Inspection on 12/07/05 for Bath Road (4)

This inspection was carried out on 12th July 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

Bath Road (4) 05/11/08

Bath Road (4) 09/11/06

Bath Road (4) 18/01/05

Bath Road (4) 12/08/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Bath Road (4) 4 Bath Road Bradford on Avon Wiltshire BA15 1SP Lead Inspector Sally Walker Announced 12 July 2005 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. Bath Road (4) D51_D01_S28183_BathRoad(4)_V191254_120705_Stage4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Bath Road (4) Address 4 Bath Road Bradford on Avon Wiltshire BA15 1SP 01225 864280 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 Sheila Mary Galley Mrs Sheila Mary Galley Care Home 1 Category(ies) of LD Learning Disability registration, with number of places Bath Road (4) D51_D01_S28183_BathRoad(4)_V191254_120705_Stage4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th January 2005 Brief Description of the Service: Mrs Galley has been providing care to the resident in her own home since 1979. Having brought them up, the resident is considered part of the family. They have own single bedroom. Mrs Galley supports the resident to access the day service and some regular periods of respite care in another care home. The resident joins in with all the family social activities. Mrs Galley does not intend to offer care to any other residents. Bath Road (4) D51_D01_S28183_BathRoad(4)_V191254_120705_Stage4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place between 9.30am and 1.30pm. The resident was at home for a short while before going to day services. Mrs Galley employs no staff. The care plan, daily diary, fire prevention records and reviews were inspected. The resident’s bedroom and communal area were inspected. 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. Bath Road (4) D51_D01_S28183_BathRoad(4)_V191254_120705_Stage4.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 Bath Road (4) D51_D01_S28183_BathRoad(4)_V191254_120705_Stage4.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) None of these standards are relevant, as the resident has lived at the home since they were 6 months old and Mrs Galley does not intend to provide care and accommodation to anyone else. EVIDENCE: Bath Road (4) D51_D01_S28183_BathRoad(4)_V191254_120705_Stage4.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, 7 & 9 The resident’s care needs are known to each of the 3 different services providing care in the form of a common care plan. Mrs Galley encourages the resident to make day-to-day choices with a good range of communication styles. The resident is made to feel part of the family. EVIDENCE: Mrs Galley works very closely with the day service and respite service in developing the resident’s care plan. She said that as she drove the resident to their day service it would give her a chance to talk to the staff about the resident’s current care needs or any changes. Mrs Galley reported that the one care plan was in place in order to have a continuity of care in all three services. Mrs Galley kept a daily diary to record significant events and record the meals taken. This gave a good picture of how the care was provided together with the improvements to their health. The inspector advised her to amend the care plan to reflect how the care is provided specifically when the resident is home. This may take the form of a supplementary statement of personal care routines or routines for different times of the day as other aspects of the resident’s needs were already identified. The care plans should also include communication needs and how the resident makes choices. It was clear from talking to Mrs Galley and from observing them together that she continued to encourage the resident to communicate and was instinctively Bath Road (4) D51_D01_S28183_BathRoad(4)_V191254_120705_Stage4.doc Version 1.30 Page 9 aware of their mood. Mrs Galley reported that the resident was able to make some choice to a limited degree but other decision-making would always be discussed with the resident’s care manager with whom she was in regular contact. Risk assessments were in place for moving and handling, bathing and the speech and language therapist had carried out an assessment with regard to swallowing. Bath Road (4) D51_D01_S28183_BathRoad(4)_V191254_120705_Stage4.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) 12, 13 & 17 The resident has opportunities for development in three different settings. They have a good range of leisure pursuits often involving the family. The resident is part of the family and Mrs Galley has a strong bond with the resident encouraging communication and making choices. Mrs Galley has succeeded in improving the resident’s health and diet with good support from the GP. EVIDENCE: The resident attends the day service every day and Mrs Galley or another member of the family takes them in the resident’s mobility vehicle. The resident has pre-booked periods of respite care at another care home and will go there when Mrs Galley has her holidays. Mrs Galley reported that the resident always joined in family outings and that coming weekend they were visiting family in Kent and they would stay in a hotel in an adapted room with special facilities and more space. Mrs Galley described how the resident was well known in the local community. They would have a beer in the local pub, shopping or to local shows. Mrs Galley said the resident was particularly interested in music and would access the television music channels or listen to their music in their bedroom. The resident was in a drama group at the local theatre. Mrs Galley keeps a record of all meals and reported that since their Bath Road (4) D51_D01_S28183_BathRoad(4)_V191254_120705_Stage4.doc Version 1.30 Page 11 improved health the resident did not need so much of their food liquidized or mashed and as a result had a more varied and interesting diet. Mrs Galley said they went out for meals with the family. Mrs Galley said the resident was given more drinks during the hot weather. Bath Road (4) D51_D01_S28183_BathRoad(4)_V191254_120705_Stage4.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 & 20 Mrs Galley is very aware of the resident’s care needs having looked after them since they were 6 months old. She is their advocate for ensuring good access to healthcare professionals. Their health and well-being has significantly improved since the last inspection. EVIDENCE: Mrs Galley was very aware of the resident’s needs and described her support in giving personal care. Mrs Galley reported significant success in the resident’s health and diet with support for her plan from healthcare professionals and the other services in the care package. The inspector noted the resident’s improved wellbeing after a period of ill health at the last inspection. It was clear from talking to Mrs Galley that she keeps a close eye on the resident’s health and wellbeing and refers any concerns to the GP or any specialists involved with their care. Mrs Galley reported a reduction in behaviours which she attributed to their earlier ill health. Mrs Galley showed the inspector the seizure charts which showed that they had stopped. The resident’s medication was securely stored and records were kept of administrations. Mrs Galley was aware of what was prescribed together with side effects. She said she gave no homely remedies and any medication needed would be prescribed by the GP. Bath Road (4) D51_D01_S28183_BathRoad(4)_V191254_120705_Stage4.doc Version 1.30 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 & 23 Mrs Galley and the care manager advocate for the resident. Mrs Galley hopes that her regular contact with other services also involved in the resident’s care would bring and concerns directly to her. Mrs Galley knows the local vulnerable adults procedure. EVIDENCE: Mrs Galley works to the complaints procedure of the placing authority. She had regular contact with the other services in the care package and hoped that they would discuss any concerns with her directly. As the resident’s health had significantly improved, behaviours had diminished. Mrs Galley described calming strategies for when the resident was upset or tired. Mrs Galley encourages the resident to save in their own named interest account. The resident has their personal allowance each week. The resident’s finances are audited regularly by the care manager. Mrs Galley was aware of the local policy on the protection of vulnerable adults entitled “No Secrets in Swindon and Wiltshire”. Bath Road (4) D51_D01_S28183_BathRoad(4)_V191254_120705_Stage4.doc Version 1.30 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 & 30 The resident lives in a comfortable, clean, bright and homely family setting. EVIDENCE: The resident had their own bedroom with a double bed and buffers to stop them being injured on the headboard. The bedroom was comfortable and decorated and furnished to reflect the personality of a younger person. The bathroom and toilet were adjacent. Mrs Galley said that she would hear if the resident needed assistance during the night as her bedroom was next to the residents. Mrs Galley reported that the resident had purchased a new, more comfortable wheelchair and a specially adaptable supportive armchair. The home was very clean and comfortable and no unpleasant odours were noted at anytime during the inspection. Mrs Galley keeps a record of her regular checks of the domestic fire safety precautions. She worked to the Wiltshire Fire Brigade’s guidance for care homes. Bath Road (4) D51_D01_S28183_BathRoad(4)_V191254_120705_Stage4.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) None of these standards are relevant as Mrs Galley employs no staff. EVIDENCE: Bath Road (4) D51_D01_S28183_BathRoad(4)_V191254_120705_Stage4.doc Version 1.30 Page 16 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, 41 & 42 Mrs Galley uses her particular knowledge of the resident to provide a good standard of care and support. The resident benefits from her previous experience of providing care to younger adults in hospital, care homes and schools. Recording systems improve at each inspection. Mrs Galley is aware of the need to consider the resident’s health and safety. EVIDENCE: Mrs Galley has had over 28 years of caring for people with disabilities, in hospital, care homes and in education. Mrs Galley works some relief shifts in a nearby care home in which she was a part time member of staff. She accesses their training programme and said she had recently undertaken training in fire prevention, Prader Willy Syndrome, moving and handling and first aid. At the last inspection the system for moving the resident up the stairs was discussed. Although Mrs Galley has been trained in moving and handling and, has been assisting the resident up to their bedroom for the last 26 years, the inspector advised that an assessment should be carried out fro the protection of the resident and indeed Mrs Galley. Mrs Galley reported that an occupational therapist had done an assessment and a stair lift was to be fitted. Mrs Galley Bath Road (4) D51_D01_S28183_BathRoad(4)_V191254_120705_Stage4.doc Version 1.30 Page 17 was advised to consult with the Wiltshire Fire Department before the lift was installed, as the staircase was the only means of escape from the first floor. Bath Road (4) D51_D01_S28183_BathRoad(4)_V191254_120705_Stage4.doc Version 1.30 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x x x 3 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Bath Road (4) Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x x x 3 3 x D51_D01_S28183_BathRoad(4)_V191254_120705_Stage4.doc Version 1.30 Page 19 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA 6 Regulation 15 Requirement The person registered must include those care needs specific to the residents needs whilst they are at 4 Bath Road in the care plan. This may take the form of a supplementary statement of routines. Timescale for action 1st September 2005 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 Bath Road (4) D51_D01_S28183_BathRoad(4)_V191254_120705_Stage4.doc Version 1.30 Page 20 Commission for Social Care Inspection Avonbridge House Bath Road Chippenham Wiltshire, SN15 2BB 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 Bath Road (4) D51_D01_S28183_BathRoad(4)_V191254_120705_Stage4.doc Version 1.30 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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. 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