Inspection on 24/06/05 for Bathurst House

This inspection was carried out on 24th 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

Bathurst House 15/08/06

Bathurst House 01/03/06

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 Lancashire BB2 1DB Lead Inspector Graham Oldham Unannounced 24 June 2005 10:00 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. Bathurst House F57 F07 S5811 Bathurst House V224424 240605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Bathurst House Address 7-11 Bathurst Street Blackburn Lancashire BB2 1DB 01254 51538 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) Care Home only Personal Care 11 Category(ies) of Learning Disability (LD) 7 registration, with number Mental Disorder excluding learning disability or of places dementia (MD) 2 Learning Disability over 65 years of age (LD)(E) 2 Bathurst House F57 F07 S5811 Bathurst House V224424 240605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 the home must employ a suitably qualified and experienced ,manager who is registered with the Commission for Social Care Inspection. 2 The home is registered for a max of 11 service users to include:Upto 7 service users in category LD - Learning disability under 65 years of age Upto 2 servcie 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 Date of last inspection 02 Spetember 2004 Brief Description of the Service: Bathurst House is a three terraced propety conversion. 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 ten 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 seperate dining and lounge areas, including smoke free areas. Parking is available at the front and rear of the property. Bathurst House F57 F07 S5811 Bathurst House V224424 240605 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 on the 24th June 2005. 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. 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 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. Two residents completed comment cards the inspector took detailed notes, which have been retained as evidence of the inspection. 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. A tour of the building and grounds was conducted. What the service does well: Residents were able to make decisions about their daily lives. One resident described how he “intended to take a coach trip to Austria”. Other comments included, “I go out on my bike when I want”, “I go to work and they are trying to find some more work for me”, and “the manager talks to me in private”. Consultation on their care, holidays and leisure activities ensured residents were able to lead a fulfilling life. Management and staff members were given praise by residents. Comments included “the staff are very good, they look after us” and “we talk to the staff all the time”. There was a homely atmosphere for residents to live in a comfortable manner. There had been no changes to the staff team for over a year which gave residents confidence to develop good relationships. Staff were well trained to provide suitable care for residents. Bathurst House F57 F07 S5811 Bathurst House V224424 240605 Stage 4.doc Version 1.30 Page 6 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. 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 F57 F07 S5811 Bathurst House V224424 240605 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Bathurst House F57 F07 S5811 Bathurst House V224424 240605 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2,3 and 4 Residents were individually assessed prior to admission and offered a short term stay to ensure their aspirations and needs were met. EVIDENCE: There had been one admission since the last inspection. The prospective resident had been assessed by a senior member of staff and offered a trial visit for three days. The resident enjoyed his visit and did not want to return to hospital. A permanent place has been offered. The inspector spoke to the resident who said, “I like it here its alright”. Other residents were consulted about the decisions. The needs of all the residents were taken into account for any admissions at the home. Bathurst House F57 F07 S5811 Bathurst House V224424 240605 Stage 4.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7 and 9 Residents were able to make decisions about their lives and supported to take calculated risks to maintain their independence. Residents were able to contribute to their plans of care to maintain their personal goals. EVIDENCE: Residents said they talked to the managers and staff every day. One comment card said decision making at the home was done through consultation. Recorded meetings were held regularly. The home was family run and the registered providers attend on a day-to-day basis giving residents the chance to talk to them informally. Residents were able to make decisions about their lives. Residents had signed agreement to their plans of care. Two residents who were involved in case tracking both said they talked to management and their key workers about care and other issues. Plans of care contained information about care needs, hobbies and a social history. Residents assessed needs and personal goals were evident in the plans of care. Risk assessments had been completed for residents. Residents described risks such as going out alone, riding a bike or going to work. The risk assessments observed during the inspection had been completed for the benefit of residents and allowed residents to retain some independence. Bathurst House F57 F07 S5811 Bathurst House V224424 240605 Stage 4.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) 12,13,14,15 16 and 17 Residents accessed the local community to pursue appropriate activities. Residents were able to maintain friendships or have personal relationships. Resident’s rights were respected at the home. Residents were able to enjoy their meals and mealtimes. Bathurst House F57 F07 S5811 Bathurst House V224424 240605 Stage 4.doc Version 1.30 Page 11 EVIDENCE: Residents described their many interests and activities. Comments taken on the day were, “we go swimming, to the library and out to pubs”, “I go to work and down town when I want”, “we go to the Tuesday club” and “we can come and go as we please”. Residents were satisfied that the leisure activities and personal support allowed them to lead fulfilling lives. One resident attended the church as a volunteer. Another resident talked about his “friend down the street”. A group of residents talked about going to various clubs and outings. Residents were involved and interacted with the local community. Residents had personal relationships. A resident had friends who did not have a handicap. One resident said, “my mother and sister visit, they can come and go as they want”. Residents were able to maintain personal relationships. All residents spoken to (5) said food was good (4) and all right (1). Food was appropriate for the residents accommodated at the home and there was a choice of meal. Residents had access to the kitchen and could assist at mealtimes or make their own drinks etc. There was a good atmosphere at the table. Residents appreciated meals and mealtimes. Bathurst House F57 F07 S5811 Bathurst House V224424 240605 Stage 4.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 and 20 Residents received appropriate personal care and support. Resident’s health needs were met. The control and administration of medications was well managed, promoting good health. EVIDENCE: Residents said they were well cared for. Comments included, “staff are kind to us”, “I look after myself but get help when I want” and “they look after us”. Two comment cards said care was good, residents liked living at the home and privacy was respected. Residents were encouraged to maintain their independence but received assistance when required. Residents described attending various clinics for physical and mental health needs. Routine appointments at opticians and dentists were arranged and supervised by staff where necessary. One resident was assisted to the asthma clinic on the day of the inspection. Doctors, nurses and other healthcare professionals attended the home. Resident’s health was monitored and intervention arranged when needed. Policies and procedures for medication were in place. The inspector examined the medication charts and found them to be clear, up to date and appropriately maintained. One resident case tracked self medicated. A risk assessment had been completed. Medication procedures protected the health and welfare of residents. Bathurst House F57 F07 S5811 Bathurst House V224424 240605 Stage 4.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 and 23 Systems were in place to protect residents from abuse. The complaints procedure was available for residents to access and met current Commission for Social Care (CSCI) Guidelines. EVIDENCE: Policies and procedures were available for staff to follow for abuse issues. The home used the Blackburn with Darwen adult abuse procedures to follow a local initiative. Members of staff were aware of abuse issues and described their response to abuse to the inspector. Staff were due to attend an adult abuse course. Two comment cards said residents felt safe at the home. From the information gained from staff and documentation examined, resident’s protection from abuse was safe-guarded. No complaints had been made to the service or the CSCI since the last inspection. Two residents case tracked said they could complain to the manager or social services. Staff were aware of the complaints procedure. The open atmosphere and complaints procedure gave residents an opportunity to complain. Bathurst House F57 F07 S5811 Bathurst House V224424 240605 Stage 4.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) 24,25,26,27,28,29 and 30 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 which promoted independence, privacy and met residents needs. EVIDENCE: The inspector conducted a tour of the home during the inspection process. All communal areas and 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. One resident said, “its much better now we are all together”. 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. The upgraded communal and private space gave residents a comfortable environment to live in. The laundry had been moved indoors and new equipment had been purchased. Policies and procedures were in place for the control of infection. A sluice was being fitted which further improved and protected the control of infection. Bathurst House F57 F07 S5811 Bathurst House V224424 240605 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, 34 and 35 Residents were supported by a well trained and effective staff team. Recruitment practices were thorough. EVIDENCE: No new staff had been employed at the home for 18months. Staff files examined in the past contained all the information required for recruitment standards. Files contained further certificates staff had gained for various training undertaken. Recruitment procedures helped protect the health and welfare of residents. Each staff member had undertaken some training since the last inspection. All staff had taken an accredited medication course. Other staff members had undertaken training for residents with Learning Disabilities. All staff except management had achieved NVQ2 or higher qualifications. The training undertaken ensured staff had the knowledge to look after the resident group accommodated at the home. Bathurst House F57 F07 S5811 Bathurst House V224424 240605 Stage 4.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, 38, 39, and 42 The home was run in an open and transparent way. The atmosphere at the home was good with staff, management and residents comfortably interacting. Health and safety policies, procedures and traing was sufficient at the home to protect the health and welfare of residents. Quality Assurance systems were not fully in place. The registered person needed to complete NVQ4 in care and management. Bathurst House F57 F07 S5811 Bathurst House V224424 240605 Stage 4.doc Version 1.30 Page 17 EVIDENCE: The registered manager was enrolled on the NVQ4 course and expected to complete it before the end of the year ensuring her management skills were up to date. Residents were very forthcoming with their views on all the staff employed at the home. All comments were positive. Two comments cards said residents liked living at the home and felt well cared for. Residents and staff tended to sit together around a table and talk or engage in banter. By direct and indirect observation the inspector was able to ascertain residents were allowed to reside in a relaxed household type setting. Staff had been trained in many health and safety aspects including food hygiene, moving and handling, first aid, fire safety and infection control. Health and safety policies, procedures and the up to date maintenance of gas and electrical equipment protected the health and welfare of residents. There was an annual development plan. There were recorded staff and residents meetings. Questionnaires had not been issued to residents, relatives (where possible) and visiting professionals to gain their views of the home. When the views have been obtained and a summary developed the home will have a good quality assurance system. Bathurst House F57 F07 S5811 Bathurst House V224424 240605 Stage 4.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 3 3 3 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 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x 3 3 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Bathurst House Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 2 3 2 x x 3 x F57 F07 S5811 Bathurst House V224424 240605 Stage 4.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 37 Regulation 9(2)(b)(i) Requirement The registered person must ensure the registered manager acheives the appropriate qualifications. The registered person must ensure quality assurance systems are implemented at the home. Timescale of 30/11/04 not met Timescale for action 31/12/05 2. 39 24 8/10/05 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 Bathurst House F57 F07 S5811 Bathurst House V224424 240605 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection 1st Floor, Unit 4 Petre Road Clayton-Le-Moors, Accrington Lancashire. 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 F57 F07 S5811 Bathurst House V224424 240605 Stage 4.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. 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