Inspection on 03/11/05 for St Brannocks

This inspection was carried out on 3rd 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.

Other inspections for this house

St Brannocks 16/10/08

St Brannocks 18/10/07

St Brannocks 26/10/06

St Brannocks 12/05/05

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 Norfolk NR11 8BE Lead Inspector Mr Pearson Clarke Unannounced Inspection 3rd November 2005 09:40 St Brannocks DS0000027524.V264233.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 St Brannocks DS0000027524.V264233.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. St Brannocks DS0000027524.V264233.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service St Brannocks Address 7 Cromer Road Mundesley Norwich Norfolk NR11 8BE 01263 722469 01692 650330 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) Janith Homes Limited Susan Jayne Drury Care Home 7 Category(ies) of Learning disability (7) registration, with number of places St Brannocks DS0000027524.V264233.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th May 2005 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 DS0000027524.V264233.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place during the morning. The inspector was welcomed into the home by the service users and spent time in their company. He was also able to meet a relative and hear their views about the home and spend time with manager and a member of staff. What the service does well: What has improved since the last inspection? What they could do better: There are no significant areas for improvement although it was noted that NVQ training has yet to start and the recommendation in this respect remains in place. St Brannocks DS0000027524.V264233.R01.S.doc Version 5.0 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 DS0000027524.V264233.R01.S.doc Version 5.0 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 St Brannocks DS0000027524.V264233.R01.S.doc Version 5.0 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): These standards were not inspected on this occasion, however previous inspection has found these outcomes to be achieved EVIDENCE: St Brannocks DS0000027524.V264233.R01.S.doc Version 5.0 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 on this occasion, however previous inspection has found these outcomes to be achieved. EVIDENCE: St Brannocks DS0000027524.V264233.R01.S.doc Version 5.0 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): 12,15 Residents have a range of appropriate activity and are enabled to enjoy personal and family relationships as wished. EVIDENCE: During his time in the home the inspector spent time with service users talking to them about their lifestyle and experiences. It was clear that people enjoy many opportunities and at the time of the visit two people were out attending a literacy group and others were going to a computer class later in the day. The mother of a service user was visiting the home and shared her views of the home with the inspector. These were extremely positive and she was keen to stress how her son had developed as an individual since moving there. St Brannocks DS0000027524.V264233.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): 20 The home manages service users medication in a safe and appropriate way. EVIDENCE: Whilst none of those living at the home are assessed as able to safely manage their own medication, they are encouraged to sign to acknowledge receipt of medication given to them. All medication is securely stored in the office and medication administration records seen by the inspector were accurately completed. St Brannocks DS0000027524.V264233.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): 22,23 Service users living at St Brannocks are protected from abuse and are freely able to express their views. EVIDENCE: The service has received no complaints since the last inspection. Appropriate policies are in place to help protect service users and as in other areas policies are reinforced through staff training. Discussion with those living at the home confirmed that they feel supported and well cared for at all times. St Brannocks DS0000027524.V264233.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 Residents live in a safe, attractive and comfortable home. EVIDENCE: St Brannocks continues to offer service users comfortable family style accommodation. Whilst in the home the inspector was told of plans for redecoration and on that day new carpets for communal areas and some bedrooms were being chosen. There were no safety issues seen and full risk assessments relating to the environment are in place. St Brannocks DS0000027524.V264233.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): 35 The home has a consistent and caring staff team who enjoy a positive relationship with those they care for. EVIDENCE: There have been no changes to the staff team since the last inspection and the inspector was told that the two staff who are waiting to commence NVQ are still to start. During his time in the home the inspector spoke to one member of staff and observed interaction with service users. The person concerned is clearly committed to their role and enjoys easy and relaxed relationships with the residents. Service users spoken to were happy with the staff and very confident in their dealings with them. St Brannocks DS0000027524.V264233.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): 39, 42 The views of service users are valued and respected. Residents enjoy a thorough approach to health and safety. EVIDENCE: During the inspection the inspector spent time with all of the residents present and based on these discussions formed the opinion that they view St Brannocks as their home and somewhere that they can fully shape and contribute to. Health and safety records, policies and procedures were inspected and demonstrated a thorough and appropriate approach in this area. St Brannocks DS0000027524.V264233.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 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score x x x x x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x x LIFESTYLES Standard No Score 11 x 12 3 13 x 14 x 15 3 16 x 17 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 St Brannocks Score x x 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x DS0000027524.V264233.R01.S.doc Version 5.0 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. 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 YA32 Good Practice Recommendations That all staff commence NVQ level2 in the near future St Brannocks DS0000027524.V264233.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. 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