Inspection on 14/11/05 for 14 Belisana Road

This inspection was carried out on 14th November 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

14 Belisana Road 08/05/06

14 Belisana Road 03/06/05

14 Belisana Road 24/11/04

14 Belisana Road 10/05/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 14 Belisana Road Spalding Lincolnshire PE11 3FU Lead Inspector Mr Toby Payne Unannounced Inspection 14th November 2005 09:00 14 Belisana Road DS0000002675.V264787.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 14 Belisana Road DS0000002675.V264787.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 14 Belisana Road DS0000002675.V264787.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 14 Belisana Road Address Spalding Lincolnshire PE11 3FU 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) 01775 720551 murbunknit@aol.com Mrs Muriel Bunyan Mr Leslie Charles Bunyan Mrs Muriel Bunyan Care Home 1 Category(ies) of Learning disability (1) registration, with number of places 14 Belisana Road DS0000002675.V264787.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd June 2005 Brief Description of the Service: 14 Belisana Road is a modern detached 5 bedroom house built in 1999. The home is located on an estate on the outskirts of the market town of Spalding where there are shops and community facilities. The home is indistinguishable from the other houses in the road and within easy walking distance of a supermarket close to the estate and the town centre. The house has a garden at the back laid to lawn, flowerbeds with patio, gazebo and water feature. There is also an attached conservatory overlooking the garden. No staff are employed as the home is registered for personal care for one person who has a learning disability. As the home does not employ any staff there are parts of this report that do not apply to this home. 14 Belisana Road DS0000002675.V264787.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and started at 9.00 a.m. It took place over one and a half hours. The inspector spoke to the one person who lives in this house together with both the owners one of whom is the manager and their son. The main method of inspection was “case tracking”. This involved looking at the one resident’s records, discussing the care with them and discussions with the owners of the home. What the service does well: 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. 14 Belisana Road DS0000002675.V264787.R01.S.doc Version 5.0 Page 6 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 14 Belisana Road DS0000002675.V264787.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2 The person has lived with the owners of this home for 31 years and is therefore a member of their family. The person’s needs are therefore fully met. EVIDENCE: The owners of the home are well aware of the residents needs and he has written terms of admission to the home. The home does not employ any staff. The manager has extensive knowledge in supporting/caring for people who have a learning disability. There is a brief service user’s guide and statement of purpose. 14 Belisana Road DS0000002675.V264787.R01.S.doc Version 5.0 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9b and 10 The resident’s care and health and welfare needs are met. EVIDENCE: The person had a care plan, which gave details of his needs. This included a personal healthcare record including his background, disability, general health, mobility and lifestyle. A daily record is also kept in a diary. He is routinely involved in discussions about his needs, interests and activities. This includes what he wishes to eat and how he wishes to spend his day. This was evident during the inspection when he was asked what he wanted for his lunch and how he wanted to spend his day. Although the home does not employ any staff the person helps around the house. The tasks involve general housework and cleaning his bedroom. Where there are any risks they are recorded and monitored. 14 Belisana Road DS0000002675.V264787.R01.S.doc Version 5.0 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12 and 16 There are social and leisure activities provided which provide stimulation and enjoyment. Meals are nutritious and offer a healthy and varied diet. EVIDENCE: The resident is treated as one of the family and mixes with other members of the family. There is a programme of activities throughout the week, which include swimming on a Monday, trips into Spalding on Tuesday and Thursday, food shopping with the family on Wednesday and a trip out on the Friday. On the day of the inspection a trip to a garden centre was to take place. Activities and holidays are discussed with the resident before being arranged. A family holiday took place in Edinburgh in June 2005 and the family had just returned from a break in Bromley Kent. The resident spoke of his enjoyment at these holidays. The resident eats his meals with the family and on the day of the inspection had just had his breakfast and was having a coffee. 14 Belisana Road DS0000002675.V264787.R01.S.doc Version 5.0 Page 10 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The resident’s health and emotional needs are met. EVIDENCE: The resident has no identified medical needs and is registered with a local GP. He is also on no prescribed medication. The owners receive support from the Learning Disability Team. 14 Belisana Road DS0000002675.V264787.R01.S.doc Version 5.0 Page 11 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Any concerns raised are acted upon EVIDENCE: As the resident is a member of the family, any complaints or concerns are raised in day to day conversation. The resident expressed no concerns and was happy and content. 14 Belisana Road DS0000002675.V264787.R01.S.doc Version 5.0 Page 12 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 27, 28 and 30 The resident lives in a comfortable, clean and well maintained home. EVIDENCE: The resident lives on the second floor. The large bedroom was very personalised with bedroom furniture, shelving, television, videos, HiFi and computer games console. Next to this room is a toilet and washbasin with shower. One member of the family shares this. The home was clean and there is a domestic washing machine/tumble dryer. There is a large comfortable lounge with plasma television and a new suite of furniture, DVD, HiFi, pictures, ornaments, photographs and mementoes. There is a conservatory leading to the back garden. There is also a dining room, which leads to the kitchen, which has been refurbished to a very high standard with new units and a cooker. Decoration was of a high standard. 14 Belisana Road DS0000002675.V264787.R01.S.doc Version 5.0 Page 13 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards apply, as there are no staff employed in this home EVIDENCE: 14 Belisana Road DS0000002675.V264787.R01.S.doc Version 5.0 Page 14 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 and 43 The home is well lead by a competent, experienced, caring and committed manager ably assisted by her husband. EVIDENCE: There was a calm, relaxed family atmosphere. The resident told the inspector that he was very happy and was mixing with the family. There was laughter and smiles during the inspection. The owners have extensive knowledge of the individual needs of the resident, which have been gained from contact with him over 31 years. There are very few policies and procedures as there are no staff and only one person. 14 Belisana Road DS0000002675.V264787.R01.S.doc Version 5.0 Page 15 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 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x 3 3 x 3 LIFESTYLES Standard No Score 11 3 12 3 13 x 14 x 15 x 16 3 17 Standard No 31 32 33 34 35 36 Score N/A N/A N/A N/A N/A N/A CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 14 Belisana Road Score 3 3 X x Standard No 37 38 39 40 41 42 43 Score 3 3 3 x x 3 3 DS0000002675.V264787.R01.S.doc Version 5.0 Page 16 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 14 Belisana Road DS0000002675.V264787.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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. 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