Care Home: 30 Norbins Road

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What the care home does well The home provides a high level of support to service users within a small homely environment. Staff have a good knowledge of individual service users` needs. Service users are encouraged to exercise choice and are able to participate in a range of activities. Staff use British Sign Language, symbols, and pictures to communicate with service users, depending upon their specific needs. Service users each have a spacious bedroom, which has been decorated to reflect their personal tastes and preferences. All service user rooms have en suite facilities. Care plans are detailed and reviewed on a regular basis. The home follows good practice in relation to the recording and administration of medicines. What has improved since the last inspection? One recommendation was made at the last inspection. This recommendation related to the provision of flip top bins. The menus have been reviewed. The manus have been devised with the help of a dietician. This ensures that the people living at the home have a nutritionally balanced diet. People living at home are supported by staff to purchase food from the local supermarket. Having set menus ensures that people living at the home are aware of the ingredients which need to be purchased. What the care home could do better: There are no requirements nor recommendations made as a result of this inspection. CARE HOME ADULTS 18-65 Norbins House and The Bungalow 30 Norbins Road Glastonbury Somerset BA6 9JF Lead Inspector Justine Button Unannounced Inspection 18th October 2007 09:30 Norbins House and The Bungalow DS0000016299.V351147.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 Norbins House and The Bungalow DS0000016299.V351147.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. Norbins House and The Bungalow DS0000016299.V351147.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Norbins House and The Bungalow Address 30 Norbins Road Glastonbury Somerset BA6 9JF 01458 833004 01458 830212 jo.pearse@sense.org.uk www.sense.org.uk Sense, The National Deafblind and Rubella Association Joanne Louise Pearse Care Home 4 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) Category(ies) of Sensory impairment (4) registration, with number of places Norbins House and The Bungalow DS0000016299.V351147.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Three places in 30 Norbins Road One place in The Bungalow Date of last inspection 1st December 2006 Brief Description of the Service: 30 Norbins Road is small residential home situated within walking distance of Glastonbury town centre. Accommodation is provided for 3 people within the large Victorian house, whilst a fourth person lives more independently within the self-contained bungalow located at the rear of the property. The home is registered with the Commission for Social Care Inspection to provide care for up to four people who have a sensory impairment. The service users residing at this service also have additional care and support needs as a result of learning disabilities. The Registered Manager is Jo Pearse and the Registered Provider is SENSE. Fees at this home range from £69,000 to £95,000 per year. The cost of hairdressing, toiletries, clothes, magazines and bedding is not included in the fee. Norbins House and The Bungalow DS0000016299.V351147.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was completed as part of the planned programme of inspection. The inspection was unannounced and was completed by one inspector over one day. The previous inspection was also unannounced and was completed on 1/12/2006. On the day of the inspection there were four service users residing within the home. During the course of the visit service users, staff members and the Registered Manager were spoken with. Care practice was also observed, records examined and a tour of the premises was made Prior to the inspection comment cards (surveys) were sent to health and social care professionals who have contact with the home. Two cards were received by CSCI, both of which provided positive feedback on the home. One of the cards received stated that it was an ‘excellent, well-run home’. In addition surveys forms were sent to the people living at the home. These again gave very positive feedback. What the service does well: The home provides a high level of support to service users within a small homely environment. Staff have a good knowledge of individual service users’ needs. Service users are encouraged to exercise choice and are able to participate in a range of activities. Staff use British Sign Language, symbols, and pictures to communicate with service users, depending upon their specific needs. Service users each have a spacious bedroom, which has been decorated to reflect their personal tastes and preferences. All service user rooms have en suite facilities. Care plans are detailed and reviewed on a regular basis. The home follows good practice in relation to the recording and administration of medicines. Norbins House and The Bungalow DS0000016299.V351147.R01.S.doc Version 5.2 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 summary of this inspection report can be made available in other formats on request. Norbins House and The Bungalow DS0000016299.V351147.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 Norbins House and The Bungalow DS0000016299.V351147.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): 1, 2, 3, 4, 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users and their families are provided with appropriate information regarding the home. EVIDENCE: The people living at Norbins have been residing at the home for a number of years and there are no plans that this should change. There are currently no vacancies. Should a place become available the home provides all necessary information including a Statement of Purpose and Service User Guide that provide details of the services and facilities offered at the home. A preadmission assessment would be completed and there would be the opportunity of any potential residents to visit the home to ensure that the home could meet their needs. All people or their representative have a copy of the homes terms and conditions of their stay. Norbins House and The Bungalow DS0000016299.V351147.R01.S.doc Version 5.2 Page 9 Norbins House and The Bungalow DS0000016299.V351147.R01.S.doc Version 5.2 Page 10 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): 6,7,8,9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has developed an appropriate care plan for each service user. Service users are supported to make choices regarding their life. Staff demonstrated a good knowledge of individual service users’ communication needs. Appropriate records are maintained in relation to service users’ finances. Records relating to service users are stored securely. EVIDENCE: Norbins House and The Bungalow DS0000016299.V351147.R01.S.doc Version 5.2 Page 11 Care plans are maintained for each service user. Two care plans were examined in detail during this inspection. Care plans provided details of service users needs, daily routines and preferences. Staff also maintain daily records addressing service users’ living skills, daily activities, exercise, communication, personal care and diet. Care plans included communication and behavioural guidelines. Risk assessments had been completed as required. The Core workers file provided a useful audit to ensure that service users needs were being met appropriately. Those care plans seen had been regularly reviewed and updated as necessary. Service users are supported in preparing for care reviews through a variety of methods including pictures and photographs to ensure that they can participate fully in the review. The plans includes an assessment regarding the individuals capacity to consent Service users are encouraged to exercise choice regarding their daily routines. There is a board displaying which staff will be on duty. None of the current service users have advocates. There is a circle of support for each service user. The home will keep money securely for any service user that wishes them to. Records are maintained of all transactions involving service user finances and are supported by receipts and staff signatures. The Regional Financial Officer acts as Appointee for some service users at the home. Norbins House and The Bungalow DS0000016299.V351147.R01.S.doc Version 5.2 Page 12 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): 11,12,13,14,15 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are provided with a range of activities that are appropriate to their individual needs, and are supported in accessing the local community. Service users are involved in preparing food , and a choice is offered for each meal. Independence is promoted. EVIDENCE: Norbins House and The Bungalow DS0000016299.V351147.R01.S.doc Version 5.2 Page 13 A range of activities is available to each service user. Those activities that service users choose to participate in include: DVDs, keyboard, music, yoga, exercise bike, massage, hair and beauty, cookery and daily living skills. Service users are also supported in accessing the local community and enjoy blind club, horse riding, going for walks and visiting local cafes and pubs. Clear guidelines have been produced to assist staff when walking with one service user. A vehicle has been purchased for the home, which provides increased opportunities to access the local community. Service users also attend courses at Strode College. Service users have the opportunity to enjoy an annual a holiday. One service user regularly goes to Spain to visit their family. Staff support service users in maintaining contact with family and friends via phone calls and letters. Visitors are welcomed at the home. Staff use a variety of methods to communicate with service users, including British Sign Language, symbols, and the pictorial exchange communication system. Care plans include clear guidelines to staff to ensure consistent communication and the promotion of independence of service users. A three week rolling menu has been devised by the dietician. This ensures that people living at the home have a nutritionally balanced diet. This also helps people living at the home to plan the ingredients needed to be purchased from the local supermarket. A choice is provided at each meal. Specialist kettles have been provided to promote service users independence in preparing hot drinks. Service users are involved in food shopping and the preparation of meals as appropriate to their individual needs. Norbins House and The Bungalow DS0000016299.V351147.R01.S.doc Version 5.2 Page 14 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 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are provided with appropriate assistance to meet their personal care needs. The home supports service users in accessing healthcare services, and ensures that specialist advice is sought when required. The management of medication follows safe practice. EVIDENCE: Service users are provided with assistance to undertake personal care tasks as required. The support required is detailed in the plan of care. Norbins House and The Bungalow DS0000016299.V351147.R01.S.doc Version 5.2 Page 15 The care plans viewed demonstrated that people living at the home are supported by staff to access any health care professionals as and when required. This includes GP, dentist and any other professional other if this is required. SENSE has a detailed policy regarding the administration, recording and storage of medication. Staff at the home receive medications training. A competence-based assessment is completed, and regularly reviewed for each staff member involved in the administration of medications. Medication Administration Records include a photograph of the service user, details of any allergies, and clear guidelines regarding the administration of ‘as required’ medication. The home has followed good practice in relation to the recording and administration of medication. Norbins House and The Bungalow DS0000016299.V351147.R01.S.doc Version 5.2 Page 16 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 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has appropriate policies and procedures in place to safeguard vulnerable adults and to deal with any complaints. EVIDENCE: The home has a complaints procedure that includes details of external agencies that may be contacted, including CSCI. It is a policy at homes owned by SENSE that the complaints procedure is explained to each service user, in a format that is suitable to them on a three monthly basis. Those care plans seen evidenced that this had taken place. The Registered Manager has responded, in the past, appropriately to any complaints or concerns raised. Records have been maintained, and any appropriate actions taken. One complaint has been received by the home since the last inspection. Norbins House and The Bungalow DS0000016299.V351147.R01.S.doc Version 5.2 Page 17 The home has a Protection of Vulnerable Adults and whistle blowing policy. Staff spoken to during the inspection were aware of these policies and the action to be taken should they suspect any abuse at the home. Norbins House and The Bungalow DS0000016299.V351147.R01.S.doc Version 5.2 Page 18 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): 24,25,26,27,28,29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has been decorated and furnished to a good standard. Service user rooms have been personalised to reflect individuals’ tastes. There are sufficient communal areas and bathing facilities to meet service users’ needs. The home was found to have a high standard of cleanliness. EVIDENCE: Norbins House and The Bungalow DS0000016299.V351147.R01.S.doc Version 5.2 Page 19 The home is domestic in style. Communal areas comprise of a lounge, dining room, and sensory room. There is a enclosed garden at the rear of the property is accessible to service users. All service user rooms have en suite facilities. Service users have been involved in choosing colour schemes and furniture for their rooms, and all rooms have been personalised to reflect individuals’ tastes and preferences. In the last year repairs have been completed as necessary and new carpets provided for some rooms. There are two bathrooms within the home, and additional toilets available close to communal areas. Liquid soap and paper towels have been provided in toilets, and bathrooms. Foot operated flip top bins are also provided to reduce the risk of cross infection. The Bungalow is situated at the rear of the Norbin’s house. Work has taken place to address those issues identified in previous inspections, and the lounge has been re-painted in a colour chosen by the service user. The individual who resides in this area was not in on the day of the inspection so this area was not viewed. The laundry is sited at the rear of the home. This has been recently repainted. The manager stated that this area is to be extended to ensure that it will be accessible to the people living at the home. Norbins House and The Bungalow DS0000016299.V351147.R01.S.doc Version 5.2 Page 20 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): 31,32,33,34,35 & 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels are appropriate to meet service users’ needs. Staff are provided with the training and support required to undertake their role. The Registered Manager has operated a robust recruitment procedure. Staff are provided with regular supervision. EVIDENCE: Duty rotas are maintained. There is a notice board in the kitchen displaying which staff members will be on duty each day. Norbins House and The Bungalow DS0000016299.V351147.R01.S.doc Version 5.2 Page 21 Newly appointed staff are provided with in-house induction training, and an Induction course provided by the company. Staff are encouraged to attend further training, and comprehensive training records are maintained. Staff are provided with infection control, health and safety, food hygiene, CPI, risk assessment, manual handling, care of medicines and BSL induction training. Seven staff have an NVQ and an additional two staff are currently undertaking this award. Recruitments files were examined for two recently appointed staff members. These included an interview record, two references, a POVA First check, proof of identity and a record of mandatory training. The files were well organised and contained all required documentation. This good practice and provides evidence that the home is operating a robust recruitment procedure. The home has monthly staff meetings where policies and care practices are reviewed. Staff confirmed that they are provided with regular supervision. Norbins House and The Bungalow DS0000016299.V351147.R01.S.doc Version 5.2 Page 22 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): 37,38,39,40,41,42 & 43 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. The Registered Manager provides good leadership to the staff team. There are appropriate strategies in place to obtain feedback from service users and their families. Records relating to service users are stored securely. The Registered Manager has taken appropriate actions to promote the health and safety of staff and service users. Norbins House and The Bungalow DS0000016299.V351147.R01.S.doc Version 5.2 Page 23 EVIDENCE: The Registered Manager is Jo Pearse. Ms Pearse has worked at the home for five years prior to being appointed as manager. Ms Pearse has obtained the NVQ Level 3 qualification and is working towards the NVQ Assessors Award. There was a relaxed atmosphere within the home. Interaction between the Manager, other staff members and service users was observed to be friendly and respectful. The registration certificate is displayed, and the home has appropriate Employers Liability insurance. Business and financial plans were not seen at this inspection. Due to the needs of the service user group, feedback is sought from service users on an informal basis. The home has appropriate policies and procedures in place to safeguard vulnerable service users. All records relating to service users are stored securely in accordance with the Data Protection Act 1998. Fire safety records were examined. Fire equipment had been serviced and tested as required. Emergency lighting had been tested on a monthly basis. Staff had been provided with appropriate updates in fire safety training. The electrical hardwiring, gas safety and portable appliances had been tested appropriately. Accidents had been recorded and reported as necessary. Norbins House and The Bungalow DS0000016299.V351147.R01.S.doc Version 5.2 Page 24 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 3 2 3 3 3 4 3 5 3 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 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 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 3 3 3 3 3 3 Norbins House and The Bungalow DS0000016299.V351147.R01.S.doc Version 5.2 Page 25 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. 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. Refer to Standard Good Practice Recommendations Norbins House and The Bungalow DS0000016299.V351147.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Taunton Local Office Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 Norbins House and The Bungalow DS0000016299.V351147.R01.S.doc Version 5.2 Page 27 - 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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