Inspection on 20/10/05 for 19 Berryfield Road

This inspection was carried out on 20th October 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

19 Berryfield Road 23/06/08

19 Berryfield Road 02/08/06

19 Berryfield Road 16/02/06

19 Berryfield Road 17/01/05

19 Berryfield Road 25/06/04

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 Road (19) 19 Berryfield Road Bradford Upon Avon Wiltshire BA15 1SU Lead Inspector Malcolm Kippax Unannounced Inspection 20th October 2005 2:00 Berryfield Road (19) DS0000028389.V259735.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 Berryfield Road (19) DS0000028389.V259735.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. Berryfield Road (19) DS0000028389.V259735.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Berryfield Road (19) Address 19 Berryfield Road Bradford Upon Avon Wiltshire BA15 1SU 01225 868058 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) Ordinary Life Project Association Ms Joanne Burrows Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Berryfield Road (19) DS0000028389.V259735.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17 January 2005 Brief Description of the Service: The home is run by the Ordinary Life Project Association (OLPA). 19 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. 17. There are some local facilities and a nearby bus route. 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. There is a large garden at the rear of the property. The service users receive support and personal care from a permanent staff team that is managed by Joanne Burrows. At least one member of staff is on duty when service users are in the home. Service users attend a range of facilities in the community and take part in a variety of home and community based activities at the evenings and weekends. Berryfield Road (19) DS0000028389.V259735.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over two visits and lasted for four hours. The first visit (unannounced), started at 2.00 pm on 20 October 2005. A relief staff member was met with and some records examined. These consisted of meeting minutes, care records and menus. A tour of the home was made, although bedrooms were not seen on this occasion. The visit ended at 3.15 pm when the staff member needed to leave the home. A second visit was arranged for 26 October 2005 in order to meet with the service users. Three service users were met with together in the lounge and individually when looking at their bedrooms. One service user was away from the home at the time. What the service does well: What has improved since the last inspection? What they could do better: The home generally looks cleaned and well maintained. However, service users do their laundry in the converted garage, which needs attention in order to improve the storage of various items. The three-piece suite that service users use in the lounge has become soiled and is worn in places. This needs to be replaced or be cleaned and refurbished. One service user would like to be able to lock her room with a proper key, rather than having to use a coin in a slot. Berryfield Road (19) DS0000028389.V259735.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. Berryfield Road (19) DS0000028389.V259735.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 Berryfield Road (19) DS0000028389.V259735.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): These standards were not looked at on this occasion. No new service users have moved into the home since the last inspection. EVIDENCE: Berryfield Road (19) DS0000028389.V259735.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): 6 and 7 Service users benefit from the information that staff members have about their needs and personal goals. EVIDENCE: Examples of three service users’ records were looked at. These included information for staff about the service users’ needs in a range of areas. There were guidelines in place for some specific activities that service users do, for example making telephone calls and going out independently. Changes and amendments to the original plans and guidelines were recorded using a ‘Care Plan Review’ form. These were last completed in August 2005. Each of the service users’ files also included an ‘Anti-Discriminatory and AntiRacist Action’ statement. These highlighted particular issues that staff should be aware of and listed ways in which staff members can work positively with a particular individual. This is good practice. Service users talked about the things that they like to do, such as using the local swimming pool, helping to prepare the meals and going to the local shop. These, and other activities, were included as personal goals as part of ‘Shared Action Planning’, which is used as a means of monitoring the service users’ Berryfield Road (19) DS0000028389.V259735.R01.S.doc Version 5.0 Page 10 progress with things that they want to do. Several of the personal goals identified in 2004 had since been met. Service users are encouraged to make decisions through the system of ‘Shared Action Planning’ and the records showed that independence is promoted. Some limitations are in place, mainly because of safety issues, or where relationships are a factor. Service users said that they help to choose the meals and discuss matters together at ‘tenants’ meetings. Berryfield Road (19) DS0000028389.V259735.R01.S.doc Version 5.0 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): 12, 13, 15, 16 and 17 Service users generally enjoy their activities and have relationships that are important to them. Service users have the opportunity to comment on matters that affect them and what they want to do in the community. They are encouraged to be practically involved within the home and can help to choose the meals that they want. EVIDENCE: Weekly activity programmes were on display in the office. These showed that service users are out during the day for much of the week. Two service users attend college courses and another service user spends four days a week at a resource centre. The older service user has a more varied week and said that she enjoyed going to a local lunch club and going on a shopping trip each week with a member of staff. She also chooses to go out each day to buy a newspaper. Some of the service users’ personal goals involve participation in community activities. This included going to the nearby convenience store and making a bus journey. Berryfield Road (19) DS0000028389.V259735.R01.S.doc Version 5.0 Page 12 It was evident from the staff meeting minutes that a high priority is given to supporting service users with their activities. It was noted that one service user had recently enjoyed going to a hair salon. A ‘daily planner’ was used with one service user to help her arrange her domestic chores around college times. The home has a people carrier for trips out. During the second visit to the home, service users were looking forward to a trip to IKEA that had been arranged for the early evening. Since the last inspection, service users have stayed in the new OLPA caravan and said that they had enjoyed this. The home’s meeting file included minutes of the tenants meetings that have taken place in August and May 2005. There is a ‘rolling’ agenda for these meetings, which consists of social events, days out, holidays, friendships, meals, house, garden and any other business. There had been discussion at one of the meetings about the relationship between two service users, which had resulted in an agreement being signed. One service user said that she had friends at the luncheon club that she visited. Other friendships have been formed through going to a PHAB club and attending Church. Details of family relationships were well recorded in a ‘Family, Friends and Contacts’ form in the service users’ records. The information reflected the service users’ views and some previous events that had arisen and needed to be taken into account. Some guidelines and agreements were in place in connection with particular relationships and how contact is maintained. The minutes of a tenants meeting in August 2005 stated that service users were ‘all happy with the meals provided’. One service user had suggested having trifle, which was thought to be a ‘good idea’ and since included as a regular item on the menu. A menu book was being filled in each day to serve as a record of what the service users have eaten. A list was also displayed in the kitchen showing the meals that service users had chosen for the week ahead. There was a note on the menu book about one service user’s nut allergy. This was also highlighted in the service user’s records. A staff member said that information about this had originally come from the service user’s mother and had since been followed up with their GP, who had not felt it necessary to do any allergy tests. The staff member said that the staff team was vigilant about checking ingredients and there had been no adverse reactions since the service user moved in. Berryfield Road (19) DS0000028389.V259735.R01.S.doc Version 5.0 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 Service users receive the support that they need. EVIDENCE: There is an all-female staff team supporting the four female service users. Information about the service users’ support needs was included in their individual records. Service users require encouragement and prompting, rather than ‘hands-on’ personal care. The written guidance mainly covers other areas of support, such as promoting independence and help with activities and relationships. One service user said that she particularly liked the ‘one to one’ time she has with a staff member on her home-based day, which might include a shopping trip. Service users have their own rooms in which they can be private in their personal care. Service users can lock their doors. The service users looked well supported with their personal appearance. Berryfield Road (19) DS0000028389.V259735.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not looked at on this occasion EVIDENCE: Berryfield Road (19) DS0000028389.V259735.R01.S.doc Version 5.0 Page 15 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, 26, 28 and 30 The accommodation and location of the home is meeting the service users’ needs. Service users like their bedrooms. They benefit from the communal and domestic areas that are provided, although some maintenance matters are in need of attention. EVIDENCE: Service users can walk to a nearby convenience store. A house vehicle is available for trips out and there is a bus route nearby to the neighbouring towns. There is parking to the front of the home and a good-sized garden at the rear. A ramp and a rail have been fitted to assist service users. One staff member and one service user, in particular work in the garden and keep it looking nice. The home had recently won the ‘best overall’ garden award in the annual O.L.P.A. competition. Service users had been asked at a tenants meeting how they would like to spend the £40 prize. Berryfield Road (19) DS0000028389.V259735.R01.S.doc Version 5.0 Page 16 The home generally looked well decorated and maintained. Service users were choosing to spend time in the lounge, where they can chat and watch television. The three-piece suite used by service users is heavily stained, particularly on the arms and has some worn areas. Service users said that they like the new laminate flooring that has gone down in the dining area. There is a domestic style kitchen which is accessible to service users. This looked clean and well organised. A new oven and refrigerator had recently been installed. Laundry facilities are located in the garage. Service users do their own laundry with support from staff. There was a freezer in one corner, which the staff member said was shortly to be replaced. The garage is also used as a general storage area for various household and gardening items. There was a lack of suitable shelves and brackets for these items. The staff member said that a new cupboard for the C.O.S.H.H. products was to be purchased. Three of the bedrooms were seen with the service users and a member of staff present. The rooms were individual in character and well personalised. There is a wash hand basin in each room. Service users said that they had what they need and enjoyed using their rooms. Some of the service users’ personal goals set in 2004 had concerned the decoration of their own rooms and new things that they would like to have. One person said that she would like to be able to use a key when using her door lock on the outside, rather than having to use a coin in a slot, as under the present arrangement. It was recommended at the last inspection that when locks are fitted to bedroom doors these are key operated (from the outside only). Redecoration had been started by the OLPA maintenance person in one of the bedrooms and the service user was waiting for this to be completed. The wardrobe door in another service user’s room needed to be secured with some new screws. Apart from the condition of the three-piece suite and the garage, the accommodation looked clean and tidy. Berryfield Road (19) DS0000028389.V259735.R01.S.doc Version 5.0 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): These standards were not looked at on this occasion. EVIDENCE: Berryfield Road (19) DS0000028389.V259735.R01.S.doc Version 5.0 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): These standards were not looked at on this occasion. EVIDENCE: Berryfield Road (19) DS0000028389.V259735.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X 3 X 3 X 2 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Berryfield Road (19) Score 3 X X X Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000028389.V259735.R01.S.doc Version 5.0 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. 1 Standard YA30 Regulation 23 Requirement The three-piece suite must receive attention or be replaced to ensure that it is clean and in good condition. Timescale for action 14/12/05 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 2 Refer to Standard YA24 YA26 Good Practice Recommendations That the storage arrangements in the garage are improved. That the wishes of the service user are followed up and an appropriate door lock with a key is fitted to the bedroom door. 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