Inspection on 18/07/05 for 30 Norbins Road

This inspection was carried out on 18th 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

30 Norbins Road 01/12/06

30 Norbins Road 17/01/06

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 and The Bungalow 30 Norbins Road Glastonbury Somerset BA6 9JF Lead Inspector Sally Murphy Announced 18th July 2005 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. Norbins and The Bungalow D53 - D02 S16299 Norbins & The Bungalow V231299 180705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Norbins and The Bungalow Address 30 Norbins Road Glastonbury Somerset BA6 9EL 01458 833004 01458 830212 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) Sense Philippa Claire Greed Personal Care Home Only 4 Category(ies) of Sensory Impairment (4) registration, with number of places Norbins and The Bungalow D53 - D02 S16299 Norbins & The Bungalow V231299 180705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. Three places in 30 Norbins Road. 2. One place in The Bungalow. Date of last inspection 21st January 2005 Brief Description of the Service: 30 Norbins Road is small residential home situated within walking distance of Glastonbury town centre. Accomodation is provided for 3 people within the large Victorian house, whilst a fouth 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 Manager is Pippa Greed and Registered Provider is SENSE. Norbins and The Bungalow D53 - D02 S16299 Norbins & The Bungalow V231299 180705 Stage 4.doc Version 1.40 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 announced and carried out by one inspector over one day. The previous inspection was unannounced and took place on 21st January 2005. On the day of the inspection there were three service users residing within the home. The service user living within the bungalow was on holiday; therefore this part of the home was not seen during this inspection. Prior to the announced inspection Comment Cards were sent to service users, relatives and healthcare professionals. Three cards were returned and each of these commented positively on the service provided. Throughout the inspection there was an interpreter present to aid with signed communication. 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? A new communication system has been introduced at the home for two service users. This is intended to develop their communication skills, and promote independence. Care plans have also been revised. The home now has working file containing current assessments and plans and a separate file for archived documents. The kitchen, dining room and hallway have been re-decorated within the main house. Two service user bedrooms have also been decorated and refurbished. Service users have been fully involved in choosing colours, and furniture for their rooms. Shower units have been upgraded in all bathrooms. A specialist shower, recommended by the RNIB has been provided for one service user. Norbins and The Bungalow D53 - D02 S16299 Norbins & The Bungalow V231299 180705 Stage 4.doc Version 1.40 Page 6 The home also aims to extend the laundry area situated at the rear of the property. 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. Norbins and The Bungalow D53 - D02 S16299 Norbins & The Bungalow V231299 180705 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 Norbins and The Bungalow D53 - D02 S16299 Norbins & The Bungalow V231299 180705 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) 1,2,3,4 & 5 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 Statement of Purpose has been updated to include recent photographs of the staff team. 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. Prospective service users are invited to spend time at the home. A contract is provided for each service user. The home is in the process of developing these to ensure that they are in a format that is accessible to the current service user group. Norbins and The Bungalow D53 - D02 S16299 Norbins & The Bungalow V231299 180705 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) 6,7,8,9 & 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 have recently been revised, and now consist of a working file containing key information and a further file containing archived documents. 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 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 service users have advocates. There is a circle of support for each service user. Norbins and The Bungalow D53 - D02 S16299 Norbins & The Bungalow V231299 180705 Stage 4.doc Version 1.40 Page 10 The home will keep money securely for any service user that wishes them to. Records are maintained of all transactions involving service user finances. Service user monies were examined, and all seen tallied with records kept. Norbins and The Bungalow D53 - D02 S16299 Norbins & The Bungalow V231299 180705 Stage 4.doc Version 1.40 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 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, cookery and gardening. Service users are also supported in accessing the local community and enjoy blind club, horse riding, and local walks. There are regular trips out. Service users have also recently been away for short stays to Glasgow, and Blue Anchor. Staff support service users in maintaining contact with family and friends. Norbins and The Bungalow D53 - D02 S16299 Norbins & The Bungalow V231299 180705 Stage 4.doc Version 1.40 Page 12 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 mealtime. Service users are involved in food shopping and the preparation of meals as appropriate to their individual abilities and needs. Norbins and The Bungalow D53 - D02 S16299 Norbins & The Bungalow V231299 180705 Stage 4.doc Version 1.40 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 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. Personal care is provided in private. 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 for each staff member involved in the administration of medications. Medication Administration Records include a photograph of the service user. A record had been recorded for all medications entering and leaving the home. All hand transcribed entries had been supported by two staff signatures. Clear directions had been recorded for PRN medications. The home must ensure that a signature is recorded for all medications given. All medications are stored securely. Norbins and The Bungalow D53 - D02 S16299 Norbins & The Bungalow V231299 180705 Stage 4.doc Version 1.40 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 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 including CSCI. The complaints procedure is explained to each service user, in a format that is suitable to them on a three monthly basis. 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 and The Bungalow D53 - D02 S16299 Norbins & The Bungalow V231299 180705 Stage 4.doc Version 1.40 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 standard(s) 24,25,26,27,28,29 & 30 The home has been decorated and furnished to a good standard. There are sufficient communal areas and bathing facilities to meet service users’ needs. The home was found to have a high standard of cleanliness. EVIDENCE: The home is domestic in style. As previously mentioned there has been significant re-decoration since the last inspection. Communal areas comprise of a lounge, dining room, and sensory room. There is also a pleasant garden containing seating areas that 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. Radiators have been guarded and window openings restricted on upper floors. Hot water temperature outlets were tested and found to be within appropriate limits. The home follows good practice with regard to infection control. The Environmental Health Officer visited the home on 1st June 2005 and found the premises and practices to be satisfactory. Norbins and The Bungalow D53 - D02 S16299 Norbins & The Bungalow V231299 180705 Stage 4.doc Version 1.40 Page 16 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) 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. The home operates a robust recruitment procedure. Staff receive regular supervision. EVIDENCE: Duty rotas are maintained. On the day of inspection, the Registered Manager, a Senior and one social tutor were on duty. The home currently has some staff vacancies. Staff have recently worked additional hours to ensure that service users receive appropriate levels of support during the period whilst recruitment is taking place. Newly appointed staff received Induction training. Staff are encouraged to attend further training, and there are currently five staff studying for the NVQ qualification. A clearly written training record is maintained for each staff member. Training courses recently attended have included: deaf blind person, challenging behaviour, adult protection, first aid, autism, and health and safety. The home has monthly staff meetings where policies and care practices are reviewed. Staff are provided with regular supervision. Norbins and The Bungalow D53 - D02 S16299 Norbins & The Bungalow V231299 180705 Stage 4.doc Version 1.40 Page 17 The recruitment files were examined for three staff members, and each was found to contain the documentation required under Schedule 2 of the Care Home Regulations 2001. Norbins and The Bungalow D53 - D02 S16299 Norbins & The Bungalow V231299 180705 Stage 4.doc Version 1.40 Page 18 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) 37,38,39,40, 41, & 42 The Registered Manager is an experienced manager. She is mainly office based, and should aim to increase time spent within the home. There are appropriate strategies in place to obtain feedback from service users and their families. Records relating to service users are stored securely. Appropriate action has been taken to promote the health and safety of staff and service users at the home. EVIDENCE: The Registered Manager is Pippa Greed. She has several years experience of managing a care home, and is close to completing the NVQ level 4 qualification in Management. Due to the needs of the service user group, feedback is sought from service users on an individual basis. SENSE, the organisation that owns the home has recently organised a family weekend, where relatives were able to comment on the service provided. The home has appropriate policies and procedures in place to safeguard vulnerable service users. All records Norbins and The Bungalow D53 - D02 S16299 Norbins & The Bungalow V231299 180705 Stage 4.doc Version 1.40 Page 19 relating to service users are stored securely in accordance with the Data Protection Act 1998. Fire safety records were examined. Fire equipment had been serviced and tested as required. There are regular fire drills and appropriate actions have been taken to meet the requirements from the Fire Officers visit. Portable appliances have been tested as necessary and the home has a satisfactory electrical hardwiring certificate. Weekly checks are made on the homes’ vehicle and hot water temperatures. Due to concerns regarding the health and safety of service users, the two pet cats have recently been re-homed. Accidents recorded and reported as required. Norbins and The Bungalow D53 - D02 S16299 Norbins & The Bungalow V231299 180705 Stage 4.doc Version 1.40 Page 20 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 4 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Norbins and The Bungalow Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 x D53 - D02 S16299 Norbins & The Bungalow V231299 180705 Stage 4.doc Version 1.40 Page 21 na 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 YA 20 Regulation 13(2) Requirement The home must ensure that a signature is recorded for all medications given, and that where a medication is not administered that a defination is recorded as appropriate. Timescale for action 19.8.05 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 Good Practice Recommendations Norbins and The Bungalow D53 - D02 S16299 Norbins & The Bungalow V231299 180705 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection Riverside Chambers Castle Street Tangier 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 and The Bungalow D53 - D02 S16299 Norbins & The Bungalow V231299 180705 Stage 4.doc Version 1.40 Page 23 - 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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