Inspection on 13/09/05 for 18 Bellmaine Avenue

This inspection was carried out on 13th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

18 Bellmaine Avenue 16/05/07

18 Bellmaine Avenue 29/06/06

18 Bellmaine Avenue 19/12/05

18 Bellmaine Avenue 16/12/04

18 Bellmaine Avenue 19/08/04

18 Bellmaine Avenue 22/03/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Bellmaine Avenue (18) 18 Bellmaine Avenue Corringham Essex SS17 7TB Lead Inspector Claire Brookes - Nandara Unannounced Inspection 13th September 2005 15:30 Bellmaine Avenue (18) DS0000018096.V252504.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 Bellmaine Avenue (18) DS0000018096.V252504.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. Bellmaine Avenue (18) DS0000018096.V252504.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Bellmaine Avenue (18) Address 18 Bellmaine Avenue Corringham Essex SS17 7TB 01375 360788 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) bellmaine@masaichomes.co.uk Mosaic Essex Mrs Cheryl Edwards Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Bellmaine Avenue (18) DS0000018096.V252504.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Up to 3 persons of either sex to be accommodated who have a learning disability No more than three persons to be accommodated at any one time Date of last inspection 16th December 2004 Brief Description of the Service: The home is situated in a busy residential area. The interior of the house is beautifully decorated, and extremely homely. The lounge has patio doors that open out on to a large, well-maintained garden at the rear of the building. A small staff team, who work hard to create a warm family environment, cares for the three residents who live here. Bellmaine Avenue (18) DS0000018096.V252504.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place during an afternoon in September. On the inspectors arrival there were two staff on site, as well as the providers’ registered care manager. One staff member was preparing the residents’ evening meal. The residents were all at home for the evening. The inspection included spending some time with the residents, as well as a tour of the entire building and garden. What the service does well: What has improved since the last inspection? What they could do better: The home would do better if recruitment policy and procedure were more strictly adhered to, with all necessary background checks being made available for inspection at all times. The home would also do better by including all required details in their policies and procedures. Bellmaine Avenue (18) DS0000018096.V252504.R01.S.doc Version 5.0 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. Bellmaine Avenue (18) DS0000018096.V252504.R01.S.doc Version 5.0 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 Bellmaine Avenue (18) DS0000018096.V252504.R01.S.doc Version 5.0 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 Bellmaine Avenue provides its residents with a Service User Guide, which has been thoughtfully designed and creatively presented. The residents’ needs and aspirations are valued, and the home assesses these in a very effective way. EVIDENCE: The home has produced a very thorough Service User Guide, which is available to all current and any prospective residents and their representatives. Support plans list the residents’ individual difficulties and needs. These are assessed and reviewed on at least a monthly basis. The home has aims and objectives designed, for the staff to support the residents’ in their everyday lives. Resident likes and dislikes are documented in fine detail. For example one resident is said to enjoy, “…Closing doors, peaceful walks in her wheel chair, rides in the car and picking tiny bits of cotton or fluff from the carpet – and throwing them over her shoulder…” The individual support plans also document the residents’ progress towards achieving their goals, and any positive changes that occur in their lives as a result. Bellmaine Avenue (18) DS0000018096.V252504.R01.S.doc Version 5.0 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): These standards were not inspected on this occasion. EVIDENCE: Bellmaine Avenue (18) DS0000018096.V252504.R01.S.doc Version 5.0 Page 10 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): 12, 13, 15, 16 & 17. Bellmaine Avenue offers its residents’ an excellent variety of activities. The residents are offered a good range of wholesome and healthy meals, and mealtimes are shared with staff that create a warm and homely environment. EVIDENCE: The residents’ each have an “Annual Diary” kept in their care plan, which lists all of the activities that the individual has participated in. Activities are arranged according to individual preference, as well as activities for the whole group and activities arranged jointly between several other local homes. The residents are invited to evening meals and parties with their friends at the other homes. They also attend appointments in the community with hairdressers, chiropodists and aroma therapists, as well as visiting the local shopping mall, and other places of interest such as near by country parks and the seaside. The relatives and friends of the residents are encouraged to visit the home as often as possible. Adequate seating is provided in each individual’s room, and quiet space is made available as necessary for any guests who may visit. Staff Bellmaine Avenue (18) DS0000018096.V252504.R01.S.doc Version 5.0 Page 11 also facilitate family contact outside of the home, by organising meetings at local shopping centres and cafes. The care plan also has a list of each individual’s “Weekly Opportunities”, which is a daily record of the residents’ every day activities inside and outside of the home. Indoor activities such as relaxing and listening to music in the lounge, or enjoying a light show in the sensory room are available. Individual preference is taken into account, and if needed, extra members of staff will be on shift to facilitate more than one activity at a time if the residents’ want to do different things. The residents are invited to participate in their daily routines where practicable. For example, the more independent residents are encouraged to help at snack time by carrying the empty teacups back to the kitchen. The residents’ weekly menus offer a choice of meals and meal alternatives, which are well nutritionally balanced and healthy. Food intake is monitored in the individual care plans, and special dietary requirements are taken into account for those who require a low or high calorie diet. Bellmaine Avenue (18) DS0000018096.V252504.R01.S.doc Version 5.0 Page 12 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): These standards were not inspected on this occasion. EVIDENCE: Bellmaine Avenue (18) DS0000018096.V252504.R01.S.doc Version 5.0 Page 13 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 Bellmaine Avenue has clear guidance for staff contained within its protection and complaints policies and procedures, although they do not include sufficient details of how to contact the CSCI. EVIDENCE: The home has it’s own complaints book, which is designed in a suitable format. All staff have read the homes’ abuse guidance policy and protection guidelines. The manager has had training for Protection of Vulnerable Adults, and all staff attend Adult Protection training on an annual basis. The homes’ protection policy, and complaints guidelines do not contain details of the CSCI. Bellmaine Avenue (18) DS0000018096.V252504.R01.S.doc Version 5.0 Page 14 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): These standards were not inspected on this occasion. EVIDENCE: Bellmaine Avenue (18) DS0000018096.V252504.R01.S.doc Version 5.0 Page 15 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): 34 & 35 Bellmaine Avenue offers its staff a comprehensive training package, but does not currently adopt efficient recruitment practices. EVIDENCE: Of the nine recruitment files checked, six were found not to contain adequate evidence of CRB checks having been carried out. The home has a comprehensive range of policies and procedures in place, which are updated on an annual basis. All staff members sign to confirm that they have read and understood these policies, and the home also offers its staff a wide range of mandatory and supplementary training courses throughout the year. Bellmaine Avenue (18) DS0000018096.V252504.R01.S.doc Version 5.0 Page 16 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): These standards were not inspected on this occasion. EVIDENCE: Bellmaine Avenue (18) DS0000018096.V252504.R01.S.doc Version 5.0 Page 17 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 4 4 X X X Standard No 22 23 Score 2 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score x X X X X X X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X X 2 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Bellmaine Avenue (18) Score X X X x Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000018096.V252504.R01.S.doc Version 5.0 Page 18 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 YA22 YA23 Regulation 22(7)(a) Requirement The registered manager must include the name and contact details of the CSCI within the homes’ policies and procedures. And also within the homes’ protection policies and procedures. The registered manager must ensure that all staff files have original copies of CRB enhanced disclosures available for inspection at all times. Timescale for action 13/12/05 2 YA34 19 Sch 2 13/12/05 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 Refer to Standard YA15 Good Practice Recommendations It is recommended that resident contact with family and friends be recorded in more detail within the residents’ annual diaries. Including location, activity and with whom they have interacted. In order to highlight how the home promotes such activities. Bellmaine Avenue (18) DS0000018096.V252504.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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. Extracts may not be used or reproduced without the express permission of CSCI Bellmaine Avenue (18) DS0000018096.V252504.R01.S.doc Version 5.0 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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