Inspection on 08/09/05 for 17 Berryfield Road

This inspection was carried out on 8th September 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

17 Berryfield Road 19/06/08

17 Berryfield Road 31/07/06

17 Berryfield Road 18/01/06

17 Berryfield Road 21/02/05

17 Berryfield Road 12/10/04

17 Berryfield Road 16/03/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Berryfield (17) 17 Berryfield Road Bradford-on-Avon Wiltshire BA15 1SU Lead Inspector Malcolm Kippax Unannounced 8 September 2005 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 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 Stationary 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. Berryfield (17) D51_D01_S28388_BERRYFIELD(17)_v199010_080905_Stage4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Berryfield (17) Address 17 Berryfield Road Bradford-on-Avon Wiltshire BA15 1SU 01225 864397 01985 847789 olpa@olpa.fsnet.co.uk Ordinary Life Project Association Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Bernadette Anne Saunders Care Home 4 Category(ies) of LD Learning Disability registration, with number of places Berryfield (17) D51_D01_S28388_BERRYFIELD(17)_v199010_080905_Stage4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: NA Date of last inspection 21st February 2005 Brief Description of the Service: The home is run by the Ordinary Life Project Association (OLPA). 17 Berryfield Road is a domestic style, semi-detached property in a residential area of Bradford on Avon. It is next door to another OLPA care home, which is at no. 19. There are some local facilities and a bus service nearby. The town centre offers a wider range of shops and amenities. The home has its own people carrier for trips out. Each service user has their own room on the first floor. There is a communal lounge with a dining area. The service users receive support and personal care from a permanent staff team that is managed by Bernie Saunders. Berryfield (17) D51_D01_S28388_BERRYFIELD(17)_v199010_080905_Stage4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection started at 1.45 pm and lasted until 6.15 pm. One service user was having a home-based day. The other three service users were spoken with when they returned home from their day activities. Two service users later went to a birthday party at 19 Berryfield Road. A staff member, working by herself, was supporting service users during the inspection. The communal rooms were looked at and a selection of the home’s records was examined. What the service does well: What has improved since the last inspection? What they could do better: Some of the information produced for service users is not meeting their individual needs. More thought should be given to the support that service users may require with this and the best way in which information can be presented. Berryfield (17) D51_D01_S28388_BERRYFIELD(17)_v199010_080905_Stage4.doc Version 1.40 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. Berryfield (17) D51_D01_S28388_BERRYFIELD(17)_v199010_080905_Stage4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Berryfield (17) D51_D01_S28388_BERRYFIELD(17)_v199010_080905_Stage4.doc Version 1.40 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 standard(s) 1, 2, 3, 4 and 5 A new service user has been well supported with settling in and getting to know the home. The service user’s guides have been well personalised, but they are not readily accessible to service users. Information for service users is not always presented in a way that meets their individual needs. EVIDENCE: Pre-admission assessments had been completed in a respect of a new service user. These records were available to staff. A staff member confirmed her knowledge of the new service user’s needs and demonstrated a good understanding of the support that was needed in particular areas. A service user said that visits had been made to the home before moving in and this had been an opportunity to meet with service users and staff members. A review meeting had since been held and it was reported that the service user was settling in well. The service user was not aware of a service user’s guide or of a complaints procedure. Copies of the guide were seen in the service users’ individual files. The guides included photographs of the home. The address was given for the C.S.C.I. although there was no information about the Commission’s role. License agreements produced by OLPA were kept on the service users’ files. The example seen had been signed by the service user, although a staff Berryfield (17) D51_D01_S28388_BERRYFIELD(17)_v199010_080905_Stage4.doc Version 1.40 Page 9 member said that it was unlikely that the service user could understand all the terms it covered. A third party had not signed the agreements. Berryfield (17) D51_D01_S28388_BERRYFIELD(17)_v199010_080905_Stage4.doc Version 1.40 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 8 and 9 Service users benefit from the information that is available to the staff team about their individual needs and goals. However, the necessary information may not always be available to relief staff. The service users are listened to by staff and encouraged to take an active role in the home. EVIDENCE: The care plans for two service users were looked at. On one plan the original date of Jan 2003 had been changed to Jan 2005. A review form showed some changes that had since been made to the care plan. The other care plan had been written in April 2005. The care plans are written from the staff members’ perspective and provide clear guidelines about the service users’ care needs and preferred routines. One service user said that she had discussed her care with the manager but did not have a copy of a care plan. The care plans were kept in an office filing cabinet. A file had been produced for relief staff, with instructions that the care plans would be left out for them to read. A staff member said that she discussed the service users’ care needs Berryfield (17) D51_D01_S28388_BERRYFIELD(17)_v199010_080905_Stage4.doc Version 1.40 Page 11 when handing over to a relief staff member or agency carer, but did not leave the care plans out for them to read. ‘Tenants’ meetings are regularly held. The minutes showed that service users are asked about various matters that affect them in the home. Service users like to talk about the things that they have done. During the inspection, service users were asked by the staff member whether they wished to stay at home, or to go the party they had been invited to next door. The home’s risk assessment file included sections on ‘Clients’ and the individual service users. Assessments had been undertaken in respect of domestic tasks such as ironing, chopping vegetables and making a hot drink. Berryfield (17) D51_D01_S28388_BERRYFIELD(17)_v199010_080905_Stage4.doc Version 1.40 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 15, 16 and 17 Service users participate in a range of appropriate activities and are encouraged to contribute in the domestic routines. The involvement of family members is welcomed and supported. Service users are well consulted about what they want to do Service users generally enjoy their meals and staff members are aware of the service users’ preferences. EVIDENCE: Three service users attended a resource centre for four days a week, with one day a week spent on home based activities. One service user was receiving support with finding some new activities and said that she was hoping to start a college course shortly. A weekly timetable of activities was displayed in the office. On returning to the home, service users quickly settled into their own routines. This included watching television and sorting out a collection. One service user Berryfield (17) D51_D01_S28388_BERRYFIELD(17)_v199010_080905_Stage4.doc Version 1.40 Page 13 was in the middle of completing a large jigsaw and also liked tapestry work. At teatime, a service user was helping out in the kitchen and said that she liked to help with recycling in the home. Another service user said that she enjoyed cooking and doing her own laundry. One service user spoke about her move to the home, which meant that she could be closer to her family. Staff members help with the practical arrangements and details of visits are recorded in personal diaries. The service users’ records also include information about family contacts and significant people. Service users have people they see on a regular basis outside the home. There was good interaction between the staff member and service users during the inspection. Service users were talked about in a respectful manner. One service user’s dietary needs were well highlighted in their individual records. Guidance for staff had been produced and a personal menu agreed. There was a planned menu for the other service users. This showed a choice of two dishes for the main meal. The planned menu originally only covered a single week, but now covers a two-week period. It was reported at the last inspection that a four-week cycle of menus is usual as this provides a more varied range of meals. The staff member said that the menu was used as a guide and in practice a wider range of meals was prepared. Details of the meals actually prepared were recorded in the service users’ personal diaries. Service users spoken with said that they liked the meals. Berryfield (17) D51_D01_S28388_BERRYFIELD(17)_v199010_080905_Stage4.doc Version 1.40 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 and 20 Service users receive the support that they need, although there is a lack of clarity about a policy for the provision of personal care. Service users benefit from the support that they receive with their health care. Service users are not encouraged to take responsibility for their medication and staff members provide good support with its administration. EVIDENCE: Each service user has their own room where personal care can take place in private. The bathroom and toilet are close by. The permanent staff team consisted of female staff members who provide support to male and female service users. There was no policy concerning gender and the provision of personal care, although the staff member said that when a male relief carer had worked in the home it was expected that he would not provide personal care to the female service users. The service users’ care plans included some information about their preferred routines. A service user said that she did most things for herself but staff helped with arranging activities and making appointments. The health needs of service users were reported in their individual files. The records showed that service users have had appointments with a range of Berryfield (17) D51_D01_S28388_BERRYFIELD(17)_v199010_080905_Stage4.doc Version 1.40 Page 15 healthcare professionals, including chiropodist and dentist. The staff member said that service users receive a good service from local GPs. One service user had seen their GP on the morning of the inspection for a medication review. The home’s medication file was well presented and contained information about the medication that service users are prescribed. Consent forms had been completed and the staff member said that all service users receive support from staff members with the administration of their medication. Their ability to manage this themselves had not been formally assessed although the staff member thought that one service user may be able to take some responsibility. The administration of medication and stock records were up to date. The staff member said that she had received training in the medication procedures from an OLPA Service Co-ordinator. It has been recommended at previous inspections that an outside professional with more specialist knowledge of drugs is also involved and able to contribute from a different perspective. The staff member said that this had not yet happened. Berryfield (17) D51_D01_S28388_BERRYFIELD(17)_v199010_080905_Stage4.doc Version 1.40 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not looked at on this occasion. EVIDENCE: Berryfield (17) D51_D01_S28388_BERRYFIELD(17)_v199010_080905_Stage4.doc Version 1.40 Page 17 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 standard(s) 24 and 28 The accommodation is meeting the service users’ needs. The service users enjoy a homely and domestic environment. EVIDENCE: The home is situated in a residential area and is in keeping with the local area. There is parking to the front of the home and a well maintained garden at the rear. The kitchen is domestic in style and was being used by service users during the inspection. Service users were spending time in their own rooms and in the communal room. The communal room is a lounge with a dining area at one end. This room was well decorated and comfortably furnished. There is a separate office / staff sleeping-in room which means that the facilities for staff do not intrude on the accommodation used by service users. Berryfield (17) D51_D01_S28388_BERRYFIELD(17)_v199010_080905_Stage4.doc Version 1.40 Page 18 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not looked at on this occasion EVIDENCE: Berryfield (17) D51_D01_S28388_BERRYFIELD(17)_v199010_080905_Stage4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not looked at on this occasion. EVIDENCE: Berryfield (17) D51_D01_S28388_BERRYFIELD(17)_v199010_080905_Stage4.doc Version 1.40 Page 20 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 3 3 2 Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x 3 x x Standard No 11 12 13 14 15 16 17 x 3 x x 3 3 3 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Berryfield (17) Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x x x D51_D01_S28388_BERRYFIELD(17)_v199010_080905_Stage4.doc Version 1.40 Page 21 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. 1. Standard 6 Regulation 18 Requirement The registered person must ensure that relief and agency staff always have the information they need when working in the home Timescale for action 09/09/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard 1 5 Good Practice Recommendations That the service users guides are made more accessible to service users That the licence agreements are discussed and agreed with the service users placing authorities. The agreements should include all items that are listed under Standard 5.2 of the National Minimum Standards That the original dates of care plans are not altered That a statement on personal care is produced to include the organisations policy on gender and personal care and to provide details of any limitations and restrictions that may apply in the provision of personal care That an appropriate outside professional, e.g. a pharmacist, contributes to the training that staff receive in medication procedures and drug usage That the ability of service users to manage some or all of their medication is assessed D51_D01_S28388_BERRYFIELD(17)_v199010_080905_Stage4.doc Version 1.40 Page 22 3. 4. 6 18 5. 6. 20 20 Berryfield (17) Berryfield (17) D51_D01_S28388_BERRYFIELD(17)_v199010_080905_Stage4.doc Version 1.40 Page 23 Commission for Social Care Inspection Avonbridge House Bath Road Chippenham Wiltshire SN15 2BB 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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