Care Home: 14 Belisana Road

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What the care home does well The resident is very well cared and supported by owners who know and understand his needs. He remains happy and content at the home, enjoying family holidays with the owner`s family. The home is registered for one person who has learning difficulties. The owners provide the care and support. What has improved since the last inspection? The outcomes for the resident remain very positive. What the care home could do better: The resident is part of the family and any improvements to the home and their life is discussed and implemented when necessary. CARE HOME ADULTS 18-65 14 Belisana Road Spalding Lincolnshire PE11 3FU Lead Inspector Tobias Payne Unannounced Inspection 25th June 2007 08:40 14 Belisana Road DS0000002675.V339237.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 14 Belisana Road DS0000002675.V339237.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. 14 Belisana Road DS0000002675.V339237.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 14 Belisana Road Address Spalding Lincolnshire PE11 3FU 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) 01775 720551 murbunknit@aol.com Mrs Muriel Bunyan Mr Leslie Charles Bunyan Mrs Muriel Bunyan Care Home 1 Category(ies) of Learning disability (1) registration, with number of places 14 Belisana Road DS0000002675.V339237.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th May 2006 Brief Description of the Service: Brief Description of the Service: 14 Belisana Road is a modern detached 5-bedroom house built in 1999, located on an estate on the outskirts of the market town of Spalding. It is within easy walking distance of a supermarket and close to the town centre. The service provides personal care and social support within a family environment for one young adult with learning difficulties. The person has been with the providers since infancy and is regarded as a member of the family. The monthly fees on the 25th June 2007 were £1200. All information about the home can be obtained from the owners. 14 Belisana Road DS0000002675.V339237.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection visit was undertaken using a review of all the information provided by the manager about 14 Belisana Road and by visiting the home. As this was a family home and because of the history of the home and we not wishing to disrupt the day to day running of the home we made this visit at short notice, rather than unannounced. The family enjoy many social activities with the resident and are not often home. We spoke with resident and the owners, one of whom is the registered manager. The main method of inspection used during the visit was case tracking care the person received. We talked to the manager, toured the home, looked at recorded information, observed day to day care practice within the home and spoke with the resident to hear about their experience of care. The resident has lived as part of the family from being a few weeks old and is well cared for within a nurturing and supportive environment. What the service does well: What has improved since the last inspection? 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. 14 Belisana Road DS0000002675.V339237.R01.S.doc Version 5.2 Page 6 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 14 Belisana Road DS0000002675.V339237.R01.S.doc Version 5.2 Page 7 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): Standards 1, 2 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is the only one resident in this care home. There is clear information about the home. EVIDENCE: There was a statement of purpose and service user’s guide. There had been no changes since the last inspection visit. The resident had written terms and conditions in a folder with his care plan. The owners had cared for the resident from infancy and were well aware of needs. Both owners had extensive practical knowledge in supporting and caring for people with learning difficulties. . 14 Belisana Road DS0000002675.V339237.R01.S.doc Version 5.2 Page 8 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): Standards 6, 7, 8 and 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The owners respect the resident’s privacy and dignity. Meals are healthy and offer a varied choice. EVIDENCE: The resident had a care plan giving details of their needs, including personal healthcare records, family history, disability, general health, mobility and preferred life style. Daily records were also being kept in a diary. The resident was routinely involved in discussion of needs, interests and activities. This includes meal preferences, and leisure activities. As we arrived he had just had breakfast and was about to go out with the son of the owner to go shopping. On return we asked whether we could see his room and the owner asked him if this was possible. We went to his room and noted the owner knocked on the door, so respecting his privacy. The resident was encouraged to make decisions, such as where to go on family holidays and what they wanted to do each day and what they wanted to eat and how they wanted their room. This was seen on the day of the inspection visit by the owners asking the resident what he wanted for his lunch. The resident was encouraged to help within the home by doing tasks such as vacuuming, 14 Belisana Road DS0000002675.V339237.R01.S.doc Version 5.2 Page 9 making their own bed and keeping their room tidy. Any risks involved were assessed, recorded and monitored. 14 Belisana Road DS0000002675.V339237.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 11, 13, 16 and 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The resident is involved in meaningful, appropriate activities, which include recreational activities. The resident’s rights and choices are respected. EVIDENCE: The resident has been treated as part of the family for all his life with them and takes part as part in all family outings and activities. The owners have a flexible weekly programme of activities, which includes swimming on Mondays, trips into Spalding on Tuesdays, shopping on Wednesdays and ‘days out’ on Fridays to for example Peterborough or a local garden centre.. On Thursdays the provider takes the resident on walks around the new estate and occasional bus trips into town. The estate is becoming bigger and they want him to know where he is. Activities are flexible and involve family discussions which the resident takes part in. The inspection visit took place on a swimming day and the resident had returned from a shopping trip. The resident goes on holiday as part of the family and pointed out family photographs of those trips. There were photographs in an album of previous 14 Belisana Road DS0000002675.V339237.R01.S.doc Version 5.2 Page 11 holidays. Holidays have covered trips to Whitby in March 2007 and a recent weeks holiday to Bromley Kent in June 2007. Another holiday was being planned. This would be discussed with the family and the resident. 14 Belisana Road DS0000002675.V339237.R01.S.doc Version 5.2 Page 12 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): Standards 18 and 19 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The resident’s health and emotional needs are well met. EVIDENCE: There have been no changes in the resident’s personal care needs. He was on no prescribed medication. The owners continued to support him and encourage independence, responsibility and self worth. He recognised us from previous inspection visits, smiled and shook hands. The providers have a wealth of personal experience of working with young adults who have learning difficulties. The manager was aware of how to contact the Learning Disability team but has had no cause to do so. 14 Belisana Road DS0000002675.V339237.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Any complaints received are taken seriously and the resident is protected from abuse. EVIDENCE: There have been no concerns or safe guarding adult issues brought to our attention since the last inspection visit. There was laughter and normal interaction during the inspection visit. There were no concerns at this inspection visit. The resident is able to voice opinions and these are listened to an acted on. There was a safe guarding adult’s policy and the owners knew what to do if an issue arose. 14 Belisana Road DS0000002675.V339237.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 and 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The resident lives in a safe, clean and well decorated comfortable home. It is homely, well furnished and maintained to a very high standard. EVIDENCE: The resident lived in a large bedroom on the second floor. It had been personalised and had a TV, video, music centre, computer games console and small sitting area. The resident enjoyed music and showed us his collection of DVDs and videos. The resident showed us his room and said, “he liked his bedroom”. Next to his bedroom off a corridor is a shower room, which the resident shares with one member of the family. The lounge was large, comfortably furnished with pictures, ornaments and had a wide range of home entertainment, including a new plasma TV. There was separate dining room where family meals were taken. Off from this was a large open plan kitchen. There was also a large, attractive conservatory leading off the lounge, which overlooked the garden. The home remained a “family” home. 14 Belisana Road DS0000002675.V339237.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32, 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are safe levels of staff and staff know how to meet the resident’s needs. EVIDENCE: The owners are the only staff in this home. All including their son had Criminal Records Bureau checks and the owners had known the resident for 34 years. They continued to know his needs well. 14 Belisana Road DS0000002675.V339237.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37, 39 and 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is well run by able, experienced, caring and committed owners. The resident’s needs are met. EVIDENCE: The manager and her husband knew the resident’s needs and had experience in care and support for people who had a learning disability. They were very experienced and knowledgeable about the individual needs of the resident. This has been gained during 34 years of the relationship. The resident told us he was “happy living in the home”. He was mixing with members of the family. There were very few policies and procedures as there were no other staff and only one resident. 14 Belisana Road DS0000002675.V339237.R01.S.doc Version 5.2 Page 17 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 N/A 4 N/A 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 N/A 30 3 STAFFING Standard No Score 31 N/A 32 3 33 x 34 3 35 3 36 N/A CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 4 4 x LIFESTYLES Standard No Score 11 4 12 X 13 3 14 X 15 X 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 N/A x 3 X 3 X X 4 x 14 Belisana Road DS0000002675.V339237.R01.S.doc Version 5.2 Page 18 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. 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 14 Belisana Road DS0000002675.V339237.R01.S.doc Version 5.2 Page 19 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 14 Belisana Road DS0000002675.V339237.R01.S.doc Version 5.2 Page 20 - 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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