Inspection on 08/12/05 for 32 Beaufort Avenue

This inspection was carried out on 8th December 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

32 Beaufort Avenue 23/04/07

32 Beaufort Avenue 09/12/04

32 Beaufort Avenue 15/06/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 32 Beaufort Avenue Bispham Blackpool Lancashire FY2 9HG Lead Inspector Ms Janet Spink Announced Inspection 8th December 2005 10:00 32 Beaufort Avenue DS0000009884.V250650.R01.S.doc Version 5.0 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 32 Beaufort Avenue DS0000009884.V250650.R01.S.doc Version 5.0 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. 32 Beaufort Avenue DS0000009884.V250650.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 32 Beaufort Avenue Address Bispham Blackpool Lancashire FY2 9HG 01253 291966 01253 595592 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) Northern Life Care Limited T/A U.B.U. Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 32 Beaufort Avenue DS0000009884.V250650.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st July 2005 Brief Description of the Service: 32 Beaufort Avenue is one of four small care homes in the Blackpool area that is owned by UBU (formerly Northern Life care). It is a large detached dorma bungalow situated in Bispham and is close to all the local shops, banks, public transport systems and other amenities. It is registered with the Commission for Social Care Inspection (CSCI) to provide care to four adults who have a learning disability. All accommodation is single and two bedrooms are on the first floor and the other two are on the ground floor. There is one en-suite facility and two bathrooms. The home has one lounge, a dining room and a kitchen. There is a large rear garden. 32 Beaufort Avenue DS0000009884.V250650.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced and took place over two hours. There were two service users at home. It consisted of discussions with the manager, service users, a staff member, looking at records and a comment card received from a relative. What the service does well: What has improved since the last inspection? What they could do better: 32 Beaufort Avenue DS0000009884.V250650.R01.S.doc Version 5.0 Page 6 The number of staff with a relevant care qualification should increase to 50 , although it is acknowledged that the number has dropped due to staff changes rather than the company not training staff. The kitchen would be better if it was accessible for all people accommodated. Plans have been drawn up for this to be done and the work is to be carried out in the New Year. The manager should be registered with the Commission for Social Care Inspection (CSCI), and should have the Registered Manager’s Award. 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. 32 Beaufort Avenue DS0000009884.V250650.R01.S.doc Version 5.0 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 32 Beaufort Avenue DS0000009884.V250650.R01.S.doc Version 5.0 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): These standards were not assessed on this occasion as there have been no new admissions for a number of years. EVIDENCE: 32 Beaufort Avenue DS0000009884.V250650.R01.S.doc Version 5.0 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 and 7 All service users have care plans that outline their needs and wishes so staff know how best to support them. EVIDENCE: There has been no change to care planning arrangements since the last inspection. Person Centred Plans ensure that staff have clear guidance about specific needs in relation to mobility, communication, social needs, personal care, diet etc. The home has a system in place where the plans are reviewed approximately five times a year. A base line meeting is held each January and other meetings involve social workers and family as well as the staff from the home. One service user was having her meeting on the afternoon of the inspection with family and the social worker. All appointments to other health care professionals such as the GP or Occupational Therapist are recorded in daily notes. Staff demonstrated an understanding of service users’ wishes. They had good knowledge of gestures and other non-verbal communication. 32 Beaufort Avenue DS0000009884.V250650.R01.S.doc Version 5.0 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 and 16 The home provides an environment where service users’ wishes are viewed as priority so that social integration is developed in leisure and community activities. EVIDENCE: Personal goals are included in the care plan and these include working, attending college, swimming and attending the gym. The staff team have good understanding of the rights of individuals who have a learning disability to access local facilities as any other citizen of the community. It was evident during the inspection that staff are clear about their roles as enablers rather than carers and that they encourage independence as much as possible. People were seen to be assisting in the kitchen, making decisions about meals and how to spend their time. There are no restrictions around visitors and the staff encourage service users to maintain family links. A comment card received from a relative confirmed their satisfaction with the care provided in the home. 32 Beaufort Avenue DS0000009884.V250650.R01.S.doc Version 5.0 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): These standards were not assessed on this occasion. EVIDENCE: 32 Beaufort Avenue DS0000009884.V250650.R01.S.doc Version 5.0 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 The home ensures that service users are aware of their rights and has a complaints procedure. Systems are in place to reduce the risk of abuse. EVIDENCE: The manager has made sure that all service users and/or their relatives have had a copy of the complaints procedure, which is in the Statement of Purpose. This is in pictorial format. One service user has the complaints procedure in her room and she confirmed that she would point to this if she had concerns. The other three people would probably not make a formal complaint, but staff are aware of behaviour changes and gestures that may indicate a person is not happy with something. There are opportunities on a daily basis for service users to make their wishes and opinions known, as well as the more formal service user meetings and reviews. Staff are given some guidance around “Awareness of abuse” through National Vocational Qualification (NVQ) in care and through Learning Disability Award Framework (LDAF). This will go some way to ensure residents are protected from abuse. 32 Beaufort Avenue DS0000009884.V250650.R01.S.doc Version 5.0 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, 29 and 30 In general the home is accessible to the people accommodated, however there are plans for improvement to the kitchen so a service user who uses a wheelchair has better access. It provides a relaxed environment where residents are safe and comfortable. EVIDENCE: The home is well maintained with regular safety checks being undertaken. All four service users have their own bedrooms that reflect their personal choices such as pictures, photographs, CDs and their own bedding. New flooring has been provided in one service user’s room. There is one large bathroom on the ground floor and one service user has an en-suite facility. Appropriate lifting aids are provided and maintained to assist with bathing in a safe manner. There is a spacious lounge, which has a new suite in place and there is a separate dining room. There is access to the large garden. 32 Beaufort Avenue DS0000009884.V250650.R01.S.doc Version 5.0 Page 14 The kitchen remains inaccessible for a service user who uses a wheelchair. The service user greatly enjoys cooking and is unable to carry out this activity due to the kitchen not meeting her needs. There were plans to extend the kitchen and this work was going to commence in September 2005, however has now been put back to April 2006. The service user did confirm that she has been consulted about the refurbishment and has seen the plans for the work. The home was warm, clean and airy. Suitable infection control systems are in place to ensure service users and staff are safe when assisting with personal care. Laundry facilities are situated in an area where soiled clothing does not have to be taken through the kitchen. 32 Beaufort Avenue DS0000009884.V250650.R01.S.doc Version 5.0 Page 15 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, 33, 34 and 35 Staffing levels are sufficient to meet the needs of the residents. Training continues to be a high priority providing staff with the knowledge and skills required to carry out their roles. Recruitment is professional ensuring service users have staff that have had the necessary checks. EVIDENCE: There were four staff on duty to assist the four service users. The duty rota showed that the staffing levels meet the needs of the service users by ensuring they can do individual activities of their choice. The documentation was looked at for the most recently appointed member of staff and this showed that all necessary checks are carried out prior to offer of appointment. At the last inspection the home had achieved the target of 50 of staff having National Vocational Qualification (NVQ) level II in care, however due to some changes the target is no longer reached. There are nine permanent members of care staff and three of these have been awarded NVQ level II. The company continues to train staff in order to achieve the 50 target. All staff have completed the Learning Disability Award Framework (LDAF). 32 Beaufort Avenue DS0000009884.V250650.R01.S.doc Version 5.0 Page 16 Other training provided includes inclusive communication, First Aid, load management and abuse awareness. 32 Beaufort Avenue DS0000009884.V250650.R01.S.doc Version 5.0 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 and 42 The manager is competent and experienced ensuring that staff have clear direction and leadership when assisting the service users. The home is well maintained to ensure the safety of service users and staff. EVIDENCE: There has been a change of manager recently, but this has not been disruptive as the newly appointed manager has worked in the home for a number of years and knows the service users. The manager has submitted an application to the Commission for Social Care Inspection (CSCI) and this is being processed. The home is service user led where consultation is given priority through house meetings, reviews and daily discussions. The inspector was provided with documentation in relation to maintaining a safe environment. This included a current electrical installation safety certificate, water temperature checks and servicing of the hoist. 32 Beaufort Avenue DS0000009884.V250650.R01.S.doc Version 5.0 Page 18 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 x x x Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x 2 3 3 3 x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 32 Beaufort Avenue Score x x x x Standard No 37 38 39 40 41 42 43 Score 2 3 3 x x 3 x DS0000009884.V250650.R01.S.doc Version 5.0 Page 19 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. 1 2 3 Refer to Standard YA24 YA32 YA37 Good Practice Recommendations The kitchen should be refurbished to ensure it is accessible for the service user who uses a wheelchair. 50 of the staff team should achieve NVQ level II in care. The manager should be registered with the Commission for Social Care Inspection and have the Registered Manager’s Award. 32 Beaufort Avenue DS0000009884.V250650.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 32 Beaufort Avenue DS0000009884.V250650.R01.S.doc Version 5.0 Page 21 - 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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