photograph of the service user. The home has followed good practice in relation to the recording and administration of medications. Norbins House and The Bungalow DS0000016299.V277862.R01.S.doc Version 5.1 Page 14 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): 22 & 23. The home has appropriate policies and procedures in place to safeguard vulnerable adults. EVIDENCE: The home has a complaints procedure that includes details of external agencies that may be contacted. This must be updated to include information regarding the Commission for Social Care Inspection and the appropriate telephone number. It is a policy at homes owned by SENSE that the complaints procedure is explained to each service user, in a format that is suitable to them on a three monthly basis. Records demonstrated that this had not taken place during recent months, and had last been completed on 2nd June 2005. There have been no formal complaints received by the home since the last inspection. The home has a Protection of Vulnerable Adults and whistle blowing policy. Norbins House and The Bungalow DS0000016299.V277862.R01.S.doc Version 5.1 Page 15 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, 25, 26, 27, 28, 29 & 30. A number environmental and maintenance issues were identified during the inspection. These must be addressed to ensure that service users live within a safe and comfortable environment. There are sufficient communal areas and bathing facilities to meet service users’ needs. The home was found to have a good standard of cleanliness. EVIDENCE: The home is domestic in style. Communal areas comprise of a lounge, dining room, and sensory room. The carpet has become loose on the step leading from the sensory room and may pose a trip hazard. A door on the cupboard desk requires repair. There is a pleasant garden at the rear of the property is accessible to service users. All service user rooms have en suite facilities. Service users have been involved in choosing colour schemes and furniture for their rooms, and all rooms have been personalised to reflect individuals’ tastes and preferences. Norbins House and The Bungalow DS0000016299.V277862.R01.S.doc Version 5.1 Page 16 The curtain rail had broken in one service users’ room. The carpet has started to ridge in a further room and may pose a trip hazard to the service user who is visually impaired. One vanity unit is showing signs of wear and tear, and should be replaced within the refurbishment program. Heavy items of furniture such as wardrobes must be secured. There are two bathrooms within the home, and additional toilets available close to communal areas. Hot pipes require guarding within the ground floor toilet and one en suite shower room to ensure that they do not pose a risk of scalding to service users. The window blind and toilet roll holder have broken and require fixing in the first floor bathroom. The Bungalow is situated at the rear of the Norbin’s house. This accommodation comprises of a lounge, kitchen, bathroom and bedroom. The door has come off one unit in the kitchen of the bungalow. Hot water temperature outlets were tested within the bathroom of the bungalow, and found to be below 10 C. Appropriate action must be taken to ensure that hot water is available within The Bungalow. The sealant surrounding the bath is mouldy and must be replaced. The laundry is sited at the rear of the home. Paint has begun to peel off the walls and ceiling of the laundry making it difficult to clean. There is no provision for hand washing facilities within the laundry. The home must review infection control guidelines in relation to the laundry to reduce the risk of cross infection within the home. Norbins House and The Bungalow DS0000016299.V277862.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): 31, 32, 33, 34, 35 & 36. Staffing levels are appropriate to meet service users’ needs. Staff are provided with the training and support required to undertake their role. In order to safeguard vulnerable adults, the home must operate a robust recruitment procedure, and ensure that appropriate documentation is available. EVIDENCE: There is a notice board in the kitchen displaying which staff members will be on duty each day. Duty rotas are maintained. Staff spoken with, confirmed that there are sufficient staff on duty to meet service users’ personal care and social needs. Newly appointed staff received Induction training. Staff are encouraged to attend further training, and comprehensive training records are maintained. The home has monthly staff meetings where policies and care practices are reviewed. Staff are provided with regular supervision and receive appraisals each year. Norbins House and The Bungalow DS0000016299.V277862.R01.S.doc Version 5.1 Page 18 Three staff recruitment files were examined. None of those seen included a copy of the application form. Two recruitment files did not contain evidence of two references, a POVA first checks or enhanced CRB disclosure being obtained. One the day of inspection an Immediate Requirement was issued in relation to staff recruitment. In order to safeguard vulnerable adults, two satisfactory references and POVA First check must be obtained prior to a member of staff commencing employment and appropriate documentation be available within the home. Norbins House and The Bungalow DS0000016299.V277862.R01.S.doc Version 5.1 Page 19 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, 38, 39, 40, 41 & 42. The Registered Manager is an experienced manager. There are appropriate strategies in place to obtain feedback from service users and their families. Records relating to service users are stored securely. In order to promote the health and safety of service users, the Registered Person must ensure that all staff receive regular updates in fire safety training. EVIDENCE: The Registered Manager will shortly be leaving Norbin House. The Deputy Manager, Jo Pearce, will provide management cover until a Registered Manager is appointed. Staff at the home will also receive further support from Senior staff at SENSE. Due to the needs of the service user group, feedback is sought from service users on an informal basis. The home has appropriate policies and procedures in place to safeguard vulnerable service users. All records relating to service users are stored securely in accordance with the Data Protection Act 1998. Norbins House and The Bungalow DS0000016299.V277862.R01.S.doc Version 5.1 Page 20 Fire safety records were examined. Fire equipment had been serviced and tested as required. The fire risk assessment is currently being reviewed. Training records indicated that staff had last received fire safety training on 28th April 2005. On the day of the inspection an Immediate Requirement was issued stating that all staff must receive regular updates in fire safety training. Portable appliances must be tested on an annual basis. The home has a satisfactory electrical hardwiring certificate. Accidents have been recorded and reported as required. Norbins House and The Bungalow DS0000016299.V277862.R01.S.doc Version 5.1 Page 21 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 3 2 3 3 3 4 3 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 2 27 1 28 3 29 3 30 2 STAFFING Standard No Score 31 3 32 3 33 3 34 1 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 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 3 3 3 3 3 2 X Norbins House and The Bungalow DS0000016299.V277862.R01.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? No. 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 YA22 Regulation 22 (7) Requirement The complaints procedure must be updated to include information regarding the Commission for Social Care Inspection and the appropriate telephone number. The carpet has become loose on the step leading from the sensory room and may pose a trip hazard. A door on the computer desk requires repair. The door of one unit in the kitchen of the bungalow must be re-fitted. The curtain rail has broken in one service user’s room. The carpet has started to ridge in a further room. The Registered Person must undertake regular reviews to ensure that this does not pose a risk to the service user, who is visually impaired. Heavy items of furniture such as wardrobes must be secured. Timescale for action 03/03/06 2. YA24 13 (4) 03/03/06 3. YA24 13 (4) 31/03/06 4. YA26 16 (2c) & 13 (4) 03/03/06 Norbins House and The Bungalow DS0000016299.V277862.R01.S.doc Version 5.1 Page 23 5. YA27 13 23 23 13 (4) & (2b) & (2j) & (3) Hot pipes require guarding within 28/04/06 the ground floor toilet and one en suite shower. The blind and toilet roll holder have broken and require fixing in the bathroom. Hot water temperature outlets were tested within the bathroom of the bungalow, and found to be below 10°C. Appropriate action must be taken to ensure that hot water is available within The Bungalow. The sealant surrounding the bath in the bungalow is mouldy and must be replaced. The home must review infection control guidelines in relation to the laundry to reduce the risk of cross infection within the home. In order to safeguard vulnerable adults, two satisfactory references and POVA First check must be obtained prior to a member of staff commencing employment and appropriate documentation be available within the home. Staff must receive regular updates in fire safety training. Portable appliances must be tested on an annual basis. 6. YA30 13 (3) 31/03/06 7. YA34 19 & Schedule 2 17/01/06 8. 9. YA42 YA42 23 (4d) 13 (4) 14/02/06 01/05/06 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 Norbins House and The Bungalow DS0000016299.V277862.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 Norbins House and The Bungalow DS0000016299.V277862.R01.S.doc Version 5.1 Page 25 - 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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