Inspection on 15/12/05 for The Old Rectory

This inspection was carried out on 15th December 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.

Other inspections for this house

The Old Rectory 30/03/09

The Old Rectory 10/05/07

The Old Rectory 20/07/05

The Old Rectory 21/02/05

The Old Rectory 12/07/04

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 Old Rectory Cromer Road Hevingham Norwich Norfolk NR10 5QU Lead Inspector Ann Catterick Announced Inspection 15th December 2005 15.30 The Old Rectory DS0000046151.V264119.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 The Old Rectory DS0000046151.V264119.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. The Old Rectory DS0000046151.V264119.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Old Rectory Address Cromer Road Hevingham Norwich Norfolk NR10 5QU 01603 279238 01603 279238 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) Mrs Susan Jarvis Mr Richard Jarvis Care Home 9 Category(ies) of Learning disability (9) registration, with number of places The Old Rectory DS0000046151.V264119.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum number of nine (9) services users with learning disabilities may be accommodated. 20th July 2005 Date of last inspection Brief Description of the Service: The Old Rectory is a care home providing personal care and accommodation for 9 younger adults with learning disabilities. Mr Richard Jarvis and Mrs Susan Jarvis own the home. Susan Jarvis has the responsibility for the management of the home. The Old Rectory is a Grade II listed Georgian building located on the outskirts of the village of Hevingham, some 8 miles from the City of Norwich. The service users are unable to access amenities independently but the home is within easy driving distance of the City of Norwich and the market town of Aylsham. The home has had an extension added, to provide comfortable accommodation for the service users. The home has nine bedrooms, eight on the first floor and one on the ground floor. All bedrooms are single and of a good size. The home has various communal areas that provide comfortable accommodation. Outside there are extensive grounds that include a pond and a wooded area. Next to the house there is an enclosed garden for service users to have easy and safe access to. The Old Rectory DS0000046151.V264119.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced and took place on the 15th of December and lasted 4hours.Eight service users were accommodated on the day of inspection. Prior to the inspection the manager completed a ‘pre-inspection questionnaire’. Five comment cards, 3 from relatives and 2 from health care professionals were received. All comment cards were positive. The inspector was able to speak with the manager, staff and some service users as well as look at plans of care, staff files and other documentation. The inspector was able to spend time with service users over the tea time period and this enabled her to observe some of those service users who found it difficult to verbalise how they felt. It also enabled the relationship between staff and service users to be observed. The home is very well managed and this is reflected in all aspects of the care provided to service users. A good quality care home. What the service does well: The home has good quality assurance systems for measuring the quality of the care provided. The home has a happy well-trained staff group who are competent and able to carry out their responsibilities in full. The environment is comfortable and well maintained. The quality of the plans of care are good and the standard of care provided, in all areas is high. The Old Rectory DS0000046151.V264119.R01.S.doc Version 5.0 Page 6 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. The Old Rectory DS0000046151.V264119.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 The Old Rectory DS0000046151.V264119.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): None of these standards were inspected on this occasion. EVIDENCE: The Old Rectory DS0000046151.V264119.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 and 7 Service users’ needs and preferences are assessed and this information is collated within their care plan. Service users are encouraged to make choices in their day-to-day lives, however some service users are unable to do this because of the significance of their disability. EVIDENCE: Prior to admission the placing professional provides an assessment and the manager completes her own assessment. This could include several visits and overnight stays if this is what was appropriate for the prospective service user. Once admitted the information is then transferred to the care plan and reviewed on a regular basis. Service users are encouraged to make choices about their day-to-day lives. Each service user has individual plans that meet their needs and preferences. For example one service user chooses not to attend any regular formal activity centres within the week and is supported with activities and work programmes at home. Service users are encouraged to make their bedrooms as individual as possible choosing their own bedding and furniture. The Old Rectory DS0000046151.V264119.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): 13,14 and 17 Service users who live within the home are supported to become involved with the local community if this is what they wish to do. Service users are offered and assisted to participate in leisure activities giving them the opportunity to develop their full potential in these areas. Service users are provided with nutritious and appetising meals in an environment that is homely and comfortable. EVIDENCE: Within each individual care plan there is evidence that suggests service users are encouraged to reach their full potential. Opportunities are made available for service users to have one to one support from staff as well as to be involved in outside and group activities. Strengths and preferences are identified and service users are enabled to develop in these areas. Service users are involved in many leisure activities within their weekly programmes and at weekends. The home has a weekly activity programme to ensure that a variety of activities are offered. They have the opportunity to go The Old Rectory DS0000046151.V264119.R01.S.doc Version 5.0 Page 11 swimming, horse riding and shopping as well as many other activities. All service users have the opportunity to have an annual holiday. Those service users who are out during the day take a packed lunch and the main meal of the day is served at tea -time. The home has a comprehensive menu that offers a wide variety of good quality meals. Service users preferences are taken into consideration .The meal on the day of inspection was appetising and well presented and those service users that needed assistance with the meal were given this in a caring and supportive way. The Old Rectory DS0000046151.V264119.R01.S.doc Version 5.0 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 the following standard(s): 18, 19 and 20 Service users receive the personal support they need in a way they prefer to enable them to be as independent as possible. All of those service users seen and spoken to were having their physical and emotional health needs met. No service users are able to be responsible for their own medication and the policy and procedure that the home has in place protects service users and promotes good practice. EVIDENCE: Several of the service users in the home have significant care needs. These needs are identified within the individual care plans and staff are offered the training and support to ensure that they can meet these needs. Staff were seen working with service users and they were competent and caring in their roles have good relationships with the service users being aware if individual needs. In one care plan it advised that a service user should be encouraged to walk on a regular basis to promote and maintain mobility. This was seen to be done several times on the day of inspection. Some of those service users living in the home have significant emotional needs and staff were seen to work with service users in a supportive and The Old Rectory DS0000046151.V264119.R01.S.doc Version 5.0 Page 13 professional way aiming to minimise any anxiety and support emotional wellbeing. The policy and procedures regarding medication were inspected and these supported good practice. All staffing the home have received certificated training in this area. Medication is stored appropriately and all recording with regard receipt, administration and disposal promoted good practice. On the day of inspection the staff member administering medication did not sign the MAR sheet at the time of administration but at the end of the tea time medication round. Medication must be signed for at the time of administration and a requirement has been made in this area. The Old Rectory DS0000046151.V264119.R01.S.doc Version 5.0 Page 14 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 and 23 Those service users who are able to share their views seemed to feel that their views are listened to. The policy and procedures within the home ensure that service users are protected from abuse, neglect and self-harm. EVIDENCE: Service users and their families are given information about the complaints procedure and comment cards from relatives suggested they were satisfied with this. There have been no complaints in the past 12 months. A recommendation suggesting the home bring the complaints procedure up to date was made at the last inspection and this has been done. The new policy was seen in the policy and procedures folder. All staff have had training with regard adult abuse and staff have been offered training about managing difficult behaviour. Staff have regular supervision and appraisal and good practice in this area is promoted. Those staff spoken with were clear about the whistleblowing policy and clear that they would report any suspicion of any abuse immediately. Since the last inspection the manager has revised the Adult Abuse Policy to ensure that it is in line with current thinking and procedures. The Old Rectory DS0000046151.V264119.R01.S.doc Version 5.0 Page 15 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 and 30 Service users live in a homely, comfortable, safe environment that is well cared for being a clean and hygienic place to live. EVIDENCE: The Old Rectory is a large attractive comfortable building that includes the accommodation of the proprietors and their family. It is well decorated and well furnished providing good private and communal accommodation for service users. There are plans to do some decorating in communal areas in the New Year. The home has always presented as clean, tidy and well cared for, being a comfortable place to live. The Old Rectory DS0000046151.V264119.R01.S.doc Version 5.0 Page 16 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): 31 32 and 34 Service users are clear about the roles and responsibilities of staff members and this contributes to the good quality of care provided within the home. The manager’s recruitment and selection process ensures the protection of service users. Staff are offered induction, training and support to ensure that they are competent and qualified to do their jobs. EVIDENCE: The manager lives on the premises and is actively involved with the service users. The home has a small stable staff group who are responsible for all areas of care relating to service users as well as some domestic and cooking responsibilities. A new member of staff was spoken to and she had received a comprehensive induction and had attended several courses with further courses planned for the future. She was very clear on her role and responsibilities and said that the manager and other staff were very supportive and ensured she had all the information and knowledge needed to fulfil her role. Two staff had been recruited since the last inspection and their files were inspected. The recruitment process was thorough and all relevant information was gathered prior to appointment. The Old Rectory DS0000046151.V264119.R01.S.doc Version 5.0 Page 17 The home has a training plan for each member of staff. Staff are encouraged to complete the training recommended by Learning Disability Award Framework (LDAF) in relation to induction and foundation training. Staff working were seen to be well trained and competent within their role. The Old Rectory DS0000046151.V264119.R01.S.doc Version 5.0 Page 18 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, 39 and 42 The manager has significant experience in the management of the care home and is a qualified teacher of adults with learning disabilities. She has several related qualifications and is at present completing her MBA at the University of East Anglia, which she hopes to complete in the spring of 2006. The home is very well managed and all staff spoke very positively about the management within the home. The inspector feels that this standard should be commended. The manager has Quality Assurance systems in place to ensure that the care provided is in the best interests of service users. The manager ensures that the health, safety and welfare of service users are promoted and protected by the policies and procedures with the home. EVIDENCE: The manager has a ‘quality business financial plan’ that includes a SMART and SWOT analysis. This was seen as good practice and evidenced that the manager is continually looking to review and maintain good practice. It would also identify areas were they may be opportunity for improvement or further The Old Rectory DS0000046151.V264119.R01.S.doc Version 5.0 Page 19 development. Questionnaires are used to receive formal feedback from relatives, staff have individual training programmes and environment audits are completed. Staff automatically receive training in moving and handling, fire safety, first aid, food hygiene and infection control. This training is updated as appropriate. All chemicals are stored in a secure cupboard and Care of Substances Hazardous to Health (COSHH) information was seen. Radiators are covered and water comes from outlets at the correct temperature. Window restrictors are on the upstairs windows. The manager says that she is in compliance with all relevant legislation identified in standard 42.4. Risk assessments are carried out for the environment and the individual. All incidents and accidents are reported in the incident/accident books. The premises are secure at all times. Overall the manager aims to ensure that the service users are in a safe wellmaintained environment. The Old Rectory DS0000046151.V264119.R01.S.doc Version 5.0 Page 20 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 3 3 x x x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 LIFESTYLES Standard No Score 11 x 12 x 13 3 14 3 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score 3 3 x 3 x x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Old Rectory Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score 4 x 3 x x 3 x DS0000046151.V264119.R01.S.doc Version 5.0 Page 21 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 YA20 Regulation 13 (2) Requirement The registered person must ensure that medication administration charts are signed by staff at the time of administering medication and not at the end of the medication round. Timescale for action 01/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The Old Rectory DS0000046151.V264119.R01.S.doc Version 5.0 Page 22 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. Extracts may not be used or reproduced without the express permission of CSCI The Old Rectory DS0000046151.V264119.R01.S.doc Version 5.0 Page 23 - 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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