Inspection on 10/01/06 for St Germans House

This inspection was carried out on 10th January 2006.

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 Germans House 17/04/07

St Germans House 25/08/05

St Germans House 14/03/05

St Germans House 19/08/04

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 Germans House 14 Lynn Road St Germans Kings Lynn Norfolk PE34 3EU Lead Inspector Mrs Jacky Vugler Unannounced Inspection 10th January 2006 11:00 St Germans House DS0000027381.V276569.R01.S.doc Version 5.1 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 Germans House DS0000027381.V276569.R01.S.doc Version 5.1 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 Germans House DS0000027381.V276569.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service St Germans House Address 14 Lynn Road St Germans Kings Lynn Norfolk PE34 3EU 01553 617491 01553 617194 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) the.willows@ashbourne.co.uk Exceler Healthcare Services Limited Mrs Penny Ann Clare Care Home 9 Category(ies) of Learning disability (9) registration, with number of places St Germans House DS0000027381.V276569.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Up to nine (9) Service Users who have a learning disability may be accommodated. 25th August 2005 Date of last inspection Brief Description of the Service: St. Germans is a care home providing residential care for nine people who have a learning disability.It is owned by Exceler Healthcare Services Limited.The home is located in the village of St. Germans approximately five miles from Kings Lynn.The home is close to the village shop, post office , church and village pub.The home, previously a pub, was converted into a residential home and opened in 1984.The home comprises of the ground floor accommodation of two reception rooms, dining room, kitchen and office. There is one single bedroom on the ground floor. The first floor has three shared rooms and two further single rooms.St. Germans shares its garden area with Abbotsford another small home for people with learning difficulties, owned by the same Proprietors. Staff and service users from both homes mix freely. St Germans House DS0000027381.V276569.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection taking place on a weekday over 4 hours. The Manager, Mrs Penny Clare was present throughout the inspection. There were eight residents accommodated on the day. A tour of the building was undertaken and some records were viewed. One resident was spoken to privately and seven were spoken to in a group. Three members of staff were spoken to privately. 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. St Germans House DS0000027381.V276569.R01.S.doc Version 5.1 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 St Germans House DS0000027381.V276569.R01.S.doc Version 5.1 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): EVIDENCE: These standards wee not assessed on this occasion. St Germans House DS0000027381.V276569.R01.S.doc Version 5.1 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 The residents are consulted on, and participate in all aspects of life in the home. EVIDENCE: The Manager and staff regularly consult with the residents informally and they hold monthly meetings. This meeting is recorded in large print and an action plan is drawn up, and feedback is given to the residents. During the day there was plenty of evidence to show that the residents are able to make decisions and participate in all aspects of life in the home. Some examples include, every Sunday the residents decide upon their menu for the following week and if they want to they help to prepare the food. Some enjoy cooking and one resident had made some scones and another some biscuits. On the day of inspection a resident was laying the tables and helping with the tea of cheese and potato pie. Following this they will have the food cooked by the residents. The resident had chosen the colour and style of the hallways and the colour and furniture for their bedrooms, although some were yet to be decorated and refurnished. St Germans House DS0000027381.V276569.R01.S.doc Version 5.1 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): EVIDENCE: These standards were not assessed on this occasion. St Germans House DS0000027381.V276569.R01.S.doc Version 5.1 Page 10 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): EVIDENCE: These standards were not assessed on this occasion. St Germans House DS0000027381.V276569.R01.S.doc Version 5.1 Page 11 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 There is a clear, pictorial complaints procedure, ensuring the residents understand it. The resident felt their views were listened to and acted upon. EVIDENCE: There is a clear complaints procedure in pictorial form and each resident has a copy in his or her bedroom. One resident was very clear what she would do if unhappy about something and also said “the staff always have time to talk to me”. She said she feels happy and safe. St Germans House DS0000027381.V276569.R01.S.doc Version 5.1 Page 12 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): 30 The home is clean and hygienic. EVIDENCE: Many parts of the home are newly decorated, and this has been tastefully done incorporating the ideas and wishes of the residents. The home is clean and hygienic. St Germans House DS0000027381.V276569.R01.S.doc Version 5.1 Page 13 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 Competent and qualified staff support the residents. EVIDENCE: The home benefits from an enthusiastic staff team. One said “I love it……….…. I don’t look on it as a job”………. “I think, good I’m going to work”. The staff spoke of the many training opportunities offered to them, and of the fact that if they asked for some training, the Manager organized this immediately. All training is up to date and regularly updated. Three members of staff have achieved the NVQ level 3 and two will be starting in February. Two members of staff have achieved the NVQ level2 and another is currently undertaking this. St Germans House DS0000027381.V276569.R01.S.doc Version 5.1 Page 14 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): 37 The residents’ benefit from a well run home. EVIDENCE: The Manager has a wide range of knowledge and experience of people with learning disabilities, having worked in this field for fourteen years. She is congratulated for achieving the Registered Managers Award and will be commencing the NVQ level 4 in Care in February. She also said that she would like to do the Diploma in Dementia once the other training is completed. She has completed many other training courses; for example, Train the Trainer in dementia, health & safety, abuse and fire awareness. This is a well run home where the residents are enabled to make many decisions and choices regarding their lives within a robust risk assessment framework. The staff benefit from informal, and regular formal supervision sessions, and the many training opportunities offered. They said that the Manager is very supportive and approachable. The home is continually improving in its environment as well as day-to-day issues. The Manager is commended. St Germans House DS0000027381.V276569.R01.S.doc Version 5.1 Page 15 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 Standard No Score 1 x 2 x 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 x ENVIRONMENT Standard No Score 24 x 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 x 35 x 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score x x 4 x x LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 x 16 x 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x x x x 3 x x x x x x St Germans House DS0000027381.V276569.R01.S.doc Version 5.1 Page 16 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 St Germans House DS0000027381.V276569.R01.S.doc Version 5.1 Page 17 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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