Inspection on 09/08/05 for The Anchorage

This inspection was carried out on 9th August 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

The Anchorage 05/11/08

The Anchorage 07/03/07

The Anchorage 04/05/05

The Anchorage 15/10/04

The Anchorage 19/04/04

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 The Anchorage 78 Wooton Road Kings Lynn Norfolk PE30 4BS Lead Inspector Jacky Vugler Unannounced 9 August 2005 th 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. The Anchorage I55 s27525 theanchorage v243125 080805 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The Anchorage Address 78 Wootton Road, Kings Lynn, Norfolk, PE30 4BS 01553 765378 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) Ms Lynda Yvonne James Ms Lynda Yvonne James Care Home 6 Category(ies) of Learning disability (6) registration, with number of places The Anchorage I55 s27525 theanchorage v243125 080805 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Can up to 6 people with a learning disability Date of last inspection 4th May 2005 Brief Description of the Service: The Anchorage is a care home providing personal care and accommodation for six younger adults who have a learning disability.The home is privately owned by Ms Lynda Yvonne James.The home is situated in King’s Lynn on a busy road within walking distance from the town centre. There are also local shops and community services within the immediate local area of the home. The home has it’s own transport and undertakes regular trips with service users. An off road car parking area is available at the front of the home.The Anchorage is a converted house and the accommodation consists of single rooms, two of which have en-suite facilities. There are two lounges (one used as a games room) a kitchen/diner, and bathrooms on the ground and first floors. The gardens consist of paved and lawn areas with established borders and shrubbery. The Anchorage I55 s27525 theanchorage v243125 080805 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, taking place over 6 hours on a weekday. The inspection took place following some anonymous concerns regarding the Home. These have already been addressed to Ms James, and she has responded appropriately. The individual concerns and findings are set out in the body of the report. Ms Lyn James was present during the inspection. On the day, all of the residents were spoken to, three privately, as well as two members of staff, privately. Many records were viewed and a tour of the building was undertaken. What the service does well: What has improved since the last inspection? What they could do better: The Proprietor has planned the delegation of the role of Care Co-ordinator, leaving her more time for administration. She has also planned to free some space in the office in order to make more room for staff. Although staff clearly feel well supported by Ms James and regular supervision meetings do take place, these could take place more often. The Anchorage I55 s27525 theanchorage v243125 080805 stage 4.doc Version 1.40 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. The Anchorage I55 s27525 theanchorage v243125 080805 stage 4.doc Version 1.40 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 The Anchorage I55 s27525 theanchorage v243125 080805 stage 4.doc Version 1.40 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, 3 & 4 Prospective residents are provided with clear, simple information, which enables them and their carers or advocates to make an informed choice about where to live and whether their needs will be met. EVIDENCE: Prior to the admission of a resident, the assessments from the Social Worker and other relevant healthcare professionals are obtained. Ms James also speaks to the family or carer and the Outreach team. An updated preadmission assessment form is in draft form and will soon be in use. Prior to admission the Proprietor visits prospective residents and they can visit for tea or they can stay for a few days. Following admission the residents have a trial period of three months and a plan of care is agreed within the first few weeks. The Anchorage I55 s27525 theanchorage v243125 080805 stage 4.doc Version 1.40 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 & 9 The health needs of residents are well met with evidence of good multi disciplinary working taking place on a regular basis. EVIDENCE: All the care plans were seen and each contained a photograph of the resident. Four were looked at in detail and these were comprehensive and the emphasis was on positive achievement, with a reward system of stickers, devised with the advice of the Psychologist, to reinforce positive behaviour. The agreed personal plans were signed by the residents and reviewed every three months. Update sheets are used in between this time, where necessary. Likes and dislikes in food are included in the plans, together with task analysis charts to encourage autonomy and personal hygiene. One of the concerns mentioned was that knives were readily available and could be accessed by services users for inappropriate uses. There has been a risk assessment in place for some time regarding the knives and as a result they are kept in a tied knife wrap, and kept in a drawer in the locked office. However, many of the residents like to help prepare the meals The Anchorage I55 s27525 theanchorage v243125 080805 stage 4.doc Version 1.40 Page 10 and chop the vegetables, and at these times the knives are in use in the kitchen under supervision. There are individual risk assessments in place and residents have much choice within the home and outside unless a risk assessment states otherwise. Residents help with domestic tasks in the home, for example, preparing meals and their own packed lunch, and cleaning and tidying their room. All the residents said they liked to help in the kitchen with the preparation of meals. One resident spoken to said how she liked to chop the vegetables, another said that he likes to make his own drinks. Each care plan includes a funeral plan according to the resident’s wishes and these are signed. The Anchorage I55 s27525 theanchorage v243125 080805 stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not assessed on this occasion. EVIDENCE: Not applicable The Anchorage I55 s27525 theanchorage v243125 080805 stage 4.doc Version 1.40 Page 12 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) 20 Medication is properly managed and the records are well kept. EVIDENCE: A concern was raised that a resident was not receiving her medication and that the medication records were not readily available. The medication records were viewed, all of the records were present and found to be well completed and up to date. There is a designated member of staff, a senior carer, who is responsible for the auditing of medications. These records were also looked at and found to be in good order. There are no residents on controlled drugs and no residents who were, at the time of inspection, administering their own medication, although there is a policy in place for this. All staff have completed or updated their medication training on the 11th July 2005. The Anchorage I55 s27525 theanchorage v243125 080805 stage 4.doc Version 1.40 Page 13 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 procedures and staff training provide a good base to protect residents from abuse. EVIDENCE: The caller confirmed that the concerns highlighted in this report had been addressed to the Proprietor individually and that she had received reassurance on these matters. However, these concerns should have been entered in the complaints book with the action taken. The home has an Adult Protection procedure, which includes ‘whistle-blowing’. Residents and staff spoken to said that the Proprietor is very approachable and that they felt able to address any concerns with her. All staff including volunteers (when applicable) have a CRB disclosure in place. The Anchorage I55 s27525 theanchorage v243125 080805 stage 4.doc Version 1.40 Page 14 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) These standards were not assessed on this occasion. EVIDENCE: Not applicable. The Anchorage I55 s27525 theanchorage v243125 080805 stage 4.doc Version 1.40 Page 15 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) 33, 35 & 36 Staff at the home are well trained and supported, and employed in sufficient numbers to meet the residents needs. EVIDENCE: A concern highlighted was that a resident returned home from his day centre and there were no staff present at the home. The driver then took him back to the day centre to be cared for. This was substantiated, as the Proprietor said that there had been a misunderstanding with the day centre regarding the resident’s hours there on that day. The Proprietor said that she would normally have been ‘on call’, but was ill on this occasion. As a result of this occurrence, the Proprietor has now employed another member of staff to remain in the building on the days when all of the residents are attending day centres. The other residents enjoyed a trip out to Hunstanton and spoke of it during the inspection. The Proprietor had a meeting with Business Link in June 2005 and now has a training plan in place for induction and foundation. Statutory training is up to date and ongoing. Evidence of staff training was seen, including Challenging behaviour, understanding dementia, infection control, life story work, communication, epilepsy, autism and many more. All staff are undertaking an NVQ and the Proprietor is an NVQ Assessor. The home is pro-active with training and this is commended. The Anchorage I55 s27525 theanchorage v243125 080805 stage 4.doc Version 1.40 Page 16 Staff appraisals take place annually and all staff receive regular supervision, although it is recommended that this take place more frequently. One member of staff spoken to had been there for seven years and the other was the most recent member of staff. They talked of the training provided, regular staff meetings and plenty of support and advice from the Proprietor. One commented that “the home had a friendly atmosphere and they were like a family”. The other commented the she would recommend the home because “the staff are a very good team who help and get on well together” and that “the carers really do care about the people they look after”……… “a nice friendly home”. The Anchorage I55 s27525 theanchorage v243125 080805 stage 4.doc Version 1.40 Page 17 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) These standards were not assessed on this occasion. EVIDENCE: Not applicable. The Anchorage I55 s27525 theanchorage v243125 080805 stage 4.doc Version 1.40 Page 18 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 3 3 x Standard No 22 23 ENVIRONMENT Score 2 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x Standard No 11 12 13 14 15 16 17 x x x x x x x Standard No 31 32 33 34 35 36 Score x x 3 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Anchorage Score x x 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x x x I55 s27525 theanchorage v243125 080805 stage 4.doc Version 1.40 Page 19 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 22 Regulation 22 Timescale for action The Registered Person must 30th keep a record of all complaints September made to the home and the action 2005 taken in response. The Registered Person must give 30th notice to the Commission of any September event in the home which 2005 adversly affects the well-being or safety of any service user. Requirement 2. 41 37 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 2 36 31 Good Practice Recommendations It is recommended that the pre-admission assessment presently in draft form is implemented. It is recommended that staff have recorded supervision meetings at least six times a year. It is recommended that the Proprietor continues in her plan to delegate her present Care Co-ordinators role, in order to develop her Supervisory/Management role. The Anchorage I55 s27525 theanchorage v243125 080805 stage 4.doc Version 1.40 Page 20 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. Extracts may not be used or reproduced without the express permission of CSCI The Anchorage I55 s27525 theanchorage v243125 080805 stage 4.doc Version 1.40 Page 21 - 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. 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