Inspection on 10/01/06 for Bystock Court

This inspection was carried out on 10th 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

Bystock Court 04/09/07

Bystock Court 13/09/06

Bystock Court 09/08/05

Bystock Court 06/01/05

Bystock Court 13/07/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Bystock Court Old Bystock Drive Exmouth Devon EX8 5EQ Lead Inspector Belinda Heginworth Unannounced Inspection 10th January 2006 09:30 Bystock Court DS0000021897.V261820.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 Bystock Court DS0000021897.V261820.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. Bystock Court DS0000021897.V261820.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Bystock Court Address Old Bystock Drive Exmouth Devon EX8 5EQ 01395 266605 01395 222689 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) Devon Sheltered Homes Trust Mr Paul Joseph Rosam Care Home 41 Category(ies) of Learning disability (41), Learning disability over registration, with number 65 years of age (41) of places Bystock Court DS0000021897.V261820.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th August 2005 Brief Description of the Service: Bystock Court is a registered charity. The day-to-day operation of the home is carried out by Devon Community Housing Society (DCHS). Bystock Court is registered to provide accommodation and personal care for up to 41 adults with learning disabilities. Out of the 41 rooms one is used to provide short-term care. Although the home does not admit persons over retirement age, some of the residents have continued to live there after their retirement. The main building is a large period style house set in large grounds on the outskirts of Exmouth. There are 41 single bedrooms and a range of communal areas including lounge, dining room, ballroom, craft room, games room, laundry and kitchen. There are two semi-independent units, with three ensuite bedrooms in each, a lounge and kitchen. Within the grounds are a range of buildings including a small farm, greenhouses and a paper shredding business. Residents are encouraged to participate in the running of the home and work in units according to their interests and abilities. The home also provides a range of education and leisure activities. Bystock Court DS0000021897.V261820.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over three hours and forty minutes with the manager being present throughout. The inspector also spoke briefly with a representative from Devon Community Housing Society (DCHS). The majority of residents were consulted and their views on the home discussed. Five staff provided additional evidence on how the home is run. The inspector look around most of the property and grounds; and some documentation was read. What the service does well: What has improved since the last inspection? Devon Community Housing Society complete monthly inspections on the home to monitor the quality of services received by residents. Copies of these reports are now regularly received by the CSCI. Bystock Court DS0000021897.V261820.R01.S.doc Version 5.0 Page 6 Medication that is not prescribed by a GP is now appropriately labelled. This ensures the medication systems are safe and therefore better protects residents. 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. Bystock Court DS0000021897.V261820.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 Bystock Court DS0000021897.V261820.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): 0 Not inspected on this occasion but the key standard was met during the last inspection. EVIDENCE: Bystock Court DS0000021897.V261820.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 Staff are provided with written information to help them meet residents’ needs effectively and safely. EVIDENCE: One care plan was read. It was organised well and was clear to read and follow. It provided good information about the resident’s needs. Areas of risk were highlighted and clear action recorded on how to reduce the risk. The resident was involved in the drawing up of the plan and agreed with the actions within it. Some staff are key-workers, they help to co-ordinate the care of the person they key-work for. Key-workers also monitor and review care plans and have close contact with that resident. Daily monitoring sheets are kept on each resident. These are used to record what the resident has done that day and any significant issues that have come up. Key-workers use these to monitor the care and review care plans. These daily records do not always have information about care plan goals being achieved. This is partly due to the numbers of residents living in the home. Care plans are not kept with the daily records because of the volume. Monthly updates are recorded by key-workers to ensure the care given is consistent and continuing to meet the needs of the residents. Bystock Court DS0000021897.V261820.R01.S.doc Version 5.0 Page 10 Bystock Court DS0000021897.V261820.R01.S.doc Version 5.0 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 the following standard(s): 13, 15 & 17 Residents use the local and surrounding community for work, educational and leisure pursuits. Resident’s benefit from maintaining good contact with relatives and friends. Resident’s benefit for a healthy, wide and varied diet. EVIDENCE: There are a wide range of job opportunities within Bystock Court including farming, paper shredding, gardening, catering, laundry, office work and housekeeping. Residents talked about using the local and surrounding community for shopping, banking, walks, work, college and much more. They said they felt part of the community especially those who worked in the gardens of the home. They used the local markets to sell their produce and once a year the home has an open day/ fete where much of the garden produce is sold. The home also runs a paper mill, which collects unused papers for shredding. The shredded paper is sold on for animal bedding. Residents said they enjoyed their work. Bystock Court DS0000021897.V261820.R01.S.doc Version 5.0 Page 12 Residents said that staff support them to maintain contact with their family and friends. The majority of residents said they went home to their relatives at Christmas. Residents said they enjoyed the food in the home and said if they did not want what was on offer an alternative was always provided. The home has a large industrial kitchen. Apart from residents living in the semi-independent flats, the cook prepares and cooks the meals for everyone with the help of some residents. The home does not display menus but most residents knew what the meals were that day. Residents did not seem to mind the fact there was no menu. Residents were seen going in and out of the kitchen asking what was for dinner that evening. It might be worth considering displaying a menu each day to save residents having to ask. However, a good record is kept of all foods offered and provided. The record showed that diets are healthy and varied. The cook said a choice of two meals is always prepared as well as a vegetarian alternative. Special diets are also catered for, for example diabetic food. Some staff and the cook are booked to attend training on diabetes. This will give the cook and some staff a better understanding of diabetes and ensure the correct foods and care is given. Bystock Court DS0000021897.V261820.R01.S.doc Version 5.0 Page 13 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 Resident’s health care needs are well met. EVIDENCE: During the last inspection it was highlighted that some medication that was used when necessary (PRN), were not labelled with the name of the person it was intended. Some supplement medications, such as vitamins, that were not prescribed by a GP were not included in the individual Homely Remedy Policies. This has now been resolved with appropriate labelling. Bystock Court DS0000021897.V261820.R01.S.doc Version 5.0 Page 14 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 Resident’s views are listened to and acted upon. EVIDENCE: Residents said that regular meetings take place where they have the opportunity to discuss any issues and air their views with staff and other residents. Some residents said the meetings were very useful. Some residents said if they were unhappy or worried about anything they would talk to their key-worker, the manager or deputy manager. A complaints procedure is displayed on the notice board in the home. Each resident is also provided with a copy of the procedure although few could remember this. The manager intends to ensure key-workers remind residents of the procedure. Bystock Court DS0000021897.V261820.R01.S.doc Version 5.0 Page 15 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 Resident’s benefit from a clean, comfortable and safe home. EVIDENCE: Although Bystock is a large home accommodating up to 41 residents, staff have worked hard to create a homely atmosphere. Communal rooms are decorated and furnished in a warm and cosy fashion and bedrooms are decorated to individual tastes and preferences. The home is kept clean by a part-time domestic and residents who work in the housekeeping and laundry unit. The unit has a manager who co-ordinates the work and ensures cleaning materials are kept safe and residents working there have risk assessments. This ensures the health & safety of residents. Residents and staff are responsible for cleaning their own bedrooms. Bystock Court DS0000021897.V261820.R01.S.doc Version 5.0 Page 16 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 & 35 Resident’s benefit from a competent well trained staff team in such numbers that meet their needs. EVIDENCE: The home provides a minimum of 5 care staff per shift and waking and sleepin staff at night. In addition, the home employs staff to work in and manage the work units. Residents seemed happy with the amount of staff around to help and support them in all aspects of their lives. They said there was always staff available to talk to and help them when necessary. During the inspection staff were seen to be caring, patient and respectful. Staff demonstrated a good knowledge and understanding of residents’ needs. Many staff have completed NVQ level 2 and above, which helps them to meet residents needs. Additional training is also provided. For example training in Abuse Awareness, Gentle Teaching, Autism, Communication, Parkinson, Medication, Epilepsy, Health & Safety mandatory training and much more. Residents therefore benefit from a well-trained team of staff. Bystock Court DS0000021897.V261820.R01.S.doc Version 5.0 Page 17 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 Resident’s benefit from a well run home. EVIDENCE: Residents and staff spoke highly of the manager and deputy who run the home well. The manager has many years of experience working in the care sector and has been at Bystock for a number of years. He has almost completed NVQ level 4 in Care and the Registered Manager’s Award. Bystock Court DS0000021897.V261820.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 X X X X X Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X X 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Bystock Court Score X X 3 X Standard No 37 38 39 40 41 42 43 Score 3 X X X X X X DS0000021897.V261820.R01.S.doc Version 5.0 Page 19 No 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 YA39 Regulation 26 Requirement Visits under paragraph (2) of Regulation 26 shall take place at least once a month and shall be unannounced. (C) prepare a written report on the conduct of the home. (5) The registered provider shall supply a copy of the report required to be made under paragraph (4) (c) to the Commission. Timescale for action 11/09/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA20 Good Practice Recommendations Medication that is not prescribed should be labelled for whom it is intended and included in the homes Homely Remedy Policies. 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