Inspection on 13/03/06 for 2 Battersway Court

This inspection was carried out on 13th March 2006.

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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

2 Battersway Court 01/11/06

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 13th March 2006 10:00 2 Battersway Court DS0000018323.V269656.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 2 Battersway Court DS0000018323.V269656.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 2 Battersway Court DS0000018323.V269656.R01.S.doc Version 5.1 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.V269656.R01.S.doc Version 5.1 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. 25/05/05 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 providers extended family. 2 Battersway Court DS0000018323.V269656.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection which lasted for two hours. In future 24 hours notice will be given of inspections as one of the service users became very upset at the inspector turning up unannounced. The service users prefer to be referred to as ‘the lodgers’ and this is the term that will be used in this report. Two of the lodgers were present at the start of the inspection. One later went out with his friend who was visiting. Another friend of the lodgers called in during the inspection. No staff are employed but the registered provider is supported by her granddaughter. Both were present during the inspection. What the service does well: What has improved since the last inspection? Two of the bedrooms have been extended to provide more space and en-suite shower rooms. A new fire system, including smoke detectors, has been installed. 2 Battersway Court DS0000018323.V269656.R01.S.doc Version 5.1 Page 6 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. 2 Battersway Court DS0000018323.V269656.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 2 Battersway Court DS0000018323.V269656.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: As no new admissions have taken place since the last inspection none of these standards were inspected on this occasion. 2 Battersway Court DS0000018323.V269656.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,9, The lodgers can be confident that their care plans clearly identify their needs and how they will be met. EVIDENCE: The files for two 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. Any limitations in the lodgers’ choices or access to facilities is recorded in the care plans. 2 Battersway Court DS0000018323.V269656.R01.S.doc Version 5.1 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): 11,12,13,14,15,16 The home’s positive approach encourages the lodgers to access social, educational and work opportunities and to develop independent living skills. EVIDENCE: The activities the lodgers are engaged in are recorded in the daily diaries. These include attendance at day centres, college courses and work placements. Two of the lodgers have part-time jobs. Numerous social events were also recorded. Two of the lodgers regularly attend church on Sundays and also go to a club at the church. At the start of the inspection a friend of one of the lodgers was visiting and another friend called in later on. Both said that they liked visiting the home as they were made welcome and were invited to any social occasion. The lodgers take responsibility for the housework in the home and were observed making drinks and snacks when they wanted. The registered provider cooks an evening meal for everyone. 2 Battersway Court DS0000018323.V269656.R01.S.doc Version 5.1 Page 11 All of the lodgers have an annual holiday. One chooses to go on his own 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.V269656.R01.S.doc Version 5.1 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): EVIDENCE: None of these standards were examined during this inspection. 2 Battersway Court DS0000018323.V269656.R01.S.doc Version 5.1 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 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. In discussion with the registered provider and her granddaughter they were able to demonstrate an understanding of the issues regarding the protection of vulnerable adults. Later they were observed explaining them to one of the lodgers. 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.V269656.R01.S.doc Version 5.1 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): 24,27,30 Battersway Court provides the lodgers with a homely, comfortable and safe environment in which to live. EVIDENCE: The care 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. Since the last inspection work has commenced to increase the size of three of the bedrooms and to include en-suite shower rooms. Two of the rooms have been completed, work on the third room is due to commence when the weather improves. One of the lodgers present during the inspection said how pleased he was with his larger bedroom and having his own shower. He was particularly pleased that the registered provider had been able to find additional cupboards that matched his existing ones. 2 Battersway Court DS0000018323.V269656.R01.S.doc Version 5.1 Page 15 A new fire alarm system, including smoke detectors, has recently been installed. 2 Battersway Court DS0000018323.V269656.R01.S.doc Version 5.1 Page 16 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): 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.V269656.R01.S.doc Version 5.1 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39 The lodgers can be confident that the home is well run and that their views will be taken into consideration in the plans for the home. 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 continuing to work towards gaining level 3. She has also ensured that she is up to date with issues around health and safety, food hygiene, fire safety and first aid by developing good relationships with health and social care professionals. She is supported in the running of the home by members of her family particularly her granddaughter who has NVQ level 3 in care. It was observed during the inspection that there is a free interchange of views and opinions between the registered provider and the lodgers. 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. 2 Battersway Court DS0000018323.V269656.R01.S.doc Version 5.1 Page 18 2 Battersway Court DS0000018323.V269656.R01.S.doc Version 5.1 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 x 3 x 4 x 5 x 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 x 27 3 28 x 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 3 x x 3 x LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x x x x 2 3 1 x x x x 2 Battersway Court DS0000018323.V269656.R01.S.doc Version 5.1 Page 20 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 YA39 Regulation 24 Requirement The registered provider must develop a system of quality monitoring which focuses on outcomes for service users (timescale of 31/12/05 not met) Timescale for action 30/06/06 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 YA37 Good Practice Recommendations The registered provider/manager should continue to work towards achieving the relevant NVQ levels in care. 2 Battersway Court DS0000018323.V269656.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 2 Battersway Court DS0000018323.V269656.R01.S.doc Version 5.1 Page 22 - 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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