CARE HOME ADULTS 18-65
Prince Bishop Court 3 Eureka Terrace Tan Hills Chester Le Street Durham DH2 3PZ Lead Inspector
Gavin Purdon Unannounced Inspection 6th February 2006 2:00 Prince Bishop Court DS0000007498.V272612.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 Prince Bishop Court DS0000007498.V272612.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. Prince Bishop Court DS0000007498.V272612.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Prince Bishop Court Address 3 Eureka Terrace Tan Hills Chester Le Street Durham DH2 3PZ 0191 3718860 0191 371926 p-b-c@btconnect.com 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) Positive Approach Services Limited Mr Neil Hardy Care Home 12 Category(ies) of Learning disability (12), Learning disability over registration, with number 65 years of age (2) of places Prince Bishop Court DS0000007498.V272612.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The category LD(E) is awarded to allow continuation of care for those service users who have reached the age of 65 years. 30th August 2005 Date of last inspection Brief Description of the Service: Prince Bishop Court is a private sector care home for up to 12 adults with learning disabilities, 2 of whom may be over the age of 65. It is situated in the village of Kimblesworth, halfway between Durham City and Chester le Street. The premises consist of what were originally 2 adjacent houses, converted into 1 and extended to the rear. The home has some outside space to the side and rear, for parking and leisure use. Prince Bishop Court has ground and first floor facilities. It does not have a lift but is not intended for service users with additional physical disabilities. The homes plan to divide into 2 units of 5 and 7 service users each is now well underway. It is thought that this division will support better outcomes for the more dependent and more independent service users living at Prince Bishop Court. The development is looked forward to by management staff and service users who are very pleased with the changes made so far. Prince Bishop Court DS0000007498.V272612.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over the early afternoon and teatime period. It was assisted by the home’s management team and senior care staff. 3 of the home’s service users showed the inspector their bedrooms and 4 service users in the lounge talked about life at the home. There was an opportunity to look around the building with the home owner’s named representative and to see a typical teatime at Prince Bishop Court. Records were seen relating to staff training and suitability, and for maintaining the health and safety of residents and staff in the working and living environment. Generally, this was a very satisfactory inspection. What the service does well: What has improved since the last inspection?
In terms of actual improvements, management thought the main effort had gone into the refurbishment and subdividing of the home. Management had also tried to make sure the home was maintaining the overall quality of service to residents, and that this was not undermined by extensive work on the building. Improvements to the building were very obvious, and very impressive. Prince Bishop Court DS0000007498.V272612.R01.S.doc Version 5.0 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. Prince Bishop Court DS0000007498.V272612.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 Prince Bishop Court DS0000007498.V272612.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): Not assessed on this occasion. EVIDENCE: Prince Bishop Court DS0000007498.V272612.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): Not assessed on this occasion. EVIDENCE: Prince Bishop Court DS0000007498.V272612.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): Not assessed on this occasion. EVIDENCE: Prince Bishop Court DS0000007498.V272612.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): Not assessed on this occasion. EVIDENCE: Prince Bishop Court DS0000007498.V272612.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): Not assessed on this occasion. EVIDENCE: Prince Bishop Court DS0000007498.V272612.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): 24 & 30. Residents live in a safe, comfortable and convenient home. Residents’ safety and comfort are protected by good standards of hygiene and cleanliness. EVIDENCE: Management and staff interviewed thought the home safe, comfortable, and convenient for service users. Staff thought they were well trained, and the home well equipped, and well organized to support the safety and comfort of service users. Management and staff involved in conducting and recording weekly and monthly environmental and fire safety checks explained the processes involved in keeping service users safe and produced the records kept of these activities. Daily routines such as late evening safety and security checks carried out by night staff were described. The inspection of the building, and discussion with, and observation of service users in lounge and bedroom facilities gave a good impression of Prince Bishop Court as a safe comfortable and convenient place for people to live. The home
Prince Bishop Court DS0000007498.V272612.R01.S.doc Version 5.0 Page 14 was seen to be well on the way to completing a major refurbishment. Whilst some areas of the home about to be improved were a little grubby and worse for wear, very extensive and very impressive progress in upgrading the homeliness and comfort of the home was also seen. Some of the refurbished residents’ bedrooms were quite outstanding in style, comfort and personality. The service users living in them were very proud and pleased with them. One bathroom has been re equipped as a toilet and shower room to nice standard of comfort and convenience. Another main bathroom improvement is well underway at present. Management and staff described how hygiene and cleanliness are maintained through the home’s training procedures and equipment. The importance of protecting service users and staff is well recognized and provided for. Prince Bishop Court DS0000007498.V272612.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): 32, 34, & 35. Service users benefit from support provided by a well-qualified staff group. Staffing levels allow the care team to work quite effectively on behalf of service users. Service users are protected from unsuitable care staff job applicants by the home’s careful recruitment and selection practices. Staff have a programme of training and development that ensures service users’ needs are understood and met in a way that benefits residents. EVIDENCE: 80 of the home’s staff group hold the NVQ2 or 3 qualifications in care. Management and staff thought staffing levels very good, and that these allow the care team to work very effectively on behalf of service users. There are 11 service users living at the home at present. Typically there are 4 care staff on duty throughout the day, with 1 waking staff and 1 sleeping member of staff on the premises during the night. Care staff also provide cooking and cleaning support. Not all service users remain in the home during the day, as they attend a range of day care and work placements. There is also
Prince Bishop Court DS0000007498.V272612.R01.S.doc Version 5.0 Page 16 a very substantial management team presence, on site and available for advice and support. Discussion and examination of personnel files confirmed that proper criminal record checks, work histories, and references were required from and provided by job applicants. The home’s programme and record of staff training and development was seen. This covered the necessary topics to ensure staff can help service users remain safe, comfortable, and as fulfilled as they can be. Management and care staff spoken to thought they worked well together for the good of their service users, and that their knowledge training and teamwork helped this happen. Prince Bishop Court DS0000007498.V272612.R01.S.doc Version 5.0 Page 17 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, 39, & 42. Prince Bishop Court has a well-established and well-experienced management team to oversee the running of the home, and this works well for the benefit of staff and service users. The home is interested in what service users, relatives, and staff, think about how care is provided and gathers information about this from various people to help decide whether their service is satisfactory or needs improving. The home’s management makes organized and formal checks to ensure the building is a safe and comfortable environment for service users to live in. EVIDENCE: The home’s registered manager and the registered owner’s representative are both closely involved in the day-to-day management and overall direction of Prince Bishop Court. The home is well managed. The registered manager is experienced, and holds a number of qualifications equivalent to those asked for in National Minimum Standard 37, but should obtain the Registered Manager’s
Prince Bishop Court DS0000007498.V272612.R01.S.doc Version 5.0 Page 18 Award to assist in the development of management practice within the organization. Survey questionnaires are used for gathering information on how satisfied people are with the service Prince Bishop Court provides. These are collated, acted on and published. The home encourages comment and likes to know what people think about the quality of service it provides. The home has the Investors in People business award, which requires a well-developed approach to quality assurance, with good evidence that customers are consulted and listened to. Forms were seen for ensuring that systematic checks are made throughout the home to confirm that the environment remains a safe and comfortable setting to live and work in. Prince Bishop Court DS0000007498.V272612.R01.S.doc Version 5.0 Page 19 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 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 3 X X X X X 3 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 4 X 3 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Prince Bishop Court Score X X X X Standard No 37 38 39 40 41 42 43 Score 3 X 4 X X 3 X DS0000007498.V272612.R01.S.doc Version 5.0 Page 20 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. 2. Refer to Standard YA24 YA37 Good Practice Recommendations The home should continue with the good progress made in its programme of internal upgrading and redecorating. The home is well managed. The registered manager is experienced, and holds some qualifications equivalent to those in National Minimum Standard 37, but should obtain the Registered Manager’s Award to assist in the development of management practice within the organization. Prince Bishop Court DS0000007498.V272612.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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