Inspection on 17/11/05 for Baytrees

This inspection was carried out on 17th November 2005.

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 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

Baytrees 18/09/08

Baytrees 21/02/07

Baytrees 29/06/05

Baytrees 30/12/04

Baytrees 18/06/04

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

CARE HOME ADULTS 18-65 Baytrees 246 Old Worting Road Basingstoke Hampshire RG22 6PD Lead Inspector Liz Palmer Unannounced Inspection 17th November 2005 11:30 Baytrees DS0000012415.V256192.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 Baytrees DS0000012415.V256192.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. Baytrees DS0000012415.V256192.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Baytrees Address 246 Old Worting Road Basingstoke Hampshire RG22 6PD 01256 466 274 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) Liaise Loddon Limited Mrs Sarah Trievnor-Long Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Baytrees DS0000012415.V256192.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th June 2005 Brief Description of the Service: Baytrees is a care home providing personal care and accommodation for 4 young adults with a learning disability. It is owned and managed by Liaise Loddon. The home is a four bedroom detached house located in the heart of Basingstoke and is within access to local shops and services as well as to shops and leisure amenities within the main town. The home has a large private enclosed garden with areas for growing vegetables as well as ample space for service users to relax. Baytrees DS0000012415.V256192.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second inspection of the year 2005/2006. The inspection focused on key standards not assessed at the previous inspection, therefore should be read in conjunction with the last report. Three staff and all the service users were at home during the inspection. Time was spent talking to staff but service users were not interviewed due to their complex communication needs. Time was spent observing staff working with service users. Staff were seen to interact in a positive and relaxed manner with service users. Ways of communicating have been developed and service users were able to make their needs known. Staff know the service users very well and work in a planned and structured way to offer consistency and security to service users. What the service does well: What has improved since the last inspection? The quality of life of one service user has improved since a change of medication. One staff member has been promoted to ‘positive support manager’ and a new team leader has been appointed which has meant the manager can delegate more tasks. Baytrees DS0000012415.V256192.R01.S.doc Version 5.0 Page 6 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. Baytrees DS0000012415.V256192.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 Baytrees DS0000012415.V256192.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): 1 Arrangements for in place for assessing prospective service users needs. The procedure would ensure people are only admitted if their needs can be met. EVIDENCE: All the current service users moved to Baytrees in 2000 when the home opened and initial assessments were not available for inspection. The organisation has a thorough assessment process which the current registered manager of Baytrees has been involved in for other homes in the group. Due to the specialist nature of the service provided and special needs of the service users Liaise Loddon undertake their own assessments and work closely with other professionals to ensure they place people in the right environment where their individual needs can be met. Baytrees DS0000012415.V256192.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): None of these standards were assessed on this occasion. EVIDENCE: Baytrees DS0000012415.V256192.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): 16 The atmosphere in the home encourages service users to exercise their rights and take responsibility in their every day lives. EVIDENCE: Staff were observed working with service users. Activities are structured throughout the day and staff are designated to work with certain service users. At the end of each session staff inform service users who they will be working with next and thank them for working with them. Staff then use picture boards to let service users know what the next planned activity is. Service users were observed to make choices within this and their right to opt out was respected. Service users are supported to spend time alone in their rooms if they wish. Staff were observed only interacting with service users whilst designated to work with them and not talking to each other. Baytrees DS0000012415.V256192.R01.S.doc Version 5.0 Page 11 Service users are supported to take responsibilities for the running of the home, for example clearing their own plates at lunch time and going shopping for food. Baytrees DS0000012415.V256192.R01.S.doc Version 5.0 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 the following standard(s): 20 The home’s policies for storing and administering medication protect service users. An improvement to the record keeping of medication brought into the home and disposed medication would help staff keep track of stocks. EVIDENCE: Medication is appropriately stored and staff are aware of the home’s policies and procedures. Two staff sign for medication one of whom signs to say the medication was seen to be taken. Only staff who have undergone training actually administer medication. There is a clear procedure for ordering and counting in medication and for recording if medication is refused or not taken for any other reason. The information is recorded in several places and it was difficult to clearly track what medication had been returned to he pharmacy and how much should be in the home. A recommendation to review the recording procedure for counting in and returning medication has been made. Baytrees DS0000012415.V256192.R01.S.doc Version 5.0 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 the following standard(s): None of these standards were assessed. EVIDENCE: Baytrees DS0000012415.V256192.R01.S.doc Version 5.0 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 the following standard(s): None of these standards were assessed. EVIDENCE: Baytrees DS0000012415.V256192.R01.S.doc Version 5.0 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 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): 32, 34 and 35 The arrangements for recruiting and training staff ensures service users are protected and their needs can be met. EVIDENCE: Training records showed that all staff receive mandatory training, for example, first aid, food hygiene, manual handling and fire safety. The home’s computer programme highlights when courses are due for renewal. Staff also receive training to work with individual service users where they learn about specific behaviours and draw up individual programmes. Staff spoke highly of the training provided and have a range of qualifications and skills between them. For example, one staff member has a psychology degree and the manager is an accredited trainer in challenging behaviour. Three staff have completed National Vocational Qualification (NVQ) level two and two are currently undertaking it. The home’s recruitment procedures are suitable to protect service users. The registered manager is aware of the procedure and her responsibility within that. Three staff files were inspected, of these all had the necessary paperwork, for example, an application form, two suitable references and a criminal record check. Staff are interviewed by management and notes of their interview are held on file. Baytrees DS0000012415.V256192.R01.S.doc Version 5.0 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 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, 39 and 42 The home is well run and procedures and policies uphold the health and safety of service users. EVIDENCE: The registered manager has almost completed her NVQ level four in management and is an NVQ assessor. The home is well run and staff spoke highly of the management and support within the home. Paperwork is well organised and all policies and procedures are reviewed annually. Service user reviews are held six monthly and the views of parents, funding authorities and other relevant professionals are taken into consideration when reviewing the service provided. Annual health and safety checks are undertaken by the registered manager and suitable training is undertaken by staff for example, fire safety run by the fire service and first aid training with advanced courses for the designated first aid staff. Baytrees DS0000012415.V256192.R01.S.doc Version 5.0 Page 17 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 X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Baytrees Score X X 2 X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X 3 X DS0000012415.V256192.R01.S.doc Version 5.0 Page 18 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA20 Good Practice Recommendations The manager should review the procedure for counting in and returning medication. Baytrees DS0000012415.V256192.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Baytrees DS0000012415.V256192.R01.S.doc Version 5.0 Page 20 - 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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