Inspection on 19/10/05 for North Parade

This inspection was carried out on 19th October 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 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 16/03/07

North Parade 28/02/06

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 Unannounced Inspection 19 October 2005 02:30 North Parade DS0000024562.V260109.R01.S.doc Version 5.0 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 North Parade DS0000024562.V260109.R01.S.doc Version 5.0 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. North Parade DS0000024562.V260109.R01.S.doc Version 5.0 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 3 Category(ies) of Learning disability (3) registration, with number of places North Parade DS0000024562.V260109.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th March 2005 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 38 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. North Parade DS0000024562.V260109.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This routine unannounced inspection took place over two hours on a Wednesday afternoon in October. During the inspection, time was spent with the residents and the owners, discussing the level of support given. The inspector was sensitive to the situation that the residents have lived as part of the family, for over 38 years. Therefore, feedback was obtained by observing the residents as part of the family unit, walking around the home, and joining in with general discussions. As the home is not open to new residents, during the routine inspections (2 a year) it will be inspected against a limited number of standards. These will be 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 contacting your local CSCI office. North Parade DS0000024562.V260109.R01.S.doc Version 5.0 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection North Parade DS0000024562.V260109.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1. The information held in the Home’s Statement of Purpose, does not reflect the current situation in the home, and requires updating. EVIDENCE: Since the last inspection, 1 of the residents has left the home, and will not be returning. The owners have decided, as a family unit, they will not be taking in another resident. The Statement of Purpose had not been updated to reflect this. The registered provider (owner) currently shares the responsibility of running the home with another family member. They want this to be made more formal, to ensure both names appear on the registration certificate as registered providers. This led to discussions that the home would need to make an application to re-register in both names. Time was spent discussing what action, and paper work they would need to submit, with their application. North Parade DS0000024562.V260109.R01.S.doc Version 5.0 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8 and 9. The residents live as part of a family, and as such, are included as family members in making any decisions, and helping with household chores. EVIDENCE: Time spent with the residents and owners (the registered person and family member), showed that the ‘family’ decided together how they were going to spend their day. The owners were aware of any situations, which could put the residents at risk, and had taken action to reduce or eliminate the risk. This was further evidenced during the time spent with the residents. The residents have been brought up as part of a family to assist with household chores, such as laying tables, cooking and washing up. This has been evidenced during previous visits to the home, and when the inspector was invited to stay for lunch. North Parade DS0000024562.V260109.R01.S.doc Version 5.0 Page 9 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, and 16. The residents are supported to join in all aspects of community life. EVIDENCE: The residents are offered and supported to take part in a range of activities, which includes playing tennis, swimming and attending community events. The co-owner takes an active interest in supporting the residents in developing their creative and educational skills. The residents showed the latest projects they had been working on, and discussed their different interests, which included building models and taking photographs. Time was spent looking at photographs taken during the summer, of social events they had taken part in, or helped organise. As mentioned in the last section ‘Individual needs and choices’, the residents join in with the daily family routines. This includes shopping, cooking and small maintenance tasks around the house. North Parade DS0000024562.V260109.R01.S.doc Version 5.0 Page 10 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 and 19. The residents are fully supported with their physical and emotional needs. EVIDENCE: Time spent with the owners showed that they had a good insight in the resident’s physical and emotional needs. Since the last inspection, 1 resident had moved to another care setting. The support given, by the home and external Health Professionals was discussed, and had been fully documented by the home. North Parade DS0000024562.V260109.R01.S.doc Version 5.0 Page 11 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): None. These standards will be looked at during the next inspection. EVIDENCE: See above. North Parade DS0000024562.V260109.R01.S.doc Version 5.0 Page 12 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 and 30. The residents live in a safe, homely environment, which meets their needs. EVIDENCE: Time was spent with 1 of the resident’s looking around the home. This included being shown the redecoration and building work, which was currently being undertaken as part of the home’s ongoing maintenance programme. The size of the home gives ample space for the residents to pursue their interests in model making, music, crafts, and table football. The home’s location enables the residents to take daily walks along the sea front. North Parade DS0000024562.V260109.R01.S.doc Version 5.0 Page 13 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): 33. The residents can expect to receive whatever support they need, from the owners. EVIDENCE: The residents, since they were young babies, have lived with the owners. The home has never, or intends to, employ staff. Instead the owners provide all day-to-day support. North Parade DS0000024562.V260109.R01.S.doc Version 5.0 Page 14 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): 38 and 39. The home is run in the best interests of the residents. EVIDENCE: Both of the routine inspections undertaken by the Commission for Social Care Inspection (CSCI) were unannounced. Previous discussions with the owners showed that they preferred this, as they felt the Commission should take them as they find them. 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. North Parade DS0000024562.V260109.R01.S.doc Version 5.0 Page 15 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 2 N/A X N/A X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 3 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 4 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X X 3 N/A X N/A CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 North Parade Score 3 3 X X Standard No 37 38 39 40 41 42 43 Score X 3 3 X X X X DS0000024562.V260109.R01.S.doc Version 5.0 Page 16 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 YA1 Regulation 4 (1) (c) Schedule 1 Requirement The home must update their Statement of Purpose to ensure it covers all applicable areas as given in Schedule 1 of the Care Homes Regulations. Timescale for action 30/01/06 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 North Parade DS0000024562.V260109.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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 North Parade DS0000024562.V260109.R01.S.doc Version 5.0 Page 18 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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