CARE HOME ADULTS 18-65
Bamville Road (1) Ward End Birmingham West Midlands B8 2TJ Lead Inspector
Susan Scully Unannounced Inspection 24 February 2006 09:00 Bamville Road (1) DS0000017076.V274033.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 Bamville Road (1) DS0000017076.V274033.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. Bamville Road (1) DS0000017076.V274033.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Bamville Road (1) Address Ward End Birmingham West Midlands B8 2TJ 0121 326 0491 & 0121 688 5797 0121 688 5797 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) Mrs Janice Hutton Mr Festus Hutton Mrs Janice Hutton Care Home 3 Category(ies) of Learning disability over 65 years of age (3) registration, with number of places Bamville Road (1) DS0000017076.V274033.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 22nd August 2005 Brief Description of the Service: Bamville Road is a 100 year old, domestic style end of terrace property situated in a residential area and in close proximity to a school within the Ward End vicinity of Birmingham. The home offers accommodation to three people with learning difficulties who have lived at the home for a significant number of years. The facilities include lounge, dining room, kitchen, laundry, rear garden, one ground floor and two first floor bedrooms and a small office. The bedrooms vary in size and one was noted to be quite small. The registered manager has arranged a sheltered area with seating within the rear garden for the service user who smokes; the facility permits staff observation from the kitchen window. There are no off road parking facilities. The first floor of the home was extended approximately 5 years ago with a view to increasing the accommodation to six service users; to date this has not been progressed although an application was submitted two years ago as it does not meet the existing standard and the application is unresolved. The home is well situated for local amenities, being close to bus and train routes and Ward End shopping facilities. Care is offered with normal lifestyle principals and service users are allowed to go out unaccompanied. Bamville Road (1) DS0000017076.V274033.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. An unannounced inspection took place with two inspectors. Records pertaining to residents were sampled, including care plans, Quality Assurance, Risk assessments and Health and Safety. Discussions were held with the manager and staff. Many of the standards were measured at the last inspection. Therefore, the inspectors concentrated on Care records, the requirements made at the last inspection and Health and Safety. What the service does well: What has improved since the last inspection? What they could do better:
The manager / owner and staff have worked hard to improve records and meet the requirements from the last inspection. The, manger said she is working to exceeding National Minimum Standards. Not all Standards were covered during the visit those that were had been met. There is always room for further development and the manager is keen to implement further improvements and seek advice from other professionals if need be. Bamville Road (1) DS0000017076.V274033.R01.S.doc Version 5.1 Page 6 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. Bamville Road (1) DS0000017076.V274033.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 Bamville Road (1) DS0000017076.V274033.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): 5 Residents are given a contract detailing terms and conditions of residency. EVIDENCE: Each resident is given a contract of terms and condition of residency including the amount of fees payable. The individual resident signs the contract. Bamville Road (1) DS0000017076.V274033.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, 9 Care plans are comprehensive giving details of the needs of residents, and are draw up in full consultation with the residents. Residents make decisions for them self with a risk-assessed framework. All risk assessments seen were current and gave information of how to minimise the risk and action to take. EVIDENCE: Care plans sampled show significant improvements in recording of personal information pertaining to the residents, details of Healthcare needs, other professional involvement, risk assessments, managing diagnosis of recent Health condition, visits to GPs, Educational details, specific details to conditions identified. Other information included social needs, spiritual needs, psychological needs, family and friends, diet, likes and dislikes, and daily events in the lives of the residents. One resident said he was much better and very content, he felt the manager was supportive and felt he speak to her at any time with any concerns. Bamville Road (1) DS0000017076.V274033.R01.S.doc Version 5.1 Page 10 Recorded was information of how resident are consulted, what decision they make and what support was provided. Risk assessments were current and the manager said these would be reviewed as and when required within six months or sooner if a further risk presented. Bamville Road (1) DS0000017076.V274033.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): 12, 15 Residents participate in activities of their choice and are support to find new activities in the local community. Residents are encouraged to maintain links with family and friends EVIDENCE: One resident said that he often went into Birmingham for lunch with his friend; he was also at night school studying. Regular meetings take place and individual consultation is completed with each resident with a view to determine their view and their choices. Residents go out on a regular basis mainly with the manager either to shops or for lunch, the manager said residents choose what they want to do and staff will support them with their choice. Recorded in daily records were entries indicating where residents went and how often other activities were completed. Bamville Road (1) DS0000017076.V274033.R01.S.doc Version 5.1 Page 12 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 Staff are aware of what information must be passed on to other healthcare professionals that may affect the type of care required. These include the residents’ medical condition together with any relevant social circumstances. All staff that administer medication have received accredited training in the Safe Handling and Administration of medication. EVIDENCE: Individual plans of care contained information pertaining to residents Healthcare. Doctors, nurses and other professionals are consulted if the need arises. Information of appointments with chiropodists and dentist were recorded. Medication records sampled indicated a satisfactory standard of recording was maintained. Staff spoken to understood the medication policy and were able to give examples of how they implement the practice. All staff have received training in the safe handling, administration, and storages of medication. Bamville Road (1) DS0000017076.V274033.R01.S.doc Version 5.1 Page 13 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): 23 Policies and procedures ensure residents are safeguarded from abuse or harm. EVIDENCE: All staff have completed manual handling and procedures are in place to ensure the safety and wellbeing of residents are protected. Financial records were sampled; each transaction is recorded with receipts maintained. All monies balanced and adequate records were completed. The Adult Protection Procedure is in line with the Birmingham Multi Agency guideline for the Protection of Vulnerable Adults. Bamville Road (1) DS0000017076.V274033.R01.S.doc Version 5.1 Page 14 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): These Standards were not assessed on this occasion. EVIDENCE: No evidence. Bamville Road (1) DS0000017076.V274033.R01.S.doc Version 5.1 Page 15 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): 34 Service users are protected by the Home’s robust recruitment practice. EVIDENCE: The manager operates a robust recruitment procedure. Staff files sampled had all the relevant documents available including references, application form, medical clearance, criminal records check, identity and induction. Bamville Road (1) DS0000017076.V274033.R01.S.doc Version 5.1 Page 16 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 Health and safety is maintained and action taken if a risk is presented. EVIDENCE: Policies and Procedures are reviewed on a regular basis. Equipment such as Electrical Safety testing is completed. Regular testing of fire alarms and fire drills are completed. Bamville Road (1) DS0000017076.V274033.R01.S.doc Version 5.1 Page 17 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 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 3 ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 3 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X X X X X X 3 X Bamville Road (1) DS0000017076.V274033.R01.S.doc Version 5.1 Page 18 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. Refer to Standard Good Practice Recommendations Bamville Road (1) DS0000017076.V274033.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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