Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 10/01/06 for Bellerose Residential Home

Also see our care home review for Bellerose Residential Home for more information

This inspection was carried out on 10th January 2006.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home has an established staff group who are well trained and who work together to provide appropriate support for the individual residents in the home. Service users praised the staff and Manager and confirmed their views were always listened to. Opportunities for the personal development of each resident are continually sought by staff. The Manager continues to work hard to review and develop all the policies and procedures in the home.

What has improved since the last inspection?

More staff training has taken place, including training in Adult Protection, and more courses are planned. With staff support, progress has been made by one service user in his plans to pursue independent living.

What the care home could do better:

No requirements or recommendations have been made in this report.

CARE HOME ADULTS 18-65 Bellerose Residential Home 14-16 Westland Road Watford Hertfordshire WD17 1QS Lead Inspector Pat House Unannounced Inspection 10th January 2006 10:00 Bellerose Residential Home DS0000019284.V277942.R01.S.doc Version 5.1 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 Bellerose Residential Home DS0000019284.V277942.R01.S.doc Version 5.1 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. Bellerose Residential Home DS0000019284.V277942.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Bellerose Residential Home Address 14-16 Westland Road Watford Hertfordshire WD17 1QS 01923 466630 01923 466630 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) Mastercare Residential Home Association Stephen John Holt Care Home 9 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (9) of places Bellerose Residential Home DS0000019284.V277942.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd September 2005 Brief Description of the Service: Bellerose is a three-storey house located in a quiet street in a residential neighbourhood in Watford. The home is one of two operated by Mastercare Residential Homes Association, and provides accommodation and care for adults of both sexes who have mental health problems. The building has no lift therefore service users must be physically able to manage stairs. There are seven spacious bedrooms on the ground and first floors, a comfortable lounge and domestic style kitchen on the ground floor and adequate bathing and toilet facilities. Some bedrooms have en-suite showers. The second floor has been converted to provide a semi-independent flat with separate kitchen, lounge and bathroom for two service users planning eventually to move on to fully independent living. Outside to the rear of the building is a small, enclosed paved garden with a small pre-fabricated out building for smokers to use. The home is within easy walking distance of Watford town centre with its abundance of shops and amenities, including bus terminals, two mainline railway stations and an underground station. Bellerose Residential Home DS0000019284.V277942.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over part of one day with one inspector. The Manager was present during the visit and some staff and service users were spoken with. Some areas of the home were visited and records were spot-checked. The previous unannounced inspection, in September 2005, was extensive and covered most of the National Minimum Standards. No requirements were made at that time, and only one recommendation was made. This visit was therefore a short one, to ensure that the high standards at the home were being maintained. What the service does well: 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. Bellerose Residential Home DS0000019284.V277942.R01.S.doc Version 5.1 Page 6 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 Bellerose Residential Home DS0000019284.V277942.R01.S.doc Version 5.1 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 5. Standards 1,2 and 4 were assessed and met at the last inspection. The procedures and good practice in the home, together with the layout of the building, ensures that service users entering the home have every chance to fulfil their potential and have their needs met. All residents have a written contract, which sets out the roles and responsibilities of all parties. EVIDENCE: The care staff in the home are well trained and have worked together as a team for some years. There is clearly mutual respect and trust between staff and service users and the residents spoken with said they were very happy in the home. Records show that individual preferences are considered and that the individual potential of service users is promoted by the staff. The partly self-contained flats at the top of the house provide the opportunity for appropriate service users to prepare for independent living whilst staying in a safe environment. All service users in the home have written contracts, which are signed by all appropriate parties and copies are kept on files. Bellerose Residential Home DS0000019284.V277942.R01.S.doc Version 5.1 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 10. Standards 6,7,8 and 9 were fully assessed and met at the last visit. Service users know that the policies and practices in the home ensure their confidences are kept. EVIDENCE: The home has a written policy on confidentiality which is available to service users and relatives. Service users are aware that this policy, together with the other written policies in the home, are kept for them to read, in the dining room. Families receive a statement about the confidentiality policy in the Service User’s Guide. Staff are aware of what the policy means in practice and all records are kept securely locked in the office when not in use. Bellerose Residential Home DS0000019284.V277942.R01.S.doc Version 5.1 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11 and 12. Standards 13,14,15,16 and 17 were assessed and met previously. Service users in the home are supported to take part in courses and activities, which promote their personal development. EVIDENCE: All service users are given the opportunity to attend religious services if they wish and records show that referrals are made to other professionals when appropriate. Two residents are currently taking part in a gardening project, where they receive payment for their expenses. Three service users attend a “drop-in” centre and one resident is in his second term at college, doing a literacy and numeracy course. Bellerose Residential Home DS0000019284.V277942.R01.S.doc Version 5.1 Page 10 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 and 21. Standards 19 and 20 were assessed and met previously. Policies and practices in the home support service users in making their own choices about their lives. EVIDENCE: Details and preferences about service user choices and wishes regarding personal care are recorded in care plans. Staff confirmed that, subject to risk assessments, residents choose when they get up and go to bed and choose their own clothes. However, staff spoken with said that they would always give advise if inappropriate clothes or behaviour would put any resident at risk of ridicule in the community. All the current residents in the home are mainly self-caring and need minimal assistance from staff. However one shower area in the home has a grab rail and there are rails fitted outside the front door for safety. The home has a written policy on Death and Dying which staff were aware of. Bellerose Residential Home DS0000019284.V277942.R01.S.doc Version 5.1 Page 11 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed on this occasion. EVIDENCE: These standards were fully assessed and met at the last inspection and no complaints have been received since. Bellerose Residential Home DS0000019284.V277942.R01.S.doc Version 5.1 Page 12 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 29. All other standards were fully assessed and met at the last visit. Any specialist equipment needed at the home would be provided to ensure that each service user’s independence is promoted. EVIDENCE: There is no passenger lift in the home and all service users need to be reasonably physically able to live there. Current residents are reasonably selfcaring and the only adaptations needed are grab rails in one shower and outside, as already stated. Should the need for any other equipment arise the manager said this need would be assessed and provided for on an individual basis. Bellerose Residential Home DS0000019284.V277942.R01.S.doc Version 5.1 Page 13 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32 and 35. Standards 33,34 and 36 were already assessed and met. Staff training and clear staff roles ensure that service users are protected and have their needs met by competent and professional staff. EVIDENCE: Service users spoken with confirmed that they have very good relationships with the care staff. All staff members have job descriptions and those spoken with were aware of the home’s policies and used to working with other professionals. Of the nine members of staff in the home, seven have already completed NVQ training to level 2 or more. In general the levels of training in the home are very high. Basic training has been completed and staff are receiving regular updates. A local college is providing training later this month for 6 members of staff in Care Planning and Record Writing. Two members of staff have completed training in Adult Abuse Prevention and all staff will complete this training in turn. A basic Adult Protection course will now be included in staff induction training. Bellerose Residential Home DS0000019284.V277942.R01.S.doc Version 5.1 Page 14 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 38,39,40,41,42 and 43. Standard 37 was already assessed and met. The management, policies and practices in the home ensure that the welfare of service users is promoted and that staff and residents have their interests safeguarded. EVIDENCE: Staff spoken with praised the management of the home and said that the Manager was supportive and always listened to their views. There are regular staff and service user meetings held in the home and minutes of these are available. The home has a Quality Assurance system and questionnaires are regularly sent out to stakeholders. The returned questionnaires are monitored and results feed in to future planning. At present the Manager is reviewing all the home’s policies. These documents are being re-typed and will be put on a computer disc so that they can be easily updated in future. Records are well kept and are shared with the residents, who sign the records when they have agreed them. Equipment checks and services were up to date and records showed that fire checks and drills regularly take place. There are monthly Bellerose Residential Home DS0000019284.V277942.R01.S.doc Version 5.1 Page 15 reviews of the risk assessments for the home and two care staff now share the role of Healthy and Safety Officer. There was an appropriate certificate of insurance on display and the Manager said the Proprietor includes all the record monitoring results and all staff and service user views in preparing the business plans. Bellerose Residential Home DS0000019284.V277942.R01.S.doc Version 5.1 Page 16 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 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 x 23 x ENVIRONMENT Standard No Score 24 x 25 x 26 x 27 x 28 x 29 3 30 x STAFFING Standard No Score 31 3 32 3 33 x 34 x 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score x x x x 3 LIFESTYLES Standard No Score 11 3 12 3 13 x 14 x 15 x 16 x 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 x x 3 x 3 3 3 3 3 3 Bellerose Residential Home DS0000019284.V277942.R01.S.doc Version 5.1 Page 17 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. 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 Bellerose Residential Home DS0000019284.V277942.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Hertfordshire Area Office Mercury House 1 Broadwater Road Welwyn Garden City Hertfordshire AL7 3BQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Bellerose Residential Home DS0000019284.V277942.R01.S.doc Version 5.1 Page 19 - 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!