Inspection on 03/07/07 for 201a Berrow Road

This inspection was carried out on 3rd July 2007.

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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

201a Berrow Road 27/01/09

201a Berrow Road 01/08/08

201a Berrow Road 24/08/06

201a Berrow Road 24/01/06

201a Berrow Road 23/08/05

201a Berrow Road 30/03/05

201a Berrow Road 05/08/04

201a Berrow Road 02/03/04

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 201a Berrow Road Burnham-on-sea Somerset TA8 2JF Lead Inspector Sally Murphy Unannounced Inspection 3rd July 2007 2:00 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 201a Berrow Road DS0000016279.V335953.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. 201a Berrow Road DS0000016279.V335953.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 201a Berrow Road Address Burnham-on-sea Somerset TA8 2JF 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) 01278 786358 MRS VERONICA MARGARET HAWKINS MRS VERONICA MARGARET HAWKINS Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 201a Berrow Road DS0000016279.V335953.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24 August 2006 Brief Description of the Service: 201a Berrow Road is registered to provide personal care for up to 3 people with learning difficulties. Mr and Mrs Hawkins own the home and the Registered Manager is Mrs V Hawkins. Both owners live at the home and provide all care and support. The home is spacious and is set in attractive gardens. It is within easy reach of Burnham town centre and the sea front. All bedrooms are located on the first floor and are of single occupancy. The home shares a family type bathroom with a bath and overhead shower. Service users are able to use a small lounge on the ground floor. There is a large rear garden that has a summerhouse. The kitchen and laundry are domestic in style. There are currently two service users who live permanently at the home. The fees are £500 per week. This sum does not include the purchase of toiletries, clothes or monies to engage in social activities or hobbies. 201a Berrow Road DS0000016279.V335953.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was unannounced and was completed by one Inspector over one day. The Inspector was able to speak with each service user in private. During the course of the inspection, records were examined, care practice observed and discussions held with Mr and Mrs Hawkins (Registered Manager and Provider). Prior to the inspection Comment Cards (surveys) were sent to the Social Workers for these service users. The surveys had not been received by CSCI at the time of this report being written. Four requirements and two recommendations have been made as a result of this inspection. What the service does well: What has improved since the last inspection? Care plans have been developed the provide details of the level and type of assistance required by each service user. Brief risk assessments have been completed to address some activities. A new boiler and central heating system has been installed, and the kitchen has been refitted. Since the last inspection the electrical hardwiring system has been tested and a satisfactory certificate obtained. 201a Berrow Road DS0000016279.V335953.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. 201a Berrow Road DS0000016279.V335953.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 201a Berrow Road DS0000016279.V335953.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): 1,2,3 & 4 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Prospective service users are not provided with the appropriate information to make an informed choice regarding admission to the home. The Admissions policy states that an assessment of need will be completed prior to a service user moving in, to ensure that only appropriate admissions are made to the home. EVIDENCE: The home has a Statement of Purpose that provides details of the facilities provided. This was examined during the inspection. It was found that the Statement of Purpose does not include information regarding whether nursing care is provided, the arrangements for service users to engage in social activities, the arrangements for consultation with service users about the operation of the home or details of any therapeutic techniques used (if any). The home has does not have a Service User Guide. This must be developed so that prospective and current service users may be provided with appropriate information regarding the home. 201a Berrow Road DS0000016279.V335953.R01.S.doc Version 5.2 Page 9 The home has an Admissions policy. This states that a detailed assessment will be undertaken prior to a service user moving in. Prospective service users will be encouraged to spend short periods of time at the home such as tea visits before moving in. Service users are admitted to the home on a threemonth trial basis. There have been no admissions to the home since the last inspection. 201a Berrow Road DS0000016279.V335953.R01.S.doc Version 5.2 Page 10 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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. 6,7,8 & 9 Since the last inspection the home has developed plans to meet service users assessed needs. Service users are able to make choices regarding their daily life. The risk assessment for one service user must be reviewed and agreed with this service users’ Social Worker, and any other stakeholders involved in their care. EVIDENCE: Two care plans were examined in detail during this inspection. Brief care plans had been developed for each service user. Both care plans had been updated in January 2007 and were due for review in July 2007. Care plans provided details of service users individual personal and social care needs. Care plans included information regarding tasks that service users are able to complete 201a Berrow Road DS0000016279.V335953.R01.S.doc Version 5.2 Page 11 independently. Daily records had been maintained. Both care plans had been signed by the service user. Care plans included information on any restrictions in place, and the rationale for these. Risk assessments had been completed for specific activities. Both service users are able to express their wishes and needs, and were clear that are able to discuss these with their Social Worker. Both service users confirmed that they are offered choices regarding their daily life. Service users choose whether they spend time in their room, the small lounge or summerhouse. Due to the behaviour of one service user, the home must ensure that a comprehensive risk assessment is completed in conjunction with their Social Worker in relation to the service user going out alone, and the social activities that they participate in. 201a Berrow Road DS0000016279.V335953.R01.S.doc Version 5.2 Page 12 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. Service users appear to treat the home as their home and are encouraged to participate in the running of the home, but mainly choose not to. Service users can access a variety of local leisure and recreational facilities. Meals are provided in the style of a family type environment based on known likes and dislikes, and appropriate records maintained. EVIDENCE: Both service users confirmed that they participate in cleaning their bedrooms but do not wish to join in any other household tasks. Mr & Mrs Hawkins should continue to encourage the service users to participate in the running of the household to develop and maintain independent living skills. 201a Berrow Road DS0000016279.V335953.R01.S.doc Version 5.2 Page 13 One service user attends a work placement for two days a week. The placement for the second service user ended at Christmas, and they are waiting for a further placement to be provided. Service users are encouraged to access local activities. One service user is able to go for walks within the local area independently. The second service user attends clubs and is accesses the local shops. The home maintains records of all activities and local facilities that service users access on a daily basis. The home is family based, and outings and holidays are arranged in accordance with this. The Registered Manager advised that the service users and themselves enjoyed a holiday in West Bay last year, and may visit that area again this summer. Both service users also have TV’s in their rooms and one service user also has a PS2, video, music centre and DVD. One service user has pet goldfish in their room. Both service users are free to choose how they spend their leisure time. Service users have unrestricted access to communal areas, including the kitchen and garden. The owners have a separate lounge and conservatory that is private and not available to service users. The home assists both service users to maintain regular contact with their relatives. Service users stated that they are happy with the food in the home. In line with the nature of the service provided there are no set menus and food is cooked on the day in accordance with known likes and dislikes. Service users have access to the kitchen and are able to make drinks and snacks at any time. The daily records include information on the meals taken each day. 201a Berrow Road DS0000016279.V335953.R01.S.doc Version 5.2 Page 14 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are able to access health care services. The management of medication follows safe practice. EVIDENCE: Service users confirmed that they are able to choose when they get up or go to bed. Service users choose which clothes to wear. One service user confirmed that they receive the help needed to meet their personal care needs. Both service users confirmed that Mr and Mrs Hawkins knock their bedroom doors before entering. On the day of the inspection both service users appeared to be well attired. Service users are registered with local GP’s and are assisted to attend appointments if they wish to have support. One service user stated that they make their own appointments with the GP. Personal files contain details of appointments with other appropriate health care professionals. 201a Berrow Road DS0000016279.V335953.R01.S.doc Version 5.2 Page 15 One service user takes regular medication, which is administered by Mrs Hawkins. All medication is kept in a locked cupboard. Medication Administration Records were examined during the inspection, and it was found that these had been appropriately maintained. 201a Berrow Road DS0000016279.V335953.R01.S.doc Version 5.2 Page 16 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. Service users feel that their views are listened to. There are appropriate procedures in place to protect service users. For the protection of service users, records are maintained of all transactions involving their finances at the home. EVIDENCE: The home has a Complaints policy and there is a copy of the Somerset County Council “Safeguarding Vulnerable Adults” policy. Both service users stated that they would be able to raise any issues of concern with their Social Worker. There have been no complaints received by CSCI or the home since the last inspection. The home assists one service user in managing their finances. The home has adopted the system for recording service users finances that has been formulated by Somerset County Council. The home maintains brief records of financial transactions for the second service user, whose parents are their Appointee. The home has appropriate restraint and whistle blowing polices. Mr and Mrs Hawkins do not use physical intervention or breakaway techniques, as these are currently not required at the home. 201a Berrow Road DS0000016279.V335953.R01.S.doc Version 5.2 Page 17 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): 24,25,26,27,28,29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live within a comfortable and homely environment. There are sufficient communal areas and bathing facilities to meet their needs. The home has been maintained to a good standard of cleanliness. EVIDENCE: 201a Berrow Road is a detached house situated within walking distance of the sea front and close to Burnham town centre. There is an ongoing programme of maintenance and re-decoration at the home. Since the last inspection the kitchen has been refurbished, a new heating system and boiler fitted, and the electrical hardwiring system has been tested. 201a Berrow Road DS0000016279.V335953.R01.S.doc Version 5.2 Page 18 Mr and Mrs Hawkins live on the premises and have some a private lounge and conservatory that is not accessible to service users. On the ground floor there is a lounge for service users. There is a kitchen with dining area, and domestic style laundry facilities located in a utility area. There is a well-maintained garden at the rear of the property, which includes a summerhouse. Bedrooms are all single occupancy and are located on the first floor. There is no lift so all service users need to be physically able. Both of the service users showed the Inspector their rooms. The bedrooms seen were comfortable and reflected their individual needs and preferences. There is a bathroom and two toilets on the first floor and another toilet on the ground floor. Appropriate locks are fitted. Presently, no aids or adaptations are needed to meet specific needs of the service users. The home has been maintained to a good standard of cleanliness. 201a Berrow Road DS0000016279.V335953.R01.S.doc Version 5.2 Page 19 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): All care is provided by Mr and Mrs Hawkins, there are no other staff employed, therefore this outcome group has not been assessed at this inspection. EVIDENCE: 201a Berrow Road DS0000016279.V335953.R01.S.doc Version 5.2 Page 20 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): 37,38,39,40,41 & 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home appears to be well run. The Registered Manager must attend further training to continue their professional development and to ensure that the care provided continues to follow best practice. The home has taken appropriate measures to promote the health and safety of service users. EVIDENCE: The Registered Manager is Veronica Hawkins who runs the home in partnership with her husband. Mr and Mrs Hawkins live on the premises and both provide care and support to the service users. There are no other staff employed at the home. 201a Berrow Road DS0000016279.V335953.R01.S.doc Version 5.2 Page 21 Mrs Hawkins has worked in the care sector for many years and completed NVQ Level 2 in care in 1996. Mrs Hawkins has not attended regular training to maintain her professional development and therefore should attend training in relevant areas such as care planning, managing challenging behaviour, equality and diversity and the Mental Capacity Act to ensure that the care provided continues to follow best practice. Mrs Hawkins has attended training on health and safety and food hygiene. Updated training is required in First Aid. At the previous two inspections it was recommended that Mrs Hawkins should undertake further NVQ training. This has not been pursued and remains as a recommendation. Mr Hawkins has not attended training in First Aid or Food Hygiene. It is also recommended that the home obtain a copy of the Care Home Regulations 2001 and National Minimum Standards for Younger Adults, so that they can ensure that the service provided complies with these. The home appears well run. Due to the size of the home, daily activities and meals can be flexible to meet individual service users needs and preferences. There are appropriate polices and procedures in place to safeguard service users. Records relating to service users are appropriately maintained and up to date. The home has not developed a fire risk assessment. This must be completed to ensure that all risks are identified and appropriate control measure implemented. The Inspector will ask the Fire Officer to provide Mr and Mrs Hawkins with further advice regarding this. The home is domestic in style and has smoke detectors that are tested on a monthly basis. Since the last inspection a new heating system and boiler have been installed. The electrical hardwiring has been tested and a satisfactory certificate obtained. The hot water outlets are fitted with thermostatic valves. Fridge and freezer temperatures had been checked and appropriate records maintained. In line with providing a family type environment the service user’s bedroom windows are not restricted and wardrobes have not been secured. The home displays appropriate Employers Liability insurance. There have been no recorded accidents at the home since 31.03.04. 201a Berrow Road DS0000016279.V335953.R01.S.doc Version 5.2 Page 22 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 1 2 3 3 3 4 3 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 3 26 3 27 3 28 3 29 3 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 3 3 2 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 x 1 3 3 3 3 2 x 201a Berrow Road DS0000016279.V335953.R01.S.doc Version 5.2 Page 23 yes 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 YA1 Regulation 4,5 & 6 Requirement The Registered Manager must ensure that the Statement of Purpose contains all required information and that a Service User Guide is developed so that prospective service users may be provided with the appropriate information to make a decision regarding admission into the home. The risk assessment for one service user must be reviewed and agreed with this service users’ Social Worker, and any other stakeholders involved in their care to ensure that this service user is not put at unnecessary risk. The Registered Manager should attend training in relevant areas such as care planning, managing challenging behaviour, equality and diversity and the Mental Capacity Act to ensure that the care provided continues to follow best practice. The Registered Manager home DS0000016279.V335953.R01.S.doc Timescale for action 03/08/07 2. YA9 15 (2) & 13 (4) (b) & (c) 03/08/07 3. YA37 10 (3) 31/01/08 4. YA42 23 13 (4) 31/08/07 Page 24 201a Berrow Road Version 5.2 must conduct a Fire Risk Assessment. (Previous timescale of 31/10/06 not met). 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 Manager should undertake further NVQ training. It is also recommended that the home obtain a copy of the Care Home Regulations 2001 and National Minimum Standards for Younger Adults, so that they can ensure that the service provided complies with these. Mr Hawkins should attend training in food hygiene and first aid. 2. YA37 3. YA42 201a Berrow Road DS0000016279.V335953.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Taunton Local Office Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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