Inspection on 28/02/06 for North Parade

This inspection was carried out on 28th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 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 Unannounced Inspection 28 February 2006 1:45 North Parade DS0000024562.V277991.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 North Parade DS0000024562.V277991.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. North Parade DS0000024562.V277991.R01.S.doc Version 5.1 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.V277991.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th October 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.V277991.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second of 2 regulatory inspections, undertaken between 1 April 2005 and 31 March 2006. The inspection undertaken by the Lead Inspector for the home, took place over 2 ¼ hours, on a Tuesday in February, which was unannounced. During the inspection, time was spent with the residents and the owner, discussing the level of support given. To support the owner in completing their variation form and discuss further regulatory matters, a second announced visit was arranged for the 16 March 2006, which also allowed further time to be spent with the residents, as during the first visit they had arranged to go out. Information gained from both visits have been included in this report. 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 and spending time with the residents, as part of the family unit. As the home is not open to new residents, 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: Keep records of any medications held, and taken by the residents. North Parade DS0000024562.V277991.R01.S.doc Version 5.1 Page 6 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.V277991.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 North Parade DS0000024562.V277991.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 and 5. The home’s Statement of Purpose clearly states the home’s aims and objectives. EVIDENCE: Since the last inspection, the owners have sent a new updated Statement of Purpose; clearly setting out that the home is registered to provide care for the current residents only, who live as part of an extended family. The home has also submitted an application to vary their registration details to reflect this. Paperwork was looked at which covered costs and contracts. North Parade DS0000024562.V277991.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. Residents are fully supported to pursue new hobbies, and develop new skills and interests. EVIDENCE: Standards 7, 8 and 9 were assessed as met during the last inspection. The 2 residents have lived as part of the family since they were 6 weeks old. Now approaching 39, the owners naturally have a detailed knowledge of the residents. From spending time with the residents, it is clear that although goals are not being set and written down, in what would be seen as a conventional care plan, setting goals, and promoting independence is part of the ‘families’ natural routines. The owner, Mrs Mutty feels that the residents have learnt far better life skills such as cooking, computer and craftwork than they were learning at day Centres, which the residents no longer attend. Setting ‘goals’, is on-going as within any family unit. The residents are encouraged and supported to join a range of activities and hobbies. During the first visit, time was spent looking at the photographs they had taken over the Christmas period, before the residents went off to the Gym. During the second visit, the inspector spent time being shown the latest craft work they had/were undertaking. North Parade DS0000024562.V277991.R01.S.doc Version 5.1 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 17. Meals are wholesome, tasty and nutritious. EVIDENCE: Standards 11, 12, 13, 14 and 16 were assessed as met during the last inspection. Arrival at both visits, coincided with lunchtime, timing of which is flexible – depending on what else was happening. During the second visit, lunch was later as the residents had been out grocery shopping at a large superstore. This led to discussions about the trip, their likes, dislikes and being able to see what new foods are on offer. The family are committed to serving good wholesome, homemade meals, which has always been evident during visits and when the inspector has previously joined the family for lunch. Residents take an active part in cooking food, especially cakes. A sample of which, the inspector enjoyed with a cup of tea. North Parade DS0000024562.V277991.R01.S.doc Version 5.1 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20. Residents are supported to take any medication, however, the owners need to set up a system for recording medications held and given. EVIDENCE: Standards 18 and 19 were assessed as met during the last inspection. Conversations with the owner confirmed, as you would expect, having lived as a family unit for nearly 39 years, a good knowledge of the residents health needs, including any medication. The home is required to record the amount of medication as they receive it from the pharmacist, and daily when they administer the medication. Ways in which this could be undertaken, without being too invasive, and time consuming were discussed. North Parade DS0000024562.V277991.R01.S.doc Version 5.1 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. The owner advocates strongly for the residents, to ensure they are listen too, and their rights upheld. EVIDENCE: Discussions with the owners identify the times that they have actively complained to external authorities to ensure the resident’s rights are maintained. Local protocols for reporting any incidents or suspicions of abuse, has been discussed at previous visits, and arrangements made for the home to receive a copy of the vulnerable adults team’s guidelines for staff. The situation of complaints has to be dealt with sensitively, as the residents live as part of an extended family, which is all they have ever known. The residents always make the inspector feel welcome, and spend time informing them of what they had been up to, including photographic evidence. As with any household, decisions are made following discussions and listening to everyone’s views. North Parade DS0000024562.V277991.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None. EVIDENCE: Standards 24, 25, 26, 27, 28, 29 and 30 were assessed as met during the last inspection 19 October 2005. This resulted in the following judgement being made ‘ the residents live in a safe, homely environment, which meets their needs’. During the 2 visits, 28 February and 16 March, no concerns were raised, which would alter this judgement. North Parade DS0000024562.V277991.R01.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 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 and 35. The owners have the combined skills, to be able to care for, and ensure the residents physical, social and mental needs are met. EVIDENCE: Standard 33 was assessed as met during the last inspection. Mrs Mutty does not employ staff. The residents have been brought up as a family unit, as part of an extended family, ‘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. They have 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 they do not hold any formal qualifications, work-undertaken shows that they have the knowledge and skills to give the highest level of support, to enrich the residents lives. North Parade DS0000024562.V277991.R01.S.doc Version 5.1 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 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 and 42. The home is well run, in the best interests of the residents living there. EVIDENCE: Standards 38 and 39 were assessed as met during the last inspection. Mrs Mutty is the registered provider for the home. Although Mrs Mutty does not hold qualifications in management and care (Registered Managers Award, National Vocational Qualification) 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. The home has just put in a variation, to reflect that they would only be looking after the current residents. If the situation ever changed, and Mrs Mutty applied to take on a new resident, then the situation would be reviewed. Fire alarms are checked, and qualified contractors undertake the servicing of electrical and gas appliances, as required. North Parade DS0000024562.V277991.R01.S.doc Version 5.1 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 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 3 23 3 ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 3 32 3 33 X 34 N/A 35 N/A 36 N/A CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 2 X 3 X X X X 3 X North Parade DS0000024562.V277991.R01.S.doc Version 5.1 Page 17 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA20 Regulation 13 (2) Timescale for action The home must have a system in 10/04/06 place for recording all resident’s prescribed medication received into the home, and when it is given. Requirement 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.V277991.R01.S.doc Version 5.1 Page 18 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.V277991.R01.S.doc Version 5.1 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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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