Inspection on 11/01/06 for 24 Bowens Field

This inspection was carried out on 11th January 2006.

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

24 Bowens Field 24/11/06

24 Bowens Field 21/06/05

24 Bowens Field 02/02/05

24 Bowens Field 24/11/04

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Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 24 Bowens Field Wem Shrewsbury Shropshire SY4 5AP Lead Inspector Janet Oxley Announced Inspection 11th January 2006 09:00 24 Bowens Field DS0000020736.V265804.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 24 Bowens Field DS0000020736.V265804.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. 24 Bowens Field DS0000020736.V265804.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 24 Bowens Field Address Wem Shrewsbury Shropshire SY4 5AP 01939 236517 NONE 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) Loppington House Limited Mr Peter James Warburton Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 24 Bowens Field DS0000020736.V265804.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th June 2005 Brief Description of the Service: 24 Bowens Field is registered with the Commission of Social Care Inspection (CSCI) to provide accommodation and care for three people with a learning disability. The home is situated in a suburban area of Wem. Loppington House Ltd owns the home and the Registered Provider is its Director, Mr Paul Harris. Mr Peter Warburton is the Registered Manager of Bowens Field and Loppington House. The three people living at 24 Bowens Field previously lived at Loppington House and were chosen carefully for their compatibility. They were fully involved in the resettlement process, choosing decoration, furniture and fittings prior to moving in during a period of gradual introduction to the home. The purpose of the home is to create as normal a lifestyle and environment as possible for its residents and this is achieved. Four days in the week the service users are able to access a workshop and retail outlet owned by Loppington House Ltd where they gain experience in every aspect of the business and two days a week are dedicated to learning life-skills in the home. The service users are fully integrated into the local community and they have the use of a vehicle in addition to public transport for leisure activities and holidays. 24 Bowens Field DS0000020736.V265804.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection reviewed key standards only as the home is currently considered to be performing well and thus warrants the application of a reduced methodology The inspection was announced and commenced at 9.45am. It included observing activity within the home, inspecting the premises, looking at records and case tracking and talking to the Manager, team leader and all three residents who were welcoming and helpful throughout the inspection. It was found that the National Minimum Standards assessed had been met with a number exceeded, and that the overall quality of care provided was good. All residents appeared happy, content and very well cared for, were pleased to participate in the inspection and to show their rooms to the inspector and indicated complete satisfaction with their quality of life at the home. Visitors, relatives and all visiting professionals have also expressed complete satisfaction with the service and care the residents are receiving and have been complimentary regarding the management and care practices at the home. What the service does well: What has improved since the last inspection? The home has continued to improve the programme of daily living skills and methods of communication. It was evident that staff are continually improving, upgrading and individualising the service users bedrooms and all communal rooms, including the garden area. 24 Bowens Field DS0000020736.V265804.R01.S.doc Version 5.1 Page 6 It has to be noted that at this home that the team leader and staff are constantly reviewing all aspects of the service to achieve best practice and maintain a high quality service. 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. 24 Bowens Field DS0000020736.V265804.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 24 Bowens Field DS0000020736.V265804.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): x Appropriate procedures are in place that would enable the successful admission of new service users to the home. EVIDENCE: Although no new service users have been admitted to the home since 2000, the home has an appropriate admissions policy in place should the need arise and the statement of purpose is kept up to date. 24 Bowens Field DS0000020736.V265804.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, 7 and 9. The current service users would not be able to accurately voice decisions about their lives however each service user has a very detailed care plan, which includes all aspects of daily living and care they require. Staff evidently respect service users rights and there is a constant monitoring and review process to ensure their identified needs are being met and very individualised care given. EVIDENCE: Care documentation pertaining to one of the residents was read. The care plan was very comprehensive and provides the staff team with the necessary information required to meet the individual’s needs. A detailed report is completed in preparation for reviews. With staff support, the residents are engaged in all aspects of the running of the home. Individual and generic risk assessments are well established and have once again been reviewed and updated since the last inspection. Advocacy services are well used, a representative from PCAS advocacy service visits regularly and a Senior Worker from Loppington House visits monthly and meets with the residents. 24 Bowens Field DS0000020736.V265804.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): All The lifestyle of the service users living at this home is excellent and through a framework of activities, independence, personal and social skills they are encouraged to develop. Family ties are maintained and regular communication with relatives is encouraged and supported. EVIDENCE: The organisation has a retail shop and workshop based in the local town and the residents access both of these facilities during the week. Two of the residents access courses provided by Walford College and these were reported to be extremely beneficial to the individuals. It is evident that the people living in the home are very much part of their community and are supported to access a good range of leisure activities. They are also fully involved with the every day running of the home with sensitive and professional support. Each individual is supported on a regular basis to maintain family links by letter, telephone or visits. Evidence from discussions, records and inspection of the kitchen indicated that an excellent diet is offered and residents are fully involved with all catering arrangements and enjoy meals out and take-aways. 24 Bowens Field DS0000020736.V265804.R01.S.doc Version 5.1 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. The health and personal needs of residents are very well met with evidence of regular review and of good multi disciplinary working taking place on a regular basis. EVIDENCE: Residents are supported with their personal care in accordance with their individual care plan. None of the residents require technical aids or equipment to maximise their independence. All of the residents are well supported to access all NHS healthcare facilities. The health of each individual continues to be closely monitored and all health appointments and outcomes documented and specialist advice is sought as required. All staff have attended an external distance learning course and gained the Certificate in Safe Handling of Medicines and at the time of this inspection matters pertaining to the medication appeared satisfactory. 24 Bowens Field DS0000020736.V265804.R01.S.doc Version 5.1 Page 12 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 and 23. Bowens Field has appropriate policies and procedures in place for the protection of service users. EVIDENCE: No complaints have been received since the last inspection. A full complaints procedure is available and given that the residents would have some difficulty understanding the concept of a complaint it was evident once again that staff are sensitive and have developed methods to identify what service users like, dislike or object to and explore new avenues in efforts to overcome the difficulties. At the time of this inspection it was very evident that the residents are very confident to do what they want within the homes environment. Robust procedures are in place to protect service users from abuse and all staff have recently had updated training on the subject. 24 Bowens Field DS0000020736.V265804.R01.S.doc Version 5.1 Page 13 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, 25, 26, 27, 28 and 30. The standard of the environment within the home is very good, providing service users with a warm, safe and homely place to live. EVIDENCE: The environment is very homely. All service users’ are provided with single rooms which are very personalised. The female service user has a bedroom with an en-suite facility and a walk in dressing room. The home is furnished and equipped to a high standard throughout. A lounge, dining room and fully fitted kitchen are provided and outdoor space is proportionate to the number service users residing at the home. At the time of this inspection the standard of cleanliness and hygiene was excellent. 24 Bowens Field DS0000020736.V265804.R01.S.doc Version 5.1 Page 14 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): 32, 34 and 35. Service users are supported by a well trained and committed staff group who are meeting the needs of each individual in a sensitive and professional manner. EVIDENCE: No staff have been recruited since the last inspection and good staff records are maintained. The management continue to support staff to undertake their NVQ 2 award, a very good variety of other training has been undertaken and the team leader on duty indicated that all staff were very sensitive to the service users needs and disabilities and that their attitudes and practice were monitored and supervised by the management. Appraisals, recorded supervisions and regular team meetings take place and are fully documented. 24 Bowens Field DS0000020736.V265804.R01.S.doc Version 5.1 Page 15 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, 39 and 42. There are clear lines of accountability within the homes management structure and the management approach creates an open and positive atmosphere from which the service users benefit. The home regularly reviews all aspects of its performance and meets the requirements of the Fire Officer and Health and Safety Officer, promoting the health, safety and welfare of the service users. EVIDENCE: The Manager is fully quailfied and experienced. The manner in which the Manager, team leader and residents responded to this inspection indicated that a sound management approach is in place and that staff are committed to achieving best practice and to developing equal opportunities. Health and Safety matters appeared satisfactory and no potential hazards were identified. All necessary records required are maintained and an external organisation has carried out a Health and Safety. The Team Leader is currently 24 Bowens Field DS0000020736.V265804.R01.S.doc Version 5.1 Page 16 undertaking an ‘Ase’t Health and Safety in the Workplace course and cascades the information to staff. 24 Bowens Field DS0000020736.V265804.R01.S.doc Version 5.1 Page 17 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 4 25 4 26 4 27 4 28 4 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 x 3 x LIFESTYLES Standard No Score 11 4 12 4 13 4 14 4 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 x 3 x 3 x x 3 x 24 Bowens Field DS0000020736.V265804.R01.S.doc Version 5.1 Page 18 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 24 Bowens Field DS0000020736.V265804.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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. 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