Inspection on 29/06/05 for Baytrees

This inspection was carried out on 29th 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

Baytrees 18/09/08

Baytrees 21/02/07

Baytrees 17/11/05

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 Unnannounced 29.06.05 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. Baytrees H54 S12415 Baytrees V235090 290605.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Baytrees Address 246 Old Worting Road Basingstoke Hampshire RG22 6PD 01256 466274 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) Liaise Loddon Limited Mrs Sarah Trievnor-Long Care Home 4 Category(ies) of Learning Disability - LD - 4 registration, with number of places Baytrees H54 S12415 Baytrees V235090 290605.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30.12.04 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 bedroomed 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 H54 S12415 Baytrees V235090 290605.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over two and a half hours in the afternoon. All of the service users were met during the inspection. Three staff were spoken to and staff were also observed working with the service users. Staff appeared to communicate very well with service users and responded well to their needs. Staff showed a good understanding of peoples needs and service users were relaxed and happy. Care plans and review documents were looked at, as were risk assessments. A tour of the premises was undertaken. A pre-inspection questionnaire has been received but as yet no relative or service user comment cards have been returned. There were no requirements at the last inspection and once again all standards assessed were met. What the service does well: What has improved since the last inspection? Since the last inspection the home has introduced pictorial timetables for each person. Staff said they thought they were working really well and that service users really liked them. An emotion picture is also used each morning for each service to tell staff how they are feeling. Staff stated that they are working on Person Centred Planning which is already a feature of the home but they are developing it further. Baytrees H54 S12415 Baytrees V235090 290605.doc Version 1.40 Page 6 Service users are using the home’s computer more which staff stated is of great benefit to them. 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 H54 S12415 Baytrees V235090 290605.doc Version 1.40 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 Baytrees H54 S12415 Baytrees V235090 290605.doc Version 1.40 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) None of these standards were assessed. EVIDENCE: Baytrees H54 S12415 Baytrees V235090 290605.doc Version 1.40 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 Arrangements in place for care planning and risk assessing ensure service users assessed and changing needs are met on an individual basis. EVIDENCE: Two care plans were looked at during the inspection. Service users have person centred plans and timetables drawn up in pictorial format. Through discussion with service users it was evident that the plans reflected the choices and needs of individuals. One service user was able to confirm that the activities on his timetable were activities he enjoyed and happened at the stated times. Through observation it was evident that service users are able to communicate their needs to staff in their own way. For example, one service user uses pictures, another wrote down an activity. Others can verbalise their needs and one told the inspector that he can make choices about his life and that staff listen to him. A sample of suitable risk assessments were seen to be in place. Risk assessing is an important part of life at Baytrees and is done on a daily basis, for example, before people use the community. Baytrees H54 S12415 Baytrees V235090 290605.doc Version 1.40 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) 17. 12, 13, 15 and Arrangements are in place to ensure service users have access to a range of leisure and educational activities. Policies in place for visiting and relationships enable service users to have appropriate relationships. The menu planning and arrangements for meal times ensures service users all receive a healthy diet of their choice and religious requirements. EVIDENCE: Service users are involved in the Award Scheme Development and Accreditation Network (ASDAN) and the AQA Unit Award Scheme. Service users are also supported to engage in other educational and leisure activities within the home, for example, letter writing and gardening. Activities are also access out of the home for example, horse riding, drama, music therapy, swimming. Service users preferences were stated in their individual plans and they were able to confirm these to the inspector. A visiting policy welcomes visitors at ant time. One service user confirmed that his family are able to visit whenever they like and that they are made welcome Baytrees H54 S12415 Baytrees V235090 290605.doc Version 1.40 Page 11 by staff. Staff confirmed that the service users all enjoy good family contact and support and it was evident, through discussion, that the home maintains good relations with service users families. The home has a sexuality and relationships policy in place. Service users were seen to be enjoying their lunch in a relaxed and unhurried atmosphere. A cook is employed. Menus were seen to be displayed and although an alternative is not offered records are kept of what service users enjoy and the menus are drawn up to reflect this. Specialist diets are catered for. This was reflected in the menu and in what people were seen to be eating on the day. Service users are involved in food preparation. This was confirmed by a service user who stated he had cooked the previous night’s evening meal. This also tied in with his daily timetable. Baytrees H54 S12415 Baytrees V235090 290605.doc Version 1.40 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 and 19 The arrangements in place for personal, emotional and health care ensure that service users’ needs are met. EVIDENCE: Details of personal support and personal preferences are written in individual plans. For example, how individuals like to be woken. The emotional welfare of service users appeared to be crucial in all aspects of their lives. The home has developed ways of supporting people to express their emotions, for example, through pictures. Strategies for supporting people with their emotions have also been developed and seem to be working very well. Service users have access to a range of medical and health care specialists, for example, an osteopath visits weekly. Health care professionals are used on an individual needs basis. Baytrees H54 S12415 Baytrees V235090 290605.doc Version 1.40 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 The policies and procedures in place ensure that service users are able to be protected from abuse and are able to complain. EVIDENCE: The home has a complaints procedure displayed in the home and staff stated that all service users had a pictorial one in their rooms. Two service users were asked who they would complain to and were able to tell the inspector. Staff stated that although service users would not be able to use the complaints procedure they would all be able to make their feelings known if they were unhappy. The home has a copy of the Hampshire Adult Protection policy and all the current staff has received the appropriate training. The home has it’s own individual policies for supporting people who self harm. All service users have their own bank accounts. The system for handling and recording service users monies was looked at. Receipts are kept where possible and service users are supported to handle their own money on an individually assessed basis. Baytrees H54 S12415 Baytrees V235090 290605.doc Version 1.40 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 and 30 The arrangements for cleaning and maintenance in the home ensures service users live in a comfortable and safe environment. EVIDENCE: The communal areas of the home are suitable for the purpose of those who use them and were seen to be comfortable and homely. The home was generally clean and policies on hygiene are in place. All staff undertake Basic Food Hygiene Training and covered infection control as part of their National Vocational Qualification (NVQ) level two. Baytrees H54 S12415 Baytrees V235090 290605.doc Version 1.40 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of these standards were accessed on this occasion. EVIDENCE: Baytrees H54 S12415 Baytrees V235090 290605.doc Version 1.40 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) None of these standards were accessed on this occasion. EVIDENCE: Baytrees H54 S12415 Baytrees V235090 290605.doc Version 1.40 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 x x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 x 3 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Baytrees Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x x x H54 S12415 Baytrees V235090 290605.doc Version 1.40 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. 1. 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 Good Practice Recommendations Baytrees H54 S12415 Baytrees V235090 290605.doc Version 1.40 Page 19 Commission for Social Care Inspection 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. 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