Inspection on 16/03/07 for North Parade

This inspection was carried out on 16th March 2007.

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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

North Parade 28/02/06

North Parade 19/10/05

North Parade 17/03/05

North Parade 31/01/05

North Parade 05/02/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 North Parade 10 North Parade Southwold Suffolk IP18 6LP Lead Inspector Jill Clarke Key Unannounced Inspection 16th March 2007 10:10 DS0000024562.V333358.R01.S.doc Version 5.2 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 DS0000024562.V333358.R01.S.doc Version 5.2 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. DS0000024562.V333358.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service North Parade Address 10 North Parade Southwold Suffolk IP18 6LP 01502 724061 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) Mrs Yvonne Rosemond Mutty Mrs Yvonne Rosemond Mutty Care Home 2 Category(ies) of Learning disability (2) registration, with number of places DS0000024562.V333358.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. To offer care and accommodation to the 2 named service users as stated in application V30844. 28th February 2006 Date of last inspection Brief Description of the Service: North Parade is a large terraced house situated on the sea front at Southwold and within walking distance of the shops. The owners and residents have lived together as a family unit for over 39 years. The owners do not intend to provide care and accommodation to any other persons in the future. If the situation ever changed, then a more detailed description of the home would be given. DS0000024562.V333358.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection, undertaken over 2 ½ hours, which focused on the outcomes of the relevant key standards relating to Younger Adults. The report has been written using accumulated evidence gathered prior to, and during the inspection. The inspector was sensitive to the situation that the residents have lived as part of the family, for over 39 years. Therefore feedback was obtained by observing and spending time with the residents, as part of the family unit. As the home is not open to new residents, it was inspected against a limited number of standards. These were the ones that cover the current residents physical, emotional, social and safety care needs, to evidence that they are being met. The owners were concerned, that living as a family within the community, any public report may invade the residents privacy. Taking their concerns into account, and that the home is not open to the public, this, and future reports will provide very little specific information, in order to respect the privacy of the residents. 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 DS0000024562.V333358.R01.S.doc Version 5.2 Page 6 contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. DS0000024562.V333358.R01.S.doc Version 5.2 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 DS0000024562.V333358.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 5. As the home is not registered to take new residents, standards 2 to 4 were not applicable, therefore not assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are informed through their funding authority of all fees payable. EVIDENCE: Previous visits evidenced contracts between Social Care and the owners, in respect of both residents. There has been no change to the home’s Statement of Purpose since it was last seen by the Commission (2006), therefore not re-assessed during this inspection. DS0000024562.V333358.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents live as part of a family, and as such, are included as family members in making any decisions, on how they wish to spend their day. EVIDENCE: The residents have lived as part of the family for nearly 40 years; therefore the owners know everything about them. Taking this into account, the care plans give a good level of information, that in an emergency a person not known to the residents would be able to provide the level of assistance required. Although, due to the extended family of ‘brothers and sisters’, a stranger having to give any support is very unlikely. Both residents, who have been brought up to be independent and self sufficient, would be more than able to communicate their needs. The owner keeps a daily diary, for each of the residents, purely to satisfy the regulatory requirements, which gives information on days out, medical visit, and any changes in their health, for example a cold/infections,. DS0000024562.V333358.R01.S.doc Version 5.2 Page 10 The residents are continuously consulted on all aspects of their life, and would not benefit from having more formal systems in place. The owners have never tried to ‘wrap the boys in cotton wool’, but to ensure normality by teaching them life skills, from being children. An overview of risks assessed, and how they are managed, has been included in the home’s Statement of Purpose. During the visit the residents went out for a walk on their own, which is often part of their daily routine. The owners were aware of the route, and how long the residents normally took, and would have gone to check if they had taken longer than normal. Information on the residents is held securely. DS0000024562.V333358.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 and 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The residents are supported to make choices about their lives, develop life skills, and join in all aspects of community life. EVIDENCE: The unique situation, of the residents being brought up as part of a family unit since they were 6 weeks old, has given them an excellent start, and ongoing life, as any individual would expect. This has included attending mainstream schools, joining clubs, pursuing hobbies and interests. Thier daily routines are as part of a close-knit family, who enjoy a wide range of social activities, and interests, including visiting a local gym. The family are well established as part of the community, joining in with organised social events. The residents updated the inspector, on their latest craftwork, that they have created, puzzles purchased, outings, post card collection, and shown photographs taken of Christmas and birthday celebrations. DS0000024562.V333358.R01.S.doc Version 5.2 Page 12 As with any family, the residents do their share of household duties, which includes cooking, DIY, shopping and domestic housework. When the inspector visited, the residents were just returning from the shops, having brought ingredients for lunch. DS0000024562.V333358.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The residents are fully supported with their physical and emotional needs. Meals are wholesome, tasty and nutritious. The principles of respect, dignity and privacy are put into practice. EVIDENCE: Discussions with the owners, information read, and observation during the inspection, confirmed that the residents are given the level of support, according to their individual needs, with both personal and medical care. Since the last inspection the home records all medication received into the home. Medication is kept in a locked cupboard, which also includes homely remedies. The residents help cook the food they purchase from the local shops. A record of all meals is kept in a diary, which shows a good range of home cooked meals. DS0000024562.V333358.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The owner advocates strongly for the residents, to ensure they are listened too, and their rights upheld. EVIDENCE: The Statement of Purpose gives information on the homes complaint procedure. It states that any concerns made verbally by the residents are dealt with at the time. The complaints procedure, gives information on action taken over the years, by the owners, to advocate for the residents, especially in ensuring equal access to services. However, the complaints policy needs to be amended to clearly inform the reader on how, and what action would be taken (including timescales) if any complaints were received from people outside the home. Mrs Mutty’s daughter gave a very recent example, following a trip to the theatre, concerning the inappropriate reactions of some members of public, and action taken by the owners to ensure that the residents were not victimised. From discussions during this and previous visits, it is clear that the owners have always advocated for the residents to have the same rights as everyone is entitled to. The owners have a copy of the local Vulnerable Adult protection Committee’s, Inter-Agency Policy Operational Procedures and Staff Guidance (June 2004) DS0000024562.V333358.R01.S.doc Version 5.2 Page 15 and are aware of their responsibilities of reporting any concerns, if they felt the residents were being abused. DS0000024562.V333358.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 27, 28 and 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The residents live in a safe, homely environment, which fully meets their needs. EVIDENCE: The size of the well maintained home gives ample space for the residents to pursue their interests. The home’s location enables the residents to take daily walks along the sea front. DS0000024562.V333358.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32 and 35. The home does not employ staff, therefore standard 34 not assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The owners have the combined skills, to be able to care for, and ensure the residents physical, social and mental needs are met. EVIDENCE: As stated in previous reports Mrs Mutty does not employ staff. The residents have been brought up within a family unit, as part of an extended family of ‘brothers, sisters, nieces and nephews’ who they have always known, who would quickly identify if the residents had any concerns. A family member lives at 10 North Parade, and takes an active part in the day-to-day support given to the residents. Mrs Mutty’s daughter has excellent artistic skills, and vision, which they put to good use in designing workbooks, creating craft and educational work, and ‘themed’ family events such as birthday parties. Although the owners do not hold any ‘paper’ qualifications (see Conduct and Management of the Home section of this report), work-undertaken shows that they have the knowledge and skills to give the highest level of support, to enrich the residents lives. DS0000024562.V333358.R01.S.doc Version 5.2 Page 18 If the situation ever changed, and Mrs Mutty was required to employ staff, she is aware that they would need to produce a recruitment policy, and all required paperwork obtained, prior to staff being employed. CSCI have already seen evidence of CRB disclosure for the owner and their daughter. DS0000024562.V333358.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run in the best interests of the residents. EVIDENCE: Mrs Mutty is the registered provider for the home. Her daughter, who owns part of the house, also lives on site. Although Mrs Mutty does not hold a qualification in management and care (Registered Managers Award, National Vocational Qualification level 4) time spent with Mrs Mutty demonstrates that they have the experience and knowledge, to ensure a very good quality, and meaningful life for the people they look after. Time was spent during the inspection, discussing the possibility of Mrs Mutty’s daughter becoming a joint registered person. This will be followed up in separate correspondence. DS0000024562.V333358.R01.S.doc Version 5.2 Page 20 Time spent with the residents, during this, and previous inspections showed that they are consulted over what they want to do, and their views are being listened too. Taking into account the sensitivity of the situation, the residents would not benefit by the CCSI requesting the home to undertake any formal (surveys, questionnaires) quality assurance feedback. However, the owners have been contacted by the placing authority, who will be visiting the residents, as part of their own quality review. Fire alarms are checked, and trained contractors undertake the servicing of electrical and gas appliances, as required. DS0000024562.V333358.R01.S.doc Version 5.2 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 X 2 N/A 3 N/A 4 N/A 5 3 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 3 25 3 26 X 27 3 28 4 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 N/A 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES3 Standard No Score 11 3 12 3 13 4 14 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 x 3 X 3 x X 3 x DS0000024562.V333358.R01.S.doc Version 5.2 Page 22 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 YA22 Regulation 22 Requirement The home must ensure that their complaints procedure clearly states what action the registered persons would take, to investigate any complaints made, including timescales. Timescale for action 23/05/07 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 YA22 Good Practice Recommendations The home should remove from their complaints policy information on people they have complained to – on behalf of the people they care for. 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