Inspection on 05/12/06 for Bluebell Cottage

This inspection was carried out on 5th December 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Bluebell Cottage 07/03/06

Bluebell Cottage 08/08/05

Bluebell Cottage 01/03/05

Bluebell Cottage 24/08/04

Bluebell Cottage 23/03/04

Similar services:

The Lodge Nursing Home

Bracken House

Sunnycroft

Field Farm House

Edgeview Nursing Home

Church Terrace Nursing & Residential Home

The Forbury

The Maples

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

CARE HOME ADULTS 18-65 Bluebell Cottage 38 Snailbeach Stiperstones Shrewsbury Shropshire SY5 0NX Lead Inspector Janet Oxley Key Unannounced Inspection 5th December 2006 10:00 Bluebell Cottage DS0000020739.V297109.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 Bluebell Cottage DS0000020739.V297109.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. Bluebell Cottage DS0000020739.V297109.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bluebell Cottage Address 38 Snailbeach Stiperstones Shrewsbury Shropshire SY5 0NX 01743 791156 NONE 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) Ms Christine Mary Michael Non applicable. Care Home 3 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (3) of places Bluebell Cottage DS0000020739.V297109.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th March 2006 Brief Description of the Service: Bluebell Cottage is a Care Home registered for 3 people with mental health problems. The home is situated in a pretty rural location in Snailbeach, some five miles from Minsterley. The Proprietor, Ms Christine Michael, operates the home on an extended family basis, sharing the facilities with the service users. No further admissions are to take place. Bluebell Cottage DS0000020739.V297109.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection reviewed relevant standards only as the home is currently considered to be operating satisfactorily, meeting the needs of the three residents, one who has lived there for over 18 years, as members of a family and thus warrants the application of a reduced methodology. The inspection was unannounced and commenced at 10am. It included chatting to the proprietor and the three residents who showed the Inspector their accommodation. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Bluebell Cottage DS0000020739.V297109.R01.S.doc Version 5.2 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Bluebell Cottage DS0000020739.V297109.R01.S.doc Version 5.2 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): These standards are not applicable as no further residents are to be admitted. EVIDENCE: Bluebell Cottage DS0000020739.V297109.R01.S.doc Version 5.2 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported to follow lifestyles of their choice and participate in the day to day functioning of the “extended family” home EVIDENCE: Through discussions with Mrs Michael and the three residents it was evident that the verbal agreements for daily living they have are satisfactory and that the placing authority are also satisfied with these arrangements. Mrs Michael fully encourages and enables the residents to take part in the day to day running of the home and garden, they make decisions about their lives, activities, holidays, expenditure, clothes and meals and are fully supported to be as independent as possible. Bluebell Cottage DS0000020739.V297109.R01.S.doc Version 5.2 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The lifestyle of the residents appears to be satisfactory and through a framework of activities, independence, personal and social skills they are encouraged to develop and become more confident. EVIDENCE: The residents are able to take part in a variety of social events either as individuals or as a group. In addition to the shopping trips, visits to local amenities and places of interest, two residents also attend Abbey Works for 4 days each week and enjoy connections with the local church and attend events at the village hall. All have had a holiday this year and 2 enjoy travelling on their own to various functions or to enjoy the travel experience. Residents are encouraged and supported to maintain family links, are involved in all daily routines and activities and have many opportunities to meet people. The parents of one visit regularly and have lunch, another visits his brother’s home in Whitchurch and two go to relatives at Christmas and other special Bluebell Cottage DS0000020739.V297109.R01.S.doc Version 5.2 Page 10 occasions. From discussions and observations it was evident that a nutritious diet is provided. Two service users and Mrs Michael have undertaken training in Basic Food Hygiene. Bluebell Cottage DS0000020739.V297109.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18,19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal needs of residents appeared to be very well met with evidence of regular review and of good multi disciplinary working taking place on a regular basis. EVIDENCE: Discussions and observations indicated that all aspects of physical and health needs are met and Mrs Michael continues to handle the medication satisfactorily. All residents are seen regularly by health care professionals, they looked and stated that they were very well. Since the last inspection the health of one resident had deteriorated and the proprietor instigated a full review with day centre staff, CPN, Doctor and Social Worker following which medication was changed and things have improved. Bluebell Cottage DS0000020739.V297109.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Although no full or formal policies and procedures are in place the outcomes for the residents appeared to be entirely satisfactory. EVIDENCE: Discussions with all three residents indicated that they had no concerns or complaints. It was evident that the residents are able to talk truthfully and openly to Mrs Michael and that she listens and responds to their views. A complaints book is available in the residents lounge. Bluebell Cottage DS0000020739.V297109.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24, 25, 26, 27, 28 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the environment within the home is satisfactory, providing the residents with a warm and homely place to live. EVIDENCE: The environment is very homely. All residents are provided with single rooms which are very personalised. The home is furnished and equipped to a good standard throughout. A lounge, dining room and fully fitted kitchen are provided and outdoor space is proportionate to the number service users residing at the home, is very attractive and interesting. At the time of this inspection the standard of cleanliness and hygiene was excellent, on going improvements and redecoration continue to be undertaken and since the last inspection the laundry and utility area have been tiled and a shelf unit put in one resident’s bedroom. Bluebell Cottage DS0000020739.V297109.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): These standards are not applicable as no staff are employed at the home. EVIDENCE: In emergencies a colleague of Mrs Michael provides cover. She is fully qualified, has many years of experience and has undertaken a CRB check. Bluebell Cottage DS0000020739.V297109.R01.S.doc Version 5.2 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. It was considered that the stated outcomes for the three service users, one who has lived at the home for over 18 years, were being met. EVIDENCE: These standards were not assessed in full as it was considered that a number are not applicable to this service for only three service users, where there are no staff employed, the service users are well able to express their feelings and the environment is extremely homely. It was suggested a number of years ago that the home would benefit from becoming part of an Adult Placement Scheme however this is currently not possible in Shropshire for residents with mental health problems. However Mrs Michael is a 1st level Registered Nurse, has extensive experience in the provision of care for people with mental health problems and has successfully managed the home for over 18 years. Bluebell Cottage DS0000020739.V297109.R01.S.doc Version 5.2 Page 16 From discussions and observations made during the inspection it was evident that a sense of ‘family’ has been created where all are able to contribute, and all contributions are valued. The service and facilities are reviewed regularly with the views of residents, their families and professional key workers being sought. Risk assessments for the home environment and individuals have been carried out and service records for systems and appliances are maintained. Only one accident has occurred since the last inspection and this was recorded. Mrs Michael has renewed her training in first aid. She has also undertaken Basic Food Hygiene training. Mrs Michael is aware that she needs to ensure that she complies with COSHH regulations and to keep herself up to date on all Health and Safety issues. Bluebell Cottage DS0000020739.V297109.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 N/A 2 N/A 3 N/A 4 N/A 5 N/A 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 3 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 N/A 32 N/A 33 N/A 34 N/A 35 N/A 36 N/A 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 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Bluebell Cottage DS0000020739.V297109.R01.S.doc Version 5.2 Page 18 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. Refer to Standard Good Practice Recommendations Bluebell Cottage DS0000020739.V297109.R01.S.doc Version 5.2 Page 19 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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 Bluebell Cottage DS0000020739.V297109.R01.S.doc Version 5.2 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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