Inspection on 21/06/05 for 5 Barth Close (Royal Mencap Society)

This inspection was carried out on 21st June 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

5 Barth Close (Royal Mencap... 12/07/07

5 Barth Close (Royal Mencap... 10/07/06

5 Barth Close (Royal Mencap... 27/09/05

5 Barth Close (Royal Mencap... 16/12/04

5 Barth Close (Royal Mencap... 12/08/04

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

CARE HOME ADULTS 18-65 Barth Close 5 Barth Close Great Oakley Corby Northants, NN18 8LU Lead Inspector Kathy Jones Unannounced 21 June 2005 @ 15:00 st 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. Barth Close C51 C08 S12702 Barth Close V223611 210605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Barth Close Address 5 Barth Close Great Oakley Corby Northants NN18 8LU 01536 460718 01536 741204 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) Royal Mencap Society Mrs Lydia Peters Care Home Only 5 Category(ies) of Learning Disability (LD) 5 registration, with number of places Barth Close C51 C08 S12702 Barth Close V223611 210605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection 16/12/04 Brief Description of the Service: The home ‘5 Barth Close’ provides personal care and accommodation for 5 younger adults within the category of Learning Disability. The home is owned by the MENCAP organisation and is located within the Great Oakley residential area of the town of Corby being adjacent to a Health Centre with Pharmacy and close to a National Superstore. The home was newly purpose built and opened in April 2000. All the rooms within the home are for single occupation and without en-suite facilities. The garden is large in comparison with similar private residential properties in the immediate area. Barth Close C51 C08 S12702 Barth Close V223611 210605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out over the late afternoon/early evening of a weekday. The inspection involved talking to Residents about their life in the home and reviewing a sample of records to see how their care is planned and supported. The Inspector met briefly with Staff to discuss the care provided. Observations of Staff interactions with Residents and daily routines were made during the inspection. Pre-inspection information was provided by the home and some of this has been included within the report. Requirements and recommendations made at the last inspection were also reviewed. Comment cards were sent out to the home prior to the inspection for Residents and relatives/visitors. On this occasion no comments were received. What the service does well: What has improved since the last inspection? Although not yet completed some improvements have been made in the planning of Residents care and Staff have received some training to help them with this. The use of photographs and pictures is giving Residents more choice, understanding and control over everyday routines and decisions. Photographs of meals allow Residents with poor communication the ability to make choices Barth Close C51 C08 S12702 Barth Close V223611 210605 Stage 4.doc Version 1.30 Page 6 about their food. Pictures of daytime activities provide Residents with a guide to the routines of the day and also the opportunity to make choices. Medication is now stored more securely. 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. Barth Close C51 C08 S12702 Barth Close V223611 210605 Stage 4.doc Version 1.30 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 Barth Close C51 C08 S12702 Barth Close V223611 210605 Stage 4.doc Version 1.30 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) This section of the standards was not reviewed during this inspection. This section of the standards was not reviewed during this inspection. EVIDENCE: This section of the standards was not reviewed during this inspection. Barth Close C51 C08 S12702 Barth Close V223611 210605 Stage 4.doc Version 1.30 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 and 9 Residents are being supported in making everyday choices however care planning processes do not identify and fully support personal goals and areas of risk. EVIDENCE: A recently developed plan of care for a Resident was reviewed which contained more detail than the previous plan. The plan clearly showed the level of support required to meet the Residents needs. Staff had recently received some care planning training and were familiarising themselves with the new plan prior to Residents arriving home from day centre. Residents are aware of the records that are in place as confirmed during the inspection when the Manager was heard discussing the records and an entry that had been made that day. A second care file sample checked identified the Residents daily routines and level of independence however the care plan did not include identification and planning to achieve personal goals. Barth Close C51 C08 S12702 Barth Close V223611 210605 Stage 4.doc Version 1.30 Page 10 Discussion with Residents and Staff identified that more support has been given to enable Residents to make decisions about everyday things such as meals. A folder of photographs of meals has been put together and is added to which enables Residents without verbal communication to express choices in relation to meals. A Resident demonstrated how photographs are now also used to make Residents aware of their daily routines. Risk assessment is an area, which requires further development. It was difficult to assess the adequacy of the support to take responsible risks, as this is an area, which links into personal goals and was not present in the records. There was also no care plan in place or details about the management of a specific behaviour, which presented a risk to the Resident. Barth Close C51 C08 S12702 Barth Close V223611 210605 Stage 4.doc Version 1.30 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 and 15 Residents are supported in leading a lifestyle, which includes various leisure, community and everyday activities. EVIDENCE: All Residents attend a local day centre; conversation with a Resident confirmed that the activities provided are appropriate to the individual needs. Residents have access to activities in and out of the home. On arrival back from the day centre two Residents spent time with Staff discussing the days events while one chose to relax in the garden on the swing. Arrangements were being made for the evening with one Resident deciding between making a cake and making a purchase at the local superstore. Another Resident wanted a footspa and a video. A resident showed the Inspector a record of the activities that they had taken part in. Two Residents were away on holiday at the time of the inspection, all residents have an annual holiday and these are arranged according to the individual and their specific needs. Barth Close C51 C08 S12702 Barth Close V223611 210605 Stage 4.doc Version 1.30 Page 12 Two Residents were discussing outings with family members during the inspection. Conversation with a Resident and discussion with Staff confirmed that Residents are supported and encouraged to maintain contacts with their families. Barth Close C51 C08 S12702 Barth Close V223611 210605 Stage 4.doc Version 1.30 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 and 19 The overall standard of care and personal support is good and health care services are accessed appropriately. EVIDENCE: Observations and discussion during the inspection confirmed that Staff respect Residents privacy and dignity. Assistance with personal care is provided in private. Improvements in the care plans are being made which provide more detail of the personal care needs of Residents. Health care records were not reviewed but there was evidence from observations and discussions during the inspection that healthcare services are accessed for Residents. One Resident had visited the orthodontist that day and a visit to the General Practitioner was promptly arranged that afternoon for a Resident who returned from Day Centre with some swelling to the hand. Medication was not reviewed however it was confirmed by the manager that alterations have been made to the storage of medication to improve the security and safety following a requirement at the previous inspection. Eight members of Staff have been identified as having received training in the administration of medication. Barth Close C51 C08 S12702 Barth Close V223611 210605 Stage 4.doc Version 1.30 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) This section of the standards was not reviewed during this inspection. This section of the standards was not reviewed during this inspection. EVIDENCE: This section of the standards was not reviewed during this inspection however the Commission for Social Care Inspection have received no complaints regarding the home since the last inspection. One internal complaint was received which is being investigated by Mencap. Barth Close C51 C08 S12702 Barth Close V223611 210605 Stage 4.doc Version 1.30 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, 25 and 28 The limited shared space seriously impacts on Residents comfort and ability to relax when they are all at home. EVIDENCE: The home is situated in a residential area and of such construction to be entirely consistent with its surroundings. The premises are clean, bright, cheerful, homely and comfortable in style. The furnishings, fittings and equipment appear to be of good quality. Two Residents showed the Inspector their rooms during the inspection, they were both clean, comfortable, appropriately furnished and reflected the individual personalities. One resident showed the Inspector a board of pictures of daily activities, which is used to aid understanding of the routines and activities for the particular day. Barth Close C51 C08 S12702 Barth Close V223611 210605 Stage 4.doc Version 1.30 Page 16 Communal space is very limited and previous inspections have highlighted difficulties in meeting the differing needs and managing the behavioural needs of service users due to this. No difficulties were apparent at this inspection as two Residents were away on holiday. Inspection reports from December 2003 have identified that consideration was being given to installing a large conservatory to increase the communal space. The Manager understands that Mencap and the housing association have approved the proposals but is not aware of any timescales. To date the Commission for Social Care Inspection have not received details of the proposals. Barth Close C51 C08 S12702 Barth Close V223611 210605 Stage 4.doc Version 1.30 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) 33 and 35 Staffing levels appear appropriate to the levels of care needs however there are insufficient staff with a recognised qualification in care. EVIDENCE: At the time of the inspection there were two staff on duty, which appeared adequate to meet the needs of the Residents. Waking night Staff have been employed in the home for the last six months in response to the needs of Residents throughout the twenty four hour period. A sample check of Staff rotas submitted with the pre-inspection information indicated that the Manager is working a lot of hours as a support worker however this was not specifically identified on the rota. The Manager confirmed that this has been the case and that it has been necessary due to Staff vacancies and the induction of new Staff. One of the Staff on duty was relatively new however both Staff on duty appeared aware of the individual needs of Residents who were relaxed and comfortable with them. A Resident confirmed that they were happy with the Staff working in the home. Staff and training records were not reviewed or discussed during this inspection however pre-inspection information confirms that there is a programme of training, which includes induction, and foundation training for new Staff. Barth Close C51 C08 S12702 Barth Close V223611 210605 Stage 4.doc Version 1.30 Page 18 Only a 20 of Staff have currently completed a National Vocational Qualification (NVQ). The National Minimum Standards expect at least 50 of Staff to have achieved this qualification to level 2 by 2005 to ensure that Staff are appropriately qualified to meet Residents needs. Barth Close C51 C08 S12702 Barth Close V223611 210605 Stage 4.doc Version 1.30 Page 19 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) 42 Actions are taken to protect Residents health and safety. EVIDENCE: Management arrangements were not discussed however as detailed under the staffing section the Registered Manager appears to be working the majority of her hours as a support worker. Review of the management hours should be carried out to ensure that there is adequate management and oversight of the home and Residents needs. No health and safety hazards were identified during the inspection. Relevant safety checks are carried out which include checks on fire safety equipment, electrical equipment and visits by the Environmental Health Officer. Information submitted regarding Staff training identifies that Staff receive relevant health and safety training and nine of the ten members of Staff hold a current first aid certificate. Barth Close C51 C08 S12702 Barth Close V223611 210605 Stage 4.doc Version 1.30 Page 20 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 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 2 x 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x x 2 x x Standard No 11 12 13 14 15 16 17 x 3 x x 3 x x Standard No 31 32 33 34 35 36 Score x x 3 x 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Barth Close Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x C51 C08 S12702 Barth Close V223611 210605 Stage 4.doc Version 1.30 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 6, 7 Regulation 12 (1) (a), 12 (2), 12 (3) 12 (1) (a ), 13 (4) (c ) 23 (2) (a) Requirement Care plans must include personal goals and demonstrate opportunities for personal development. Care plans and risk assessments must be in place to guide Staff in the management of specific behaviours. Proposals with timescales for providing adequte communal space to meet Residents needs must be forwarded to the Commission for Social Care Inspection. Timescale for action 30.09.05 2. 9 30.08.05 3. 28 30.08.05 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 35 Good Practice Recommendations A programme of Staff training should be implemented in order to achieve a minimum of 50 obtaining a National Vocational Qualification or equivalent in Learning Disabilities by 2005. Barth Close C51 C08 S12702 Barth Close V223611 210605 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection Northamptonshire Area Office Newland House, First Floor Campbell Square Northants, NN1 3EB 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 Barth Close C51 C08 S12702 Barth Close V223611 210605 Stage 4.doc Version 1.30 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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