Inspection on 08/06/06 for Apple Blossom Court

This inspection was carried out on 8th June 2006.

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 1 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 14/03/06

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 Lynn Sharples Unannounced Inspection 8th June 2006 09:30 Apple Blossom Court DS0000018860.V289505.R01.S.doc Version 5.2 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.V289505.R01.S.doc Version 5.2 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.V289505.R01.S.doc Version 5.2 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.V289505.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Ms Halilogullari is to successfully complete the NVQ Level 4 Care/Registered Managers Award by 2005. 14th March 2006 Date of last inspection 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.V289505.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. There were 15 service users, living at Apple Blossom Court at the time of the visit. The home did not know about the visit and took approximately four hours. The inspector spoke to service users, the acting manager, the manager from the other home and staff on duty. The inspector read files and looked round the home. What the service does well: What has improved since the last inspection? What they could do better: The owners of the home must make sure a person who has been registered with The Commission for Social Care Inspection is managing the home. Apple Blossom Court DS0000018860.V289505.R01.S.doc Version 5.2 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. Apple Blossom Court DS0000018860.V289505.R01.S.doc Version 5.2 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.V289505.R01.S.doc Version 5.2 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. Quality in this outcome is good. This judgement has been made using available evidence including a visit to this service. The homes Statement of Purpose and Service User guide provide service users and prospective service users with details of the services the homes provides enabling an informed decision about admission to the home. EVIDENCE: The home’s Statement of Purpose and Service Users Guide contains all the relevant information. The Statement of Purpose has been updated since the last inspection. The home has a comprehensive pre admission assessment tool that gains detailed information regarding prospective service users care and behavioural needs. A sample of service users contracts were examined and found to provide detailed information with copies of service users care plans and risk assessments attached to ensure the service user, their representatives and the placing authority are fully aware of the care and support to be provided. Apple Blossom Court DS0000018860.V289505.R01.S.doc Version 5.2 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): 6,7,9 Quality in this outcome is adequate. This judgement has been made using available evidence including a visit to this service. There is a clear care planning system in place to provide staff with the information they need to meet service users needs. EVIDENCE: A sample of service user plans were examined and contained detailed and clear information to enable staff to provide appropriate support around day-to-day living and personal goals. These plans are reviewed regularly. The staff said that residents meetings are held regularly and are chaired by a member of staff. Risk assessments are undertaken and recorded for all situations that are potentially hazardous for service users and staff. Care plans and risk assessments detail if there is a possibility that physical restraint may be used. The acting manager said that service user reviews would include information regarding restraint used or infringement on residents’ choices due to risk factors being too great. This information will be Apple Blossom Court DS0000018860.V289505.R01.S.doc Version 5.2 Page 10 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. Apple Blossom Court DS0000018860.V289505.R01.S.doc Version 5.2 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 the following standard(s): 12,13,15,16,17 Quality in this outcome is good. This judgement has been made using available evidence including a visit to this service. Service users engage in community and leisure activities appropriate to their age. Dietary needs of service users are well catered for with a balanced and varied selection of food available that meets service users tastes and choices. EVIDENCE: None of the current service users are in employment; some service users attend local day services, on the day of the inspection 10 service users were at three different services. Staff support service users to be part of the local community and evidence of this practice was demonstrated on the day of inspection. In each service users file there is an activity chart that indicated that the service users access a variety of community based activities and the daily records indicate that service users go out regularly. Apple Blossom Court DS0000018860.V289505.R01.S.doc Version 5.2 Page 12 The service users said that they enjoyed going out and liked living at the home. The service users files indicate that some service users have regular contact with their family, some service users have independent advocates. The acting manager said that there is a difficulty in supporting service users 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 said that she would continue to seek out enjoyable and challenging activities for residents’. At lunch the service users ate a variety of meals, individually chosen by the service user, most were hot meals. The meal was served in a relaxed environment, with staff sitting with service users. The Pre Inspection Questionnaire included one sample menu and one menu was examined on the day, the fridges and cupboards were examined which demonstrated that service users have a varied and nutritional diet. Apple Blossom Court DS0000018860.V289505.R01.S.doc Version 5.2 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 the following standard(s): 18,19,20 Quality in this outcome is good. This judgement has been made using available evidence including a visit to this service. The service users receive the appropriate personal support in the way they prefer and require. The service users’ physical and health needs are met, care plans are in place for service users and appropriate health care services are made available. Service users are protected by the home’s policies and procedures for handling and administrating medicines. EVIDENCE: The care plans read provide detailed information regarding the personal care needs of service users this includes information about the level of personal care support needed from verbal prompting to total support. Services users are registered with local general practitioners and some are linked to the specialist learning disability services at Ashton House. There was evidence that the service users visit a variety of health professionals including: - chiropodist, dentist and opticians. All service users in the home can access their NHS entitlements. Apple Blossom Court DS0000018860.V289505.R01.S.doc Version 5.2 Page 14 Medicines were being managed appropriately. “Blister packs” are used and the staff that administer medicines are trained to do so. The Medication Administration Records were examined and some of the medication in the medicine cabinet. The home has a medication policy. The staff who administer medication have received training from a pharmacist. None of the current service users would be able to manage their own medicines. The manager from the other home explained that they had sought advice from a pharmacist regarding recording the PRN administration of paracetamol. Apple Blossom Court DS0000018860.V289505.R01.S.doc Version 5.2 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 Quality in this outcome is adequate. This judgement has been made using available evidence including a visit to this service. There is a complaints process with information that ensures complaints and concerns will be listened to, taken seriously and acted upon. EVIDENCE: The organisation has a complaints policy and procedure. There has been one complaint received since the last inspection. There is an Adult Protection policy that including a whistle blowing procedure. There is also a copy of the “No Secrets” policy. The staff have received training regarding Protection of Vulnerable Adults. They were able to demonstrate a clear understanding of their role as alerter to incidents or allegations of abuse. Apple Blossom Court DS0000018860.V289505.R01.S.doc Version 5.2 Page 16 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): 24,25,30 Quality in this outcome is adequate. This judgement has been made using available evidence including a visit to this service. The standard of the décor and furnishing within the home creates a comfortable environment for service users. EVIDENCE: On the day of this inspection the home was clean and tidy. There were no offensive odours. The home has a good allocation of housekeeping time and staff work hard to maintain the environment to a good standard of cleanliness. The tour of the building included looking at some bedrooms; these were decorated with individuals’ belongings and tastes. There is a large kitchen, which the service users can access; on the first floor there is another kitchen area, where service users can engage in daily living skills. There is one dining room with several tables service users also use this area to engage with tabletop activities. There is a large lounge with a television this leads to a patio/garden area, that the service users can access, which is secure. There is an area with a pool table. Apple Blossom Court DS0000018860.V289505.R01.S.doc Version 5.2 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 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 Quality in this outcome is adequate. This judgement has been made using available evidence including a visit to this service. The recruitment and selection policies and procedures protect residents’ from the risk of abuse or poor practice. EVIDENCE: Some staff were observed to listen and communicate well with the service users. One staff member was observed communicating inappropriately with a service user, this was reported to the manager from the other home, who agreed it was inappropriate and would speak to the staff member. Some of the staff team have the NVQ 3, the remaining staff are registered to commence the training but are awaiting funding. The staff have all undertaken a British Institute of Learning Disabilities (BILD) accredited physical intervention training. The staff rotas indicate that there are adequate staff levels to ensure the needs of the service users are met. There are staff meetings every two weeks and once a month there are senior staff meetings, which is attended by staff from the other home. Apple Blossom Court DS0000018860.V289505.R01.S.doc Version 5.2 Page 18 A sample of staff records indicated that two written references and CRB checks had been sought. The new staff members receive an induction and statements of terms and conditions. The staff team have received training on Alzheimer’s and Downs Syndrome, adult protection, physical intervention and medication. Apple Blossom Court DS0000018860.V289505.R01.S.doc Version 5.2 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 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): 37,39,42 Quality in this outcome is adequate. This judgement has been made using available evidence including a visit to this service. The record of self-review by the registered provider provides the home with quality assurance. 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 responsible individual visits regularly and records their visits once a month. The accident/incident book was well maintained. The fire logbook was maintained with all checks and drills being carried out within the stated timescales. Apple Blossom Court DS0000018860.V289505.R01.S.doc Version 5.2 Page 20 Apple Blossom Court DS0000018860.V289505.R01.S.doc Version 5.2 Page 21 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 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 3 26 X 27 X 28 X 29 X 30 3 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 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 3 X X 3 X Apple Blossom Court DS0000018860.V289505.R01.S.doc Version 5.2 Page 22 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 YA37 Regulation 8 Requirement The registered persons must ensure a completed application form to register a manager is forwarded to the Commission within the stated timescale. (This requirement remains outstanding 14/03/06). Timescale for action 11/08/06 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.V289505.R01.S.doc Version 5.2 Page 23 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.V289505.R01.S.doc Version 5.2 Page 24 - 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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