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Inspection on 28/07/05 for Conniburrow Boulevard (207)

Also see our care home review for Conniburrow Boulevard (207) for more information

This inspection was carried out on 28th July 2005.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home provides an attractive and homely environment for service users which is well maintained, safe and close to local amenities. There is effective management and self-monitoring of the service. Care plans and reviewing systems are in place with service users encouraged to lead independent lifestyles and be part of the local community. Medication, complaints and adult protection are appropriately managed by staff. Recruitment practice is robust to protect service users and staff undergo periodic training in order to be able to meet care needs.

What has improved since the last inspection?

Medication practice and front door security have improved since the December 2004 inspection. The manager has undertaken IT training and the fire based risk assessment has been updated.

What the care home could do better:

The training matrix in place at the home needs to be amended to include relief staff, in order that their training needs are readily identifiable. Fire safetyawareness training must be undertaken by all staff at least annually, to ensure that knowledge is refreshed in this area of practice.

CARE HOME ADULTS 18-65 Conniburrow Boulevard (207) Conniburrow Milton Keynes Bucks MK14 7AD Lead Inspector Chris Schwarz Unannounced 28 July 2005 08:00 a.m. 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 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 Stationary 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. Conniburrow Boulevard (207) H53_H02_S15051_Conniburrow Boulevard_UI_V233709_Stage 4_CAS_ces.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Conniburrow Boulevard (207) Address Conniburrow, Milton Keynes, Bucks, MK14 7AD Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01908 692524 The Fremantle Trust Mrs Maria Couch Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Conniburrow Boulevard (207) H53_H02_S15051_Conniburrow Boulevard_UI_V233709_Stage 4_CAS_ces.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12 December 2004 Brief Description of the Service: 207 Conniburrow Boulevard is a detached property located close to the city centre in Milton Keynes. There are good transport links and leisure, recreation and shopping facilities are nearby. The home is registered to provide accommodation for up to six adults with learning disabilities and is owned and staffed by The Fremantle Trust. The property has six single bedrooms, one of which is on ground floor level. There are sufficient toilets, baths and showers and communal areas are arranged to reflect a large family type environment. There are front and rear garden areas and parking spaces are available. Conniburrow Boulevard (207) H53_H02_S15051_Conniburrow Boulevard_UI_V233709_Stage 4_CAS_ces.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on a weekday between 8.00 am and midday. It consisted of discussions with service users, examination of some of the required records, discussions with the manager and other staff and a tour of the building. What the service does well: What has improved since the last inspection? What they could do better: The training matrix in place at the home needs to be amended to include relief staff, in order that their training needs are readily identifiable. Fire safety Conniburrow Boulevard (207) H53_H02_S15051_Conniburrow Boulevard_UI_V233709_Stage 4_CAS_ces.doc Version 1.30 Page 6 awareness training must be undertaken by all staff at least annually, to ensure that knowledge is refreshed in this area of practice. 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. Conniburrow Boulevard (207) H53_H02_S15051_Conniburrow Boulevard_UI_V233709_Stage 4_CAS_ces.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Conniburrow Boulevard (207) H53_H02_S15051_Conniburrow Boulevard_UI_V233709_Stage 4_CAS_ces.doc Version 1.30 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 standard(s) EVIDENCE: These standards were not assed on this occasion. No new service users have been admitted to the home since the previous inspection. Conniburrow Boulevard (207) H53_H02_S15051_Conniburrow Boulevard_UI_V233709_Stage 4_CAS_ces.doc Version 1.30 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 standard(s) 6, 7, 8, 9 and 10 Service users’ needs are assessed by the home to ensure that they receive the care they require. Reviewing systems are in place to ensure that needs are accurately identified and are being met. Risk assessments are prepared and updated to enable service users to lead independent and fulfilling lives. Service users are consulted on life in the home so that views and opinions are taken into account. Information is appropriately managed by staff to ensure that service users’ confidences are kept. EVIDENCE: A sample of care plans was looked at and showed evidence of recent updating. Individual service user risk assessments had also been updated and there was evidence of multi-disciplinary reviews taking place. There was evidence of the care plans being produced in more accessible formats for service users through the use of digital photographs. Service users are encouraged to be as independent as possible and discussions with them demonstrated that they lead varied and fulfilling lifestyles. Minutes of service user meetings provided evidence of consultation, for example about colours for redecorating the bathrooms, choice of meals provided and activities Conniburrow Boulevard (207) H53_H02_S15051_Conniburrow Boulevard_UI_V233709_Stage 4_CAS_ces.doc Version 1.30 Page 10 and outings they would like to take part in. Service users had also been made aware of stranger danger in one of the meetings and building security. The office was kept shut when not in use to keep records and sensitive information secure. There is guidance for staff on confidentiality and no areas of concerns were apparent at the time of this visit. Conniburrow Boulevard (207) H53_H02_S15051_Conniburrow Boulevard_UI_V233709_Stage 4_CAS_ces.doc Version 1.30 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 standard(s) 11, 12, 13, 14, 15, 16, 17 Service users are encouraged to be as independent as possible, use the local community and acquire personal development skills, to lead fulfilled lives. The home enables service users to take part in appropriate activities in order that they have variety and stimulation. Contact with families and other important people is encouraged in order that relationships are maintained. Rights and responsibilities are promoted at the home in order that service users can make informed choices. Healthy diets and wholesome meals are promoted in order that service users’ nutritional needs are met. EVIDENCE: The activities log showed that there are opportunities for those who are interested to attend church, all go to a social club and various day services are accessed such as Thrift Farm. Conniburrow Boulevard (207) H53_H02_S15051_Conniburrow Boulevard_UI_V233709_Stage 4_CAS_ces.doc Version 1.30 Page 12 Service users make use of the local community and the city centre facilities; the acquisition of a minibus has improved transport arrangements. Service users spoke about a recent weekend away to London where they saw “Chitty Chitty Bang Bang” and a holiday to Torquay in April had also been enjoyed. Some of the service users discussed their families and demonstrated that the home enables them to maintain important family contacts and that friendships and relationships are supported by the staff team. Minutes of service user meetings showed that staff had discussed the General Election earlier in the year and asked service users whether they wished to vote in order that support could be given, if needed. Hobbies and interests were being pursued, such as reading magazines, listening to music, having a quick dance in the dining room to some 1960s music and colouring-in. One service user on a home day got up when he was ready. A choice of breakfast was available and the home was well stocked with food and fresh fruit was readily available to service users. Two service users whose care plans identify a need to reduce weight had charts in place with monthly weights recorded. Conniburrow Boulevard (207) H53_H02_S15051_Conniburrow Boulevard_UI_V233709_Stage 4_CAS_ces.doc Version 1.30 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 standard(s) 20 Medication is well managed by the home to ensure that service users are kept healthy and well. EVIDENCE: Action highlighted at the last inspection had been attended to. The medication cabinet was secure and locked when not in use. Medication administration records were in good order and there was evidence of training by the district nurse to enable some of the staff to administer insulin using a pen device. Insulin was being stored appropriately in a locked medicines fridge which was being monitored for safe working temperature. Procedures were in place to guide staff on correct medication storage, handling, administration and disposal. There had not been any deaths at the home during the period under review. Conniburrow Boulevard (207) H53_H02_S15051_Conniburrow Boulevard_UI_V233709_Stage 4_CAS_ces.doc Version 1.30 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 standard(s) 22 and 23 A complaints procedure is in place in order that service users’ views are listened to. Adult protection procedures are in place to protect service users from harm. EVIDENCE: A complaints procedure is in place at the home and one recent complaint was contained within the log book. There is a policy on protection of vulnerable adults and evidence of staff receiving training in this area of practice. Service user meeting minutes also showed that some adult protection input had been given to service users earlier in the year. Conniburrow Boulevard (207) H53_H02_S15051_Conniburrow Boulevard_UI_V233709_Stage 4_CAS_ces.doc Version 1.30 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 standard(s) 24, 25, 26, 27, 28, 29 and 30 A homely, clean, safe and well decorated environment has been created for service users in order that they have appropriate and comfortable surroundings. EVIDENCE: 207 Conniburrow Boulevard is close to the city centre and there are good transport links nearby. The range of shopping and leisure facilities is considerable and the home blends in with other properties in the area. The garden contained hanging baskets and tubs filled with summer flowering plants. Front door security had been improved since the last inspection. The home was clean and in a good state of repair and reflected a large family type environment. The lounge and dining area were well presented and comfortable and furniture and fittings were of good quality. The kitchen was clean and tidy, despite the busy time of day, and it was good to see that a new cooker and hob had been purchased for the home. Bedrooms were personalised and decorated to different tastes. One bedroom is downstairs and there is a bathroom with bath and adapted shower next door to Conniburrow Boulevard (207) H53_H02_S15051_Conniburrow Boulevard_UI_V233709_Stage 4_CAS_ces.doc Version 1.30 Page 16 it. There are sufficient bathrooms and toilets at the home and redecoration is planned to brighten them up. All bathrooms/toilets have locks to ensure privacy. The laundry was in good order and all chemical products were safely locked away. There is sufficient space at the home for the number of service users and the home has the adaptations it needs to meet current care needs. Conniburrow Boulevard (207) H53_H02_S15051_Conniburrow Boulevard_UI_V233709_Stage 4_CAS_ces.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34 and 35 There are robust recruitment procedures at the home to ensure that service users are safeguarded from the risk of harm. Service users are generally cared for by a trained staff team in order that their needs are met. EVIDENCE: Examination of recruitment files showed that all required checks had been undertaken. Files provided evidence of recent mandatory training although details of any training undertaken by relief staff were not entered onto a training matrix. It is recommended that all staff are added onto the matrix and that this is kept up-to-date as an accurate record. Fire safety awareness training must be repeated at annual interviews – five staff needed to refresh their knowledge in this area. There was good uptake of National Vocational Qualification training and some staff have already achieved qualification to level 2. Conniburrow Boulevard (207) H53_H02_S15051_Conniburrow Boulevard_UI_V233709_Stage 4_CAS_ces.doc Version 1.30 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39 and 42 There is effective self-monitoring by the provider to ensure that service users’ needs are being met. Health and safety is effectively managed to ensure that staff, service users and visitors are safeguarded against the risk of accidental injury. EVIDENCE: Regular monitoring visits are undertaken by the provider with reports forwarded to the Commission for Social Care Inspection each month. A senior representative was undertaking such a visit at the time of this inspection and spent time speaking with service users and staff, examining records and speaking with the manager. Conniburrow Boulevard (207) H53_H02_S15051_Conniburrow Boulevard_UI_V233709_Stage 4_CAS_ces.doc Version 1.30 Page 19 There was due regard toward health and safety at the home. The environment is maintained in a clean condition with ample hand washing facilities around the building and no obvious hazards evident. The fire log showed that regular checks are undertaken to safeguard against the risk of fire and the alarm system is serviced routinely. Hazardous products were kept locked away. Conniburrow Boulevard (207) H53_H02_S15051_Conniburrow Boulevard_UI_V233709_Stage 4_CAS_ces.doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x N/A x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x x x 3 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Conniburrow Boulevard (207) Score x x 3 N/A Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x H53_H02_S15051_Conniburrow Boulevard_UI_V233709_Stage 4_CAS_ces.doc Version 1.30 Page 21 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 35 Regulation 18(1)ci Requirement All staff must undertake annual fire safety awareness training. Timescale for action January 1st 2006 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 35 Good Practice Recommendations The training matrix should contain an accurate record of all staff training, including courses undertaken by relief staff. Conniburrow Boulevard (207) H53_H02_S15051_Conniburrow Boulevard_UI_V233709_Stage 4_CAS_ces.doc Version 1.30 Page 22 Commission for Social Care Inspection Cambridge House, 8 Bell Business Park, Smeaton Close Aylesbury Bucks, HP19 8JR 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 Conniburrow Boulevard (207) H53_H02_S15051_Conniburrow Boulevard_UI_V233709_Stage 4_CAS_ces.doc Version 1.30 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. 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