Inspection on 18/07/06 for The Berkeley

This inspection was carried out on 18th July 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

The Berkeley 10/07/07

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 Unannounced Inspection 18th July 2006 01:25 The Berkeley DS0000012706.V304146.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.V304146.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.V304146.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 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) www.mentauruk.com Mentaur Limited 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.V304146.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. 5th December 2005 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 choose to 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 £1006.50. Information about the services provided by the home was available. The Berkeley DS0000012706.V304146.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 18th July 2006, lasting approximately four and a quarter hours. The main method of inspection used on that day was ‘case tracking’ which involved selecting two service users and tracking the care they receive through review of their records, discussion with them, the care staff and observation of care practices. Three service users and two members of staff were spoken to during the course of the visit. An additional visit took place on 24th January 2006 to monitor the home’s progress towards meeting the requirements from the previous inspection. It found that the requirements had been met. This inspection has taken account into the findings of that visit and all information received since the date of the last inspection, including the owner’s self-assessment. Five service users completed comment cards prior to the visit indicating that they were generally satisfied with the support they receive. What the service does well: What has improved since the last inspection? An additional visit, which took place on 24th January 2006, found that the home had taken appropriate action to meet the requirements and recommendations from the previous inspection. For example, automatic closing mechanisms have been fitted to fire doors to allow them to remain open. An up-to-date complaints procedure is available within the home. Service users’ financial records demonstrate that regular audits are taking place. The Berkeley DS0000012706.V304146.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 Berkeley DS0000012706.V304146.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.V304146.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Assessment procedures appear to be effective, ensuring that the needs of any prospective service users are identified. EVIDENCE: The outcome for standard 2 could not be fully assessed on this occasion. No one has moved into the home since January 2002. Previous inspections have looked at the company’s assessment procedures and have found that they should ensure an appropriate placement is made. The Berkeley DS0000012706.V304146.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 at least once during a 12 month period. 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 need to meet service users’ needs. EVIDENCE: Individual plans were available for the service users who were chosen for the purposes of case tracking. The plans that were inspected had been reviewed recently. Some of the plans had been signed by service users to indicate that they were in agreement. A service user confirmed that he had been involved in the preparation of his plan. Risk assessments have been completed detailing the measures to be taken to minimise any risks that have been identified. 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 on the day of the inspection that service users were able to make full use of communal areas and their bedrooms. A weekly meeting is held at which service users have an opportunity to suggest activities and decide on menus. The Berkeley DS0000012706.V304146.R01.S.doc Version 5.2 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 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. Arrangements relating to the various aspects of service users’ lifestyles appear to be well managed. EVIDENCE: The two service users who were chosen for the purposes of case tracking stated that they enjoy attending a day service run by the registered provider in Northampton. A third service user reported that she works at a local coffee shop. Two service users stated that they enjoy going to social groups, discos and the pub whilst the third reported that she prefers to spend her free time at home. They stated that they are in regular contact with their families where possible. Service users stated that they enjoy the food that is provided. All of them appeared to enjoy a buffet prepared on the day of the visit. They are involved in planning the menu at a weekly meeting. Records indicate that an alternative meal is provided when required. A service user stated that she uses kitchen facilities to prepare drinks and snacks. The Berkeley DS0000012706.V304146.R01.S.doc Version 5.2 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements for managing service users’ personal & healthcare needs appear to be well managed. EVIDENCE: Service users stated that they are happy with the support they receive from staff members. One of the service users who were chosen for the purposes of case tracking confirmed that staff members ensure his healthcare needs are met. Staff on duty at the time of the visit took prompt action to ensure that a service user received medical attention for an injury. 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 service users who were chosen for the purposes of case tracking are able to manage their medication. Records of the medicines administered to service users met relevant requirements. Staff members receive in-house training and are assessed as competent before they are able to administer medication. The acting manager stated that she was in the process of accessing accredited training for staff. The Berkeley DS0000012706.V304146.R01.S.doc Version 5.2 Page 12 A contract pharmacy inspected medication arrangements at the home during March 2006. The acting manager stated that all bar one of the recommendations had been met. She reported that action would be taken to comply with the outstanding recommendation, which relates to medication that needs to be stored in a fridge. She reported that none of the service users were prescribed any such medication at the time of the visit. The Berkeley DS0000012706.V304146.R01.S.doc Version 5.2 Page 13 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected by the home’s arrangements for handing complaints and responding to allegations of abuse. EVIDENCE: Comment cards indicate that service users are aware of whom to speak to if they have any concerns. Service users spoken to during the course of the visit confirmed this to be the case. An up-to-date complaints procedure is available within the home (a recommendation from the last inspection). Since the date of the last inspection the home has received a number of complaints from service users about the behaviour of a fellow resident. Records indicate that action has been taken as a result of their concerns. The home has policies and 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. Records relating to service users’ finances demonstrate that regular audits are taking place (a recommendation from the last inspection). Some of the entries in the records have been signed by one member of staff. Staff members were reminded that two people should sign all entries. The Berkeley DS0000012706.V304146.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 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 decorated and furnished to a satisfactory standard. They were clean and odour free. Service users stated that they were 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, automatic closing mechanisms have been fitted to fire doors to allow them to remain open. The acting manager agreed to remove a damaged hutch from the garden. The Berkeley DS0000012706.V304146.R01.S.doc Version 5.2 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing arrangements are generally well managed. EVIDENCE: Service users indicated that staff members take good care of them. 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. A member of staff confirmed that she had received an up-to-date Criminal Records Bureau disclosure, having previously applied for one whilst working for her last employer. New members of staff complete a programme of in-house induction training. The acting manager has stated that she will look into the possibility of accessing Learning Disability Award Framework accredited induction training for staff. One member of staff has completed National Vocational Qualification level 2 and two, level 3 or its equivalent. Six members of care staff have started NVQ level 2 and four, level 3. Records indicate that staff members have received training on issues relevant to their work. The acting manager was in the process of completing a matrix, which will assist her in identifying the training completed and required. The Berkeley DS0000012706.V304146.R01.S.doc Version 5.2 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home appears to be well managed. EVIDENCE: The home is currently being managed by the registered manager from one of the company’s other homes in conjunction with the team leader and a senior member of care staff. The acting manager stated that the management team were in the process of reviewing the home’s policies and procedures (a requirement from the last inspection). The Responsible Individual (a representative of the company) completes Regulation 26 reports (visits by the registered provider). The acting manager stated that the company had recently completed a survey of the views of service users and staff. She reported that the results would be fed back to the home (a recommendation from the last inspection). The Berkeley DS0000012706.V304146.R01.S.doc Version 5.2 Page 17 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 recent tests of the fire alarm system appear to have been missed. Fridge temperatures appeared to be high on a number of occasions. These issues were brought to the attention of the acting manager. The Berkeley DS0000012706.V304146.R01.S.doc Version 5.2 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 Standard No Score 1 X 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 3 X 3 X 3 X X 3 X The Berkeley DS0000012706.V304146.R01.S.doc Version 5.2 Page 19 Are there any outstanding requirements from the last inspection? No 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. Refer to Standard Good Practice Recommendations The Berkeley DS0000012706.V304146.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 The Berkeley DS0000012706.V304146.R01.S.doc Version 5.2 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!