Inspection on 22/11/05 for Badgers

This inspection was carried out on 22nd November 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 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 13/03/06

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 Helen Laker Unannounced 22 November 2005 nd 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. Badgers I56 I06 S15519 Badgers V242488 241105 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Badgers Address 53 Rayleigh Avenue Eastwood Leigh-on-Sea Essex SS9 5DN 01702 526027 01702 526027 badgersflf@tiscali.co.uk The Field Lane Foundation 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) Ms Catherine Joy Sutton CRH-N 9 Category(ies) of LD Learning Disabilities (9) registration, with number of places Badgers I56 I06 S15519 Badgers V242488 241105 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Excluding any person who is liable to be detained under the provisions of the Metal Health Act 1983. Date of last inspection 28th February Brief Description of the Service: Badgers is a Care Home with nursing for nine service users with severe learning disabilities. It is situated in Rayleigh near to local shops and transport. The home has its own transport. It is purpose-built accommodation on one level. There are seven single bedrooms and one double, one large lounge and dining area, a sensory room, laundry and two bathrooms, both with assisted baths. The entrance area and side of the premises is used as an office.There is a large garden to the rear accessible to all service users. Limited parking is available to the front. The home employs the services of an aromatherapist and a reflexologist. Badgers I56 I06 S15519 Badgers V242488 241105 Stage 4.doc Version 1.40 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 four hours with one inspector in the home. There was a tour of the premises and grounds and an inspection of records and documentation. Time was spent discussing the care of the nine service users. The manager and one member of staff were spoken with. Twenty six National Minimum Standards were inspected on this occasion, twenty six overall outcomes were met and one minor recommendation detailed in the full report. Discussion of the inspection findings took place with the manager at the end and throughout the inspection and guidance was given. 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 I56 I06 S15519 Badgers V242488 241105 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Badgers I56 I06 S15519 Badgers V242488 241105 Stage 4.doc Version 1.40 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 standard(s) 1,2 Prospective service users have the information they need to make an informed choice about where to live. Each service user has a contract directly with the home if privately placed or a statement of terms and conditions if funded by social services. EVIDENCE: A revised Statement of Purpose has now been produced and a Service Users Guide has been developed and is available for all service users. There have been no admissions to the home for over four years. Documentation for the last admission was seen to be appropriate. Nine service users are now in the home since opening. The Proprietors have produced appropriate assessment documentation for future admissions. Badgers I56 I06 S15519 Badgers V242488 241105 Stage 4.doc Version 1.40 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 standard(s) 6,7,9 Service users are made known their assessed and changing needs, they can make decisions and participate in aspects of the home. Each service user has an individual plan and service users are supported to take risks as part of an independent lifestyle via a process of assessment and supervision. EVIDENCE: Badgers I56 I06 S15519 Badgers V242488 241105 Stage 4.doc Version 1.40 Page 9 Two care plans were inspected. They were seen to be well presented and well documented. The home uses a colour-coded system whereby separate folders are in use for different areas and a key is displayed where the care plans are stored. Care plans were seen to be comprehensive with specific instructions for staff to meet service users’ needs. They are regularly reviewed by the home and in addition, an annual multi-disciplinary review is held. Due to the level of learning disability experienced by the service users, it is not possible to obtain their input for the development and review of their care plans. Relatives are encouraged to attend and keyworkers record preferences in PCP’s by what is known of service user and written in their voice. None of the service users have verbal communication. Guidance for communicating with service users is detailed in each care plan, which has been gained from observations and ongoing assessments. Families assist where possible and a MENCAP advocate attends service users’ reviews and any other specific occasion when necessary. Each service user has their own bank account into which their income support is paid directly. The Manager, Deputy Manager and Administrator are joint signatories and withdraw small amounts of money for the service users. Comprehensive records are maintained and regularly audited by the home’s head office. The home has produced comprehensive risk assessments for all the service users covering their assessed needs, activities, premises, transport and outside activities. The cook has developed risk assessments for the kitchen. Risk assessments and protocols are also available for reflexology and aromatherapy. Badgers I56 I06 S15519 Badgers V242488 241105 Stage 4.doc Version 1.40 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) 12,13,15,16,17 Service users are encouraged and supported with opportunities for personal development by way of access to a wide variety of training and educational colleges, day centres and overall their rights and responsibilities are recognised in their daily lives. EVIDENCE: Service users are supported to participate in appropriate activities, both in the home and in the community. One service user attends an adult education college, another regularly attended a riding school and some attend aqua therapy classes. None of the service users are able to gain employment. Service users are encouraged and supported to access all community facilities. The home has a mini bus and three service users have their own cars which staff are authorised to drive. Risk assessments and guidelines are available for each service user when travelling in the cars and minibus. Service users contribute towards the cost of petrol. The Manager informed that all families are invited to be involved in the service user’s care. The home endeavours to keep relatives up-to-date with their service users care. The home has an open visitors policy. Badgers I56 I06 S15519 Badgers V242488 241105 Stage 4.doc Version 1.40 Page 11 Service users have access to all communal areas of the home, apart from the kitchen where access must be supervised. The Manager said that the routines of the home are flexible. Staff were observed to interact with the service users sensitively throughout the inspection. The Manager and Deputy are authorised to open service users’ mail. Staff encourage service users to maintain and improve their minimal life skills. The main meal is taken at lunchtime. The home operates a six week rotating menu. Menus are based on experience of service users’ likes and dislikes and on tasting sessions held with the service users. The home’s cook is very involved in the home and does offer the service users a wide range of food. All the service users need assistance with eating and the Manager informed that generally two sittings are held to ensure service users are given appropriate assistance. Advice was given regarding the labelling and dating of opened food in the fridge. Badgers I56 I06 S15519 Badgers V242488 241105 Stage 4.doc Version 1.40 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 Good arrangements are in place to ensure that the health care needs of service users are identified and met. EVIDENCE: The home provides care for its service users through a key worker system. Personal care is carried out in private with same gender staff. Service users wear their own clothes and are treated as individuals. Care plans show that service users’ health care needs are met and appropriately recorded. There were records of regular reviews by the Consultant Psychiatrist. Two local General Practitioners attend to the service users. Most service users have water beds. The Manager informed previously that they eliminate the use of bedrails. The home uses a pre-dispensed system for the administration of medication. Only qualified nursing staff administer medication. Training is provided by the local Community Pharmacist. The home has an appropriate medication policy. Medication administration records (MAR) were seen to be completed appropriately and protocols were in place for all medication. The home keeps controlled medication in a separate locked cupboard. A copy of the Royal Pharmaceutical Society’s Guidelines was not available but has been obtained the manager reported. Badgers I56 I06 S15519 Badgers V242488 241105 Stage 4.doc Version 1.40 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 effective procedures in place to ensure that service users are protected from abuse, neglect and self harm. EVIDENCE: One complaint received since the last inspection had been appropriately dealt with and recorded. The home has the Proprietor’s comprehensive complaints procedure. The home has the Proprietor’s comprehensive abuse and whistle blowing policy and a copy of the local authority’s Protection of Vulnerable Adults Procedure. Some staff have received training and others are booked for training in the near future. Staff spoken with at previous inspections were aware of the whistle blowing procedure. The home looks after small amounts of service users’ money. A sample of service users’ money and records of expenditure was found to balance. These are regularly checked by the Proprietor’s Finance Department. Money is held individually and securely. Badgers I56 I06 S15519 Badgers V242488 241105 Stage 4.doc Version 1.40 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 Badgers was clean, bright and well maintained and provided the service users with homely and comfortable surroundings. Improvements have been made to the décor of the home internally and externally. EVIDENCE: The premises is a large detached bungalow with two garden areas. The home is purpose-built with appropriate aids and equipment. The home was found to be light, airy, comfortable and safe for its service users. The home has a designated budget and a planned maintenance programme. The handyman carries out minor repairs and decoration. The dining and lounge areas are comfortably furnished to a good domestic standard. A new entrance driveway and fence has been erected. Bedroom sizes remain unchanged and meet this standard. Those bedrooms seen were furnished according to the individual service users’ needs. They were seen to have good natural ventilation, lighting, heating and appropriate window space. The home has two adapted bathrooms and adequate communal toilets for the service users’ needs. Badgers I56 I06 S15519 Badgers V242488 241105 Stage 4.doc Version 1.40 Page 15 The home has a large lounge/dining room, two garden areas, one with a sensory garden. Kitchen and laundry facilities were to a good domestic standard. The Manager said there are work surfaces in the kitchen that can be lowered to allow service users to take part in cooking sessions. There are call-bell systems in all rooms. One bedroom is fitted with a ceiling hoist to meet the service user’s needs. The home has grab rails fitted throughout the home and a well equipped sensory room. The premises were seen to be clean and tidy throughout. There is an infection control policy. The home has a large laundry area with two washing machines; two tumble dryers and a sluice/disinfector. Badgers I56 I06 S15519 Badgers V242488 241105 Stage 4.doc Version 1.40 Page 16 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) 34,35 The procedures for the recruitment and training of staff have safeguards in place to offer protection to people living in the home. The home has an effective and competent staff team. EVIDENCE: The staff file of the newest member of staff was inspected and found to contain all the relevant information to meet this standard. The home has a training budget and a designated person responsible for the training and development programme. The manager previously advised that all new staff are registered on TOPSS induction and foundation programmes, and use the Learning Disability Award Framework to underpin knowledge for progression onto NVQs. Badgers I56 I06 S15519 Badgers V242488 241105 Stage 4.doc Version 1.40 Page 17 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) 39,42 There is leadership, guidance and direction to staff and the home has in place practices that promote and safeguard the health, safety and welfare of the people using the service. EVIDENCE: Regulation 26 visits are being made on a monthly basis and submitted to the Commission. Staff have received mandatory training and updates and further training has been arranged. The chef has attended health and safety training and does staff training. He has also completed risk assessments for safe working practices. There is a health and safety policy and a statement of intent. COSHH items were appropriately stored and there were safety data sheets and a register. All health and safety inspections and servicing of equipment were up to date. Badgers I56 I06 S15519 Badgers V242488 241105 Stage 4.doc Version 1.40 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 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 3 x 4 x 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 x 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score x x x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Badgers Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x I56 I06 S15519 Badgers V242488 241105 Stage 4.doc Version 1.40 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 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. 1. Refer to Standard 17 Good Practice Recommendations It is recommended that any opened food in the fridge be labeled and dated Badgers I56 I06 S15519 Badgers V242488 241105 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection Kingswood House Baxter Avenue Southend-On-Sea Essxe, 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 I56 I06 S15519 Badgers V242488 241105 Stage 4.doc Version 1.40 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. 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