Inspection on 16/08/05 for Phoenix House

This inspection was carried out on 16th August 2005.

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 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

Phoenix House 09/10/07

Phoenix House 26/09/06

Phoenix House 15/11/05

Phoenix House 11/02/05

Phoenix House 06/12/04

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 PHOENIX HOUSE 6 Lynn Road Snettisham Kings Lynn PE31 7LP Lead Inspector Roger Andrews Announced 16 August 2005 14:00 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. PHOENIX HOUSE I55 S27534 Phoenix House V221694 160805 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Phoenix House Address 6 Lynn Road, Snettisham, Kings Lynn, PE31 7LP. 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) 01485 544415 Mr John Bailey Mr John Bailey Care Home 6 Category(ies) of LD Learning disability registration, with number of places PHOENIX HOUSE I55 S27534 Phoenix House V221694 160805 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: Phoenix House is registered to accommodate up to six adults with a learning disability. Date of last inspection 11 February 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 I55 S27534 Phoenix House V221694 160805 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced. Not all of the National Minimum Standards were looked at. As Phoenix House is a service that the Commission does not receive complaints about, only the core standards, (the ones the Commission thinks must be looked at every year), were inspected. All of the residents and Mr and Mrs Bailey were spoken with. Records were looked at and bedrooms, dining and lounge areas were seen. 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. PHOENIX HOUSE I55 S27534 Phoenix House V221694 160805 Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection PHOENIX HOUSE I55 S27534 Phoenix House V221694 160805 Stage 4.doc Version 1.20 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 standard(s) None of these standards were inspected on this occasion. EVIDENCE: PHOENIX HOUSE I55 S27534 Phoenix House V221694 160805 Stage 4.doc Version 1.20 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 standard(s) 6, 7 & 9 Care plans give a reasonable picture of each resident and the ways in which they need help. Residents are able to exercise independence and any risks have been considered to help protect their safety. EVIDENCE: Four care plans were looked at. These all contain a ‘Resident’s Profile’ which gives a pen picture of each person including what they like to do, ways in which they contribute to the domestic routine and things they don’t like. These profiles are written in the first person perspective. Each resident has weekly timetable showing their various daytime and weekend activities and personal care needs such as mobility, communication, washing and bathing are also covered. Particular behaviours are noted and guidance on how they are most effectively dealt with. One specialist programme is in place to help manage behaviour. This is in collaboration with the community nurse. Each resident has a separate diary in which are recorded details of their day’s activities and any special events of note such as contact with family members. Several residents maintain contact with friends or family and this includes PHOENIX HOUSE I55 S27534 Phoenix House V221694 160805 Stage 4.doc Version 1.20 Page 9 visits to see them. One resident sees his parents on a weekly basis at weekends. Risk assessments are included. This includes one in relation to a resident who self-medicates which satisfies a requirement made in the previous inspection report. Other examples of risk assessments relate to using kitchen equipment, (e.g. using knives or being burnt by the oven), using the iron, showering and finances. Residents are able to exercise independence in various ways. Examples include one resident who uses public transport unaided and manages his own medication. The examples of independent opportunities are linked to each resident’s wishes and abilities and five of the residents are registered to have a postal vote at elections. PHOENIX HOUSE I55 S27534 Phoenix House V221694 160805 Stage 4.doc Version 1.20 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 standard(s) 12, 13, 14 & 15 Residents have varied activities and pastimes and can participate in the day to day routines of the home. Residents have a varied menu and like the food. EVIDENCE: All of the residents attend day services for at least part of the week and this includes work experience opportunities. For example, one resident helps twice a week at a visitors centre on the nearby Sandringham Estate and another helps out in a bakery in a local town. Leisure activities include the theatre, outings, holidays, (the residents have been on a holiday to Margate this year and are shortly going on a further holiday to Derbyshire). The residents have also recently been to a barbeque with some residents from another local home. Residents are able to use the local shops and there is a newsagent just a few yards away. There is a minibus for trips out if everyone goes together. One of the residents showed her jigsaw which she is currently doing and she has a collection of these in her room. PHOENIX HOUSE I55 S27534 Phoenix House V221694 160805 Stage 4.doc Version 1.20 Page 11 Another resident has a large collection of DVD’s, computer games and films on video. Residents have their own televisions in their bedrooms. One of the residents said she liked to help prepare the meals and always did the potatoes and vegetables. Another said that she helped with the dishes after meals. Residents also help with ironing and keeping their own rooms tidy. ‘Family Meetings’ are held periodically and these are minuted. Examples of things that are discussed include holidays, telling the residents about the forthcoming inspection, contact with family and arrangements for parties such as choosing the menus for the Christmas party. A record of the day to day menus is kept and the food choices look varied. Residents’ likes and dislikes are noted in their care plans and are well known to Mr and Mrs Bailey who provide alternatives where one resident does not like the meal on offer. The residents said the food was very good which was in contrast to one residents’ description of the food they had at their holiday hotel which she said wasn’t very good at all! PHOENIX HOUSE I55 S27534 Phoenix House V221694 160805 Stage 4.doc Version 1.20 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 standard(s) 18 & 20 Residents can take responsibility for much of their personal care. Medication is managed properly so that residents are not put at risk. EVIDENCE: The personal care needs of residents are recorded in care plans and usually relate to assistance and/or encouragement with washing and bathing. Residents are able to choose their own clothes and help in tasks such as ironing and putting their own clothes away. Personal care is provided entirely by Mr and Mrs Bailey. As noted one resident looks after his own medication. Others are assisted and medication is stored in a locked cabinet in the small ground floor office. Medication administration is recorded on a daily administration record chart. PHOENIX HOUSE I55 S27534 Phoenix House V221694 160805 Stage 4.doc Version 1.20 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 standard(s) 22 & 23 Residents know who to talk to if they have any worries. Mr and Mrs Bailey are aware of the procedures that are in place to help protect the residents from abuse. EVIDENCE: The residents have a complaints procedure that is written in straightforward language. A copy of this is on each personal file. Most of the residents can communicate worries or concerns if they need to and they also know they can speak to staff at the day services they attend. No complaints have been made about Phoenix House, either directly to them or to the Commission. A vulnerable adults procedure is in place and this is in line with local agreed policies as developed by the police and social services. Mrs Bailey has attended courses run by social services on this topic. From\watching the residents during the inspection it is clear that they are relaxed and ‘at home’ with Mr and Mrs Bailey and there is a good deal of animated chatting and banter. PHOENIX HOUSE I55 S27534 Phoenix House V221694 160805 Stage 4.doc Version 1.20 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 standard(s) 24, 25, 26 & 30 The home reflects a comfortable domestic atmosphere in which residents feel able to relax. Residents bedrooms are arranged in a way that suits their preferences. Residents have a clean and safe environment free from hazards which helps protect their safety. EVIDENCE: Phoenix House is situated in the centre of the village and the front and sides of the building are surrounded by flower tubs and hanging baskets giving a colourful view to the area. The communal areas are on the ground floor and the residents’ bedrooms are all on the first floor. All the residents have a key to their room and have personalised them according to their individual preferences. Bedrooms reflect the hobbies and interests of residents such as music, films, jigsaws, cuddly dolls and the walls display certificates that the residents have been awarded. Residents said that they are asked what colour they want their room to be when it is decorated. Bedrooms are of a good size and all residents have their PHOENIX HOUSE I55 S27534 Phoenix House V221694 160805 Stage 4.doc Version 1.20 Page 15 own room. Residents can use their rooms when they want to. Most of the rooms have views onto the centre of the village which provides interest. All of the residents took pleasure in showing the inspector their rooms during the inspection. The communal areas consist of a large kitchen/dining area which tends to be the centre of activity and a large lounge. The kitchen/dining area has a large table where everyone can sit at mealtimes. These areas are furnished in a domestic style with typical lounge and dining furniture. The house looked clean and tidy and no obvious hazards were noted during the inspection. PHOENIX HOUSE I55 S27534 Phoenix House V221694 160805 Stage 4.doc Version 1.20 Page 16 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) 35 Training courses are attended that help Mr and Mrs Bailey give a more professional service in supporting residents. EVIDENCE: Mr and Mrs Bailey jointly offer the care and support to the residents and do not employ any care staff. However, they do employ a domestic who has been checked by the Criminal Records Bureau. Other family members who see the residents on a regular basis have also been checked. Mrs Bailey is currently undertaking the NVQ 4 training. Other courses and training have been attended. These include adult protection, dementia and learning disabilities, challenging behaviours, food hygiene and emergency aid. Mr and Mrs Bailey have been offering support to adults with learning disabilities for many years. PHOENIX HOUSE I55 S27534 Phoenix House V221694 160805 Stage 4.doc Version 1.20 Page 17 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) 42 Records are maintained in a manner that help protect the safety of residents and their finances. EVIDENCE: The fire records were checked. The Fire Officer last visited in April 2005. His recommendations have been attended to. The certificate was seen for the servicing of the fire system and the emergency lighting system. At present the fire points are checked on a monthly basis. This needs to be done weekly. See requirement. The records of residents’ finances were checked. These include income and outgoings for each resident and records of amounts deposited in banks or building societies on behalf of residents. PHOENIX HOUSE I55 S27534 Phoenix House V221694 160805 Stage 4.doc Version 1.20 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. 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 x x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 x x x 3 Standard No 11 12 13 14 15 PHOENIX HOUSE x 3 3 3 x Standard No 31 32 33 34 35 36 Score x x x x x x Version 1.20 Page 19 I55 S27534 Phoenix House V221694 160805 Stage 4.doc 16 17 x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x x 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x 2 x PHOENIX HOUSE I55 S27534 Phoenix House V221694 160805 Stage 4.doc Version 1.20 Page 20 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 42 Regulation 23 Requirement The fire points must be tested weekly, (one point each week in rotation), and each test must be documented in the fire records. Timescale for action Immediate and ongoing 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 Good Practice Recommendations PHOENIX HOUSE I55 S27534 Phoenix House V221694 160805 Stage 4.doc Version 1.20 Page 21 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. Extracts may not be used or reproduced without the express permission of CSCI PHOENIX HOUSE I55 S27534 Phoenix House V221694 160805 Stage 4.doc Version 1.20 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. 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!