Inspection on 08/08/05 for Bluebell Cottage

This inspection was carried out on 8th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Bluebell Cottage 05/12/06

Bluebell Cottage 07/03/06

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 SY5 ONX Lead Inspector Janet Oxley Unannounced 8 August 2005 10.00 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 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 Stationary 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 E56 S20739 Bluebell Cottage V219837 UI 090805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Bluebell Cottage Address 38 Snailbeach Stiperstones Shrewsbury SY5 ONX 01743 791156 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Christine M Michael Care Home 3 Category(ies) of Mental Disorder - 3 registration, with number of places Bluebell Cottage E56 S20739 Bluebell Cottage V219837 UI 090805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1 March 2005 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. Bluebell Cottage E56 S20739 Bluebell Cottage V219837 UI 090805 Stage 4.doc Version 1.40 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 17 years, as members of a family and thus warrants the application of a reduced methodology. The inspection was unannounced and commenced at 10.30. It included chatting to the proprietor and one resident who showed the Inspector his 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. Bluebell Cottage E56 S20739 Bluebell Cottage V219837 UI 090805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Bluebell Cottage E56 S20739 Bluebell Cottage V219837 UI 090805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) x These standards are not applicable as no further residents are to be admitted. EVIDENCE: Bluebell Cottage E56 S20739 Bluebell Cottage V219837 UI 090805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7 and 9 It was considered that the stated outcomes for the three residents were being met. EVIDENCE: Through discussions with Mrs Michael and one resident 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. Bluebell Cottage E56 S20739 Bluebell Cottage V219837 UI 090805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 14, 15, 16 and 17 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 an annual holiday if they wish 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 occasions. Bluebell Cottage E56 S20739 Bluebell Cottage V219837 UI 090805 Stage 4.doc Version 1.40 Page 10 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 E56 S20739 Bluebell Cottage V219837 UI 090805 Stage 4.doc Version 1.40 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 standard(s) 18 and 20 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 with one resident and Mrs Michael indicated that all aspects of his physical and health needs are met and Mrs Michael continues to handle the medication satisfactorily. Bluebell Cottage E56 S20739 Bluebell Cottage V219837 UI 090805 Stage 4.doc Version 1.40 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 standard(s) 22 and 23 Although no full or formal policies and procedures are in place the outcomes for the residents appeared to be entirely satisfactory. EVIDENCE: Discussions with the one resident indicated that he had no concerns or complaints. It was evident that the residents are able to talk truthfully to Mrs Michael and that she listens and responds to their views. Bluebell Cottage E56 S20739 Bluebell Cottage V219837 UI 090805 Stage 4.doc Version 1.40 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 standard(s) 24 and 30 The standard of the environment within the home is very 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. Bluebell Cottage E56 S20739 Bluebell Cottage V219837 UI 090805 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) x These standards are not applicable as no staff are employed at the home. EVIDENCE: Bluebell Cottage E56 S20739 Bluebell Cottage V219837 UI 090805 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) x These standards were not assessed at the time of this inspection. EVIDENCE: Bluebell Cottage E56 S20739 Bluebell Cottage V219837 UI 090805 Stage 4.doc Version 1.40 Page 16 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score N/A N/A N/A N/A N/A Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score N/A N/A N/A N/A N/A N/A CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Bluebell Cottage Score 3 x 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x x x E56 S20739 Bluebell Cottage V219837 UI 090805 Stage 4.doc Version 1.40 Page 17 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. 1. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Bluebell Cottage E56 S20739 Bluebell Cottage V219837 UI 090805 Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection 1st Floor, Chapter House South Abbey Lawn Shrewsbury SY2 5DE 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 Bluebell Cottage E56 S20739 Bluebell Cottage V219837 UI 090805 Stage 4.doc Version 1.40 Page 19 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!