Inspection on 14/10/08 for St Bridget`s

This inspection was carried out on 14th October 2008.

CSCI found this care home to be providing an Good service.

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

St Bridget`s 16/11/06

St Bridget`s 08/03/06

St Bridget`s 18/08/05

St Bridget`s 09/12/04

St Bridget`s 27/07/04

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 27/02/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: St Bridget`s 64 St Nicholas Street Bodmin Cornwall PL31 1AG     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Michael Dennis     Date: 1 4 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 27 Information about the care home Name of care home: Address: St Bridget`s 64 St Nicholas Street Bodmin Cornwall PL31 1AG 0120878170 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mrs Bridget Mary Byrne,Mrs Theresa Alice Mary Platt Name of registered manager (if applicable) Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 5 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: Date of last inspection Brief description of the care home 5 St Bridgets provides residential care for five adults with a learning disability. Mrs Byrne and Mrs Platt are the registered providers, and also live on the premises. The home is situated within walking distance of the town of Bodmin. The lounge is on the ground floor, with 5 bedrooms (of which two are en suite) on the first floor. There is a small garden and also parking at the front of the house. Service users need to be normally ambulant as there are stairs (with banisters) between the floors. The family/staff live on one sde of the house. A copy of the inspection report is available in the service users lounge, and it is suggested a copy is requested from management or CSCI if required. The range of fees at the time of the inspection is 340 pounds per week. There are additional charges e.g. for hairdressing, chiropody, and newspapers etc. Care Homes for Adults (18-65 years) Page 4 of 27 Care Homes for Adults (18-65 years) Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This Key Inspection took place over a five hour period. All of the Key Standards were inspected. We looked at all the records pertaining to the five residents to include case tracking of care plans and the daily continuity records. We discussed with one resident his care and lifestyle at the home in some depth. He reported satisfaction. We observed care practices and discussed these with management. We inspected other records required by legislation and also inspected the care environment. Other evidence gathered since the previous inspection, such as notifications received from the home regarding any incidents which occurred, and the Annual Quality Care Homes for Adults (18-65 years) Page 6 of 27 Assurance Assessment sent to us was used to help form the judgements made in the report. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has a suitable statement of purpose and service user guide. This enables residents and their relatives to have suitable information regarding services provided. Residents have a suitable contract of care or statement of terms of conditions of residency. This enables them to be aware of their rights and responsibilities. The pre admission assessment procedure is good, and enables the registered persons to ascertain they can meet the needs of the people who use the service, before admission is arranged. Evidence: Copies of the statement of purpose, service user guide, contract of care and statement of terms of conditions of residency, were inspected. Copies of local authority contracts are also on file where applicable. Copies of pre admission assessments were also inspected and these were comprehensive. Discussion with residents and the manager outlined a suitable process of how people moved in to the home. This included, where appropriate, the Care Homes for Adults (18-65 years) Page 10 of 27 Evidence: opportunity for people to visit the home and stay at the home before formal admission was arranged. Care Homes for Adults (18-65 years) Page 11 of 27 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. All residents have a care plan and these are reviewed. This ensures staff have suitable information to provide care, and care plans are amended when changes in residents needs occur. Residents are encouraged to make decisions about their lives with suitable assistance as required. The registered persons approach to handling residents monies is satisfactory, so they can be assured their financial interests are safeguarded, where the registered persons are involved in this area of their lives. The registered persons have a suitable approach to risk, so residents can be assured they will be supported to take risks as part of an independent lifestyle. Evidence: There is a copy of a care plan in respect of each resident. Staff said care plans were accessible to them. The care plan format is comprehensive and gives clear guidance to staff regarding peoples needs. There is suitable evidence that care plans are reviewed appropriately, for example a formal review is held. At least one service user said they were involved in the development of their care plan. Care Homes for Adults (18-65 years) Page 12 of 27 Evidence: We were told that residents are encouraged to make decisions regarding their lives. Suitable risk assessments are in place to assess any risks or actions to promote independence. These seemed appropriate, and bear in mind peoples skills and abilities. The registered persons look after some residents monies, for which suitable records are maintained. Suitable risk assessments regarding this intervention are kept. Benefits are paid into their personal bank accounts or paid to relatives or legal representatives. Suitable records of money received and expenditure are kept. Monies checked matched with records kept. The registered persons have a satisfactory approach regarding issues relating to diversity and equality. There are currently no persons from ethnic minorities, although the registered persons stated they would be more than happy to accommodate people from other cultures. The local population is predominantly Cornish, and from White, UK background. Issues regarding sexuality, gender and disability seem to be suitably addressed. Care Homes for Adults (18-65 years) Page 13 of 27 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents can participate in a suitable range of activities, and are able to mix with the wider community. They are encouraged to maintain relationships with friends and relatives. Residents rights are respected, and they are enabled to take a suitable amount of responsibility in their daily lives. Suitable arrangements are in place so that residents enjoy a healthy and varied diet. Evidence: Residents said they have a range of activities. These include attending day centres, having sheltered work placements, educational opportunities etc. The registered persons have a multi purpose vehicle to help residents to move around the community. Regular social trips occur, for example, at the weekend. We were told that they visit friends and relatives regularly, and they are encouraged to maintain contact via the telephone or post. Visiting arrangements are flexible, and there is suitable Care Homes for Adults (18-65 years) Page 14 of 27 Evidence: space for people to receive visitors privately. Residents said they could get up and go to bed when they wish, although some may need reminding to get up on the days when they attend day placements. Residents said staff worked with them in a way, which respected their privacy and dignity. For example staff knock on doors, and mail is not opened without their agreement. Residents and staff said they have some involvement in household tasks for example doing laundry and cleaning their bedrooms. However a cleaner is employed and staff prepare the main meal each day, but often with help from the residents. There seems a suitably individualised approach to the taking of risk in line with individual residents abilities and wishes. Drinks are available whenever these are requested. Residents are able to make their own drinks as required. Suitable records are maintained regarding food provided. Residents have a real say in what they prepare and eat. Care Homes for Adults (18-65 years) Page 15 of 27 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Personal care is delivered to a good standard, and there are suitable links with medical professionals. Medicines are managed appropriately. Residents can therefore be assured there personal and health care needs are suitably met. Evidence: Residents said they received suitable care and support from staff. Any personal care needs are clearly documented in care plans, and staff seem clear regarding what assistance service users need. Care plans document appropriate links with GPs, dentists, chiropodists and other professionals. We were told that said they regularly saw medical professionals when required. The registered persons and other staff reported no problems with links with medical professionals. Medication is stored appropriately and suitable records are kept. Residents order and self administer medication where this is appropriate, and suitable agreements are in place regarding this. Care Homes for Adults (18-65 years) Page 16 of 27 Care Homes for Adults (18-65 years) Page 17 of 27 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The registered persons have suitable procedures regarding complaints and adult protection. Subsequently residents can be assured there are appropriate procedures to deal with any concerns or bad practice. Evidence: The registered persons have satisfactory procedures regarding complaints and adult protection. Staff and residents showed suitable awareness of the procedures, and were able to say whom they would approach if they had a complaint or were concerned about abuse. Staff and residents said they had not witnessed any bad or abusive practices. All staff have Criminal Record Bureau check, and a Protection of Vulnerable Adults check. Care Homes for Adults (18-65 years) Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. St Bridgets provides a pleasant, homely, clean and well-maintained environment for people to live and feel at home in. Evidence: The building was inspected. The building appears to be well maintained, clean, pleasantly decorated and homely. There is a small garden, which people can use. Residents use the communal lounge, which adjoins the kitchen and dining area. We were told that they could use the lounge at any time, but also have a TV in their bedrooms. Bedrooms are to a good standard. They are individualised and comfortable. Two bedrooms have en suite facilities. Decorations throughout the home are maintained to a reasonable standard. There are suitable toilet and bathroom facilities for communal use. Suitable kitchen and laundry facilities are provided. The home was clean and hygienic at the time of inspection. Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: Since the last inspection the location of the kitchen and dining area has been changed. It is now adjacent to the lounge area. Care Homes for Adults (18-65 years) Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staffing levels appear suitable so residents can be assured they will get appropriate levels of staff support. Personnel records are good so residents can be assured there are suitable personnel checks in place. Suitable staff training ensures staff have appropriate skills and knowledge to carry out their jobs. Evidence: Staffing is provided by an extended family. Most of the family live on the premises, with the remaining family staff members living nearby. There is at least one member of staff available at any one time, and additional staffing is provided, for example, if there are trips out. At least one of the staff sleeps in and is available each night. One of the registered providers has a registered managers award, and one of the staff has a National Vocational Qualification at level 2 in care. These two staff provide the majority of the care. The registered providers approach to ensuring staff have training required by regulation has been improved. By law all staff must have moving and handling, fire and infection control training. The law also states there must always be one approved first aider on duty, and all food handlers must have a food-handling certificate. Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: All staff have now obtained these qualifications as required by a statutory requirement made at the last inspection. Personnel records were inspected. These are to a satisfactory standard. It is recognised that all staff currently employed are family members, so there are no recruitment records as such. However all staff have a Criminal Records Bureau check and Protection of Vulnerable Adults check (where applicable). Care Homes for Adults (18-65 years) Page 22 of 27 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The registered persons appear to be suitably experienced, skilled and qualified to manage the home so residents can be assured there are competent people in charge of the home. There is a suitable quality assurance system in place so residents can be assured there is a suitable system to measure and maintain a good quality of service. The management of health and safety issues is good so residents can be assured they live in a safe environment. Evidence: The registered persons appear caring, approachable and competent. Residents were positive about the registered persons approach, and said they found them supportive and caring. The registered persons have a suitable approach to quality assurance. A survey has been completed of stakeholder views and these are positive. A summary report of the findings was produced. There are house meetings to discuss any issues, which may Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: arise. The registered persons have a suitable health and safety policy. Regular health and safety checks are completed. Other records kept of checks required by regulation are satisfactory. For example there are suitable records of the testing of fire equipment, gas appliances, portable electrical appliances and the electrical hardwire circuit. Accident records are suitably maintained. Health and safety risk assessments are satisfactory including a suitable system regarding the prevention of Legionella. Care Homes for Adults (18-65 years) Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 26 of 27 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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