Inspection on 24/01/06 for Blyton Court

This inspection was carried out on 24th January 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 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

Blyton Court 23/11/06

Blyton Court 06/09/05

Blyton Court 23/10/04

Blyton Court 02/06/04

Blyton Court 04/06/03

Similar services:

Hillside

Applegarth

Trevayler Residential Care Home

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

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

CARE HOME ADULTS 18-65 Blyton Court 3 Laughton Road Blyton Nr Gainsborough Lincs DN21 3LG Lead Inspector Roger Harrison Unannounced Inspection 24th January 2006 09:30 Blyton Court DS0000002583.V266921.R01.S.doc Version 5.0 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 Blyton Court DS0000002583.V266921.R01.S.doc Version 5.0 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. Blyton Court DS0000002583.V266921.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Blyton Court Address 3 Laughton Road Blyton Nr Gainsborough Lincs DN21 3LG 01427 628791 01427 628377 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) Health & Care Services (UK) Limited Miss Anne Jackson Care Home 24 Category(ies) of Learning disability (23), Mental disorder, registration, with number excluding learning disability or dementia (1) of places Blyton Court DS0000002583.V266921.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th September 2005 Brief Description of the Service: Blyton Court is owned by Craegmoor Health and Care Services (UK) Limited and the registered care manager is Mrs A. Jackson. The Home is located on the edge of the village of Blyton. Blyton Court provides care (which includes Nursing) for twenty four people with a learning disability from the age of eighteen years and above. The accommodation is made up of ten single bedrooms and eight double bedrooms. Two of the single bedrooms have en suite facilities. These single and twin rooms overlook either the garden or the enclosed patio area. The home stands in its own grounds with gardens to the front and rear. Car parking is to the rear of the building. The village itself offers a variety of amenities such as public houses, shops, and a post office. The home provides activities and transport to enable residents to participate in recreational and leisure activities within the local community and outside the village. Blyton Court DS0000002583.V266921.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An inspector undertook this unannounced inspection over a four-hour period during which the home manager Anne Jackson was present. On the day of the inspection there were twenty-two residents living in the home. Due to the severe disability of many of the residents who do not have language skills it was not possible for the inspector to fully establish individual residents views or opinions regarding the delivery of care at Blyton Court. In order to carry out the inspection The inspector toured the building, and spoke with the manager and three members of staff in detail about the care being provided using a method of inspection called “case tracking” which involved selecting three residents and tracking the care that they receive through the checking of their records, observation of care and communication by staff, with residents, and practices within the home. 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. Blyton Court DS0000002583.V266921.R01.S.doc Version 5.0 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 Blyton Court DS0000002583.V266921.R01.S.doc Version 5.0 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 the following standard(s): Outcomes not looked at. The key standards were looked at during the last inspection undertaken on 06/09/05. EVIDENCE: Blyton Court DS0000002583.V266921.R01.S.doc Version 5.0 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 the following standard(s): 6,7 and 9. The manager and care team encourage residents to make informed choices whilst taking time to support individuals right to take risks with support when this is needed. Care plans are reviewed to ensure changes in need and goals are acted upon. EVIDENCE: The Manager and care team have used care plans to promote good relationships with health and social care support services in the community. Care plans looked at show that reviews of existing plans involve family and other professionals wherever possible in order to ensure residents changing needs are recognised and acted upon. Care plans looked at during inspection showed that assessments made at the time of admission had been reviewed as appropriate to include risk assessments, which take account of residents wider needs and wishes. During this Inspection the Inspector observed one resident being supported to choose to eat her meal in a private room of her choice. The resident told the Inspector “its good here”. Care plans reflected this sort of daily activity are used to maintain up to date information and support the freedom for individuals to make choices, for example, regarding how they would like to furnish their rooms, maintaining independence wherever possible with personal hygiene, how they would like to dress, nutritional choices, activities inside the home and in the wider community. Blyton Court DS0000002583.V266921.R01.S.doc Version 5.0 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 the following standard(s): 13,14 and 17. Residents are supported to take part in appropriate activities within the home and local/wider community. The home provides a varied and balanced nutritious diet for residents. EVIDENCE: On the day of inspection five residents were observed relaxing and listening to music in the “Snoozlem” which provides light and sound therapy. Other residents were seen undertaking focussed activities using art and sound to express feelings and to communicate with the activities organiser. During this inspection the Inspector talked to the activities Organiser who said “I work here for six hours a day with residents to support them with therapeutic and physical activities”, and “The Manager supports me to order any items I need to ensure residents needs are met how they want them to be”. The Inspector observed residents responding positively when receiving foot and hand massage in a sensitive way by the activity Organiser using good communication and a calm, measured approach to meeting needs. A daily activities book is used to record a range of activity that each resident undertakes. This includes; music therapy, tactiles/video, art and craft work and the use of a ball pool. There was also a record of community activity and the home have recently purchased a new mini bus in order to support community activity. The Manager confirmed that she intends to use an existing Blyton Court DS0000002583.V266921.R01.S.doc Version 5.0 Page 10 staff vacancy to further develop and provide more time to focus on community activities for all residents living at the home. Meals and menus at the home are planned on a three weekly basis to include resident’s wishes. Care plans highlight likes and dislikes and are taken account of as part of the planning process. If residents indicate they would like an alternative it is provided and taken account of for the next plan. During this Inspection the Inspector observed residents enjoying breakfast and lunch. Two residents told the Inspector “Food is good”. Blyton Court DS0000002583.V266921.R01.S.doc Version 5.0 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): 18,19 and 20. Residents are protected by policies and procedures within the home, which are used to ensure health needs are met in the right way and to understand wider needs in order to encourage choice and self-determination wherever possible for all residents. EVIDENCE: At the time of this Inspection there were twenty-two residents living at the home. The Manager uses resident’s files to confirm that each individual has a named Key Worker. The care team uses this system in order to fully understand the immediate and wider needs of each resident. During this Inspection residents were observed in a variety of settings within the home being supported in a calm way by staff team members who were seen to be anticipating when and where needs should be met, listening to residents and taking appropriate action to support choices and to minimise any disruption and stress for individuals and the resident group. Care plans looked at for two new residents were being updated in the right way using transfer information to review the current need, including all health related issues. During the Inspection two doctors were observed visiting residents and working alongside staff members to review current medication. The Manager also confirmed that the care team provide support for residents to attend GP and other health care appointments within the community when needed. The Manager told the Inspector that wherever possible residents are supported to self medicate, however, at the time of Inspection all residents need support with medication. The Manager confirmed there are policies and procedures for storing, Blyton Court DS0000002583.V266921.R01.S.doc Version 5.0 Page 12 recording, maintaining and administering all medicines. Records are kept up to date and only the manager and trained senior care staff administer medication to residents. A pharmacy visit report completed on 21/11/05 emphasised that records relating to medicines are “well kept”. The report was very positive about the way medicines are handled and administered within the home. The Manager has introduced a new system, which ensures safer storage and administration of medication, which works in accordance with external pharmacy advice. During this inspection the Inspector observed the Manager administering medication to residents during lunch using systems and records safely to meet residents needs. Blyton Court DS0000002583.V266921.R01.S.doc Version 5.0 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 and 23. Residents and family carers and staff are encouraged to be open about their feelings and concerns. The manager takes action to address ideas put forward for developing practice and issues of concern. The Manager and staff team know how to act in order to protect the needs of all residents. EVIDENCE: During this Inspection the Inspector met with a group of staff members who were able to tell the Inspector about developing their practice, and how training has been used to explore their own values and understanding of the need to protect residents, the training plan in place for this year includes adult protection training and during a meeting between the Inspector and three team members it was clear that staff knew how to act in order to protect residents from abuse. The home has a complaints policy and record book for logging complaints made by residents, family carers and staff. There have been no complaints since the last Inspection. During this inspection the Manager and carers were observed taking time to understand residents and use information to maintain communication with family members so that any concerns could be addressed. The inspector observed open communication at all times with residents moving about freely within the home. Discussions between the inspector and staff confirmed that morale is consistently good and that the management team within the home are supportive. Dates for team meetings were in place for staff who told the Inspector that they meet regularly as a group and are able to discuss team issues, and residents needs. Blyton Court DS0000002583.V266921.R01.S.doc Version 5.0 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. The home is well maintained, clean and provides a supportive environment for residents. Appropriate action has been taken by the manager to address issues previously raised regarding carpets and fire safety. EVIDENCE: On the day of inspection residents were observed freely going about daily activities as they wished either with support or unaided. Since the last Inspection carpets in the main living areas of the home have been replaced with non-slip flooring, and a main fire safety door has been replaced to ensure the safety and support of all residents. The home has comfortable lounge and therapeutic areas, which can be easily accessed at any time. The home maintains a relaxed informal atmosphere, which is created by the whole staff team. It was evident through observation of residents that they were confident and felt safe both inside and in the garden areas of the home, which were seen to be safe and well maintained, with space for residents to use as they wish. Kitchen areas were seen to be clean and hygiene practices were followed properly throughout the home. Residents rooms have been personalised and adapted were appropriate to support the needs of those with higher levels of need. En suite and communal bathrooms were seen to be clean and safe with space provided for using equipment needed to maintain residents safety. Blyton Court DS0000002583.V266921.R01.S.doc Version 5.0 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. The manager ensures that all staff members are recruited safely and promotes the use of training for staff in order to support residents properly within the home and wider community. EVIDENCE: Staff training files provided evidence of safe recruitment practices through the use of appropriate checks and references made by the Manager, and of an induction structure, which is fully supported by the homes main organisation. The manager recruits all staff appropriately with support from the company’s human resources team. The manager has a programme in place, which ensures all staff receive key training in Fire safety, food hygiene, Health and safety practice, equal opportunities, moving and handling and adult protection. Each staff member has an individual training record, the Manager uses this when undertaking Supervision, which is provided every two months for staff or as needed. The format used was showed to the inspector and is set out to ensure consistency for staff. The overall training system is being further developed by the home organisation using Personal Performance agreements with Managers and staff to promote the development of staff toward recognised NVQ awards. The home has a high level of staff who are trained at NVQ level and the training is linked to the care giving process which ensures residents benefit through the development of good communication, understanding and sensitivity, which was evident throughout this inspection. Blyton Court DS0000002583.V266921.R01.S.doc Version 5.0 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 and 42. The home has a competent and committed manager who understands the needs of each individual resident. Residents benefit from the support given to staff by the manager to undertake appropriate training, the results of which helps to maintain residents at the centre of the care giving, review and development process. EVIDENCE: The home has a manager that has been in post, and registered to undertake this role for a number of years. The Manager is also a registered nurse. A deputy manager and well established care team support the Manager in the day-to-day running of the home and discussions with staff confirmed respect and support for their manager. Staff told the inspector that “We work as a team here” and the deputy Manager said “As Managers we compliment each other using our mix of skills and experiences”. The Manager uses staff rotas to ensure there is a constructive hand over meeting between daytime and night staff, which is used to discuss residents changing needs and to plan any action needed regarding any risks in order to fully support the health and safety of each individual. Team meetings are planned in advance and take place six times a year with records maintained which are shared with staff in order to Blyton Court DS0000002583.V266921.R01.S.doc Version 5.0 Page 17 encourage continued feedback. The manager ensures that care provision for each resident is reviewed regularly alongside the structured training programme so that staff are able to develop any specific skills needed and to ensure that key workers have a full understanding of the needs and wishes of each resident. Strong links with family carers and external professionals are maintained by the manager to ensure that every effort is made to work together with others to meet the needs and wishes of all residents, and to inform the monitoring, review and development of practice within the home. Blyton Court DS0000002583.V266921.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 3 14 3 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 4 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Blyton Court Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score 3 X X X X 3 X DS0000002583.V266921.R01.S.doc Version 5.0 Page 19 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 Blyton Court DS0000002583.V266921.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Blyton Court DS0000002583.V266921.R01.S.doc Version 5.0 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. 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!