Inspection on 21/11/05 for Mulberry Court

This inspection was carried out on 21st November 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.

Other inspections for this house

Mulberry Court 25/05/07

Mulberry Court 27/09/06

Mulberry Court 17/08/05

Mulberry Court 21/02/05

Mulberry Court 21/06/04

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Mulberry Court Common Mead Lane Gillingham Dorset SP8 4RE Lead Inspector Veronica Crowley Unannounced Inspection 21st November 2005 2:00 Mulberry Court DS0000026847.V257432.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 Mulberry Court DS0000026847.V257432.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. Mulberry Court DS0000026847.V257432.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Mulberry Court Address Common Mead Lane Gillingham Dorset SP8 4RE 01747 822241 01747 822241 mulberry.court@scope.org.uk 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) SCOPE Mr Paul Coe Care Home 10 Category(ies) of Physical disability (10) registration, with number of places Mulberry Court DS0000026847.V257432.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named person (as known to the CSCI) to be accommodated in the category (LD) Learning Disability. Maximum number registered not to exceed ten. 17th August 2005 Date of last inspection Brief Description of the Service: Mulberry Court provides care and accommodation for 10 people who have physical disabilities. It was registered as a new service in December 1999 to replace the accommodation at nearby Thorngrove House, where 9 of the current service users had lived for some considerable time. The service provider is SCOPE, a national not for profit organisation for people who have a physical disability. The premises are leased from East Dorset Housing Association. Accommodation comprises one bungalow and one two-storey building, with all accommodation for service users provided at ground level. The home is within walking distance of Gillingham town centre; bus routes and the railway station are nearby. Service users at Mulberry Court live as independently as possible. Staffing is arranged to provide daily 24-hour support. The aims and philosophy of the service seek to promote the independence of service users by providing the degree of support necessary to achieve their chosen daily lifestyles, and also by providing opportunities for service users to develop skills that will support independence. A number of service users are described as having some degree of learning disability, and the Commission for Social Care Inspection has agreed a variation to the homes conditions of registration to accommodate one person in the Learning Disability category, not exceeding 10 service users in total. All service users work at the nearby Thorngrove Garden Centre, which is also operated by SCOPE. Such attendance is not a condition of residence. Mulberry Court DS0000026847.V257432.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and took place during the afternoon and early evening of 21st November 2005. A full announced inspection had taken place on 17th /18th August 2005 where all key standards had been assessed, establishing that service users continued to enjoy a high degree of satisfaction with the support and care provided, underpinned by a strong emphasis on equality, independence and human rights. 10 service users were being accommodated at the time of this inspection. This report will refer to service users as residents as this is their preferred means of reference. The inspector spoke with the Manager, staff on duty and the majority of the residents. Various records were examined including staff recruitment files, training schedules, rotas, the complaints and adult protection file. What the service does well: What has improved since the last inspection? What they could do better: No areas examined were identified where the service could do better. Mulberry Court DS0000026847.V257432.R01.S.doc Version 5.0 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. Mulberry Court DS0000026847.V257432.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 Mulberry Court DS0000026847.V257432.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): These standards were not assessed at this inspection. Standard 2 was assessed and met at the inspection carried out 17th/18th August 2005. EVIDENCE: Mulberry Court DS0000026847.V257432.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): These standards were not assessed at this inspection. Standards 6, 7 and 9 were assessed and met at the inspection carried out 17th/18th August 2005. EVIDENCE: Mulberry Court DS0000026847.V257432.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): These standards were not assessed at this inspection. Standards 12, 13, 15, 16 and 17 were assessed, and either met or exceeded the standard, at the inspection carried out 17th/18th August 2005. EVIDENCE: Mulberry Court DS0000026847.V257432.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): These standards were not assessed at this inspection. Standards 18, 19 and 20 were assessed and met at the inspection carried out 17th/18th August 2005. EVIDENCE: Mulberry Court DS0000026847.V257432.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 home has a satisfactory complaints system with evidence that residents feel that their views are listened to and acted upon. Robust systems and effective adult protection training ensures that residents are protected from abuse and that their welfare is being promoted. EVIDENCE: Observations made during the inspection clearly demonstrated that the views of the residents are listened to and acted upon. All the residents spoken with knew who they could complain to, and were confident that any complaints would be addressed fairly. Information on how to complain is detailed in the homes ‘Statement of Purpose’, in the ‘Service User Guide’ and in a leaflet given to residents entitled ‘Complaining isn’t wrong – it’s a Right. There is also a notice on the residents notice board informing them how to complain if they are unhappy with the service provided. SCOPE also have a designated complaints officer to deal with residents/service users formal complaints. The Manager reported that two complaints had been made since the last inspection. These had been investigated fully and had satisfactory outcomes. Refresher training on ‘dealing with complaints’ had taken place in September 2005. SCOPE has robust policies and procedures in place and staff undertake regular training in relation to the protection of vulnerable adults. There is an identified adult protection officer at the Mulberry Court and an Adult Protection Team based at SCOPE’s Head Quarters. The Adult Protection Officer attends regional Mulberry Court DS0000026847.V257432.R01.S.doc Version 5.0 Page 13 conferences on best practice and key issues relating to Adult Protection. A copy of the Local Interagency ‘No Secrets’ guidance was seen at the home. The Manager reported that there had been no Adult Protection referrals since the last inspection. Two minor incidents resulting in Regulation 37 notifications had taken place. Records seen demonstrated that both incidents had been satisfactorily dealt with internally. Mulberry Court DS0000026847.V257432.R01.S.doc Version 5.0 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 at this inspection. Standards 24 and 30 were assessed and met at the inspection carried out 17th/18th August 2005. EVIDENCE: Mulberry Court DS0000026847.V257432.R01.S.doc Version 5.0 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): 31, 32, 33, 34 and 36 Standard 35 was assessed and met at the inspection carried out 17th/18th August 2005. Staff have accurate job descriptions in order to ensure that the principles and ethos of the home are met. The majority of the staff team are well qualified, have suitable experience and are sufficient in number and competence to meet the needs of the individual residents. Robust systems for vetting and recruiting staff are in place allowing the most suitable, dedicated staff team to be recruited. Staff receive regular supervision, appraisal and development underpinned by a good training programme in order for them to deliver the best possible care to the residents. EVIDENCE: Staff files seen included accurate job descriptions that are clearly linked to achieving residents’ individual goals as set out in the Service User Plans. Staff spoken demonstrated an awareness of their roles and responsibilities, including where it may be necessary to appropriately involve other agencies with more expertise. Observations demonstrated that staff seen working with residents all had positive relationships with the residents they were supporting. At the time of this inspection the majority of the care staff employed either have an NVQ2 or NVQ3 with the remainder working towards the awards. Two Mulberry Court DS0000026847.V257432.R01.S.doc Version 5.0 Page 16 members of the staff team also hold the A1 Assessors Award in addition to the Manager. The inspector observed staff interacting well with the residents, being approachable and committed to the varying needs and abilities. Through discussions with staff and by reading various documentation staff have an awareness and understanding of the disabilities and specific conditions of the residents. Residents spoken with commented that they felt well cared for and fairly treated. The staff team are based at Mulberry Court but also work in the three other community homes run by the organisation. The staffing rota adequately covers all four homes. The rotas demonstrated that there are at least two members of staff on duty on both the morning and evening shifts, excluding the Manager. The Manager confirmed that staffing hours were flexible to ensure the resident’s needs are met. Residents spoken to felt that the staffing was adequate to their needs, acknowledging that at least half are very independent and have limited support. Three staff personnel files were examined. These files demonstrated that a robust recruitment and selection procedure had been followed. A Criminal Record Bureau certificate had been obtained and two written references received. The staff members, listing their previous experience, previous work placements, qualifications and personal details, had completed a detailed application form. Notes of the interview are kept. Service users are involved in the selection and interview of new staff, and evidence of their participation was found in the personnel files examined. Proof of identity (including birth certificate and driving license) had been copied and kept on their file. All applicants also have to complete a health declaration and give a medical history summary. Copies of the staff members’ contracts (terms and conditions of employment) and job descriptions are also held on file, and the staff spoken with were aware of these documents and stated that they had agreed and understood them. There is a six month probationary period. Interviews for the current part time vacancy are scheduled to take place on Wednesday 23rd November 2005. Although the home has had difficulty in recruiting male members of staff they have successfully recruited a total ratio of workers with a disability to 25 . Mulberry Court DS0000026847.V257432.R01.S.doc Version 5.0 Page 17 SCOPE has a detailed policy and procedures relating to formal supervision and appraisal of staff. The Manager confirmed that he receives formal supervision by the regional SCOPE operations manager. The written records of supervision discussions confirmed that the sessions include the monitoring of the staff members work with individual service users, support and professional guidance, identification of training needs and discussions around the aims and objectives of the home. Staff meetings also provide group support and supervision. The Manager and Deputy Managers have daily contact with staff. Staff spoken with confirmed that they receive a good level of support from their line managers and that supervision sessions are thorough. The Manager and Deputy Managers have received training in supervisory management. Mulberry Court DS0000026847.V257432.R01.S.doc Version 5.0 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 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 Standards 39 and 42 were assessed and met at the inspection carried out 17th/18th August 2005. A professionally qualified Manager effectively runs and monitors the service ensuring the Statement of Purpose is fulfilled in practice. The open culture of his management style allows for positive direction and leadership. EVIDENCE: The Registered Manager has been in post over four years and has appropriate experience and management skills. He has a Masters qualification in Social Work and has attained the Registered Managers Award at NVQ Level 4. He has also successfully completed his A1 Assessors Award in order to assess his staff team in the work place. Mulberry Court DS0000026847.V257432.R01.S.doc Version 5.0 Page 19 Service users and staff commented that the Registered Manager communicates a clear sense of direction and leadership, and that the management approach to the home is open and positive. Staff stated that they can express concerns easily, and have a say in the development of new policies and procedures. Mulberry Court DS0000026847.V257432.R01.S.doc Version 5.0 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 x x x x Standard No 22 23 Score 3 3 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 3 3 3 3 x 3 CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Mulberry Court Score x x x x Standard No 37 38 39 40 41 42 43 Score 3 3 x X X X x DS0000026847.V257432.R01.S.doc Version 5.0 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. 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 Mulberry Court DS0000026847.V257432.R01.S.doc Version 5.0 Page 22 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 Mulberry Court DS0000026847.V257432.R01.S.doc Version 5.0 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. 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!