Inspection on 28/02/06 for Court View

This inspection was carried out on 28th February 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Court View 22/07/08

Court View 18/09/07

Court View 28/12/06

Court View 30/09/05

Court View 17/03/05

Court View 05/10/04

Court View 12/03/04

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 Court View 23 Parkfield Road Pucklechurch South Glos BS16 9PN Lead Inspector Glenda Simons Announced Inspection 28th February 2006 09:30 Court View DS0000003382.V274728.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 Court View DS0000003382.V274728.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. Court View DS0000003382.V274728.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Court View Address 23 Parkfield Road Pucklechurch South Glos BS16 9PN 0117 937 4021 0117 9709301 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) admin@aspectsandmilestones.org.uk Aspects and Milestones Trust Mr Philip John Chard Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Court View DS0000003382.V274728.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate up to 5 persons aged 18 - 64 years of age Date of last inspection 30th September 2005 Brief Description of the Service: 23 Parkfield Road, Pucklechurch, known as Court View provides accommodation for five service users with learning disabilities aged between 19 and 64 years. It is one of the homes operated by the Aspects & Milestones Trust formally known as Frenchay and Southmead Care Trust. The house is a detached dormer bungalow with a large rear garden. The ample front garden is also used as parking space; there is a large, well-established garden to the rear. The accommodation consists of 5 single bedrooms, 2 bathrooms, dining room, kitchen, and lounge. The house is within walking distance of a public house and local shops. There is a bus service to the centre of Bristol and the house is within easy access of the motorway system. The mission statement of the organisation is: To enable people with learning difficulties, mental health needs and physical disabilities to develop a fulfilling life in the community and to continually seek to improve and be responsive to the changing needs and wishes of the people we support. Court View DS0000003382.V274728.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection conducted as part of the annual inspection process to examine care provided, and monitor standards being maintained at the home. The Registered Manager, staff and some residents were interviewed during the inspection. Residents’ files, systems, policies and procedures were examined. The Inspector would like to thank all staff and residents for their assistance and support during the inspection. What the service does well: What has improved since the last inspection? Since the last inspection the home has added a new rug, sofa throws, new phone, photographs and flower arrangements in the living room making it nice and homely for residents. Some residents’ bedrooms have been decorated and new lampshades and pictures added. The kitchen has had new fitted units installed giving more storage and working space. Several residents enjoyed their holidays this year, two residents went to Spain, one resident went to Ireland, and others had a caravan holiday and Christmas break away. Court View DS0000003382.V274728.R01.S.doc Version 5.1 Page 6 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. Court View DS0000003382.V274728.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 Court View DS0000003382.V274728.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): 1,2,3,4 and 5 Information is available to individuals about the service provided, including the terms and conditions of residency. EVIDENCE: There have been no new admissions to the home since the last inspection, however the Registered Manager told me that all prospective residents would be initially assessed, and discussions held with family and professionals during this process. The home would offer a trial period to a prospective resident to see how the other residents interacted and to see if the individuals’ needs can be met. Care plans are developed at this stage and regularly reviewed. Residents files were examined and showed that Care Plans have set goals, how to achieve these, aims and benefits of the goals and how to implement. These plans were reviewed, signed and dated. A record is kept of needs, and what is important to the resident, and also what they enjoy doing and their ‘likes’. Written terms and conditions of residency between The Trust and the individual were seen and named ‘ Licence Agreements’ were signed by the Manager and dated. Evidence was seen that its contents had been explained to the individual. Court View DS0000003382.V274728.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): 6,7,8,9 and 10 The personal and healthcare needs of residents are met and reviewed on a regular basis. Residents make decisions and have choices about their lives and participate in the running of the home. EVIDENCE: Several residents’ care files were examined and showed photographs of the resident, Court View and the key worker. Each member of staff must sign and date when they have read the Service User Care Plan ensuring that all staff know the residents individual plan. One resident’s record shows a ‘pen picture’ outlining what the resident likes to do, such as listening to music. There is also a record of significant dates, own birthday, relative’s birthdays and when the resident moved into Court View. Another resident’s Care Plan showed goals set, such as promote health and nutritional needs, it showed how to achieve goals, the aims and benefits to resident and how staff should implement. Risks are identified, risk assessments undertaken, a safe system of work is recorded and risks are regularly reviewed, signed and dated. All residents have an Opportunity Plan, which shows residents’ goals, such as going to the pub, have a haircut, these events are recorded when achieved, and signed and dated by Support Workers. Most of the residents were out working at the time of the inspection, however, one resident was observed Court View DS0000003382.V274728.R01.S.doc Version 5.1 Page 10 making decisions and being encouraged and supported by staff. Staff informed the inspector that residents are involved in menu planning, and are encouraged to have healthy options. The home has a file of photographs of various different foods, making it easier for residents to choose. One resident is interested in photography and has taken the photographs for use in the file. All resident’s and staff files are kept in the office which can be locked when not in use, ensuring that personal information is private and is used appropriately. Court View DS0000003382.V274728.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): 11,12,13,14,15,16 and 17 Residents participate in purposeful activities during the day, which is suited to individuals needs, and enjoy social activities with support and guidance from staff. EVIDENCE: Most of the residents were out working or attending day centre at the time of the inspection. Residents are able to walk to their place of work in Pucklechurch with support workers. The activities of the day corresponded with the information written on care plans. A copy of the ‘hand-over’ sheet was viewed this also showed a list of residents activities for the day One resident was spending a day a home, and was observed relaxing in the lounge and later, went out to the bank and shops with a support worker, he was also observed taking part in an activity of his choice within the home. Residents are encouraged to participate in their hobbies, one member of staff showed me carpet rugs that a resident enjoys making in her spare time. The Manager informed me that staff undertake gardening tasks and they try to involve residents as much as possible. One resident has an impressive set of Court View DS0000003382.V274728.R01.S.doc Version 5.1 Page 12 drums in her bedroom that she enjoys playing, but has house rules to abide by, so she does not disturb other residents and neighbours. Some of the residents enjoy going out to the pub for drinks and a meal, which corresponded with residents ‘enjoy and likes’ record as seen. A member of staff informed me that residents are known within the village. Staff continue to support residents to maintain family links and friendships; a record in individuals’ files is kept of relatives’ birthdays and important relationships. A record was seen in hand-over sheet dated 24th February 2006, showing that Court View held a party, and resident’s relatives; old and present staff were invited to attend. The party was a celebration of 9 years since the home opened. Residents have a choice in the food they eat, and are also encouraged to have healthy options. A record of what residents had eaten for their meals is listed in the ‘hand-over’ sheet. It showed a good varied menu that was nutritious and provided a balanced diet. One member of staff informed me that she is a key worker to one resident who likes to cook, and they often will cook together. It was also noted that Pancakes were on the menu for the evening meal as it was Pancake Day. Most residents eat in the dining room, but some residents choose to eat in the lounge or kitchen showing that residents make choices and this is recognised and respected by staff. Court View DS0000003382.V274728.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, 20 and 21 Residents physical and emotional health needs are monitored and are supported by staff. EVIDENCE: Residents care files clearly show that individuals have recorded their preferences and that staff provide encouragement and guidance in a supporting role. Some residents at Court View have complex needs and can exhibit some challenging behaviour. All residents have medical sheets in their files that record events and activities of visits to Doctors, Optician, Dentist, Physiotherapist and Chiropodist. A record of when blood tests and flu jabs were given was seen, together with monthly weight records and relevant medical notes and correspondence. The medication cupboard is locked and situated in the office. All staff receive training on medication and then annual competency re-assessment and knowledge of medications; this was confirmed by viewing records of training in staff files. A medicine check was carried out by the manager and inspector against the Medication administration book, this was all correct and up to date. Court View DS0000003382.V274728.R01.S.doc Version 5.1 Page 14 It was evident at the time of inspection that the Manager and staff spoken with are sensitive to the emotional needs of those living at the home and through observation and discussion demonstrated respect to the wishes of individuals living at the home. Court View DS0000003382.V274728.R01.S.doc Version 5.1 Page 15 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 and 23 Complaints and concerns are handled objectively and individuals can be confident that these will be taken seriously, listened to and actioned. The home would benefit from displaying a copy of the complaints procedure in the front hallway, so residents and visitors know how to complain. EVIDENCE: The complaints procedure for the home was viewed and gave information about how to contact the Commission for Social Care Inspection. The statement of purpose and residents licence agreement gives details of the complaints procedure and state that a policy of empowerment of service users by use of the complaint system is encouraged. The complaints log was seen and showed that action plans are used in order to resolve the situation to a level of satisfaction. No copy of the complaints procedure is openly displayed within the home and it is recommended that the procedure be in a form that is understood by residents. One resident informally asked whom he would tell if he had a concern or worry, and he replied ‘tell staff’. Interviews with staff members indicated knowledge about the protection of residents from abuse. One staff member interviewed said if she had any concerns about residents, she would ‘ discuss with the Manager’, and she felt confident that any issues would be sorted out. Staff receive POVA training at the Trust’s head office, and is covered in their National Vocational Training at level 2 and 3. The home’s practice regarding residents’ money and financial affairs were discussed and evidenced with staff. At the time of the inspection pocket money Court View DS0000003382.V274728.R01.S.doc Version 5.1 Page 16 for residents had been collected and two staff members checked the balance, which was recorded on individuals’ personal monies files. Individual money is securely held within the cash box that is held in a locked cupboard. Court View DS0000003382.V274728.R01.S.doc Version 5.1 Page 17 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 and 30 Court View offers residents a clean, comfortable and safe environment, which promotes individual residents needs and lifestyles. EVIDENCE: Residents enjoy a comfortable home life at Court View. The home is clean, fresh and airy and the communal accommodation is furnished well and creates a homely atmosphere for residents. Bedrooms were furnished suitably to the needs of individual residents. Decisions about some items of furniture have been made to ensure that safety is addressed bearing in mind some residents challenging behaviour. The rear garden is large and enclosed offering privacy to residents, and during the summer month’s garden furniture is used enhancing the area for those living at the home. Court View DS0000003382.V274728.R01.S.doc Version 5.1 Page 18 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, 35 and 36 Staff are trained to support residents at present, and have clear roles and responsibilities within the home. EVIDENCE: Staff interviewed support the aims and values of the home and some trained staff have been given responsibility to perform tasks such as Health and Safety and staff work rotas as well as their key worker roles. A key worker who looks after the resident’s individual needs supports each resident. The staff team is well established within the home, allowing good relationships to develop with residents. Staff members spoken with were able to demonstrate a clear understanding of their roles and responsibilities within the team and their own role and accountability. Staff interviewed have attended training on listening and communication and this was evidence by viewing staff training files. Two members of staff interviewed hold a certificate in National Vocational Qualification level 3 in Care; this was evident by records on their personal files. All staff employed by Aspects and Milestones receive induction training at their training department at head office, this was evidenced in staff training files and by interviewing staff on duty. Court View DS0000003382.V274728.R01.S.doc Version 5.1 Page 19 Staff receive supervision from the registered Manager every 4-6 weeks; staff interviewed confirmed that they receive supervision and expressed how useful they found these sessions, also a file was viewed of staff supervision records, confirming that staff are supervised and well supported Court View DS0000003382.V274728.R01.S.doc Version 5.1 Page 20 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, 41 and 42 EVIDENCE: The home is well managed and residents can be assured that the home has good policies and procedures in place. The home is well run and managed by the registered Manager who has a great deal of experience working within the care profession. It was observed that he has a great deal of time for the residents, and one resident was seen to be having a lie down on the bed in the office for some ‘time out’. The Manager delegates certain tasks to his trained staff, which helps their personal development and encourages a good team approach to running the home. Some staff interviewed said that ‘the manager offers good support and will get any problems sorted out and is always happy to listen’. The communications book was viewed and this showed that staff are fully informed and kept up to date of events and what is going on within the home. Court View DS0000003382.V274728.R01.S.doc Version 5.1 Page 21 The home has a Health and Safety Co-ordinator who is responsible for all aspects of safety. Records were seen of daily, weekly, monthly and annual fire checks. The co-ordinator also does monthly checks on all electrical equipment, checks every room in the house and checks the emergency provisions cupboard. The Health and Safety file which holds the home’s policies and procedures was seen, and all staff are required to sign and date when this file has been read. Risk assessments are reviewed every month. General risk assessments were seen for the home, such as gardening, kitchen and walking, also copies of individual resident’s risk assessments showed that risks have been identified and that a system of work is put in place. The certificate of insurance liability and registration with the Commission for Social Care Inspection were both displayed within the home Court View DS0000003382.V274728.R01.S.doc Version 5.1 Page 22 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 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 X 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 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 3 3 3 X X 3 3 x Court View DS0000003382.V274728.R01.S.doc Version 5.1 Page 23 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. 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 22 Good Practice Recommendations That a copy of the home’s complaints procedure be displayed within the home. Court View DS0000003382.V274728.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG 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. 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