Inspection on 17/07/06 for Boulevard House

This inspection was carried out on 17th July 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

Boulevard House 21/11/05

Boulevard House 20/09/05

Boulevard House 20/12/04

Boulevard House 21/07/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Boulevard House 1 The Boulevard Mablethorpe Lincs LN12 2AD Lead Inspector Mr Ken Hague Unannounced Inspection 17th July 2006 09:00 Boulevard House DS0000002329.V304065.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 Boulevard House DS0000002329.V304065.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. Boulevard House DS0000002329.V304065.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Boulevard House Address 1 The Boulevard Mablethorpe Lincs LN12 2AD 01507 473228 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) Boulevard Care Hilary Horvath Care Home 18 Category(ies) of Learning disability (18) registration, with number of places Boulevard House DS0000002329.V304065.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named resident with a physical disability under 65 years Date of last inspection 21st November 2005 Brief Description of the Service: Boulevard House is situated in Mablethorpe in a residential area close to the centre of the resort, beach and local facilities, Boulevard House has been converted from a former domestic and hotel premises to the present accommodation. The home is registered for 15 service users with learning disabilities. Although it has 4 rooms registered to occupy 2 people, all but one is at present occupied on a single occupancy basis. The homes service user guide states that the home aims to provide a caring environment for individuals to reach their optimum potential intellectually and socially in small supported living accommodation. The home is owned by Boulevard Care. Boulevard House DS0000002329.V304065.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place between 8am and 11.30am. A site visit was made as part of the inspection. Care records were inspected, staff and the registered manager was interviewed The main method of inspection used is called ‘case-tracking’; this involved reading the individual care records for residents being case tracked and discussions with staff and the registered manager. Observations were made of the manner in which care and help is provided throughout the inspection. Discussions were held with the residents being case tracked to ensure that their care plans were being followed and their choices and wishes were considered in the day-to-day management of the care home. The home has supplied the Commission for Social Care Inspection with 13 copies of the “have your say document”. This document ask questions to the residents and invites them to pass comments which reflect their views on the resources been offered by the care home. All 13 documents were studied, the and the comments and opinions are reflected within this report. 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 Boulevard House DS0000002329.V304065.R01.S.doc Version 5.2 Page 6 contacting your local CSCI office. Boulevard House DS0000002329.V304065.R01.S.doc Version 5.2 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 Boulevard House DS0000002329.V304065.R01.S.doc Version 5.2 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): 2&5 Quality in this outcome area is Excellent. This judgement has been made using the available evidence including a visit to this service. The home completes an assessments prior to admitting a resident to the care home ensuring that all their needs are identified and the care home has the resources to meet individual residents needs. All residents are issued with a copy of the terms and conditions for their stay at the care home. All residents have a contract with the provider, which sets out the cost of their placement. EVIDENCE: The registered manager stated on 17 July 2006 that all residents had received a full assessment prior to them being admitted to the care home. The individual resident’s files sampled as part of this inspection all contained a comprehensive assessment completed prior to them being admitted. Residents stated in the “have your say” document that they had all been given information to allow them to make a choice of home. They confirmed they had been given a copy of the terms and conditions for the stay at the care home. Contracts were found to be on individual files, which state the financial conditions for the resident’s placement. Boulevard House DS0000002329.V304065.R01.S.doc Version 5.2 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): 6,7 & 9 Quality in this outcome area is excellent. This judgement has been made using the available evidence including a visit to this service. Care plans contain comprehensive information, which identify the care needs and personal preferences of the residents. Risk assessments are of a good quality, providing management strategies that enable residents to be as independent as possible. EVIDENCE: The individual files of residents being case tracked as part of the site visit contained a fully comprehensive care plan, which included risk assessments. Individual resident’s goals were recorded on care plans evidence was found that these are reviewed at least on a three-monthly basis. These care plans have been completed using the information gathered at the initial assessment and information from formal reviews. Residents confirmed in discussions that they were aware of the contents of their individual care plans. Their choices and wishes have been discussed with them and included in their care records. Boulevard House DS0000002329.V304065.R01.S.doc Version 5.2 Page 10 One resident stated in her have your say document “I get on well with staff” a second resident stated “staff always listen to me and always help me”. The “have your say” document completed by all residents provided evidence that residents feel they received the care and support they require. The home holds resident’s meetings to discuss the services provided by the care home. The health care needs of residents are identified on their individual care plans. There is evidence in resident’s individual files that health care services are being provided which included dental care, eye care and chiropody. The registered manager confirmed all staff, who give out medication have received formal training in the administration and storage of medication. The “have your say” document completed by residents confirmed that they were happy that their health care needs are being met by the care home. Risk assessments were found in place on all residents files inspected during the site visit. There was evidence that resident’s wishes are being balanced, against any identified risk. Boulevard House DS0000002329.V304065.R01.S.doc Version 5.2 Page 11 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): 12,1315,16 &17 Quality in this outcome area is Good. This judgement has been made using the available evidence including a visit to this service. Residents are encouraged to keep in contact with their family and friends. All visitors are made welcome by staff at the care home. Catering arrangements for the home reflects the residents choices, preferences and personal dietary needs. Residents with a special diet are provided with a menu, which takes their personal needs into account. EVIDENCE: The pre-inspection questionnaire sets out a range of activities offered by the care home. Residents confirmed that these activities do take place. The registered manager discussed the activity programme with the Inspector on 17 July 2006 including future developments. The registered manager confirmed that the company’s visiting policy is being followed by all staff Evidence to support this statement was found within individual care files. Staff are working closer with residents to ensure contact with their family is maintained. One resident had a difficult relationship with their family before moving into residential care. They have now established a good relationship with their parents and now have frequent home visits. Boulevard House DS0000002329.V304065.R01.S.doc Version 5.2 Page 12 The evidence for this statement was found in the individual care records of the resident and direct discussions with the resident. The registered manager stated risk assessments are in place to ensure that resident’s choices are balanced against any identified risk. Inspection of resident’s individual file confirmed this statement to be correct. The pre-inspection questionnaire returned to the Commission Social Care Inspection contained a detailed menu, which sets out the choices offered to residents. The files of residents being case tracked contained their likes and dislikes in respect of food. The “Have your say” document completed by all residents provided evidence that the dietary needs of each resident is being met by the care home. Residents stated that they were satisfied with the choice of menu provided. Boulevard House DS0000002329.V304065.R01.S.doc Version 5.2 Page 13 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 & 20 Quality in this outcome area is Good. This judgement has been made using the available evidence including a visit to this service. The health needs of service users are met, with good liaison with healthcare services. Medication storage and administration systems are satisfactory. EVIDENCE: Residents stated in the “have your say document” that they believe their opinions and rights are respected by staff. Evidence was found from regulation 26 reports that company checks that staff follow policy and procedures to ensure the choices, wishes and the dignity of residents are protected. The individual files of residents being case-tracked contained detail of the health care needs of residents as identified at the point of assessment or the last review. Care plans stated how these needs are to be met. There was evidence of the involvement of community health care services in meeting identified needs. Consultant appointments, GP appointments and visits by community nurses were recorded on files. Dental care and chiropody appointments were also recorded. The home has identified a dental surgeon who specialised in helping patients with a learning disability. Residents who are identified as needing the specialist support attend this practice. Boulevard House DS0000002329.V304065.R01.S.doc Version 5.2 Page 14 Other residents attend an alternative practice of choice. The registered manager confirmed that all staff administering medication, have received formaltraining. Boulevard House DS0000002329.V304065.R01.S.doc Version 5.2 Page 15 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 &23 Quality in this outcome area is Good. This judgement has been made using the available evidence including a visit to this service. The home has robust procedures for handling complaints and allegations of adult abuse, but staff were clear on the action to take in the event of this occurring. EVIDENCE: The complaints policy is displayed in the care home. Residents stated in the “have your say document” that they felt confident to raise any concerns with any member of staff or the registered manager. The home holds residents meetings where the opinions of residents are sought Residents spoken to at the site visit confirmed that they were aware of the formal complaints procedure. The registered manager confirmed that staff, have received training in the recognition and prevention of abuse. The pre-inspection questionnaire provides evidence that the statement was correct. All residents spoken to as part of this inspection stated that they felt the home is a safe place in which to stay. There have been no complaints made to the home since the last inspection. The Commission for Social Care Inspection has not carried out any investigation or received any complaint in respect of this home since the last inspection. Boulevard House DS0000002329.V304065.R01.S.doc Version 5.2 Page 16 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 & 30 Quality in this outcome area is Good. The standard of the environment within this home is good, providing service users with a comfortable and homely place to stay. EVIDENCE: The registered manager stated on 12 July 2006 that work has been carried out since the last inspection to improve the environment. The dining room have been redecorated, new fly screens fitted in the kitchen. The upstairs shower had been replaced and four bedrooms have been redecorated. The “have your say” documents and comments in the regulation 26 reports provided evidence that residents are happy with the environment of the care home. The registered manager stated on the day of the site visit that the infection control policy of the care home was being followed. The home was found to be clean and smelt fresh. Boulevard House DS0000002329.V304065.R01.S.doc Version 5.2 Page 17 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 & 35 Quality in this outcome area is Good. This judgement has been made using the available evidence including a visit to this service. The home is staffed with appropriate numbers of care staff who are sufficiently trained to be able to answer the needs of residents who fit within the registration category of the care home. The manager of the care home is following the home’s recruitment policy consistently. Staff supervision is being carried out in accordance with the National Minimum Standards. EVIDENCE: Residents stated that they are confident that the registered manager will ensures their needs are always met by the care home. The inspection of training records and information on the pre-inspection questionnaire provided evidence that the company ensures that staff are trained, to provide care for residents within the registration category of the home. The individual file for a new members staff was inspected and found to contain all of the information required by the National Minimum Standards. This member of staff had received an induction. The registered manager stated that all staff have received appraisals and supervision in accordance with the National Minimum Standards. Boulevard House DS0000002329.V304065.R01.S.doc Version 5.2 Page 18 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): 37,39 &42 Quality in this outcome area is excellent. This judgement has been made using the available evidence including a visit to this service. Residents live in a care home, which is safe and free of any health and safety hazard. Staff listen, and take into account the wishes of residents when planning the development of the care home. The register manager offers positive leadership to all staff EVIDENCE: The home’s manager successfully applied to become the registered manager of in March 2006. Since the last inspection she has informed the Inspector appropriately of any notifiable events and has consulted when appropriate with the Commission for Social Care Inspection. The “have your say” documents sent to the Commission for Social Care Inspection by 13 residents provided evidence that they have a good professional relationship with the registered manager. There were no health and safety issues identified at this inspection. The “have your say” documents completed by residents provided evidence that they feel the home is running their best interest. Boulevard House DS0000002329.V304065.R01.S.doc Version 5.2 Page 19 Residents stated that the registered manager is a very approachable and supportive to staff and residents. Boulevard House DS0000002329.V304065.R01.S.doc Version 5.2 Page 20 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 3 4 5 CONCERNS AND COMPLAINTS Standard No Score 22 3 23 4 x x 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 3 x 3 x ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 4 x 3 x x 3 x Version 5.2 Page 21 Boulevard House DS0000002329.V304065.R01.S.doc 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 Boulevard House DS0000002329.V304065.R01.S.doc Version 5.2 Page 22 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 Boulevard House DS0000002329.V304065.R01.S.doc Version 5.2 Page 23 - 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!