Inspection on 28/11/08 for Bannigans

This inspection was carried out on 28th November 2008.

CSCI found this care home to be providing an Good service.

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

Bannigans 29/11/06

Similar services:

Hillside

Applegarth

Trevayler Residential Care Home

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Extracts from inspection reports are licensed from CQC, this page was updated on 27/02/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Bannigans 19 High Street Corby Northants NN17 1UX     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Catherine Perrins     Date: 0 1 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 27 Information about the care home Name of care home: Address: Bannigans 19 High Street Corby Northants NN17 1UX 01536263296 01536402253 bannigans@grettonhomes.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Consensus Community Support Ltd Name of registered manager (if applicable) Miss Lisa Ann Carvell Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability mental disorder, excluding learning disability or dementia Additional conditions: No person falling within the category of MD, Mental Disorder excluding Learning Disability or Dementia, may be admitted to Bannigans unless that person also falls within the category LD, Learning Disability ie. Dual Disability The maximum number of persons to be accommodated within Bannigans is 4 Date of last inspection Brief description of the care home Bannigans is located in the old village area of Corby, which is close to local shops and within easy access to Corby Town centre and its amenities. The Home is owned Consensus Support Services Limited and managed by Miss L. Carvell. The Provider owns several other Homes collectively recognised as Gretton Homes. Bannigans like other Gretton Homes provide care for people with Prader-Willi Syndrome from all over the country. There are 4 single bedrooms which all have en-suite toilets and showers. Care Homes for Adults (18-65 years) Page 4 of 27 care home 4 Over 65 0 0 4 2 Brief description of the care home There is a dining room, lounge and small conservatory, which are shared by residents. There is also a kitchen with separate utility room. Bannigans is a no smoking home. The fees range from 1416.71 to 1842.01 pounds per week. Care Homes for Adults (18-65 years) Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This was an unannounced key inspection. We looked at all of the key standards and some additional standards. These are detailed in the report. The acting manager and the registered manager were present for the inspection. The registered manager is currently covering at another property owned by the provider while a colleague is taking maternity leave. The inspection lasted for five hours. A tour of the premises was conducted which involved viewing the communal areas and a selection of the private accommodation. Case tracking is the method used during inspection where all aspects of peoples care Care Homes for Adults (18-65 years) Page 6 of 27 and experiences was reviewed,including individual plans of care and associated documentation. Two people were case tracked during this inspection. A number of people who live at the home and some staff members were also spoken to as part of the inspection. Prior to the inspection surveys were sent to some of the staff and people who live at the home. Two surveys were returned to us by people who live at the home and three by members of staff. All were generally positive. Some of the information from the surveys has been included in the report. What the care home does well: What has improved since the last inspection? The statement of purpose and service user guide have been updated and made easier for people with learning disabilities to read. People who live at the Bannigans are involved in staff recruitment. A recommendation was made at the last key inspection 29th November, 2006 that peoples daily records should adhere to the Freedom of Information Act so people are not named in any record other than their own. Evidence suggested that this recommendation had been met. Care Homes for Adults (18-65 years) Page 8 of 27 What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who come to live in this home can be confident their needs will be met. Evidence: The home has a statement of purpose and service user guide which have recently been updated and provide good information about the Bannigans and the support people who live there can expect. The service user guide is written in clear, simple language making it easier for people with learning disabilities to understand. Records show that the admissions process is well managed. The registered manager explained that following an initial assessment people are invited to visit the home and meet the other people who live there. They are then able to stay for a meal, overnight and a weekend if they wish. This is kept flexible to suit the needs of the individual and ensures that everyone can be confident that the home can meet the persons needs before they move in. Care Homes for Adults (18-65 years) Page 11 of 27 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be confident that their individual needs will be met and that their choices will be respected. Evidence: Each person who lives at the Bannigans has an individual plan of care. These are very comprehensive and give staff good information about the support that people need. Care plans viewed covered areas such as what people needed to remain healthy; education and employment; family contact and relationships; cultural and religious needs. Individual plans of care also contained information about peoples preferences such as the time they prefer to get up and retire, who they would like as their key worker, their preferred gender of support staff and food likes and dislikes. Records show that people are involved in reviewing their individual plan of care on a regular basis and that they sign to show that they agree with what has been written. This ensures that people are happy with the way that staff support and care for them. Care Homes for Adults (18-65 years) Page 12 of 27 Evidence: Each person has comprehensive risk assessments covering areas such as road safety, obsessive eating, finances, and misuse of medication. These ensure that people are able to be as independent as possible without taking any unnecessary risks and that any restrictions placed on peoples independence and choice have been fully assessed as being in their best interests. People with prader willi syndrome have some specific needs. There was good evidence that these needs are addressed in peoples care plans and risk assessments for example monitoring of diet and weight, visual health checks and support with finances. Each person also has a person centered file. These have been put together by the person themselves with the help of their key worker and contain photos and pictures. They contain a lot of information about what is important to that person and give a good insight into their personality and preferences. People are supported to manage their finances. A spot check of peoples cash tins showed that all money was accounted for with two members of staff signing each transaction. People are also supported to budget their money and to save for expenses such as holidays. Care Homes for Adults (18-65 years) Page 13 of 27 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People enjoy active and fulfilling lifestyles both at home and within their local community. Evidence: People who live at the Bannigans enjoy active lives with a variety of social, leisure and vocational activities. People are encouraged to take regular exercise such as dance, gentle exercise classes, swimming and going to the gym. One person told us I go for a power walk. Another person told us that they swim 36 lengths each week. The home has two vehicles to help people get to their various activities. People told us that they visited their families and their families visited them. People also said that their partners visited regularly. One person explained that the home has Care Homes for Adults (18-65 years) Page 14 of 27 Evidence: weekly partners night where everyones partners can visit and they watch dvds and chat. Peoples individual plans of care show that they receive advice and support with their personal relationships if they need it. People also told us that they enjoy regular coffee evenings where they invite friends around for the evening. People enjoy going on holiday each year. The registered manager explained that people are involved in planning where they would like to go and what they would like to do on holiday. In 2008 they enjoyed a week in Prestatyn. People told us that the food was good. The cook has a good understanding of peoples needs in relation to prader willi syndrome. She explained how all food had to be weighed and portion size and calories carefully monitored. Peoples individual dietary requirements and preferences are catered for. Menus were viewed and appeared appetising and varied with plenty of fresh fruit and vegetables. Lunch on day of inspection was lamb stir fry with vegetables and noodles followed by rhubarb cream and creme fraishe. People told us that they enjoyed having cultural evenings where people took turns to chose a menu from a different country. People contribute to the running of the home and have a domestic rota to share the food shopping, cleaning, laying the table and making drinks. People are supported to attend their chosen place of worship if they wish. One person said, I walk to church on a Sunday if it is a nice day. Care Homes for Adults (18-65 years) Page 15 of 27 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be confident that their personal and health care needs will be fully met. Evidence: People have regular appointments with health and social care professionals such as clinical psychologists, general practitioners, dentists, podiatrists , specialist nurses and dietitians. People are supported to maintain good health for by for example having flu vaccinations and regular health checks and medication reviews. Each person has a health action plan which outlines how they can stay healthy. The registered manager explained that the home has a good relationship with the local general practitioners practice and that the general practitioners have a good knowledge of the needs of people with prader willi syndrome. The home also has a protocol in place with the local hospital to make sure that hospital staff are aware of peoples needs in relation to prader willi syndrome. The registered manager also described how the home had worked closely with the local mental health team to make sure that peoples mental heath needs are met. Care Homes for Adults (18-65 years) Page 16 of 27 Evidence: One person told us, I am happy, I have good care. Medication appeared to be well managed. All entries on the medication administration record are signed and at the front of the file there is a record of staff specimen signatures. No-one at the home is currently prescribed any controlled drugs but the home do need to review their medication storage facility to ensure that they are able to store controlled drugs safely should anyone be prescribed them in the future and to ensure compliance with the latest guidance from the Royal Pharmaceutical Society of Great Britain. Controlled drugs are prescribed medicines which some people abuse them by taking them when they have not been prescribed. There are laws and regulations about how these drugs should be stored and administered. Care Homes for Adults (18-65 years) Page 17 of 27 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are kept safe by a robust complaints procedure and knowledgeable, well trained staff. Evidence: People told us that they knew how to raise concerns if they were not happy about anything. One person explained that they would speak to the manager or their keyworker if not happy. Another person told us that he had an advocate from the prader willi association who was very helpful. Contact numbers for advocacy services were available on the notice board in the dining room. No complaints or safeguarding adults allegations have been made about this home in the last twelve months. The complaints policy was viewed. It was told people who to contact if they want to complain and what will happen if they make a complaint. The policy is available in a format that is easy for people with learning disabilities to understand with simple language and pictures to explain the main points. All staff receive training on safeguarding adults so that they know how to keep people safe and what to do if someone makes an allegation or complaint. Care Homes for Adults (18-65 years) Page 18 of 27 Care Homes for Adults (18-65 years) Page 19 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People enjoy a well maintained, comfortable and homely place to live. Evidence: People who live at the Bannigans have a clean, well maintained and comfortable place to live. Communal areas are spacious with pictures and ornaments adding to the homely atmosphere. Decor and furnishings are all to a high standard. Everyone who lives at the home has their own bedroom which they can make personal with their own furniture and belongings. Bedrooms viewed were very individual. People explained that they had chosen colours to decorate their bedrooms. All bedrooms are ensuite. The safety of people living at the home had been considered with the use of radiator covers and hot water restricters to ensure that people are not burned or scalded. Care Homes for Adults (18-65 years) Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported and cared for by a well-trained and competent staff team. Evidence: The recruitment of staff appears to be well managed with all the necessary pre recruitment checks being carried out to make sure that all staff are suitable to work with people with learning disabilities. The people who live at the Bannigans are involved in recruiting new staff. Candidates visit the home for an informal interview with the people who live there prior to their formal interview. New staff undergo a comprehensive four week induction programme when they first start working at the home, this includes some time spent doing training courses and some time spent working alongside an experienced staff member. Records show that staff have a thorough programme of training including fire safety, moving and handling, safeguarding adults, first aid, infection control, food hygiene, conflict management, medication and health and safety. One member of staff said in a survey that we sent them, The training we receive is excellent and comprehensive to all the tasks we carry out. Staff spoken to told us that they receive regular training and updates on prader willi syndrome. Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: Staff told us that they feel well supported and that even if manager is not at the home they always have someone that they can contact for support and advice. One staff member told us that the home had been short staffed but that this was no longer a problem. The home has a bank of relief staff who are able to cover if the regular staff are not available. Staff explained that the relief staff attend the same training courses as the regular staff and come to some staff meetings so that they are kept up to date with everything that they need to know about the home. Care Homes for Adults (18-65 years) Page 22 of 27 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed in the best interests of the people who live there. Evidence: The registered manager is currently covering a colleagues maternity leave at another home owned by the provider. An experienced senior support worker is working as the acting manager for Bannigans with the assistance of the divisional manager and divisional deputy. The registered manager explained that she is also available to advise and support the acting manager. One member of staff told us that the home is very well managed and runs very smoothly. The results of questionnaires issues to staff and people who live at the Bannigans by the provider show that people are generally very happy with how the home is run. An audit of all of the national care home standards was recently carried out by the provider. The home scored ninety-six percent in this. Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: The registered manager explained that she regularly audits all of the care plans to make sure that they are accurate and up to date. Records show that fire checks and other health and safety checks have been carried out to make sure that the home is safe and free from any hazards. The home is audited every year by an external health and safety consultant. The people who live at the Bannigans are supported to meet on a monthly basis to discuss the running of the home. This gives people the opportunity to have their say about how the home is being managed and any future plans. Care Homes for Adults (18-65 years) Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 26 of 27 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 27 of 27 - 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!