Care Home: 2 Battersway Court

Similar services:

• 2 Perhaver Park
• The Vicarage
• St George`s
• 5 Seafield Road
• Radfords
• Honeybourne House
• 32 Beaumont Way

What the care home does well Battersway Court provides the lodgers with a homely, comfortable and safe place to live. They go to work or to other interesting places, where ever they want to go. People can choose what they want to eat, whether the home owner is cooking for them, or getting a takeaway. Lodgers are assisted to maintain good health and encouraged to lead healthy lifestyles, if they want, and to take responsibility for their own good health. They go on holidays every year, with the home owner`s family members to support them. People who sent surveys back to the inspector said that they were pleased that the home provided all the care that people need, with just enough watch being kept to keep people safe, while allowing them their freedom. What has improved since the last inspection? Builders have been at Battersway Court to make the bedrooms bigger and install beautiful new showers. Lodgers chose their colour schemes, their furniture, and how their rooms are arranged. The home owner has completed her National Vocational Qualification in Care. Lodgers each have their own diary to record what they have been doing, their health appointments and any other important events. What the care home could do better: During the inspection the inspector asked the home owner to do some things to improve health and safety in the home, and she arranged for these things to be done very quickly. These were ;Making the fire doors more effective Having fire safety training Checking whether the home`s insurance was correct Getting a qualified electrician to check the wiring in the house. Not all members of the family who help out at Battersway Court or go on holidays with lodgers had got Criminal Record Bureau clearances, which they must apply for. CARE HOME ADULTS 18-65 2 Battersway Court Battersway Road Paignton Devon TQ4 7EY Lead Inspector Stella Lindsay Key Inspection (unannounced) 7th November 2007 10:30 2 Battersway Court DS0000018323.V345696.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 2 Battersway Court DS0000018323.V345696.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. 2 Battersway Court DS0000018323.V345696.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 2 Battersway Court Address Battersway Road Paignton Devon TQ4 7EY 01803 527230 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) Mrs Patricia Harcourt Crawford Mrs Patricia Harcourt Crawford Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 2 Battersway Court DS0000018323.V345696.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. An identified Room is to be used for one named person only. On this person leaving the home the room will be de-registered and the maximum number registered will be reduced to 3. The identified room meets Building Control Regulations. 4 Service Users within the Learning Disability category may reside at the home. 1st November 2006 2. 3. Date of last inspection Brief Description of the Service: Battersway Court is a large detached property in Paignton. The ground floor is the registered providers private accommodation. The first floor is registered as a care home for four service users who have a learning disability. It is arranged as a four bedroom flat which has its own entrance, up an outdoor staircase. It has an open plan kitchen/diner and lounge. The main kitchen, laundry and support facilities are provided from the ground floor. The service users are referred to as lodgers. They have been known to the registered provider for many years and are treated as members of her extended family. Fees are in the region of £250-£350 per week dependent on social services’ assessment of the lodgers’ needs. 2 Battersway Court DS0000018323.V345696.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on a Wednesday in November 2007. The inspector phoned the day before, to check that it would be convenient with the lodgers, and they all kindly stayed in to meet her. The home owner and two family members who are involved with providing this service were available all day to help with the inspection. Care records, health and safety records, and the medication system were examined, and the premises were inspected. Surveys had been returned to the Commission for Social Care Inspection by lodgers, their relatives and some professional visitors to the home, and their views are represented in the report. What the service does well: What has improved since the last inspection? Builders have been at Battersway Court to make the bedrooms bigger and install beautiful new showers. Lodgers chose their colour schemes, their furniture, and how their rooms are arranged. The home owner has completed her National Vocational Qualification in Care. Lodgers each have their own diary to record what they have been doing, their health appointments and any other important events. 2 Battersway Court DS0000018323.V345696.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. 2 Battersway Court DS0000018323.V345696.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 2 Battersway Court DS0000018323.V345696.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): Quality in this outcome area is good. If there were a space for a new lodger, very careful assessment would be carried out before they were offered accommodation at Battersway Court. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has information available for prospective new residents, and has prepared in widget form for anyone who this helps. There have not been any admissions since the last inspection, and none are expected in the near future. Any new people would be introduced very carefully, to see how they get on with the people who already live here. The home owner said that she would make sure that the care manager had assessed peoples’ needs before offering them a place here, and would expect support and advice while they were moving in. She described how this had happened in the past. The lodgers all get on well together. All the lodgers have a contract with the home which they have signed. 2 Battersway Court DS0000018323.V345696.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. The lodgers can be confident that their care plans identify their needs and how they will be met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The files for two of the lodgers were examined. Each contained an individual plan of care signed by the lodger which had been reviewed on a monthly basis. Risk assessments were also in place. A diary system is used to record significant daily events such as G.P. or other health appointments, work attendance, social and educational events, and each lodger has their own diary. Any changes in health or care needs are also recorded, as well as things they like to do in the house or outdoors. Risk assessments had been considered for activities of normal life to ensure that safety is considered. It was clear that the lodgers are involved in discussions about the running of the home and that any comments or concerns they might have are listened to and taken into consideration in any decisions 2 Battersway Court DS0000018323.V345696.R01.S.doc Version 5.2 Page 10 made about the home. The lodgers also said that they are supported in accessing local facilities and are given reminders about keeping safe. Visitors to the home noticed that the home owner, ‘listens to the lodgers, takes notice of what they say, and treats them as individuals and as an equal’. Another said, ‘my friend has their own place yet with a watchful eye from a distance so as not to make them feel under pressure’. 2 Battersway Court DS0000018323.V345696.R01.S.doc Version 5.2 Page 11 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): Quality in this outcome area is good. The home’s positive approach encourages the lodgers to access social, educational and work opportunities and to join in activities of their choice in the locality. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents are able to follow their own interests. All the lodgers have varied and active lives which afford them the opportunity to develop new skills. Three of them have regular part-time employment and the fourth is involved in work activities at a day centre. Two attend courses at a day centre which include life skills, music and crafts. The lodgers attend the weekly Gateway club if they wish and go on day trips with them and sometimes a weekend away. One is an accomplished swimmer, with medals on display to show their achievement. Two go to Sewing Club every week. Two have been going to a local Church, and are visiting different ones, to find which one suits them best. 2 Battersway Court DS0000018323.V345696.R01.S.doc Version 5.2 Page 12 The inspector was pleased to be shown scarves, teddies, and other beautiful things that residents had made recently. Lodgers have enjoyed holidays at a holiday camp, with members of the home owner’s family, and had photos to show. They had already booked for next year, to get a good price. Two lodgers have mobile phones, and the other two are not often out alone in the evenings. They can come and go as they like, but are normally in by 9.30pm. The lodgers enjoy a variety of meals cooked by the home owner, takeaways, and eating out. They often go to the pub for a carvery on Fridays, and may have a barbeque for peoples’ birthday, if that is what they want. When Mrs Crawford cooks a roast dinner she prepares several vegetables, so that people can choose. She cooks downstairs in the main kitchen, and brings the food up to the dining room. The lodgers said they were happy with this arrangement. They can get what they want for breakfast. 2 Battersway Court DS0000018323.V345696.R01.S.doc Version 5.2 Page 13 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): Quality in this outcome area is good. Lodgers are assisted to maintain good health and encouraged to lead healthy lifestyles, if they want, and to take responsibility for their own good health. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents were pleased with their new showers, and said they can have a shower whenever they want. Two lodgers had been assessed as being able to look after their own medication, including going to the surgery to order repeat prescriptions. All have a lockable cupboard, where they can store medication safely. One of the lodgers has diabetes and requires insulin. This was seen to be stored in a locked container in the fridge. The lodger keeps records of their blood sugar levels and the insulin administered. The lodger takes responsibility for administering their insulin but is supported in this by the registered provider. They had been accompanied to an appointment with the specialist Diabetic Nurse on the morning of this inspection. 2 Battersway Court DS0000018323.V345696.R01.S.doc Version 5.2 Page 14 The home has a good connection with one of the Community Nurses, who has given ‘healthy living’ presentations at Battersway Court, with outside people invited to join in. All the lodgers have made their wills, which is very sensible. One has no known next of kin. The home owner would be well advised to discuss this with the lodger and their Care Manager, as she should not be recorded as the next of kin. 2 Battersway Court DS0000018323.V345696.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. The lodgers can have confidence that any complaints or concerns they might have will be listened to and acted upon and that the home owner will endeavour to protect them from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a complaints procedure which is included in the Service Users’ Guide. It has timescales for responding to a complaint and contact details for the Commission for Social Care Inspection. No complaints about Battersway Court have been received by the Commission for Social Care Inspection. The lodgers said that if they have any complaints they speak to the registered provider straight away and it is sorted out but that this does not happen very often. The registered provider confirmed that the lodgers make it clear if they are not happy about something and it is resolved following a discussion. The home owner makes sure each lodger gets their personal allowance. She showed the inspector the record she keeps to prove it is given to each person regularly. She helps people to budget if they want this. She is appointee for all four lodgers. The home owner and her family understand issues regarding the protection of vulnerable adults. They were given the contact number for the local Safeguarding Adults team. The only incident needing to be reported since the last inspection was a theft from the grounds. CCTV cameras are in place for security purposes. 2 Battersway Court DS0000018323.V345696.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Battersway Court provides the lodgers with a homely, comfortable and safe environment in which to live. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There had been a major project to improve the home since the last inspection. Three of the bedrooms had been enlarged and refurbished, and very nice accessible showers had been installed (wet rooms). Work was about to start on the fourth room. Colour schemes, furniture, and the arrangement of the rooms had all been done to please the residents, and they had been involved throughout. There is a kitchenette where residents can make toast and hot drinks. The main kitchen is downstairs, to ensure safety of the lodgers. The home is arranged as a four bedroom first floor flat which is approached by an external staircase and has its own front door. There is a large garden which the lodgers use. 2 Battersway Court DS0000018323.V345696.R01.S.doc Version 5.2 Page 17 The home was found to be clean and tidy. The lodgers said that they take care of their home and are proud of it. Laundry facilities are provided on the ground floor in the registered provider’s private accommodation. Washing machines meet the required standards. There are policies and procedures for the control of infection. 2 Battersway Court DS0000018323.V345696.R01.S.doc Version 5.2 Page 18 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): Quality in this outcome area is adequate. The home owner is assisted by members of her family, and must demonstrate their suitability to work with the lodgers. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home owner’s daughter and grand daughter live nearby and help to make sure that residents are safe and can do what they want. They both have jobs elsewhere in care. There are no employees at Battersway Court. Other members of the family help, particularly with maintenance work and help on holidays. Some had CRB clearances, but not all, which they must apply for, to meet regulations and demonstrate that residents are not at risk. There are policies for recruitment and ‘working with volunteers’. If the home owner were temporarily unable to work, perhaps if she were unwell, the other members of the family would make sure that the lodgers were safe and well. The home owner is a qualified First Aider. She has attended training courses in Occupational Health and Safety, Care & Administration of Medicines, and Moving and Handling recently. Some time ago she attended training sessions 2 Battersway Court DS0000018323.V345696.R01.S.doc Version 5.2 Page 19 on Abuse Awareness and on Continence. Several members of the family have received training in Food hygiene. Fire safety training had not been provided. This is needed so that people know what to do in an emergency, to protect the lodgers from harm. The home owner arranged it soon after this inspection, for herself, family members and lodgers to do together. 2 Battersway Court DS0000018323.V345696.R01.S.doc Version 5.2 Page 20 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): Quality in this outcome area is good. This service enables the lodgers to live the lives that they want, with attention to their health and safety. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Registered Provider, Mrs Pat Crawford, has many years of experience working with people who have mental health problems and learning disabilities. She is commended for completing the appropriate level of National Vocational Qualification in Care. The home sends out a questionnaire every year, to encourage people to give their views and make suggestions. The lodgers feel quite free to speak to Mrs Crawford or other family members when they want something. 2 Battersway Court DS0000018323.V345696.R01.S.doc Version 5.2 Page 21 Fire alarms had been fitted, and the fire precaution system had been checked professionally on 02/10/07. Some of the windows can be opened wide. A risk assessment has been recorded, and the family were aware that this might become a hazard depending on mental states of future lodgers. The water system had been checked for Legionella. The home owner had not realised that a certificate for the electrical circuit was necessary, and agreed to arrange for an electrician to visit for this purpose. 2 Battersway Court DS0000018323.V345696.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 4 26 4 27 4 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 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 2 Battersway Court DS0000018323.V345696.R01.S.doc Version 5.2 Page 23 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 YA34 Regulation 19 Requirement All who work with the lodgers in the home or on holiday must obtain Criminal Record Bureau clearances. The electrical circuit must be checked by an electrician qualified for this purpose, and a copy of the five year certificate supplied to the Commission for Social Care Inspection. Timescale for action 31/03/08 2. YA42 23 31/03/08 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 2 Battersway Court DS0000018323.V345696.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 2 Battersway Court DS0000018323.V345696.R01.S.doc Version 5.2 Page 25 - 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!