Inspection on 15/08/06 for Bathurst House

This inspection was carried out on 15th August 2006.

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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Bathurst House 01/03/06

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 MIXED CATEGORY MAJORITY ADULTS 18-65 Bathurst House 7-11 Bathurst Street Blackburn Lancs BB2 1DB Lead Inspector Mr Graham Oldham Unannounced Inspection 09:30 11 October2006 th Bathurst House DS0000005811.V300789.R01.S.doc Version 5.2 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.V300789.R01.S.doc Version 5.2 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 Older People and 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.V300789.R01.S.doc Version 5.2 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.V300789.R01.S.doc Version 5.2 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 1st March 2006 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. A statement of purpose and service users guide is available for residents or their families to be informed of the facilities and services the home provides. The fees for Bathurst House range from £312 to £450 per week. Not included within the fees are hairdressing, toiletries, transport and outings. Bathurst House DS0000005811.V300789.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection, which included a visit to the service, took place on the 11th October 2006. Much of the information gained was obtained from talking to the person in charge (who was the proposed registered manager). Two residents were case tracked. 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 the proprietors. Two staff were questioned about the two residents case tracked to ensure they were familiar with the care required for each individual. The inspector took detailed notes during the inspection, which have been retained as evidence. Paperwork examined included plans of care, assessment documentation, policies and procedures or documents relevant to each standard. A tour of the building was conducted. What the service does well: The assessment process ensured the needs of residents could be met at the home. One resident said, “They talk to me about my care. I went into a room, got a booklet and looked at some papers”. Plans of care had been developed and maintained with the assistance of residents to ensure staff were aware of the needs of residents. Residents were able to take calculated risks, which enabled them to lead a more independent lifestyle. Residents said they chose when to go to bed and get up, went out independently and attended various day centres and clubs if they wished. One resident case tracked said, “I get my money weekly. I buy my own stuff such as clothes. They will take me shopping”. Residents were offered choice to maximise fulfilment. The person in charge said, “1 resident is working. Residents also go to day centres and clubs. We offer college courses but no one has taken one up this year. We can walk to the shops and go to the library. Residents are taken to the job centre and college. One resident is involved in church work”. A resident case tracked said, “I had a beautiful holiday. I like to go shopping for food or Bathurst House DS0000005811.V300789.R01.S.doc Version 5.2 Page 6 go out. I also like watching television”. Other residents said, “I use my bus pass and go to Clitheroe, Burnley, Bolton and Fleetwood”, “I like to wander around Blackburn and go to the bank” and “We went on holiday to Skegness for five days. We went to the club and played bingo or watched the singers. We had food in the dining room. Some went on the rides”. Residents said they helped with dusting, made their own brews, helped set tables and performed tasks they could do themselves. Leisure activities were provided to help resident’s enjoy their lives. Visiting was promoted for the benefit of residents. Residents said, “The food is very good but I am not eating very well at the moment because I have a cold”. Other residents said, “Food is all right”, “I like the food they keep my belly full” and “the meals are good”. Two questionnaires returned to the Commission for Social Care Inspection said residents liked to food. Food met resident’s nutritional needs. Staff were trained in the protection of vulnerable adults. Two questionnaires said residents felt safe. One resident case tracked said, “Nobody has been unkind to me”. Residents were protected from possible abuse. The upgraded environment met the needs and aspirations of the resident group accommodated at the home. The numbers, training and skill mix of staff met the needs of the residents accommodated at Bathurst House. Residents said, “I would like to stay out longer. Staff are making me packed lunches”, “I like it here”, “I am happy here”, “staff are very nice” and “I enjoy living here. The owner and staff treat me well”. The good atmosphere at the home made a pleasant environment for residents to reside in. What has improved since the last inspection? What they could do better: Either the Responsible Individual or proposed manager must complete NVQ training to meet the requirements of the commission. An application form for a registered manager should be completed as soon as possible and returned to the CSCI to enable the registration process to commence. Bathurst House DS0000005811.V300789.R01.S.doc Version 5.2 Page 7 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.V300789.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Bathurst House DS0000005811.V300789.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): YA2 and OP3 The quality outcome for this standard group was good. This judgement has been made using available evidence including a visit to this service. Prospective residents were assessed and offered trial visits to make an informed choice to enter the home. EVIDENCE: Two residents were case tracked during the inspection. No new residents had been admitted since the last key inspection. Two residents case tracked files contained evidence a good assessment had been carried out prior to admission. There was a copy of social services assessment for each resident to demonstrate social services were aware the services at the home was suitable for the resident placed. The person in charge said, “We have bought a computerised system which will ensure all paperwork is in place. The system flags up any shortfalls”. One resident case tracked said, “I enjoy living here”. Two questionnaires retuned to the Commission for Social Care Inspection said both residents liked living at Bathurst House. The assessment of residents Bathurst House DS0000005811.V300789.R01.S.doc Version 5.2 Page 10 ensured staff were able to develop a plan of care and meet the needs of prospective residents. Bathurst House DS0000005811.V300789.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14, and 33 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): YA6, YA7 and YA9 The quality outcome for this standard group was good. This judgement has been made using available evidence including a visit to this service. Each resident had a plan of care, which was up to date and reflected the care each individual required. Residents were able to make decisions to maximise their independence. Residents undertook risks to help maximise their choices. EVIDENCE: Two plans of care were examined during case tracking. Both plans of care were detailed and contained up to date information. Six monthly reviews had been conducted for the residents. However, it was recommended a monthly review by key workers be carried out due to the age of some residents. There was a good daily record maintained to inform staff of any changes. Residents were aware of their care plans but had limited knowledge of what they contained. Two questionnaires returned to the Commission for Social Care Inspection (CSCI) said resident’s felt well cared for and were treated well. One resident Bathurst House DS0000005811.V300789.R01.S.doc Version 5.2 Page 12 case tracked said, “They talk to me about my care. I went into a room, got a booklet and looked at some papers”. The person in charge was transferring details from the written care plans onto the new computerised system. Plans of care informed staff of the needs of residents. Risk assessments, personal to each resident, were observed during the case tracking process. Risk assessments allowed residents to take calculated risks to allow some independence. Risk assessments were undertaken for the protection of residents. Residents said they retained choices within the routine of the home. During case tracking residents said they chose when to go to bed and get up, went out independently and attended various day centres and clubs if they wished. One resident case tracked said, “I get my money weekly. I buy my own stuff such as clothes. They will take me shopping”. Residents were able to make decisions to maximise their independence. Bathurst House DS0000005811.V300789.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. Service Users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. Service users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): YA12, YA13, YA15, YA16 and YA17 The quality outcome for this standard group was good. This judgement has been made using available evidence including a visit to this service. Residents were able to access the community and take part in suitable activities to maximise their fulfilment. Residents were able to remain in contact with their families and friends to remain socially active. Residents were treated as Bathurst House DS0000005811.V300789.R01.S.doc Version 5.2 Page 14 individuals to protect their rights. Meals were satisfactory and met residents nutritional needs. EVIDENCE: The person in charge said, “1 resident is working. Residents also go to day centres and clubs. We offer college courses but no one has taken one up this year. We can walk to the shops and go to the library. Residents are taken to the job centre and college. One resident is involved in church work”. A resident case tracked said, “I had a beautiful holiday. I like to go shopping for food or go out. I also like watching television”. Other residents said, “I use my bus pass and go to Clitheroe, Burnley, Bolton and Fleetwood”, “I like to wander around Blackburn and go to the bank” and “We went on holiday to Skegness for five days. We went to the club and played bingo or watched the singers. We had food in the dining room. Some went on the rides”. Residents said they helped with dusting, made their own brews, helped set tables and performed tasks they could do themselves. Leisure activities were provided to help resident’s enjoy their lives. The person in charge said, “All the residents who want to vote can do. They get picked up and taken”. Each resident had a lockable door and retained their key. One resident said he “opened his own mail”. Residents were observed leaving the building and accessing all areas of the home. The interaction between residents and staff was excellent. The daily routines of the home were not restrictive and allowed residents to lead an independent life. The person in charge said, “Some residents just have phone contact with their families. One resident sees his brother weekly, one resident sees her sister weekly, 2 residents go home to see their families and most of the others have contact on Birthdays or special occasions”. Family and friend contact met resident’s expectations. One resident case tracked said, “The food is very good but I am not eating very well at the moment because I have a cold”. Other residents said, “Food is all right”, “I like the food they keep my belly full” and “the meals are good”. Environmental health checks had been completed and there was a rota to keep the kitchens clean. The dining area was sufficient for the residents accommodated at the home. There was a cooked option at least twice a day. Resident’s weights were recorded if necessary. Residents went out for a meal on a regular basis. No residents needed a different cultural or religious diet. Food served at the home was enjoyed by residents and met their nutritional needs. Bathurst House DS0000005811.V300789.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): YA18, YA19 and YA20 The quality outcome for this standard group was good. This judgement has been made using available evidence including a visit to this service. Residents were able to make informed choices and retain some independent living. Residents physical and emotional health needs were met. Medication policies and procedures were good and protected the welfare of residents. EVIDENCE: A resident case tracked said, “the staff treat me well – my care is private”. Residents said they were allowed choices within the routine of the home. The person in charge said, “we have a very flexible routine and give staff guidance on personal care”. Residents went out to get items such as clothes on their own or with assistance if they wished. Residents were able to choose what they did to maximise their contentment. Two residents files examined during the case tracking process contained evidence residents had access to health care specialists. A resident case Bathurst House DS0000005811.V300789.R01.S.doc Version 5.2 Page 16 tracked said, “I have been seen by my doctor and visited hospital lately”. The health care needs of residents were regularly reviewed and staff had an overview of each residents needs. Medication policies and procedures met current guidelines. Drugs were stored securely. Staff had attended accredited training for the administration of medication. Two members of staff signed the drug administration chart where necessary. No controlled drugs were being administered at the home at the time of the inspection. Two residents administered their own medicine and their capability had been risk assessed. Medication entering the home was recorded. The good administration of medication protected the health and welfare of residents. Bathurst House DS0000005811.V300789.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16-18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 22-23 (Adults 18-65) and Standards 16-18 and 35 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): YA22 and YA23 The quality outcome for this standard group was good. This judgement has been made using available evidence including a visit to this service. Residents were able to voice their concerns if they wished. Policies and procedures for the protection of vulnerable adults helped safeguard residents from possible abuse. EVIDENCE: Residents were able to talk to staff formally and informally to voice their opinions. No complaints had been made about the service to the CSCI since the last inspection. There was a satisfactory complaints procedure. Residents said they had no complaints. One resident case tracked said, “I can talk to the owners – they always listen to me”. Residents were able to access help if they needed to complain. There were policies and procedures for the protection of vulnerable adults. The home had a whistle blowing policy and a copy of the ‘No Secrets’ Document. The home used the Blackburn with Darwen Adult Abuse procedures to follow a local initiative. Staff had attended training for the protection of vulnerable adults. Staff questioned during the inspection were aware of abuse issues. One resident case tracked said, “Nobody has been unkind to me”. Two questionnaires returned from resident’s demonstrated residents felt safe. Policies, procedures and staff training protected residents from possible abuse. Bathurst House DS0000005811.V300789.R01.S.doc Version 5.2 Page 18 Bathurst House DS0000005811.V300789.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): YA24 – YA30 The quality outcome for this standard group was good. This judgement has been made using available evidence including a visit to this service. The environment met the needs of the residents accommodated at the home. EVIDENCE: A tour of the building was conducted on the day of the inspection. The home was warm, clean and tidy. Furnishings were comfortable and suitable in style for the resident group accommodated. Furnishings and fittings were domestic in character and of a good standard. Each resident had their own room, which had been personalised to their tastes. Rooms contained a good amount of furnishings and equipment. One resident case tracked said, “My room is very Bathurst House DS0000005811.V300789.R01.S.doc Version 5.2 Page 20 nice. I have my own shower, books, television and pictures”. Other residents said, “My room is very nice” and “my new room is much better than the one in the old building”. Local facilities could be assessed by public transport. The home had transport for group or individual outings. Toilets and bathrooms were suitable for residents needs. There was sufficient communal space. The kitchen had been upgraded and was clean and tidy. There was good access to outdoor space and the town centre is a short walk away. The homely environment provided good living accommodation for the resident group accommodated at the home. There were policies and procedures for the control of infection. The laundry was part of the refurbishment program and contained washing machines and dryers, which met current specifications. The laundry was sited away from any food preparation areas and was easily washable. There was a sluice. One resident case tracked said, “The home is always clean and tidy”. Infection control policies and procedures protected the health and welfare of residents. Bathurst House DS0000005811.V300789.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): YA32, YA34 and YA35 The quality outcome for this standard group was good. This judgement has been made using available evidence including a visit to this service. Residents were supported by sufficient numbers of well-trained staff. Recruitment policies and procedures protected residents from possible abuse. EVIDENCE: Two staff files were examined during the inspection. No new staff had been employed since the last key inspection. The person in charge was aware of good recruitment procedures. Recruitment procedures protected residents from staff who may not be suitable to work with vulnerable adults. Two staff files contained evidence training was ongoing. All members of staff except one had attained NVQ qualifications. Two staff members questioned during the inspection confirmed they had completed the training. The staff rota showed the numbers of staff were employed to ensure staffing levels were Bathurst House DS0000005811.V300789.R01.S.doc Version 5.2 Page 22 sufficient to meet resident’s needs. There was a training profile for each individual and the home as a whole. Resident’s needs were met by a welltrained staff team. Bathurst House DS0000005811.V300789.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. Service users live in a home which is run and managed by a person who is fit to be in charge of good character and able to discharge his or her responsibilities fully. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): YA37, YA39 and YA42 The quality outcome for this standard group was good. This judgement has been made using available evidence including a visit to this service. The views of residents were obtained to ensure management could react to their needs. Health and safety policies, procedures and training protected the health and welfare of residents and staff. Bathurst House DS0000005811.V300789.R01.S.doc Version 5.2 Page 24 EVIDENCE: The home was managed as a family business. One of the sons of the registered persons has been proposed to become the registered manager and is undertaking the registered managers award. The proposed manager expected to complete the award by “March 2007”. It was recommended the application for manager be submitted to the Commission for Social Care Inspection as soon as possible. Until the registered individual or proposed manager have attained the necessary qualifications the home will remain in breach of the regulations. There was an annual development and business plan. The home had attained the Blackburn with Darwen quality assurance benchmark. The person in charge had attained the views of residents and provided a summary for interested parties in the service user guide. All policies and procedures had been reviewed on the 8th August 06. The quality assurance systems at the home allowed management to react to the needs of residents. Staff had undertaken training in all aspects of health and safety. Staff questioned during the inspection said they had undertaken training for “moving and handling, health and safety, fire awareness, first aid, food hygiene, infection control, the administration of medication and protection of vulnerable adults”. Both members of staff confirmed training for NVQ2 and 3 in care, NVQ 1 in cleaning and were undertaking a learning disability SNVQ. There was a health and safety policy and procedures. The person in charge was aware of health and safety legislation. Health and safety policies and procedures protected the health and welfare of residents and staff. Bathurst House DS0000005811.V300789.R01.S.doc Version 5.2 Page 25 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. Where there is no score against a standard it has not been looked at during this inspection. 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 Standard No Score 1 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT Standard No Score 37 2 38 X 39 3 40 X 41 X 42 3 43 X 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Bathurst House Score 3 3 3 X DS0000005811.V300789.R01.S.doc Version 5.2 Page 26 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 YA37 Regulation 9(2)(b)(i) Requirement The registered person must ensure they or the proposed registered manager achieve the appropriate qualifications. (Timescale of 31/12/05 not met) Timescale for action 31/03/07 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.V300789.R01.S.doc Version 5.2 Page 27 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.V300789.R01.S.doc Version 5.2 Page 28 - 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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