Inspection on 14/03/06 for Apple Blossom Court

This inspection was carried out on 14th March 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Apple Blossom Court 17/07/08

Apple Blossom Court 26/09/07

Apple Blossom Court 12/12/06

Apple Blossom Court 08/06/06

Apple Blossom Court 21/11/05

Apple Blossom Court 15/03/05

Apple Blossom Court 26/07/04

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 Apple Blossom Court 1 Falkland Road Wallasey Wirral CH44 8EN Lead Inspector Helen Carton Unannounced Inspection 14th March 2006 15:10p Apple Blossom Court DS0000018860.V287422.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 Apple Blossom Court DS0000018860.V287422.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. Apple Blossom Court DS0000018860.V287422.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Apple Blossom Court Address 1 Falkland Road Wallasey Wirral CH44 8EN 0151 637 0988 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) Apple Blossom Lodge Limited Claire Halilogullari Care Home 17 Category(ies) of Learning disability (17) registration, with number of places Apple Blossom Court DS0000018860.V287422.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st November 2005 Brief Description of the Service: Apple Blossom Court is a large detached house in a residential area of Wallasey, close to local shops, community facilities and bus routes. Bedrooms are on three floors and are all single rooms there is a separate dining room, a large communal lounge and an activity room on the ground floor. To the rear of the home there is an enclosed patio/garden area that is accessed through patio doors in the main lounge or through the kitchen door. Apple Blossom Court DS0000018860.V287422.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. There were 15 residents’, living at Apple Blossom Court at the time of the visit. The inspection was unannounced and took approximately three hours. The inspector had a heavy cold and did not feel it was appropriate to speak to residents’ or members of the staff team. The home does not have a registered manager the acting manager had meetings to attend resulting in the inspection being conducted with the company’s registered manager form their other home. What the service does well: What has improved since the last inspection? The manager form the company’s other home has worked hard to set up residents’ meetings to find out what is important to them and if the home is providing them with the things they want and need. This compliments the home’s use of an in house pictorial/large print questionnaire to assist residents to make their views heard. The home is also asking other people who support the residents outside the home to help them complete questionnaires, which asks them questions about the home and how it is run and staffed. The staff team have taken part in training about protecting vulnerable people from abuse and poor care practices. Apple Blossom Court DS0000018860.V287422.R01.S.doc Version 5.1 Page 6 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. Apple Blossom Court DS0000018860.V287422.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 Apple Blossom Court DS0000018860.V287422.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): 1,2 & 5 The home’s Statement of Purpose and Service User Guide provides good information for residents, prospective residents and their representatives about the home. However more detailed information is required with regard to the ethos and care practices within the home. Contracts provided to residents are detailed and provide residents’ and their representatives clear information regarding their terms of residency. The home has a comprehensive assessment tools to ensure prospective residents’ needs are fully assessed prior to an offer of a placement being made. EVIDENCE: The home has produced a detailed Statement of Purpose and Service User Guide. To assist prospective residents’ and their relatives and representatives to decide if Apple Blossom Lodge is the right home for them. In the last inspection report a requirement was made to include greater detail regarding the ethos and care practices within the home. During this inspection the manager told the inspector following the inspection in the company’s other home work would be carried out on these documents to provide detail and clarity with regard to the above issues. Residents contracts provide detailed information with copies of residents’ care plans and risk assessments attached to ensure the resident, their Apple Blossom Court DS0000018860.V287422.R01.S.doc Version 5.1 Page 9 representatives and the placing authority are fully aware of the care and support to be provided. The home has a comprehensive pre admission assessment tool that gains detailed information regarding prospective residents’ care and behavioural needs. Apple Blossom Court DS0000018860.V287422.R01.S.doc Version 5.1 Page 10 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, 7, 8 & 9 The care planning and risk management strategies in place are good and provide the staff team with the information they need to satisfactorily meet residents’ needs. The home seeks the views of residents’ in decision making about their personal lives and how the home is run. EVIDENCE: The home has detailed care plans, risk assessments and management plans, which provide the staff team with good information and guidance as to the most appropriate care and support to be provided to residents’. Care plans indicated specialist needs with training records showing specialist advice, support and training had been sought to enable the staff team to support individuals with their changing needs. The staff team have received restraint training carried out by a British Institute of Learning Disabilities (BILD) accredited trainer. Apple Blossom Court DS0000018860.V287422.R01.S.doc Version 5.1 Page 11 Care plans and risk assessments detail if there is a possibility that physical restraint may be used. The manager told the inspector residents’ reviews would include information regarding restraint used or infringement on residents’ choices due to risk factors being too great. This information will be shared with all appropriate parties with a copy of the minutes and care plans being forwarded to the placing authority if they are unable to attend the review. The home has received advice from MENCAP and has introduced residents’ meetings. At the moment a member of the staff team is facilitating them until the group is established these meetings are recorded. Apple Blossom Court DS0000018860.V287422.R01.S.doc Version 5.1 Page 12 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 & 16 Links with the community are good and support residents’ social opportunities. Consultation with service users is improving with documentary indicating residents’ views are sought and acted upon. Documentation indicates the staff team have an understanding of residents’ support needs, which helps to foster positive relationships. EVIDENCE: The home maintains a residents’ activity file, which indicates residents’ are supported to take part in a range of community activities. Residents are able to attend a range of evening clubs run by members of MENCAP. A number of the residents’ attend soft play sessions for sensory stimulation and enjoyment. Since the last visit to the home the manager has produced a clear policy and procedure with regard to the use of mobile phones by members of the staff team while out in the community with residents’. Apple Blossom Court DS0000018860.V287422.R01.S.doc Version 5.1 Page 13 The inspector viewed a residents’ holiday file which indicates the home have supported the individual to make an informed choice about where to go on holiday. The manager discussed with the inspector the difficulty the home as in supporting residents’ to access further education facilities. As there is a time limit of three years for free and open access to courses for adults with a learning disability. The manager told the inspector she would continue to seek out enjoyable and challenging activities for residents’. The manager told the inspector coffee afternoons are being held once a month with relatives and friends invited to by word of mouth. Since the last visit to the home the manager has sent out questionnaires to clubs and training centres attended by residents’ and asked them to support the individuals to complete them. The manager hopes this will give a more accurate picture about how residents’ view the home. Apple Blossom Court DS0000018860.V287422.R01.S.doc Version 5.1 Page 14 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): 18 & 19 The home endeavours to meet the emotional and health care needs of residents’. The home’s care planning systems provide the staff team with good information enabling them to provide personal care in the most appropriate manner. EVIDENCE: Care plans provide detailed information regarding the personal care needs of residents’ this includes information about the level of personal care support needed from verbal prompting to total support. Records show where the needs of residents’ are changing the home proactively seeks support from specialist services and provides support according to the advice and guidance provided. Apple Blossom Court DS0000018860.V287422.R01.S.doc Version 5.1 Page 15 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 & 23 The home has a satisfactory complaints system with some evidence that residents’ concerns are listened to and acted upon. The home’s policy and procedures protect residents’ from abuse, neglect and self-harm. EVIDENCE: The manager from the company’s sister home has carried out a piece of work to produce the Younger Adults National Minimum Standards in a user-friendly format for residents’. She has also produced a complaints procedure in a similar format and intends to add photographs of the management team and owners’ to enable residents to know who to talk to if they are worried about anything. Since the last visit one of the directors of the company and the staff team have undertaken protection of vulnerable adults training. The staff team are also undertaking NVQ level 3 training which covers issues of abuse and the impact of poor practice on residents’. The home is awaiting the revised Wirral social services Protection of Vulnerable Adults policy and procedure guide and the subsequent training. Apple Blossom Court DS0000018860.V287422.R01.S.doc Version 5.1 Page 16 Apple Blossom Court DS0000018860.V287422.R01.S.doc Version 5.1 Page 17 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 The furnishing and decoration within the home is of an acceptable standard. EVIDENCE: The home has a maintenance programme and employs a handyman to carryout repairs to the home. Many of the residents have purchased bedroom furniture for themselves, which is detailed in their property log. All areas of the home viewed during this visit were clean and tidy. Apple Blossom Court DS0000018860.V287422.R01.S.doc Version 5.1 Page 18 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, 34 & 35 The home demonstrates a commitment to continuing professional development through the training being undertaken. The recruitment and selection policies and procedures protect residents’ from the risk of abuse or poor practice. EVIDENCE: The staff team are undertaking NVQ level 3 training with specific units in supporting adults with a learning disability being included. The staff team and a director of the company have undertaken protection of vulnerable adults training. The staff team and one director of the company have undertaken restraint training provided by a BILD accredited trainer. A selection of staff files were examined all checks required to be made prior to the offer of employment being made had been carried out with detailed and appropriate records being maintained. Apple Blossom Court DS0000018860.V287422.R01.S.doc Version 5.1 Page 19 Apple Blossom Court DS0000018860.V287422.R01.S.doc Version 5.1 Page 20 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 & 42 The home does not have a registered manager resulting in a lack of awareness of roles, responsibilities and accountability. The home promotes and protects residents’ health and safety. EVIDENCE: The home does not have a registered manager. With the acting manager being responsible for the day-to-day management of the home under the close supervision of the registered manager of the company’s other home. The inspector is concerned the acting manager is not taking the full responsibility the role of manager entails with all major decisions being made by the manager of the company’s other home. This situation will have an effect on who the staff team and residents’ view as the person in charge who can effect real change. The accident/incident book was well maintained. Apple Blossom Court DS0000018860.V287422.R01.S.doc Version 5.1 Page 21 The fire logbook was maintained with all checks and drills being carried out within the stated timescales. Apple Blossom Court DS0000018860.V287422.R01.S.doc Version 5.1 Page 22 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 2 2 3 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 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 X 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 X X 2 2 X X X 3 X Apple Blossom Court DS0000018860.V287422.R01.S.doc Version 5.1 Page 23 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 YA1 Regulation 4 Requirement The registered persons must ensure the Statement of Purpose provides detailed information regarding the range and complexity of needs they can provide for. The registered persons must ensure a completed application form to register a manager is forwarded to the Commission within the stated timescale. Timescale for action 30/05/06 2 YA37 8 30/05/06 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 Apple Blossom Court DS0000018860.V287422.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 Apple Blossom Court DS0000018860.V287422.R01.S.doc Version 5.1 Page 25 - 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. 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