Inspection on 20/09/05 for Boulevard House

This inspection was carried out on 20th September 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

Boulevard House 17/07/06

Boulevard House 21/11/05

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 Ken Hague Unnannounced 20 September 2005 @ 9am 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. Boulevard House C04 C53 S2329 Boulevard House V240012 20-905 Stage 4.doc Version 1.40 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 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 vacant PC Care Home Only 15 Category(ies) of LD - Learning Disability - 15 registration, with number of places Boulevard House C04 C53 S2329 Boulevard House V240012 20-905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: N/A Date of last inspection 20 December 2004 Brief Description of the Service: 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 home’s 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 C04 C53 S2329 Boulevard House V240012 20-905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place from 8am until 1pm. The main method of inspection used is called case tracking which involved selecting two residents and tracking the care they receive through the checking of their records, discussion with them, the care staff and observation of care practices. A tour of the premises was conducted and care records were inspected. The acting manager and a second member of staff were interviewed. What the service does well: What has improved since the last inspection? What they could do better: The home has no registered manager in post. An acting manager was appointed in July 2005. The acting manager is preparing an application to the Commission for Social Care Inspection to become the registered manager. Boulevard House C04 C53 S2329 Boulevard House V240012 20-905 Stage 4.doc Version 1.40 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. Boulevard House C04 C53 S2329 Boulevard House V240012 20-905 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Boulevard House C04 C53 S2329 Boulevard House V240012 20-905 Stage 4.doc Version 1.40 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 standard(s) 1,2&4 The home undertakes comprehensive assessments before people are admitted to the home to ensure their care needs can be met. Potential residents visit the home prior to admission to make sure that the home is suitable for them. EVIDENCE: A new resident had been admitted to the home since the last inspection. His individual file contained a full assessment including a detailed risk assessment which identified his social and personal care needs. The information from the initial assessment had been transferred onto care plans and risk assessments. This resident had only been in the home 36 hours, but the acting manager had completed all the appropriate care records required under the National Minimum Standards before the residence was admitted. She stated that the new resident had made visits to the home and made a weekend visit before deciding to stay at the care home. The homes statement of purpose and service user guide had been made available to the new resident. This enabled him to make an informed choice. Boulevard House C04 C53 S2329 Boulevard House V240012 20-905 Stage 4.doc Version 1.40 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 standard(s) 6,7&9 Care plans identify all areas of need and provide detailed care instructions for staff; this enables staff to provide appropriate care. Residents’ health needs were being met. The service users are consulting, and participate, in all aspects of life in the home. EVIDENCE: The care records demonstrated that residents are actively involved with their family in the preparation of care plans. All care plans were signed and dated by individual service users. The dreams and goals of individual service users were found on their care plans. One care plan stated “this resident dreams of living in his own bungalow and he would like to perform on stage in a musical. He wishes at some point to marry and have a family of his own. He would like to be employed. He would like to win the National Lottery and appear on the Antiques Roadshow.” One resident spoken to during this inspection was able to discuss his personal care needs with the Inspector. The risk assessments on his individual file balanced out his wishes for independence against the risks identified due to his physical disability. The care plans and risk assessments were detailed and easy to understand. At the completion of reading individual care plans and risk assessments the Inspector judged that he had the essential information to provide safe care for Boulevard House C04 C53 S2329 Boulevard House V240012 20-905 Stage 4.doc Version 1.40 Page 10 the individual service users. The discussions with staff and residents regarding care plans confirmed that the records were accurate and appropriate for the residents being case tracked. Boulevard House C04 C53 S2329 Boulevard House V240012 20-905 Stage 4.doc Version 1.40 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 standard(s) 12,13,15&16 The home provides an extensive range of education, leisure and social activities. Contact with relatives and friends is encouraged. EVIDENCE: Residents are provided with five-day activities and social skill training at the Orby Day Centre which is owned by Boulevard Care. Residents can attend local educational colleges as an alternative to the Orby Day Centre. The care plans identified individual residents goals for personal development. The care records provided evidence that goals were being achieved within set target dates. Residents were observed going into the community to attend educational and day care activities. Residents stated they went into the community to carry out their own shopping sometimes with members of staff. Staff stated that residents are enabled to take an annual holiday. A resident spoken to during the visit confirmed this statement to be correct. Boulevard House C04 C53 S2329 Boulevard House V240012 20-905 Stage 4.doc Version 1.40 Page 12 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&19 Care plans identify all areas of need and provide detailed care instructions for staff; this enables staff to provide appropriate care. Residents’ health needs were being met. EVIDENCE: Observation and discussions with staff showed that they were aware of the need to respect residents’ privacy. Bedroom doors are fitted with locks and staff ask permission from the resident if they wish to enter. Residents confirmed that the staff respected their decisions and supported them to be independent. A resident stated “staff respect my privacy they always knock and speak to me before entering my room”. A member of staff described how they helped one of the residents with his bathing. She stated “you have to take into account the wishes and dignity of the resident when assisting him with bathing and manage this task in a very sensitive manner.” The dreams and aspirations of individual residents are recorded on their individual file. The emotional needs of residents are recorded on care records. One recording stated “this resident needs his own space and has difficulty understanding boundaries”. The management of this problem was for staff to explain to the resident that other people in the home needed their own personal space and to enable him to improve his social skills and communications. Boulevard House C04 C53 S2329 Boulevard House V240012 20-905 Stage 4.doc Version 1.40 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 standard(s) 22,23 There are robust procedures for handling complaints and allegations of adult abuse, and staff were clear on the action to take in the event of this occurring, ensuring that service users are safe. The service users feel comfortable at being able to raise any concerns they may have with the management of the care home. EVIDENCE: The complaints policy which meets the National Minimum Standards is displayed in the home. All of the service users spoken to during this inspection were aware of the complaints procedure and stated that they were confident in being able to raise any concerns with the acting manager or a member of staff. The home and the Commission for Social Care Inspection has received no complaints since the last inspection. The home has a abuse policy within its procedures manual. In addition, there is a copy of the Lincolnshire County Council’s Vulnerable Abuse procedures in the care home. Staff confirmed that they had received training in the identification and prevention of abuse. Boulevard House C04 C53 S2329 Boulevard House V240012 20-905 Stage 4.doc Version 1.40 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 standard(s) 24 & 30 The standard of the environment within the home is very good, providing residents living there with a clean, comfortable and homely environment. EVIDENCE: A tour was made of the care home. All areas of the home was found to be clean and smelt fresh. There was evidence of ongoing maintenance being carried out. All of the rooms were decorated to a good standard. A sample number of bedrooms were viewed they all met the National Minimum Standards in relation to the provision of facilities and equipment. The rooms viewed had been personalised by the individual residents. The residents confirmed their satisfaction with the environment of the care home and their own individual bedroom. The home’s fire escape has been the subject of extensive maintenance work. This includes the replacement of wooden supports with new ones made of metal. A new patio area has been created at the rear of the care home. A number of areas inside the care home have been redecorated. Boulevard House C04 C53 S2329 Boulevard House V240012 20-905 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35,36 The service users individual and group needs have been met by a well supported and competent staff team. EVIDENCE: The company has a comprehensive training programme, which includes induction and NVQ training. Staff records showed that they had received regular supervision and appraisal sessions. A record of each supervision session is given to individual members of staff. Staff stated personal development is discussed at each supervision session. A member of staff interview confirmed that she had received appraisals and training in accordance with the National Minimum Standards. Records and staff comments confirmed that training had taken place as planned, this included; adult protection, manual handling, fire safety, health and safety and basic food hygiene. Boulevard House C04 C53 S2329 Boulevard House V240012 20-905 Stage 4.doc Version 1.40 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 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) 39&42 Although there is no currently registered manager there is sufficient leadership, guidance and direction to staff to ensure residents receive consistent quality care. Staff are being adequately supervised. Working practices promote the health and safety of residents. Residents are confident that their views are considered at all reviews of their services. EVIDENCE: The acting manager has improved the quality of individual care plans to a point where they now exceed the National Minimum Standards. The inspection of care records and discussions with staff provided evidence of good, professional leadership. Staff stated that they feel very supportive by the company and the acting manager who is very helpful and approachable. Observations during the inspection provided evidence of good teamwork and excellent communication between staff and residents. The conversations observed between staff and residents were managed in a professional manner. Staff were seen to listen carefully to residents then to answer them in a supportive and sensitive manner. Boulevard House C04 C53 S2329 Boulevard House V240012 20-905 Stage 4.doc Version 1.40 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 x 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 3 3 x 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 x 3 3 x 3 3 x Standard No 31 32 33 34 35 36 Score x x x x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Boulevard House Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x C04 C53 S2329 Boulevard House V240012 20-905 Stage 4.doc Version 1.40 Page 18 none 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 Boulevard House C04 C53 S2329 Boulevard House V240012 20-905 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection 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 C04 C53 S2329 Boulevard House V240012 20-905 Stage 4.doc Version 1.40 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!