Inspection on 12/05/05 for St Brannocks

This inspection was carried out on 12th May 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

St Brannocks 16/10/08

St Brannocks 18/10/07

St Brannocks 26/10/06

St Brannocks 03/11/05

St Brannocks 25/11/04

St Brannocks 12/08/04

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 St Brannocks 7 Cromer Road Mundesley Norwich NR11 8BE Lead Inspector Pearson Clarke Unannounced 12th May 2005 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. St Brannocks I55s27524stbrannocksv226478120505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service St Brannocks Address 7 Cromer Road, Mundesley, Norwich, NR11 8BE 01263 722469 01692 650330 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) Janith Homes Limited Mr Martin Bastow Care Home 7 Category(ies) of Learning disability (7) registration, with number of places St Brannocks I55s27524stbrannocksv226478120505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th November 2004 Brief Description of the Service: St Brannocks is a care home providing personal care and accommodation to 7 adults with a learning disability. The service is operated by a company and users attend day services at the companies main home The Rookery. St Brannocks stands in the Norfolk seaside village of Mundesley and is easily accessible to all community facilities and to bus links to the city of Norwich. The home has its own transport. The home is located in an Edwardian house and all users have their own bedroom. The home has enclosed rear gardens, with a patio, lawns, flower beds and a greenhouse and vegetable garden. St Brannocks I55s27524stbrannocksv226478120505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit to the home and as with previous visits the inspector found a relaxed and caring atmosphere. Residents welcomed the inspector and were clearly very confident in their own home. Some areas of the building were looked at but most time was spent talking to all of the residents and to a lesser extent staff and the manager. What the service does well: What has improved since the last inspection? What they could do better: There are no significant issues to address and the major challenge is to maintain the current good standard of care. Although there are no significant areas it would be desirable to see staff completing an appropriate NVQ. St Brannocks I55s27524stbrannocksv226478120505 Stage 4.doc Version 1.30 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. St Brannocks I55s27524stbrannocksv226478120505 Stage 4.doc Version 1.30 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 St Brannocks I55s27524stbrannocksv226478120505 Stage 4.doc Version 1.30 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) 2,4 The home makes good admissions based on an assessment of peoples needs and wishes. EVIDENCE: There have been no recent admissions to St Brannocks, however the inspector talked to the homes manager about the process of admission that has been used in the past and would be used in the future. From these discussions and based on previous inspection the Inspector is satisfied that the home has a sound assessment and admission process. As part of the process new residents are encouraged to spend time in the home mixing with the existing residents so that both parties are comfortable with the proposed move. St Brannocks I55s27524stbrannocksv226478120505 Stage 4.doc Version 1.30 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) 6,7,8,9 Residents at St Brannocks are enabled to have as much control of their lives as possible. Staff help people plan their care and consult residents about their routine. Independence is encouraged and supported. EVIDENCE: During this inspection the inspector took time to talk to all of the residents and observed them carrying out their normal daily tasks. As on previous visits to the home the inspector was impressed by the residents confidence and could see that staff work to build skills and boost peoples self esteem. Examination of care plans showed that residents are involved in the process and that the plans are geared to widening peoples horizons within the scope of risk assessment. On the day of inspection two residents had been out independently to a literacy group in the community and the inspector was able to confirm with residents that the recorded plans were realistic and happening. St Brannocks I55s27524stbrannocksv226478120505 Stage 4.doc Version 1.30 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) 13,16,17 Residents of St Brannocks live as part of their local community , enjoying valued daily lives where they can fully contribute to the home. Residents are involved in the planning, preparation and serving of meals. EVIDENCE: The inspector talked to all residents who told him about their daily lives and the ways in which they accessed the local and wider community. Residents use local shops and pubs, attend groups in Mundesley and in other areas of North Norfolk. Upon arrival at the home the inspector was welcomed by those living there without reference to the staff on duty. They were clearly confident and very much at home, inviting the inspector to stay to lunch and making him a hot drink. Although on this occasion the inspector did not stay to lunch he has on previous visits and can see that meal times are an enjoyable event and an opportunity for all to relax, chat and enjoy their food. Residents are involved in food preparation and help with serving and clearing away. St Brannocks I55s27524stbrannocksv226478120505 Stage 4.doc Version 1.30 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 standard(s) 19 Residents are cared for in a way which promotes their emotional well being and ensures that any health care needs are met. EVIDENCE: Those living at St Brannocks do not have extensive direct care needs, however it was clear from talking to staff and from tracking care that they have all health care needs met. Residents are supported in accessing all necessary medical support and health care needs are regularly and appropriately reviewed. St Brannocks I55s27524stbrannocksv226478120505 Stage 4.doc Version 1.30 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 standard(s) 22, 23 The home operates in such a way as to promote and protect the views of residents. The home’s policies, procedures and training help ensure residents are fully protected. EVIDENCE: The service has still received no complaints and since the last inspection staff have received Adult Protection training to support the homes policies. On this and other visits to St Brannocks the inspector has observed residents freely expressing their views and staff responding positively to them. St Brannocks I55s27524stbrannocksv226478120505 Stage 4.doc Version 1.30 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 standard(s) 24, 30 Residents live in a safe, attractive and comfortable home. EVIDENCE: St Brannocks is arranged as a large and comfortable family home. The inspector did not look at all areas of the building on this occasion however he is familiar with the building and saw enough of the home on this visit to form an opinion. The building offers residents all of the facilities that would be expected in such a home and is furnished in a domestic style. All of the residents have an interest in Art and there are many examples of their artwork displayed throughout the home. There are no significant safety issues and risk assessments are in place where indicated. The home was clean and hygienic. St Brannocks I55s27524stbrannocksv226478120505 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32,33,35 The homes staff team works effectively to meet the needs and wishes of residents. EVIDENCE: The home has a small staff team and on the day of inspection the inspector spoke briefly to the member of staff on duty and to the manager. Staff employed clearly know the residents very well and are fully aware of their needs and wishes. Residents spoken confirmed that they are well cared for and that they like the staff. All staff have completed some training, however no one currently holds an NVQ or is undertaking one. The Inspector was told that two of the three people are about to commence NVQ and the other person will not as they are soon to retire. The current staff team functions well however it would be desirable for all staff to hold the appropriate NVQ to underpin their practice. See recommendation St Brannocks I55s27524stbrannocksv226478120505 Stage 4.doc Version 1.30 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 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) 37,38 The home is well managed in a style which puts residents interests to the fore. EVIDENCE: Conversation with residents and observation by the inspector indicate that the homes manager is well liked by residents and felt to do a good job. Residents interact with the manager in a relaxed and confident manner and obviously have affection for her. The manager sees the residents as being at the centre of the home and the home is managed to support their aspirations rather than those of the staff team. St Brannocks I55s27524stbrannocksv226478120505 Stage 4.doc Version 1.30 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 3 x 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x x 3 x x 3 3 Standard No 31 32 33 34 35 36 Score x 3 3 x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 St Brannocks Score x 3 x x Standard No 37 38 39 40 41 42 43 Score 3 3 x x x x x I55s27524stbrannocksv226478120505 Stage 4.doc Version 1.30 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 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. 1. Refer to Standard 32 Good Practice Recommendations That all staff commence NVQ level2 in the near future St Brannocks I55s27524stbrannocksv226478120505 Stage 4.doc Version 1.30 Page 18 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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