Inspection on 21/11/05 for Burgess House

This inspection was carried out on 21st 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Burgess House 02/03/07

Burgess House 15/06/05

Burgess House 22/10/04

Burgess House 30/07/04

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 Burgess House Burgess House 236 Felixstowe Road Ipswich Suffolk IP3 9AD Lead Inspector John Goodship Unannounced Inspection 21st November 2005 10:00 Burgess House DS0000037332.V258721.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Burgess House DS0000037332.V258721.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Burgess House DS0000037332.V258721.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Burgess House Address Burgess House 236 Felixstowe Road Ipswich Suffolk IP3 9AD 01473 588500 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) Suffolk County Council Ms Mandy Lena Cattermole Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Burgess House DS0000037332.V258721.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd October 2004 Brief Description of the Service: Burgess House is a local authority resource providing respite care and short breaks for younger adults (namely those under 65 years old) with learning disabilities. The house and grounds are owned by Mencap, but managed and supported financially by Suffolk County Councils Social Care Services. Staff are County Council employees. The people who use the service are known as guests. They go to their normal day care service, returning to Burgess House in late afternoon. People come to live at the home mostly for short periods of time, from a day or two to a weekend, seven days to a couple of weeks. Occasionally it is used for what are termed emergency placements because no other accommodation can be found and guests then may stay for a number of weeks or months. Referrals are made for the service through the Community Care Team. A new day resource building has been built at the rear. There is a separate entrance for day attenders. A new office for the Home manager is also included. Burgess House DS0000037332.V258721.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second inspection of the inspection year, and was unannounced. The announced inspection took place in June 2005. One of the part-time managers and a senior care support worker were present, with other staff. The 40 plus club was in action in the day centre, but this facility is not subject to inspection. The residents, or guests, were attending their day resource activities. The respite care service provided by the home makes some of the standards only relevant in conjunction with wider considerations, in that the home must work with other providers and with families to ensure continuity of care and activities. However, after these two inspections, covering almost all national minimum standards, no requirements or recommendations have been imposed apart from the need to apply for a variation in service user category with respect to a named 65 year old. What the service does well: What has improved since the last inspection? What they could do better: Burgess House DS0000037332.V258721.R01.S.doc Version 5.0 Page 6 There are no requirements or recommendations from this inspection, apart from the need to seek a variation for the guest who is now over 65 years of age. 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. Burgess House DS0000037332.V258721.R01.S.doc Version 5.0 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 Burgess House DS0000037332.V258721.R01.S.doc Version 5.0 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): 1,2,3,4. Guests and their families are given every opportunity to ensure that Burgess House will be the most appropriate place for their respite care, with information, assessments and reviews. EVIDENCE: The most recent referral for respite had started six months beforehand while the person was still in school. Careful assessments, in conjunction with their existing service provider, had been necessary around manual handling needs, and emergency medication requirements. Then the person had tried out the home in the usual way, with visits, and overnight stays, before all parties agreed that Burgess House could provide the most appropriate respite service. As in all cases, a review meeting was held within 3 months to confirm that the home was providing the required support. The home had taken as emergency placements two people who had remained at the home for some time. One had now been placed permanently in residential care. The other person was probably going to the same service but no final decision had yet been made by the funding authority. One person who had been using the service for some time had now reached 65 years of age. The home would be applying for a variation in their name. Burgess House DS0000037332.V258721.R01.S.doc Version 5.0 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. Care plans show that guests are supported to maintain independence, and to continue their activities so that there is no interruption because of the stay in the home. EVIDENCE: Each resident had a Care Plan, which contained their profiles and information on preferences. The needs of people using the service were identified, with action plans to meet them. Specific risk assessments were carried out, including the opportunity to allow independence within limits. As residents only stayed for short periods at a time, the home had to ensure its plans were linked to what the person did when not at Burgess House. Burgess House DS0000037332.V258721.R01.S.doc Version 5.0 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): 12,14,15. In the short periods of time which each person stays at the home, they are able to continue the activities and relationships they enjoy while at home. EVIDENCE: Guests attended their usual day resource centres during the week. For some this meant attending the new 40 Plus centre attached to Burgess House. This contained a large activity area which reverted to a sitting room configuration in the evenings, an assisted shower room, and the main office for the House. Weekend activities were arranged by the home. Family contact was a key part of the assessment and on-going reviews. Burgess House DS0000037332.V258721.R01.S.doc Version 5.0 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20. Service users are protected by proper medication procedures and staff training, and are able to follow whatever administration practice is usual for them when at home. EVIDENCE: The service users brought in their medication for each short stay. This was recorded as was the medication remaining when they went home. Simplified MAR charts were used, and a controlled drugs book. The latter was only being used to record the administration of Temazepam, often with the service user’s signature. A fridge had been installed in the old office for drugs required to be kept below room temperature. A new drugs cabinet incorporating a CD cupboard was waiting to be installed. Burgess House DS0000037332.V258721.R01.S.doc Version 5.0 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. Staff respond quickly to complaints, and are alert to any evidence of abuse. EVIDENCE: A service user who was the subject of an adult protection investigation outside the home at the last inspection was still attending. The home were aware that there was a continuous review of their well-being while they were not at a regulated service. There had been no complaints since the last inspection. The complaint that the home was dealing with at that time had been concluded, with the home apologising for any misunderstanding about the change in respite criteria. Burgess House DS0000037332.V258721.R01.S.doc Version 5.0 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): 25,27,29,30. Guests are better protected with safety devices now. Their specialist needs are met to encourage maximum independence. EVIDENCE: Window restrictors had been installed on all windows for safety and security. All guest rooms had been fitted with automatic electronic door closers linked to the fire alarm. There were plans to install ceiling tracking in the downstairs shower/shower trolley room. This room had a bed temporarily placed in there, as part of an on-going moving and handling assessment for a guest by the home’s adviser. Otherwise there had been no changes to the bedrooms or the communal areas since the last inspection. They continued to meet the national minimum standards. Although the people using the short break service could not be guaranteed that they would always be allocated the same bedroom, every effort was made to accommodate individual wishes. Where a guest had special physical needs his or her stay could well be arranged so that the same bedroom was provided because of the specialist equipment in situ. Some laundry was done for guests, but mostly their laundry was bagged and went home with them at the Burgess House DS0000037332.V258721.R01.S.doc Version 5.0 Page 14 end of their stay. One room, used by a guest with continence problems. still retained a slight smell of urine. The home had taken all reasonable measures to change the behaviour of this guest and to clean the room thoroughly after each stay. The flooring had been changed to improve cleaning and hygiene measures. Burgess House DS0000037332.V258721.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,34,35,36. Guests benefit from trained and well supervised staff. EVIDENCE: Staff were aware of the responsibilities of the two managers, and they said that it did not seem to cause them confusion. Two carers had been appointed since the last inspection. Their documentation and induction records were complete and up-to-date. One of them had already started a supervision schedule and the record of the session was in their file. All staff had now been trained in Unisafe techniques, with the required refresher sessions programmed. Staff had recently attended an Introduction to Dementia day run by the Community team, and training in the care of residents with diabetes had been planned. In order to plan for as many staff as possible to access the training, the home was closed for a week at a time twice a year, when most training takes place. Burgess House DS0000037332.V258721.R01.S.doc Version 5.0 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,42. Guests benefit from staying in a well-run home with their health and safety protected. EVIDENCE: The provider had recently re-organised the management arrangements of this service and other linked services. The management role was shared between two people. As one of them was on long-term sick leave, those hours were being covered temporarily by a manager from a linked service. The manager on duty at the time of the inspection worked on Monday and Tuesdays, and some weekends. She had moved from being the registered manager of another respite service, and was in the process of applying for registration at Burgess House. She had enrolled on the Registered Managers Award programme which should be completed in February 2007. Both managers share all duties, with supervision responsibilities for named staff. One of them also has responsibility for audit and budgets. There was a hazard reporting book on the staff noticeboard for staff to inform the maintenance man of hazards to be rectified. Burgess House DS0000037332.V258721.R01.S.doc Version 5.0 Page 17 Burgess House DS0000037332.V258721.R01.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 2 3 X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score X 3 X 3 X 3 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 X X 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Burgess House Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score 3 3 X X X 3 X DS0000037332.V258721.R01.S.doc Version 5.0 Page 19 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 YA3 Regulation 14(2) Requirement The registered person must ensure that the approval of the Commission is sought to vary the conditions of registration as regarding the category of service user. Timescale for action 30/11/05 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 Burgess House DS0000037332.V258721.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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 Burgess House DS0000037332.V258721.R01.S.doc Version 5.0 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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