Inspection on 20/07/05 for The Old Rectory

This inspection was carried out on 20th July 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 Old Rectory 30/03/09

The Old Rectory 10/05/07

The Old Rectory 15/12/05

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 NR10 5QU Lead Inspector Ann Catterick Unannounced 20 July 2005, 14:00 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 Old Rectory I55 s46151 Old Rectory v238562 (un) 200705 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The Old Rectory Address Cromer Road Hevingham Norwich Norfolk NR10 5QU 01603 279238 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) Mrs Susan Jarvis and Mr Richard Jarvis Care Home 9 Category(ies) of Learning disability (9) registration, with number of places The Old Rectory I55 s46151 Old Rectory v238562 (un) 200705 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum number of nine (9) service users with learning disbilities may be accommodated. Date of last inspection 21 February 2005 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 I55 s46151 Old Rectory v238562 (un) 200705 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspection was unannounced and took place during the afternoon of the 20th of July 2005. The inspector had the opportunity to speak with and meet service users, staff and the manager as well as to have a tour of part of the building and look at some plans of service users care and read other policies and documents. All service users who spoke to the inspector were happy with the care they were receiving. Those service users who were unable to verbally express an opinion were seen to be content having a good relationship with the staff on duty. Those staff on duty were experienced and well trained and were seen to enjoy their job offering good quality care. Overall the service provided is seen to be very good. What the service does well: The manager’s aim is to provide good quality care to the service users who live in the home and the inspector believes that this is achieved. Staff are offered good training and supervision and the skills and knowledge that they have is reflected in the way they work with service users. Comments from relatives and service users were seen within the homes information guide. For example, “first class care all round,” “Quality of care is excellent,” “always made to feel welcome,” “excellent in every aspect” The way the home writes down the specific care needs of service users is done in a way that gives staff all of the information that they need to care for people in the best possible way. The social activities that are made available to service users are very varied and meet individual need. The weekly programmes of work and activities are created ensuring that the needs and preferences of service users are always seen as important. The Old Rectory I55 s46151 Old Rectory v238562 (un) 200705 stage 4.doc Version 1.40 Page 6 Overall a very well managed home. 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 I55 s46151 Old Rectory v238562 (un) 200705 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 Old Rectory I55 s46151 Old Rectory v238562 (un) 200705 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) 1 and 2 The home has a Statement of Purpose and Service User Guide that include all of the information needed to enable prospective service users to make an informed choice about where to live. The individual needs and aspirations of service users are assessed and the home aims to meet all of these needs. EVIDENCE: The home’s Statement of Purpose and Service Users Guide were seen and are informative. They included a copy of the Inspection report and positive comments about the home from relatives of service users. These are available for service users, prospective service users, families and staff. No service users have been admitted to the home since the last inspection. Prior to admission the manager ensures that she receives as much information as possible from the prospective service user, professionals and family sources to ensure individual needs and preferences can be identified. This enables an informed decision to be made as to whether or not the home can meet individual need. The service users are introduced to the home through a process that enables them to know what it is like to live in the home and what services are offered. This can, if needed, be over a period of several weeks. The Old Rectory I55 s46151 Old Rectory v238562 (un) 200705 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 and 9 Service users are aware that they have an individual care plan that includes all relevant information about their needs and preferences and that this is reviewed on a regular basis. Risk assessments are included in care plans to ensure that service users are able to be as independent as possible with minimum and/or appropriate risk. EVIDENCE: Care plans were looked at and these are very comprehensive including all of the relevant information needed. As some service users have difficulty in communicating their needs and preferences it is very important that care plans are detailed and specific and this was the case within those care plans seen. The manager ensures that all staff are aware of the specific needs of service users and that staff work to the care plans. Care plans are reviewed on a regular basis and whenever possible these reviews include the service user and/or family. The philosophy of the home is to encourage service users to lead as normal a life as possible having the opportunity to take informed risks. Within care plans The Old Rectory I55 s46151 Old Rectory v238562 (un) 200705 stage 4.doc Version 1.40 Page 10 there is documentation identifying specific risks and how these are eliminated or managed. The Old Rectory I55 s46151 Old Rectory v238562 (un) 200705 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) 12,15 and 16 Opportunities for personal development are encouraged within the home. Service users are encouraged to maintain relationships with family and/or friends. Service users rights and preferences are respected and service users are encouraged to be as independent as possible. The home offers good quality, fresh food that is enjoyed by service users. EVIDENCE: The manager and her staff are committed to ensuring that service users reach their full potential and have the opportunity to take part in suitable work placements and social activities. Each service users has a different weekly plan of work placements and social activities that meets their specific needs. Those service users spoken to were happy and satisfied with what they did during the day. The Old Rectory I55 s46151 Old Rectory v238562 (un) 200705 stage 4.doc Version 1.40 Page 12 Service users are able to choose from a range of activities in their leisure time. The plans for the following weekend were to visit Fakenham on the Saturday for fish and chips and to go to the Abba Experience at Cromer on the Sunday. The service users had recently returned from their annual holiday. There was a variety of options of what service users could do in their leisure time. Staff were seen to treat service users with dignity and respect on the day of inspection and the relationship between staff and service users was good. Staff are offered relevant training and those staff spoken to said that the home manager was committed to providing good training to staff to ensure that staff had the skills and knowledge to ensure the needs of service users were met. Within care plans information about how service users choose to be cared for was detailed to ensure that when service users could not communicate their preferences would be known to care staff. The doors to service users bedrooms do not lock and they do not have a lockable facility within their bedrooms to keep personal belongings such as a safe or lockable drawer. The manager has agreed that she will look into this area and will risk assess each service user to clarify whether or not these facilities should be provided. The Old Rectory I55 s46151 Old Rectory v238562 (un) 200705 stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of these outcomes were inspected. EVIDENCE: The Old Rectory I55 s46151 Old Rectory v238562 (un) 200705 stage 4.doc Version 1.40 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 standard(s) 22 and 23 Service users spoken to felt that their views were listened to and acted upon. The home has policies and procedures that promote the protection of service users. EVIDENCE: There have been no complaints since the last inspection. The home has a complaints procedure and details of this are included within the Service Users Guide. All service users and/or families are aware of the complaints procedure and are encouraged within quality assurance to give their views about the home. Evidence of this was seen on the day of inspection. The complaints procedure needs to be revised it ensure that those reading it are aware that they can contact the CSCI at any time and not only if they are dissatisfied with the outcome of the homes investigation. The home has a policy for the protection of vulnerable adults and staff spoken to are aware of this policy. The policy was a little outdated and needs to be revised to ensure that it includes all relevant information. The Old Rectory I55 s46151 Old Rectory v238562 (un) 200705 stage 4.doc Version 1.40 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 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. Individual accommodation reflects the lifestyle and preferences of the occupant and service users can choose their own furniture fixtures and fittings. This was evidenced when being invited into a service users bedroom who had chosen to have a double bed, as this was their preference. Shared spaces give the opportunity to sit with others or be in a quieter environment. The house includes safe outside space with patio and garden furniture that enables service users to spend time outside in the summer months. The home has always been found to be clean and well cared for. The Old Rectory I55 s46151 Old Rectory v238562 (un) 200705 stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 and 35 The home has a stable staff group who are offered appropriate training and support to enable them to fulfil their role and offer good quality care to service users. EVIDENCE: The staff spoken to was clear about their roles and responsibilities. They felt supported in their role by the manager, and were offered formal and informal supervision. Training is encouraged within the home. Staff were observed working with service users and it was clear to see that staff worked in a caring competent way. Staff were sensitive in the way they worked with service users showing a good knowledge of individual needs. Service users appeared to feel comfortable with staff and happy with their care and those that were able to spoke positively about the care they received. The Old Rectory I55 s46151 Old Rectory v238562 (un) 200705 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) 37 and 38 The home is well run with the needs of service users as paramount. Service users and staff spoke positively about the manager who was seen to work in an open and transparent way. EVIDENCE: The manager has significant experience of managing a residential 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. As the home is a small home the manager is incorporated within the rota and works alongside staff. Staff spoken to spoke very positively about the manager and her husband, who are both proprietors. The manager has always been seen to work in an open and inclusive way. The Old Rectory I55 s46151 Old Rectory v238562 (un) 200705 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 3 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 x x 3 3 x Standard No 31 32 33 34 35 36 Score x x 3 x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Old Rectory Score x x x x Standard No 37 38 39 40 41 42 43 Score 3 3 x x x x x I55 s46151 Old Rectory v238562 (un) 200705 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 Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 16 Good Practice Recommendations That the manager risk assess and record the outcome for condering whether or not it is appropriate for service users to have a lock on their bedroom door and a lockable facility within their room. That the manager ensure that the complaints procedure contains all relevant up to date information. That the manager ensure that the Adult Abuse Policy is in line with current thinking and procedures. 2. 3. 22 23 The Old Rectory I55 s46151 Old Rectory v238562 (un) 200705 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 Old Rectory I55 s46151 Old Rectory v238562 (un) 200705 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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