Inspection on 14/07/08 for Blisworth Close (Royal Mencap Society)

This inspection was carried out on 14th July 2008.

CSCI found this care home to be providing an Good 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

Blisworth Close (Royal Mencap... 20/07/06

Blisworth Close (Royal Mencap... 14/11/05

Blisworth Close (Royal Mencap... 27/07/05

Blisworth Close (Royal Mencap... 28/02/05

Blisworth Close (Royal Mencap... 29/05/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 08/11/2008.

CARE HOME ADULTS 18-65 Blisworth Close (Royal Mencap Society) 1 Blisworth Close Northampton Northants NN4 8ND Lead Inspector Judith Roan Unannounced Inspection 14th July 2008 09:00 Blisworth Close (Royal Mencap Society) DS0000012713.V368382.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 Blisworth Close (Royal Mencap Society) DS0000012713.V368382.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. Blisworth Close (Royal Mencap Society) DS0000012713.V368382.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Blisworth Close (Royal Mencap Society) Address 1 Blisworth Close Northampton Northants NN4 8ND 01604 676066 F/P 01604 676066 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) Royal Mencap Society Manager post vacant Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Blisworth Close (Royal Mencap Society) DS0000012713.V368382.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Age range is 18 years - 65 years. Date of last inspection 20th July 2006 Brief Description of the Service: Blisworth Close is a care home providing personal care and accommodation for 6 younger adults with a learning disability The Premises are owned by a housing association with each service user having a tenancy agreement. Mencap provides the care service. The home is purpose built and is located on a housing development on the outskirts of Northampton. The home is two storey with four bedrooms located on the ground floor. All of the bedrooms are single with en-suite facilities. There is a well-maintained and enclosed garden with water features and raised flower borders. Information about fees was given as being current at the time of the inspection, however the registered manager advised that changes to funding arrangements were being planned. The fee per resident per week is currently £243.26. In addition to the fees, local authorities provide a grant to Mencap for provision of the services in the county. Residents pay £62.35 per week from their benefits. The fees include personal care, staff support, accommodation, meals, laundry and a contribution towards a holiday. Additional charges residents’ will need to pay include chiropody, toiletries, clothing, leisure activities and a contribution towards a holiday. Blisworth Close (Royal Mencap Society) DS0000012713.V368382.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for people who use the service and their views of the service provided. This process considers the services capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. The primary method of inspection used was ‘case tracking’ which involved selecting three people who use the service and tracking the care they receive through review of their records, discussion with them, the care staff and observation of care practices. The Inspector also received questionnaires completed by six relatives and two staff. The questionnaires provided positive feedback of the quality of care and service. The homes acting manager also completed an Annual Quality Assurance Assessment (AQAA) a questionnaire required to be completed by CSCI. This has provided information about the service and demonstrated that the service is able to review their practice and make improvements for the future. The inspection was unannounced and was undertaken during the afternoon and early evening lasting 5 Hours. What the service does well: The home provides continuous assessment of individuals needs. Support workers are knowledgeable about the needs of people who use the service. People using the service have a range of daily activities that they are actively supported to participate in. People using the service are supported to access community resources. Meals are always freshly prepared, healthy and varied. Meals are shared with support workers providing a family environment that is relaxed and comfortable. The home is maintained to a high standard and people using the service have access to individual rooms that reflect their personal preferences. Communal areas enable a range of activities to be undertaken within a family setting. Blisworth Close (Royal Mencap Society) DS0000012713.V368382.R01.S.doc Version 5.2 Page 6 The support workers show a high level of commitment to the work and bring a range of skills to support individual’s needs. Families said that there is a ‘homely atmosphere, good relationships between staff and residents’ ‘ A comfortable atmosphere, always made to feel welcome’ ‘ This is an extremely well run home’ ‘ The staff respect the residents’ ‘The personal care given to my family member is excellent’ 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. The summary of this inspection report can be made available in other formats on request. Blisworth Close (Royal Mencap Society) DS0000012713.V368382.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 Blisworth Close (Royal Mencap Society) DS0000012713.V368382.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,5 Quality in this outcome area is good. People using the service are fully assessed to ensure that the service can meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There have been no new admissions to the service since the last inspection. All people living at the service have their needs reassessed as part of the ongoing review process. Additional needs are highlighted and appropriate action is taken to provide the support. Over the past year support workers have been working to improve the way they communicate with people who use the service that have communication needs. Information about the service has become more accessible. There is a clear statement of purpose & service users guide in an easy read format. Files contained tenancy agreements and contracts about the support individual’s receive. Blisworth Close (Royal Mencap Society) DS0000012713.V368382.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 Quality in this outcome area is good. Support plans are person centred and demonstrate involvement of people using the service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans are in place for people who use the service and are reviewed on a regular basis to ensure that support workers are updated with changes. The support workers are developing communication systems to assist, like the use of photographs. The acting confirmed within the AQAA that ‘each individual has a support plan that details the support that they would like to receive from the staff supporting them. This is produced in an accessible way so that the people we support can understand it. The acting manager also stated that future plans would be to have plans ‘more accessible and involve people more in planning their own support for the future’ and to ‘Involve the people we support in person centred planning to better plan to achieve their goals and dreams’. Weekly meetings are held to assist people with personal choices. People using the service are supported to attend house meetings to ensure that they are Blisworth Close (Royal Mencap Society) DS0000012713.V368382.R01.S.doc Version 5.2 Page 10 included within the decision making process for future activities and events. These regular forums ensure that there is continuous development. It was observed that there is good communication between support workers, ensuring that information is shared appropriately. The files are stored securely within the office to ensure that confidentiality is maintained. The outcomes for people using the service support are positive and that needs are being met within the systems in place at the home. In discussion with the acting manager they outlined additional measures that were to take in supporting people using the service with their communication needs. In observation of practice and discussion with support workers it was evident they are very knowledgeable about the needs of the people they support. All the support workers confirmed that there induction included a period of working alongside another experienced support worker until they had demonstrated that they were competent and confident in meeting people’s needs. Feedback from families all confirmed that they were pleased with how their family members progress. One person said that communication could be improved i.e. use of Makaton. Risks within activities are undertaken and support workers ensure that the appropriate level of support is available to ensure safety and to develop independence within activities that is related to an individual’s ability. Files contained comprehensive risk assessments related to a range of activities for the individual person. People using the service are encouraged to be as independent as possible with appropriate support. In this way people using the service are included within activities and not excluded because of any behaviour that may arise. Blisworth Close (Royal Mencap Society) DS0000012713.V368382.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. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17 Quality in this outcome area is good. A wide range of personal, educational and social options are available and promote individual development. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Individuals have a weekly activities programme that is updated to take account of various events and personal choices. New activities are tried out to extend the choices and experiences for each person. Since moving into the service all of the individuals had become fully involved in activities within and outside of the home. During the period of observation it was noted how individuals were supported with everyday activities around the house to enable them to be included and to take on joint responsibility for their environment and their belongings. Careful planning is undertaken for all activities to ensure that people who use the service and support workers are protected and enjoy the experience. Experiences are good and varied. It was noted that several people have day care opportunities and are supported to experience community facilities. Blisworth Close (Royal Mencap Society) DS0000012713.V368382.R01.S.doc Version 5.2 Page 12 Meals are served in the family style dining room and people are supported as needed in a discreet and positive. The meal was freshly cooked and healthy. Individuals are supported to make healthy choices and have a balanced diet, with opportunities to have the occasional not so healthy treat. Support workers have a good understanding of the needs for people who use the service and use the meal times to develop communication skills with each other. Meals were seen to be an important social event at the home. There is negotiation between individuals so that meal times can be arranged around social activities and needs. The standard of food prepared at the home is good. Families commented on how good the communication has been with them and that the acting manager and the team of support workers kept them informed and involved. All families said that there is ‘a comfortable atmosphere and always made to feel welcome at the home and are invited to join in activities’. Blisworth Close (Royal Mencap Society) DS0000012713.V368382.R01.S.doc Version 5.2 Page 13 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. People using the service are positively supported to access local and specialist healthcare services. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People using the service are supported to have regular health checks and there is evidence on files that healthcare appointments are made. The AQAA confirms that people using the service have ‘support with healthcare to both meet the people we support’s needs and improve their health’. And those they ‘Provide individualised care to the people we support that they are happy with and promotes their independence and skills. The acre plans seen during the inspection state how personal support is provided to ensure that people are supported in the way they prefer and require thus promoting privacy, dignity and independence. A review of the medication system has prompted a change to a different system that meets the needs of the people using the service and assists support workers with the process. The physical and emotional health needs of people using the service are well met by the policies and procedures in place and good links to health care professionals. Blisworth Close (Royal Mencap Society) DS0000012713.V368382.R01.S.doc Version 5.2 Page 14 Personal support is provided in a discreet manner, with people using the service preferences being a top priority. Medical profiles for people who use the service are clear to ensure that support workers have up to date information about a medical condition and prescribed medication. The acting manager confirms that developments over the past year have meant ‘more accessible formats for support plans and medication profiles’. All medication is stored in a locked facility and records are maintained. Only support workers that have undertaken certificated training administer medication. The staff files provided evidence to confirm this. Observation of care practice indicates that safety is maintained. All incidents are recorded on file to show how the manager/support workers have reviewed practice to minimise future risks. Blisworth Close (Royal Mencap Society) DS0000012713.V368382.R01.S.doc Version 5.2 Page 15 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. Practices within the service fully protect people who use the service and ensure that they are listened to. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service has comprehensive policies and procedures in relation to handling concerns and complaints. People who use the service are observed to ensure concerns are noted and brought to the attention of the acting manager through meetings. Support workers undertake abuse awareness training as part of their induction/ foundation training. We checked out their understanding during the inspection, which was good. There have been no complaints since the last inspection. The home has an accessible complaints policy. The acting manager states that, ‘this ensures that the staff follow procedures on reporting incidents and also informs the people we support and their family and friends who to contact if they are not happy with some aspect of the support/ environment that we are providing’. Families are aware of the complaints procedures and know how to raise concerns they have with the acting manager or managers in Mencap. Recruitment procedures ensure that support workers working at Blisworth close are security checked with files supporting that Criminal Record Bureau have been undertaken. Blisworth Close (Royal Mencap Society) DS0000012713.V368382.R01.S.doc Version 5.2 Page 16 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): 24,25,28,29,30 Quality in this outcome area is good. The home provides a warm family setting with individual space that is well maintained clean and hygienic. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is purpose built and provides comfortable and accessible accommodation for all the people using the service. The décor is presently being updated with the support of the local community service volunteers. The AQAA confirms our findings that ‘each individual is involved in choosing décor for their own bedroom and choose, with support, their furniture. The group have also decided in house meetings what colour they would like the communal areas’. The home provides an environment that reflects normal family life. There are adequate rooms to enable everyone to have their own personal space. All people using the service have single rooms with good access to family style bathrooms across all floors. Specialist equipment is available to the meet the needs of people with their mobility. The kitchen has a work surface that can be lowered to facilitate people in a wheelchair. Blisworth Close (Royal Mencap Society) DS0000012713.V368382.R01.S.doc Version 5.2 Page 17 Several communal areas are used for joint activities and each bedroom has sufficient room for personal hobbies. Individual bedrooms are personalised, comfortable and well maintained. People using the service are supported in maintaining their rooms to a high standard of cleanliness and safety. It was evident during the inspection that daily living tasks are completed with people using the service and that no activity is undertaken without their involvement. There is a family size kitchen that is large enough for people who use the service to assist or sit comfortably and be part of meal preparations. The dining room can accommodate all of the people living at the home where meals are eaten as a family. The garden provides areas for relaxation when the weather is fine. People using the service are supported and encouraged to play an active role in its maintenance. Blisworth Close (Royal Mencap Society) DS0000012713.V368382.R01.S.doc Version 5.2 Page 18 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. Staff skills and recruitment practices fully ensure that the needs of people who use the service are protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The support worker team have a sound knowledge base about the needs of people that use the service. Through observation during the inspection the staff team showed that they had a range of skills to support individuals and were proactive in developing everyday living skills. In reviewing the files of support workers it was noted that all contained evidence that recruitment check had been undertaken. The files all contained application forms, two references, identity checks and an enhanced criminal record bureau disclosure. In discussion with the manager it was established that they now have a full complement of support workers that has improved the homes ability in meeting the wider needs of people who live there. The rota has been developed to ensure that it meets the needs of the service. Blisworth Close (Royal Mencap Society) DS0000012713.V368382.R01.S.doc Version 5.2 Page 19 There are always sufficient support workers on duty to provide support for individuals. Levels of support are increased for outside activities and holidays. Files confirmed that support workers have completed induction and other core training. Training is available for all support workers and staff confirmed that they receive good support from management. The AQAA confirms that ‘Supervisions are held regularly with staff members and adhere to Mencap’s targets’. All support workers receive copies of the General Social Care Council codes of practice, Blisworth Close (Royal Mencap Society) DS0000012713.V368382.R01.S.doc Version 5.2 Page 20 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. The service is managed in the best interests of people who live at the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There has been a change of manager since the last inspection. The acting manager will be making an application to the commission shortly. The Annual Quality Assurance Assessment has been returned and contains clear data in support of the inspection. The acting manager has demonstrated that they have been able to reflect of the service’s practices and make development plans with people who use the service and the support staff. A comprehensive quality assurance system is in place that records the view of people using the service. Families feel that their views are also taken into account. The AQAA confirms that regular quality checks are completed ‘The registered manager completes a Monthly compliance sheet every month which helps to assure quality and checks that all standards are being met on a Blisworth Close (Royal Mencap Society) DS0000012713.V368382.R01.S.doc Version 5.2 Page 21 monthly basis this includes health and safety checks, the area manager also does ‘mqrvs’ (monthly quality review visits)’. The acting manager was able to provide evidence that health and safety checks are well managed. Files contained risk assessments to minimise risks for individuals. Support workers receive updates on all health safety training with files containing copies of manual handling, first aid, fire & food safety certificates. Blisworth Close (Royal Mencap Society) DS0000012713.V368382.R01.S.doc Version 5.2 Page 22 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 2 3 4 5 CONCERNS AND COMPLAINTS Standard No Score 22 23 3 3 X X 3 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 X ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 DS0000012713.V368382.R01.S.doc LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Version 5.2 Page 23 Blisworth Close (Royal Mencap Society) 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Blisworth Close (Royal Mencap Society) DS0000012713.V368382.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Blisworth Close (Royal Mencap Society) DS0000012713.V368382.R01.S.doc Version 5.2 Page 25 - 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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