Inspection on 24/01/06 for Butterfly`s

This inspection was carried out on 24th January 2006.

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

Butterfly`s 26/06/07

Butterfly`s 07/06/06

Similar services:

Chesham House

Argyll House

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

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

CARE HOME ADULTS 18-65 Butterflys 1 Bromley Road Colchester Essex CO4 3JE Lead Inspector Neal Wolton-Harragan Announced Inspection 24th January 2006 02:00 Butterflys DS0000064355.V280196.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 Butterflys DS0000064355.V280196.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. Butterflys DS0000064355.V280196.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Butterflys Address 1 Bromley Road Colchester Essex CO4 3JE 01206 322719 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) Mrs Julie Elizabeth Webster Mr Manus Webster Mrs Caroline Joseph Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Butterflys DS0000064355.V280196.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Persons of either sex, under the age of 65 years, who require care by reason of a learning disability (not to exceed 6 persons). Mr Manus Webster will not take part in running, or have any other operational interest in the business of providing residential care within the care home. First inspection of service. Date of last inspection Brief Description of the Service: Butterfly’s is a small home, registered to meet the needs of up to 6 younger adults with learning disabilities. Situated on the outskirts of Colchester, the bungalow has been extended and remodelled to offer six single en-suite bedrooms as well as sufficient communal space. The home is on principal public transport routes for easy access to central Colchester and is within walking distance of local shops. Butterflys DS0000064355.V280196.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report follows an unannounced inspection at Butterfly’s, the first inspection at the home since its registration. Mrs Julie Webster, Proprietor, and Mrs Caroline Joseph, Registered Manager were both available throughout the inspection and both contributed fully to the inspection process. During this inspection, 29 of the applicable 43 standards were looked at; 27 of these were met and 2 partially met. All of the key standards were looked at. During the inspection, three members of staff were spoken with as well as four service users. Staff and service users spoke well of the home and of its management, service users appeared at ease with the care staff and were happy to talk to the Inspector. Interactions between staff and service users observed during this inspection were positive. 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 contacting your local CSCI office. Butterflys DS0000064355.V280196.R01.S.doc Version 5.1 Page 6 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 Butterflys DS0000064355.V280196.R01.S.doc Version 5.1 Page 7 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, 4 & 5 Prospective service users had the information they needed to make an informed choice about where to live. The needs and individual aspirations of prospective service users were assessed prior to admission. Each service user had a written statement of terms and conditions. EVIDENCE: The home has a Statement of Purpose and Service User Guide that is made available to prospective service users and their families. Care records for two service users were examined and it was found that a comprehensive needs assessment was conducted prior to service users entering the home. These assessments formed the basis of the service users’ initial care plans and contributed to the on-going process of assessment within the home. Service user records also contained care package summaries and contracts of residence. Butterflys DS0000064355.V280196.R01.S.doc Version 5.1 Page 8 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, 8 & 9 Service users knew their assessed and changing needs, and personal goals were reflected in their individual plan. Service users make decisions about their lives, are consulted on, and participate in, all aspects of life in the home and are supported to take risks as part of an independent lifestyle. EVIDENCE: Service user plans examined at this inspection showed that individuals had contributed to their construction. Service user records gave details of the individuals contribution to the decision-making process and involvement in the review process. The service user records examined showed that comprehensive risk assessments had been undertaken and that these were regularly reviewed. Conversations with service users and staff indicated that people living at the home were consulted regarding activities and the day-to-day running of Butterfly’s, both individually and through service user meetings, and were able to participate in all aspects of life at the home. Butterflys DS0000064355.V280196.R01.S.doc Version 5.1 Page 9 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, 13, 14, 15, 16 & 17. Service users had opportunities for personal development and were able to take part in age, peer and culturally appropriate activities. Service users were part of the local community, engaged in appropriate leisure activities and had appropriate personal, family and sexual relationships. Service users’ rights were respected and responsibilities recognised in their daily lives. A healthy diet was offered to service users. EVIDENCE: Service user records examined showed that each person living at Butterfly’s had a detailed weekly programme of activities both inside and outside of the home. Service users spoken with on the day of inspection stated that they used community facilities as part of their daily lives and enjoyed the activities on offer. Discussion with service users and staff, as well as the examination of records, showed that service users’ rights were respected and appropriate personal relationships supported. Butterflys DS0000064355.V280196.R01.S.doc Version 5.1 Page 10 Records and discussions with service users gave evidence that service users received a healthy diet and that menus were developed through discussions with service users. Butterflys DS0000064355.V280196.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): 18, 19 & 20 Service users received personal support in the way they preferred and required and physical and emotional health needs were met. No service users currently retained, administered or controlled their own medications at the time of this inspection. EVIDENCE: Service users spoken with were happy with the way they were supported and this was reflected within the care plans examined. Care plans identified individual needs as well as the service users’ preferences for how these needs could be met. Care plans were well detailed, regularly monitored and, although this was a relatively new service, formal reviews were planned six months after the start date. There was an ongoing process of assessment, to take account of the changing needs of individuals, and the services of healthcare professionals - such as community nurses, speech and language therapists or psychologists - were accessed as necessary. None of the service users retained, administered or controlled their own medications at the time of this inspection. Butterflys DS0000064355.V280196.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 Arrangements were in place to help protect service users from abuse, neglect and self-harm and their views were listened to and acted upon. EVIDENCE: The home had a robust complaints procedure and this was also presented in a manner that was easy for service users to understand. The adult protection policies and procedures were adequate to protect service users from abuse and, where service users presented with behaviours likely to cause self-harm, these behaviours were identified within their care plans and management strategies devised. Butterflys DS0000064355.V280196.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 & 30 Service users lived in a homely, comfortable and safe environment and all areas were clean and hygienic. EVIDENCE: Although not all areas of the home were subjected to scrutiny at this inspection, those areas visited were seen to be homely, comfortable and safe. Service users expressed satisfaction with their environment both inside and out. All areas visited on the day of inspection were clean and hygienic. Butterflys DS0000064355.V280196.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): 32, 33, 34 & 35 Staff were appropriately trained to meet the individual and joint needs of service users and service users were supported by competent and qualified staff. Service users were not always protected by the homes recruitment policies and practices. EVIDENCE: Examination of staff records, as well as discussions with the Owner, Registered Manager and staff, gave evidence that care staff were qualified and competent. Staff were employed in sufficient numbers to meet the needs of the service users, creating an effective staff team. Staff spoken with on the day of inspection stated that training was regularly made available and the home’s Manager fully supported staff in meeting their training needs. However, not all records for care staff were adequately maintained; there was no start date recorded for one member of staff and another record showed that only one reference had been obtained for a carer. The registered person must ensure that all pre-employment checks and staff records are maintained. Butterflys DS0000064355.V280196.R01.S.doc Version 5.1 Page 15 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, 39 & 42 The home was well run, with a positive ethos. The leadership and management approach of the home was good, although Butterfly’s has yet to implement a quality assurance processes. The home promoted and protected the health, safety and welfare of service users, staff and visitors. EVIDENCE: Service users and staff spoken with on the day of inspection were positive about the management style adopted in the home and staff felt able to raise concerns with, or make requests to, the Manager. Mrs Joseph, the Registered Manager, showed a good understanding of management issues and was working towards the NVQ level 4 in Management and Care. The home had regular service user meetings, although a formal quality assurance process was yet to be implemented. However, this was in development, with the intention of it being introduced following the home’s first full year of operation. Records examined showed that the health, safety and welfare of service users, staff and visitors was protected and promoted. Butterflys DS0000064355.V280196.R01.S.doc Version 5.1 Page 16 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 3 2 3 3 X 4 3 5 3 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 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 2 X X 3 X Butterflys DS0000064355.V280196.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? No 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 YA34 Regulation 19(1) Schedule 2 Timescale for action The registered person must 01/05/06 ensure that all staff records are appropriately maintained. Requirement 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 Butterflys DS0000064355.V280196.R01.S.doc Version 5.1 Page 18 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. Extracts may not be used or reproduced without the express permission of CSCI Butterflys DS0000064355.V280196.R01.S.doc Version 5.1 Page 19 - 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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