Inspection on 19/04/05 for One-Six-One

This inspection was carried out on 19th April 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

One-Six-One 24/09/07

One-Six-One 26/02/07

One-Six-One 29/08/06

One-Six-One 11/10/05

One-Six-One 01/10/04

One-Six-One 16/04/04

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 One-Six-One The House 161 Wootton Road Kings Lynn PE30 4DW Lead Inspector Lella Andrews Unannounced 19 April 2005 14:15 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. One-Six-One I55 s27509 One Six One v220872 (an) 190405 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service One-Six-One Address The House 161 Wootton Road Kings Lynn Norfolk PE30 4DW 01553 673194 01553 674395 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) One-Six-One Limited Mr Andrew Orford Care Home 8 Category(ies) of Learning disability (8) registration, with number of places One-Six-One I55 s27509 One Six One v220872 (an) 190405 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 01 October 2004 Brief Description of the Service: One-Six-One is a care home providing care to eight people with learning disabilities. It is situated in a residential area of Kings Lynn, within approximately a mile from the town centre. There are local shops, library and other amenities within the immediate vicinity of the home. The premises consist of accommodation on three floors accessed by stairs. There are two reception rooms, kitchen, dining area and laundry on the ground floor. Bedrooms are located on ground, first and second floors. The home was extended in the spring of 2002 to provide two further bedrooms and to improve the standard of accommodation to others. The home has patio, decking and garden areas to the rear. The home provides care for ambulant people who may require consistent support for their behavioural needs. Service users access a variety of day activities and services available locally. The home has its own transport. One-Six-One I55 s27509 One Six One v220872 (an) 190405 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Inspection was unannounced and took place between 2.15pm and 6.45pm on Tuesday 19th April 2005. The Inspector spoke briefly to two of the service users and two members of staff on an individual basis. The Manager and Service Manager were present throughout the Inspection and one of the Proprietors was present for the feedback. The Inspector also looked at a selection of records and was shown around the building. This report reflects what was seen at the time of the Inspection. What the service does well: What has improved since the last inspection? The Home has reviewed the roles of the staff recently and as a result have decided to have two levels of support workers with those with more experience taking on more responsibility. The staff were clear about these roles and this ensures that the service users receive support from a team who are confident and aware of their own responsibilities. One-Six-One I55 s27509 One Six One v220872 (an) 190405 Stage 4.doc Version 1.20 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. One-Six-One I55 s27509 One Six One v220872 (an) 190405 Stage 4.doc Version 1.20 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 One-Six-One I55 s27509 One Six One v220872 (an) 190405 Stage 4.doc Version 1.20 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) 2, 3 and 4 The Home has an effective admissions procedure which enables prospective service users and the staff team to be confident that an individuals needs can be met at the Home. EVIDENCE: The Manager and Service Manager described the assessment process which has recently taken place with regard to a prospective service user. This has involved the service user and their family as well as professionals who are already involved in their care. The service user and their family have visited the Home and met staff and other service users. Staff confirmed that they have received training with regard to the needs of the prospective service user and that there is written information available to them about their needs. One-Six-One I55 s27509 One Six One v220872 (an) 190405 Stage 4.doc Version 1.20 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) 7 and 8 The philosophy of the Home and the training provided to the staff ensure that the service users are supported to make their own decisions and that they are involved in all aspects of life in the Home. EVIDENCE: The service user plans were looked at briefly and these include the views of the service users, particularly with regard to how they like to spend their day. Staff were heard to offer choices to the service users about a range of issues, such as, what they would like to eat/drink, what activities they would like to do that day as well as bigger issues such as options for holiday destinations. Service users were involved in the recent decision to change the communal rooms around as they preferred to have a smaller, more homely lounge. The Manager and Service Manager described an example of how the staff team have been considering a particular situation raises difficult issues relating to offering choices whilst still ensuring that a good standard of care is provided. The staff have been encouraged to debate the issue and training has been provided to assist with the production of the care plan. One-Six-One I55 s27509 One Six One v220872 (an) 190405 Stage 4.doc Version 1.20 Page 10 Staff advised that the philosophy of the Home is to support the service users to make their own decisions and choices about as many aspects of their lives as they are able to. New members of staff advised that this philosophy had been made clear to them from their first visit to the Home and throughout their induction. One-Six-One I55 s27509 One Six One v220872 (an) 190405 Stage 4.doc Version 1.20 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, 16 and 17 Staff are aware of and respect the rights of the service users as well as encouraging them to take responsibility for their own choices. A lot of consideration has been given to the provision of meals and this has resulted in ensuring that the dietary needs and preferences of the service users are assessed and provided for. EVIDENCE: All of the service users, except for one, have the key to their own bedroom and staff were seen to knock on doors prior to entering. Service users were comfortable moving around the Home and spending time either with staff in one of the communal areas or alone in their room. Staff discreetly provided support in a respectful and kind manner to two service users who required additional support during the afternoon. Staff also explained the consequences of particular actions to a service user in a supportive way and allowed the service user time to consider this prior to making a decision about what they would do. One-Six-One I55 s27509 One Six One v220872 (an) 190405 Stage 4.doc Version 1.20 Page 12 One of the service users said that they are able to spend time anywhere in the Home except for other service users rooms. They also advised that staff do not go in their room unless the service user is there. The service user plans contain details of any particular dietary needs and preferences. Service users spoke highly of the meals provided and the fact that they can have an alternative if they do not want what is on the menu. The Home employs a cook who prepares the evening meals during the week and also writes the menus following discussions with the service users and staff. Two of the service users choose to eat their meals in their room but the other service users and staff all eat together in the dining room. One of the service users said that mealtimes are a “nice time for a chat.” During the afternoon one of the members of staff wrote the shopping list with assistance from service users. One of the Proprietors went shopping with one of the service users and brought home particular items that individual service users had requested as well as the weekly shopping. One-Six-One I55 s27509 One Six One v220872 (an) 190405 Stage 4.doc Version 1.20 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) none of these standards were measured EVIDENCE: N/A One-Six-One I55 s27509 One Six One v220872 (an) 190405 Stage 4.doc Version 1.20 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) 23 The Proprietors and Managers take the issue of protection seriously and have provided written procedures and training to staff which aim to protect service users from abuse. EVIDENCE: Staff advised that they received training about the protection of vulnerable adults within their induction and as part of their ongoing training programme. Staff were aware of the whistleblowing policy and understood the importance of this. They were confident that any allegations would be dealt with by the management team immediately and appropriately. The complex needs of the service users includes behaviours which are challenging and staff said that they receive good training and support to deal with these situations in an appropriate way. One-Six-One I55 s27509 One Six One v220872 (an) 190405 Stage 4.doc Version 1.20 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, 27, 28 and 30 The Home is large, well decorated and attractively furnished which means that the service users enjoy living in a homely atmosphere with a choice about where they spend their time. EVIDENCE: A tour of the Home was undertaken but only two of the bedrooms were seen as not all of the service users were at home, or gave permission for their rooms to be seen. One of the service users told the Inspector that they had all decided to move the dining room furniture into the larger lounge as they preferred the smaller room to be a lounge. The Home shows some wear and tear which is to be expected due to the needs of the service users but the Proprietors clearly deal with any maintenance issues as they arise and have employed a member of staff with responsibility for this. The Home has two lounges and a large lounge/diner, all of which are very attractively decorated and furnished. The Home was clean and free from offensive odours. The Manager advised that the kitchen is due to be refurbished shortly. The kitchen is not locked and this is used as a place to sit and chat by both service users and staff. One-Six-One I55 s27509 One Six One v220872 (an) 190405 Stage 4.doc Version 1.20 Page 16 Recent work on the first floor has been completed with a result that there is now a separate shower room for staff as well as the service users shower room on that floor. There are bathrooms and toilets on each of the three floors in the Home. Some of the bedrooms have ensuite showers and toilets. All bedrooms have a handbasin. Two of the service users allowed the Inspector to see their rooms and these were individually furnished and decorated with lots of personal possessions around. The Home has a decking area to the rear on which there is outdoor seating. This area is also the smoking area for the service users and staff. One-Six-One I55 s27509 One Six One v220872 (an) 190405 Stage 4.doc Version 1.20 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31 and 36 Staff are clear about their own role and that of others with the team and they receive good support from the management team. This ensures that the needs of the service users can be met in a consistent manner by staff who feel confident in their role. EVIDENCE: The Manager and Service Manager described the recent reorganisation of staff roles and responsibilities and how effective this is proving to be. Recently, senior staff who have additional experience and training have been appointed with a view to them taking on more responsibilities within the shifts. Staff also described this situation and were very clear about their own and others responsibilities. At the time of the Inspection there was a mix of experienced and new staff on duty. The experienced staff were seen to offer support and advice to the more inexperienced members of staff in a sensitive manner. Newer members of the team said that they feel well supported and that they are clear about the limits of their roles whilst they are still receiving induction training. They advised that they have not been asked to undertake any tasks that they have not felt confident about. Staff said that they receive good formal and informal supervision and support from the Manager and Service Manager. One-Six-One I55 s27509 One Six One v220872 (an) 190405 Stage 4.doc Version 1.20 Page 18 Supervision records show that formal supervision takes place but there are some records missing from the personnel files which the Manager advised were held at the office away from the Home. These will be inspected in more detail during the next Inspection. Staff are aware of the oncall procedure and advised that they have always been able to contact the oncall person when needed. One-Six-One I55 s27509 One Six One v220872 (an) 190405 Stage 4.doc Version 1.20 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 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 and 38 The positive and supportive management style of the management team means that the service users benefit from an enthusiastic staff team who put the needs of the service users first. EVIDENCE: The Manager and Service Manager are clear about their own roles and how these work together to provide management input into the Home. The two Proprietors are also involved within the Management team. The Managers are all involved in directly working with the service users and staff as well as undertaking management tasks and clearly know the service users well. Staff spoke highly of the support that they receive from the Manager and Service Manager and said that they are approachable and understanding. One-Six-One I55 s27509 One Six One v220872 (an) 190405 Stage 4.doc Version 1.20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 x 3 3 3 x Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x 3 3 x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x 3 3 x 3 Standard No 11 12 13 14 15 One-Six-One 3 x x x x Standard No 31 32 33 34 35 36 Score 3 x x x x 3 Version 1.20 Page 21 I55 s27509 One Six One v220872 (an) 190405 Stage 4.doc 16 17 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x x x x Standard No 37 38 39 40 41 42 43 Score 3 3 x x x x x One-Six-One I55 s27509 One Six One v220872 (an) 190405 Stage 4.doc Version 1.20 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 Regulation N/A Requirement Timescale for action 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 N/A Good Practice Recommendations One-Six-One I55 s27509 One Six One v220872 (an) 190405 Stage 4.doc Version 1.20 Page 23 Commission for Social Care Inspection 3rd Floor - Cavell House St Crispins Road Norwich NR3 1YF 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. 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