Inspection on 21/09/05 for Barnabas Care Home

This inspection was carried out on 21st September 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

Barnabas Care Home 27/10/09

Barnabas Care Home 28/06/07

Barnabas Care Home 16/03/06

Barnabas Care Home 22/03/05

Barnabas Care Home 25/10/04

Barnabas Care Home 23/03/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Barnabas Care Home 7 Cole Green Shirley Solihull B90 1AD Lead Inspector Sarah Bennett Announced 21 September 2005 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. Barnabas Care Home E54 S4538 Barnabas Care Home V244014 210905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Barnabas Care Home Address 7 Cole Green Shirley Solihull West Midlands B90 1AD 0121 243 6954 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) Mr Matthew Chapman Mr Matthew Chapman Care Home 3 Category(ies) of Younger Adults, Learning Disability [3], Mental registration, with number Disorder [3] of places Barnabas Care Home E54 S4538 Barnabas Care Home V244014 210905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 22 March 2005 Brief Description of the Service: Barnabas Care Home is a small home catering for three younger adults who require support and care to enable them to reach their potential within their lives and within society. The home offers warm and friendly care that is provided in a domestic setting. The residents are encouraged to be independent. Two of the residents live at the home on a permanent basis. The home offers a respite facility for one person. The home is situated in a residential area, close to the local railway station and local amenities. Parking is provided at the front of the home. The rear garden is well laid out. The home has a dog, that is accepted by all residents. In practice the residents live in Mr Chapman and his partners family home, which is managed more in line with an Adult Placement. In view of Solihull Social Services not having an Adult Placement Scheme, this provision, by default, falls under the more robust National Minimum Standards for Care Homes for Younger Adults 2001. In order not to detract from the small homely service the Commission has made the decision to inspect the home with a lighter touch. Barnabas Care Home E54 S4538 Barnabas Care Home V244014 210905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was carried out over five and a half hours. Two residents, the manager and his partner were spoken to. Care, staff and health and safety records were looked at. A tour of the premises took place. Two residents, two relatives and four professionals completed comment cards that were sent to the home before the inspection. The manager completed the CSCI pre-inspection questionnaire. What the service does well: What has improved since the last inspection? All the requirements from the last inspection have been met. Safe storage has been provided to keep medication in. Barnabas Care Home E54 S4538 Barnabas Care Home V244014 210905 Stage 4.doc Version 1.40 Page 6 Satisfactory Criminal Records Bureau checks are in place for all staff that work at the home. This ensures that all staff are suitable to work with the residents. Staff have booked to go on training in the prevention of abuse. The freezer is regularly defrosted so that food is stored safely and the risks of food poisoning are reduced. Residents are always supported to keep their bedrooms and bathrooms clean. At the inspection the owner was told that the electrical wiring installation would need to be tested by an electrician. This was done within ten days and a copy of the electricians report sent to the CSCI. 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. Barnabas Care Home E54 S4538 Barnabas Care Home V244014 210905 Stage 4.doc Version 1.40 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 Barnabas Care Home E54 S4538 Barnabas Care Home V244014 210905 Stage 4.doc Version 1.40 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) 1, 5 Prospective residents have the information they need to make an informed choice as to whether or not they live at the home. Residents are aware of the terms and conditions of their stay at the home. EVIDENCE: The statement of purpose and service user guide provides all the relevant and required information. A copy of these were sent to the CSCI before the inspection. Resident’s records included a contract between the owner, the local authority and the resident. These were signed and dated by all parties. Barnabas Care Home E54 S4538 Barnabas Care Home V244014 210905 Stage 4.doc Version 1.40 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 Residents assessed needs and aspirations are reflected in their individual care plans so that staff know how to support each individual. Residents are supported to take risks within a risk assessment framework. EVIDENCE: Resident’s records included individual care plans that stated how staff are to support them to meet their assessed needs, goals and aspirations. Care plans are regularly reviewed and updated to reflect any changes. Resident’s records included risk assessments. These are regularly reviewed and updated as necessary. They state how the risks of residents taking part in activities in the home and in the community are to be minimised. Residents travel independently if they have been assessed as able to. Barnabas Care Home E54 S4538 Barnabas Care Home V244014 210905 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, 14, 15, 16, 17 Arrangements are in place so that the people living at the home experience a meaningful lifestyle. EVIDENCE: One resident goes to work at a sheltered workshop three days a week and attends a day centre two days a week. Resident’s records showed that residents regularly go out to the cinema, shops, bowling, restaurants, markets, football matches, clubs, discos, theatres, pubs and to church. They have also been to Stratford, Welshpool, to the Sea Life centre and to Coventry Cathedral to see an open - air production of Beauty and the Beast. Residents said they were satisfied with the daily activities that were offered to them. This year residents have been on holiday twice to Ireland and to Cornwall. Residents also talked about holidays in recent years to Australia. A wide selection of videos is available and residents said they are able to watch these. One resident has cable TV in their bedroom so that they can watch football matches. One resident has a pet bird in their bedroom. There are rabbits and a guinea pig in the garden and a cat and dog, which residents help to look after. Barnabas Care Home E54 S4538 Barnabas Care Home V244014 210905 Stage 4.doc Version 1.40 Page 11 Residents said that they regularly visit their relatives and sometimes stay overnight, if they want to. Residents are encouraged to participate in domestic duties including cleaning their bedrooms, preparing food and drinks and washing and ironing. Risk assessments are in place to ensure that the benefits of increasing residents independence outweigh the risks involved in doing these tasks. Residents said they enjoy the food and have a choice of what they eat. Staff said that they try to encourage healthy eating and do not eat ready prepared meals. They also try not to have chips or fatty foods too often. Residents sat with the owner/manager and his partner to eat their evening meal of cottage pie with fresh vegetables. Records of food provided are kept. A bowl of fresh fruit was available in the kitchen. Residents go shopping for food with staff. Barnabas Care Home E54 S4538 Barnabas Care Home V244014 210905 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) 19, 20 Arrangements are in place to ensure that resident’s health needs are adequately met. Generally, the management of the medication ensures residents health is promoted and protected. EVIDENCE: Residents records showed that they have regular check ups with the dentist and optician and where appropriate other health professionals are involved in their care. Residents said they regularly go to the opticians to have their eyes tested and buy new glasses if needed. Residents care plans include details of resident’s health needs and what needs to be done to ensure that individuals are healthy. A community nurse visited one of the residents and spent time with them in private. Safe storage has been provided for resident’s medication since the last inspection. Boot supplies the medication to the home and visit quarterly to ensure that medication is being given as prescribed and stored correctly. One of the residents has been assessed as being able to take their own medication. However to do this the owner/manager transfers the medication from the monitored dosage pack to a Nomad pack each week and gives it to the resident. The owner/manager is aware that this is secondary dispensing. Barnabas Care Home E54 S4538 Barnabas Care Home V244014 210905 Stage 4.doc Version 1.40 Page 13 However, the Boots pharmacist has agreed that in this case this is acceptable as it is allowing the resident to independently take their medication. The owner/manager said that the Boots pharmacist had asked if agreement had been sought from the GP for residents taking over the counter medication such as Panadol. The owner/manager has spoken to the GP who is going to prescribe the medication needed by individual residents. When prescribed individual protocols should be in place that state when, why and what dosage the individual should take. Barnabas Care Home E54 S4538 Barnabas Care Home V244014 210905 Stage 4.doc Version 1.40 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, 23 The arrangements for managing complaints are not adequate to ensure that resident’s views are listened to and acted on. Adequate arrangements are in place so that residents are protected from abuse. EVIDENCE: The complaints procedure generally includes all the relevant and required information. However, it does state that if the complainant is not satisfied with the response of the owner/manager they can contact the CSCI. This should be amended to state that the CSCI could be contacted at any time. Residents, their relatives and professionals said they were aware of the homes complaints procedure. There have been no complaints since the last inspection. One of the respite residents sent the owner a thank you card after their stay at the home. There is a prevention of abuse and bullying policy in place, which includes all the relevant and required information. Risk assessments are in place where residents may display inappropriate behaviour or travel independently to ensure the risks of being vulnerable to abuse are minimised. Residents have their own bank accounts and are supported where necessary to manage their finances. Staff receive training in the prevention of abuse. Satisfactory Criminal Records Bureau checks have been undertaken for all staff that work at the home. Barnabas Care Home E54 S4538 Barnabas Care Home V244014 210905 Stage 4.doc Version 1.40 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) 24, 26, 27, 28, 30 Residents live in a clean, safe and homely environment that meets their individual needs. EVIDENCE: The home is decorated and maintained to a good standard. On the ground floor there is a lounge and kitchen/dining room. One of the resident’s bedrooms is also on the ground floor. Resident’s bedrooms are decorated according to their tastes and interests and contain many personal possessions. One resident has an en suite shower with WC. There is a bathroom on the first floor close to residents’ bedrooms. There is a bath with an overhead shower, WC and wash hand basin. Cable TV is provided in one of the resident’s bedrooms as they enjoy watching football. The bedroom that is used for residents who come to the home for respite is decorated in neutral colours. On the second floor there is an office and the owners private room. At the rear of the home there is a large garden with grassed areas, trees, shrubs, pond and a barbecue. Risk assessments are in place for using all areas of the garden. At the front of the home is off road parking for three cars. The home was clean and free from offensive odours. Barnabas Care Home E54 S4538 Barnabas Care Home V244014 210905 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) 33, 35 Residents are supported by an effective staff team who receive the appropriate training to meet their individual needs. EVIDENCE: The owner and his partner provide most of the care for residents. When they go on holiday another couple stay at the home and provide the care. During these times there are no respite residents at the home. Satisfactory Criminal Records Bureau checks have been undertaken for all staff that work at the home. The owner said that his partner and her daughter are attending a one - day course on the prevention of abuse. The owner said he is attending a food hygiene refresher course next week. He has recently received training in first aid, care of medicines, violence and aggression, health and safety and adult protection. Barnabas Care Home E54 S4538 Barnabas Care Home V244014 210905 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) 37, 42 The home is well run, which will benefit the residents. Arrangements are in place to ensure that the health, safety and welfare of residents is promoted and protected. EVIDENCE: The owner/manager has NVQ level 4 and the Registered Managers Award. He also has NVQ level 3 in the Promotion of Independence. He has been the owner/manager since 1995. He showed that he has knowledge of resident’s individual needs and aspirations and knowledge of the appropriate legislation. Fire records showed that the smoke detectors are tested weekly to make sure they are working. Regular fire drills take place involving all residents and staff to make sure they are aware of the procedure to follow if there was a fire. Fire extinguishers are serviced each year. A fire risk assessment is in place, to ensure that the risks of a fire occurring are minimised. Barnabas Care Home E54 S4538 Barnabas Care Home V244014 210905 Stage 4.doc Version 1.40 Page 18 A record is kept of fridge and freezer temperatures and when they are defrosted to ensure that food is stored at a safe temperature. A Corgi registered engineer tested the gas equipment in July 2005 and said that it was in a satisfactory condition. An electrician tested the portable electric appliances in October 2004 to make sure they were safe to use. The owner/manager said that the electrical wiring had not been tested since 1997. An electrician should test it every five years. Following the inspection the owner/manager arranged for this to be done and sent a copy of the certificate to the CSCI, which indicated that it was in a satisfactory condition. A current certificate of employers liability insurance was seen. Risk assessments for residents, food, the premises and fire are in place. Barnabas Care Home E54 S4538 Barnabas Care Home V244014 210905 Stage 4.doc Version 1.40 Page 19 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 x x x 3 Standard No 22 23 ENVIRONMENT Score 2 3 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 3 x 3 3 3 x 3 Standard No 11 12 13 14 15 16 17 x 3 3 4 3 3 3 Standard No 31 32 33 34 35 36 Score x x 3 x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Barnabas Care Home Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x x x x 3 x E54 S4538 Barnabas Care Home V244014 210905 Stage 4.doc Version 1.40 Page 20 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 20 Good Practice Recommendations Individual protocols should be in place for each resident who is precribed as required (PRN) medication. These should include when, why and what dosage of the medication is to be taken. The complaints procedure should state that a complaint can be made to the CSCI at any time. 2. 22 Barnabas Care Home E54 S4538 Barnabas Care Home V244014 210905 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection Birmingham & Solihull Local Office 1st Floor, Ladywood House 45-46 Stephenson Street Birmingham, B2 4UZ 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 Barnabas Care Home E54 S4538 Barnabas Care Home V244014 210905 Stage 4.doc Version 1.40 Page 22 - 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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