Inspection on 27/06/05 for Baronsmede

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

Baronsmede 27/07/07

Baronsmede 24/07/06

Baronsmede 06/03/06

Baronsmede 15/03/05

Baronsmede 22/09/04

Similar services:

Insight - Eastchurch

Southfields

Thorndene

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Baronsmede Queens Road Crowborough East Sussex TN6 1EJ Lead Inspector James Houston Unannounced 27 June 2005 08:20 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. Baronsmede H59-H10 S21039 Baronsmede V229747 270605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Baronsmede Address Queens Road Crowborough East Sussex TN6 1EJ 01892 654057 None None Baronsmede Family Homes Ltd 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) Mrs Norma Martin Care Home 9 Category(ies) of Learning Disability (LD), 9. registration, with number of places Baronsmede H59-H10 S21039 Baronsmede V229747 270605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Only adults with a learning disability from the age of eighteen (18) years to fourty five (45) years on admission to be accommodated. 2. The maximum number of residents to be accommodated is nine (9) 3. Service users with additional physical disabilities requiring the use of a wheelchair should not be accommodated. Date of last inspection 15 March 2005 Brief Description of the Service: Baronsmede is a large detached house in a residential part of Crowborough near to the shops and other amenities. The house provides care for up to 9 adults with a learning disability. Seven of the nine rooms have en-suite facilities. Communal faciities include a lounge, dining room lounge and a conservatory. There is a large garden with a patio to the rear of the house. Baronsmede is one of three homes owned by Baronsmede Family Homes Limited. Day care services are provided at the organisations day centre that is situated nearby. Baronsmede H59-H10 S21039 Baronsmede V229747 270605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place during the morning and early afternoon of the twenty-seventh of June 2005. Before the inspection the inspector read records on the home held by the Commission for Social Care Inspection and prepared to inspect those sections of the standards to be covered at that visit. The inspection of the home took 4.4 hours. The inspector made a tour of most of the premises, and read a variety of policies, procedures and reports and two care plans. The owner, manager, two staff and four residents were spoken with. On the day of the inspection there were eight residents living in the home. 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. Baronsmede H59-H10 S21039 Baronsmede V229747 270605 Stage 4.doc Version 1.30 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 Baronsmede H59-H10 S21039 Baronsmede V229747 270605 Stage 4.doc Version 1.30 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) 2 and 3. Residents are admitted only after a full assessment. The home meets the needs of those living there. EVIDENCE: Residents are admitted after the completion of a comprehensive pre-admission document that uses information from Health, Social Services, the resident and their family. The owner and/or the manager undertake this assessment. From discussion with staff and residents and examination of records it is clear that staff individually and collectively have the skills and experience to meet the needs of residents. Observation confirmed that staff are able to communicate with residents. The manager said that she would not admit any resident whose needs they could not meet. Baronsmede H59-H10 S21039 Baronsmede V229747 270605 Stage 4.doc Version 1.30 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, 8 and 9. Comprehensive care plans and risk assessments are kept and regularly reviewed. Residents are involved in the running of the home. EVIDENCE: Comprehensive care plans have been drawn up and were found to be regularly updated. Staff said that they are familiar with them. Staff said they are given guidance on how to write in the daily records. Regular reviews are held. The manager said that some residents’ disabilities can make involving them in the day to day running of the house complex, but that their opinions are sought on every possible occasion, for example about activities and food to be served. A resident said that they are involved if prospective new staff are working a trial shift, and in meeting possible new residents. Thorough risk assessments have been drawn up and those inspected had been regularly reviewed. A staff member confirmed that she is familiar with, and acts upon the risk assessments. The home has a missing persons’ policy. Baronsmede H59-H10 S21039 Baronsmede V229747 270605 Stage 4.doc Version 1.30 Page 9 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) 13,15 and 17. Residents are part of the local community. Visitors are made welcome. Meals and mealtimes promote the well being of residents. EVIDENCE: Some residents said that they are able to go out on their own. One resident spoke of liking going in to the town to meet friends. Most go out accompanied by staff. The group of homes to which Baronsmede belongs has adequate transport resources to take out residents to chosen activities. A staff member confirmed that group’s staff are knowledgeable about local resources and facilities. A staff member said that the home’s rota allows staff to enable residents to access chosen activities at evenings and at weekends. The manager and owner said that they also are available at such times for the benefit of residents. Residents have recently had a holiday in the New Forest, which the manager felt had been a great success. The manager said that residents are able to vote if they so wish and a resident confirmed that they had done so. Residents said that their visitors are made welcome. Staff said that greeting visitors and offering hospitality is an important part of their role. Baronsmede H59-H10 S21039 Baronsmede V229747 270605 Stage 4.doc Version 1.30 Page 10 Menus are generally planned one week in advance. Residents said that they go shopping for food, and a resident was preparing the shopping list during the inspection. Residents said that they like the food served. Staff said that residents eat in the communal areas. The manager said that special diets are not currently needed but can be provided. Baronsmede H59-H10 S21039 Baronsmede V229747 270605 Stage 4.doc Version 1.30 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 20 and 21. The systems to manage medication for residents are thorough. Suitable arrangements exist for carrying out the wishes of residents and their families about arrangements to be made after the death of a resident. EVIDENCE: The home currently holds no controlled drugs on behalf of residents. No resident self medicates, but one resident has their own medicines to take when out of the home for part of the day. Drugs were seen to be held securely, and the medicine administration records inspected were fully recorded. Staff said that they had had appropriate training. The manager is aware that in the event of the death of a resident medicines should be retained for seven days in case there is an inquest. The home has a suitable policy on the procedure to be followed in the event of a resident dying. Details of what arrangements are to be made in the event of such a death were seen to be held in care plans. Discussion with the manager showed that she has considered possible sources of support for residents and staff in such circumstances. Baronsmede H59-H10 S21039 Baronsmede V229747 270605 Stage 4.doc Version 1.30 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 23 The home has suitable systems to ensure that, as far as possible, residents are safeguarded in the event of abuse or allegations of abuse. EVIDENCE: The home has a suitable adult protection and whistle-blowing procedure. Staff said that they have received training on adult protection and prevention of abuse. There have been no incidents causing the Adult Protection procedures to be invoked. All the home’s residents now have a building society account and their funds are paid directly into them. Each resident has in his or her room a small lockable safe containing a cash tin. There is a record in the home’s safe (with a copy in the relevant cash tin) of transactions and the reason for them. Baronsmede H59-H10 S21039 Baronsmede V229747 270605 Stage 4.doc Version 1.30 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 25,25,26 and 28. The home provides a congenial setting for residents. Some physical aspects require some attention. Residents’ rooms and communal areas meet the current standards and are well furnished. EVIDENCE: Baronsmede is generally well maintained and accommodation provided is homely and comfortable. The premises are safe, comfortable bright and airy. The home offers access to local amenities. It is in keeping with the local community. The premises are accessible to all residents. Furnishings and fittings are of good quality and domestic in nature. Staff said that if they observe and report minor items needing attention they are dealt with. The stair carpet has been noted as needing review at previous inspections, and the replacement carpet for the hall and stairs and landing arrived during the inspection. Exterior paintwork still needs attention and the owner confirmed that a contract has been let to do this, with completion expected during the summer. The conservatory roof is to be cleaned, and the causes and possible remedies for marks on its floor to be looked into. Baronsmede H59-H10 S21039 Baronsmede V229747 270605 Stage 4.doc Version 1.30 Page 14 Residents’ rooms seen during this inspection were decorated to a good standard, and residents said that they like their rooms and are able to have a say in the décor, as well as bringing in items of their own. An inventory of such of items was seen. Communal areas include a large lounge, a separate dining room and a large conservatory. The home has a self-contained flat for two residents and this has a lounge area. Communal areas were decorated to a good standard. The home has a good sized and well kept garden area to the rear and side of the house. The home has a large and well laid out office. Baronsmede H59-H10 S21039 Baronsmede V229747 270605 Stage 4.doc Version 1.30 Page 15 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 and 36. . The home has an effective staff team that operates in the best interests of residents. They not yet attained the recommended levels of qualification. Staff receive regular supervision and appraisals. EVIDENCE: Observation showed that the manager and staff are accessible to, approachable by and comfortable with residents. Residents said that the manager and staff are lovely and helpful. A staff member is undertaking LDAF (Learning Disability Award Framework) Framework training. One staff member has NVQ 2 in care. Two are studying for level 3, and four for level 2. The home has a current staff rota which was available for inspection. This indicated that there are satisfactory staffing levels in the home. Staff are employed to work within the company and although they work predominantly in one of the homes they may also work shifts in the other homes. Senior staff said a senior manager is available on call to staff at all times. Staff said that turnover is low, with little sickness and no use of agency staff. The owner said that all staff left in charge are aged over 21. Staff said that there are regular staff meetings and the minutes of these were made available to the inspector. The manager has started a staff meeting agenda items diary, to assist staff in raising matters. Baronsmede H59-H10 S21039 Baronsmede V229747 270605 Stage 4.doc Version 1.30 Page 16 Staff said that they receive regular supervision and have annual appraisals. The owner and manager confirmed that they have received training in supervising staff. Baronsmede H59-H10 S21039 Baronsmede V229747 270605 Stage 4.doc Version 1.30 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) 38,39, 40,41 and 43. The management approach of the home creates an open, positive and inclusive atmosphere. Quality assurance systems are satisfactory. Records are well kept. Procedures are thorough and comprehensive. The home has suitable management systems. EVIDENCE: A staff member spoken with during the inspection said that the owner and manager are very approachable and that the home is run as a home from home. The home has a process whereby the views of residents and relatives are sought regularly through questionnaires. This was done at the end of last year and the results were made available to the inspector. The manager said that she plans to repeat this later in 2005 extending consultation to others such as visiting professionals. Baronsmede H59-H10 S21039 Baronsmede V229747 270605 Stage 4.doc Version 1.30 Page 18 Those procedures read were well written and they are regularly reviewed and signed off by the owner. It is recommended that at future reviews the registered manager consider doing so too. A staff member said that they are familiar with the home’s procedures. Those records inspected were found to be securely kept and well written. A resident said that they were aware of their right to see their records. The manager said that to date no residents have asked to see their records. The owner said that the home is revising its insurance arrangements and she had met their insurer very recently regarding this. An assurance was given that cover is in place. It is recommended that a current certificate is obtained and displayed. The home keeps a record of all transactions and there are clear lines of accountability within the home and with the owner. Baronsmede H59-H10 S21039 Baronsmede V229747 270605 Stage 4.doc Version 1.30 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 x 3 3 x x Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 x 3 x x Standard No 11 12 13 14 15 16 17 x x 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score x 2 3 x x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Baronsmede Score 3 x 3 3 Standard No 37 38 39 40 41 42 43 Score x 3 3 3 3 x 2 H59-H10 S21039 Baronsmede V229747 270605 Stage 4.doc Version 1.30 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. 2. 3. Refer to Standard 24 32 43 Good Practice Recommendations Attend to physical items identified during the inspection. Encourage staff to achieve NVQ level 2 Obtain a current insurance certificate to confirm cover. Baronsmede H59-H10 S21039 Baronsmede V229747 270605 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection Ivy House, 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Baronsmede H59-H10 S21039 Baronsmede V229747 270605 Stage 4.doc Version 1.30 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. 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!