Inspection on 27/06/05 for Ball Tree Croft

This inspection was carried out on 27th June 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

Ball Tree Croft 09/08/06

Ball Tree Croft 22/11/05

Ball Tree Croft 04/10/04

Ball Tree Croft 22/04/04

Ball Tree Croft 12/08/98

Similar services:

Thorndene

Insight - Eastchurch

Southfields

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Dovedale Court

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

CARE HOME ADULTS 18-65 Ball Tree Croft Western Road North Sompting Lancing West Sussex, BN15 9UX Lead Inspector Lynne O Donnell Announced Monday 27 June 2005, 11:00am th 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. Ball Tree Croft H60-H11 S37421 Ball Tree Croft V225891 270605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Ball Tree Croft Address Western Road North, Sompting, Lancing, West Sussex, BN15 9UX 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) 01903 753330 West Sussex County Council Ms Deborah Janet Clark Care Home 16 Category(ies) of PC Care Home Only 16 registration, with number of places Ball Tree Croft H60-H11 S37421 Ball Tree Croft V225891 270605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 04 October 2004 Brief Description of the Service: Ball Tree Croft is a Care home registered to provide accommodation for up to 16 Service Users with Learning Disabilities between the ages of 18-65.The home is situated within Sompting, next to a doctor’s surgery and within walking distance of other local amenities. The home has its own mini bus and car. Accommodation is provided within two units, each consisting of eight single bedrooms, lounge/dining area, kitchen, laundry and bathroom facilities. Ball Tree Croft H60-H11 S37421 Ball Tree Croft V225891 270605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an Announced Inspection which took place over five hours. As preparation for the Inspection, the Registered Manager provided a completed pre inspection questionnaire. In addition comment cards were sent to the home for completion by residents and visitors if they chose to do so. A number of completed cards were received and the comments contained are included within this report. The inspector reviewed any correspondence received including monthly reports from the Registered Provider. During the inspection samples of care plans and other records were reviewed, residents and staff were spoken with and observations made during the day. Feedback received from residents and visitors either on the day or through the comment cards was positive, with residents feeling well cared for and advising that they enjoyed living at the home. Visitors considered that they were kept informed of important matters relating to their relatives or friends and that they were satisfied with the overall care provided. What the service does well: What has improved since the last inspection? An activities co-ordinator is now in post and has already begun to develop ongoing programmes of activities both on an individual and group basis. The staff team have developed a learning group within the home for interested residents. This has focussed on making choices and housing options but is to be developed further to cover other relevant issues for residents. Improvements have been made to the ground floor bathing facilities which has improved the access and use of these facilities for all residents and means that the home can now fully meet the personal care needs of residents in a safe environment. Ball Tree Croft H60-H11 S37421 Ball Tree Croft V225891 270605 Stage 4.doc Version 1.30 Page 6 Improvements have also been made in the area of hygiene and infection control with alterations made to the kitchen and laundry provision. 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. Ball Tree Croft H60-H11 S37421 Ball Tree Croft V225891 270605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Ball Tree Croft H60-H11 S37421 Ball Tree Croft V225891 270605 Stage 4.doc Version 1.30 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 standard(s) 3 The home and staff team meet the assessed needs of the residents EVIDENCE: The care plans of four residents were inspected and these showed that individual care needs are assessed, recorded and reassessed as necessary. Staff spoken with were aware of individual needs and displayed a good awareness and understanding of these. Staff were observed to communicate effectively with residents. Feedback from all residents who completed comments cards felt that the staff treated them well. Ball Tree Croft H60-H11 S37421 Ball Tree Croft V225891 270605 Stage 4.doc Version 1.30 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 standard(s) 6, 9 All residents have a care plan which provides detailed information on their assessed needs. Staff support residents to take responsible risks within the homes risk assessment and risk management procedures. EVIDENCE: Four care plans were looked at and these contained details of residents’ individual personal, social and health care needs. The care plans are reviewed regularly and a person centred care planning review is also held with the residents and other people involved in their care. At these review meetings both short term and long term goals are discussed and agreed and progress towards them monitored. Risk Assessments are included within the care plans and identify areas of risk, the degree of risk and action necessary to minimise the risk for individual residents. Ball Tree Croft H60-H11 S37421 Ball Tree Croft V225891 270605 Stage 4.doc Version 1.30 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) 11, 12, 14, 16, 17. Residents are supported by the staff team to take advantage of opportunities to learn and develop practical life skills both within the home and externally. Staff enable residents to take part in suitable and fulfilling activities. Residents have access to a variety of leisure and social activities The rights of residents are respected and recognised by the staff team A healthy diet is promoted within the home. EVIDENCE: It was clear through care plans seen and discussions with staff and residents that all residents have opportunities for personal development, as they wish. This may be through activities within the home promoting independent living skills or through activities at day services. Ball Tree Croft H60-H11 S37421 Ball Tree Croft V225891 270605 Stage 4.doc Version 1.30 Page 11 Some residents currently do work experience in a volunteer role, and through discussions with staff and care plans seen further opportunities are being sought for other residents. A few residents were able to speak about their leisure interests and activities they enjoy. For those residents who participate in leisure activities outside the home the service they access also provides a written review of their participation and achievements which is included within their care plan. Since the last inspection an activities co-ordinator has been employed and the Inspector was able to speak at some length with her about her role and the development of this within the home. She was very clear as to the aims and objectives of her role and is developing an ongoing programme of activities. This was seen to include a weekly diary for each resident which includes clear visual symbols and pictures. Since starting work at the home she has already arranged a number of trips and outings on a group or individual basis, of which records and evaluations have been kept. In addition to external activities a range of activities are also arranged within the home and during the inspection the Inspector was able to observed her working with two individual residents both of whom enjoyed the craft sessions and were pleased with the work they had produced. It was clear through discussions with staff, records seen and observations made that the daily routines of the home are flexible and that staff respect the choices and wishes of the residents. Independent advocacy support is available for residents and a number of current residents currently take advantage of this. In addition the Registered Manager and staff have developed a resident learning group. This has grown from a ‘making choices – housing options’ working group within the home in which staff supported residents to develop their awareness of other housing options available to them, as part of the consultation process on the future of the home. Due to benefits to residents from this group it is now being further developed and will engage residents in other learning activities and opportunities. A well-balanced menu was seen to be available with choices of main meals available each day. Special diets can be catered for and fresh fruit and vegetables are promoted. Those residents who were able advised that they enjoyed the meals served. Ball Tree Croft H60-H11 S37421 Ball Tree Croft V225891 270605 Stage 4.doc Version 1.30 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 Personal support is provided to residents in a suitable way which promotes and develops their independence. The health care needs of residents are assessed, monitored and met by the staff team. EVIDENCE: Within individual care plans the personal care needs of residents are recorded, in an accessible format, and the actions and support needed by staff are detailed. Through care plans, discussions with staff and observations made it was clear that daily living activities are flexible and that staff take into account individual wishes and choices. Any changes to health care needs are recorded and referrals made to other health professionals as required. All appointments are recorded. Staff spoken with demonstrated a good awareness and understanding of individual residents needs. Ball Tree Croft H60-H11 S37421 Ball Tree Croft V225891 270605 Stage 4.doc Version 1.30 Page 13 Where specific needs have been identified staff guidelines are in place to ensure that these needs are met. In addition 1-1 staffing has been made available to meet the specific needs of one resident, and guidelines are also in place with regard to these needs. Within the person centred planning reviews it was clear that residents, where able, were supported to take an active role in discussing and setting goals and targets in relation to aspects of their health care, (i.e. weight management, mobility). All residents who completed comment cards felt that they were well cared for by the staff team. Ball Tree Croft H60-H11 S37421 Ball Tree Croft V225891 270605 Stage 4.doc Version 1.30 Page 14 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 There is a clear and accessible complaints procedure in place EVIDENCE: One complaint had been received by the home since the last inspection. From records seen this had been responded to appropriately and promptly and addressed the issues concerned. Feedback from visitors to the home via completed comment cards received advised that they were aware of the homes complaints procedures but had not had cause to make use of this. Ball Tree Croft H60-H11 S37421 Ball Tree Croft V225891 270605 Stage 4.doc Version 1.30 Page 15 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) 27 30 Improvements made to the ground floor bathing and toilet facilities now meet the assessed needs of the residents The home is clean and hygienic EVIDENCE: Requirements in respect of the provision of appropriate bathing facilities suitable to meet the assessed needs of the residents have been outstanding for a number of inspections. However at this inspection the two ground floor bathrooms have now been converted to provide walk in shower facilities which provide privacy for residents and now meet their assessed needs. The bathing facilities have been completed to a high standard and also include suitable adaptations for residents with sensory impairment. These changes have greatly improved the facilities for residents and provide a safer environment for both them and the staff team. In addition requirements made with regard to kitchen and laundry facilities have also been addressed, with a door now having been installed between the kitchen and laundry facilities, thus providing more suitable levels of hygiene Ball Tree Croft H60-H11 S37421 Ball Tree Croft V225891 270605 Stage 4.doc Version 1.30 Page 16 and infection control. Whilst laundry still has to be transported through the kitchen area this is done within sealed bins and there are appropriate policies and procedures in place. Ball Tree Croft H60-H11 S37421 Ball Tree Croft V225891 270605 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 35. Residents are supported by a competent and effective staff team who are able to meet the individual needs of the residents. Training needs are identified through personal development reviews and staff supervision. EVIDENCE: Staff were seen to respect residents and were able to communicate effectively with them. Staff spoken with were interested in their work and demonstrated a commitment and enthusiasm to their role and responsibilities. Staff were aware of the individual needs and wishes of the residents and were clear as to how aims and objectives could be achieved. Currently 53 of the staff team hold an NVQ level 2 or above qualification. Staffing ratios as seen through duty rotas and on the day of inspection showed that there were sufficient staff to meet the needs of the residents currently living within the home. Feedback from visitors through comment cards were generally satisfied that there were sufficient staff on duty. Ball Tree Croft H60-H11 S37421 Ball Tree Croft V225891 270605 Stage 4.doc Version 1.30 Page 18 However care plans do show that the needs of current residents are changing with dependency levels increasing and therefore the Registered Providers need to ensure that staffing levels are kept under review. Feedback provided through resident comment cards indicated that again they were generally satisfied however two did express a wish for more activities sometimes. This may be addressed through the appointment of the activities co-ordinator and will be looked at again at the next inspection. The Registered Providers do have a programme of training in place which all staff can access. Staff are currently receiving personal development reviews at present and further training needs will be identified through this. Some staff spoken with were able to speak of the training they had taken part in. Ball Tree Croft H60-H11 S37421 Ball Tree Croft V225891 270605 Stage 4.doc Version 1.30 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 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) 38 The management approach of the home creates an open, positive and inclusive atmosphere. EVIDENCE: Through records seen and discussions with staff it was clear that staff and residents are able to influence the day to day running of the home through discussing ideas and raising any issues either through formal arrangements i.e. staff and house meetings, or through informal discussions during the day. Discussions with staff showed that they are encouraged to develop and try new ideas and approaches Through records seen and observations made, a person centred approach to service delivery at the home is very evident and through this residents are able to influence how the service is delivered and provided. Ball Tree Croft H60-H11 S37421 Ball Tree Croft V225891 270605 Stage 4.doc Version 1.30 Page 20 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 x x 3 x x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x 3 x x 3 Standard No 11 12 13 14 15 16 17 3 3 x 3 x 3 3 Standard No 31 32 33 34 35 36 Score x 3 3 x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Ball Tree Croft Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x 3 x x x x x H60-H11 S37421 Ball Tree Croft V225891 270605 Stage 4.doc Version 1.30 Page 21 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 Good Practice Recommendations Ball Tree Croft H60-H11 S37421 Ball Tree Croft V225891 270605 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection 2nd Floor, Ridgeworth House Liverpool Gardens Worthing, West Sussex BN11 1RY 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. 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