Inspection on 24/05/07 for Beau Sejour

This inspection was carried out on 24th May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Beau Sejour 09/12/05

Beau Sejour 11/06/05

Beau Sejour 20/12/04

Beau Sejour 14/07/04

Beau Sejour 05/09/02

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Beau Sejour 12-14 Castle Road St. Albans Hertfordshire AL1 5DL Lead Inspector Marian Byrne Unannounced Inspection 24th May 2007 10:00 Beau Sejour DS0000019281.V342229.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 Beau Sejour DS0000019281.V342229.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 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. Beau Sejour DS0000019281.V342229.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beau Sejour Address 12-14 Castle Road St. Albans Hertfordshire AL1 5DL 01727 859948 01727 753842 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 Brijanund Rutnah Mrs Janeeta Rutnah Mrs Janeeta Rutnah Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Beau Sejour DS0000019281.V342229.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th April 2007 Brief Description of the Service: Beau Sejour is a privately owned service providing personal care, social care and accommodation for 10 people who have a learning disability. The property consists of two houses converted into one property, with a large conservatory added in 2004. There is a beautifully landscaped rear garden with a waterfall, this was designed to be safely accessible and was re-landscaped following the addition of the conservatory. The property remains in keeping with the other houses in the road and is in a quiet residential area of St Albans. St Albans is an historic town, which boasts a lively town centre with various and wide ranging amenities. The town centre is a short car journey from the home. The home provides single accommodation personalised bedrooms with hand basins and adequate bathing and toilet facilities. The home provides residential care in a family style environment for younger adults who have a learning disability. It also has its own mini-bus to support service users to access their community. Beau Sejour DS0000019281.V342229.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place in the early afternoon and evening and was carried out by one inspector. The inspector saw and spoke with all the service users. The Registered Manager was present during the inspection. What the service does well: What has improved since the last inspection? What they could do better: This was a very positive inspection. Beau Sejour DS0000019281.V342229.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Beau Sejour DS0000019281.V342229.R01.S.doc Version 5.2 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 Beau Sejour DS0000019281.V342229.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have been assessed prior to admission. EVIDENCE: No new service users have been admitted since the last inspection. Beau Sejour DS0000019281.V342229.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users have their individual needs met. EVIDENCE: The sample of care plans scrutinised at this inspection showed that service users are involved in their assessments and reviews; their personal goals and needs are reflected in their care plan and these are kept tracked and were recently reviewed. Records were maintained of the decisions service users make and clear guidelines are drawn up together with risk assessments in order to fully support the service user to achieve their aspirations/goals within a risk management framework. Risk Assessments on service users’ files provide evidence that each service user is supported to take risks in order to develop their skills in a safe manner yet in a way that does not impede their development; those sampled had recently been reviewed. Beau Sejour DS0000019281.V342229.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The lifestyle of the service users is excellent. EVIDENCE: A sample of care plans were scrutinised at this inspection and provided of personal development; they further provided evidence that numerous and a good variety of leisure opportunities had been enjoyed in accordance with the choices and preferences of the service users. The care plans and progress notes provided evidence that service users are expected and supported, oneone, to develop independence by maintaining and developing daily living skills. All events including daily living activities and leisure pursuits were recorded in the progress notes. Most of the leisure opportunities provided had taken place Beau Sejour DS0000019281.V342229.R01.S.doc Version 5.2 Page 11 in the local community. Birthdays are celebrated and friends and relatives join in the party to celebrate with the service user. Various other events are celebrated at the home throughout the year; this enables the service users to be part of their community because neighbours and visitors from the local church are invited and attend. When service users returned from their vari ous daily activities time was taken to greet them and make them a drink and a snack before the evening routines began. On the day of the inspection all the service users used the facilities in the garden. Menus include service users favourite foods. Two of the service users who were overweight on admission have lost large amounts of weight since they were admitted to the home. Beau Sejour DS0000019281.V342229.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal support is given in a manner that meet the service users physical and emotional needs. Medication was in order. EVIDENCE: The sample of care plans scrutinised at this inspection provided evidence of how the personal support needs, physical and emotional needs are met; they are clearly set out in the individual care plan of each service user. The care plans scrutinised had been kept tracked and reviewed on a very regular basis and provide clear guidelines for staff to enable the meeting of needs in accordance with both need and service user preference. The service users accommodated in this home have profound learning disabilities and are not able to manage their own medication. The medicines were securely and properly stored. The medication administration records were neatly and correctly maintained with no gaps. PRN medication is well recorded on a separate sheet and the reason for administering this is noted. The local pharmacist provides an audit service. Service users were wearing good quality, age appropriate clothes from popular high street stores. Beau Sejour DS0000019281.V342229.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected from abuse. EVIDENCE: Policies and procedures are in place together with training in abuse awareness as part of protection from abuse protocols. Relatives have previously stated to the CSCI that it would be unimaginable that any form of abuse could ever take place in the home, as “everyone is just so caring”. A complaints policy and procedure is in place and a clear version of this is made available to the service users and their representatives. Beau Sejour DS0000019281.V342229.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home meets the needs of the service users. The home is very well maintained and is clean and hygienic, EVIDENCE: During this unannounced inspection, the CSCI inspector saw the home to be well maintained comfortable; good quality furniture and a very homely atmosphere is maintained. Grab rails are in place to promote independence and safety where needed. Specialist equipment (a hoist) is provided and records showed that this is kept regularly serviced; training is provided in moving and handling and in particular the use of the hoist; certificates for moving and handling were on individual staff files and staff needing to update had done so recently. Re-decoration is on going and the home is in excellent repair. The house is extremely well maintained. The large garden is landscaped this year, with a safe waterfall and other sensory additions have been well thought out to meet the individual and collective needs of the service Beau Sejour DS0000019281.V342229.R01.S.doc Version 5.2 Page 15 users. Good hygiene practices were evident; staff attend food hygiene training and all areas of the home are kept very clean. Beau Sejour DS0000019281.V342229.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The staff are recruited appropriately, trained to a very high level and supervised appropriately to ensure all the needs of the service users are met. EVIDENCE: The job description provided, at the onset of employment, to each member of the team and relating to their particular role provides a description of the duties they will be expected to undertake and to whom they are accountable. A copy is maintained in the office files and a copy is in the individual staff handbook. Recruitment is robust; there had been two new staff recruited since the last inspection when the CSCI checked their staff records they were found to be in order. There is a very low staff turnover at this home. Staff induction is provided via the Learning Disability Awards Framework training. There is ongoing accredited training and updates for all mandatory training for all staff. Staff stated that they feel very well supported, have a strong team and receive regular formal supervision. The CSCI inspector witnessed positive relationships between the staff team as they worked Beau Sejour DS0000019281.V342229.R01.S.doc Version 5.2 Page 17 cohesively to provide for the meeting of needs of the service users during this inspection. Beau Sejour DS0000019281.V342229.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is very well managed and run in the best interests of the home. EVIDENCE: One of the proprietors is the registered manager. Evidence that the service users benefit from a well run home was evidenced by: looking at records, talking to service users and talking to staff. Robust recruitment policies and procedures were adhered to (see earlier in this report). Evidence that service users’ views underpin all self-monitoring, review and development are reported widely earlier in this report. The proprietors manage the home themselves and are both highly qualified to do so. Accredited staff induction and training is provided to all staff with regular updates as stated earlier in this report/ Health and safety policies, procedures and protocols are regularly reviewed. This report provides evidence throughout that this home Beau Sejour DS0000019281.V342229.R01.S.doc Version 5.2 Page 19 continues to work towards providing excellence and the proprietors and the care team deserve to be highly commended. Beau Sejour DS0000019281.V342229.R01.S.doc Version 5.2 Page 20 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 Standard No Score 1 X 2 X 3 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 4 33 X 34 4 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 DS0000019281.V342229.R01.S.doc 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 4 16 4 17 4 Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Beau Sejour Score 3 3 3 x 4 X 4 X X 4 x Version 5.2 Page 21 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. Refer to Standard Good Practice Recommendations Beau Sejour DS0000019281.V342229.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Hertfordshire Area Team CPC1 Capital Park Fulbourn Cambridge CB21 5XE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Beau Sejour DS0000019281.V342229.R01.S.doc Version 5.2 Page 23 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!