This inspection was carried out on 27th September 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 found no outstanding requirements from the previous inspection report,
but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.
CARE HOME ADULTS 18-65
Strawberry Field Mill Common Lane Walcott Norwich Norfolk NR12 0PF Lead Inspector
Mr Pearson Clarke Unannounced Inspection 27th September 2005 09:51 Strawberry Field DS0000027620.V253586.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 Strawberry Field DS0000027620.V253586.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. Strawberry Field DS0000027620.V253586.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Strawberry Field Address Mill Common Lane Walcott Norwich Norfolk NR12 0PF 01692 650707 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 Mr Alfred Finlay Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Strawberry Field DS0000027620.V253586.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 2nd December 2004 Brief Description of the Service: Strawberry Fields is a care home providing personal care and accommodation to 3 adults with a learning disability. The service is operated by a company and 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. Strawberry Field DS0000027620.V253586.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection of the home was unannounced and took place during the morning. When the inspector arrived at the home the service users were preparing to go out and as such the inspection was somewhat limited in its scope. However the inspector was able to talk with all of the service users, the member of staff on duty and the homes manager. All of the views expressed have helped inform the judgements made. A tour of the premises was also undertaken. What the service does well: What has improved since the last inspection? What they could do better: Strawberry Field DS0000027620.V253586.R01.S.doc Version 5.0 Page 6 Care needs to be taken to ensure that personal information relating to service users is always stored in a confidential manner. The staff employed need to be able to support service users in all areas of their lives and where they lack the skills to do so this should be identified through staff supervision and any training need identified should be met. 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. Strawberry Field DS0000027620.V253586.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 Strawberry Field DS0000027620.V253586.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): 2 The service uses appropriate assessment to establish the needs and aspirations of service users. EVIDENCE: Since the last inspection the service has admitted one new service user. The inspector looked at records relating to this person and could see that assessments were in place as expected. This person has moved from one of the providers other services, this being the normal entry route in to the home, and as such the initial assessment has usually been done at the point of entry into the overall service. Strawberry Field DS0000027620.V253586.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): 6,9,10 The service has established care plans which form the structure around which needs and goals are met. Care needs to be taken to ensure that confidentiality is observed at all times. EVIDENCE: Care plans were examined by the inspector and found to contain an appropriate range of information, which is clearly presented. Plans contain goals and risk assessments are in place. Based on those assessments each individual is encouraged to be independent unless the risks involved are too significant. During the inspection one service user showed the inspector their bicycle and described how they were free to use this independently. This contrasted with another resident who needs staff to accompany him when riding his bicycle. The inspector was concerned to see that information relating to the direct care of one service user was publicly displayed on the notice board in the office. This area is easily accessible to all and such private information should be held in the individuals plan and not on public display. See requirement Strawberry Field DS0000027620.V253586.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): 11,12 Service users have opportunities for growth and development, however care needs to be taken to ensure that these are fully supported in all areas. EVIDENCE: From discussion with service users and the member of staff on duty the inspector formed the opinion that the resident group are generally able to access activities that are appropriate to them and that those activities offer the potential for personal development. However it was noted that one service user was interested in using the homes computer to develop skills being obtained from a college based training course and that at the time of inspection the computer was not available. The impression gained by the inspector was that the member of staff lacked the skills and interest to support the service user and as such the machine was largely unused. Given that the service has a very small staff team and the staff member concerned is the principal staff member then this needs addressing and a recommendation is made that staff working in the home are given training in basic computer skills in order that they can support the service users. See recommendation Strawberry Field DS0000027620.V253586.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): 19,20 Service users healthcare needs are appropriately met. EVIDENCE: At the time of inspection one service user was on the way to an appointment with their doctor and it was confirmed to the inspector that medical services are available and accessed via the local surgery. None of those accommodated have significant healthcare needs. The homes staff manage medication for service users and the arrangements for doing so are satisfactory. Strawberry Field DS0000027620.V253586.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): These standards were not inspected on this occaision. EVIDENCE: Strawberry Field DS0000027620.V253586.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, 30 The home offers a domestic environment which is clean homely and safe for those accommodated. EVIDENCE: Strawberry Fields is a small service operating from a chalet bungalow. The home was toured by the inspector and found to be in fair order with evidence of general redecoration taking place as needed. Service users exercise choice in how they want their rooms and the latest person admitted described his plans for redecoration. Strawberry Field DS0000027620.V253586.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): These standards were not inspected EVIDENCE: Strawberry Field DS0000027620.V253586.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): These standards were not inspected EVIDENCE: Strawberry Field DS0000027620.V253586.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 3 x x x Standard No 22 23 Score x x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 x x 3 2 Standard No 24 25 26 27 28 29 30
STAFFING Score 3 x x x x x 3 LIFESTYLES Standard No Score 11 3 12 2 13 x 14 x 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Strawberry Field Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x x x DS0000027620.V253586.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. 1 Standard YA10 Regulation 12 Requirement That all personal information relating to a service users care shall be stored in such a way as to fully respect confidentiality. Timescale for action 27/09/05 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 YA12 Good Practice Recommendations That staff working at the home receive basic computer training. Strawberry Field DS0000027620.V253586.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
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