Inspection on 25/05/05 for 2 Battersway Court

This inspection was carried out on 25th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

2 Battersway Court 01/11/06

2 Battersway Court 13/03/06

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 Announced 25 May 2005 th The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 2 Battersway Court D54-D07 S18323 2 Battersways Court V215134 250505 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service 2 Battersway Court Address Battersway Road, Paignton, Devon, TQ4 7EY Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01803 527230 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 D54-D07 S18323 2 Battersways Court V215134 250505 Stage 4.doc Version 1.20 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 2. The identified room meets Building Control Regulations 3. 4 Service Users within the Learning Disability category may reside at the home Date of last inspection 07/12/04 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 D54-D07 S18323 2 Battersways Court V215134 250505 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection lasting 6.5 hours. Two of the four service users were present for the first part of the inspection. When asked how they wished to be referred to in this report they replied, without hesitation, ‘the lodgers’. Therefore that is the term that will be used. 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? What they could do better: The improvements made in record keeping need to be maintained and further developed. The home needs to have a system for monitoring the quality of the 2 Battersway Court D54-D07 S18323 2 Battersways Court V215134 250505 Stage 4.doc Version 1.20 Page 6 service provided by seeking the views of all those involved with the home and by focusing on outcomes for the individual lodgers. Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 2 Battersway Court D54-D07 S18323 2 Battersways Court V215134 250505 Stage 4.doc Version 1.20 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection 2 Battersway Court D54-D07 S18323 2 Battersways Court V215134 250505 Stage 4.doc Version 1.20 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2,5 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: The files for the lodgers were examined. These showed that the assessment had been used as part of the review of the lodgers care. The registered provider stated that it would be used should someone new be considering Battersway Court as their home. All the lodgers have a contract with the home which they have signed. 2 Battersway Court D54-D07 S18323 2 Battersways Court V215134 250505 Stage 4.doc Version 1.20 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 standard(s) 6,7,9. The lodgers can be confident that their care plans clearly identify their needs and how they will be met. EVIDENCE: Each file examined contained an individual plan of care. All except one of the care plans was signed by the lodger and those spoken to confirmed that they had been involved in formulating them. The one not signed was due to the lodger’s reluctance to sign any documents but the registered provider stated that they had been fully involved in developing the plan. There is also a diary for each lodger which is used to log 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. The registered provider has completed and reviewed risk assessments which identify potential hazards and the action taken to minimise the risk. An example of an identified hazard is the lodgers smoking in the home. One of the lodgers said that they have frequent reminders about taking care when 2 Battersway Court D54-D07 S18323 2 Battersways Court V215134 250505 Stage 4.doc Version 1.20 Page 10 smoking and ensuring that cigarettes are properly extinguished and disposed of correctly. 2 Battersway Court D54-D07 S18323 2 Battersways Court V215134 250505 Stage 4.doc Version 1.20 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 standard(s) 12,13,15,16,17. The home’s positive approach encourages the lodgers to access local facilities, develop independent living skills and to appreciate the support with which they are provided by the community. Menus are planned with the lodgers and take into consideration their preferences and dietary requirements, which are well catered for. EVIDENCE: The lodgers’ diaries and care plans recorded the activities that they were engaged in. These included attendance at day centres, college courses and work placements. Numerous social events were also included and the lodgers spoken to said that their friends were always welcome to visit and were invited to any social occasion at the home. The diaries also showed, and the lodgers confirmed, that they took responsibility for the housework in their flat, washed their own underwear, prepared their own breakfast, and were able to make drinks and snacks when they wanted. The registered provider cooks an evening meal for everyone and the lodgers were able to give examples of those meals and say which were their favourites. During the inspection a discussion took place and agreement reached about what they would like for 2 Battersway Court D54-D07 S18323 2 Battersways Court V215134 250505 Stage 4.doc Version 1.20 Page 12 their evening meal that day. One lodger explained how her particular dietary needs are met. One of the lodgers takes responsibility for keeping the lawn cut and the garden tidy and expressed pride in doing this. At the time of the inspection the garden and greenhouse were full of tubs and hanging baskets which had been planted with annuals. The registered provider and the lodgers explained that most of these were going to be given to the people who helped them during the year like the community nurse, the vet and the G.P. surgery. There was a long list of proposed recipients. The lodgers were also observed responding in a positive way to the home’s pets including taking the dog for a walk. 2 Battersway Court D54-D07 S18323 2 Battersways Court V215134 250505 Stage 4.doc Version 1.20 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 standard(s) 18,19,20 Support with personal and health care is provided at a level which promotes independence while safeguarding each lodger. EVIDENCE: The lodgers’ care plans and diaries 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 diaries. The lodger who has diabetes produced the records of blood sugar levels and self-administration of insulin for inspection. This is supervised by the registered provider. The insulin was seen to be stored in the fridge in a lockable container. The home has a policy regarding medication and the registered provider has attended a course on the administration of medication. 2 Battersway Court D54-D07 S18323 2 Battersways Court V215134 250505 Stage 4.doc Version 1.20 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 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. The lodgers said that they felt able to take any concerns to the registered provider and that they would be taken seriously. 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. 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 D54-D07 S18323 2 Battersways Court V215134 250505 Stage 4.doc Version 1.20 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 standard(s) 24,26,30 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 bedroomed 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. They explained that they had chosen the décor and furniture for their own rooms. The two lodgers present for part of the inspection showed their rooms with obvious pride. Their rooms were arranged by themselves and were very different, demonstrating their personal taste. There was room for their personal possessions. The registered provider produced plans for the expansion of the bedrooms which were discussed during the inspection. It is hoped that this work will be carried out during the next twelve months. 2 Battersway Court D54-D07 S18323 2 Battersways Court V215134 250505 Stage 4.doc Version 1.20 Page 16 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 D54-D07 S18323 2 Battersways Court V215134 250505 Stage 4.doc Version 1.20 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for 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 D54-D07 S18323 2 Battersways Court V215134 250505 Stage 4.doc Version 1.20 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,39,42 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 currently undertaking 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 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 2 Battersway Court D54-D07 S18323 2 Battersways Court V215134 250505 Stage 4.doc Version 1.20 Page 19 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. They also showed concern for the safety of others talking particularly about some of their friends. 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 x x 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 2 Battersway Court Score Standard No 24 25 26 27 Score 3 x 3 x Version 1.20 Page 20 D54-D07 S18323 2 Battersways Court V215134 250505 Stage 4.doc 6 7 8 9 10 LIFESTYLES 3 3 3 3 x Score 28 29 30 STAFFING x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x 2 x x 3 x 2 Battersway Court D54-D07 S18323 2 Battersways Court V215134 250505 Stage 4.doc Version 1.20 Page 21 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 39 Regulation 24 Requirement The registered provider must develop a system of quality monitoring which focuses on outcomes for service users. Timescale for action 31/12/05 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 Good Practice Recommendations 2 Battersway Court D54-D07 S18323 2 Battersways Court V215134 250505 Stage 4.doc Version 1.20 Page 22 Commission for Social Care Inspection 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 D54-D07 S18323 2 Battersways Court V215134 250505 Stage 4.doc Version 1.20 Page 23 - 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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