Care Home: 18 Bellmaine Avenue

Similar services:

• Coopers Mill Ltd
• Bramley Avenue (73)
• Paradise Lodge
• Grangewood
• Upaya Ananda
• Newton Court (1-2)
• Kings Lane (32)
• Pemdale

What the care home does well The manager gives people up to date information about the home and makes sure that the home can meet their needs. The care plans are written around what the person living in the home wants. The home supports people with their health care needs. The home is clean tidy and safe. Staff are well trained and the manager supports them well. What has improved since the last inspection? The home has had a new kitchen fitted and the cooker, dishwasher and fridge are all new too. What the care home could do better: They could make sure the support plans are in date order to make paperwork easier to find and they should write things on the same forms. The home must make sure that their complaints procedure gives the right information. Staff should do manual handling and safeguarding training every year to make sure they are up to date. When a workman does repairs to the home it should be written in the repairs log. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 18 Bellmaine Avenue 18 Bellmaine Avenue Corringham Essex SS17 7TB     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Pauline Marshall     Date: 1 4 0 4 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: 18 Bellmaine Avenue 18 Bellmaine Avenue Corringham Essex SS17 7TB 01375360788 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : bellmaine@familymosaic.co.uk Family Mosaic care home 3 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: 3 No more than three persons to be accommodated at any one time Up to 3 persons of either sex to be accommodated who have a learning disability Date of last inspection Brief description of the care home 18 Bellmaine Avenue is registered to provide accommodation and personal care for three adults who have learning disabilities; there are currently two people living there. The homes facilities include a lounge and dining area and there are three single bedrooms and an additional bedroom that was once used as a sensory room but is no longer in use. The home is situated in close proximity to the main towns of Corringham and Basildon. The home offers off street parking to the front of the house and there is a large wellmaintained garden at the rear of the building. The home has a small staff team and the environment is comfortable and homely. The residents within the home access leisure pursuits and community facilities Care Homes for Adults (18-65 years) Page 4 of 28 Brief description of the care home according to their abilities, likes and dislikes. The home has a vehicle, which enables the residents to access the community on a regular basis. The home makes information (including CSCI reports) available to prospective service users via their Service User Guide. The current weekly fee for a placement in this home is £1451.00, with the residents contributing £63.25. The last inspection took place on 16/05/2009. Care Homes for Adults (18-65 years) Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: We visited 18 Bellmaine Avenue and looked at some of the files belonging to people living in the home and the homes staff. We also looked at the policies that explain how the home does things. We looked around the home and spoke to the staff and the manager. We read the information (AQAA) sent to us by the manager. The AQAA is a form required by law for the manager or provider to carry out a self-assessment of how well the outcomes of people using their services are being met. We sent surveys to people living at 18 Bellmaine Avenue and to some professional people that visit the home and to some of the staff to see what they think about it. Care Homes for Adults (18-65 years) Page 6 of 28 Care Homes for Adults (18-65 years) Page 7 of 28 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 28 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have sufficient information to enable them to make an informed choice about the service. Evidence: The registered manager updated the homes Statement of Purpose on 8th February 2009 and she said that she would be reviewing it again shortly to ensure that it includes the CQC details. The Service Users Guide includes pictures of the home and is currently being updated to include pictures of the new kitchen that has recently been fitted, copies of the last two CSCI reports were attached to the Service User Guide . Both documents are informative about the service 18 Bellmaine Avenue offers. Two care files were examined and both contained assessment documentation, each of the assessments identified the individuals abilities and needs and described their likes and dislikes. The people living at 18 Bellmaine Avenue have done so since April 1998 and there has been no admissions since the last inspection. Care Homes for Adults (18-65 years) Page 10 of 28 Care Homes for Adults (18-65 years) Page 11 of 28 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive appropriate individualised care based on their identified needs. Evidence: There were two care files for each of the people living in the home; one is called the care file and the other the support plan, all were written in a person centred way. Both files contained a mixture of old and new information. The manager said that she was in the process of reviewing the care files to ensure that old information was stored separately from the current information. Each of the care files examined contained a personal profile and history and together with the needs summary these provided good background information. The support plans were detailed and offered staff clear instructions on the level of help people required. The people living in the home use none verbal forms of communication, one person communicated their basic needs by signing their wishes, such as for tea and for going out. Regular key worker meetings are held to establish the views of people living in the Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: home and support plans are monitored and evaluated at weekly and four weekly intervals to ensure that any changing needs are identified and met. People living in the home are encouraged to assist staff with day to day tasks such as dusting, vacuuming and laundry. The manager said in her annual quality assurance assessment (AQAA) the service users key workers support the service users to participate in all aspects of their life and there are risk assessments in place that supports the service users to have an independent lifestyle. There were completed risk assessments on each of the files examined and each risk assessment contained full details of how the risks were to be managed to reduce/eliminate the risk. People spoken with gestured that they helped with chores and that the activities covered by the risk assessments do take place. Staff spoken with were fully aware of the risk assessment process used in the home. Care Homes for Adults (18-65 years) Page 13 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are well supported to live a lifestyle that meets their identified needs and preferences. Evidence: People are given the opportunity to participate in individual or group activities on a regular basis and these are recorded in the weekly opportunities sheet and in the daily notes. There was evidence on the two care files examined that people regularly access the local community and visit shops and cafes in addition to their visits to the cinema, an art class, the gym, a local club and the swimming pool. People indicated when spoken with that they enjoyed a varied social life. The manager said in her AQAA that the service is lucky to have clothes shops, supermarkets and beauty salons locally and the staff supports people living in the home to access these on a regular basis. Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: The manager said that staff are looking at the possibility of people living in the home attending a weekly college course and she said in her AQAA we plan to do this within the next 12 months to enable people to learn new skills and develop a new social circle. People living in the home have leased a people carrier, which enables staff to transport them to their activities, health appointments and day trips. There was evidence of a recent trip to Clacton-on-Sea and one of the people living in the home indicated when spoken with that they had really enjoyed the day. The manager said in her AQAA the home has an open door policy for friends and families to visit and the visitors booked contained entries that confirmed this. The home operates a 4-week rolling menu that is varied to suit individuals likes and dislikes and is changed at regular intervals; there is an alternative menu available should people not want the planned meals. Peoples dietary intake is recorded in their individual support plans. There was a range of fresh fruit and vegetables available and there was a good supply of food in the cupboards, the fridge and the freezer. Staff use the Food Standards Agencys food safety management system and keep records of the fridge and freezer temperatures in their Safer Food Better Business folder. Care Homes for Adults (18-65 years) Page 15 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive personal care in a way that suits them and their health care needs will be fully met. The homes medication policy and practice will protect people from the risk of medication errors. Evidence: People living in the home are encouraged to do as much as they can for themselves and to remain as independent as possible with their personal care. The support plans examined showed that staff offer people minimal intervention and that personal support is provided in the form of encouragement using verbal and physical prompts. Each of the care files examined contained details of healthcare visits, several different forms were in use and this made it difficult to establish what had taken place and what was due, however all of the information had been recorded. The manager said that she was currently reviewing the care files with a view to making them more streamlined and that the duplicated forms would be removed to ensure that health records are easily accessible to staff. Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: People living in the home are unable to administer their own medication so staff administers it for them. The medication is stored in a locked cabinet in the dining room and the shift leader keeps the keys on their person. A random check was carried out on the medication system and all was found to be correct. Where medication had not been administered for some reason the details were recorded on the reverse of the medication administration sheet (MARS). There was PRN protocols in place for all prescribed as and when required medications. Staff spoken with were aware of the homes medication policy and the staff records showed that all staff administering medication had been trained; there was evidence on the staff files showing that their competence was regularly assessed by the manager. Care Homes for Adults (18-65 years) Page 17 of 28 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People know that their concerns will be dealt with and that they will be protected from harm and abuse. Evidence: There has been no complaints made since the last inspection. The home has a comprehensive complaints policy and its complaints record book has provision to record the complaint, the investigation and the outcome. There was a pictorial poster pinned to the notice board that showed people how to complain; it had out of date information about the Commission on it. The complaints policy has not been updated to show the Care Quality Commission details and includes out of date information on the involvement of the CQC. The home has an abuse and a whistle blowing policy, staff spoken with were aware of both of these documents and the procedures for raising safeguarding issues. The manager said in her AQAA staff have all received POVA training in the last 12 months, the training records confirmed this. The home keeps a mandatory training and review sheet that shows when updates in basic training are due; this sheet shows that safeguarding and manual handling is scheduled every 2 years. It is good practice to renew both of these on an annual basis to ensure that staff have up to date knowledge and skills. Care Homes for Adults (18-65 years) Page 18 of 28 Care Homes for Adults (18-65 years) Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a homely, comfortable safe environment. Evidence: People living in the home have access to a good sized lounge area with ample good quality seating and furniture; the dining room has sufficient space for staff to support people at mealtimes. There is a bathroom and a shower room which were clean, in a good state of repair and were well decorated. Bedrooms were individually furnished and decorated and contained many personal possessions. The manager said in her AQAA people living in the home took an active part in selecting how their bedrooms were decorated and people spoken with indicated that they had been involved, and chosen their soft furnishings. The garden is large and has a hammock, table and chairs and a sensory garden for people to enjoy in warmer weather. The home has recently had a new kitchen fitted and all of the appliances are new. The home has a daily and nightly chore list to ensure that it is kept clean and tidy; people living in the home assist care staff in light household tasks such as dusting and vacuuming. The manager and the service manager carry out regular health and safety audits to ensure that the home is kept in good repair. The homes scheme repair log showed when repair jobs had been reported and it has provision to record when they Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: are completed but was not always filled in by the contractor; this should always be completed to show that the work has been carried out in a timely manner. The home was clean and hygienic. Care Homes for Adults (18-65 years) Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are cared for by a competent, well-trained and supervised staff team, who are safely recruited. Evidence: The roster showed that adequate staff were on duty to meet the needs of the people currently living in the home. The manager said that the organisation employs bank (as and when required) staff and that 18 Bellmaine Avenue staff also cover bank shifts when necessary; the manager said there is currently one staff vacancy. The roster includes a key information sheet that shows the meanings of any abbreviations; the manager compiles a basic monthly roster and uses a larger weekly roster to record any changes that are made to the planned monthly one. Three staff files were examined and they all contained the required information, which included 2 written references, criminal records bureau checks, induction, supervision and training. The manager said in her AQAA staff receives a full 6 month probation and induction to the company that includes a wide range of core training. The staff files examined showed that the core training staff received includes fire, food hygiene, medication, safeguarding, first aid, personal safety, moving and handling and health and safety. Three staff have completed their NVQ level 3 in promoting Independence Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: and a further two staff are working towards it. There was a training plan displayed on the office wall that indicates what training is available to staff and when it is scheduled to take place; staff apply for this according to their individual training plan that had been identified at their supervision sessions. The manager keeps a training matrix of past, current and future training dates to ensure that updates are not missed. Staff spoken with said that they were happy with the level of training offered to them. There were certificates of training on the staff files examined that included first aid, food hygiene, safeguarding, medication, breakaway techniques, health and safety, administration of stesolid and boundaries and ethics. There was notes of regular staff meetings that had taken place and the issues discussed included service users activities, safer food guidelines, staff meals, household food and menus, incident and accident reporting, ID badges, log book, fire procedures and computer starter packs; staff sign the minutes of the meeting to confirm that they have read them. Care Homes for Adults (18-65 years) Page 23 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People will live in a well run home that is run in their best interests. Evidence: The manager returned from maternity leave in January 2009 and works part time for 22.5 hours a week; one 7.5 hour shift is dedicated to management duties. Since returning from maternity leave the manager has updated her training in health and safety, first aid, the Mental Capacity Act and Deprivation of Liberties and safeguarding. The manager completed the registered managers award in 2005 and has had training in leadership skills, managing difficult people, control of substances hazardous to health (COSHH) and management and development training prior to taking her maternity leave. The home carries out annual satisfaction surveys to establish that people using the service, their relatives and other relevant people are happy with the service they receive; the findings from these are used in the homes ongoing monitoring and improvement action plans. An annual report is compiled from the completed Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: questionnaires and people can obtain a copy from the homes manager. The manager and the service manager carry out regular health and safety audits, these are recorded and kept in the homes log book. The home has a fire risk assessment that was reviewed in February 2009 and there was records to show that the fire equipment had been regularly checked. Fire drills are carried out regularly and the outcomes recorded. All portable appliances had been tested as required and the gas safety certificate was in date. The homes electrical installation test report showed that the last test was carried out on 22nd March 2006 and that the system was found to be unsatisfactory and that some urgent remedial work needed to be carried out. It was also recommended by the inspector that once the urgent remedial work had been done, the electrical installation be tested within 3 years. The manager said that this was an oversight and she immediately arranged for a contractor to visit to carry out the urgent remedial work and re test the electrical system. The work was carried out the next day and a satisfactory certificate issued. Care Homes for Adults (18-65 years) Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 22 22 The manager must ensure that the complaints policy is amended to show that the home is regulated by the Care Quality Commission and it must include our contact details and the level of our involvement. To ensure that people receive correct information. 30/06/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 6 It is recommended that care files and support plans are kept in date order to ensure that staff have easy access to up to date information. It is recommended that health care records are kept in date order and that information is recorded on one form to ensure that important appointments are not missed. It is recommended that training in safeguarding and manual handling is repeated on an annual basis to ensure that staff have up to date knowledge and skills. 2 19 3 23 Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 28 of 28 - 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!