Inspection on 14/03/06 for Colonia Court

This inspection was carried out on 14th March 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

Colonia Court 15/12/09

Colonia Court 17/09/08

Colonia Court 25/09/07

Colonia Court 11/10/06

Colonia Court 10/03/06

Colonia Court 10/01/06

Colonia Court 19/12/05

Colonia Court 03/11/05

Colonia Court 15/03/05

Colonia Court 01/02/05

Colonia Court 13/01/05

Colonia Court 09/12/04

Colonia Court 09/11/04

Colonia Court 13/07/04

Colonia Court 07/07/04

Colonia Court 22/06/04

Colonia Court 15/06/04

Similar services:

Claremont House

Chesham House

Oak Ridge

Argyll House

Sun Court Nursing Home

Ashville House

Bramley Avenue (73)

Bilney Hall

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

CARE HOME ADULTS 18-65 Colonia Court St Andrews Avenue Colchester Essex CO4 3AN Lead Inspector Francesca Halliday Final Amber Lodge - Unannounced Inspection 14th – 31st March 2006 09:00 Colonia Court DS0000015331.V286544.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 Colonia Court DS0000015331.V286544.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. Colonia Court DS0000015331.V286544.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Colonia Court Address St Andrews Avenue Colchester Essex CO4 3AN 01206 791952 01206 794230 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) www.bupa.com BUPA Care Homes (CFHCare) Limited Harvey Newman Care Home 110 Category(ies) of Dementia - over 65 years of age (30), Mental registration, with number disorder, excluding learning disability or of places dementia (20), Mental Disorder, excluding learning disability or dementia - over 65 years of age (3), Old age, not falling within any other category (30), Physical disability (3), Physical disability over 65 years of age (30) Colonia Court DS0000015331.V286544.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. 7. 8. Amber Lodge Persons of either sex, under the age of 65 years, who require nursing care by reason of Huntington’s Disease (not to exceed 20 persons) Persons of either sex, under the age of 65 years, who require care by reason of Huntington’s Disease (not to exceed 20 persons) Persons of either sex, aged 65 years and over, who require nursing care by reason of Huntington’s Disease (not to exceed 3 persons) Blomfield House Persons of either sex, aged 65 years and over, who require care by reason of old age only (not to exceed 30 persons) Mumford House Persons of either sex, aged 65 years and over, who require care by reason of dementia (not to exceed 30 persons) Paxman House Persons of either sex, aged 50 years and over, who require nursing care by reason of a physical disability (not to exceed 3 persons) Persons of either sex, aged 65 years and over, who require nursing care by reason of a physical disability (not to exceed 30 persons) The total number of service users accommodated not to exceed 110 persons 19th December 2005 Date of last inspection Brief Description of the Service: Amber Lodge is one of four houses at Colonia Court Residential and Nursing Home. Each house is staffed on an individual basis and the central services include administration, laundry and kitchen. The home has a spacious car park and a guest flat available. Colonia Court is set in a residential area and is approximately one mile from Colchester town centre and two miles from the railway station. Buses run along St Andrews Avenue outside the home. Amber Lodge is a 20 bedded specialist unit for residents over the age of 18 years with Huntington’s Disease. The unit is registered to provide both nursing and personal care. Amber Lodge has 20 single rooms, all with en-suite toilet and basins, and a wide range of communal rooms. Colonia Court DS0000015331.V286544.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection visit was to Amber Lodge only. The inspection took place on 14th March 2006 and lasted 4 hours. The inspection process included discussions with 5 residents, 1 visitor, and 3 members of staff including the charge nurse on Amber Lodge. The premises and a sample of records were inspected. The manager was not present at the time of inspection and was spoken with on 16th March 2006. Further information was requested at the time of inspection, which arrived on 31st March 2006, and this concluded the inspection process 8 of the standards were assessed. The majority of standards on Amber Lodge were met. A few standards had minor shortfalls that were in the process of being addressed. The judgements made within the report are based on the observations and evidence gathered during this inspection. What the service does well: What has improved since the last inspection? What they could do better: Recruitment for Colonia Court was generally sound. Criminal Records Bureau checks had been completed, but Protection of Vulnerable List checks had not always been done. Please contact the provider for advice of actions taken in response to this Colonia Court DS0000015331.V286544.R01.S.doc Version 5.1 Page 6 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Colonia Court DS0000015331.V286544.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 Colonia Court DS0000015331.V286544.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): EVIDENCE: Standards 1 and 2 were assessed as met at the last inspection on 19th December 2005. Colonia Court DS0000015331.V286544.R01.S.doc Version 5.1 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 Residents are actively involved in decisions about their care and review of their care needs. EVIDENCE: The care plans sampled were very detailed. They were resident centred and covered both care needs and residents’ preferences. There was evidence that care plans were updated following changes in residents’ condition. The risk assessments were linked to the care plans. There were regular evaluations of care and care needs, and many were of an excellent standard. Social care plans had been developed since the last inspection, and linked more directly to records of social activities. The care manager said that he carried out 4-6 weekly care plan audits, and discussed aspects that needed to be improved with individual members of staff during supervision. Standard 9 was assessed as met, and standard 7 was assessed as exceeding the standard at the last inspection on 19th December 2005. There was evidence that residents continued to be very involved in decision-making and were encouraged and supported in making choices within the home. Colonia Court DS0000015331.V286544.R01.S.doc Version 5.1 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): 14 Residents take part in a range of activities and hobbies, both within the home and in the community. Staff training in activities is planned . EVIDENCE: Regular activities and outings had taken place since the last inspection, and these were tailored to individual resident’s interests, preferences and abilities. Amber Lodge had a full time activity coordinator. There was evidence that activities and outings were also a recognised part of the nursing and care staff role. The care manager said that a new daily activity diary was in the process of being introduced, to encourage staff to document the activities and social interactions taking place. The activity coordinator had not been on an activities course but was hoping to do so in the next few months. The care manager said that training in activities was to be given, as part of the Huntington’s Disease training programme. Standards 12, 13 and 16 were assessed as met, and standards 15 and 17 were assessed as exceeding the standard at the last inspection on 19th December 2005. Colonia Court DS0000015331.V286544.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): 20 The medicines management is sound. EVIDENCE: Standards 18 and 19 were assessed as met at the last inspection on 19th December 2005. There was evidence that residents continued to have good medical support. The home’s GP and a consultant psychiatrist both visited fortnightly. Nursing and care was being provided in a resident centred and supportive environment. The medicine administration charts sampled were well completed, and medicines management was good. None of the residents were able to administer their own medicines. Colonia Court DS0000015331.V286544.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 Residents feel that their views are listened to. EVIDENCE: The care manager said that no complaints had been received since the last inspection. There was a very open style of management on Amber Lodge, and evidence of prompt response to issues and suggestions raised by residents and relatives. Standard 23 was assessed as met at the last inspection on 19th December 2005. Colonia Court DS0000015331.V286544.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): 30 Lapses in cleaning standards are being addressed. EVIDENCE: Standards 24 and 30 were assessed as met at the last inspection on 19th December 2005. However, the home was not as clean as at the last inspection. The care manager was aware that the standards of cleaning of the carpets and soft furnishings needed to be improved, and had already had a meeting with the housekeeping team prior to the inspection. The home manager said that he would be purchasing better equipment for cleaning carpets and soft furnishings in the near future, and replacing the lounge carpet and smoking room floor. Following the inspection the care manager confirmed that equipment had been obtained and the cleaning standards improved. Colonia Court DS0000015331.V286544.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 and 34 Huntingtons Disease training has been developed and training is to be delivered more systematically. Recruitment was generally sound, but there was not always evidence of POVA list checks. EVIDENCE: An internal training programme for Huntingtons Disease had been developed, since the last inspection, for both nurses and care assistants. All new staff also had a training day from the Regional Care Advisor for the Huntingtons Disease Association. A discussion was held with the care manager about ensuring that all staff covered the full programme. A sample of personnel files was inspected. There was evidence of Criminal Record Bureau (CRB), Protection of Vulnerable Adults (POVA) list and Nursing and Midwifery Council (NMC) checks. However, in two of the files there was a CRB record, but no record of a POVA list check. A few files did not have a photograph of the member of staff for identification, but the manager said that the home had a camera staff photographs would be taken soon. Standards 35 and 36 were assessed as met at the last inspection on 19th December 2005. Colonia Court DS0000015331.V286544.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): 42 Amber Lodge is well run, and systems are in place to safeguard residents. EVIDENCE: Standards 37 and 39 were assessed as met at the last inspection on 19th December 2005. There was evidence of good systems for maintenance and servicing of equipment. The home had a programme for staff training in safe working practices. The majority of staff had either undertaken the training, or were booked to do the training in the near future. Accident records were well completed, and no obvious hazards were noted during the inspection. Colonia Court DS0000015331.V286544.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 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 3 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 X X X X X X 3 X Colonia Court DS0000015331.V286544.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 Requirement The person registered must confirm that a POVA list check has been carried out for all staff. Timescale for action 01/05/06 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 Colonia Court DS0000015331.V286544.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 Colonia Court DS0000015331.V286544.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. 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!