Inspection on 01/11/06 for Blakeney House

This inspection was carried out on 1st 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 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

Blakeney House 14/08/07

Blakeney House 15/02/06

Blakeney House 25/09/05

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Blakeney House 33-35 Park Road Westcliff On Sea Essex SS0 7PQ Lead Inspector Sarah Axam Key Unannounced Inspection 1st November 2006 10:00 Blakeney House DS0000062585.V313106.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 Blakeney House DS0000062585.V313106.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. Blakeney House DS0000062585.V313106.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Blakeney House Address 33-35 Park Road Westcliff On Sea Essex SS0 7PQ 01702 335724 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) kingston@consensushealthcare.org Consensus Support Services Limited Mrs Amanda Jane Shelmerdine Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Blakeney House DS0000062585.V313106.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th February 2006 Brief Description of the Service: Blakeney House is registered to accommodate 10 young adults with a learning disability. The premise is a large detached property situated within walking distance of Southend town centre. All bedrooms are single and have ensuite facilities. There are adequate lounge, dining and communal rooms. The home has a good-sized car park and a rear garden/patio area. Blakeney House DS0000062585.V313106.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Key inspection site visit took place over a period of 4 hours. During the Inspection the manager of the home was present throughout the inspection process. A tour of the home took place. Upon arrival the home felt homely, welcoming, clean and service users looked relaxed and happy. Staff were observed to be fully engaged in appropriate activities with the service users. A professional visiting the home and staff were spoken with during the inspection. Some time was spent looking through necessary paperwork to assess whether any developments had been made since the last inspection in February 2006. What the service does well: What has improved since the last inspection? What they could do better: There still needs to be further development in completion of all paperwork that includes review dates and individual service user’s signatures on agreements to outcomes and action plans. The home needs to further consultation with service users in general by using different forms of communication to share information. A Quality assurance system is in place and needs to be developed further including all other professionals, service users, relatives or advocates views. Once a quality assurance audit has been completed, this information is to be collated; an action plan put together and needs to be forwarded to the CSCI office. Staff NVQ training and an induction packages need further development. Blakeney House DS0000062585.V313106.R01.S.doc Version 5.2 Page 6 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. Blakeney House DS0000062585.V313106.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Blakeney House DS0000062585.V313106.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this area is good. This Judgement has been made using available evidence including a visit to this service. Blakeney House demonstrated that it has procedures, which meets the needs of individuals prior to admission. EVIDENCE: All initial assessments were in place from the placing authority prior to a service user moving in and the manager of the home completed pre-admission assessments of needs. Once in placement the home monitored, observed and recorded needs, behaviour and aspirations of individual residents. Care plans are based on these assessments. Blakeney House DS0000062585.V313106.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 Quality in this area is adequate. This Judgement has been made using available evidence including a visit to this service. The home has demonstrated that a care plan process for all service users is in place and that a good system of risk assessing is in place. Care plans are to a good standard and evidenced other professionals have been used whilst gathering or reviewing care plans. Consultation with individual’s service users needs to be developed and recorded. EVIDENCE: The home carries out assessments and care plans in consultation with other professionals, however they need to be developed further so that they include evidence that consultation with the individual resident, family and advocate has been part of this process. The plan also needs to be made available in a format of the service users choice and made available to all individuals. In general service user care plans sampled did not include a client or representatives signature. Service user meeting minutes informed me that they are consulted with to some extent about general matters within the home and that meeting regularly go ahead as part of the information sharing process. Blakeney House DS0000062585.V313106.R01.S.doc Version 5.2 Page 10 Staff spoken with and through observation evidenced that they are very good at taking on service user views, wishes and show that they listen and promote the values of respect, dignity and clients rights. Blakeney House DS0000062585.V313106.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15 and 17 Quality in this area is good. This Judgement has been made using available evidence including a visit to this service. The home ensures service users involvement within the community. Relationships with resident’s families appear good. Menus reflected resident’s choice and reflected cultural preferences. EVIDENCE: Most service users are engaged in day services every day of the week. This gives service users the chance to mix with their own peer group. Some service users use the evening clubs to socialise. There was evidence through staff spoken with on the day of inspection that there is inclusion of involving service users within the local community. During Inspection lunchtime was observed and it was noted that the service users were encouraged to have a choice of foods available that day. Menus looked nutritious and reflected residents tastes. Food smelt and looked appealing and was presented nicely. Meal times were unrushed and had a relaxed atmosphere. Blakeney House DS0000062585.V313106.R01.S.doc Version 5.2 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 Quality in this area is good. This Judgement has been made using available evidence including a visit to this service. Service users personal and healthcare support is well managed and written information was evidenced. Paperwork within the home is being maintained to an appropriate standard. Medication systems are in place. EVIDENCE: Service users are given a choice of how they would like to be supported concerning personal care and this is recorded in their care plans. Promotion of independence and learning/retaining skills was evident. All service users have access to a GP and dental practice either local or of the individuals choice. Specialist services are catered for if necessary and have beneficial to the individual. Good paperwork was evidenced which shows strong links and good partnerships with the local PCT team. Recording of health care appointments, decisions and meeting were in place. A Monitored medication dosage system is in place for service users. Medication is stored in a lockable cabinet and the administration records were being maintained in accordance with agreed procedures. Record sheets had been correctly recorded and signed for. Blakeney House DS0000062585.V313106.R01.S.doc Version 5.2 Page 13 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): 22,23 Quality in this area is adequate. This Judgement has been made using available evidence including a visit to this service. The current manager of the home is working closely with families. Staff are having regular supervision and regular staff meetings. Staff awareness around protection of vulnerable adults needs to be addressed. EVIDENCE: The home has a good complaints procedure in place. There have been no complaints since the last inspection. Paperwork is in place to ensure that if any complaints are received, they can be kept, maintained and outcomes would be recorded. Staff spoken with, training and paperwork looked at, evidenced that the health and safety of both services users and staff were paramount. However, staff spoken with gave a mixed understanding about Protection of Vulnerable Adults protocols and procedures. The manager needs to address and develop awareness amongst those staff that are still unclear about protocols regarding POVA. Blakeney House DS0000062585.V313106.R01.S.doc Version 5.2 Page 14 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): 24,30 Quality in this area is good. This Judgement has been made using available evidence including a visit to this service. The home in general is clean and hygienic with no apparent odours. Service users bedrooms provided a good amount of space. EVIDENCE: The cleanliness and hygiene of the home is to a good standard, it was clean, odourless and clean in all personal and communal areas. Individual bedrooms were well furnished, decorated, maintained and personalised. The home environment present no health and safety issues, the overall environment is homely, comfortable and practical for the use of service users at Blakeney House. Blakeney House DS0000062585.V313106.R01.S.doc Version 5.2 Page 15 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): 32,34 and 35 Quality in this area is adequate. This Judgement has been made using available evidence including a visit to this service. Staff spoken with felt that they are supported through the management structure and support from supervision and staff meetings. Training opportunities are good. EVIDENCE: Blakeney House has fewer than 50 of its staff NVQ trained. The manager has made plans to address this issue. The home’s induction pack is to be developed further, however a good standard of practice is in place in which new staff shadow more experienced staff before carrying out duties on their own. Regular training, supervision and staff meeting go ahead and staff spoken with on the day of inspection confirmed this. Staff records were also inspected and records evidenced training had been carried out and future training had been arranged. Paperwork for staff recruitment was looked and overall was to an adequate standard. Blakeney House DS0000062585.V313106.R01.S.doc Version 5.2 Page 16 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): 37,39 and 42 Quality in this area is adequate. This Judgement has been made using available evidence including a visit to this service. The manager has made effective changes and has generally improved on written records. EVIDENCE: Quality Assurance still needs to be carried out with all interested parties and the manager is in the process of developing this. This will be forwarded to the CSCI when completed. The Manager has the NVQ Registered Managers Award and is working towards the NVQ 4 in Care. She also holds the City and Guilds 3252 in Management in Care. Blakeney House DS0000062585.V313106.R01.S.doc Version 5.2 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 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 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 3 X Blakeney House DS0000062585.V313106.R01.S.doc Version 5.2 Page 18 Are there any outstanding requirements from the last inspection? NO 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 YA39 Regulation 24 (1)(a)(b) (2) (3) Requirement The manager must ensure that a quality assurance survey is in place, collated and when action plans have been identified this is forwarded to the CSCI office and other interested parties. Timescale for action 31/01/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA6 Good Practice Recommendations The home needs to develop paperwork that clearly evidences and records that consultation with service users and their representatives has gone ahead. The home needs to develop forms of communication in formats accessible and understandable to the individual and for this to be clearly recorded and evidenced. The home needs to identify and develop regular awareness of POVA procedures and protocols for staff that are unclear even though specific training has been given. The manager must ensure 50 of care staff should have access and be able to achieve NVQ Level 2. The home needs to continue that new staff complete an DS0000062585.V313106.R01.S.doc Version 5.2 Page 19 2. 3. 4. 5. YA7 YA23 AD32 YA42 Blakeney House induction and foundation training package Blakeney House DS0000062585.V313106.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Blakeney House DS0000062585.V313106.R01.S.doc Version 5.2 Page 21 - 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. 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