Inspection on 08/05/06 for 14 Belisana Road

This inspection was carried out on 8th May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 14/11/05

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 Moya Dennis Key Unannounced Inspection 8th May 2006 09:00 14 Belisana Road DS0000002675.V293746.R01.S.doc Version 5.1 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.V293746.R01.S.doc Version 5.1 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.V293746.R01.S.doc Version 5.1 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.V293746.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th November 2005 Brief Description of the Service: 14 Belisana Road is a modern detached 5-bedroom house built in 1999, located on an estate on the outskirts of the market town of Spalding. It is within easy walking distance of a supermarket and close to the town centre. The service provides personal care and social support within a family environment for one young adult with learning difficulties. The service user has been with the providers since infancy and is regarded as a member of the family. Information given by the service provider in May 2006 show monthly fees are £1140.84 14 Belisana Road DS0000002675.V293746.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was undertaken using a review of all the information provided by the manager regarding 14 Belisana Road and by visiting the home. Because of the family nature of the home, the visit took place at short notice, rather than unannounced. The family enjoy many social activities with the service user and are not often home. The inspector spoke to the service user and the providers, one of whom is the registered manager. The main method of inspection used during the visit was case tracking care the service user received. This was achieved by the inspector talking to the manager, touring the home, looking at recorded information, observing day to day care practice within the home and discussing with the service user their experience of care. What the service does well: What has improved since the last inspection? What they could do better: The service user lives as part of the family. Any improvements needed are discussed, as part of family life, and changes implemented as necessary. 14 Belisana Road DS0000002675.V293746.R01.S.doc Version 5.1 Page 6 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.V293746.R01.S.doc Version 5.1 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 14 Belisana Road DS0000002675.V293746.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 5. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service The service user joined the family at a few weeks old and most of these standards do not apply. EVIDENCE: The service user has written terms of admission to the home and the providers made a copy of the statement of purpose and service user guide available to the inspector. The providers have cared for the service user from infancy and are well aware of needs. Both providers have extensive practical knowledge in supporting and caring for people with learning difficulties. 14 Belisana Road DS0000002675.V293746.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9, 10. Quality in this outcome area is excellent. This judgement has been made using available evidence, including a visit to this service The service user’s social and general needs are recorded, reviewed and met. EVIDENCE: The service user has a care plan giving details of their needs, including personal healthcare records, life history, disability, general health, mobility and preferred life style. Daily records are also kept. The service user is routinely involved in discussion of needs, interests and activities. This includes meal preferences, and leisure activities. The service user is encouraged to make decisions, such as where to go on family holidays. The provider checked with the service user during the inspection visit what the service user wanted to do that day as a swimming trip had been arranged. This evidenced that participation in daily events is routine. 14 Belisana Road DS0000002675.V293746.R01.S.doc Version 5.1 Page 10 The service user is encouraged to help within the home by doing tasks such as vacuuming, making their own bed and keeping their room tidy. Any risks involved are assessed, recorded and monitored. 14 Belisana Road DS0000002675.V293746.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 14, 16, 17. Quality in this outcome area is excellent. This judgement has been made using available evidence, including a visit to this service. The service user enjoys social and leisure activities that promote social skills. The service user has a range of preferred home entertainment available. The providers show personal respect to the service user at all times. Meals are healthy and offer a varied choice. EVIDENCE: The service user lives as part of the family and takes part in all family outings. The provider has devised a weekly programme of activities, which includes swimming on Mondays, trips into Spalding on Tuesdays, shopping on Wednesdays and ‘days out’ on Fridays. On Thursdays the provider takes the service user “orienteering”, which involves exploring the back roads and alleys of the neighbourhood on foot. The purpose of these trips is to familiarise the service user with the neighbourhood in case they ever get lost. 14 Belisana Road DS0000002675.V293746.R01.S.doc Version 5.1 Page 12 The inspection visit took place on a swimming day; the service user was reassured that this would still take place. The service user goes on holiday as part of the family and pointed out family photographs of those trips. Another holiday is planned in June, the destination having been agreed with the service user. The manager enjoys cooking and the service user enjoys their meals. The manager said she was concerned that the service user was putting on too much weight and would be adjusting meals for the whole family as a result. 14 Belisana Road DS0000002675.V293746.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19. Quality in this outcome area is excellent. This judgement has been made using available evidence, including a visit to this service. Personal care is given in a way sensitive to the needs of a young adult. Their physical and emotional needs are well met. EVIDENCE: The providers have a wealth of personal experience of working with young adults who have learning difficulties. They are well aware of the complexities involved in balancing the personal growth of young people within the confines of their disability with the need for supervision. They work to provide personal care to the service user in a way that maximises independence and promotes a sense of self worth. During the inspection the manager specifically asked the service user if we would be able to see their room. This was agreed and when we came to that room, the manager knocked and asked if it would be convenient to come in. The manager explained that the service user and her son, although of similar ages, were very different in personality. The service user can be hot tempered and the manager described a recent episode when the service user had been involved in a heated argument with her husband. She saw this as a healthy part of family life and evidence that the service user “had a mind of their own … able to stand up for themselves”. The loving 14 Belisana Road DS0000002675.V293746.R01.S.doc Version 5.1 Page 14 relationship that exists between all the people in the house was evident throughout the visit. The manager is aware of how to contact the Learning Disability team but has had no cause to do so. The service user is in good health and takes no prescribed medication. 14 Belisana Road DS0000002675.V293746.R01.S.doc Version 5.1 Page 15 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): 22,23. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Any concerns are acted on as they are raised. EVIDENCE: Concerns and complaints are raised and dealt with as part of family conversation. The service user was happy and content during the visit, and as previously noted, well able to put their points of view across. 14 Belisana Road DS0000002675.V293746.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 30. Quality in this outcome area is excellent. This judgement has been made using available evidence, including a visit to this service The home is appropriate for the service user’s needs. It is homely, well furnished and maintained to a very high standard. EVIDENCE: The service user has a large bedroom on the second floor. It has been personalised and has a TV, video, music centre and computer games console. The service user enjoys music and showed me a very large collection of DVDs and videos. Any time the service user spends in their room is by their choice. There is a shower room on the landing, which the service user shares with one member of the family. The lounge is large, comfortably furnished and has a wide range of home entertainment, including the new plasma TV. The dining area is in the large, attractive conservatory. The new kitchen is bright, open plan and practical. The manager spends a lot of time there as cooking is a main interest. The standard of decoration and general cleanliness is very high. The manager says it is difficult to maintain standards as they are “never at home, except at weekends or if it’s wet”. 14 Belisana Road DS0000002675.V293746.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of the above is applicable. No staff are employed. EVIDENCE: 14 Belisana Road DS0000002675.V293746.R01.S.doc Version 5.1 Page 18 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. Quality in this outcome area is excellent. This judgement has been made using available evidence, including a visit to this service. The home is well run by able, experienced, caring and committed providers and manager. EVIDENCE: The manager is very experienced in the individual needs of the service user, gained during 30 years of the relationship. Feedback is provided as part of family interaction and any changes are implemented as necessary. The service user was fully involved in the inspection process and although conversation was difficult was able to express that they were happy and content. There are very few policies and procedures as there are no staff and only one service user. 14 Belisana Road DS0000002675.V293746.R01.S.doc Version 5.1 Page 19 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 N/A 4 N/A 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 4 26 4 27 3 28 X 29 N/A 30 3 STAFFING Standard No Score 31 N/A 32 N/A 33 N/A 34 N/A 35 N/A 36 N/A CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 4 4 3 LIFESTYLES Standard No Score 11 4 12 X 13 X 14 4 15 X 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 N/A X 3 X 3 X X 4 X 14 Belisana Road DS0000002675.V293746.R01.S.doc Version 5.1 Page 20 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 14 Belisana Road DS0000002675.V293746.R01.S.doc Version 5.1 Page 21 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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