Inspection on 10/07/07 for The Berkeley

This inspection was carried out on 10th July 2007.

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 found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Berkeley 18/07/06

The Berkeley 05/12/05

The Berkeley 24/06/05

The Berkeley 25/02/05

The Berkeley 01/06/04

The Berkeley 09/06/03

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 The Berkeley 1 & 2 Elysium Terrace Kingsthorpe Road Northampton NN2 6EN Lead Inspector Martin Hefferman Key Unannounced Inspection 10th July 2007 11:10 The Berkeley DS0000012706.V340938.R01.S.doc Version 5.2 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 The Berkeley DS0000012706.V340938.R01.S.doc Version 5.2 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. The Berkeley DS0000012706.V340938.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Berkeley Address 1 & 2 Elysium Terrace Kingsthorpe Road Northampton NN2 6EN 01604 722033 01604 712155 isobelmelo@mentauruk.com www.mentauruk.com Mentaur Limited 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) *** Vacant *** Care Home 14 Category(ies) of Learning disability (14), Learning disability over registration, with number 65 years of age (2) of places The Berkeley DS0000012706.V340938.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. To include up to 2 people over the age of 65 years It is a condition of this registration that the home is authorised to care for the two current named service users who have learning difficulties and additional mental health needs, and one named service user who has sensory impairment in addition to her learning difficulties. 18th July 2006 Date of last inspection Brief Description of the Service: The Berkeley is situated in a residential area of Northampton, within approximately 1.5 kilometres of the town centre and local facilities including a park. It is one of three homes in the locality owned by Mentaur. The organisation also runs a day centre in Northampton, which service users can attend. The Berkeley is a large town house comprising of three storeys and a basement. Service users have single or shared rooms, which are situated on three of the four floors. The ground floor is made up of communal rooms including a lounge, dining room and staff office. The home has an accessible rear garden for the use of the service users. Access to the front entrance of the home is via steps however level access is available to the rear of the property. At the time of the inspection, fees ranged from £435.13 to £1095. The Berkeley DS0000012706.V340938.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A visit to the home took place on 10th July 2007, lasting approximately five and a quarter hours. The main method of inspection used on that day was ‘case tracking’ which involved selecting two people who live at the home and tracking the care they receive through review of their records, discussion with them & staff and observation of care practices. Four people who live at the home were spoken to during the course of the visit. This inspection has also taken into account all information received since the date of the last visit, including the owner’s self-assessment. No comment cards had been received at the time of writing this report. What the service does well: What has improved since the last inspection? Individual plans are being rewritten from the perspective of the person receiving support. Improvements have been made to the dining room to make mealtimes a more enjoyable experience. A hand-washing sink has been fitted in the kitchen & a bathing chair has been purchased for one of the bathrooms. Staff members continue to receive training on a range of issues relevant to their work including ‘sign along’, an alternative communication method. The Berkeley DS0000012706.V340938.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. The Berkeley DS0000012706.V340938.R01.S.doc Version 5.2 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 The Berkeley DS0000012706.V340938.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1&2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users do not have access to up-to-date information about the home to enable them to decide whether to move in. Assessment procedures are effective, ensuring that the needs of any prospective service users are identified and can be met. EVIDENCE: The copy of a guide about the home, which was available at the time of the inspection, was out of date. One of the people who were chosen for the purposes of case tracking stated that she had visited the home before she moved in but had not received a copy of the guide. The acting manager stated that people who live at the home would be involved in the production of an upto-date and more accessible version of the information provided to prospective service users. One person has moved to The Berkeley since the date of the last inspection. She moved from another home owned by the registered provider. A copy of detailed background information completed by the person’s social worker had been obtained. Staff from the other home had used that information to develop an individual plan (see ‘Individual Needs & Choices’). The Berkeley DS0000012706.V340938.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff members have access to the information they require to meet individual needs. EVIDENCE: Individual plans were available for the people who were chosen for the purposes of case tracking. Both of the plans that were inspected had been signed by the service user to indicate that he or she was in agreement. Records indicate that the plans have been kept under review. Staff members were in the process of rewriting plans from the perspective of the person receiving support. The acting manager stated that one of the plans that were inspected would be updated to reflect the person’s move from another home run by the registered provider. She agreed to amend the second plan to reflect the alternative daytime arrangements that were in place and to ensure that other professionals involved in the person’s care formally agreed those arrangements. The Berkeley DS0000012706.V340938.R01.S.doc Version 5.2 Page 10 Service users stated that they could decide how to spend their evenings and weekends. They reported that they are able to choose when to get up & go to bed and when to complete personal care tasks. It was evident at the time of the visit that service users were able to make full use of communal areas and their bedrooms. One of the people who were chosen for the purposes of case tracking stated that she had chosen the colour for her room and helped decorate it. A weekly meeting is held at which service users have an opportunity to suggest activities and decide on menus. Service users indicated that they are encouraged to participate in the running of the home and to undertake tasks independently wherever possible. Risk assessments have been completed detailing the measures to be taken to minimise any risks that have been identified. The Berkeley DS0000012706.V340938.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home are able to choose a lifestyle which meets their expectations. EVIDENCE: People who live at the home attend a day service run by the registered provider in Northampton and a number of supported work placements. Several service users stated that they enjoy going to a local pub and the shops in their free time; others reported that they prefer to stay at home. One of the people who were chosen for the purposes of case tracking indicated that he was looking forward to a holiday at Butlins later in the year. Records indicate that people who live at the home are in regular contact with their families where possible. Service users stated that they enjoy the food that is provided. They are involved in planning the menu at a weekly meeting. Records indicate that an The Berkeley DS0000012706.V340938.R01.S.doc Version 5.2 Page 12 alternative meal is provided when required. During the course of the visit service users were encouraged to use kitchen facilities to prepare their own drinks with staff providing support when required. Since the date of the last inspection, improvements have been made to the dining room – including the purchase of new tables & chairs - to make mealtimes a more enjoyable experience. The Berkeley DS0000012706.V340938.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. With the exception of an identified shortfall with record to recording the administration of medication, service users’ personal & healthcare needs appear to be met. EVIDENCE: People who live at the home stated that they are happy with the support they receive from staff members. The individual plans that were inspected detailed the personal care each person requires. They also set out details of any healthcare needs that have been identified and of any action that is felt to be necessary as a result. A record is kept of any healthcare appointments attended by service users. None of the people who live at the home are able to manage their medication. Records of the medicines administered to service users contained a number of omissions. Staff members have received medication training. A contract pharmacy inspected medication arrangements at the home during March 2007. The acting manager stated that an issue identified at the time of that visit had not arisen since. The Berkeley DS0000012706.V340938.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home are protected by the home’s arrangements for handing complaints and responding to allegations of abuse. EVIDENCE: People who live at the home stated that they would speak to staff or the manager if they have any concerns. Copies of the complaints procedure are displayed in various places within the home. Regular meetings also provide an opportunity for service users to raise any concerns. The acting manager stated that she had not received any complaints since she took over the running of the home in September 2006. The Responsible Individual (a representative of the company) agreed to forward the outcome of a complaint investigation undertaken since the date of the last inspection at the request of the Commission. The home has policies & procedures on the protection of vulnerable adults and whistle blowing. Information about the action to be taken in the event of an allegation or suspicion of abuse is displayed in the staff office. Staff members have received training on the protection of vulnerable adults. The Berkeley DS0000012706.V340938.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a comfortable and safe environment. EVIDENCE: The areas of the home that were inspected were generally decorated and furnished to a satisfactory standard. They were clean and odour free. Service users stated that they are happy with their rooms and the environment in which they live. They have been encouraged to personalise their rooms and to have their belongings around them. Since the date of the last inspection, improvements have been made to the dining room; a hand-washing sink has been fitted in the kitchen & a bathing chair purchased for one of the bathrooms. The acting manager agreed to investigate whether curtains in one of the bedrooms could be lined to promote a service user’s privacy and to replace a bed identified at the time of the visit. The Berkeley DS0000012706.V340938.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements for the recruitment & training of staff ensure that service users are protected and their needs met by trained staff. EVIDENCE: Service users stated that they are happy with the support they receive from staff members. There appeared to be a positive relationship between service users and the staff who were present at the time of the visit. The records relating to two members of staff indicated that appropriate preemployment checks had been carried out. New members of staff complete a programme of in-house induction training. The acting manager stated that all staff members would undertake induction training to the standards set by Skills for Care. Information received prior to the visit indicates that four of the ten members of care staff have completed National Vocational Qualification level 2 or above & that five are working towards a similar award. Records indicate that staff members have received training on issues relevant to their work, including ‘sign along’ (an alternative communication method). The Berkeley DS0000012706.V340938.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed. EVIDENCE: The acting manager has completed a level four National Vocational Qualification in management & care and the Registered Managers Award. She has been running the home since September 2006. The Commission has yet to receive an application for her registration. The Responsible Individual (a representative of the company) completes Regulation 26 reports (visits by the registered provider). The company has recently undertaken a thorough audit of the services provided at all of its homes and has provided a copy of the results to the Commission. Service users from the home also attend regular forum meetings with the Responsible Individual. The Berkeley DS0000012706.V340938.R01.S.doc Version 5.2 Page 18 Staff members have received training on a number of safe working practices. Records indicate that fire tests & drills generally take place at the required frequency although some tests of the fire alarm system appear to have been missed. The temperature of one of the fridges appeared to be high on a number of occasions. These issues were also raised at the time of the last inspection. The Berkeley DS0000012706.V340938.R01.S.doc Version 5.2 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 Standard No Score 1 2 2 3 3 X 4 X 5 X 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 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 2 X 3 X X 3 X The Berkeley DS0000012706.V340938.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? N/a 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 YA1 Regulation 5 Requirement Timescale for action 31/10/07 2 YA20 13.2 10/07/07 3 YA37 8 31/08/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The Berkeley DS0000012706.V340938.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX National Enquiry Line: 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 © 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 The Berkeley DS0000012706.V340938.R01.S.doc Version 5.2 Page 22 - 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. 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