Inspection on 18/10/05 for 63-65 Bardsley Drive

This inspection was carried out on 18th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

63-65 Bardsley Drive 27/07/09

63-65 Bardsley Drive 10/06/08

63-65 Bardsley Drive 13/06/07

63-65 Bardsley Drive 19/04/05

63-65 Bardsley Drive 02/09/04

63-65 Bardsley Drive 06/04/04

Similar services:

Insight - Eastchurch

Southfields

Thorndene

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Bardsley Drive (63/65) Bardsley Drive 63/65 Bardsley Drive Farnham Surrey GU9 8UQ Lead Inspector Fiona Cole Unannounced Inspection 18th October 2005 10:00 Bardsley Drive (63/65) DS0000013525.V259308.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 Bardsley Drive (63/65) DS0000013525.V259308.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. Bardsley Drive (63/65) DS0000013525.V259308.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Bardsley Drive (63/65) Address Bardsley Drive 63/65 Bardsley Drive Farnham Surrey GU9 8UQ 01252 727148 01999 999999 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) Thames and Chiltern Trust Ltd Ms Zoe Measures Care Home 3 Category(ies) of Learning disability (3), Mental disorder, registration, with number excluding learning disability or dementia (1) of places Bardsley Drive (63/65) DS0000013525.V259308.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The age/age range of the persons to be accommodated will be 35-65 YEARS One of the persons accommodated may be within the category (MD) in addition to being within the category (LD) There must be one to one support to the named service users 24hours (including `sleeping nights` during his stay at the home. 19th April 2005 Date of last inspection Brief Description of the Service: 65/67 Bardsley Drive has been developed from two independent semi-detached houses to an integrated establishment whereby the some of the facilities are shared. It provides accommodation for 3 adults with learning disabilities. The house is located in a quiet residential road and within walking distance of Farnham town centre. The home has its own transport to support service users to access the wider community. There is off street parking at the front of the property, for two vehicles. The bedrooms are all sited upstairs in both halves of the house. In addition, the ground floor area in both houses has a kitchen/diner and comfortable sitting room. The rear garden of the house Is made up of one large patio area, with garden furniture. This is used as additional communal area, particularly in the summer months. Age range of persons accommodated 18-65years Bardsley Drive (63/65) DS0000013525.V259308.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit was the home’s second inspection for the year 2005/2006. This was an unannounced visit, which meant that staff and residents were unaware that it was due to happen. The inspector arrived at 09.45 and spent the first part of the inspection with the service users having coffee and toast in their kitchen. An interesting and forthcoming chat took place with the service users. The atmosphere in the home is warm and friendly; this helps the service users to know and understand that this is their home. The service users told the Inspector that they were supported in a positive way to make choices and enjoy their chosen activities. Routines in the home were flexible and Service users make choices about how they wish to spend their time. The service users talked about their activities, including visiting clubs, walking, going to the library, riding, holidays and love of music in varying forms from classical to pop. A tour of the premises took place and there were no changes since the last inspection and the home remains in good decorative order. The inspection was brief in content, as most of the standards had been covered on the previous unannounced inspection that took place on 19th April 2005. This allowed more time to be spent with the service users. What the service does well: The service users were given the freedom to participate in as many activities as they are able and wish, and are able to go on holidays of their choice. They led busy lives, taking part in lots of different activities, riding, walking, drives in the car, music, art, shopping, going to the Library and cinema. Bardsley Drive (63/65) DS0000013525.V259308.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? 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. Bardsley Drive (63/65) DS0000013525.V259308.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 Bardsley Drive (63/65) DS0000013525.V259308.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): The service continues to meet the core standard please refer to the previous inspection report dated 19 April 2005. EVIDENCE: Bardsley Drive (63/65) DS0000013525.V259308.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): The service continues to meet the core standard please refer to the previous inspection report dated 19 April 2005. EVIDENCE: Bardsley Drive (63/65) DS0000013525.V259308.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 and 17 Service users have an active life style, enjoying various activities that take place inside and outside the home and as part of the community. The food in the home was enjoyed by the service users and appeared nutritional and met each individual service users needs. EVIDENCE: The service users take part in a large and varied activities programme throughout the week. Examples given by the service users were riding, walking, shopping, going to the Library, cinema, going to the pub, Art and Music sessions listening and enjoying a varied selection of music from classical to pop. Risk assessments were in place where necessary. The service users enjoyed nutritionally balanced meals, which catered for all their likes and dislikes. This was discussed with each service user. Bardsley Drive (63/65) DS0000013525.V259308.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): 20 Medication records are now monitored to ensure a clear audit trail between the service users medication profiles and their medication administration records. EVIDENCE: Medication records were examined and the requirement made on the last inspection, to ensure that there was a clear audit trail between the service users medication profiles and their administration records, had been met. Records examined were correct. These highlighted that staff were signing the MAR (Medication Administration Records) when medication was given. Medication quantities were also being recorded to ensure they matched the prescriptions. Bardsley Drive (63/65) DS0000013525.V259308.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): The service continues to meet the core standard please refer to the previous inspection report dated 19 April 2005. EVIDENCE: Bardsley Drive (63/65) DS0000013525.V259308.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 and 30 The home was homely, comfortable, clean, tidy and safe and met standard 24 and 30. EVIDENCE: During the tour of the home it was seen to be homely, clean and tidy. Service users help to clean and tidy their own rooms when they are able. Bardsley Drive (63/65) DS0000013525.V259308.R01.S.doc Version 5.0 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): The service continues to meet the core standard please refer to the previous inspection report dated 19 April 2005. EVIDENCE: Bardsley Drive (63/65) DS0000013525.V259308.R01.S.doc Version 5.0 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 and 41 The home was well run and organised. Evidence collected when viewing 2 care plans, confirmed that the home meets the assessed needs of the service users EVIDENCE: Service users are key to the running of this home. They choose what activities, in and out of the home; they would like to take part in and also where they would like to go. The service user, in discussion with the staff, decides this. Risk assessments are in place where necessary. 2 care plans were looked at during the inspection and it was noted that they included information that was personal to the individual service user, recording their healthcare needs, choices and lifestyle. Bardsley Drive (63/65) DS0000013525.V259308.R01.S.doc Version 5.0 Page 16 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 X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 4 X X X X X 3 LIFESTYLES Standard No Score 11 4 12 4 13 4 14 4 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Bardsley Drive (63/65) Score X X 3 x Standard No 37 38 39 40 41 42 43 Score 4 X X X 3 X X DS0000013525.V259308.R01.S.doc Version 5.0 Page 17 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 Bardsley Drive (63/65) DS0000013525.V259308.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Bardsley Drive (63/65) DS0000013525.V259308.R01.S.doc Version 5.0 Page 19 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!