Inspection on 04/03/09 for Bennethorpe House

This inspection was carried out on 4th March 2009.

CSCI found this care home to be providing an Excellent service.

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

Bennethorpe House 18/01/07

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 18/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Bennethorpe House 68 Bennethorpe Doncaster South Yorkshire DN2 6AD     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Sarah Powell     Date: 0 4 0 3 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 23 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 23 Information about the care home Name of care home: Address: Bennethorpe House 68 Bennethorpe Doncaster South Yorkshire DN2 6AD 01302367672 P/F01302367672 brew.active@btinternet.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Active Care Homes Ltd care home 2 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: 2 The Manager will be registered Manager of two untils until 1 April 2007 while he is training the new Manager. Date of last inspection Brief description of the care home Bennethorpe House is a semidetached property on a residential street in Doncaster. The home provides care for up to two service users with a learning disability aged between 18-65 years. The home has two bedrooms both with full en-suites, two lounges, a conservatory, a kitchen diner and gardens front and rear. The home is well maintained throughout. The fees for Bennethorpe House are 2,050 pounds per week. Care Homes for Adults (18-65 years) Page 4 of 23 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations - but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. This was an unannounced visit, which took place over two days. The first day on 4 March 2009 at 9:45 and finished at 12:45, the second day on 10 March 2009 commencing at 15:15 and finishing at 16:15 the second day was to meet the manager and to determine the medication procedures had been amended to ensure peoples needs were met. Care Homes for Adults (18-65 years) Page 5 of 23 The visit included talking with people who lived at Bennethorpe, the providers, the manager and three support staff. We also walked round the building to gain an overview of the facilities and we checked some records. The manager completed an annual quality assurance assessment (AQAA) and returned this prior to the visit. This focuses on how well outcomes are being met for the people using the service. It also gives us some numerical information about the service. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 7 of 23 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 8 of 23 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good detailed assessments are carried out for all service users to ensure their needs are met. Evidence: The service users had been fully assessed prior to moving into Bennethorpe House to determine that their needs could be met. Introductory visits were always offered to ensure people are able to make informed decisions. Care Homes for Adults (18-65 years) Page 9 of 23 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples Individual needs and choices were met. Evidence: All people living at Bennethorpe had comprehensive plans of care, which had identified all their needs and how to meet them. Person centered plans and health action plans had been provided had been reviewed and updated. It was evident from talking to staff that people were able to make decisions, were given choices and were able to take reasonable risk as part of an independent lifestyle. People told us they were very happy living at Bennethorpe House the staff were good and they were able to do things they wanted to do. Care Homes for Adults (18-65 years) Page 10 of 23 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home take part in appropriate activities, have opportunities for personal development and are offered a healthy diet. Evidence: The people in the home took part in various activities organised by the home. The activities provided by the home were mainly on a one to one basis and ensured peoples social and recreational needs were met. The activity timetable for the people in the home was seen it was very good taking into consideration the peoples choices. One person in the home told the inspector, I can choose what activities I want to do and I do lots of different things. The people living at Bennethorpe House had contact with family and friends who were able to visit the home when ever they wished. The daily routines in the house were flexible and took into consideration the peoples Care Homes for Adults (18-65 years) Page 11 of 23 Evidence: wishes and choices. The provider told us that the people decided what they wanted to do and this was supported as much as possible taking into account the peoples limitations due to their learning difficulties. The people in the home were offered a healthy diet and they actively participated in drawing up the menus for each week and shopping for the food. Care Homes for Adults (18-65 years) Page 12 of 23 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Health care needs of people in the home were met and personal support was provided in the way they prefer. Medication practices were improved and protected people. Evidence: The people were able to maintain their personal care with support from the staff this was documented in the plans of care. The people chose their clothes and hairstyles, which reflected their personality and met their needs. All the people who lived at the home were registered with a GP Practice, and arrangements are in place for Chiropody, Ophthalmic and Dental services in order that their needs are met. Some medication practices did not always protect people. It was difficult to determine what amount of medication should be in stock and what had been given. There was no way to distinguish between regular medication and medication that was to be given when required. It was therefore very difficult to audit and determine peoples needs were being met. However we revisited the following week when the manager had Care Homes for Adults (18-65 years) Page 13 of 23 Evidence: returned from leave and these discrepancies had been rectified, new procedures implemented, which ensured people were protected. Care Homes for Adults (18-65 years) Page 14 of 23 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There was a good complaints procedure and robust procedures to protect service users from abuse. Evidence: People told us that if they had a concern or complaint they would talk to the manager or the staff. We observed during the visit the provider and staff interacting extremely well with the people and understanding their needs. There was a good adult safeguarding policy that clearly defined different types of abuse and staff were well aware of different types, they were also aware of the importance of whistle blowing. The Doncaster council policy for protection of vulnerable adults was also available in the home this ensured people were protected. Care Homes for Adults (18-65 years) Page 15 of 23 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good environmental standards were maintained Evidence: The home was suitable for its stated purpose it was safe and comfortable, personal items were displayed throughout the home to make it more homely The standard of cleanliness throughout the home was good and all routine maintenance was carried out. People showed us their bedrooms and they told us they were very happy with their rooms. The home had two lounges, which were well furnished with televisions and DVD players in both rooms. There was a large kitchen diner and a conservatory. The home had gardens to the front and rear that are well maintained. However there was a shed in the rear garden that was falling down. The providers told us they intended to remove the shed and provide a new one. This would ensure peoples safety. Care Homes for Adults (18-65 years) Page 16 of 23 Care Homes for Adults (18-65 years) Page 17 of 23 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People were supported by an effective staff team and protected by the homes recruitment practices. Evidence: A selection of staff training files were seen, records were good and all training had been carried out to ensure peoples needs were met. NVQ training was also in progress to ensure peoples needs were met. The providers told us they wanted every support worker to have achieved a NVQ at level 2 to ensure people are supported by competent qualified staff. The manager and providers operated a thorough recruitment process. A selection of staff personnel files were seen they contained all the required information and checks to ensure that people were safeguarded. All staff had clearly defined job descriptions, signed and placed in their files. Care Homes for Adults (18-65 years) Page 18 of 23 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well run with health and safety promoted and maintained. Evidence: The manager was qualified and experienced to run the home. She had successfully completed the registered managers award and continually kept herself updated. This ensured the homes stated purpose, aims and objectives were met. Quality monitoring was carried out, the manager did regular audits and the provider carried out regulation 26 visits, these are visits to gain feedback from staff and people living at the home and relatives. The provider would also look at the environment and care plans and other documentation, which may be relevant. The home had a comprehensive health and safety policy. We were able to evidence that regular maintenance of equipment and systems was carried out. Risk assessments were carried out on all safe-working practices, regular audits were carried out on the Care Homes for Adults (18-65 years) Page 19 of 23 Evidence: building and all accidents were properly recorded and reported ensuring people in the home were safeguarded. Care Homes for Adults (18-65 years) Page 20 of 23 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 21 of 23 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 22 of 23 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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