Inspection on 30/01/06 for Bourne House

This inspection was carried out on 30th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Bourne House 22/05/07

Bourne House 08/05/06

Bourne House 14/09/05

Bourne House 04/01/05

Bourne House 13/07/04

Bourne House 16/03/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Bourne House 119 Mersea Road Colchester Essex CO2 7RL Lead Inspector Stephen Boyd Final Unannounced Inspection 30th January 2006 09:30 Bourne House DS0000031952.V266697.R01.S.doc Version 5.1 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 Bourne House DS0000031952.V266697.R01.S.doc Version 5.1 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. Bourne House DS0000031952.V266697.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Bourne House Address 119 Mersea Road Colchester Essex CO2 7RL 01206 577678 01206 578581 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) The Essex Autistic Society Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Bourne House DS0000031952.V266697.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th September 2005 Brief Description of the Service: Bourne House, a family sized home, was opened in September 2002 by the Essex Autistic Society. The house provides accommodation and care for up to four adults with autism. The house is well decorated and furnished. There is a garden to the side of the house providing some privacy for service users. The service has good links with educational establishments and leisure services in Colchester, to the benefit of service users. The house is within walking distance of Colchester’s main shopping area. Small shops and health services are very close to the house. Bourne House DS0000031952.V266697.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place in one day in January 2006. During this visit the inspector met with the prospective registered manager, Kim Parsons. One senior member of staff was spoken with, all service users were seen and two relatives of service users were spoken with on the telephone. A tour of the premises took place and various records and policies were looked at. Of the twenty National Minimum Standards considered at the inspection, sixteen were met in full. Overall, the inspection indicated that service users were being appropriately cared for in a supportive and homely environment. What the service does well: What has improved since the last inspection? Training on the protection of vulnerable adults had taken place since the last inspection. Risk assessments had also been regularly reviewed where previously it had not been apparent this was happening. Bourne House DS0000031952.V266697.R01.S.doc Version 5.1 Page 6 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. Bourne House DS0000031952.V266697.R01.S.doc Version 5.1 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 Bourne House DS0000031952.V266697.R01.S.doc Version 5.1 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): These standards were not inspected. No new service users have moved to the home since the previous inspection. EVIDENCE: Bourne House DS0000031952.V266697.R01.S.doc Version 5.1 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&9 Service users all have individual support plans which reflect personal goals and needs. EVIDENCE: Support plans were sampled for a number of service users. These gave clear directions to staff on how to meet service users individual aspirations and needs, for example with behaviour issues and support when out in the community. Plans were seen to be reviewed on a regular basis. Risk assessments were available for service users sampled and were now seen to be regularly reviewed. The assessments clearly indicated how risk could be minimised with a view to ensuring service users have as much independence as possible. Bourne House DS0000031952.V266697.R01.S.doc Version 5.1 Page 10 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): 11, 12 & 17 Service users personal development is a feature of support plans and evidenced by the activities and interests they follow. EVIDENCE: The inspector was impressed by the range of interests and activities available for service users. These included horse riding, sailing, trampolining, attendance at clubs, swimming, reflexology and computing. On the day of the inspection, all the service users were out at various activities and the home is very much one where service users are “out and about”. The prospective registered manager, Kim Parsons, advised that there are plans to review the current menus for service users which the inspector would support in terms of looking at additional variety. Current lunch menus suggested that “a choice of rolls”, was all that was offered. Otherwise, food stocks were seen to be ample during the inspection. Bourne House DS0000031952.V266697.R01.S.doc Version 5.1 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): 20 Service users are protected by their home’s policies and procedures for dealing with medicine. EVIDENCE: None of the current service user group are assessed as able to self administer medication. The home operates a monitored dosage system of medicine administration which was seen at the time of the inspection and assessed as operating appropriately. Staff responsible for the administration of medication have received training. Bourne House DS0000031952.V266697.R01.S.doc Version 5.1 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Service users are protected by the home’s policies regarding concerns, complaints and protection. EVIDENCE: There have been no complaints made about the home since the previous inspection. A complaints policy and procedure exists and is in pictorial format for service users benefit. Since the last inspection, staff have now received training in the protection of vulnerable adults. Bourne House DS0000031952.V266697.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 27, 28 & 29 Service users live in a homely comfortable and safe environment although some improvements would increase the benefits available to them. EVIDENCE: There had been no major changes made to the premises since the previous inspection. Service users each have an individual bedroom which clearly are decorated and furnished to their own individual tastes. Service users do not have any specific physical disabilities which require specialist equipment. The inspector noted some toilet cleaning materials in the bathroom during the visit and would recommend a lockable bathroom cabinet is installed for safety of these items. The home’s bathroom would benefit from a re-vamp in the next couple of years as the suit is clearly aging. Also, the provision of double glazed windows over the next few years would reduce noise from the busy main road and improve the home’s overall appearance. The hallway of the home was the only area in need of some more urgent re-decoration attention. Bourne House DS0000031952.V266697.R01.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 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): 33,34, 35 & 36 Service users are generally supported by an effective, appropriately recruited, trained and supervised staff team. EVIDENCE: Staffing levels at the home, although meeting the needs of service users, require to be reviewed in terms of resident safety and staff safety. For example, at weekends only one member of staff is on duty per sheet and the inspector was concerned as to what would happen to staff and service users should an accident befall the staff member in or out of the home. The recruitment of staff was seen to be appropriate and effective. Photo identification was not available for all staff and this needs to be remedied. Also, information held regarding staff was not easy to access from the current files and it is recommended they are changed to indexed files. Staff training had been carried out on the protection of vulnerable adults and challenging behaviour since the last inspection. Some refresher food hygiene training is still required and the forward planning approach to training needs to be implemented. Staff supervision has been taking place on a regular basis and staff spoken to praised the content and usefulness of these sessions. The prospective Bourne House DS0000031952.V266697.R01.S.doc Version 5.1 Page 15 registered manager has not undergone supervision training and this is also recommended. Bourne House DS0000031952.V266697.R01.S.doc Version 5.1 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): 39 & 42 The health safety and welfare of service users is promoted and protected. quality assurance process within the home needs to be adopted. EVIDENCE: A The prospective registered manager, Kim Parsons, was not able to locate any information on a quality assurance system being utilised within the home. Surveys of service users / relatives / interested parties were not seen and no quality action plan based on surveys and audits was available. Certificates of safety were seen for gas, electricity and fire equipment. COSHH assessments were also available. Bourne House DS0000031952.V266697.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 3 28 3 29 3 30 X STAFFING Standard No Score 31 X 32 X 33 2 34 2 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X 3 X LIFESTYLES Standard No Score 11 3 12 3 13 X 14 X 15 X 16 X 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 X X X 1 X X 3 X Bourne House DS0000031952.V266697.R01.S.doc Version 5.1 Page 18 YES. 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 YA33 Regulation 18(a) Requirement The registered person must review the staffing levels / arrangements at the home to ensure that service users and staff are not at undue risk. The registered person must ensure appropriate staff records are maintained and that these are easy to access. The registered person must ensure that staff receive training appropriate to the work they are to perform. This is a repeat requirement. The registered person must ensure a system of quality assurance is put in place within the home. Timescale for action 28/02/06 2. YA34 17 31/03/06 3. YA35 13 & 18 31/03/06 4. YA39 24 31/03/06 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 17 Good Practice Recommendations It is recommended that menus are reviewed to ensure as DS0000031952.V266697.R01.S.doc Version 5.1 Page 19 Bourne House 2. 24 much variety and choice as possible. It is recommended that upgrades to the premises are factored into budgets over the next two to three years as indicated in the environment section of the report. Bourne House DS0000031952.V266697.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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. 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