This inspection was carried out on 19th December 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.
CARE HOME ADULTS 18-65
James Burns House Greenways Avenue Bournemouth Dorset BH8 0AS Lead Inspector
Marion Hurley ` Announced Inspection 19th December 2005 10:00 James Burns House DS0000004006.V264893.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address James Burns House DS0000004006.V264893.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. James Burns House DS0000004006.V264893.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service James Burns House Address Greenways Avenue Bournemouth Dorset BH8 0AS 01202 523182 01202 533058 claire.houghc-uk.org 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) Leonard Cheshire Claire Hough Care Home 21 Category(ies) of Physical disability (21), Physical disability over registration, with number 65 years of age (21) of places James Burns House DS0000004006.V264893.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 23rd May 2005 Brief Description of the Service: James Burns House was purpose built to accommodate up to twenty-one younger adults with varying physical needs and abilities. It is one of a number of services run in the South West Region by the Leonard Cheshire Foundation. The Home is situated in a small complex, which includes sheltered housing. It is close to all local facilities, including two post offices, library and the Castle Point Shopping Centre. The Home has its own transport. All the residents are encouraged to assist in the day to day running of the home which may include becoming a member of the Home’s Local Committee or joining one of the specialist quality audit groups, which monitors specific aspects and functions of the Home. James Burns House is well equipped with specialist aids and adaptations to meet the assessed needs of residents. There is level access into all parts of the building and surrounding gardens plus ample car parking facilities. There is a large annexe for the storing and recharging of electric wheel chairs. The property is well maintained both internally and externally. James Burns House DS0000004006.V264893.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection has been undertaken as part of the statutory inspection process in accordance with the Care Standards Act, 2000. James Burns House was assessed according to the Care Home for Adults (18-65) National Minimum Standards. The overall time spent to complete the inspection process was a total of five hours; two of which were spent at the home. Throughout the inspection visit the inspector met and talked with several staff and residents. A sample of records were read which verified discussions with residents, staff and the Registered Manager. A total of 17 service user comment cards were received and this indicated resident’s satisfaction with the overall care and facilities at James Burns House. A further 7 cards were received from health & social care professionals with comments varying from “ absolutely excellent care, very good, work very hard at setting up social events”. One comment card referred to some communication difficulties with possibly agency staff however the comments referred only to one unit and not the Home as a whole. 9 comment cards were returned by relatives of residents, four of which raised personal concerns relating to their relatives or specific aspects of the environment. What the service does well:
The home actively consults with all residents and encourages their participation in all aspects of running the/their home. Residents are encouraged to be as independent and active as possible and staff provide flexible support to meet the varied needs and abilities of each person living at James Burns House. Admissions to the home are carefully planned with the prospective resident being fully in control and actively contributing to his /her own assessment to identify their needs and abilities and how these will be met by the staffing and facilities at the home. The Manager and the staff team take time to listen to the resident’s views and are strongly committed and interested in each resident and work hard to develop the resident’s quality of life whilst living at James Burns House. Individual attention is given to each resident ensuring they are settled and happy at the home. A comprehensive refurbishment programme for the Home has been produced and identifies the work required and that already completed in 2005. The annual survey of service users 2005/6 has been completed and the report confirms that residents are clearly satisfied with the service, facilities and staffing at James Burns House. This information was also verified through the high number of CSCI comment cards received both from residents and significant others i.e. visiting professionals.
James Burns House DS0000004006.V264893.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? 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. James Burns House DS0000004006.V264893.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection James Burns House DS0000004006.V264893.R01.S.doc Version 5.0 Page 8 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 • Before entering the home, prospective service users have a comprehensive assessment which they have the opportunity to participate in to ensure their needs and aspirations will be met. EVIDENCE: Since the last inspection two residents have moved to James Burns House. The records of one service user were read and contained a comprehensive assessment of the resident’s needs and abilities. The file also had a recent Care Management Care Assessment /Plan. The service user had completed their own application form and was totally involved in the admission process and ultimately was the person who made the final decision regarding the move to James Burns House. Discussions with the resident confirmed their involvement and contributions to the assessments. The resident also felt they had been given an accurate picture of the home and that the staff who had visited and completed the assessment with them had been open and honest throughout. The detailed pre-admission assessment had specific sections relating to manual handling, medication, socialisation, and personal support needs. This information then formed the foundation of the residents Individual Service Plan which was developed with the resident once they had moved to the home. James Burns House DS0000004006.V264893.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The key standards were not assessed having been met at the previous inspection. EVIDENCE: James Burns House DS0000004006.V264893.R01.S.doc Version 5.0 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): The key standards were not assessed having been met at the previous inspection. EVIDENCE: James Burns House DS0000004006.V264893.R01.S.doc Version 5.0 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): The key standards were not assessed having been met at the previous inspection. Please note a good practice recommendation from the previous inspection with reference to NMS 20 has been implemented. It is now practice that at the point of opening any medication the date is written on the actual container. Medication records are now fully completed for any resident having a short or respite stay at the home. EVIDENCE: A new medication policy has been implemented and since the last inspection all staff have successfully completed training in safe handling of medication. The home is currently reviewing the operational procedures and the group undertaking this work comprises both staff and residents. James Burns House DS0000004006.V264893.R01.S.doc Version 5.0 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): The key standards were not assessed having been met at the previous inspection. EVIDENCE: James Burns House DS0000004006.V264893.R01.S.doc Version 5.0 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): The key standards were not assessed having been met at the previous inspection. EVIDENCE: James Burns House DS0000004006.V264893.R01.S.doc Version 5.0 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): 36 • A regular programme of staff supervision is undertaken which supports staff in continuing to provide good practice ensuring the needs of residents are appropriately met. EVIDENCE: A selection of staff supervision records were read and found to contain relevant and professional notes of discussions, which included topics such as the delivery of personal care, personal development and training needs. All records were signed and dated with the date of the next meeting agreed and booked. Three staff were independently asked about their supervision sessions and all stated they found them useful and a time set aside “for them”. A standard agenda is used. However, each person may then add his or her own items for discussion. In addition to the regular and booked supervision sessions staff stated they felt very confident they could approach either their peers or senior members of staff or the manager at any time for support which in turn gave them the confidence to go about their daily work with the residents ensuring their needs were safely and appropriately met. James Burns House DS0000004006.V264893.R01.S.doc Version 5.0 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 • Resident’s rights and best interests are safeguarded by well maintained record keeping policies and procedures. EVIDENCE: Reports from other agencies, regular servicing and maintenance of equipment and working practices in the home ensures that the health and safety and welfare of residents are promoted in the home. Health & safety and fire training records are clear, well maintained and implemented within the recommended timescales. The Registered Manager is very aware of the relevant legislation regarding health and safety and the Home’s policies and procedures reflect this. James Burns House DS0000004006.V264893.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 Score x x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score x x x x x Standard No 24 25 26 27 28 29 30
STAFFING Score x x x x x x x LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score x x x x x 3 CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
James Burns House Score x x x x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x DS0000004006.V264893.R01.S.doc Version 5.0 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. 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 It is recommended the Leonard Cheshire Society continue to invest in James Burns House to ensure the fabric of the building and the facilities are maintained and continue to expand ensuring the on going physical needs of the residents are met. James Burns House DS0000004006.V264893.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 James Burns House DS0000004006.V264893.R01.S.doc Version 5.0 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!
