Inspection on 08/03/06 for St Bridget`s

This inspection was carried out on 8th March 2006.

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 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 09/07/2008.

CARE HOME ADULTS 18-65 St Bridgets St Bridgets 64 St Nicholas Street Bodmin Cornwall PL31 1AG Lead Inspector Philippa Cutting Announced Inspection 8th March 2006 02:30 St Bridgets DS0000009066.V276089.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address St Bridgets DS0000009066.V276089.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. St Bridgets DS0000009066.V276089.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service St Bridgets Address St Bridgets 64 St Nicholas Street Bodmin Cornwall PL31 1AG 01208 78170 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Bridget Mary Byrne Mrs Theresa Alice Mary Platt Care Home 5 Category(ies) of Learning disability (5) registration, with number of places St Bridgets DS0000009066.V276089.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th August 2005 Brief Description of the Service: St Bridgets 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 (two of which are en suite) 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. The family/staff live on the top floors of the house. St Bridgets DS0000009066.V276089.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection that took place between 2.0 pm & 6.30 pm. There was full discussion with the registered person, an inspection of the records of the service users and other required documentation. The inspector met with the service users as they returned from their daytime activities. Service users’ rooms were visited with their consent and in their presence. There was general discussion individually about their lives, both in the home and more generally. The inspector was introduced to other members of the family who live at St Bridgets. What the service does well: What has improved since the last inspection? What they could do better: A record.s of staff discussion should be kept in order to demonstrate the issues that are discussed. Please contact the provider for advice of actions taken in response to this St Bridgets DS0000009066.V276089.R01.S.doc Version 5.1 Page 6 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. St Bridgets DS0000009066.V276089.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection St Bridgets DS0000009066.V276089.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,5 Information about the home has been updated and is provided to all the service users in a format they can understand. EVIDENCE: The statement of purpose & service users guide have been revised. They are written in a ‘user friendly’ style. The normal written font is acceptable to the majority of the service users. Symbols have been tried for one person who finds reading difficult but this was not helpful. The registered person therefore spends time reading items out loud for this person. There have been no new service users, but the skills of the staff and opportunities available were felt to meet the requirements of the current service user group. A contract for each service user was seen in their files. They had been signed. St Bridgets DS0000009066.V276089.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9,10 Service users are included in making decision about their lives. In particular they are part of a discussion, with other important relatives etc, if a problem arises. The registered person recognises where additional ‘professional’ advice is needed and seeks this. She is currently frustrated by its apparent nonavailability via other agencies. EVIDENCE: Each person has a plan drawn up with the service user that outlines strengths and needs with details of the activities and plans to meet these. Service users are included in decision-making. Where particular help is needed – for example in budgeting and general financial management – written agreement is sought on the form this will take. The registered person is actively seeking involvement from the local Social Service Department for a review for service users, one in particular as it is felt that wider input would be helpful. Risk assessments are documented, with the required action where a need has been identified. Any incidents that have occurred have been recorded. The home is reminded that the Commission for Social Care Inspection may need to be advised if these fall within regulation 37. St Bridgets DS0000009066.V276089.R01.S.doc Version 5.1 Page 10 Service users and two representatives had provided written feedback to the inspector about their views of their situation at St Bridgets. This was positive. Confidentiality was discussed. The staff are aware of the need and service users are discouraged, or gently reminded not to discuss other peoples’ business, although the registered person said this was not generally a problem. St Bridgets DS0000009066.V276089.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17 The service users are encouraged to have a full lifestyle. It is tailored to individual needs and wishes but takes consideration for others into account. The staff take time to discuss issues with an individual if they have concerns that the service user may be getting him/herself into difficult situations. Pros and cons may be pointed out to help the service user make a decision but directives are not given. EVIDENCE: All the service users have an active daily programme between Monday & Friday, which includes day centres, work placements, educational opportunities & volunteer positions etc. When asked, they described what these various activities involved and appeared pleased with their programmes. All attend clubs or other recreational outlets of their choice during the evenings and weekends. It was noted that they have friends with whom they choose to spend time both within the home and from outside sources. Visits to and from families are encouraged. Some have more opportunities than others for this. People are at liberty to go into town or use local transport where this has been St Bridgets DS0000009066.V276089.R01.S.doc Version 5.1 Page 12 assessed as appropriate and safe. Staff regularly provide an escort or transport for people wishing to go farther afield and needing assistance. Service users are offered holidays. These may be taken as a group if the proposed location is something that interests everyone. This year alternatives to suit individuals are being considered. The main meal is taken in the evening as people are out by day. This is provided but the service users will help with clearing up etc. Most take a packed lunch during the week and those who are able and wish to do so, make their own. Drinks and snacks are available at other times. The diet is varied and encourages health eating especially for service users who are diabetic. Staff provide guidance where necessary with regard to any dietary limitations due to diabetes but say that the people concerned are generally sensible about what they eat. One person was delighted that she had managed to lose weight during the last 12 months. St Bridgets DS0000009066.V276089.R01.S.doc Version 5.1 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 the following standard(s): 18,19,20,21 Service users are in good health but staff provide care and assistance when this is needed. Support with personal care is offered discreetly for those who require this. EVIDENCE: Currently the service users are all in good general health and use medical facilities on an ‘as needed’ basis. The service users who are diabetic receive regular medical checks from the specialist nurse. They are managing their condition with minimal input from the staff. Indeed one person looks after the monitoring of blood sugar levels and insulin injection by pen independently. Very little medication is prescribed at present for any service user. What there is, is recorded. Supervision with personal care is provided. Mainly this is prompting and reminders rather than active help. Access to professions ancillary to medicine is sought as necessary – mainly chiropody and dental services at present. It is the home’s stated aim to care for people until their lives’ end as long as this is possible. St Bridgets DS0000009066.V276089.R01.S.doc Version 5.1 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 the following standard(s): 22,23 Policies and procedures are in place to assist service users who may wish to make a complaint or may have been subject to abuse. One person had sufficient confidence to pass on concerns to staff, which were then dealt with. EVIDENCE: St Bridgets has a written complaints policy which is made available to service users. There have been no complaints in the last 12 months. One request for a PoVA investigation was made to Social Services. This was resolved. The registered person followed the home’s policy in doing so. St Bridgets DS0000009066.V276089.R01.S.doc Version 5.1 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 the following standard(s): 24,25,26,27,28,29,30 Service users live in a clean and organised home that meets their needs. People are encouraged to personalise their own rooms whilst taking joint responsibility for keeping communal areas tidy. The decor was of a good standard. EVIDENCE: The service users are all currently mobile so there are no physical limitations within the house. All expressed satisfaction with their rooms, which were personalised to a greater or lesser degree, according to peoples’ choice. They have access to a sitting/dining area on the ground floor with a television and DVD. People have their own television in their rooms so are not limited in their choice of viewing by other peoples’ wishes. There is an additional sitting room where visitors or friends can be entertained. All service users have access to a telephone. The staff do the laundry although the service users are expected to put it out at the allotted time. It comprises normal domestic equipment. Service users look after their own room, which includes cleaning and bed changing etc. St Bridgets DS0000009066.V276089.R01.S.doc Version 5.1 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 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 As family members the staff all appeared to work well together. There is however no formal supervision in place as all take equal responsibility with a division of tasks. EVIDENCE: St Bridgets is staffed by family members. All have had experience in the healthcare field. The statement of purpose details their experience and qualifications. Consequently formal recruitment interviews do not take place. The registered person said that they hold regular discussion about the home, service users and any issues that present. There is no formal recorded supervision therefore a record of the staff discussions is advisable. The registered person may need to give consideration to how any dispute between family members would be dealt with, even though in the present circumstances this appears to be unlikely. The home is reminded that Criminal Records Bureau checks must be undertaken for each new staff. They should not be transferred from other work situations. The registered person said that she receives regular information about training and courses that are available which are scrutinised. Those that are felt to be St Bridgets DS0000009066.V276089.R01.S.doc Version 5.1 Page 17 relevant are taken up. First Aid is about to be renewed for some. One family member who has recently become a full time member of staff is planning to start National Vocational Qualifications level lV plus her registered manager’s award. Individual staff records were not inspected on this occasion. St Bridgets DS0000009066.V276089.R01.S.doc Version 5.1 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): 37,38,39,41,42 There are records and practices with in the home to ensure the well being of staff and service users. Documentation to support this is available. The general ethos and atmosphere was good. EVIDENCE: The registered person has eight years of experience in running St Bridgets and has obtained her registered manager’s award. She said that she had compiled a folder to show how she had kept her knowledge and information up-to-date. This will be viewed at the next inspection. The atmosphere within the home was good. Feedback from a simple quality assurance form completed by the service users indicated that their views were encouraged and listened to. There is likely to be a greater emphasis on quality assurance in the future. The registered person may wish to consider how this could be expanded. St Bridgets DS0000009066.V276089.R01.S.doc Version 5.1 Page 19 The home has a set of policies and procedures but the registered person commented that she intends to review all these in the next 12 months as she feels some may need updating or expanding. Records required by statute were inspected and felt to be satisfactory. Regular fire checks and test are carried out and documented. It was noted that the Fire Safety Officer has not visited since August 2002 although a commercial firm has carried out regular reviews of the fire precautions. The registration and insurance certificates were displayed. COSHH & Corgi inspections were current. There have been no accidents to record. The home was reminded that moving and handling applies not only to helping service users but also to any object that needs shifting. St Bridgets DS0000009066.V276089.R01.S.doc Version 5.1 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 Standard No Score 1 3 2 X 3 3 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 3 3 X 3 3 x St Bridgets DS0000009066.V276089.R01.S.doc Version 5.1 Page 21 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. Refer to Standard YA9 Good Practice Recommendations The home is reminded that the Commission for Social Care Inspection should be advised of any incidents that affect the wellbeing of a service user. St Bridgets DS0000009066.V276089.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection St Austell Office 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 DS0000009066.V276089.R01.S.doc Version 5.1 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. 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