CARE HOME ADULTS 18-65
Bodmin Road (76) 76 Bodmin Road St Austell Cornwall PL25 5AG Lead Inspector
Kerensa Livingstone Unannounced Inspection 28th March 2006 09:30 Bodmin Road (76) DS0000008978.V264723.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 Bodmin Road (76) DS0000008978.V264723.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. Bodmin Road (76) DS0000008978.V264723.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Bodmin Road (76) Address 76 Bodmin Road St Austell Cornwall PL25 5AG 01726 74629 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) 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) DS0000008978.V264723.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 14th September 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 with their daughter, a recent new addition to the family, 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) DS0000008978.V264723.R01.S.doc Version 5.1 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 knows this home well having visited here for several years. The Inspector looked at record keeping, Policies and Procedures and the environment. All three Service Users were attending full time day activities on the day of the inspection. On previous inspection the Inspector has met with the Service Users and the comments about their home have been very positive. What the service does well: What has improved since the last inspection? What they could do better:
The Registered Manager is aware of the need for family members who support the Service Users to undertake regular training. The Registered Manager’s partner will be undertaking a more day-to-day role within the home, therefore training must be provided. Bodmin Road (76) DS0000008978.V264723.R01.S.doc Version 5.1 Page 6 Previously feedback had been gathered from the Service Users and recorded in a diary and/or a meeting held to discuss issues, understandably this has lapsed over previous months. The Registered Manager plans to restart this and include feedback from other stakeholders. Policies and Procedures are due to be reviewed. There is evidence of reinvestment in the home. The Registered Providers must provide evidence of financial viability and of Employer’s Liability insurance as a routine part of the annual inspection process. 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) DS0000008978.V264723.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 Bodmin Road (76) DS0000008978.V264723.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): 1&5 Service Users are provided with information about the home, this information has been reviewed and no new Service Users have come to live at the home since the last inspection. Service Users are provided with written terms and conditions. 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. The Service Users have contracts, which include terms and conditions with the Home, as well as Social Services contracts. These are signed by the Service User and make reference to the Service Users plan, a copy is provided as required. Bodmin Road (76) DS0000008978.V264723.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): 7, 8 & 9 Service Users are able to make decisions about how they wish to live their lives and are supported to take risks. The Service Users fully participate in the decision making in the home. EVIDENCE: 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. The three Service Users fully participate in all aspects of the running of the home, this home is a ‘family home’ and offers everything that this includes e.g. regular outings, watching television or a video together, going for a walk. The recording of the daily diary for each Service User has recommenced and the Registered Manager plans to keep this up to date on a daily basis. Bodmin Road (76) DS0000008978.V264723.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): 11, 14 & 17 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 has discussed their pleasure at 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. The menu is flexible and can respond to individual requests, in a family way. Service users have a variety of meals at the day centre and this has to be
Bodmin Road (76) DS0000008978.V264723.R01.S.doc Version 5.1 Page 11 considered when organising the menu. Snacks and drinks are freely available. Special diets could be provided if required. Advice has been provided about healthy eating and exercise. Service users help to choose and prepare their food. Special meals are provided for birthdays Christmas and other treats. Nutritional preferences and food diaries are maintained. Bodmin Road (76) DS0000008978.V264723.R01.S.doc Version 5.1 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 the following standard(s): EVIDENCE: These standards were not assessed at this inspection. However they all met the minimum standards at the last inspection on the 14th of September 2005. Bodmin Road (76) DS0000008978.V264723.R01.S.doc Version 5.1 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 the following standard(s): 22 There is a clear complaints procedure and Service Users know who to speak to if they have any concerns. EVIDENCE: The Commission have received no complaints in respect of this home. No complaints have been received within the home. A Complaints Procedure has been written that includes time frames and the three Service Users have been informed that there is a complaints forms if they wish to write a complaint down. The Service Users are aware of whom to speak to if they have any concerns or comments. Bodmin Road (76) DS0000008978.V264723.R01.S.doc Version 5.1 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 the following standard(s): 28 & 30 The home’s premises are suited to the Service Users needs providing a clean, hygienic and homely environment. EVIDENCE: The lounges, kitchen with dining table, conservatory and Service User’s accommodation are decorated to a good standard in a homely and comfortable way. The Service Users use the communal spaces within the home freely as these are shared areas for the family as well. The home was observed to be clean, tidy and hygienic on the day of the inspection, which is consistent with other unannounced inspections. Bodmin Road (76) DS0000008978.V264723.R01.S.doc Version 5.1 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): No staff are employed within the home, the Service Users are cared for by family members. EVIDENCE: All family members have completed Criminal Records Bureau checks. The Registered Manager is aware of the need for family members who support the Service Users to undertake regular training. These standards were not assessed at this inspection. The Registered Manager’s partner will be undertaking a more day-to-day role within the home, therefore training must be provided. Bodmin Road (76) DS0000008978.V264723.R01.S.doc Version 5.1 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 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): 39, 42 & 43 The Service Users appear to live in a well run home. EVIDENCE: The Registered Manager is undertaking her National Vocational Qualification Registered Managers Award and plans to commence her National Vocational Qualification Level 4 in care. Hot surfaces are uncovered, hot water is unregulated and windows are not restricted. Advice has been sought from the Environmental Health Officer and the Registered Manager and Providers have assessed that these risks are manageable. Risk assessments have been completed for these areas, bathing must be included. The daily records are being kept in a diary format including all aspects of personal and social care are included e.g. activity, outings, education, diet. Bodmin Road (76) DS0000008978.V264723.R01.S.doc Version 5.1 Page 17 Previously feedback had been gathered from the Service Users and recorded in a diary and/or a meeting held to discuss issues, understandably this has lapsed over previous months. The Registered Manager plans to restart this and include feedback from other stakeholders. Policies and Procedures are due to be reviewed. There is evidence of reinvestment in the home. The Registered Providers must provide evidence of financial viability and of Employer’s Liability insurance as a routine part of the annual inspection process. Bodmin Road (76) DS0000008978.V264723.R01.S.doc Version 5.1 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 Standard No Score 1 3 2 X 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 x ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 4 4 3 X LIFESTYLES Standard No Score 11 4 12 X 13 X 14 4 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X X X 2 X X 3 2 Bodmin Road (76) DS0000008978.V264723.R01.S.doc Version 5.1 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. 1. Standard YA39 Regulation 24 Requirement The Registered Person shall establish and maintain a system for reviewing and improving the quality of care provided at the care home. The Registered person shall supply the Commission with a report in respect of any review conducted and make a copy available to the Service Users. The Registered Persons shall provide the Commission with evidence of financial viability and Employer’s Liability insurance. Timescale for action 01/06/06 2. YA43 25(2) 01/06/06 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 Bodmin Road (76) DS0000008978.V264723.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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