Inspection on 16/08/05 for The Chilterns

This inspection was carried out on 16th 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

The Chilterns 26/07/07

The Chilterns 13/09/06

The Chilterns 15/12/05

The Chilterns 01/11/04

The Chilterns 30/04/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

1 Marten Road

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Bay Court Residential Home 5-7 Sea Road Westgate on Sea, Kent CT8 8SA Lead Inspector Elizabeth Hendry Unannounced 16/08/2005 at 9:10hrs 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. Bay Court Residential Home H05 H56 S57494 Bay Court V241631 16082005 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Bay Court Address 5-7 Sea Road, Westgate on Sea, Kent, CT8 8SA 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) Bay Court Care Limited Mr David Lee Brown Care Home 34 Category(ies) of MD Mental Disorder (34) registration, with number of places Bay Court Residential Home H05 H56 S57494 Bay Court V241631 16082005 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: no Date of last inspection 1st November 2004 Brief Description of the Service: Bay court provides residential care and support for uo to 34 people who require varying degrees of assistance due to their mental health problems. The home has access to specialist services within the local community. The home comprises of two adjoining properties adjacent to the sea front in a residential area of Westgate. the home is within short walking distance of local ammenities such as rail and bus services, health centres, shops, churches and library. Staffing comprises of a registered manager, assistant manager, care and anciliary staff. The Responsible Individual has a high level of input into home on a daily basis. Bay Court Residential Home H05 H56 S57494 Bay Court V241631 16082005 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes first annual unannounced inspection which was undertaken during the course of a morning. This inspection had been brought forward following receipt of a complaint regarding the welfare of a service user when in the local community. During the inspection this complaint was fully investigated and as a result was upheld. However the inspector is satisfied that the management of the home is in the process of rectifying the situation and putting suitable procedures in place. What the service does well: What has improved since the last inspection? What they could do better: The home must ensure that they receive appropriate levels of information from care management teams to ensure that they are fully aware of the individual support needs of all service users. Bay Court Residential Home H05 H56 S57494 Bay Court V241631 16082005 stage 4.doc Version 1.40 Page 6 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. Bay Court Residential Home H05 H56 S57494 Bay Court V241631 16082005 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 Bay Court Residential Home H05 H56 S57494 Bay Court V241631 16082005 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) 1,2,3 and 5 The homes statement of purpose and service user guide provide service users and prospective service users with the information they need to make a decision about moving into the home. Service users move into the home knowing that their individual needs and aspirations will be met. Service Users are provided with a clear written contract of residence. EVIDENCE: The Manager spoke of visiting prospective service users to complete a needs assessment prior to admission. The assessment determines the individual’s suitability to the home and existing residents. Records examined confirmed this. The manager also provided copies of the homes new pre admission assessment form which will provide a greater depth of information regarding service users. The homes service user guide was viewed and found to be informative and in a format suitable for service users. The Manager confirmed that all service users within the home are able to read, but also confirmed that for those who find it difficult they would have the contents of the guide explained prior to admission. Bay Court Residential Home H05 H56 S57494 Bay Court V241631 16082005 stage 4.doc Version 1.40 Page 9 Evidence of ongoing review was found within the guide. The manager confirmed that all service users are provided with a copy of the service users guide upon admission into the home. The homes admissions procedure was examined and found to be very through, individual needs of prospective service users are closely assessed. Service user contract of residence were viewed and found to clearly identify what is and is not included within the weekly bed fee. A copy of the most recent inspection report was on display within the home. Bay Court Residential Home H05 H56 S57494 Bay Court V241631 16082005 stage 4.doc Version 1.40 Page 10 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 and 9 Service user care plans do not provide staff with adequate information regarding individual needs. Service Users are supported to make decisions regarding their lives. Risk assessments require development to ensure staff and service users are fully protected in all activities. EVIDENCE: Care plans viewed were found to contain information regarding their personal care needs, interests and personal details. Information guiding staff on the management of certain behaviours and intervention techniques was found to be lacking. The registered manager spoke of recently contacting care management teams for advice on setting up guidelines for staff to follow in order to provide all service users with consistent care. Care plans were found to be written in a suitable format to enable all service users to understand the contents. Evidence of joint assessments was found in some of the care plans viewed. Bay Court Residential Home H05 H56 S57494 Bay Court V241631 16082005 stage 4.doc Version 1.40 Page 11 The manager confirmed that the all service users are allocated a key worker upon admission into the home. Service users spoken to commented on being encouraged to make personal choices on a daily basis and receiving full support from staff in making decisions. Records viewed identified one service user had been restricted in their movements without any reference within their individual care plan or risk assessment. Bay Court Residential Home H05 H56 S57494 Bay Court V241631 16082005 stage 4.doc Version 1.40 Page 12 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 and 13 Service users are provided with opportunities for personal development. Community relations need to be improved upon to enable service users to develop greater opportunities. EVIDENCE: The Registered Manager spoke of service users attending a local employment service for individuals with mental health problems. The service assists service users to develop literacy and numeracy skills, develop interests and hobbies. Service users spoke of also attending college courses in Information Technology, art, sign language and gardening. The home is situated near to a number of local churches, the registered manager confirmed that service users would be provided with assistance in fulfilling their spiritual needs. Service users spoke of going out into the community on a daily basis independently. A formal complaint had been made to the Commission at the time of the unannounced inspection regarding a service user causing a disturbance within the community. This was fully investigated and due to the minimal levels of Bay Court Residential Home H05 H56 S57494 Bay Court V241631 16082005 stage 4.doc Version 1.40 Page 13 information held within the home regarding intervention strategies and risk assessment for the individual concerned the complaint has been upheld. The registered manager confirmed that a meeting had been arranged with health care professionals and care management teams to determine care needs and strategies for the individual when in the local community. Bay Court has use of a car for service users to access the wider area in small numbers. The responsible individual confirmed that all residents at the home are registered to vote and are encouraged to do this. Bay Court Residential Home H05 H56 S57494 Bay Court V241631 16082005 stage 4.doc Version 1.40 Page 14 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) 19 and 20 The medication at the home is well managed, and all healthcare needs of service users are fully met. The health needs of service users are well met, with evidence of good multi disciplinary working taking place on a regular basis. EVIDENCE: Medication is recorded, administered and stored in line with the Royal Pharmaceutical Guidelines of Great Britain. Only staff who have attended appropriate training in the safe handling of medication are permitted to be involved in the administration of medicines. Medication held within the home was checked and was found to tally with medication administration records. Service users are asked to provide written consent for staff to assist in the management of their medication. Care plans viewed detailed the individual health care needs of each service user. Reports identified that health problems are quickly addressed. The Registered Manager spoke of service users regularly accessing chiropody, psychiatric support, optician and dental services. Records viewed confirmed that district nurses have daily input into the home. Bay Court Residential Home H05 H56 S57494 Bay Court V241631 16082005 stage 4.doc Version 1.40 Page 15 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 and 23 Service users are fully aware of the homes complaints and feel confident that their views are listened to. Arrangements for protecting service users from possible abuse are good. EVIDENCE: Service users spoken to confirmed that they feel free to complain to the home without worry of repurcusions. The homes complaints policy and procedure was viewed and found to be satisfactory. The homes complaints book was viewed, and information regarding a verbal complaint that had been reported to the Commission had not been recorded. Records viewed confirmed that staff have a sound understanding of adult protection issues and procedures. The registered manager confirmed that all staff undertake abuse awareness and adult protection training as part of the induction process. Physical aggression guidelines are in place within the home. Bay Court Residential Home H05 H56 S57494 Bay Court V241631 16082005 stage 4.doc Version 1.40 Page 16 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) 24 Improvements to the environment will enhance the Service Users quality of life. EVIDENCE: A tour of the home was undertaken, and a programme of extensive renovation was seen to be underway. Fixtures and fittings were found to be domestic in nature, thus creating a homely atmosphere. The Responsible Individual explained which areas of the home were to be redecorated and furnished. Bay Court Residential Home H05 H56 S57494 Bay Court V241631 16082005 stage 4.doc Version 1.40 Page 17 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) These standards were not inspected on this occasion EVIDENCE: Bay Court Residential Home H05 H56 S57494 Bay Court V241631 16082005 stage 4.doc Version 1.40 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 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) These standards were not inspected on this occasion EVIDENCE: Bay Court Residential Home H05 H56 S57494 Bay Court V241631 16082005 stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 x 3 Standard No 22 23 ENVIRONMENT Score 2 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 2 x 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x x Standard No 11 12 13 14 15 16 17 3 x 2 x x x x Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Bay Court Residential Home Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x x x H05 H56 S57494 Bay Court V241631 16082005 stage 4.doc Version 1.40 Page 20 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 6,7,9 and 13 Regulation 13 Requirement The Registered Manager shall ensure that any activities in which service users participate are so as practicable free from avoidable risk, and unnecessary risks to health and safety of service users are identified and so far as practicable eliminated, The Registered Manager shall ensure that any complaint made under the complaints procedure is fully investigated.( Ensure all complaints made to the home are fully recorded.) Timescale for action 30th August 2005 2. 22 22 30th August 2005 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 Good Practice Recommendations Bay Court Residential Home H05 H56 S57494 Bay Court V241631 16082005 stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection 11th Floor, International House Dover Place Ashford Kent TN23 1HU 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 Bay Court Residential Home H05 H56 S57494 Bay Court V241631 16082005 stage 4.doc Version 1.40 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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