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Inspection on 03/11/05 for Bodley Community Care Support Centre

Also see our care home review for Bodley Community Care Support Centre for more information

This inspection was carried out on 3rd November 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home is warm and comfortable and has a lively, friendly atmosphere. All residents spoken with praised the care they received from the staff and said they were grateful to be able to spend some time at the home. Staff were very proud of the fact that more residents go back to their own homes than have to move into residential care. Staff also felt that routines within the home were good and that it was nice to be able to sit and chat to the service users.

What has improved since the last inspection?

Prospective service users now receive information to enable them to decide if their needs can be met by the home. Work has been done to limit the admissions taking place late on a Friday afternoon, so that service users do not have to wait over the weekend for their first assessment at the home. Staff are now signing their records to confirm they have received fire safety training.

What the care home could do better:

Staff nor residents could think of anything much that could be improved. The inspector received comments such as `not seen anything that could be improved`, `all seems as if it flows` and `shouldn`t think you can have anything better`.

CARE HOMES FOR OLDER PEOPLE Bodley Community Care Support Centre Wayside Crescent Whipton Exeter Devon EX1 3LF Lead Inspector Sue Dewis Unannounced Inspection 3rd November 2005 10:00 X10015.doc Version 1.40 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 Bodley Community Care Support Centre DS0000033037.V263999.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 Older People. 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. Bodley Community Care Support Centre DS0000033037.V263999.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Bodley Community Care Support Centre Address Wayside Crescent Whipton Exeter Devon EX1 3LF 01392 462473 01392 461973 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) Devon County Council Mrs Deborah Mary Bewes Care Home 20 Category(ies) of Physical disability (20), Physical disability over registration, with number 65 years of age (20), Sensory impairment (20), of places Sensory Impairment over 65 years of age (20) Bodley Community Care Support Centre DS0000033037.V263999.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th April 2005 Brief Description of the Service: Bodley Community Care Support Centre consists of a day centre (which by law does not need to be inspected by CSCI) and the Intermediate Care unit. It is owned by Devon County Council, Social Services Department and managed by Debbie Bewes. The Intermediate Care unit is for older people who have been discharged from hospital and no longer need medical care, but need some extra time to recover and make decisions about their future. All through their stay in the unit, residents are assessed. This includes visiting their home with a member of staff and an occupational therapist to enable the staff to see what may be needed to help the person to live at home. The home is purpose built and all on one level. There are three separate units which are used as stepping stones as residents become more able. Other health professionals are based at the unit, as are the domiciliary care services for east, south and west Exeter. Bodley Community Care Support Centre DS0000033037.V263999.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over three hours one morning in early November 2005. Three service users and two staff were spoken with and the manager was available throughout the inspection. The inspector was made very welcome and would like to thank staff and residents for their assistance throughout the visit. What the service does well: What has improved since the last inspection? What they could do better: Staff nor residents could think of anything much that could be improved. The inspector received comments such as ‘not seen anything that could be improved’, ‘all seems as if it flows’ and ‘shouldn’t think you can have anything better’. Bodley Community Care Support Centre DS0000033037.V263999.R01.S.doc Version 5.0 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. Bodley Community Care Support Centre DS0000033037.V263999.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Bodley Community Care Support Centre DS0000033037.V263999.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 The admission procedure ensures that there is a proper assessment prior to people moving into the home. Residents now have access to the Statement of Purpose or Service User’ Guide prior to their admission, and therefore have sufficient information to decide if the home will meet their needs. EVIDENCE: Residents spend a maximum of four weeks at the home and rarely visit the home prior to admission due to the need for them to be discharged quickly. The length of the admission process varies from a couple of hours to 24 hours and involves a range of health care professionals at the hospital and in the home. Due to the Government’s ‘Choose and Book’ scheme more service users are being admitted from outside of the area. The home ensures they receive the information they need prior to admission, by supplying Care Managers with brochures to be distributed to prospective service users. Bodley Community Care Support Centre DS0000033037.V263999.R01.S.doc Version 5.0 Page 9 Concerns were raised at the previous inspection about service users admitted late on Friday, having to wait over the weekend for assessment. While there are still limited re-ablement staff available over the weekend, the manager now limits admissions on a Friday so that service users can have an assessment, and care staff be given some direction. Bodley Community Care Support Centre DS0000033037.V263999.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Care planning and risk assessments provide staff with the information they require to satisfactorily meet service users’ needs safely. Personal support is offered in such a way as to promote and protect service users’ privacy, dignity and promote their independence. All medicines are stored securely and other systems provides for safe administration. EVIDENCE: Health care professionals are based at the home to enable the full range of reablement needs of the service user to be met. Three service users’ plans were inspected and all contained detailed information on how care staff should meet their day to day needs, as well as details of how the goal of the service user returning home was to be achieved, and if any equipment was needed to facilitate this. Service users are regularly taken to their homes and assessed there to enable care and services to be closely matched to their needs. Bodley Community Care Support Centre DS0000033037.V263999.R01.S.doc Version 5.0 Page 11 One service user told the inspector that she had been home to be assessed, and another was due to go home the following week. The third said that a member of staff had been to her house to assess what equipment she will need on her return. The progress notes were clear and showed evidence of service user involvement. Service users’ felt that their privacy was respected. Staff were seen to knock on doors and did not enter if no response was received. Medication is received into the home in containers that would be supplied to the service user at home. It was stored securely and records indicated that it is appropriately administered. Service users are fully assessed with the aim that they will self-medicate. However, this is not always possible and it may be that carers at their home will manage their medication. Bodley Community Care Support Centre DS0000033037.V263999.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 14 and 15 Social activities that are offered provide stimulation and interest for residents. Meals were well presented and provide variety for residents. Residents are offered good choices in many aspects of daily living. EVIDENCE: The inspector spoke with three service users who were all very complimentary about the service offered. One service user told the inspector that she had been doing physio exercises that morning, and that she spends most of her time doing crosswords and reading. She said that though there were other activities available they did not interest her. One service user would like to spend more time with other service users, though appreciated that part of her not doing so was because she would need to manage on her own at home. Two service users had spent the morning in the day centre at a coffeemorning. Bodley Community Care Support Centre DS0000033037.V263999.R01.S.doc Version 5.0 Page 13 Two service users were very complimentary about the food, with one saying ‘the food is excellent, have too much’. However, the third service user who had specific dietary requirements felt it was a ‘bit dull’. Residents can make drinks and snacks for themselves at any time and notices are placed around the home encouraging them to do this. Bodley Community Care Support Centre DS0000033037.V263999.R01.S.doc Version 5.0 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were inspected on this occasion. For more information please see the report on the inspection carried out on 19 April 2005. EVIDENCE: Bodley Community Care Support Centre DS0000033037.V263999.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were inspected on this occasion. For more information please see the report on the inspection carried out on 19 April 2005. EVIDENCE: Bodley Community Care Support Centre DS0000033037.V263999.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 and 30 The deployment and numbers of staff available throughout the day are sufficient to meet the needs of the residents. Residents’ needs are met by well motivated and trained staff. EVIDENCE: Two staff were spoken with, one of which was from an agency. She had worked at the home before and said she had received good detailed information about the service users on her arrival. The other member of staff has worked at the home for several years and has completed NVQ 2. She has also received training in several other areas of care including Rehabilitation/Creating Independence/ Dignity. Comments from service users included ‘feel confident that I am well looked after, I only have to ring the bell and they are here’, ‘they don’t mind you asking if you don’t understand’ and ‘staff are excellent’. Bodley Community Care Support Centre DS0000033037.V263999.R01.S.doc Version 5.0 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 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 and 38 The home has a range of methods in place to check the quality of the services and facilities provided. The home is properly managed resulting in practices that promote and safeguard the health, safety and welfare of the residents. EVIDENCE: The home is obtained accreditation to ISO 9002 in July 2001. As part of their continuing accreditation the home receives an external audit every two years and an internal review (by Devon County Council’s Performance Review Team) every six months. Carer and service user questionnaires are analysed every six months. One of the main areas of concern highlighted during the last analysis was a lack of activities. From this 3 hours for three days each week have been identified for an activities co-ordinator. Bodley Community Care Support Centre DS0000033037.V263999.R01.S.doc Version 5.0 Page 18 Records showed that fire drills and instruction had regularly taken place, and staff sign to say they have received and understood the fire training. Bodley Community Care Support Centre DS0000033037.V263999.R01.S.doc Version 5.0 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 3 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X X X X 3 Bodley Community Care Support Centre DS0000033037.V263999.R01.S.doc Version 5.0 Page 20 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 Bodley Community Care Support Centre DS0000033037.V263999.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Exeter Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY 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 Bodley Community Care Support Centre DS0000033037.V263999.R01.S.doc Version 5.0 Page 22 - 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!