Inspection on 01/11/06 for 2 Battersway Court

This inspection was carried out on 1st November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

2 Battersway Court 13/03/06

2 Battersway Court 25/05/05

2 Battersway Court 07/12/04

2 Battersway Court 27/04/04

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 2 Battersway Court Battersway Road Paignton Devon TQ4 7EY Lead Inspector Susan Samways Unannounced Inspection 1st November 2006 10:30 2 Battersway Court DS0000018323.V297501.R01.S.doc Version 5.2 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 2 Battersway Court DS0000018323.V297501.R01.S.doc Version 5.2 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. 2 Battersway Court DS0000018323.V297501.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 2 Battersway Court Address Battersway Road Paignton Devon TQ4 7EY 01803 527230 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) Mrs Patricia Harcourt Crawford Mrs Patricia Harcourt Crawford Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 2 Battersway Court DS0000018323.V297501.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. An identified Room is to be used for one named person only. On this person leaving the home the room will be de-registered and the maximum number registered will be reduced to 3. The identified room meets Building Control Regulations. 4 Service Users within the Learning Disability category may reside at the home. 13/03/06 2. 3. Date of last inspection Brief Description of the Service: Battersway Court is a large detached property in Paignton. The ground floor is the registered providers private accommodation. The first floor is registered as a care home for four service users who have a learning disability. It is arranged as a four bedroom flat which has its own entrance. It has an open plan kitchen/diner and lounge. The main kitchen, laundry and support facilities are provided from the ground floor. The service users have been known to the registered provider for many years and are treated as members of the provider’s extended family. Fees are in the region of £250-£350 per week dependent on social services assessment of the service users’ needs. 2 Battersway Court DS0000018323.V297501.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a short notice inspection i.e. the registered provider was given 24 hours notice of the inspection taking place. This was agreed in order to give the registered provider time to prepare one of the service users who became very upset during the last inspection because it was unannounced. The inspection lasted for six hours. All the service users were seen during the inspection, their care plans and other records were examined and discussion took place with the service users and the registered provider. The home employs no staff but the registered provider is supported by her granddaughter who has several years experience and NVQ level 3 in care. The service users prefer to be referred to as ‘the lodgers’ and this is the term that will be used in this report. What the service does well: The lodgers all said that they like living at Battersway Court. They said that they feel well supported by the registered provider and are encouraged to do a variety of social, educational and work activities. They also like being able to have their friends to visit at any reasonable time. They said that the home is comfortable and that they can have their own rooms decorated and furnished in the way that they like. Those that have had en-suite facilities provided are particularly pleased with their rooms. Battersway Court is well decorated and comfortably furnished. It is clean, hygienic and free from offensive odours. The lodgers are involved in the running of the home, with responsibility for household tasks. They are supported to practise and maintain independent living skills and are encouraged to express their views. They are involved in decisions regarding all aspects of their care. The registered provider considers the lodgers to be part of her extended family and they benefit from being included in family life. They attend family occasions and family members accompany them on their annual holiday. The lodgers’ friends are welcome to visit and are invited to social events at the home. The lodgers are encouraged to make the most of educational, social and work opportunities and the daily records reflect this. They also have opportunities to attend religious services if they wish. 2 Battersway Court DS0000018323.V297501.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. 2 Battersway Court DS0000018323.V297501.R01.S.doc Version 5.2 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 2 Battersway Court DS0000018323.V297501.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A comprehensive assessment is available to use with prospective lodgers which provides sufficient information to enable all those concerned to make the decision as to whether Battersway Court is an appropriate home for them. EVIDENCE: No new admissions have taken place since the last inspection. The home has a comprehensive assessment which has been used to review the lodgers’ care. Copies of these assessments were found in the lodgers’ files. The registered provider stated that the assessment would be used to ascertain whether the home could meet the needs of any prospective lodgers. All the lodgers have a contract with the home which they have signed. 2 Battersway Court DS0000018323.V297501.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The lodgers can be confident that their care plans identify their needs and how they will be met but daily records need to be clearly identifiable for each individual. EVIDENCE: The files for three of the lodgers were examined. Each contained an individual plan of care signed by the lodger which had been reviewed on a monthly basis. Risk assessments were also in place. A diary system is used to record significant daily events such as G.P. or other health appointments, work attendance, social and educational events. Any changes in health or care needs are also recorded as is their participation in the daily life of the home. However, separate diaries for each lodger should be used in order to have a clear record of events for each individual. Any limitations in the lodgers’ choices or access to facilities is recorded in the care plans. 2 Battersway Court DS0000018323.V297501.R01.S.doc Version 5.2 Page 10 The registered provider stated and the lodgers confirmed that they are involved in discussions about the running of the home and that any comments or concerns they might have are listened to and taken into consideration in any decisions made about the home. The lodgers also said that they are supported in accessing local facilities and are given reminders about keeping safe. This was observed during the inspection when one lodger went to work and another went to do some shopping for the home. 2 Battersway Court DS0000018323.V297501.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s positive approach encourages the lodgers to access social, educational and work opportunities and to develop independent living skills. EVIDENCE: All the lodgers have varied and active lives which afford them the opportunity to develop new skills. Three of them have regular part-time employment and the forth is involved in work activities at a day centre. Two attend courses at a day centre which include life skills, music and crafts. All the lodgers attend the Gateway club once a week and go on day trips with them and sometimes a weekend away. Two lodgers are members of a sewing club. The registered provider takes all the lodgers out for the day once a week which includes having lunch in a restaurant or pub. One of the lodgers attends church every Sunday and another goes occasionally. All are encouraged to follow their own 2 Battersway Court DS0000018323.V297501.R01.S.doc Version 5.2 Page 12 leisure pursuits e.g. jigsaws, crafts and gardening. Recently the registered provider arranged for all the lodgers to take a basic First Aid course which included resuscitation techniques. They said that they had enjoyed it and were proud of having done the course. All the activities the lodgers participate in are recorded in the daily diary. The lodgers take responsibility for the household tasks, including mowing the lawn and keeping the garden tidy, and take pride in the appearance of their home. During the inspection they were talking about how they were going to decorate it for Christmas. The lodgers are free to make themselves drinks and snacks and were observed doing so during the inspection. They also prepare their own breakfast and take responsibility for washing their own underwear. The main meal of the day is prepared and cooked by the registered provider but the lodgers are involved in the decision regarding what they are going to eat. The registered provider stated and the lodgers confirmed that their friends are welcome to visit at any reasonable time and that they are invited to social occasions. The friend of one of the lodgers was visiting at the time of the inspection. Where family relationships exist the lodgers are encouraged to maintain contact. All of the lodgers have an annual holiday. One chooses to go alone to the same place each year. The others go together accompanied by the registered provider or members of her family who are all well known to the lodgers. 2 Battersway Court DS0000018323.V297501.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20,21 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Support with personal and health care is provided at a level which promotes independence while safeguarding each lodger. EVIDENCE: The lodgers’ care plans and the diary showed that the level of care and support required by each of them had been detailed and agreed. The lodgers spoken to stated that they looked after their own personal care but that they could ask for assistance at any time. They also said that the registered provider sometimes prompted them about aspects of taking care of themselves. If they were unwell the registered provider would call the doctor or accompany them to the surgery. Appointments with the community nurse, diabetic nurse, chiropodist etc. were recorded in the diary. One of the lodgers has diabetes and requires insulin. This was seen to be stored in a locked container in the fridge. The lodger keeps records of their blood sugar levels and the insulin administered. The lodger takes 2 Battersway Court DS0000018323.V297501.R01.S.doc Version 5.2 Page 14 responsibility for administering their insulin but is supported in this by the registered provider. All the lodgers take responsibility for their own medication which is kept in locked containers in their rooms. One lodger also orders and collects their own prescriptions. Signed consent for self medication was seen on the lodgers’ files examined. The home has a policy regarding medication and the registered provider has attended a course on the administration of medication. Issues regarding death have been discussed with the lodgers. All have made wills and discussions regarding their wishes for funeral arrangements are ongoing. The registered provider has stated that as far as she is able to do so she intends that this is the lodgers’ home for life. 2 Battersway Court DS0000018323.V297501.R01.S.doc Version 5.2 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. 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. The lodgers can have confidence that any complaints or concerns they might have will be listened to and acted upon and that the registered provider will endeavour to protect them from abuse. EVIDENCE: The home has a complaints procedure which is included in the Service Users’ Guide. It has timescales for responding to a complaint and contact details for the Commission for Social Care Inspection. No complaints about Battersway Court have been received by the Commission for Social Care Inspection. The lodgers said that if they have any complaints they speak to the registered provider straight away and it is sorted out but that this does not happen very often. The registered provider confirmed that the lodgers make it clear if they are not happy about something and it is resolved following a discussion. In discussion with the registered provider she was able to demonstrate an understanding of the issues regarding the protection of vulnerable adults. The home has policies for dealing with the lodgers’ finances, the receipt of gifts and legacies, dealing with aggression and whistle blowing. 2 Battersway Court DS0000018323.V297501.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,26,27,28,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Battersway Court provides the lodgers with a homely, comfortable and safe environment in which to live. EVIDENCE: The home is arranged as a four bedroom first floor flat which is approached by an external staircase and has its own front door. There is a large garden which the lodgers use. The ground floor is the registered provider’s private accommodation. The communal space in the flat is open plan with kitchen, dining and living areas. It is clean, bright and comfortably furnished. Each lodger has their own bedroom for which they have chosen the décor and furniture. At the last inspection it was noted that building work had commenced to provide three of the bedrooms with en-suite facilities. Two of these had been 2 Battersway Court DS0000018323.V297501.R01.S.doc Version 5.2 Page 17 completed at that time and the rest of the work was on hold until the weather improved. Sadly the work has not been able to progress due to the unexpected death of the builder. The registered provider had gone to considerable trouble to find another builder who would be sympathetic to the client group for whom she cares. She has been successful but again the work is having to wait for better weather. The two lodgers who have the en-suite facilities said that they are very pleased with the improvement to their accommodation. The home was found to be clean and tidy. The lodgers said that they take care of their home and are proud of it. Laundry facilities are provided on the ground floor in the registered provider’s private accommodation. Washing machines meet the required standards. There are policies and procedures for the control of infection. 2 Battersway Court DS0000018323.V297501.R01.S.doc Version 5.2 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): This judgement has been made using available evidence including a visit to this service. No staff are employed at Battersway Court. EVIDENCE: No staff are employed at Battersway Court. The registered provider is supported by members of her family, particularly her granddaughter, who have experience and qualifications in care. 2 Battersway Court DS0000018323.V297501.R01.S.doc Version 5.2 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The lodgers can be confident that the home is well run. A formal system of quality monitoring needs to be established which focuses on outcomes for the lodgers. EVIDENCE: The registered provider has many years of experience working with people who have mental health problems and learning disabilities. Despite personal difficulties she has achieved NVQ level 2 in care and is currently undertaking level 3. Although she has completed a large part of the work she has been hampered by difficulty in contacting her assessor and this is delaying her 2 Battersway Court DS0000018323.V297501.R01.S.doc Version 5.2 Page 20 completion of the qualification. She has also ensured that she is up to date with issues around health and safety and has recently completed refresher courses in First Aid and food hygiene. She also has developed good relationships with health and social care professionals which enables her to keep up to date. She is supported in the running of the home by members of her family particularly her granddaughter who has NVQ level 3 in care and is about to start NVQ level 4. It was observed during the inspection that there is a free interchange of views and opinions between the registered provider and the lodgers. The lodgers confirmed that their comments are sought about all aspects of life in the home and that ideas they might have are listened to. The home does have a satisfaction survey but this needs to be used formally with all those who have an interest in the home and the results used with other quality monitoring systems to produce a development plan for the home. Risk assessments for the premises were available for inspection and health and safety policies and procedures are in place. Fire safety tests are completed on a regular basis. The lodgers showed an awareness of health and safety talking about the importance of ensuring that cigarettes are properly extinguished and disposed of and electrical equipment turned off when not in use. 2 Battersway Court DS0000018323.V297501.R01.S.doc Version 5.2 Page 21 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 x 2 3 3 x 4 x 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 3 25 x 26 3 27 3 28 3 29 x 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 2 3 3 3 x LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 4 2 x 1 x x 3 x 2 Battersway Court DS0000018323.V297501.R01.S.doc Version 5.2 Page 22 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 YA39 Regulation 24 Requirement The registered provider must develop a system of quality monitoring which focuses on outcomes for service users (timescale of 30/06/06 not met) Timescale for action 30/06/07 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 YA6 YA37 Good Practice Recommendations The registered provider should use separate diaries for each lodger to record daily and significant events. The registered provider should continue to work towards achieving the relevant NVQ levels in care. 2 Battersway Court DS0000018323.V297501.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 2 Battersway Court DS0000018323.V297501.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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