Inspection on 18/08/05 for St Bridget`s

This inspection was carried out on 18th August 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

St Bridget`s 14/10/08

St Bridget`s 16/11/06

St Bridget`s 08/03/06

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 09/07/2008.

CARE HOME ADULTS 18-65 St Bridgets 64 St Nicholas Street Bodmin Cornwall PL31 1AG Lead Inspector Philippa Cutting Unannounced 18 August 2005 02.00 p.m. 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 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 Stationary 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. St Bridgets D52-D04 S9066 St Bridgets V234136 180805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service St Bridgets Address 64 St Nicholas Street Bodmin Cornwall PL31 1AG 01208 78170 01208 72281 Telephone number Fax number Email 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 Bridget Mary Byrne Mrs Theresa Alice Mary Platt Care Home 5 Category(ies) of Learning disability (5) registration, with number of places St Bridgets D52-D04 S9066 St Bridgets V234136 180805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 9 December 2004 Brief Description of the Service: St Bridget’s is a large older style town house within walking distance of the shops and facilities in Bodmin. Privately owned, it provides care and accommodation for five younger people with a learning disability. The accommodation comprises single rooms on the first floor with communal areas on the ground floor. Service users need to be normally ambulant as there are stairs ( with banisters) between the floors.There is a small garden/yard at the rear and parking in front of the house. St Bridgets D52-D04 S9066 St Bridgets V234136 180805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place between 2.0pm & 4.30pm. Two service users had returned from their day time activities towards the end of the visit but one had to go straight out to an appointment therefore there was no opportunity to talk to them. They were however heard to be exclaiming delightedly over the instillation of a new television. The inspection covered the care records, other documentation and discussed the home with the registered providers. What the service does well: 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 St Bridgets D52-D04 S9066 St Bridgets V234136 180805 Stage 4.doc Version 1.40 Page 6 contacting your local CSCI office. St Bridgets D52-D04 S9066 St Bridgets V234136 180805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection St Bridgets D52-D04 S9066 St Bridgets V234136 180805 Stage 4.doc Version 1.40 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 standard(s) These standards were not inspected as there have been no new service users. EVIDENCE: St Bridgets D52-D04 S9066 St Bridgets V234136 180805 Stage 4.doc Version 1.40 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 standard(s) 6,7,8,9 Service users are encouraged to be independent and exercise choice within an assessed situation. EVIDENCE: All the service users are encouraged to be active and independent as much as they are able. Their care plans detail the help that is needed by each one. Each person’s wishes and aspirations are reviewed. The registered manager said that recently this has been an ‘in house’ review as Social Services have been unable to provide a social worker to undertake this. However the service users are able to say how they view their lifestyles and arrangements and comments on any changes they would like to consider. Help is offered with budgeting where service users were experiencing problems with making their money last. Where this has been instituted it appears to have been successful. St Bridgets D52-D04 S9066 St Bridgets V234136 180805 Stage 4.doc Version 1.40 Page 10 The staff are aware regarding risks and have recently had to increase assistance for one person who was felt to be at risk from a lack of traffic awareness. The steps put in place have not curtailed his freedom but have safeguarded his activities. St Bridgets D52-D04 S9066 St Bridgets V234136 180805 Stage 4.doc Version 1.40 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 standard(s) 11,12,13,14,15,16,17 Service users are encouraged to be part of the local community and have opportunities to meet with their friends and families. EVIDENCE: All have a full programme of activities during the week, which they appear to enjoy. These include opportunities to be part of the local community through work, leisure and further education through ‘Link into Learning’ schemes. Contact with families is encouraged but not all the service users still have relations who have kept in touch with them. The registered manager commented that everyone in St Bridget is friendly and they enjoy each others’ company when at home. They are however encouraged to respect each other’s privacy. Service users help at mealtimes by clearing the table etc. A main meal is provided in the evenings when people return from their activities. Healthy eating is promoted with most taking a packed lunch for midday. St Bridgets D52-D04 S9066 St Bridgets V234136 180805 Stage 4.doc Version 1.40 Page 12 St Bridgets D52-D04 S9066 St Bridgets V234136 180805 Stage 4.doc Version 1.40 Page 13 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 standard(s) 18,19,20 Service users are provided with the support they need in a calm and discreet manner. EVIDENCE: Where help is needed with personal care, this takes the form of reminders or supervision rather than active help. The service users are in good health and only visit their Doctor on an ‘as needed’ basis. Dentistry is more difficult, with very little provision now available for the service users. Two people are on medication; both for diabetes and both manage this themselves, one by injection (pen) and one with tablets. Staff keep a discreet overview but say that both people are managing satisfactorily. St Bridgets D52-D04 S9066 St Bridgets V234136 180805 Stage 4.doc Version 1.40 Page 14 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 standard(s) 22,23 The home takes steps to ensure that any complaints would be dealt with and service users protected from abuse. EVIDENCE: All service users have had a copy of the home’s complaints procedure but the registered provider feels that they would speak out if they had a problem. There are opportunities for them to voice any concerns to people at their various day time activities if they did not wish to speak to the staff at St Bridget’s. One service user did raise a concern about an outside activity which resulted in a PoVA meeting. St Bridgets D52-D04 S9066 St Bridgets V234136 180805 Stage 4.doc Version 1.40 Page 15 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 standard(s) EVIDENCE: The environment was not inspected on this occasion as service users were not at home and therefore not able to show the inspector round. St Bridgets D52-D04 S9066 St Bridgets V234136 180805 Stage 4.doc Version 1.40 Page 16 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,35,36 The staff are family group who know each other and the service users well. They need to take care that they keep their knowledge of developments in the field of learning disability updated. EVIDENCE: The staff remain unchanged. The registered providers live in the house and are the main carers but they are complemented by other family members who have got to know the service users well in the time that they have been at the home. Two staff have National Vocational Qualifications and encouragement is being given to another to undertake this. Regular meetings are held where any difficulties are discussed and dealt with. Because of the close nature of the staff and the size of the home formal recorded supervision does not take place. The registered manager said she was confident that everyone was well informed and would ask if they had any issues that needed attention. The need to demonstrate that staff keep up to date with the current thinking on learning disability was discussed. The registered manager is advised to keep a folder with any training that she or the staff attend plus relevant articles that they have read. St Bridgets D52-D04 S9066 St Bridgets V234136 180805 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39,41 The home is well maintained and service users’ interests safeguarded by its maintenance and ethos. EVIDENCE: Mrs Platt has now completed her registered manager’s award. The home has a relaxed atmosphere and promotes itself as a family home. The registered provider produced a questionnaire relating to service user satisfaction but said that neither service users nor relatives would complete it. The records required by statute seen were: the accident book, the fire log, the registration certificate, insurance, CORGI and electrical testing. The old registration certificate should be either removed or placed more discreetly now as, although it looks nice, it is no longer valid and the home has increased its registered numbers. St Bridgets D52-D04 S9066 St Bridgets V234136 180805 Stage 4.doc Version 1.40 Page 18 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 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 St Bridgets Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 3 x 3 x x D52-D04 S9066 St Bridgets V234136 180805 Stage 4.doc Version 1.40 Page 19 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. 1. Standard Regulation Requirement There are no statutory requirements 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 YA35 Good Practice Recommendations The registered provider should keep a folder of information to demonstrate that she is keeping up to date with good practice and make it available for staff as well. St Bridgets D52-D04 S9066 St Bridgets V234136 180805 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection John Keay House Tregonissey Road St Austell Cornwall, PL25 4AD 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 St Bridgets D52-D04 S9066 St Bridgets V234136 180805 Stage 4.doc Version 1.40 Page 21 - 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. 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