Inspection on 14/09/05 for 76 Bodmin Road

This inspection was carried out on 14th September 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 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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

76 Bodmin Road 26/03/07

76 Bodmin Road 28/03/06

76 Bodmin Road 02/03/05

76 Bodmin Road 01/06/04

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 Bodmin Road (76) 76 Bodmin Road St Austell Cornwall PL25 5AG Lead Inspector Kerensa Livingstone Unannounced 14 September 2005 10:00 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 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. Bodmin Road (76) D52- D04 S8978 76 Bodmin Road V235199 140905 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Bodmin Road (76) Address 76 Bodmin Road, St Austell, Cornwall, PL25 5AG 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) 01726 74629 Mr David Roseveare Mrs Janet Roseveare Miss Lisa-Marie Shaw Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Bodmin Road (76) D52- D04 S8978 76 Bodmin Road V235199 140905 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 2 March 2005 Brief Description of the Service: 76 Bodmin Road is a large detached house with three storeys, within walking distance of the centre of St Austell. The Registered Manager and partner live in providing personal care to three adults who have a Learning Disability, in a family style home. The Registered Providers live locally and visit the home several times during the week. There is a drive, large garden and car park to the rear of the home with limited parking at the front. Service Users accommodation is provided on the first floor. On the ground floor there are two lounges, a dining room and conservatory. The meals are prepared in the kitchen where there is a dining area. There are opportunities for socialising and visitors are welcomed to the home. The home was observed to be clean, homely and tidy throughout. Bodmin Road (76) D52- D04 S8978 76 Bodmin Road V235199 140905 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an Unannounced Inspection that took place between 10.00am and 12.40pm. The Inspector looked at records, care plans, medication, Policies and Procedures and the environment. One Service User was at home and spoke highly of living in the home. What the service does well: What has improved since the last inspection? What they could do better: The main area needing attention is the record keeping as on the day of the Unannounced Inspection the daily record and food records were not available for inspection due to Information Technology problems. The Visitors Book could not be located. Bodmin Road (76) D52- D04 S8978 76 Bodmin Road V235199 140905 Stage 4.doc Version 1.30 Page 6 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. Bodmin Road (76) D52- D04 S8978 76 Bodmin Road V235199 140905 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 Bodmin Road (76) D52- D04 S8978 76 Bodmin Road V235199 140905 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) 1,2,3 & 4 Service Users are provided with information about the home and a full assessment is conducted to ensure the Service Users needs can be met, prior to admission to the home. EVIDENCE: The Statement of Purpose has been reviewed and reflects the services offered by the home. All Service Users have been provided with a copy of the Service User’s Guide, this has been updated to include the proposed increase to four Service Users. All three Service Users were fully assessed prior to moving into their home. No new Service Users have been admitted to the home since the last inspection and emergency admissions are not considered. Full multi agency assessments are completed in consultation with the Service User to ensure that their needs are met. Bodmin Road (76) D52- D04 S8978 76 Bodmin Road V235199 140905 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) 6,7,8,9 & 10 Service Users are fully assessed and are able to make decisions about how they wish to live their lives. EVIDENCE: All Service Users had full care plans in place, these are discussed with the Service User and reviewed six monthly. Service Users wishes and choices are documented within their records, any risk management factors include how these are managed for example finances, mobility, outside the home. Individual records are stored in a locked cabinet. The Registered Manager has a clear confidentiality Procedure for the home. Relatives are free to visit the home at anytime. Bodmin Road (76) D52- D04 S8978 76 Bodmin Road V235199 140905 Stage 4.doc Version 1.30 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 standard(s) 11, 12, 13, 14, 15 & 16 Service Users are afforded the opportunity to participate in a wide range of recreational and educative activities both inside and outside the home, the Home exceeds the minimum standard in this area. The home adopts a ‘family style’ with routines and rules based upon individual choice and developing independence. EVIDENCE: Service Users attend a wide range of structured daytime activities e.g. Blantyre, College. One Service User informed the inspector that they were attending college to do Information Technology, Fashion and Personal Social Care. Leisure activities and trips out are arranged as part of the family, for example shopping, meals out, church, swimming. The Inspector observed evidence of a range of leisure activities within the homes such as quizzes, music, sky television, jigsaws, scrabble and literacy games. One Service User attends Church and visits the local library. Service users can telephone their family and friends or visit them at any time. Family and friends can visit the home at any reasonable time and service users are able to receive their visitors in private; in their rooms or the lounge. Bodmin Road (76) D52- D04 S8978 76 Bodmin Road V235199 140905 Stage 4.doc Version 1.30 Page 11 Service users decide who they see and who they do not see. One service user attends the Women’s Fellowship meeting and goes bowling. Considerable thought is given to promoting independence whilst providing enough support to meet the individual’s needs. Bodmin Road (76) D52- D04 S8978 76 Bodmin Road V235199 140905 Stage 4.doc Version 1.30 Page 12 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, 19, 20 & 21 The Service Users receive the personal, physical and emotional support in a way that maximises their choice and dignity. EVIDENCE: The Service Users Individual plan demonstrates that personal care and support is planned depending on the Service Users wishes. This was confirmed by talking with a Service User. Medication is stored securely in a locked facility and a new box has been ordered following advice from the Pharmacist during a visit to the home. There is only one Service User prescribed medication currently, who has expressed a wish not to retain and administer their own medication. The Policy and Procedure for the Safe Handling of Medicines is brief, but specific to the Home. This would be developed further if required. Service Users wishes in all aspects of physical, emotional and spiritual needs are handled with respect. There is a Policy on Death and Ageing of a Service User. Individual wishes are discussed, as appropriate. Bodmin Road (76) D52- D04 S8978 76 Bodmin Road V235199 140905 Stage 4.doc Version 1.30 Page 13 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) 22 & 23 The home has established complaints and Protection of Vulnerable Adults Policies and Procedures. Service Users can receive help maintaining their legal rights. EVIDENCE: The Service Users are provided with clear information about how they can complain within the home and there are regular informal opportunities where feedback is gathered regarding outings, food etc. No formal complaints have been made within the home or to the Commission for Social Care Inspection. There are clear Policies and Procedures within the home for the Protection of Vulnerable Adults, which include Whistleblowing. Bodmin Road (76) D52- D04 S8978 76 Bodmin Road V235199 140905 Stage 4.doc Version 1.30 Page 14 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, 26, 27, 28, 29 & 30 The home’s premises are suited to the Service Users needs providing a clean, hygienic and homely environment. EVIDENCE: There is plenty of natural light and ventilation within the home. Service Users rooms are single, individualised and comfortable. There are two lounges, a conservatory, dining room and large garden. This provides plenty of communal space for activities or for quiet time alone. There is a large family bathroom, with corner bath, shower and toilet that appears to meet the needs of the Service Users. The home was observed to be clean and tidy on the day of the unannounced inspection. Bodmin Road (76) D52- D04 S8978 76 Bodmin Road V235199 140905 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34, 35 & 36 No staff are employed within the home, the Service Users are cared for my family members. EVIDENCE: All family members have completed Criminal Records Bureau checks. The Registered Manager is aware of the need for Service Users to be supported by competent individuals who undertake regular training. Bodmin Road (76) D52- D04 S8978 76 Bodmin Road V235199 140905 Stage 4.doc Version 1.30 Page 16 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) 37, 38, 40, 41 & 42 The Service Users appear to live in a well run home. EVIDENCE: The Registered Manager is undertaking her National Vocational Qualification Registered Managers Award. Advice has been sought from the Environmental Health Officer as required from the previous inspection, risk assessments are required within the home for unregulated hot water, hot surfaces e.g. radiators and unrestricted windows. Gas and electrical certification (For Hard wiring and appliances) were evident for the 1.9.05 and the 26.7.05 respectively. The Manager and partner have the Basic Food Hygiene certificate, in addition to one of the Providers. Policies and Procedures have been written in relation to Health and Safety, these are dated and signed. A Food Hygiene risk assessment has been completed for the Environmental Health Officer and the Inspector was informed that no further action was required. Bodmin Road (76) D52- D04 S8978 76 Bodmin Road V235199 140905 Stage 4.doc Version 1.30 Page 17 The Visitors Book was not available on the day of the Inspection; the Registered Manager must keep a record of all visitors to the home. Records are kept in a locked cabinet. The need for daily records to be available rather than stored on a computer where discussed and the Registered Manager plans to return to a previously successful recording system. Bodmin Road (76) D52- D04 S8978 76 Bodmin Road V235199 140905 Stage 4.doc Version 1.30 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 3 3 3 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 4 4 3 3 3 3 x Standard No 31 32 33 34 35 36 Score N/A N/A N/A N/A N/A N/A CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Bodmin Road (76) Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 2 2 x D52- D04 S8978 76 Bodmin Road V235199 140905 Stage 4.doc Version 1.30 Page 19 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 YA10, YA41 Regulation 17(2) Requirement The Registered Manager must ensure that the records listed in Schedule 3 and 4 are in the home at all times (Previous timescale of 15th of Mar 05 not met) . The Registered Provider having sought advice from the Environmental Health Officer in regard to maintaining health and safety in the home must ensure that there are risk assessments for all environmental risks e.g. hot water, hot surfaces, unrestricted windows. Timescale for action 1st Oct 05 2. YA42 23(5) 1st Dec 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 Good Practice Recommendations Bodmin Road (76) D52- D04 S8978 76 Bodmin Road V235199 140905 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection John Keay House Tregonissey Road St Austell PL25 4AD 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 Bodmin Road (76) D52- D04 S8978 76 Bodmin Road V235199 140905 Stage 4.doc Version 1.30 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. 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!