Care Home: North Parade

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What the care home does well The home provides what they say in their AQAA, `it fulfils its aim to bring the residents up in a secure and happy family environment`. They also tell us that `our residents are on an equal footing with everyone and stand proud and tall`. This is undertaken by the residents taking an active part in community life, and being part of a loving family, where their medical diagnosis is not seen as a barrier to leading a fulfilling, active life. What has improved since the last inspection? The owners continue to access and provide a range of activities and hobbies to stimulate the residents, and support them in learning, and developing their daily living skills. What the care home could do better: CARE HOME ADULTS 18-65 North Parade 10 North Parade Southwold Suffolk IP18 6LP Lead Inspector Jill Clarke Unannounced Inspection 29th January 2008 02:15 North Parade DS0000024562.V358704.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 North Parade DS0000024562.V358704.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. North Parade DS0000024562.V358704.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service North Parade Address 10 North Parade Southwold Suffolk IP18 6LP 01502 724061 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 Yvonne Rosemond Mutty Mrs Yvonne Rosemond Mutty Care Home 2 Category(ies) of Learning disability (2) registration, with number of places North Parade DS0000024562.V358704.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. To offer care and accommodation to the 2 named service users as stated in application V30844. 16th March 2007 Date of last inspection Brief Description of the Service: North Parade is a large terraced house situated on the sea front at Southwold and within walking distance of the shops. The owners and residents have lived together as a family unit for over 40 years. The owners do not intend to provide care and accommodation to any other persons in the future. If the situation ever changed, then a more detailed description of the home, and the fees payable would be given. North Parade DS0000024562.V358704.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use the service experience good quality outcomes. This was an unannounced key inspection, undertaken over 4 hours, which focused on the core National Minimum Standards (NMS) relating to Younger Adults. We (the Commission) also assessed the outcomes for the people living at the home against the key Lines of Regulatory Assessment (KLORA). The report has been written using accumulated evidence gathered prior to, and during the site visit. Prior to the inspection, the agency was asked to complete an Annual Quality Assurance Assessment (AQAA). This provides the CSCI with information on how the home is meeting/exceeding the NMS, and any planned work for the next 12 months. Comments from which have been included in this report. We were sensitive to the situation that the residents have lived as part of the family, for over 40 years, since they were children. Feedback was obtained by observing, and spending time with the residents, as part of the family unit. The owners were concerned, that living as a family within the community, any public report may invade the residents privacy. Taking their concerns into account, and that the home is not open to the public, this, and future reports will provide little specific information about people’s lives at the home, in order to respect their privacy. What the service does well: What has improved since the last inspection? The owners continue to access and provide a range of activities and hobbies to stimulate the residents, and support them in learning, and developing their daily living skills. North Parade DS0000024562.V358704.R01.S.doc Version 5.2 Page 6 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. North Parade DS0000024562.V358704.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 North Parade DS0000024562.V358704.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 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can be assured that their assessed needs will be met. EVIDENCE: Previous visits confirmed that contracts were in place between Social Care and the owners, in respect of both residents. Discussions with the owners confirmed that they will be reviewing, and updating their Statement of Purpose, to support their application to change/add to the named provider. Time spent with the residents, showed that their care and social needs were being met. North Parade DS0000024562.V358704.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can be assured that their needs are understood, and met. EVIDENCE: The residents have lived as part of the family for nearly 41 years; therefore the owners are very knowledgeable about their care needs. Taking this into account, the care plans give enough information, that in an emergency a person not known to the residents would be able to provide the level of assistance required. However, due to the residents extended family of ‘brothers and sisters’, whom they were brought up with, a stranger having to give any support, is very unlikely. Both residents, who have been brought up to be independent and self sufficient, would have no problems communicating their needs, if required to. Time spent with the residents discussing their daily personal care routines, further supported their self-sufficiency. As we stated in the last report, the owner keeps a daily diary, for each of the residents. The diaries give information on days out, medical visits, and any North Parade DS0000024562.V358704.R01.S.doc Version 5.2 Page 10 changes in their health, for example a cold/infections. The owners gave us a full update on any events since the last inspection, concerning the resident’s health and welfare. The residents are continuously consulted on all aspects of their life, which is always evidenced during our visits, as they plan what they will be doing next. The owners have never tried to wrap their charges ‘in cotton wool’, but to ensure normality by teaching them life skills, from early childhood. This has included attending mainstream schools, joining clubs, pursuing hobbies and interests. An overview of risks assessed, and how they are managed, has been included in the home’s Statement of Purpose. During the visit the residents went out for a walk on their own, which is often part of their daily routine. The owners were aware of the route, and how long the residents normally took, and would have gone to check if they had taken longer than normal. North Parade DS0000024562.V358704.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 and 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The residents are supported to make choices about their lives, develop good life skills, and join in all aspects of community life. Meals are wholesome, tasty and nutritious. EVIDENCE: The resident’s daily routines include a wide range of social activities, and interests. The family are well established as part of the community, joining in with organised social events. In the AQAA the owners inform us that the residents ‘do not wait for life on a plate, they go out and contribute to society’ by generously supporting ‘charities and good causes’. The residents updated us on social events and activities they have joined in with/visited, since we last met. This included looking at craftwork, photographs taken of Christmas and birthday celebrations, and letting us see their video of them ‘working out’ at a local gym. North Parade DS0000024562.V358704.R01.S.doc Version 5.2 Page 12 The residents do their share of household duties, which includes cooking, DIY, shopping and domestic housework. The residents help cook the food they purchase from the local shops. A record of all meals is kept in a diary, which shows a good range of home cooked food. When we arrived, the residents were helping clear, and wash up after lunch. The residents showed us the range of cakes they had baked that morning, and they kindly offered us some (tasty) ginger bread, to have with our cup of tea. This led onto discussions with the residents and owners, over the different seasonal foods they had enjoyed preparing over the Christmas period. North Parade DS0000024562.V358704.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can be assured that they will be fully supported with their physical and emotional needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: Discussions with the owners, information given in the AQAA, and observation during the inspection, confirmed that the residents are given the level of support (prompting), according to their individual needs, with both their personal and medical care. The owners gave us an update in the residents’ health and welfare (which remains good) since our last visit. As stated in our last report the home has systems in place to store, order and record medication, are safe, and meet the resident’s needs. Discussions with the owners confirmed that there had been no changes to the system, with the residents requiring minimal (prompting) assistance with their medication. North Parade DS0000024562.V358704.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents can be assured that their rights are upheld, they are listened too, and the owners will advocate on their behalf to safeguard their welfare and interests. EVIDENCE: From discussions during this and previous visits, it is clear that the owners have always advocated for the residents to have the same rights as everyone is entitled to. The AQAA states that they are ‘happy with the way we deal with concerns, and there has been no complaints’. We discussed this further during the inspection, and they gave us examples, which are seen as part of normal family life and taking part in making decisions. They felt the ‘residents are developing a very keen perception of the people around them and can judge how they are regarded by others’. They support the residents to deal with ‘other people’s idiosyncrasies’ by talking them through in private with the residents. The Statement of Purpose contains information on the home’s complaints policy. As the residents do not wish to attend day services, as they have a more varied access to social and learning activities with the owners, there is no formal system in place for external people to support, or act on their behalf, if this was ever needed. However, discussions with the owners identified that if the residents wanted to speak to someone outside the home, they would be able to do, through the regular contact they have with health professionals. North Parade DS0000024562.V358704.R01.S.doc Version 5.2 Page 15 Previous discussions with the owners confirmed that they are aware of their responsibilities of reporting any concerns, if they felt the residents were being abused. North Parade DS0000024562.V358704.R01.S.doc Version 5.2 Page 16 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 and 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The residents live in a safe, homely environment, which fully meets their needs. EVIDENCE: The size of the well maintained home gives ample space for the residents to pursue their interests. This includes rooms dedicated to craft and activity work. The home’s location enables the residents to take daily walks along the sea front, and is within easy reach of the local shops and amenities. North Parade DS0000024562.V358704.R01.S.doc Version 5.2 Page 17 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): 32, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The owners have the combined skills, to be able to care for, and ensure the residents physical, social and mental needs are met. EVIDENCE: As stated in previous reports Mrs Mutty does not employ staff. The residents have been brought up within a family unit, as part of an extended family of ‘brothers, sisters, nieces and nephews’ who they have always known. A family member lives at 10 North Parade, and takes an active part in the day-to-day support given to the residents. The relative (who co-owns 10 North Parade) has excellent artistic skills, and vision, which they put to good use in designing workbooks, creating craft and educational work, and ‘themed’ family events such as birthday parties. Although the owners do not hold any formal care qualifications (see Conduct and Management of the Home section of this report), work-undertaken shows that they have the knowledge and skills to give the highest level of support, to enrich the residents lives. The residents require very minimal support with their personal care, and have no mobility needs, therefore the owners at the North Parade DS0000024562.V358704.R01.S.doc Version 5.2 Page 18 current time, do not need manual handling training. However, this would need to be put in place, if circumstances changed, to ensure the owners were aware how to safely support the residents, to reduce any risk of injury to the residents or themselves. Previous discussions identified that first aid training would be of benefit, to update their knowledge in knowing what action to take, if the residents injured themselves. If the current situation ever changed, and Mrs Mutty was required to employ staff, they are aware that they would need to produce a recruitment policy, and obtain all the required paperwork, prior to staff being employed. CSCI have already seen evidence of CRB disclosure for the owner and their relative. North Parade DS0000024562.V358704.R01.S.doc Version 5.2 Page 19 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 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run in the best interests of the residents. EVIDENCE: Mrs Mutty is the registered provider for the home. A relative, who owns part of the house, also lives on site. Although Mrs Mutty does not hold a qualification in management and care (such as the Registered Managers Award, National Vocational Qualification level 4) time spent with Mrs Mutty demonstrates that they have the experience and knowledge, to ensure a very good quality, and meaningful life for the people they look after. Time was spent during the inspection, discussing the possibility of a relative becoming either registered as a partner, or becoming the registered provider. Information was given on the CSCI website, to enable them to access further information on registration. North Parade DS0000024562.V358704.R01.S.doc Version 5.2 Page 20 Discussions with the owners confirmed maintenance work on the heating system had been undertaken since our last visit, which was carried out by appropriately trained contractors. North Parade DS0000024562.V358704.R01.S.doc Version 5.2 Page 21 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 2 2 3 3 X 4 X 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 4 25 x 26 X 27 x 28 x 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 4 14 4 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 X 3 3 3 X X 3 X North Parade DS0000024562.V358704.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No 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 North Parade DS0000024562.V358704.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Eastern Region Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge CB21 5XE 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 North Parade DS0000024562.V358704.R01.S.doc Version 5.2 Page 24 - 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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