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Inspection on 15/11/05 for Phoenix House

Also see our care home review for Phoenix House for more information

This inspection was carried out on 15th November 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Residents can make decisions and do things for themselves such as using the local bus service where they are able to do this safely. They can help with day to day things like cooking if they want to be involved and the residents are able to give their views and discuss forthcoming events such as outings and parties. The residents are fully involved in discussing plans for Christmas. All of this makes the residents feel they are involved and part of their home and the wider community.

What has improved since the last inspection?

The home continues to provide a satisfactory level of care and environment

What the care home could do better:

From this visit there are no matters that need to be dealt with by Mr and Mrs Bailey.

CARE HOME ADULTS 18-65 Phoenix House 6 Lynn Road Snettisham Kings Lynn Norfolk PE31 7LP Lead Inspector Mr Roger Andrews Unannounced Inspection 15th November 2005 04:00 Phoenix House DS0000027534.V266485.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 Phoenix House DS0000027534.V266485.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. Phoenix House DS0000027534.V266485.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Phoenix House Address 6 Lynn Road Snettisham Kings Lynn Norfolk PE31 7LP 01485 544415 NO FAX # 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) Mr John Bailey Mrs Valerie Bailey Mr John Bailey Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Phoenix House DS0000027534.V266485.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th August 2005 Brief Description of the Service: Phoenix House stands in the middle of a square in the centre of the village of Snettisham. It sits between Hunstanton and Kings Lynn on the A149.There are shops, a pub and a church all close by. The home has 6 adults with learning difficulties who all sleep on the first floor in single rooms. There are two bathrooms, one with a standing shower and one with a bath and shower over. There is a lounge and dining room with a T.V. and a large kitchen. The husband and wife team, who are the providers, live in Phoenix House, running the home as a family unit. The home also has three dogs. Holidays and regular trips out are taken in the homes minibus. Phoenix House DS0000027534.V266485.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection of Phoenix House was unannounced. The inspection was spent sitting and chatting with three of the residents who live at the home. The key standards, (those standards that the Commission thinks should be looked at each year), were covered in the previous inspection and that report should be read for additional information on Phoenix House. Since the previous inspection was carried out there have been no complaints received by the Commission about this service. 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. Phoenix House DS0000027534.V266485.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 Phoenix House DS0000027534.V266485.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): These standards were not inspected on this occasion. EVIDENCE: Phoenix House DS0000027534.V266485.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): 8&9 The residents are able to exercise varying degrees of independence based on their individual abilities. EVIDENCE: The residents described how they are able to use local transport such as the bus service which runs through the village to King’s Lynn and they do so on a regular basis. The residents are very much involved in the day to day routine and activities and it was clear from talking with them that they are able to offer their views on outings, activities and parties as well as the more regular aspects of day to day life in the home. Phoenix House DS0000027534.V266485.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): 12, 13 & 14 The residents have full and varied weekly programmes which they obviously enjoy. EVIDENCE: The residents chatted about the activities that they are involved in during the day. One resident works two days a week at the local Sandringham estate shop. She said that she is also attending a course where she is improving her maths and English. One of the residents reported that she continues to work in a local bakery. One resident had been to college in King’s Lynn and described how she had made her own lunch, (Fisherman’s Pie). All of the residents were looking forward to Christmas. Mr Bailey is in the process of hanging outside illuminations, (a local feature in the village), and the residents said they always liked these displays. They were all looking forward to shopping trips into Norwich later in the week to do their Christmas shopping and a forthcoming Christmas disco. Phoenix House DS0000027534.V266485.R01.S.doc Version 5.0 Page 10 None of the residents had any specific plans for that evening. One said she might watch some television in her room. The residents also share the large main lounge with Mr and Mrs Bailey and there is always a good sense of things going on and people being involved in the day to day routine. Mr Bailey took one resident for an optician’s appointment during the course of the inspection. The residents reported that they were going to have curry for tea which Mrs Bailey was preparing. The residents do help with meal preparation such as peeling vegetables and washing up. All of the residents said they liked the food. It was also noted that there were two large bowls of fruit available in the lounge which the residents said they could help themselves to. Phoenix House DS0000027534.V266485.R01.S.doc Version 5.0 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): These standards were not inspected on this occasion. EVIDENCE: Phoenix House DS0000027534.V266485.R01.S.doc Version 5.0 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): These standards were not inspected on this occasion. EVIDENCE: Phoenix House DS0000027534.V266485.R01.S.doc Version 5.0 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): 24, 28 & 30 The accommodation is warm, homely in appearance and clean. EVIDENCE: Only the ground floor accommodation was seen during this visit. The residents had shown their rooms during the previous inspection when observations were made about the good degree of personalisation. The three residents chatted with all said they had their own key to their bedrooms. The main lounge has comfortable seating and was also adequately heated given the time of year. There is also a large kitchen/dining room which is often a focal gathering point in the home when everyone arrives home from their day time activities. All areas seen looked clean and tidy. Phoenix House DS0000027534.V266485.R01.S.doc Version 5.0 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): 32 & 34 Residents have familiar people supporting them. EVIDENCE: Mr and Mrs Bailey provide the staffing and live on the premises on a 24 hour basis. Phoenix House is run very much on a typical family environment model. Mr and Mrs Bailey have been supporting people with learning difficulties for many years. Mrs Bailey is currently undertaking the NVQ 4. Phoenix House DS0000027534.V266485.R01.S.doc Version 5.0 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): These standards were not inspected on this occasion. EVIDENCE: Phoenix House DS0000027534.V266485.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X 3 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X 3 X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Phoenix House Score X X X X Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000027534.V266485.R01.S.doc Version 5.0 Page 17 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. Standard Regulation 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. Refer to Standard Good Practice Recommendations Phoenix House DS0000027534.V266485.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Norfolk Area Office 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. Extracts may not be used or reproduced without the express permission of CSCI Phoenix House DS0000027534.V266485.R01.S.doc Version 5.0 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!