Care Home: Coralyn House

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What the care home does well Coralyn House is a real family home, with a comfortable and cheerful atmosphere for everybody who lives there.The people living at Coralyn House have nice holidays.Each person is able to make decisions about things that happen in the home.Everybody can have their own hobbies and interests, and there is lots to do.Each person is helped to be as independent as possible and live their lives as they choose.The people living at Coralyn House have friends and family visiting them.Everyone has their own bedroom, which they are very happy with.Everybody says they enjoy their meals and help to choose what to have.Each person living at Coralyn House is able to see a doctor, dentist and optician if they want to. What has improved since the last inspection? Good records are kept for the servicing and maintenance of things like fire, gas and electrical items. What the care home could do better: Coralyn House does everything it needs to and there is nothing CQC think it can do better at this time. Key inspection report Care homes for adults (18-65 years) Name: Address: Coralyn House 12 Glebe Avenue Hunstanton Norfolk PE36 6BS The quality rating for this care home is: three star excellent service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Debby Ames Date: 1 6 0 9 2 0 0 9 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should:  Be safe  Have the right outcomes, including clinical outcomes  Be a good experience for the people that use it  Help prevent illness, and promote healthy, independent living  Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home:  3 stars – excellent  2 stars – good  1 star – adequate  0 star – poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Care Homes for Adults (18-65 years) Page 2 of 30 Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by:  Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice  Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983  Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services.  Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 30 Information about the care home Name of care home: Address: Coralyn House 12 Glebe Avenue Hunstanton Norfolk PE36 6BS 01485535999 NOFAX# chapmancoralyn@btconnect.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Jennifer Chapman,Mr Arthur Chapman care home 3 Number of places (if applicable): Under 65 Over 65 3 None Stated 0 learning disability Additional conditions: Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 30 A bit about the care home Coralyn House is a large, semi-detached, three story, house situated in a quiet, residential area of Hunstanton. The home has ample living space and the proprietors and three residents share the use of a large lounge, a breakfast room, dining room, conservatory, kitchen, bathroom, two toilets and a rear, paved and decked garden. All residents bedrooms are situated on the first floor, are single rooms with hand washing facilities and near to a separate toilet and bathroom containing shower, bath Care Homes for Adults (18-65 years) Page 5 of 30 and toilet. There is roadside parking for two cars and the home is close to the seafront, shops and other local amenities. The proprietors, Mr & Mrs Chapman, run Coralyn as a family home. Care Homes for Adults (18-65 years) Page 6 of 30 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 7 of 30 How we did our inspection: This is what the inspector did when they were at the care home The visit to Coralyn House lasted about four and a half hours. During the visit, everybody living at Coralyn House was met with and spoken to. We looked around the home and saw the bedrooms of the people living there. We also spoke to the two owners/managers. We looked at lots of information, including peoples care and support plans, police checks for staff and other information to do with health and safety. Page 8 of 30 Care Homes for Adults (18-65 years) The Annual Quality Assurance Assessment (AQAA) was returned to the Commission (CQC), as we asked, before we did this inspection. What the care home does well Coralyn House is a real family home, with a comfortable and cheerful atmosphere for everybody who lives there. Care Homes for Adults (18-65 years) Page 9 of 30 The people living at Coralyn House have nice holidays. Each person is able to make decisions about things that happen in the home. Everybody can have their own hobbies and interests, and there is lots to do. Each person is helped to be as independent as possible and live their lives as they choose. Care Homes for Adults (18-65 years) Page 10 of 30 The people living at Coralyn House have friends and family visiting them. Everyone has their own bedroom, which they are very happy with. Everybody says they enjoy their meals and help to choose what to have. Each person living at Coralyn House is able to see a doctor, dentist and optician if they want to. Care Homes for Adults (18-65 years) Page 11 of 30 What has got better from the last inspection What the care home could do better Coralyn House does everything it needs to and there is nothing CQC think it can do better at this time. Care Homes for Adults (18-65 years) Page 12 of 30 If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Debby Ames CQC Eastern Citygate Gallowgate Newcastle upon Tyne NE1 4PA 03000 616161 01223771300 Care Homes for Adults (18-65 years) Page 13 of 30 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line - 0870 240 7535. Care Homes for Adults (18-65 years) Page 14 of 30 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 15 of 30 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The individual needs and aspirations of the people living at Coralyn House continue to be assessed on an ongoing basis, which helps ensure the service continues to meet their needs. Evidence: During this visit, all three people living at Coralyn House were met with and discussions were held with the proprietors, which confirmed that there have been no new admissions since the last inspection and none are envisaged for the foreseeable future. However, Systems remain in place for pre-admission assessments to be carried out and confirmation was also received from the proprietors that any prospective residents would be able to visit the service before deciding whether to move in or not. Care Homes for Adults (18-65 years) Page 16 of 30 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living at Coralyn House have their changing needs and personal goals reflected in an individual plan of care, they are able to make decisions about their lives and are supported to take risks as part of an independent lifestyle. Evidence: All three care plans were looked at in detail and a brief discussion was held with all three people before they left for their daily activities, which helped to confirm that the contents of the plans were accurate. The care plans were seen to be very well organised and informative, covering areas such as: * Register - this section contained social worker information, GP, religion, next of kin etc. * Personal Information - such as a life history summary. This information was seen to be reviewed regularly and any changes noted accordingly. Care Homes for Adults (18-65 years) Page 17 of 30 Evidence: * Case Record and Personal Assessment - most of this information was seen to have been compiled at the time the person moved into Coralyn House and confirmed each individuals ability and support requirements - i.e. [name] can carry out most tasks independently, with some supervision. * Risk Assessments - these were seen to cover areas such as keeping/losing house keys, home security, lack of dexterity, bathing/showering unsupervised, going out alone, road safety, finding way home, vulnerability with strangers. In-depth personal assessments were also seen for more specific areas, which indicated the task and the individuals ability such as personal care, eating and drinking, money management, reading and writing, using public transport, cycling, walking, using the telephone, holidays, social clubs and using equipment - i.e. television, video, computer, hoover, washing machine, tumble dryer, dish-washer, kettle, iron, cooker, toaster, hair dryer and sewing machine. All of these assessments were seen to be regularly reviewed and updated as necessary. * Day Services Reviews and Timetable - these were seen to be detailed, clear and involved each individual. * Details of Personal Documentation, such as Passport, Birth Certificate and Medical Card and their Location (i.e. in the safe). * Medical and Health Information - which included health and welfare reviews, medical information and general health such as weight, dental and optical requirements * Financial Statements and Yearly Updates. Some of the information noted in this section covered individual financial assessments, for example: [name] doesnt understand money value and needs assistance with managing money. [name] likes shopping but doesnt know what change to expect. [name] is happy to save for holidays, new clothes and Christmas presents. It was noted that one person can and does manage their money independently. * Details of Personal Belongings. * Copy of Will. * Three Monthly Reviews - these were, again seen to be very detailed but clear and gave good evidence of how each person is able to make decisions about their lives. Special events and their impact were also noted, such as: going on holiday, loves having a television in the bedroom, very upset when the cat died, having visitors and enjoying barbecues. Care Homes for Adults (18-65 years) Page 18 of 30 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living at Coralyn House are able to take part in activities that suit them, be part of the local community, enjoy leisure activities as they wish and have good relationships with their family and friends. Peoples rights and responsibilities are respected and recognised in their daily lives. The people living at Coralyn House are offered a healthy diet and enjoy their food. Evidence: At the time of the inspection, all three people were waiting for their transport to take them to their individual daily activities and a short discussion confirmed that they look forward to and enjoy their schedules. Two people said how much they enjoy doing drama and that they will be in the Christmas play this year. Some of the regular daily activities were seen to include fabric craft, reminiscence, shopping in town, carpet bowls, exercises, snack making, strikes, life skills, self image, digital photography, literature and reading, lunch preparation and personal shopping, improvised drama, communications, keep fit, ladies afternoon and media studies. Care Homes for Adults (18-65 years) Page 19 of 30 Evidence: Other social activities and hobbies were noted as being barbecues, parties, visiting friends and family or having visitors, going to the beach, digital photography, listening to music, watching soap operas, jigsaws, word-searches and colouring, sewing and going to discos. Meanwhile, all three people told of how much they enjoyed their holiday in Tenerife this year and a holiday memory folder was seen to have been put together by all three residents and the proprietors, which included photographs, diary entries and descriptions of the various activities. Certificates of achievement for things such as swimming, dancing and sound-engineering were also seen to have been received during the holiday and each person had made notes of the things they liked best about the holiday, as well as any negative comments. The menu was seen to be varied and each person takes it in turn to choose the evening meal. Some of the recent meals were noted as lasagne with garlic bread, pork in wine sauce, meat pie, gammon, pizza and tuna-pasta bake. A number of barbecues were also noted throughout the summer. Care Homes for Adults (18-65 years) Page 20 of 30 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living at Coralyn House receive personal support in the way they prefer, their physical and emotional health needs are met and they are protected by the homes medication policies and procedures. Evidence: The care plans looked at and discussions with the providers gave good evidence that peoples individual wishes are acknowledged in respect of the way they are supported, which appeared to be mostly by listening to, encouraging or prompting with daily or personal healthcare tasks. All three people were noted to be able to manage most tasks independently with minimal supervision or assistance and each task was seen to have been individually assessed as described in the Individual Needs and Choices section of this report. At the time of this inspection, only one person was taking prescribed medication and appropriate systems were seen to be in place with regard to storage, administration, policies and procedures. Although this person does not fully self medicate, an appropriate risk assessment was seen to be in place and the proprietors confirmed that people are supported to self medicate as much as possible, if they so wish. Care Homes for Adults (18-65 years) Page 21 of 30 Evidence: Other records looked at confirmed that people are supported to have regular and ongoing involvement with various care professionals such as doctor, dentist, dietician and optician. Care Homes for Adults (18-65 years) Page 22 of 30 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living at Coralyn House feel safe, know who to talk to if they have any problems or concerns and they are protected from abuse, neglect and self-harm. Evidence: No complaints have been made since the last inspection and all three people have confirmed that they know who to talk to if they are unhappy and how to make a complaint. A very good support network remains in place for each person living at Coralyn House and, evidence was seen that confirmed good communication between external resources and the proprietors, which helps to ensure all three people remain safe whilst maintaining their independence. As with previous key inspections, a complaints procedure and detailed adult protection process is in place and Mr Chapman continues to be actively involved with the Western Locality Safeguarding Adults Partnership. Care Homes for Adults (18-65 years) Page 23 of 30 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Coralyn House is a very homely, comfortable and safe environment, which is clean and hygienic and peoples bedrooms suit their needs and lifestyles and promote their independence. Evidence: A tour of the premises was carried out and all areas of the home were found to be clean and hygienic. Decor and furnishings were of a very high standard and the whole atmosphere was very comfortable and homely. All three people have their own bedrooms, which are personalised with colours and items chosen by them such as personal photographs, certificates and posters etc, as well as a television and music equipment. Each room was seen very much to reflect peoples individual preferences, hobbies and characters. The communal areas comprise of a lounge, dining room, kitchen/dining area, large conservatory and enclosed rear garden area, which is often used for barbecues and parties. Overall, Coralyn House was found to be safe and free from hazards. Care Homes for Adults (18-65 years) Page 24 of 30 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. All three people living at Coralyn House continue to be competently supported by the proprietors and, occasionally, one voluntary member of staff, who have all undergone full recruitment checks, which ensures they are protected. Evidence: As with the previous key inspection, Mr and Mrs Chapman are the main carers, although on occasions they are assisted by a voluntary member of staff, who has had appropriate checks carried out with the Criminal Records Bureau (CRB) and holds NVQ2 in care. This staff member covers on occasions when the proprietors have a break and good records were seen to show consistent care/support provision and handovers. There is also an emergency staffing folder available, which includes information such as important telephone numbers, daily timetables, menus, daily reports and weight charts. Contingency plans were also seen to be in place between Coralyn House and another residential home nearby (which is also registered and regulated by CQC), to ensure the ongoing safety, security and consistency of care for the people living at Coralyn House. Care Homes for Adults (18-65 years) Page 25 of 30 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. All three people living at Coralyn House continue to benefit from a home, which is well run by very competent proprietors. Policies, procedures and record keeping continue to safeguard each persons rights and best interests and their health and safety is promoted and protected. Evidence: The three people spoken to on the morning of the inspection all said they were very happy living at Coralyn House. The proprietors continue to keep themselves up to date with regulation changes and training in areas such as first aid, health and safety, safeguarding adults, deprivation of liberty and fire safety. The Quality Assurance system has continued as before and includes the views and feedback from the people who live at Coralyn House and their relatives. This process continues to be carried out by an external organisation. Care Homes for Adults (18-65 years) Page 26 of 30 Evidence: No accidents or incidents have occurred since the last inspection, although Mr and Mrs Chapman are aware of the reporting procedure and an accident/incident book is available should the need arise. Financial records were looked at for all three people and information regarding income and expenditure was seen to be very well documented, with receipts in place for cross referencing purposes. One person can and does manage their own finances and good risk assessments were seen to be in place for all three residents, regarding managing their money. Other financial records that were seen included details of bank/savings accounts and statements plus a breakdown of each persons regular income and expenditure. Records were seen to confirm that the servicing and testing of equipment is carried out on a regular basis, thus ensuring the ongoing health and safety of the people using the service. Care Homes for Adults (18-65 years) Page 27 of 30 Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 28 of 30 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 29 of 30 Helpline: Telephone: 03000 616161 or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 30 of 30 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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