Inspection on 01/03/06 for Bathurst House

This inspection was carried out on 1st March 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Bathurst House 15/08/06

Bathurst House 24/06/05

Bathurst House 02/09/04

Bathurst House 21/04/04

Similar services:

Sunny Bank (P.R.S.) Ltd

Ashwood Court Unit 1

Clover House

Thornton Lodge

Parkside

Park Lodge

Mere Hall View

St Bonaventures

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

CARE HOME ADULTS 18-65 Bathurst House 7-11 Bathurst Street Blackburn Lancs BB2 1DB Lead Inspector Mr Graham Oldham Unannounced Inspection 1st March 2006 09:45 Bathurst House DS0000005811.V267438.R01.S.doc Version 5.0 Page 1 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 Bathurst House DS0000005811.V267438.R01.S.doc Version 5.0 Page 2 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 Stationery 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. Bathurst House DS0000005811.V267438.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Bathurst House Address 7-11 Bathurst Street Blackburn Lancs BB2 1DB 01254 51538 Telephone number Fax number Email address Provider Web 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 Terence Paul Eastwood Mrs Julie Eastwood Care Home 11 Category(ies) of Learning disability (7), Learning disability over registration, with number 65 years of age (2), Mental disorder, excluding of places learning disability or dementia (2) Bathurst House DS0000005811.V267438.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home must employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection The home is registered for a maximum of 11 service users to include :Upto 7 service users in category LD - Learning disability under 65 years of age Upto 2 service users in category LD(E) - Learning disability over 65 years of age Upto 2 service users in category MD - Mental disorder under 65 years of age 24th June 2005 Date of last inspection Brief Description of the Service: Bathurst House is a property converted from three terraced houses to form one home. The home is maintained as one building situated very near to the town centre of Blackburn. Blackburn has a full range of leisure, business and commercial facilities. It is a family run business and there are currently eleven residents accommodated. There are private yards to the rear with seating for residents. The area around the home has recently been developed and is quite attractive. All bedrooms are single with all but one en-suite. There are separate dining and lounge areas, including smoke free areas. Parking is available at the front and rear of the property. Bathurst House DS0000005811.V267438.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 1st March 2006. Much of the information gained was obtained from talking to service users and staff members. The views of residents were obtained on a variety of topics. One resident was case tracked. The resident had been newly admitted and was able to answer questions about care issues. Case tracking gave the inspector an overall view of the specific care for the individual resident by checking the plans of care, other documentation and talking to residents and staff. Views have been reported collectively where the answers obtained were similar. Any specific or differing comments have been included in the body of the report. Staff were directly and indirectly observed carrying out their tasks and interacting with residents. Paperwork examined included plans of care, assessment documentation, policies and procedures or documents relevant to each standard. Core standards – inspected and met on 24th June 2005 were not re-inspected if evidence was not found to warrant further investigation. A tour of the building and grounds was conducted. What the service does well: Residents said, “I go out for a pub meal once a week. Two of us also go to a club once a week”, “I like to play the organ, use the computer and play pool. I go for a walk around town and go to church” and “I like to do art work, play dominoes, watch television and go out”. Regular activities occurred to give residents a fulfilling life. The environment of the home had improved again since the last inspection. The kitchen was being completely refurbished. Items purchased for the amusement of residents included an organ, a computer, a pool table and a music system. Improvements to the environment and provision of equipment gave residents a more stimulating atmosphere. There was a friendly and homely atmosphere at the home. Residents said, “the staff are very good to me” and “staff are very good – they are more like friends”. One visitor said, “the staff are brilliant and my brother is well looked after”. Prospective residents were assessed to ensure staff had the ability to care for each individual. Plans of care were developed from the assessment documentation and received regular review. Plans of care enabled staff to be aware of the problems and needs of each person. No changes had been made to the staff team, which helped provide good relationships between residents and staff. Bathurst House DS0000005811.V267438.R01.S.doc Version 5.0 Page 6 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. Bathurst House DS0000005811.V267438.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Bathurst House DS0000005811.V267438.R01.S.doc Version 5.0 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 the following standard(s): 2 Residents were individually assessed prior to admission to ensure their aspirations and needs could be met. EVIDENCE: There had been one admission since the last inspection. The prospective resident had been assessed by a senior member of staff prior to admission. Assessment documentation had been completed. The resident was out at a day centre on the day of the inspection. The views of residents were obtained to ensure any new resident was acceptable. The assessment of residents ensured staff had the knowledge to provide care for each person. Bathurst House DS0000005811.V267438.R01.S.doc Version 5.0 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 the following standard(s): 6 and 9 Residents were able to contribute to their plans of care to maintain their personal goals. Residents were able to take risks to maintain an independent lifestyle. EVIDENCE: Residents had signed agreement to their plans of care. The person in charge on the day of the inspection gave a good account of the care given to the resident who was case tracked. The information matched the care documented in the plans. Plans of care contained information about care needs, hobbies and a social history. One visitor said, “My brother has improved since he has started living here. He has calmed down. I am happy with the care they give him. I can speak to any member of staff about care issues and they keep me informed”. Residents assessed needs and personal goals were evident in the plans of care. Risk assessments had been completed for residents. Residents were risk assessed for going out alone, riding a bike, going to work or for mobility problems such as possible harm from falls. Residents confirmed they went out alone or with staff. The risk assessments observed during the inspection had been completed for the benefit of residents and allowed residents to retain some independence. Bathurst House DS0000005811.V267438.R01.S.doc Version 5.0 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 the following standard(s): 14 Residents were engaged in appropriate leisure activities. EVIDENCE: On the day of the inspection one resident was at work. The resident case tracked was at a day centre. Residents were observed going out if they wished. One resident spoken to confirmed he attended church. Other residents confirmed they attended activities of their choice. All residents spoken to were satisfied with the activities they pursued. Bathurst House DS0000005811.V267438.R01.S.doc Version 5.0 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 the following standard(s): No standards were inspected within this section. Standards were met at the last inspection. EVIDENCE: Bathurst House DS0000005811.V267438.R01.S.doc Version 5.0 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 the following standard(s): No standards were inspected within this section. Standards were met at the last inspection. EVIDENCE: Bathurst House DS0000005811.V267438.R01.S.doc Version 5.0 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 the following standard(s): 24, 25, 26, 27, 28 and 29 The home was warm, clean and comfortable. Furnishings and equipment was domestic in style and met residents needs and individual tastes. Bedrooms had en-suite facilities (except 1) which promoted independence, privacy and met residents needs. EVIDENCE: A tour of the home was conducted during the inspection process. All communal areas and several bedrooms were inspected. Residents had moved into the new section of the home and told the inspector they were very happy with their new rooms. Residents were particularly happy with the en-suite facilities. Residents were observed interacting with each other and staff in the lounges and communal areas. The inspector found the home to be well decorated, well equipped and comfortable. Two residents said they were “happy” with their rooms. Rooms had been personalised to resident’s tastes. Further upgrading had been completed by the addition of a new kitchen and better leisure facilities. The communal and private space gave residents a comfortable environment to live in. Bathurst House DS0000005811.V267438.R01.S.doc Version 5.0 Page 14 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): No standards were inspected within this section. Standards were met at the last inspection. EVIDENCE: Bathurst House DS0000005811.V267438.R01.S.doc Version 5.0 Page 15 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 and 39 The registered manager needed to complete NVQ training to meet the requirements of the Commission for Social Care Inspection (CSCI). Quality assurance systems need to be expanded to take account residents and stakeholder’s views to ensure management can respond to the changing needs and aspirations of those connected with the home. EVIDENCE: The person in charge said the registered manager had not completed the registered managers award. During discussion it was evident the registered manager was not going to complete the course. The person in charge was enrolled on the course and said he was going to apply to be the registered manager. It was advised that this be put in writing to the CSCI. It is a condition of registration that a suitably qualified and experienced person register as manager with the CSCI. Good quality assurance questionnaires had been given to residents to complete. Regular recorded meetings were held with residents. The views of families and stakeholders needs to be obtained to and a summary produced to fully meet quality assurance standards. Bathurst House DS0000005811.V267438.R01.S.doc Version 5.0 Page 16 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 X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 3 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Bathurst House Score X X X X Standard No 37 38 39 40 41 42 43 Score 2 X 2 X X X X DS0000005811.V267438.R01.S.doc Version 5.0 Page 17 Yes 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 YA37 Regulation 9(2)(b)(i) Requirement The registered person must ensure the registered manager achieves the appropriate qualifications. (Timescale of 31/12/05 not met) The registered person must ensure quality assurance systems are implemented at the home. (Timescale of 30/11/05 not met) Timescale for action 30/09/06 2. YA39 24 31/03/06 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 YA37 Good Practice Recommendations The registered person should inform the CSCI and return a completed application form for the person designated to become registered manager. Bathurst House DS0000005811.V267438.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection East Lancashire Area Office 1st Floor, Unit 4 Petre Road Clayton Business Park Accrington BB5 5JB 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 Bathurst House DS0000005811.V267438.R01.S.doc Version 5.0 Page 19 - 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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