Inspection on 13/07/05 for Belamacanda

This inspection was carried out on 13th July 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

Belamacanda 27/07/06

Belamacanda 21/11/05

Belamacanda 14/02/05

Belamacanda 10/06/04

Similar services:

Claremont House

Sun Court Nursing Home

Bramley Avenue (73)

15 Bramble Close

Dolphin Court

Fen Road

Wakes Hall

165 Putnoe Lane

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

CARE HOME ADULTS 18-65 Belamacanda 172/174 The Street Little Clacton Clacton-on-sea Essex CO16 9LX Lead Inspector Jane Greaves Final Unannounced 13 July 2005 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. Belamacanda I56-I05 S17766 Belamacanda UI V238276 130705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Belamacanda Address 172/174 The Street, Little Clacton, Clacton-onSea, Essex 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) 01255 862238 01255 861837 Black Swan International Limited Michael Ralph Melton Care Home 22 Category(ies) of Physical disability (22), Physical disability over registration, with number 65 years of age (22) of places Belamacanda I56-I05 S17766 Belamacanda UI V238276 130705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. Persons of either sex, under the age of 65 years, who require care by reason of a physical disability (not to exceed 22 persons) 2. Persons of either sex, aged 65 years and over, who require care by reason of a physical disability (not to exceed 22 persons) 3. The total number of wervice users accommodated in the home must not exceed 22 persons Date of last inspection 14/02/05 Brief Description of the Service: Belamacanda is a large detached property in Little Clacton in the County of Essex. The home offers accommodation to 22 service users of either sex who have physical disabilities. There are 20 bedrooms on the ground floor of the property with 2 further bedrooms on the first floor accessed by means of a stair lift. The communal areas on the ground floor include a smoking lounge and a sitting room. There is a garden to the rear of the property, which contains three sheds. One is a wheelchair storage/charging facility, one is an incontinence pad storage facility and one contains garden equipment. There is ample parking to the front of Belamacanda and there is a bus stop right outside the home enabling access to the local community. Belamacanda I56-I05 S17766 Belamacanda UI V238276 130705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This routine unannounced inspection took place on 13th July 2005 over 5 hours. Two inspectors sampled 18 of the 43 National Minimum Standards and all were met. For the purpose of this report the people living at Belamacanda preferred to be referred to as ‘residents’. During this inspection the inspectors spoke with eight residents and nine members of staff. The atmosphere of the home on the day of the inspection was welcoming and the co-operation received from the registered manager, assistant manager, support staff and the residents at Belamacanda was appreciated. Overall on the day of the inspection the care and support observed offered to residents at Belamacanda was good. What the service does well: What has improved since the last inspection? What they could do better: Carpeting in the communal hallways was tired and in need of replacement, the registered manager reported that this was scheduled for later in the year. Belamacanda I56-I05 S17766 Belamacanda UI V238276 130705 Stage 4.doc Version 1.40 Page 6 Some bathroom/toilet facilities remained need of attention; this was included in the current refurbishment programme. The registered manager reported that the communal lounge area was due to be redecorated in the autumn. 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. Belamacanda I56-I05 S17766 Belamacanda UI V238276 130705 Stage 4.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 Belamacanda I56-I05 S17766 Belamacanda UI V238276 130705 Stage 4.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) 5 Each resident had an individual written contract with the home. EVIDENCE: Included in the residents’ files sampled were clear and detailed contracts specifying the fees payable and the rights and responsibilities of both parties. Information regarding the facilities available, terms of occupancy and arrangements for reviewing residents’ needs and progress were contained within this document. Belamacanda I56-I05 S17766 Belamacanda UI V238276 130705 Stage 4.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) 7 and 8 Residents made decisions about their lives with assistance as required. Residents were consulted on, and participated, in all aspects of life within the home. EVIDENCE: Residents confirmed they were enabled to form decisions and make choices about their lives with assistance from support staff and management if required. Residents were encouraged to participate in decision making within the home. An elected residents’ representative attended regular staff meetings and the good communication and ethos within the home ensured the residents received feedback regarding their involvement and participation. Belamacanda I56-I05 S17766 Belamacanda UI V238276 130705 Stage 4.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) 12,13,14,16 and 17 Residents were supported to participate in age and peer appropriate activities. Residents were part of the local community and were supported to engage in appropriate leisure activities. Residents’ rights and responsibilities were respected and recognised in their daily lives. Residents were provided a healthy diet and enjoyed their meals and mealtimes. EVIDENCE: Residents were encouraged to take part in many activities in the local community such as college attendance, visiting a local farm, swimming and visiting local public houses. On the day of the inspection a group of residents went ten-pin bowling with support staff using the home’s minibus. A group of residents were supported to attend a local workshop three days per week. Belamacanda I56-I05 S17766 Belamacanda UI V238276 130705 Stage 4.doc Version 1.40 Page 11 Residents reported they had enjoyed a barbecue the previous weekend and were looking forward to the following day when there was a planned day trip to the London Eye, a meal in China Town and a River Cruise. The proprietors funded this outing. A group of residents had gone to Portugal for a holiday during the week of this inspection and another group had recently returned. Both staff and residents said how enjoyable the experience had been. There was a large selection of board games and activity equipment, including a computer with Internet access at the home. One resident spoke of how they enjoyed being able to keep in contact with their family via email. Minutes of residents’ meetings confirmed their input with regard to entertainment brought into the home. The residents’ notice board held copies of the minutes of these meetings and lists of forthcoming events and outings. Theatre groups visit the home regularly to provide entertainment for the residents. A cheerful photograph board was on display showing residents and staff enjoying varied activities. Staff members were seen to interact with residents in a respectful, individual and cheerful manner. One resident said of staff members “The staff work very hard, I feel safe here and they treat me well”. Residents had unrestricted access to the home and grounds. Some residents were seen to make hot drinks when they wished to. There was a lounge area specifically for the residents who wished to smoke; this was the room where the computer was situated. On the day of the inspection the residents were observed enjoying their lunchtime meal, laughing and joking with care staff. Where assistance was needed it was provided in a relaxed and appropriate manner. All residents spoken with reported they had influence over the menu choices and they liked the food. Mealtimes were flexible with the main meal generally in the evening to allow for residents’ activities and outings. When a new resident was admitted the cook consulted with them about their individual dietary requirements and preferences. Belamacanda I56-I05 S17766 Belamacanda UI V238276 130705 Stage 4.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) 19 and 20 Residents’ physical and emotional health needs were met. Residents’ were protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: Records confirmed the residents’ healthcare needs were met and monitored appropriately. Care plans contained detail of when medical appointments were required and who was responsible for arranging them. There was a key working system in place ensuring each resident’s individual needs were addressed. The manager and staff received good support from the District Nursing team. Staff members were receiving training to administer insulin by injection. Communication between the support staff and the District Nursing team was documented in a logbook clearly detailing any changes in care regimes required. No residents at Belamacanda were self-medicating or prescribed controlled drugs. Medication administration records were maintained appropriately. Belamacanda I56-I05 S17766 Belamacanda UI V238276 130705 Stage 4.doc Version 1.40 Page 13 Belamacanda had an appropriate lockable metal cupboard for safe storage of controlled medication and a fridge for drug storage was in the manager’s office. The home’s pharmacy supplier had not fully understood the request the home had made regarding residents’ medicine supplies for the recent holiday and had not provided them appropriately. During conversation with the manager and deputy manager it was clear this had been identified as poor practice and was being addressed. The registered manager confirmed that staff had received external competency based medication training. Belamacanda I56-I05 S17766 Belamacanda UI V238276 130705 Stage 4.doc Version 1.40 Page 14 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) 23 Residents’ were protected from abuse. EVIDENCE: Records confirmed that staff members had received training in the Protection of Vulnerable Adults. A discussion was held with the manager regarding refresher training in this area, the intention was for one person to undertake the annual refresher training and cascade this through the remainder of the staff team. Training in abuse awareness is included within the home’s induction training. All staff members undergo enhanced Criminal Record Bureau checks. Belamacanda I56-I05 S17766 Belamacanda UI V238276 130705 Stage 4.doc Version 1.40 Page 15 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 Residents’ lived in a homely comfortable and safe environment. On the day of the inspection the home appeared clean and hygienic. EVIDENCE: The home is safe, accessible and well maintained with a programme of refurbishment in place to address areas requiring attention. Some bathrooms had been redecorated and refurbished since the previous inspection. These were clean, fresh and brightly decorated with inset ceiling lighting. Further bathing and toilet facilities require attention; this work is scheduled. The registered manager spoke of plans to re-decorate the residents’ lounge in the autumn and replace the carpet tiling in the communal hallway later this year. Residents were encouraged to personalise their bedrooms and were consulted about the décor in communal areas of the home. Belamacanda I56-I05 S17766 Belamacanda UI V238276 130705 Stage 4.doc Version 1.40 Page 16 During the visit the home appeared clean with a pleasant aroma of organic air fresheners throughout. The home employed a housekeeper 5 days per week; there was an organised rota for ‘spring cleaning’ all rooms. Some bedrooms had wooden or vinyl flooring, the registered manager confirmed this was chosen with the involvement of the individual residents. These floors were washed daily. At the time of the inspection the home did not have a dedicated laundry person, this was a temporary state as the registered manager was in the process of recruiting a new employee for this post. One resident said they were unhappy that their clothes were not being ironed as well as they used to be however the manager had kept them informed about the situation. Belamacanda I56-I05 S17766 Belamacanda UI V238276 130705 Stage 4.doc Version 1.40 Page 17 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) 33,35 and 36 Residents were supported by an appropriately trained and effective staff team. Residents benefited from well-supported and supervised staff. EVIDENCE: During the inspection staff members were observed to interact well with the residents and each other. Care was delivered with respect and dignity being shown to the residents. Training in the mandatory areas had been provided for all staff. Specific training had been provided to ensure residents’ needs were met. This training included areas such as managing challenging behaviour; wound and pressure care and caring for people with Huntingdon’s disease, Parkinson’s disease and Multiple Sclerosis. Residents spoken with stated that staffing numbers were sufficient to meet their needs. The home does not use agency staff. All staff members have annual appraisals and regular supervision sessions. Discussion took place with the manager regarding different methods of performing supervision, such as practical supervision, and how to document this. Belamacanda I56-I05 S17766 Belamacanda UI V238276 130705 Stage 4.doc Version 1.40 Page 18 All staff spoken with reported that they valued the support they received from the manager and deputy manager. Belamacanda I56-I05 S17766 Belamacanda UI V238276 130705 Stage 4.doc Version 1.40 Page 19 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) 38 and 39 Residents benefited from the ethos, leadership and management approach of the home. Residents were able to be confident their views underpinned the selfmonitoring and review of the home. EVIDENCE: All staff and residents spoken with were happy and confident in the management approach of the home. The atmosphere was positive and inclusive with the staff and management working well together as a team. The proprietors undertake a Quality Review twice a year. The survey would be completed by residents, summarised and placed on the notice board. The next residents’ meeting would be a forum to discuss any identified issues arising. Belamacanda I56-I05 S17766 Belamacanda UI V238276 130705 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x 3 Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x 3 3 x 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 3 x 3 3 Standard No 31 32 33 34 35 36 Score x x 3 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Belamacanda Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score x 3 3 x x x x I56-I05 S17766 Belamacanda UI V238276 130705 Stage 4.doc Version 1.40 Page 21 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 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 Belamacanda I56-I05 S17766 Belamacanda UI V238276 130705 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection Fairfax House Causton Road Colchester Essex CO1 1RJ 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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