Inspection on 18/09/05 for Bidna House

This inspection was carried out on 18th September 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Bidna House 15/01/10

Bidna House 17/11/08

Bidna House 09/10/07

Bidna House 20/11/06

Bidna House 09/06/05

Bidna House 28/10/04

Bidna House 15/07/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Trevaylor Manor

Honeybourne House

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

CARE HOME ADULTS 18-65 Bidna House Bidna Lane Appledore Bideford Devon EX39 1NU Lead Inspector Andy Towse Unannounced Inspection 18th September 2005 13:00 Bidna House DS0000022084.V250704.R01.S.doc Version 5.0 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 Bidna House DS0000022084.V250704.R01.S.doc Version 5.0 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. Bidna House DS0000022084.V250704.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Bidna House Address Bidna Lane Appledore Bideford Devon EX39 1NU 01237 470714 01237 425842 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) Mrs Barbara Haywood Mr David Anthony Haywood, Mr Simon Haywood Mr Simon Haywood Care Home 12 Category(ies) of Learning disability (12), Mental disorder, registration, with number excluding learning disability or dementia (12) of places Bidna House DS0000022084.V250704.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Age range 18 to 60 years of age Date of last inspection 9th June 2005 Brief Description of the Service: Bidna House is a detached older style property standing in its own grounds and is reached via an unadopted lane. It is registered to accommodate 12 people who have either learning disabilities or mental health problems. All but two residents are accommodated in single occupancy bedrooms. Bidna House DS0000022084.V250704.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of Bidna House was unannounced and carried out on a Sunday. The main purpose of the inspection was to determine whether weekend staffing levels met the needs of residents, and what activities were available to them. The information contained in this report was obtained from discussion with the proprietor and residents and from the examination of documents and records held at the home. 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. Bidna House DS0000022084.V250704.R01.S.doc Version 5.0 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 Bidna House DS0000022084.V250704.R01.S.doc Version 5.0 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): None The care standards were inspected during the inspection which took place on 9th. June 2005. These standards were not inspected during this inspection. EVIDENCE: Bidna House DS0000022084.V250704.R01.S.doc Version 5.0 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): None EVIDENCE: Bidna House DS0000022084.V250704.R01.S.doc Version 5.0 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): 12, 15, 16, 17 Discussion with residents demonstrated that Bidna House offers encourages ongoing family contact, and recognises residents’ rights and responsibilities in their daily lives. EVIDENCE: Staff told inspectors that an important part of their role was to enable residents to gain independent living skills. A resident verified this, saying “we do our own washing and sort out our rooms with some help from the staff”. Although at the time of the inspection no residents were in therapeutic employment residents had attended college where they had participated in rural living skills courses. Another assists the gardener at Bidna House. The home has also made links with the social services employment services and put forward residents to be considered for employment. Inspectors observed a group of residents from Bidna House and Old Galleries as they returned from church. Other activities that were reported to inspectors included trips out to the cinema, carnivals, and shows. Bidna House DS0000022084.V250704.R01.S.doc Version 5.0 Page 10 A holiday had taken place in May to Seaton, which a resident said they enjoyed. Inspectors were told that another holiday to Weymouth had been planned. Inspectors were told that there a “no rules about when family can visit, it’s encouraged”. Another resident had regular contact with his mother and others spoke about seeing family members. At the time of the inspection one resident was out with her mother. Routines around the home promote independence. Assessments showed that residents who are able and wish to have a key to their room can have one. Residents have unrestricted access to the grounds of the home and to the communal areas of the home. Mail is given to residents and those who are unable to read take it to staff to read for them. The home employs cleaners however residents, with support from staff, are encouraged to keep their rooms tidy. A resident told the inspectors that they had “lovely food” and that there is “always plenty of choice” available at mealtimes. Bidna House DS0000022084.V250704.R01.S.doc Version 5.0 Page 11 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): None The core standards were inspected during the inspection of 9th. June 2005 and reference to them is made in that report. This section of the standards was not inspection during this inspection. EVIDENCE: Bidna House DS0000022084.V250704.R01.S.doc Version 5.0 Page 12 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): None The core standards were inspected during the inspection which took place on 9th. June 2005. The standards contained in this inspection were not inspected during this inspection. EVIDENCE: Bidna House DS0000022084.V250704.R01.S.doc Version 5.0 Page 13 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): None The core standards were inspected as part of the inspection of 9th. June 2005. No standards in the section were inspected as part of this inspection. EVIDENCE: Bidna House DS0000022084.V250704.R01.S.doc Version 5.0 Page 14 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): 32, 33, 34, 35 The home’s commitment to training ensures that staff have the competencies to support residents. In order to fully assess whether the home has appropriate managerial support it is necessary that the registered manager complies with Regulation 17 and maintains a record, on a rota, of what hours he has worked. EVIDENCE: The duty roster for September 2005 did not demonstrate when the manager of the home planned to be on duty. This was discussed with the proprietor, and advice given as to how the requirement might be met. A record of duties worked was kept in a diary. The records of two staff members were examined. Both contained satisfactory references and also included CRB and POVA checks as required. Certificates were seen on both files, which demonstrated that the home offers a good standard of training covering appropriate subjects. Staff are in the process of doing the NVQ level 3 – Promoting Independence courses demonstrating the home’s commitment to NVQ and staff training. Whilst the inspectors were told that the home offered its staff supervision records of this are not kept in personnel files, and were therefore not available for inspection. These should be kept with personnel files for future inspection. Bidna House DS0000022084.V250704.R01.S.doc Version 5.0 Page 15 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): 39 Bidna House has appropriate questionnaires from which to ascertain the views of staff, residents and stakeholders regarding the quality of care offered at the home. EVIDENCE: Bidna House operates an effective quality assurance system. This includes questionnaires to both staff and residents. The most recent staff questionnaire was carried out in July 2004. This raised questions about staff perceptions of the quality of care offered, efficiency of the staff team, training programmes and style of management. Questionnaires to residents included how they liked the home, what they felt about the food available, and gave them the opportunity to say what they would like to change at the home. This questionnaire was last circulated to residents in July 2005. Bidna House DS0000022084.V250704.R01.S.doc Version 5.0 Page 16 Eight residents responded to this questionnaire and suggestions and the inspectors were informed that the responses would be incorporated onto the business plan which at the time of the inspection was being compiled on the computer. The home also has a questionnaire for circulation to relatives and professionals. These were last circulated in February 2003. The proprietor told the inspectors that she obtains the views of relatives when they visit the home. Minutes of residents’ meeting showed that residents’ views are acknowledged and acted upon. The home is also involved in attaining the Investors in People Award. Bidna House DS0000022084.V250704.R01.S.doc Version 5.0 Page 17 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 Score X x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X x Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X x LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 2 3 4 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Bidna House Score X X X x Standard No 37 38 39 40 41 42 43 Score X X 3 X X X x DS0000022084.V250704.R01.S.doc Version 5.0 Page 18 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 YA33 Regulation 17 (2) Sched 4 Requirement The registered person shall maintain in the care home the records specified in Schedule 4 A copy of the duty roster of persons working at the care home, and a record of whether the roster was actually worked. Timescale for action 31/01/06 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 Bidna House DS0000022084.V250704.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Exeter Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY 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 Bidna House DS0000022084.V250704.R01.S.doc Version 5.0 Page 20 - 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!