Inspection on 11/01/06 for Norton Place

This inspection was carried out on 11th 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Norton Place 24/01/08

Norton Place 13/02/07

Norton Place 03/09/05

Norton Place 08/02/05

Norton Place 21/09/04

Norton Place 09/03/04

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 Norton Place 162 Ness Road Shoeburyness Essex SS3 9DL Lead Inspector Ms Valerie Buckle Unannounced Inspection 11th January 2006 11:00 Norton Place DS0000015552.V274618.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 Norton Place DS0000015552.V274618.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. Norton Place DS0000015552.V274618.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Norton Place Address 162 Ness Road Shoeburyness Essex SS3 9DL 01702 291221 01702 291221 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) Estuary Housing Association Limited Ms Judith Anne Hounsell Care Home 11 Category(ies) of Learning disability (11) registration, with number of places Norton Place DS0000015552.V274618.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Accommodation and care with nursing to be provided for one named resident who has Dementia No more than eleven Younger Adults with a learning disability to be accommodated and provided with care with nursing. Excluding any person who is liable to be detained under the provision of the Mental Health Act 1983. 3rd September 2005 Date of last inspection Brief Description of the Service: Norton Place is a care home with nursing for 11 residents with learning disabilities. It is situated in the grounds of the NHS Health Care Services in Shoeburyness. It is close to local shops, facilities and the seafront. The home has in 11 single bedrooms, a lounge/dining room, sensory room and a conservatory at the entrance to the premises. All the rooms are situated on the ground floor. There is a very large garden at the rear of the home. There is parking at the front of the premises and the home has a minibus with access for wheelchair users. Norton Place DS0000015552.V274618.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection and took place over two hours and thirty minutes. Not all the standards were inspected at this inspection, standards not covered at this inspection will be inspected at the next inspection. A sample of records, practices, policies and procedures were looked at, the shift tender assisted in the process of the inspection. Three members of staff were spoken to and one resident. All the rooms in the home were seen. Three of the fire requirements had been met, the remaining two requirements have been carried over to the next inspection as the manager was off duty on the day of the inspection and these requirements and these requirements relate to staff files. The eight good practice recommendations had been actioned. What the service does well: What has improved since the last inspection? What they could do better: One of the things the home could do better is to write a risk assessment, which explains why the conservatory is locked ay certain times during the day and throughout the year. Norton Place DS0000015552.V274618.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. Norton Place DS0000015552.V274618.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 Norton Place DS0000015552.V274618.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): 2,5 The assessment process ensures that residents’ needs can be met by the home. EVIDENCE: The homes policy and procedure on admission and the information in their statement of purpose and service user guide showed that a thorough preadmission assessment takes place to ensure the home can meet the resident’s needs. Two care plans sampled confirmed that the detailed process takes place. A copy of the service users guide and the persons’ individual contract which was in a pictorial format was kept in the resident’s own rooms. Information regarding additional charges to be paid by residents was seen recorded in their financial records. Norton Place DS0000015552.V274618.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): These standards were not inspected at this inspection. EVIDENCE: These standards were fully met at the last inspection. Norton Place DS0000015552.V274618.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): 11,17 There are opportunities within the home for the residents to take part in meaningful activities. Residents are provided with a varied and nutritious diet. EVIDENCE: The two care plans sampled had numerous aims covering all aspects of the residents’ needs and wishes. Each aim identified the support needs of the resident and they were supported by risk assessments and were seen to be regularly reviewed. Records showed that there are a variety of activities provided for the residents. Residents with support of staff access facilities in the community, including the library, church services and shopping. Other opportunities for personal development were that three residents attend a day care facility and take part in arts and crafts and socialising. Activities are also carried out in the sensory room twice weekly by a trained worker, records are kept and were seen of the activities provided. Norton Place DS0000015552.V274618.R01.S.doc Version 5.1 Page 11 There were ample stocks of food provided including fresh fruit and vegetables, the rota showed there is a cook employed throughout the week and it was confirmed that extra ancillary staff had been employed so that there were sufficient staff available to meet the residents needs appropriately, particularly over the weekends. Nutritional records were kept and maintained. Norton Place DS0000015552.V274618.R01.S.doc Version 5.1 Page 12 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 Systems are in place at the home, which ensure the safe use, recording and storage of medication. EVIDENCE: A medication policy and procedure is in place at the home. Medication is administered by qualified nurses. The medication administration records sampled were well maintained. Protocols were in place for as required medication. A list of staff signatures and initials were in place and there was evidence of this list kept with the medication records. This information was also included in a notebook which was easily accessible to all staff. Norton Place DS0000015552.V274618.R01.S.doc Version 5.1 Page 13 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): 23 The information for residents on how to make a complaint was readily available and written in pictorial format to support residents understanding. Staff had been provided with training and had an understanding of adult protection issues that safeguard residents. EVIDENCE: A pictorial complaints procedure was seen displayed in the home and available for visitors, staff and residents. A copy was also included in the service users guide and in each resident’s room. Training records evidenced that all staff had completed mandatory training and training in specific areas relevant to the residents needs, and most of the staff have completed training in the protection of vulnerable adults. Evidence was seen of identity and training (which included P.O.V.A.) of the two agency staff on duty on the day of the inspection. Staff spoken to were aware of the issues of abuse and confirmed that training in the home is seen as important for all staff and takes place regularly. Regular meetings take place at the home which include the resident, their key worker, family, social worker and advocate if required, the residents views and wishes would be discussed on their behalf by their key worker and records are kept on their individual files, the residents files are easily accessible to all staff and very informative of residents needs. Norton Place DS0000015552.V274618.R01.S.doc Version 5.1 Page 14 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): 24,25,26,29,30 Norton Place provides care and accommodation to residents in a homely, safe comfortable environment. The home is well maintained and clean and has facilities and equipment available to meet the resident’s needs. EVIDENCE: The home continues to provide a well furnished homely environment for the residents. The home was seen to be clean, fresh and decorated and furnished in a homely relaxing style. It was noted that a new sluice and ramp for the garden had been identified in this year’s budget and were included in the plan to be fitted this year. Residents living at the home have high dependency needs and call bells placed in residents rooms are used by staff only to contact their staff in emergencies, this system is not needed by the residents living in the home, staff are available to give appropriate support to residents who are in bed throughout the day and night, this information should be recorded in the care plans. Each resident has their own room which is individually personalised. Equipment was provided to meet individual needs and maximise their independence. Norton Place DS0000015552.V274618.R01.S.doc Version 5.1 Page 15 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): 33,35,36 The staffing levels, training and stability of the staff team provided the consistency of care to meet the residents needs and wishes. EVIDENCE: The rota showed that there was always a qualified nurse on duty and three care assistants. Agency staff are employed to make up the shifts throughout the day. It was noted that extra ancillary staff had been employed to cover the shifts at the weekends. Staff training records were available and evidenced that all staff receive regular training including the agency staff. A copy of staff signatures and initials was in place and kept in the office and next of kin details. The three staff spoken with during the inspection commented that they were satisfied with the level of support given and their working conditions. The staff records kept in the home in a locked cabinet were not available for inspection as the manager was off duty. This requirement is carried forward to the next inspection and will need to be fully inspected. Norton Place DS0000015552.V274618.R01.S.doc Version 5.1 Page 16 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): 39,41,42 The home is well managed and run in the best interest of the residents. EVIDENCE: Staff spoken to expressed confidence in the way the home is managed and said they participate in regular staff meetings and training. Residents are involved in regular meetings, which include their key worker, an advocate or family member and social worker, the residents views and needs are discussed and the key worker explains the outcome of the meeting to the resident. Person in Control visits to the home take place each month, a summary of this report is sent to the CSCI. This report is very comprehensive and covers all aspects of management and care provided at the home. Norton Place DS0000015552.V274618.R01.S.doc Version 5.1 Page 17 All the residents have money available to them, but only two residents are able to meaningfully spend their money, the majority of the residents are accompanied by staff to spend their monies. Evidence was seen of resident’s monies and their records, these were appropriately managed. A sample of policies, procedures and records of the home were seen to be well recorded and up to date. Norton Place DS0000015552.V274618.R01.S.doc Version 5.1 Page 18 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 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 X ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 3 34 X 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 3 12 X 13 X 14 X 15 X 16 X 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 X X X 3 X 3 3 X Norton Place DS0000015552.V274618.R01.S.doc Version 5.1 Page 19 YES 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 YA34 Regulation 19 (b)(1) Requirement Staff records must contain records as required in Schedule 2. This referred to two references being available, and was outstanding from a previous inspection. The standard was not inspected on this occasion and will be carried forward to the next inspection. The person registered must ensure that the records required by Regulation of all persons working in the care home, including agency staff, are maintained in the detail identified in the Schedule. Timescale for action 11/02/06 2. YA35 17(2) Sch4 11/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA16 Good Practice Recommendations The home should reconsider whether there are areas where residents rights may be infringed and these should be documented, this relates to the use of the conservatory. DS0000015552.V274618.R01.S.doc Version 5.1 Page 20 Norton Place 2. 3. YA29 YA2 An assessment should be undertaken as to whether residents would be able to use the call bell in their room. If this is not indicated it should be noted in the care plan. All documents/assessments should be signed and dated. Norton Place DS0000015552.V274618.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Norton Place DS0000015552.V274618.R01.S.doc Version 5.1 Page 22 - 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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