Inspection on 01/11/06 for Strawberry Field

This inspection was carried out on 1st November 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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Strawberry Field 21/10/08

Strawberry Field 17/01/06

Strawberry Field 27/09/05

Strawberry Field 02/12/04

Strawberry Field 22/06/04

Strawberry Field 02/12/03

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 Strawberry Field Mill Common Lane Walcott Norwich Norfolk NR12 0PF Lead Inspector Mrs Judith Huggins Unannounced Inspection 1st November 2006 03:30 Strawberry Field DS0000027620.V319311.R01.S.doc Version 5.2 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 Strawberry Field DS0000027620.V319311.R01.S.doc Version 5.2 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. Strawberry Field DS0000027620.V319311.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Strawberry Field Address Mill Common Lane Walcott Norwich Norfolk NR12 0PF 01692 650707 01692 650330 janithhomes.com@btinternet.com www.janithhomes.org Janith Homes Limited 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 Alfred Finlay Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Strawberry Field DS0000027620.V319311.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th January 2006 Brief Description of the Service: Strawberry Fields is a care home providing personal care and accommodation to 3 adults with a learning disability. A company operates the service and service users attend day services at The Rookery, the companies main home. Strawberry Fields stands on the outskirts of the Norfolk seaside village of Walcott. The home has its own transport. The service is located in a detached house and all users have their own bedroom. The home has a large garden with an aviary. Inspection reports are available but would need to be explained to residents. The company’s website (www.janithhomes.org) says that inspection reports are available on request. Charges are from £2528 to £3964 per month depending on need. There are additional charges for transport to requested activities (but not for health care appointments), hairdressing, dry cleaning and personal spending. Strawberry Field DS0000027620.V319311.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The staff at the home were told the inspector would be coming, just before she visited. This is so she could be sure there would be someone at home, and that the manager would be there to help with some of the information. The visit lasted just over four hours including time at the headquarters to look at some files. The manager, general manager and a staff member were spoken to. All three of the people living at the home spoke with the inspector. The inspector looked at the things that were written down about all of those people. All three people living there sent forms in to say what they thought about the home. The inspector also looked at two of the three bedrooms, the lounge, kitchen and laundry, as well as the bathrooms and toilet. This was to see if the home was in good condition. What the service does well: What has improved since the last inspection? The bedrooms have new carpets and there has been some decoration inside and outside. The owners have made a website so that people can find out things about them and about the homes they run, including Strawberry Fields, by using a computer and the Internet. Strawberry Field DS0000027620.V319311.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Strawberry Field DS0000027620.V319311.R01.S.doc Version 5.2 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 Strawberry Field DS0000027620.V319311.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents would have their needs assessed – providing the paperwork available in appropriately completed or similar information obtained from another source. EVIDENCE: There are no vacancies in the home. The last admission was in 2004 and was from another home in the company. The company has developed a new assessment form for prospective residents, collecting a good range of relevant information. If fully and thoroughly completed it would provide useful information from which to devise a care plan. Strawberry Field DS0000027620.V319311.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents know their changing needs and goals are reflected in their plans, they are able to make decisions and take risks. EVIDENCE: Residents’ care plans record their goals, strengths and needs. Residents sign them and say that they discuss their care and the things they want to do with the staff. However, there has been some slippage in reviews. A recommendation has been made. There is a range of risk assessments and further work is taking place on these. These set out where additional supervision may be needed. Daily notes do not always show that the care given is what is set out in plans as necessary, although the staff member on duty was clear about the content of plans and the care needed. Review notes are comprehensive, but do not always directly relate to care plans. A recommendation has been made. Strawberry Field DS0000027620.V319311.R01.S.doc Version 5.2 Page 10 Residents say in comment cards and when spoken to, that they have care plans, like living at the home, and feel well cared for. One person spoken to says that they have reviews and that they sign their notes. They confirmed having signed a risk assessment on the day of the fieldwork visit but were not sure what it was about. A recommendation has been made. Strawberry Field DS0000027620.V319311.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have opportunities to participate in a range of leisure and educational activities inside and outside the home. They are supported to have appropriate relationships and their rights and responsibilities are respected. Residents are offered a good diet and enjoy their mealtimes. EVIDENCE: Residents comment cards say that they have lots to do. They say they can go to college and use community resources such as the pub and shops. One was planning to go to a local fireworks display. All residents go to the “art barn” at the Rookery (headquarters of the owners), and are proud of the work produced. One confirmed a staff member’s account of helping to construct an aviary in the garden. One person says that they enjoy keep fit sessions, but also the pint and lunch in a local pub that sometimes follows the session. Strawberry Field DS0000027620.V319311.R01.S.doc Version 5.2 Page 12 The inspector was told that residents are planning their next holiday and shown the brochures. One person says that they would like to go whale watching in the Azores. Residents are expected to fund some costs for staff on such trips. See recommendations. Records and discussion confirm that residents keep contact with their families and are supported with personal relationships as needed. Residents say that they are able to keep things that are their private – in all comment cards received. However, none has keys for their rooms. There are no underpinning risk assessments to show that they are not able to manage keys for either their rooms or their front door. A requirement has been made. Residents are encouraged to join in domestic routines and help with cleaning, cooking and shopping. One person says that they chose the decoration for their room and helped to paint it. Residents helped to prepare for the evening meal with support and guidance as needed. There is a menu displayed in the kitchen. One person told the inspector that they did not always follow it if they fancied something different and says the food is good. The person says that residents plan the food together and help do the shopping. The evening meal was a social event with residents and the staff member eating and chatting together in the kitchen, although there is another dining table in the main lounge that can be used if the residents wished. Residents’ weights are monitored. Strawberry Field DS0000027620.V319311.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are given appropriate personal support if they need this. Their physical and emotional health care needs are met. Residents are protected by the processes for managing medication, and can look after their own tablets if they are able to and wish to do so. EVIDENCE: Residents’ comment cards say they see their doctors and dentists. There are good records of health care appointments including consultations with specialists where appropriate. Residents are all male and have a male keyworker. One person says that their keyworker has helped them a lot. Only one person requires some help or supervision with personal hygiene based on the pre-inspection questionnaire. Residents say that they choose when to go to bed and when to get up – depending what activities were arranged for the next day. Strawberry Field DS0000027620.V319311.R01.S.doc Version 5.2 Page 14 Medication is stored in a locked cupboard in the staff sleep-in room/office. The process for giving these provided for checks and the staff member on duty has recently attended formal training. The other full time member of staff has not yet completed this. A recommendation has been made. One person manages their own medication and has a locked place to store it. There is a risk assessment agreed with the resident (dated 2004). This shows random checks are needed and the keyworker confirms these are made. However recording could be improved. A recommendation has been made. There is a programme of training for staff, with the senior person having recently attended training offered by the UEA. The staff member and registered manager confirm this although they are still awaiting a certificate. Strawberry Field DS0000027620.V319311.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are confident that their views and concerns will be listened to and they are protected from abuse. EVIDENCE: Residents say that they will speak to staff or the manager if they have any concerns. They also confirm this in comment cards. These cards also say that they are well cared for and feel safe at the home. Some daily records going back to the early part of the summer refer to a resident as “whining and complaining”. This is an inappropriate expression and no factual representation of what the person was saying or doing. The person no longer works at the home based on duty rosters and the preinspection questionnaire and language in other entries is more appropriate. A recommendation has been made. Training profiles supplied show that one of the full time members of staff has attended recent training in “vulnerable adults at risk”. The other full time member of staff has completed NVQ 3 and covered this. Strawberry Field DS0000027620.V319311.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a homely, comfortable and safe environment that is clean. EVIDENCE: Two of the three bedrooms were seen and are very homely. Furnishings are of reasonable quality although the chest of drawers in one room needs fixing. The keyworker and manager were made aware of the situation during the inspection. Areas seen were clean. There is policy guidance on infection control based on the pre inspection questionnaire – revised in February 2006. One of the two full time staff has had training in food hygiene as have the two staff providing input one shift each month. Strawberry Field DS0000027620.V319311.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported by competent and appropriately trained staff, and protected by recruitment practices. At present there is an effective staff team to provide consistent support, although there are concerns about the long-term implications of the hours being worked. EVIDENCE: The staffing complement has altered since the last inspection. The home now primarily relies for cover on two members of staff. The manager says that this restriction of staff numbers has been to try and achieve consistency for the residents and because there are often difficulties if female staff work in the home. One of the care staff also works in the art barn three days each week and with the care hours is at work for prolonged periods of time without a break. This may – in the long term – affect the quality of service to residents. A recommendation has been made. Strawberry Field DS0000027620.V319311.R01.S.doc Version 5.2 Page 18 The home is under the day-to-day control of a senior member of staff who has an NVQ 3, as has one staff member working only occasional shifts. This brings the ratio up to 50 (one full time, one only one shift per month). The manager says some training that has been left off training profiles, which do not support that staff consistently have a minimum of five days training per year. Residents say that they feel well looked after and there is clearly a good rapport between the staff member on duty at the visit and those living at the home. Staff recruitment files show that appropriate checks have been taken up and completed before staff have started work in the home. The owners operate a probationary period during which the performance of staff is reviewed. There are no volunteers employed. The company has a good record on training. One person is said to be working through the new common induction standards. However, their workbook was not available to confirm this. A recommendation has been made. Strawberry Field DS0000027620.V319311.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run and residents are confident their views will be taken into account in developing the service. Their health, safety and welfare is promoted. EVIDENCE: The manager is registered and qualified to the relevant standard and has many years experience. In addition to overseeing this home, he has management responsibility for the large home nearby, and a smaller cottage elsewhere in the area. He has attended training periodically, including recent training in recruitment and selection. Records show that policies are regularly reviewed and revisited. Mr Finlay has a good awareness of the national minimum standards. Strawberry Field DS0000027620.V319311.R01.S.doc Version 5.2 Page 20 There are systems for monitoring the quality of the service and residents say that they have discussions about what is good and what can be changed. The management team are looking at additional ways of assessing service quality in addition to surveying residents and relatives. Monitoring visits are carried out by one of the directors of the company. A summary of these report findings has been supplied to the Commission. A check on an earlier full record suggests there may be little time spent in each home. Although the outcome in this standard is met, a relevant regulation is not wholly met. A requirement has been made. A sample of records associated with health and safety were seen and – based on the sample, shows that there are systems in place for ensuring the safety of residents and staff. Records included fire equipment testing, and servicing agreements. Strawberry Field DS0000027620.V319311.R01.S.doc Version 5.2 Page 21 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 3 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 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Strawberry Field DS0000027620.V319311.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? NO 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 YA16 Regulation 12.2 & 12.4 Requirement The registered persons must fit suitable locks to bedroom doors, and subject to risk assessments, offer residents the opportunity to hold keys to their rooms and the front door of their home. The registered persons must supply monthly reports to the Commission in accordance with the regulation. Timescale for action 31/03/07 2. YA39 26 31/12/06 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. 2. 3. Refer to Standard YA6 YA6 YA9 Good Practice Recommendations The registered persons should make sure that care plans and risk assessments are reviewed at least every six months. The registered persons should ensure that records of care delivered, and reviews of care, relate to that identified as necessary in the care plan. The registered persons should discuss and make clear the content of any document that residents sign – using advocates if needed. DS0000027620.V319311.R01.S.doc Version 5.2 Page 23 Strawberry Field 4. YA14 5. 6. 7. 8. 9. YA20 YA20 YA22 YA33 YA35 The registered persons should discuss residents’ contributions to staff costs for holidays with their representatives (family and social workers/advocates). This is to make sure that the process is transparent and open. The registered persons should arrange formal medication training for the second full time member of staff. The registered persons should arrange to record the checks they make (with dates and results) to ensure that self-administration of medication remains safe. The registered persons should monitor care records to make sure that the language is always appropriate and objective. The registered persons should review the staffing rosters to ensure that these do not result in prolonged periods at work without adequate breaks. The registered persons should make sure induction workbooks for staff are not removed from the premises (or are held at the headquarters) so that timely delivery of training can be shown. Strawberry Field DS0000027620.V319311.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Strawberry Field DS0000027620.V319311.R01.S.doc Version 5.2 Page 25 - 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. 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