Inspection on 13/03/06 for Badgers

This inspection was carried out on 13th March 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 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

Badgers 24/05/07

Badgers 22/11/05

Badgers 28/02/05

Badgers 13/10/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Badgers 53 Rayleigh Avenue Eastwood Leigh On Sea Essex SS9 5DN Lead Inspector Valerie Buckle Unannounced Inspection 13th March 2006 10:00 Badgers DS0000015519.V277710.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 Badgers DS0000015519.V277710.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. Badgers DS0000015519.V277710.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Badgers Address 53 Rayleigh Avenue Eastwood Leigh On Sea Essex SS9 5DN 01702 526027 01702 526027 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) The Field Lane Foundation Ms Catherine Joy Sutton Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Badgers DS0000015519.V277710.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Excluding any person who is liable to be detained under the provisions of the Mental Health Act 1983 22nd November 2005 Date of last inspection Brief Description of the Service: Badgers is a care home with nursing for nine residents with severe learning disabilities. It is situated in Rayleigh close to local shops and transport. The home has its own transport. It is purpose built accommodation on one level. There are seven single rooms and one double, a large lounge and dining area, a sensory room, laundry and two bathrooms, both with assisted baths. The entrance area and side of the premises are used as an office. There is a large garden to the rear which is available to all the residents. The home employs the services of an aromatherapist and a reflexologist. Badgers DS0000015519.V277710.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection which took place over three hours. There was a tour of the premises and an inspection of some records and documentation. The acting manager and Deputy assisted in the process of the inspection, the one good practice recommendation from the last inspection had been met. There are no requirements arising from this inspection. What the service does well: 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. Badgers DS0000015519.V277710.R01.S.doc Version 5.1 Page 6 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 Badgers DS0000015519.V277710.R01.S.doc Version 5.1 Page 7 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): 3,4,5 New residents have the information they need to make a choice about living at the home, new residents are assessed prior to admission to the home and have opportunities to visit the home on a trial basis. Each resident has a contract with the home and a statement of terms and conditions. EVIDENCE: The home provides information which includes the Statement of Purpose and Service Users Guide to prospective residents and their social worker/family, which enables them to make a decision about living at the home. A nursing needs assessment is carried out and professionals and carers involved with the resident visit the home to make sure the home can meet the new residents needs. A process is in place where the new resident would be able to visit the home and stay overnight before a final decision is made. Individual contracts for all the residents living in the home were included in their files. There is one vacancy at the home and the manager is currently involved in considering a new admission, but a final decision has not yet been made. Badgers DS0000015519.V277710.R01.S.doc Version 5.1 Page 8 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): 8, 10 Residents are consulted on and included in decision-making about all aspects of life at the home. Information about residents is kept safe. EVIDENCE: Each resident has an individual person centred plan which were seen to be well presented and appropriately documented. None of the residents have verbal communication, guidance for staff about communicating with residents is detailed and seen in care plans. Residents are included in staff meetings and sit and listen to discussions about aspects of the home and their daily lives, their names are included in the staff meeting minutes. Residents families/carers are involved in their care and an independent advocacy service is used at residents reviews if problems are raised. Badgers DS0000015519.V277710.R01.S.doc Version 5.1 Page 9 Residents files and finances are kept safe in the main office, only the manager and Deputy have access to their finances. A policy on confidentiality is in place, confidentiality is included in staff induction, policies are also discussed in staff meetings. Badgers DS0000015519.V277710.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 Residents are encouraged and supported with opportunities for personal development and access a wide variety of training and educational ?? and day centres. EVIDENCE: Residents are supported to participate in appropriate activities, both in the home and in the community. All the residents have person centred plans which include their individual needs and wishes regarding their lifestyle and daily living which includes activities. A community service facilitator provides weekly reflexology, aqua-therapy and aromatherapy. The residents living at the home have regular meaningful experiences, some go on holiday each year. Each week residents are taken to the local shops, visit the local pub, go on bus rides with staff to places of interest to them. They are supported by staff, part of their routine is to stop for lunch at a café on their way home. Two residents attend adult Education classes locally. Badgers DS0000015519.V277710.R01.S.doc Version 5.1 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): 21 Residents last wishes are recorded in their person centred plans. Residents are handled with respect and dignity at all times. EVIDENCE: There is a policy and procedure in place at the home, on illness, death and dying, individual plans are in place for all residents covering their last wishes and needs at time of death. The policy of the home is to ?? residents who are sick, providing 24 hour care and support as required to meet individual needs. Badgers DS0000015519.V277710.R01.S.doc Version 5.1 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): These standards were not assessed. EVIDENCE: These standards were all met at the last inspection. Badgers DS0000015519.V277710.R01.S.doc Version 5.1 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): These standards were not assessed. EVIDENCE: These standards were all met at the last inspection, but it was noted that the home continues to provide a high standard of furnishings and decoration and all residents rooms were seen to be personalised and decorated to the individual taste of the residents. Badgers DS0000015519.V277710.R01.S.doc Version 5.1 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): 31, 32, 36 Staffing levels at the home are sufficient to meet the needs of the residents living at the home, the home has an effective and competent staff team. Staff are regularly supervised and supported by the manager. EVIDENCE: All staff employed at the home are experienced and competent in working with residents with learning disabilities. Staff have all completed mandatory training, there is a training and development programme in place. Most of the staff have completed NVQ training and three staff are NVQ assessors. The Deputy Manager is a qualified manual handling trainer and the current Chef is a trainer, he teaches Mandatory Training and Food Hygiene. The home has a stable staff group, most of the staff have worked at the home for several years providing consistency of care to the residents. New staff complete a three month induction programme staff know daily what tasks to carry out, regular hand-over meetings take place throughout the day or evening shifts. Staff supervision takes place every two months and yearly appraisals take place. Badgers DS0000015519.V277710.R01.S.doc Version 5.1 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, 38, 40, 41, 43 The home is well managed and run in the best interests of the residents. The home has in place practices that promote and safeguard the health, safety and welfare of the residents. EVIDENCE: The acting manager is qualified and experienced and knowledgeable of the residents needs. Regular 26 visits are made on a monthly basis and submitted to the commission Risk assessments are in place for safe working practices. Staff expressed that the manager is approachable and friendly and promotes a homely, relaxed atmosphere. Policies and procedures are in place which safeguard resident’s finances. Records are kept of resident’s monies in individual purses with receipts and balances of expenditure records seen were appropriately documented and kept safe. Badgers DS0000015519.V277710.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 X 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 3 32 3 33 3 34 X 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X 3 X 3 LIFESTYLES Standard No Score 11 3 12 X 13 X 14 3 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X 3 3 3 X 3 3 X 3 Badgers DS0000015519.V277710.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? NO 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 Badgers DS0000015519.V277710.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Badgers DS0000015519.V277710.R01.S.doc Version 5.1 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!