Inspection on 20/11/06 for Bidna House

This inspection was carried out on 20th November 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.

Other inspections for this house

Bidna House 15/01/10

Bidna House 17/11/08

Bidna House 09/10/07

Bidna House 18/09/05

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 Jo Walsh Unannounced Inspection 20 November 2006 09:30 th Bidna House DS0000022084.V307297.R01.S.doc Version 5.2 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.V307297.R01.S.doc Version 5.2 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.V307297.R01.S.doc Version 5.2 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.V307297.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Age range 18 to 60 years of age Date of last inspection 18th September 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. There are two lounge areas a dining area and a kitchenette for residents to make drinks. The registered provider lives on site and has several dogs, which are free to wander around the grounds and house. The nearest local village, Appledore is one mile away and the home has two vehicles available to transport residents. The range of fee is £300 to £1250 and does not include personal items, chiropodist, hairdressing or non-essential transport. Copies of this inspection report are kept in the office and made available to people on request. Bidna House DS0000022084.V307297.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place during a weekday in November and lasted for 7 hours. During this time most of the residents were spoken to and 2 individuals were case tracked, meaning these individuals were spoken to at length about their experiences of living at the home, and their records of care and medications were also looked at. Two staff members were spoken to and all of the management team, meaning the registered provider, the registered manager and head of care. Time was also spent looking at some of the home’s main documents; these included residents’ care plans, medication records, staff files, residents’ finances and the fire logbook. CSCI are trying to improve the way we engage with people who use services so we gain a real understanding of their views and experiences of social care services. We are currently testing a method of working where ‘experts by experience’ are an important part of the inspection team and help inspectors get a picture of what it is like to live in or use a social care service. The term ‘experts by experience’ used in this report describes people whose knowledge about social care services comes directly from using them. Hayley Hughes, who as an expert by experience, and her supporter from Bristol People First were present for some of the inspection. The expert helped to speak to residents about their experiences of living at the home as well as making some general observations. Hailey’s comments are included throughout this report. Prior to the inspection surveys were sent to all the residents and all except one resident completed these. One parent completed the survey on behalf of the resident. All comments were positive, although two residents said they did not know how to make a complaint. Twelve surveys were sent to staff and seven were returned. Four comment cards were sent to care managers and three were returned. One care manager was spoken to by phone. All responses from these were positive about Bidna House. One health care professional was spoken to during the inspection and who said the home was ‘a valuable resource, dealing with some individuals who have in the past presented with some challenging behaviours’ The home was also asked to complete a pre inspection questionnaire, which gives details about how they manage health and safety issues, maintain the environment and what staff training has taken place. This information has helped to make judgements about how well the home meets key standards. Bidna House DS0000022084.V307297.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: On the day of the inspection both the inspector and the expert by experience thought that the lunchtime meal was served in a way that did not respect individuals as adults. People were asked to sit in specific places, although the manager had said that people could choose where to sit. The registered manager has subsequently explained that they were asked to sit in specific places to accommodate the inspection team. He has also said that some of the unease during lunchtime could have been contributed to the fact there were three strangers having lunch with residents (i.e. the inspection team) Bidna House DS0000022084.V307297.R01.S.doc Version 5.2 Page 7 Staff gave out meals and then some time afterwards a salad was brought around, but again dished out by staff. The sauce was even pored by staff. The provider said that one resident had been showing some challenging behaviours at mealtimes and would have taken everything if dishes and sauces were left on the tables. The staff should have looked at how they could manage that individual’s behaviour without taking choices away from other residents. Care plans should ideally be in a format that the resident can understand. The home have gone some way to using symbols and photos for their menu board or example and they should look at how they can extend this to their care plans. The home needs to make sure that all medications are safely stored, and it is recommended that they use a separate locked fridge for medications needing to be refrigerated or the current storage system should be secured within the home’s fridge, also ensuring they are stored at a consistent appropriate temperature and that the controlled medications storage box is secured in the medication cupboard. All staff need to be aware of how they speak to residents and visitors, that being abrupt can upset and offend people. This refers to the fact that the registered provider was observed, by the inspector, to talk to one resident in an abrupt manner and the expert by experience also witnessed the registered provider being abrupt to an individual. The registered provider needs to ensure that any hazards such as slippery floors are clearly identified; this will ensure the environment is safe for everyone. Soap should be available in all bathrooms to ensure that the risk of any cross infection is reduced. All parts of the home should be kept clean, including vacuuming carpets. The registered provider needs to look at how she can ensure the dogs do not enter the dinning area or kitchen when food is being served. 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. The summary of this inspection report can be made available in other formats on request. Bidna House DS0000022084.V307297.R01.S.doc Version 5.2 Page 8 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.V307297.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Potential new residents can be assured that their needs will be fully assessed prior to moving into the home. EVIDENCE: Information was looked at for two residents. The files contained details of assessments from care managers and the home completes their own assessment to make sure they can meet individuals’ needs. Bidna House DS0000022084.V307297.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are well documented plans of care for each individual that enables staff to understand their assessed and changing needs. Residents are supported to make decisions about their everyday lives within a risk management framework. EVIDENCE: As part of case tracking two plans of care were looked at in some detail. Plans of care include individuals’ personal, health care and social needs and how these are met. Potential risks have been assessed with what needs to happen to minimise identified risks. It would be helpful if the plans could be completed in a way that residents could more easily understand, perhaps using photos. The manager said that this is an area they are looking into. Staff keep daily records of what each resident has been doing, and any health care needs are well documented within these notes. Bidna House DS0000022084.V307297.R01.S.doc Version 5.2 Page 11 Residents spoken to said that they were able to make choices about their every day lives, one commented ‘we can go out with staff and get some pop and sweets, we can choose what we want to do and I like helping the staff around the house.’ Staff were observed to be encouraging residents to do things for themselves, for example one resident was encouraged to make a cup of tea, another was involved in making scones and one resident said they had helped to prepare lunch. Some staff were also observed to talk to residents in a caring and inclusive way, explaining why they needed to do something, and what was happening that day. Bidna House DS0000022084.V307297.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13, 15,16, 17 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents are able to take part in a range of activities that include accessing the local community. Some improvements are needed to ensure that residents’ rights are fully respected. The home offers a good choice and range of meals, but improvements are needed to ensure that mealtimes are an enjoyable experience for residents. EVIDENCE: The expert by experience spoke to 5 residents about their experiences of living at the home. This is what she reportedI, Hayley Hughes, was asked by the inspector to chat to residents about the meals they have and who chooses the menus and if the residents were involved in the shopping and the cooking. I also looked at what activities are Bidna House DS0000022084.V307297.R01.S.doc Version 5.2 Page 13 available for residents during the day and the evenings. I observed the staff working with the residents around the home and at lunchtime. I spoke to five residents. They seemed to like to watch TV and it was their choice on what was on the TV. One resident had been out with staff to do the recycling which they seemed to enjoy. None of the residents I spoke to went to a day centre as these have been shut down. There is a person who does art that comes to the home. I saw Christmas cards that the residents had made which they seemed very proud of. There is a Games room with a pool table and I saw games underneath the stairs. Some of the residents I spoke to enjoyed using the games room. One resident used to go to college but doesn’t anymore and the others weren’t interested in going to college. There is a Gateway Club that is held on a Friday and a Breakaway Club that is held on a Monday and a Wednesday. The residents I spoke to seemed to enjoy going to these clubs where there was disco dancing, games and socialising. They went on the house minibus. Some of the residents enjoyed attending church on a Sunday morning and they were always made to feel welcome by the father and the other church members. I asked if they wanted to go to a different church would this be possible and registered provider said that this would be possible. The residents I spoke to didn’t have jobs but I understand that 2 other residents did have jobs. The residents go out in the minibus at weekends, sometimes to the beach. Each year the residents go on holiday. One said “(the registered provider) chooses where we go on holiday”. On the whole the residents enjoyed living at the home at the moment although 2 of them would like to move on as they have been here for a while. A couple of the residents didn’t know what was for lunch. I had seen pictures on the board of sausages and a beef burger. Whilst we were chatting to residents the registered provider came around to ask everyone what they would like. The choice was either bacon and sausage pie or beef burger. The registered manager has subsequently pointed out that the choice was sausage and egg pie. The resident we were with asked if they could have a sandwich and the registered provider said “No, these are the 2 options”. The resident then gave an answer but changed his mind. The registered provider just walked away and didn’t even acknowledge him. The registered provider has in response to this statement said she did acknowledge the resident saying ‘okay’, which the expert may not have heard. Another resident we spoke to about the food said “(the registered provider) chooses the food. I wouldn’t be offered anything else if I didn’t like the choices”. Bidna House DS0000022084.V307297.R01.S.doc Version 5.2 Page 14 Residents said they buy their own snacks, pop and chocolate and are taken in the bus to the local supermarket. Whilst I was there 4 of the residents went on a shopping trip. I was surprised how quick they were. I thought it was going to be a trip out for the afternoon but they were back approximately 20 minutes later. I asked the residents if family could visit at any time and if they could make and receive private calls. The residents all said that family visited when they were able to come and see them and they did make and receive private calls. The residents said they like the staff and most of them knew who their keyworker/person who supports them is. Information collected by the expert by experience shows that residents have a reasonable range of activities both during the day and at evenings and weekends. One care manager spoken by phone following the inspection said that since the placements at day care centred had stopped the ‘home have worked hard to make sure that people have access and opportunities to go out and about in the local community, shopping, to the beach and places of interest.’ The registered manager said that they discuss what things people would like to do during residents meetings, this includes holidays. These tend to be as a large group, but that residents are given a choice. The manager also said that they try to make sure that everyone has some activities to do that they enjoy and that trips out on the bus are a daily occurrence. The home offers a choice of meals and uses a pictorial menu board to help people make choices. The lunchtime meal was observed by the inspector and the expert by experience who said ‘I found lunchtime to be a depressing and uncomfortable experience with an atmosphere where no-one had any responsibility. I felt everyone was treated like a toddler would be at a nursery. Everyone had to wait for the registered provider to tell everyone where to sit. Squash was handed out but no choice of drink was given. The lunches were just plonked down in front of us. One of the staff walked around with ketchup and put it on burgers for people. Salad was brought round by someone else and put on the plates but I noticed most residents had eaten their food already. One person asked for more squash, their cup was taken but not brought back. A disagreement broke out between 2 residents. The registered provider came to sort it out and told one of the residents to leave the dining room. She hadn’t seen or heard what was said and reprimanded the wrong resident. I thought this was very unfair. I don’t think it is very hygienic that the dogs go in the kitchen and dining area especially when people are eating.’ Bidna House DS0000022084.V307297.R01.S.doc Version 5.2 Page 15 The registered provider said later that one resident had been challenging, taking all the food and this is why they felt it necessary to hand out the meals in the way they did. The staff team should have looked at how they could manage that individual’s behaviour without taking choices away from other residents. Bidna House DS0000022084.V307297.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ personal and health care needs are well met. Good systems are in place to ensure medications are safely administered, although some minor improvements to storage of medications would make sure that the system is robust and safe. EVIDENCE: Residents spoken to said they could choose what time they got up and when they went to bed. On the day of the inspection some residents were being assisted to get ready to go out making sure they had packed lunch and money they needed. Some residents were having a cup of tea and one resident was still in bed. One resident had not been feeling well and was asked by staff if they would prefer to go back to their room, but chose to stay downstairs. Staff spoken to said they encourage residents to be as independent as possible. This may involve guidance and prompts to ensure personal hygiene is acceptable and for some this may involve giving physical assistance to get up, washed and dressed. Bidna House DS0000022084.V307297.R01.S.doc Version 5.2 Page 17 On the day of the inspection the consultant psychiatrist visited to review several residents. The consultations were done in private in the office and individuals were asked if they were happy to go and see the Dr. The psychiatrist was asked about her views of the home and said it was ‘a valuable resource, dealing with some individuals who have in the past presented with some challenging behaviours’. The registered manager said that where medications have been prescribed to help people with anxieties and related behaviours, they work closely with the psychiatrist to review these on a regular basis and reduce medications if possible. The medication records were looked at. The home use a monitored dosage system (blister packs) and record only once they have seen medications being taken. Only staff that have completed training in the safe handling and administration of medications take on this role. The home should secure the tin for medications to the fridge and monitor fridge temperature to ensure that medications being stored in there are stored within the manufacturers temperature guidelines. The locked box containing the controlled medications should be secured within the medications cupboard. This will ensure that all medications are kept safe. Bidna House DS0000022084.V307297.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ views are listened to and acted upon. Policies and procedures are in place to protect residents. EVIDENCE: Most residents spoken to and those who completed questionnaires knew how they could make any concerns known to staff. Two people did answer they did not know how to make a complaint and the manager agreed to go through the complaints process with residents at their next meeting. Residents meetings are held every few months and minutes show that residents are asked about what they would like to do, what they would like for menu options. During this meeting all residents are encouraged to have their say and are asked if there are any concerns. The home also uses resident surveys to ask people what they think about the care and support they receive and what activities they enjoy doing. One resident said ‘you can tell staff if you are not happy and they will sort it out for you.’ Another said that ‘we talk about what we want to do at the meeting, we went to Butlins for our holidays!’ The home ensures that staff have all checks and references are completed on staff before they are employed to work at the home. Two staff files were looked at to confirm this. This process ensures residents are protected. Bidna House DS0000022084.V307297.R01.S.doc Version 5.2 Page 19 Staff spoken to were aware of the homes policies and procedures that relate to the protection of residents and were able to say what they should do if abuse is suspected. Bidna House DS0000022084.V307297.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides residents with a comfortable and safe environment. Some improvements are needed to ensure the home is clean and hygienic. EVIDENCE: On the day of the inspection the boiler had broken so the home felt cold for most of the morning. The providers were able to fix the problem and by the afternoon the home was warm. The expert by experience commented that the carpets in the communal areas needed to be vacuumed and had some concerns about the providers’ dogs coming into the dinning area whilst people were eating. It was noted that there was no soap available in the communal toilets. The manager explained that one resident had been tipping them all away, but that they were now putting all toiletries back. It was also noted that one of the Bidna House DS0000022084.V307297.R01.S.doc Version 5.2 Page 21 toilets did not have a lock that could be easily accessed by staff in an emergency. The provider agreed to change this over the next few days. The expert by experience said that one of the toilet floors was very slippery. This may have been because the cleaner had been cleaning the bathrooms. The home should ensure that everyone is aware of all hazards, if a floor has been mopped; a sign should be in place to let people know that the floor is slippery. This was feed back to the registered provider during the inspection. Bidna House DS0000022084.V307297.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a staff team that are trained, competent and well supported to do their job. Systems are in place to ensure that the recruitment practices of the home protect residents. EVIDENCE: Staff who completed surveys (7 returned from a total of 12) and the two staff spoken to all said that they had good opportunities for training. The head of care said that all staff has one to one supervision, but that records of these meetings were not available. The previous inspection had suggested that supervision records be held as part of staffs’ personnel file. The registered manager stated that cover sheets are available to evidence that supervision has taken place and what areas are covered. Over 50 of staff has achieved a National Vocational Qualification (NVQ 2 or above) and some of the senior staff are working towards the registered managers award. Bidna House DS0000022084.V307297.R01.S.doc Version 5.2 Page 23 The home is working towards being accredited by the National Autistic Society and some training has involved specialist training in working with people with autism and behaviour that challenges. Some staff are also completing the Learning Disability Award framework training. This shows that the home are making sure staff understand good practice in working with people with learning disabilities. Two staff files were checked to make sure the home follows a good recruitment practice of doing checks and references to keep residents protected. Bidna House DS0000022084.V307297.R01.S.doc Version 5.2 Page 24 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a well run home, where their views are taken into consideration and health and safety issues are taken seriously. EVIDENCE: The registered manager is experienced and qualified to run the home. He is currently doing a masters degree in Autism. The home is currently working towards being accredited by The National Autistic Society. This means that they will be recognised as being specialists in working with people who have autistic spectrum disorder. The home have also achieved the Investors in People Award, which demonstrates that they ensure staff are well trained, included and supported to do their job effectively. Bidna House DS0000022084.V307297.R01.S.doc Version 5.2 Page 25 The home makes sure there are ways they listen to the views of residents. However, some practices observed during the inspection did not always reflect this They use questionnaires, and have regular residents meetings. The quality assurance programme also includes surveys to staff and will be including relatives, and other professionals involved with the residents. The results of these surveys should be collated and made available to residents and copies sent to CSCI. The pre inspection questionnaire that the home completed a few months before the inspection gives details of how the home maintain a safe environment, via policies and procedures for staff to follow, training in health and safety issues and regular maintenance of the equipment and environment. On the day of the inspection the boiler had broken and when it was fixed, the inspector noted that the hot water in one of the communal bathrooms was running very hot. The manager agreed to look into this immediately to ensure residents were not at risk from scalding themselves. The home also needs to make sure that all hazards are identified and signs used to make people aware. This refers to slippery floors, which is detailed in the standards relating to the environment. Bidna House DS0000022084.V307297.R01.S.doc Version 5.2 Page 26 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 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 2 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X X 3 Bidna House DS0000022084.V307297.R01.S.doc Version 5.2 Page 27 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. 1. 1. 2. 3. Refer to Standard YA6 YA16 YA17 YA19 Good Practice Recommendations Individuals plans of care should be should be in formats that residents can easily understand. All staff should ensure that individuals are treated with respect and not spoken to in an abrupt manner. The home should ensure that residents are respected as adults and given the opportunity to serve themselves, at mealtimes, with support if necessary. The home should secure the tin for medications to the fridge and monitor fridge temperature to ensure that medications being stored in there are stored within the manufacturers temperature guidelines. The locked box containing the controlled medications should be secured within the medications cupboard. The home should ensure that hazards are clearly identified. If a floor is recently mopped, then people should be made aware that there is a potential risk. The registered provider should ensure that all parts of the home are kept clean; this refers to the carpets needing to DS0000022084.V307297.R01.S.doc Version 5.2 Page 28 4 5. YA24 YA24 Bidna House 6. 7. YA27 YA30 be vacuumed. The registered provider needs to ensure that all bathrooms are fitted with locks of a type that can be easily accessed by staff in an emergency. The registered provider needs to make sure that there are soap dispensers and paper towels available in bathrooms at all times. Bidna House DS0000022084.V307297.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton Devon TQ13 7UP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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.V307297.R01.S.doc Version 5.2 Page 30 - 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. 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