Inspection on 26/01/06 for Self Unlimited Bagatelle

This inspection was carried out on 26th 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Self Unlimited Bagatelle 11/05/09

Self Unlimited Bagatelle 16/05/07

Self Unlimited Bagatelle 13/06/05

Self Unlimited Bagatelle 16/12/04

Self Unlimited Bagatelle 07/07/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 CARE Bagatelle 116 Burnmill Road Market Harborough LE16 7JG Lead Inspector Mrs Diane Butler Unannounced Inspection 26th January 2006 15:30 CARE Bagatelle DS0000001642.V280620.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 CARE Bagatelle DS0000001642.V280620.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. CARE Bagatelle DS0000001642.V280620.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service CARE Bagatelle Address 116 Burnmill Road Market Harborough LE16 7JG 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) 01858 468776 01858 432079 www.care-ltd.co.uk CARE (Cottage and Rural Enterprises Ltd) Catherine Anne Gilbert Care Home 10 Category(ies) of Learning disability (10) registration, with number of places CARE Bagatelle DS0000001642.V280620.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: No additional conditions of registration apply. Date of last inspection 13th June 2006 Brief Description of the Service: Care Bagatelle, situated close to the centre of Market Harborough, is a period residence that has been sympathetically renovated maintaining many of the period features. The property provides single accommodation with ensuite facilities for eight service users with a learning disability and two self-contained flats. The property has large gardens, which service users help to maintain. The management team and staff provide a home that meets the needs and secures the welfare and social inclusion of the people who live there. Day activities are organised and supported from another CARE provision at Shangton. CARE Bagatelle DS0000001642.V280620.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission of Social Care Inspection is upon the outcomes for Service Users and their views of the service provided. The main method of inspection used was ‘case tracking’ which involved selecting two service users and tracking the care they receive through the checking of their records, discussion with them, the care staff and observation of care practices. This inspection took place during the late afternoon and early evening of the 26th January 2006. The Assistant Manager, support workers and service users were most helpful during the inspection process. What the service does well: What has improved since the last inspection? Staff are now aware of the Statement of Purpose and Service User Guide documentation and are able to access this information. All service users have been given a copy of the revised Service User Guide. Details of service users daily routines are now included in the care plan documentation. CARE Bagatelle DS0000001642.V280620.R01.S.doc Version 5.1 Page 6 Areas of the garden seen during this inspection were tidy and well maintained. 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. CARE Bagatelle DS0000001642.V280620.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 CARE Bagatelle DS0000001642.V280620.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): 1,4,5 Prospective residents are given all the relevant information about the services offered to enable them to make an informed decision about admission to the home. EVIDENCE: • A Statement of Purpose and Service User Guide is available. The Service User Guide, which was reviewed in September 2005, is available in a format suitable for the service users for whom the home is intended. This document includes all the necessary information to enable prospective service users and/or their families to make an informed choice about whether to live at the home. A copy of the Service User Guide has been given to all service users living at the home as required at the last inspection. Along with this document the service users are also given a copy of their terms of residency and a copy of the previous inspection report. This is seen as good practice. Service users spoken with both confirmed that they had received this document and were able to produce their copy for the inspector. Prospective service users are invited to visit the home before moving in. The Assistant Manager explained that the latest service user to move into the home had visited on more than one occasion to meet the service users already accommodated there and stay for a meal. This was confirmed during a conversation with the service user in question. DS0000001642.V280620.R01.S.doc Version 5.1 Page 9 • • CARE Bagatelle 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 are consulted on, and participate in, all aspects of the home. EVIDENCE: • Care plans were in place for both service users case tracked. These were found to be thorough in content and relevant to the individual service user. Both had been reviewed and evidence of service user input was seen. Care plans include details of the service users daily routines as recommended at the last inspection. All the service users living at the home are able to make decisions on a daily basis including where to eat, what to wear, and what activity they wish to complete in their free time. Evidence was seen of the service users making decisions throughout the inspection. This included one service user deciding to cook themselves sausage and chips for tea. All service users are fully involved in life at the home. Issues that arise are discussed on a daily basis and service user meetings are also held on a regular basis, further enabling them to participate in the day-to-day running of the home. DS0000001642.V280620.R01.S.doc Version 5.1 Page 10 • • CARE Bagatelle • The staff working at the home enable the service users to take responsible risks on a daily basis and risk assessments are in place for all activities undertaken. Service users are enabled to live an independent life style within the home and staff support the service users to meet their individual goals. • CARE Bagatelle DS0000001642.V280620.R01.S.doc Version 5.1 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): 11,12,13,15, Residents living in the home are supported to maintain jobs, continue their education and training and take part in fulfilling activities. EVIDENCE: • The staff working at the home encourage and enable the service users to attend places of work and/or day services provided at CARE Shangton. A wide range of activities are offered at Care Shangton including, woodwork, horticulture, craft and Information Technology. Jobs held include working at a local garage and a local stables. Evidence was seen to confirm that service users are supported to access appropriate leisure activities. One service user explained that they went swimming, whilst a second service user told the inspector that they enjoyed going to the pub. One of the service users case tracked explained that he had joined the local St Johns Ambulance and attended their weekly meetings. • CARE Bagatelle DS0000001642.V280620.R01.S.doc Version 5.1 Page 12 • The daily routines of the home promote independence and choice. All service users have keys to their rooms and during the inspection staff were seen knocking before entering the service users rooms and delivering post unopened. Visiting is encouraged and two service users were preparing to visit their family for the weekend. • CARE Bagatelle DS0000001642.V280620.R01.S.doc Version 5.1 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): 18,19 Service users receive assistance and support in the way they prefer and require. EVIDENCE: • The service users living at the home are very independent and are encouraged and enabled by the staff to care for themselves. Service users spoken with explained that they are able to get up, shower, dress and make their own meals on a daily basis. Service users spoken with also explained that they were responsible for cleaning their rooms and carrying out their washing and ironing. Throughout the inspection service users were seen receiving support in a sensitive and flexible manner. Through inspection of daily records it was evident that residents are assisted to access healthcare services when needed. Services contacted on the service users behalf included GP’s, dentist, opticians and chiropodists. • • CARE Bagatelle DS0000001642.V280620.R01.S.doc Version 5.1 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): 22,23 Suitable arrangements for the receiving and responding to complaints are in place and service users are confident that their concerns will be listened to, taken seriously and acted upon. EVIDENCE: • The homes complaints procedure was seen and was found to include all the necessary information. A copy of this procedure is displayed in the homes entrance hall and a copy is included in the Service User Guide. Service users spoken with were aware of whom to speak to if they had any concerns. One service user stated, “I would speak to Catherine” [Registered Manager]. A second service user stated, “I would tell the house manager, Catherine”. A comprehensive policy on abuse is in place and all staff spoken with confirmed that they had received training in abuse awareness. A whistle blowing policy is in place and staff confirmed there understanding of this. • CARE Bagatelle DS0000001642.V280620.R01.S.doc Version 5.1 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): 24,25,26,27,30 The standard of the accommodation within this home is very good, providing service users with an attractive and homely place to live. EVIDENCE: • The home is well maintained both internally and externally. Accommodation is on two levels and is easily accessible. The decoration and furnishings throughout the home are of a very good standard and are presented in a comfortable and homely way. The home provides eight single rooms and two self-contained flats, all with en suite facilities. There is a lounge and kitchen on each floor and all the communal areas within the home provide space in which the service users can spend time together in comfort. The rooms belonging to five service users, (including the rooms belonging to the two service users case tracked), were seen. All had en suite facilities and all were highly personalised and suited to their needs. DS0000001642.V280620.R01.S.doc Version 5.1 Page 16 • • • CARE Bagatelle • Whilst viewing one service users room it was evident that there were still problems with the window. This had been highlighted at the previous inspection in June last year. Additional toilets and bathrooms are available through out the home. All areas of the home seen on this occasion were clean, fresh and well cared for. • • CARE Bagatelle DS0000001642.V280620.R01.S.doc Version 5.1 Page 17 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): 31,32,33,36 Service Users are supported by competent and appropriately trained staff. EVIDENCE: • • • On the day of the inspection a relaxed atmosphere was evident with staff going about their work in an unhurried and professional manner. All service users spoken with stated that the staff were approachable and supportive. Staff spoken with confirmed that they had received induction training including LDAF (Learning Disability Award Framework) training. The inspector was informed that no staff member is allowed to work with the service users until the induction period is completed. Other training completed included: dealing with challenging behaviour, first aid, food hygiene, abuse and neglect, health and safety and training in dealing with diabetes and epilepsy. Staff confirmed that supervision is carried out on a monthly basis. • • CARE Bagatelle DS0000001642.V280620.R01.S.doc Version 5.1 Page 18 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): 38,39,40,42 The home is managed effectively ensuring service users receive consistent quality care. EVIDENCE: • It was evident during the inspection that the service users benefit from the ethos, leadership and management that the Registered Manager provides. Throughout the inspection the home was found to have an extremely relaxed and friendly atmosphere and the interactions between staff and service users were positive, informal and inclusive. Service user meetings and staff meetings are held on a regular basis and regular staff supervision sessions are held to enable the Registered Manager to gain everyone’s view of the service being provided. Policies and procedures for the health, safety and welfare of the service users are in place and all staff are made aware of these during the induction process. DS0000001642.V280620.R01.S.doc Version 5.1 Page 19 • • CARE Bagatelle • • • The homes fire risk assessment was seen and service users spoken with confirmed that the fire alarms are tested regularly. Staff spoken with confirmed that they had received training in both Health and Safety and Fire Safety. All records seen on this occasion were up to date and accurate. CARE Bagatelle DS0000001642.V280620.R01.S.doc Version 5.1 Page 20 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 X 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 2 25 3 26 3 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 X 35 X 36 3 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 X 15 3 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 X X X 3 3 3 X 3 X CARE Bagatelle DS0000001642.V280620.R01.S.doc Version 5.1 Page 21 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. Standard Regulation Requirement Timescale for action 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 YA24 Good Practice Recommendations The Registered Provider must ensure that maintenance requests are dealt with in a timely manner. (Previous time scale for this as a Requirement was 30th July 2005) CARE Bagatelle DS0000001642.V280620.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 CARE Bagatelle DS0000001642.V280620.R01.S.doc Version 5.1 Page 23 - 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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