Inspecting for better lives Random inspection report
Care homes for adults (18-65 years)
Name: Address: Burton Cottages Bishop`s Lane Robertsbridge East Sussex TN32 5BA The quality rating for this care home is: The rating was made on: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Deborah Calveley Date: 2 2 1 0 2 0 0 8 Information about the care home
Name of care home: Address: Burton Cottages Bishop`s Lane Robertsbridge East Sussex TN32 5BA 01580881715 Telephone number: Fax number: Email address: Provider web address: maggie,griggs@sact.org.uk Name of registered provider(s): Type of registration: Number of places registered: Sussex Autistic Community Trust (Care Services) Ltd care home 12 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability 12 Over 65 0 Conditions of registration: The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD). The maximum number of service users to be accommodated is 12. Date of last inspection Brief description of the care home Burton Cottages is registered to provide accommodation for twelve adults with autistic spectrum disorders. The property is owned by Downland Housing Association and is run by the Sussex Autistic Community Trust. It is one of four homes in East Sussex run by the Trust. Burton Cottages is purpose built and is situated in a quiet residential area of Robertsbridge. The town centre with its shops and access to bus and rail services is a short walk away. The building is split into two units, each accommodating six residents. Each of the units has their own communal facilities and a kitchen. Care Homes for Adults (18-65 years)
Page 2 of 9 Accommodation is on two floors and all bedroom accommodation is in single rooms. The home makes CSCI reports available to prospective residents and their relatives/representatives upon request. Care Homes for Adults (18-65 years) Page 3 of 9 What we found:
This random inspection was undertaken on the 22 October 2008 by Debbie Calveley and Caroline Johnson -Regulation Inspectors. The reason for this random inspection was to review the staffing levels, management arrangements and the risk assessments in place for the people living in the home as a result of the current Safeguarding Investigation. On arrival to the home, the inspectors introduced themselves and explained the reson for this unannounced visit to the senior care worker on duty. At the time of the visit there were three residents in the home and two senior care workers, the newly appointed manager arrived shortly after. A further care worker employed by the trust was also on duty providing one to one care for a resident. The inspection visit focused on viewing the individual risk assessments for all the people living in the the home, 11 in total, the staffing rota and discussion with the newly appointed manager regarding the staffing levels, and evidencing the management arrangements for the home during the safeguarding investigation. Staffing levels. The current working rota was viewed. It evidenced that the two staff members that were involved in the incident are not working in the home at this time. A newly appointed manager commenced work in the home on the 21 October 2008. The manager has worked within the organisation for approximately eight years, six years at Burton Cottages and then at a sister home as manager for two years. The staffing evidenced that the staffing levels have been increased to six care workers during the day and one sleeping and one waking care workers at night for the next two weeks to provide extra support. Management arrangements. The visitors log evidenced that spot visits have been commenced by the senior management team, the Operations Manager and Quality Assurance Manager and these commenced daily on the 21 October and 22 October 2008 a document is completed and the manager given the identified shortfalls to action. Risk Assessments. All residents have a care file that includes risk assessments, overall some risk assessments are detailed and inform of the risk and the action to be taken in particular circumstances. However a number of risk assessments are not detailed and particularly where restraint is concerned thus leaving both the resident and the staff in a vulnerable position. In relation to fire safety as a number of residents do not respond when the alarm sounds and the advice provided for staff is inappropriate for example in one case to physically remove form the area this again could leave both staff and residents vulnerable and at risk. What the care home does well:
A new manager was appointed on the 21 October 2008 manager. He was approachable and was able to discuss the areas needed for improvement to ensure that the residents safety was promoted and protected. He was also knowledgeable about the Care Homes for Adults (18-65 years)
Page 4 of 9 people who live in the home and acknowledged the shortfalls found in the documenmtation. The senior management of the organisation has been proactive in arranging more staff and instigating daily spot check visits to the home. The care plans of the residents are in the main person centred and have a good pen profile that gives staff important details regarding the individual communication methods and include a list of risks identified and the triggers known. These are updated and reviewed regularly. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 5 of 9 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action 1 6 15(1,2) Residents individual goals 31/10/2007 must be more specific and any action required by staff to assist the resident in achieving them more detailed. Any progress made must be recorded. [This requirement was made at previous inspections. Timescales given were 21/01/07 and 15/05/07. 2 12 16(2m,n) The registered person must 31/10/2007 demonstrate more clearly the action taken to offer and provide suitable education/recreation for two service users referred to in this report. Care Homes for Adults (18-65 years) Page 6 of 9 Requirements and recommendations from this inspection
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 9 13 That the registered person records the circumstances, including the nature of restraint used in the care of the service users. To protect the service user from possible harm. 02/01/2009 2 9 13 That the registered person 02/01/2009 ensures that unnecessary risks to the health and safety of service users are identified and so far as possible eliminated and provide clear guidance for staff in promoting residents safety. To protect the service user from possible harm. 3 9 13 That the registered person ensures that the risk management strategies are agreed with the service user if possible and relevant specialists and are recorded and reviewed. To protect the service user from possible harm. 02/01/2009 Care Homes for Adults (18-65 years) Page 7 of 9 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 9 of 9 - 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!
