Inspection on 02/02/06 for Blossomwood

This inspection was carried out on 2nd February 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Blossomwood 23/01/09

Blossomwood 08/03/07

Blossomwood 14/10/05

Blossomwood 21/11/04

Blossomwood 22/06/04

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 Blossomwood Colchester Road Elmstead Market Colchester Essex CO7 7AZ Lead Inspector Tim Thornton-Jones Unannounced Inspection 2nd February 2006 11:00 Blossomwood DS0000017774.V280026.R01.S.doc Version 5.1 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 Blossomwood DS0000017774.V280026.R01.S.doc Version 5.1 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. Blossomwood DS0000017774.V280026.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Blossomwood Address Colchester Road Elmstead Market Colchester Essex CO7 7AZ 01206 825510 01206 825510 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) Mr Pelandapatirage Gemunu Susantha Dias Mr Ramrup Bolaky Mr Ramrup Bolaky Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Blossomwood DS0000017774.V280026.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Persons of either sex, under the age of 65 years, who require care by reason of a learning disability (not to exceed 12 persons) 14th October 2005 Date of last inspection Brief Description of the Service: Blossomwood is a care home providing personal care and accommodation for twelve individuals with learning disabilities, between the ages of twenty-five and forty-five. The service is owned, in partnership, by Mr Dias and Mr Bolaky. Mr Bolaky is also the Registered Manager. The care home is situated between Colchester and Elmstead Market, being within walking distance of the shops and facilities of Elmstead Market. This provides for day-to-day requirements. The dwelling consists of two linked units, a main house and a ground floor annexe. Accommodation in the main house is provided on two floors. All but one of the rooms are single occupancy. There are extensive enclosed gardens to the property. Blossomwood DS0000017774.V280026.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The main purpose of this inspection was to assess National Minimum Standards assessed at the previous inspection that did not meet requirements and to ensure that all ‘key’ standards had been reviewed within the inspection year (1.4.05 to 31.3.06). Of the 22 standards inspected at the previous visit, all met with requirements. A further 11 standards were chosen to be assessed on this occasion. Whilst the overall outcome of the inspection indicated that the service provided a good standard of care and support to service users, 2 standards did not meet National Minimum Standards. These were associated with some record keeping and staff supervision. What the service does well: • A homely environment continues to be maintained, with a relaxed and friendly atmosphere. Staff presented as competent and motivated to provide good care to service users. A service user spoken with during the inspection was content living at Blossomwood and said that they got well with the staff employed at the home. The organisation of the home is well maintained, in terms of policies and procedures. • • What has improved since the last inspection? What they could do better: • • Staff supervision needs improved monitoring to ensure appropriate frequency. Some record keeping and procedural issues need review. Blossomwood DS0000017774.V280026.R01.S.doc Version 5.1 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. Blossomwood DS0000017774.V280026.R01.S.doc Version 5.1 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 Blossomwood DS0000017774.V280026.R01.S.doc Version 5.1 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): 4&5 • Service users benefit from a well organised admission procedure and terms and conditions. EVIDENCE: The service has developed a policy and practice procedure to help ensure that anyone intending to live at the home is provided with a smooth transition approach, with positive support. A trial stay of at least 3 months is offered and the terms and conditions of residency are set out in a document provided along with the Service Users Guide. The home has a vacancy at present, although the Manager is keen to ensure that any person confirmed as taking up a longer term place will benefit from the placement and will be harmonious with those already living at Blossomwood. Blossomwood DS0000017774.V280026.R01.S.doc Version 5.1 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): 10 • Service users benefit from the home’s approach to confidentiality and data protection. EVIDENCE: Information held regarding service users is maintained by an approach supportive of a confidential way of working. Staff have access to essential information to assist them in their work and contribute to the overall data collection. The service has developed a policy and practice procedure regarding confidentiality. The office area has lockable cabinets and those who are authorised to do so access information. Sensitive information, for example, has a higher degree of security and access than day-to-day recording. Overall the arrangements were found to be satisfactory. Blossomwood DS0000017774.V280026.R01.S.doc Version 5.1 Page 10 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): 14 • Service users benefit from access to leisure activities. EVIDENCE: At the time of inspection 3 service users were out attending a day activity centre. Activities within the home are offered and these range from ‘table’ games to the use of audio and visual equipment. Activities within the community include visits to Colchester and in particular the leisure centre, bowling or shopping. Service users enjoy visiting a public House in nearby Wivenhoe. Some service users use the Wilson Marriage Centre, which offers a range of leisure and activity courses. The locality of the home is within a semi-rural position and local amenities are situated in nearby Elmstead Market. Blossomwood DS0000017774.V280026.R01.S.doc Version 5.1 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 • Service users benefit from arrangements that promote their emotional and healthcare needs. EVIDENCE: Each service user is registered with a GP and, where possible, access to healthcare services reflects the ‘ordinary life’ principles of the home. Some services are brought in to the home, however, for routine checks such as Optometry. Chiropody and Dental services are accessed by the Central Clinic in Colchester. The home is introducing a health information file for each person, where all healthcare matters are progressively recorded and monitored within a booklet. At the time of inspection no current information had been transferred into the file. Existing arrangements meet with requirements. Blossomwood DS0000017774.V280026.R01.S.doc Version 5.1 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): • No standards from this group was assessed on this occasion. EVIDENCE: Both standards in this group were assessed at the previous inspection and received a rating of 3, indicating compliance with requirements. Blossomwood DS0000017774.V280026.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28 & 29 • Service users benefit from shared supplement their individual rooms. spaces that compliment and EVIDENCE: The communal areas visited were clean, well decorated and furnished and comfortable. Outside areas were well maintained and enclosed. Staff have separate facilities. No service users have physical disabilities requiring adaptations and special equipment. The kitchen and laundry facilities were well maintained and domestic in both size and character. Blossomwood DS0000017774.V280026.R01.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33 & 36 • • Service users benefit from being supported by and effective staff team. Staff supervision did not meet the frequency requirements. EVIDENCE: The staff/service user ratios had been calculated as requiring 559.33 hours per week. The staff deployment record, sampled for the preceding week of this inspection, indicated that 637 hours had been deployed, throughout the waking day and at night, over a 7 day period. This indicates a ‘surplus’ of approximately 77 hours. In discussion with the Deputy Manager it was noted that some service users undertake a proportion of some cleaning tasks as part of their independence and self-help planning, supported by staff. It was also noted that a cook is employed for lunchtime meals in addition to the ‘surplus’ hours shown on the roster. Whilst these additional hours appear adequate for staff to perform all of the non-care related tasks, such as catering, cleaning etc, there was no methodology for showing how these hours were assessed by the home as adequate to meet this requirement. See recommendation. Blossomwood DS0000017774.V280026.R01.S.doc Version 5.1 Page 15 Staff supervisory records were examined at random. Records indicated that some staff were not receiving supervision in accordance with the frequency specified within National Minimum Standards. The practice and recording of supervisions was satisfactory. Blossomwood DS0000017774.V280026.R01.S.doc Version 5.1 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): 38 & 41 • • Service users benefit from the ethos, leadership and management approach of the home. Some record keeping is required to be improved to meet statutory requirements. EVIDENCE: The environment was relaxed, but well organised and professional in the way care management was structured. Care staff were at ease and service users confident, with good relationships and communication between all at the care home. There was a sense of openness within the culture and the Deputy Manager spoke of practice developments in a confident way. Record keeping was overall satisfactory, although, as previously stated, staff supervisory records were not adequate. The staff deployment record had not been signed as accurate by a designated person (see Care Homes Regulations 2001, Regulation 17(2) Schedule 4, Para 7). Blossomwood DS0000017774.V280026.R01.S.doc Version 5.1 Page 17 The registration of the home is a partnership of two individuals, one of whom is the Registered Manager. Visits are required by the Person in Control (Regulation 26) and a report made of the visit. These have not been undertaken and must be commenced. The requirement was discussed with the Manager at a previous occasion. Other records examined met with requirements. Blossomwood DS0000017774.V280026.R01.S.doc Version 5.1 Page 18 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 X 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 3 29 N/A 30 X STAFFING Standard No Score 31 X 32 X 33 3 34 X 35 X 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 3 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 X X X 3 X X 2 X X Blossomwood DS0000017774.V280026.R01.S.doc Version 5.1 Page 19 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 YA36 Regulation 18(2) Timescale for action The Registered Person must 31/03/06 ensure that staff who provide care to service users are adequately supervised. The Registered Person must 28/02/06 ensure that visits and reporting, as required under Regulation 26, are undertaken. Requirement 2 YA41 26 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 YA33 Good Practice Recommendations The Registered Person is recommended to identify a reliable methodology to calculate the non-care related tasks that care staff undertake whilst on duty. Blossomwood DS0000017774.V280026.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Blossomwood DS0000017774.V280026.R01.S.doc Version 5.1 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. 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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