Inspection on 01/08/05 for Bellamys Cottage

This inspection was carried out on 1st August 2005.

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

Bellamys Cottage 01/05/07

Bellamys Cottage 05/01/06

Bellamys Cottage 23/07/04

Bellamys Cottage 25/02/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Bellamys Cottage Sleight Centre Weelsby Road Grimsby DN32 9RU Lead Inspector Tina Bettison Unannounced 1 August 2005 st 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. Bellamys Cottage J54 2825 Bellamys Cottage V243865 1 August 2005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Bellamys Cottage Address Sleight Centre, Weelsby Road, Grimsby, DN32 9RU 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) 01472 241893 Linkage Community Trust Jean Bristo CRH 6 Category(ies) of LD 6 registration, with number of places Bellamys Cottage J54 2825 Bellamys Cottage V243865 1 August 2005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8/3/05 Brief Description of the Service: Bellamy’s Cottage is a care home providing personal care and accommodation for up to six adults 18-65 years of age who have a learning disability. The home is situated in Grimsby and is owned by Linkage Community Trust Care Services.The accommodation is provided in a purpose built six-bedroom bungalow that is set in extensive and private gardens within the Linkage College campus. The home is close to local transport links, parks and the resort of Cleethorpes.Bellamy’s Cottage shares a registered manager with another small Linkage Home situated nearby on Abbey Drive. Bellamys Cottage J54 2825 Bellamys Cottage V243865 1 August 2005 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of Bellamy’s cottage was unannounced and was carried out over 3 hours. A tour of the premises took place and staff files and care records were examined. Rota, staff lists and training records were examined. Staff, managers, parents and service users were spoken to. Care practices and interactions were observed during the inspection. What the service does well: Linkage is a good organisation that is well run and managed from the directors to the support workers. They have a lot of policies and procedures (rules) that are regularly reviewed and changed to make sure that service users needs are met and that the staff know how to do their jobs properly. Service users are at the heart of the organisation and their views/wishes are taken into account by the use of questionnaires, meetings and by managers and staff that make sure they are involved. Bellamy’s cottage is a single storey property situated in the grounds of the College and is on a bus route making all leisure facilities and shops easy to get to, some service users go to day services and pursue hobbies. The staff do an excellent job of treating service users as individuals and make sure they that are listened to and that they have a say in how they live their lives. There are regular meetings in the house. Service users are given enough information about the service in order to make a choice about whether to live there or not, which is provided in ways that all service users can understand. The staff team is provided in enough numbers to meet the needs of service users and they were observed to be kind and caring and promote their independence. Parents spoken to stated that the staff team were excellent, that they are kept informed of events in their sons life. They said that the staff are very prompt at calling for medical attention when this is required and they are always made to feel welcome when visiting. They said the standard of care, home Bellamys Cottage J54 2825 Bellamys Cottage V243865 1 August 2005 Stage 4.doc Version 1.40 Page 6 environment and meals are all very good and that they have never had cause to complain although would feel comfortable in doing so should they need to. 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. Bellamys Cottage J54 2825 Bellamys Cottage V243865 1 August 2005 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 Bellamys Cottage J54 2825 Bellamys Cottage V243865 1 August 2005 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) EVIDENCE: There has been no new service users (who would have had their needs assessed) come to stay at Bellamys cottage since the previous inspection. None of these standard were assessed at this inspection. Bellamys Cottage J54 2825 Bellamys Cottage V243865 1 August 2005 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) 6,7,9 Service users have detailed individual plans that ensure their specific needs and goals are met and enables them make decisions as much as they can. EVIDENCE: Bellamys Cottage J54 2825 Bellamys Cottage V243865 1 August 2005 Stage 4.doc Version 1.40 Page 10 One service users care file was examined as part of the inspection process and contained a copy of the care management assessment and care plan. Comprehensive risk assessments had been completed and these identified when there was any restriction on choice for example service users having restricted access to the kitchen, to ensure the safety of the service users. Care files contained a behavioural assessment and risk assessments and care plans had been completed for service users whose behaviour could cause harm to themselves or others. Linkage had a policy and procedure for the use of restrictive physical interventions that was detailed and staff had all received training in non-violent crisis intervention. The manager informed that inspector that they had one service user where they might need to use minimal physical intervention; this was documented in his individual plan and detailed the specific techniques to be used. The manager confirmed that service users were involved, as far as they were able, in the development and review of their care plan. In the files examined the service users had been able to sign agreement to the care plans and risk assessments. Individual plans were reviewed regularly with service users, relatives, advocates and other professionals where involved. The individual plans were in written format only but records evidenced that these had been explained to the service user. A key worker was allocated to each service user and their name identified in their individual plan. Care plans, risk assessments and discussions with staff evidenced that service users were encouraged and enabled to make decisions about their own lives. Examination of individual files showed that service users had been given details of an independent advocacy groups. Financial risk assessments had been completed for each service user. Bellamys Cottage J54 2825 Bellamys Cottage V243865 1 August 2005 Stage 4.doc Version 1.40 Page 11 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) EVIDENCE: None of these standards were assessed at this inspection. Bellamys Cottage J54 2825 Bellamys Cottage V243865 1 August 2005 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) 18,19 Service users physical and emotional needs are met, by the provision of a wide range of healthcare professionals and outside agencies. EVIDENCE: Bellamys Cottage J54 2825 Bellamys Cottage V243865 1 August 2005 Stage 4.doc Version 1.40 Page 13 The care file for one service user was examined as part of the inspection process and evidenced that service users personal support and healthcare needs had been identified and were being met. Care files contained details of service users visits to hospital and health professionals. This evidenced that service users had regular health check ups with GP, dentist, chiropody, optician, and that they were supported to attend outpatient clinics at the hospital. Referrals to other professionals such as speech and language therapist, and psychologist had been made on behalf of the service users. Health Action plans were in the process of being developed. Staff monitored service users health on a daily basis and this was evidenced by daily records in individual files, which recorded any symptoms of ill health observed and the action taken. Visits from health care professionals could take place in private in the service user’s own bedroom. Care files contained a moving and handling risk assessment. At the time of the inspection all service users at the home were male. The home had a mixed gender staff group. Rotas showed that a male staff member was usually available if same gender personal care was requested. Consistency and continuity of support for service users was maintained through a key worker system and preferred routines were documented in the care files. Bellamys Cottage J54 2825 Bellamys Cottage V243865 1 August 2005 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) 22,23 Service users and/or their representatives are listened to and their views acted on by a wide range of methods. Linkage has a complaints procedure. The Protection of Vulnerable Adults policies and procedure ensures that service users are protected from abuse, neglect and harm. EVIDENCE: The home had a well-developed complaints procedure. This contained contact details for the CSCI and the ombudsman and gave an assurance that service users and their families would not be victimised for making a complaint. The timescale given for responding to complaints was 21 days. The complaints procedure was also available in Makaton symbols and on audiocassette. In addition to the above the home also had a service user specific complaints policy. Each service user had been given a copy of the complaints policies in written and Makaton format, and Social Services “Right to Complain” leaflet. These were kept in service users individual files. Records were kept of complaints made. There had been one complaint since the previous inspection from one of the service users and records examined evidenced that this had been dealt with appropriately. The manager checked the complaints log on a regular basis. Bellamys Cottage J54 2825 Bellamys Cottage V243865 1 August 2005 Stage 4.doc Version 1.40 Page 15 Bellamys Cottage J54 2825 Bellamys Cottage V243865 1 August 2005 Stage 4.doc Version 1.40 Page 16 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) 24,25,26,27,28,29,30 The bungalow is situated in the college grounds, is well decorated and well maintained and the grounds well looked after, ensuring that service users live in a comfortable, pleasant and safe home. EVIDENCE: Bellamys Cottage J54 2825 Bellamys Cottage V243865 1 August 2005 Stage 4.doc Version 1.40 Page 17 Bellamy’s Cottage is a six-bedroom bungalow situated close to the centre of Grimsby and close to local shops and public transport. Furnishings and fitting are of good quality and domestic in nature. The home is well maintained, clean, tidy and free from offensive odours throughout. The accommodation was comfortable and homely with service users’ personal items on display. The home is fully accessible to all service users. There are handrails fitted on either side of the toilet in the bathroom and a ramp has been provided outside to give easier wheelchair access to the front door. Two of the service users showed the inspector their bedrooms. They were seen to be comfortable and individually furnished. Service users were involved in choosing the decoration and furnishings for their bedrooms. Service users had personal items such as photographs, posters and ornaments on display in their bedrooms. Some service users had their own TV, radio etc. One service user had his own electric keyboard in his room. Service users said their bedrooms were as they wanted them and spent time showing the inspector their posters, photographs, certificates etc. All bedrooms were lockable. Risk assessments indicated if service users did not have their own key. The home provided a well-furnished lounge and a separate dining room for shared use. The rear garden was enclosed and the gardens to the front were open plan with a parking area with perimeter fencing. Garden furniture is provided. A sleep in room and the office provided safe space for staff to store personal belongings Individual files evidenced that the service users at Bellamy’s Cottage did not require a large range of specialist equipment. The bathroom had a Parker bath and a walk-in shower. Commodes were provided in bedrooms only following risk assessment. Policies and procedures were in place to support infection control and since the previous inspection all staff have received training in infection control. An external contract was in place for the disposal of soiled items. Bellamys Cottage J54 2825 Bellamys Cottage V243865 1 August 2005 Stage 4.doc Version 1.40 Page 18 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) 32,35 The staff team at Bellamy’s cottage is a well established, well trained team thereby leading to stability and consistency in the provision of care and support to meet service users needs. EVIDENCE: Bellamys Cottage J54 2825 Bellamys Cottage V243865 1 August 2005 Stage 4.doc Version 1.40 Page 19 Training records, interviews with staff and observation evidenced that staff had the skills and qualities required to meet service users needs. A training and development plan for the home was seen. Individual training and development plans had been completed for staff. 50 of care staff working in the home had achieved NVQ 2 or above. All staff were up-to-date with mandatory training and since the previous inspection this now included infection control. Training records and staff interviewed demonstrated that a range of training was provided to enable staff to meet the needs of the service users. This included medication, incontinence, autism, non crisis intervention, HIV awareness, DDA, epilepsy, protection of Vulnerable Adults, equal opportunities and race equality. There had been two new appointments to the home since the previous inspection however they had not taken up post at the time of inspection. One member of staff had received a promotion within Linkage and moved on and a part time worker had taken a full time post at Bellamy’s cottage. Staff New staff were enrolled on the home’s induction and foundation programme, which met the Learning Disability Award framework standards. Bellamys Cottage J54 2825 Bellamys Cottage V243865 1 August 2005 Stage 4.doc Version 1.40 Page 20 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) 42 Bellamys cottage is a well run home thereby ensuring that the Health, safety and welfare of service users is promoted and protected. EVIDENCE: Bellamys Cottage J54 2825 Bellamys Cottage V243865 1 August 2005 Stage 4.doc Version 1.40 Page 21 The home had a signed written statement of the policy, organisation and arrangements for maintaining safe working practices. Staff had completed mandatory training; and since the previous inspection this now includes infection control. The home had a policy and procedure for infection control. Training records showed that all staff had received first aid training to the level of ‘appointed person’. A first aid box was kept at the home. Moving and handling assessments had been completed for each service user. Evidence from policies and procedures, staff training records, risk assessments and discussions with staff demonstrated that the registered manager ensured as far as possible the health, safety and welfare of the service users. Individual risk assessments were completed for service users and environmental risk assessments were also in place. A record of accidents to staff and service users was kept and seen at inspection. Bellamys Cottage J54 2825 Bellamys Cottage V243865 1 August 2005 Stage 4.doc Version 1.40 Page 22 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 4 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 3 4 3 3 3 3 Standard No 11 12 13 14 15 16 17 x x x x x x x Standard No 31 32 33 34 35 36 Score x x x x 4 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Bellamys Cottage Score 3 4 x x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x J54 2825 Bellamys Cottage V243865 1 August 2005 Stage 4.doc Version 1.40 Page 23 noi 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 Bellamys Cottage J54 2825 Bellamys Cottage V243865 1 August 2005 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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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