Inspection on 26/07/07 for The Chilterns

This inspection was carried out on 26th 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 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 13/09/06

The Chilterns 15/12/05

The Chilterns 16/08/05

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 Tina Thomas Key Unannounced Inspection 26th July 2007 09:30 Bay Court Residential Home DS0000057494.V345767.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 Bay Court Residential Home DS0000057494.V345767.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. Bay Court Residential Home DS0000057494.V345767.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bay Court Residential Home Address 5-7 Sea Road Westgate on Sea Kent CT8 8SA 01843 832628 01843 833649 baycourt@btinternet.com 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) Optima Care Limited Post Vacant Care Home 34 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (34) of places Bay Court Residential Home DS0000057494.V345767.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th September 2006 Brief Description of the Service: Bay court provides residential care and support for up 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 amenities such as rail and bus services, health centres, shops, churches and library. The Responsible Individual has a high level of input into home on a daily basis. Fees range from £455 onwards Bay Court Residential Home DS0000057494.V345767.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection process took place over a period of time, information was gathered, and it concluded with an unannounced site visit. This means that people at the home including the staff did not know the inspection was going to take place. The inspection looked at key standards. We (The Commission) made our judgements by taking into account evidence from a range of information including a tour of the home, views of people living at the home, and documentation we viewed. What the service does well: What has improved since the last inspection? People are encouraged and supported to make lots more choice regarding their daily living. There is a new lounge area, kitchen and bathroom on the top floor. Lounges on both sides of the house have been redecorated and have new furnishings. Bay Court Residential Home DS0000057494.V345767.R01.S.doc Version 5.2 Page 6 New doors have been hung in bedrooms, so that doors can open both ways to ensure peoples safety. 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. Bay Court Residential Home DS0000057494.V345767.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 Bay Court Residential Home DS0000057494.V345767.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 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People who may be considering moving into the home receive sufficient information to make a decision about moving into the home. Their needs are assessed prior to admission to ensure that the home can meet these needs EVIDENCE: The home has updated its Statement of purpose and service user guide. The service user guide gives people choosing a home, a clear picture of what day to day life is like at Bay Court. It discusses matters such as the staff and their qualifications and what types of people, they can care for. It includes photos for people who may prefer a more pictorial format. Prior to any person coming to live at the home, the Manager seeks information from other professionals involved in a persons care. He obtains a needs assessment from either the local health authority or Care Manager. Once the home has the information two senior members of staff visit the service users and conduct their own holistic assessment, taking into account Bay Court Residential Home DS0000057494.V345767.R01.S.doc Version 5.2 Page 9 the persons compatibility to other existing service users. We (The Commission) looked at some of the assessments and they looked fully at what people needed, what people expected from Bay Court and how the staff could meet the needs of the people that wanted to live there. The manager develops together with the person moving into the home, an individual service user plan using all the information that has been gathered. Bay Court Residential Home DS0000057494.V345767.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Each person has a plan of care. Staff respect peoples rights to make decisions and where appropriate they support time in this. People are given information and supported to take risks as part of an independent lifestyle. EVIDENCE: The manager develops and agrees a plan of care with each person living at the home. This ensures that each person, the manager and the staff know how to care for people on an individual basis. Bay Court Residential Home DS0000057494.V345767.R01.S.doc Version 5.2 Page 11 We looked at some of the care plans. The care plans explained how people liked to be cared for, how they were going to be helped through planned interventions or rehabilitation and support. The plans showed that the home had worked closely with other health care professionals to develop individual plans. The plans described any restrictions on choice and freedom (agreed with the person) imposed by a specialist programme. Whilst care plans were of good quality, it was discussed with the manager how they could be improved further, in some cases by further explanation and clarification of some points. This would ensure staff to take a more consistent approach. The manager has worked hard to encourage staff to encourage people at the home to make their own choices and decisions. One example would be that people at the home now prepare and chose their own breakfasts. For some people at the home this has taken time to accomplish. People also now help themselves for mid morning and afternoon drinks and snacks. Other people needed information and support in other areas for example travelling, or their illness. We found that people were well supported and decision making processes were clearly documented. This means that every one involved can understand why decisions were made. This is particularly important if decisions are made on someone else’s behalf. We looked at the risk assessments in peoples care plans. They were generally of good quality. They enabled people living at the home to undertake activities with minimal risk. Limitations were only made in the person’s best interest. As previously mention in regard to care plans, risk assessment could be improved with further clarity in some areas. Bay Court Residential Home DS0000057494.V345767.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People that live in the home are encouraged and supported to access the local community and develop hobbies and interests. Friendships inside and outside of the home are encouraged and supported. People have their rights respected and they recognise responsibilities in their daily lives. The meals in the home are good, offering both choice and variety. EVIDENCE: Bay Court Residential Home DS0000057494.V345767.R01.S.doc Version 5.2 Page 13 Staff try and help people at the home to find and keep appropriate jobs, continue their education or training and /or take part in fulfilling activities. Some people have been to college for art and IT classes. Some people have worked for the league of friends and some people have been placed by Rethink, volunteer back to employment. One person told us how staff had encouraged her to be friends with a new person that had come to live at the home. The manager told us that friendships in the home had been encouraged through communal activities. The lounge has a karaoke machine and football table. People are also supported by the staff to undertake new activities and have new experiences outside of the home. One person told us how he had recently been on holiday independently. People that live in the home are encouraged to maintain family links and friendships inside and outside of the home. Some people travel occasionally to see their partners. People at the home are encouraged to be independent. The manager told us how the staff have encouraged people to make choices regarding what they eat, what they do during the day and how they live their lives. People have keys to their own bedroom doors and many of them choose to lock their doors. We observed the manager and staff interacting well with the people that live in the home. People that spoke with us expressed that they were able to have time alone if they choose. Some people that spoke to us expressed that they took responsibility and enjoyed undertaking some house keeping tasks such as laying up the tables for meals. Bay Court Residential Home DS0000057494.V345767.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Personal care and support is offered in a way that promotes people’s privacy, dignity, and independence. Physical and emotional health needs are met. The home has robust policies and procedures regarding the administration of medication, which helps to ensure people, are kept safe. EVIDENCE: Staff were seen to support people living at the home with dignity and inline with their care plans. The induction of new staff includes personal care issues. People’s health care needs are addressed in their care plans. The plans explain how people like to be looked after. The home employs people of both genders, so that support can be offered by people of the same gender. Bay Court Residential Home DS0000057494.V345767.R01.S.doc Version 5.2 Page 15 Care plans showed that people had plentiful access to health care specialists. This helps the staff to deliver care, which is tailored to people needs. The home has suitable policies and procedures regarding the ordering, storage, administration, and disposal of medication. Staff administering medication are suitable trained and have their competency checked regularly. This helps to ensure that people are kept safe. Some people in the home look after their own medications. Bay Court Residential Home DS0000057494.V345767.R01.S.doc Version 5.2 Page 16 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 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home has a good complaints policy with evidence that service users feel that their views are listened to and acted on. Arrangements for protecting service users are good, protecting them from possible risk of abuse. EVIDENCE: The homes has a formal complaints procedure. Copies of the policy are included within the statement of purpose, service user guide and displayed within the entrance of the home. Staff undertake training to help them learn about adult protection. They are taught how to recognise signs of abuse, and what to do, or who they can tell if they think that anyone is being abused in anyway. The home has not had any complaints from people that live in the home since the last inspection. People that spoke to us said that if they were not happy they would speak to the manager. They were confident that he would take their complaints seriously and deal with them suitably. Bay Court Residential Home DS0000057494.V345767.R01.S.doc Version 5.2 Page 17 Bay Court Residential Home DS0000057494.V345767.R01.S.doc Version 5.2 Page 18 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): 24,25,30 People who use the service experience adequate outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is generally clean, and fit for purpose. Though currently, the standard of decor throughout the house is not consistent. Peoples own bedrooms are generally comfortable and well decorated and furnished. EVIDENCE: The standard of the property is adequate. The furniture is domestic in style, and comfortable. Residents have a choice of communal areas including a well tended garden. Bay Court Residential Home DS0000057494.V345767.R01.S.doc Version 5.2 Page 19 There has been an ongoing programme of redecoration in the home. Some areas have been redecorated whilst other areas are still in need of redecoration. Improvements include the creation of a lounge space on the top floor. The bathroom on the top floor has been altered to create a wet room with shower. The lounge in house 7 has been redecorated. Bedroom doors now open both ways so that people would be unable to ‘barricade’ themselves in their rooms. Work is still on going in house 7. This should continue in a timely manner. House 7 presents as being in need of redecoration and smells unpleasant which is not dignified for the people living there. All people living at the home have their own bedrooms. Bedrooms are clean and most are newly decorated. They reflect the personalities of the people they belong to. One person told us ‘ I am very happy here, I have been here 4 ½ years. My room has wonderful views.’ The home is generally clean. A regular cleaning rota has been introduced. Bay Court Residential Home DS0000057494.V345767.R01.S.doc Version 5.2 Page 20 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 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Staff numbers are appropriate to the needs of the people who currently live at the home. The homes practice regarding the recruitment of staff ensures the safety of people in the home. Staff receive suitable induction, foundation or service specific training. EVIDENCE: We observed that staff have a good knowledge of the needs of the people they were supporting. They were respectful and consistent in their approach. All staff undertake a six month induction and foundation training at commencement of employment. Bay Court Residential Home DS0000057494.V345767.R01.S.doc Version 5.2 Page 21 The number of staff that the home that are trained to NVQ Level 2 in care is above 50 and more staff are currently undertaking NVQ training. This means that people at the home will be looked after by staff that have undertaken recognised training. We looked at two staff files and found that everything that was required by the Standards to be in the files. This included criminal records bureau checks. This helps to ensure that the right people are chosen to be a carer at the home and helps to keep people at the home safe. The home conducts staff selection in accordance with the companies clearly defined recruitment policy. All staff have CRB checks prior to the commencement of employment. We viewed the staff training matrix and the staffs training certificates in their files. It showed that staff undertake a good level of training, which includes mandatory, and service specific training. This assists staff to understand the needs of people living in the home. Bay Court Residential Home DS0000057494.V345767.R01.S.doc Version 5.2 Page 22 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 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People live in a home that is generally well run. The home’s quality assurance processes and internal auditing identify the home’s strengths and weaknesses. Suitable attention is paid to health and safety provision. EVIDENCE: Bay Court Residential Home DS0000057494.V345767.R01.S.doc Version 5.2 Page 23 The manager is an experienced manager, who has previously been registered with the Commission to manage another home. He has an NVQ Level 4 in management of care and also the registered managers award. He is also an NVQ assessor. The Manager has begun his application to become the registered manager of Bay Court . The home has a strong management team, which includes the provider, the manager and the operational manager. The manager has worked hard to change the culture of the home and to make it more inclusive to the people that live there. People are offered choice, where previously there had been none. We saw examples of this i.e. people helping themselves to breakfast. Sometimes due to the conditions and lifestyles of the people that live in the home, change has needed to been slow. Staff have been consistent in their approach to support people reach their goals. The home ensures good quality assurance through its processes. All policies and procedures have been over hauled and formal supervision of staff is in place. The home also regularly audits care plans and risk assessments. The Registered Provider conducts an audit monthly and produces an in depth report. The home produces questionnaires for service users and results are collated. Staff and people that live at the home have regular meetings so that they have input into the way that the home is conducted. The manager ensures safe working practices and the health and safety of service users. The manager ensures compliance with relevant legislation. Documentation was reviewed which evidenced this. Suitable risk assessments including environmental are conducted. The home has also appointed external health and safety consultants. Bay Court Residential Home DS0000057494.V345767.R01.S.doc Version 5.2 Page 24 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 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 2 25 3 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 Bay Court Residential Home DS0000057494.V345767.R01.S.doc Version 5.2 Page 25 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. Refer to Standard Good Practice Recommendations Bay Court Residential Home DS0000057494.V345767.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Bay Court Residential Home DS0000057494.V345767.R01.S.doc Version 5.2 Page 27 - 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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