Care Home: 23 Birchway

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 It was evident that good care and support is provided to the people currently living at Birch Way. What has improved since the last inspection? Not applicable. What the care home could do better: Even though this home is currently providing temporary accommodation, the homes Statement of Purpose and Service Users Guide should be more readily available so that people using the service had sufficient information. It is recommended that there is greater explanation for staff about when and for what reason PRN medication (medication that is used as required) is to be used so that this medication is administered safely. CARE HOME ADULTS 18-65 23 Birchway Charlton Down Dorchester Dorset DT2 9XX Lead Inspector Lesley Jones Unannounced Inspection 16th December 2008 10:00 23 Birchway DS0000072680.V373599.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 23 Birchway DS0000072680.V373599.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. 23 Birchway DS0000072680.V373599.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 23 Birchway Address Charlton Down Dorchester Dorset DT2 9XX 01305 259852 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) www.LCDisability.org Leonard Cheshire Disability Manager post vacant Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 23 Birchway DS0000072680.V373599.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: 2. Learning disability (Code LD) The maximum number of service users who can be accommodated is 4. Date of last inspection Brief Description of the Service: Birch Way is a new service for people with learning disabilities, owned and managed by Leonard Cheshire Disability. The home is registered for 4 people. The home is currently being used to provide accommodation for residents living in other Leonard Cheshire Disability homes who are having their homes refurbished/ upgraded. The first residents who used this home moved from Edward Road, bringing with them their manager and staff team. They have now returned home. At the time of this visit there were three residents from Romulus Close. They moved to Birch Way in September 2008. They have brought their registered manager, Paul Dennis – Andrew with them. Once Romulus Close is upgraded they will return there. At the time of this inspection is anticipated that the residents accommodated would return to Romulus close before Christmas . Then the 3 residents of Maiden Castle will move to Birch Way. All will occupy rooms on the 1st floor. They will bring their registered manager, Lydia DennisAndrew with them. Once Maiden Castle has been upgraded they will return there. Leonard Cheshire had anticipating the works on all three homes to have been completed by December 2008. however this date had now been extended into the new year. The registration of a manager for the long-term new service 23 Birch Way will be submitted in due course 23 Birchway DS0000072680.V373599.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is two stars. This means that the people who use this service experience good quality outcomes. The focus of the inspection was to inspect relevant key standards under the Commission for Social Care Inspection Inspecting for better lives 2 framework. This focuses on outcomes for residents and measures the quality of the service under four headings, these are excellent, good, adequate and poor. This inspection was also carried out with due regard to the temporary nature of this provision. We (The Commission for Social Care Inspection) undertook a tour of the premises and looked at selected staff and residents’ files and other documents related to the running of the care home The focus was on the welfare of the people living at the home, the adequacy of staffing arrangements, and the arrangements in place within the environment to meet the needs of the residents. We have also used information form the Registration Report that was written in July 2008 as part of this report. We looked at the outcomes and associated records for people living at the home at the time of the inspection. Romulus Close was inspected on 4th October 2007 and rated as good. What the service does well: What has improved since the last inspection? Not applicable. 23 Birchway DS0000072680.V373599.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. 23 Birchway DS0000072680.V373599.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 23 Birchway DS0000072680.V373599.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 (excellent, good, adequate or poor) This judgement has been made using available evidence including a visit to this service. Due to the nature of the current service provision these standards were not inspected. EVIDENCE: All three residents are living here temporarily, and all came together from Romulus Close. The home admission procedure will be inspected when Romulus Close has its own Key Inspection. 23 Birchway DS0000072680.V373599.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): 6,7,9, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home are supported safely to live their lives as they choose. EVIDENCE: All three residents files were inspected and found to be in good order. There was comprehensive information, which included: the following: Daily Diaries A record of activities Bath temperatures Weekly menu plan Bowel monitoring. Communication needs Risk assessments Likes and dislikes 23 Birchway DS0000072680.V373599.R01.S.doc Version 5.2 Page 10 Activities(including physiotherapy guidelines) Contact with other professional Correspondence Reviews with other agencies, There was evidence that individuals are reviewed regularly at team meetings. 23 Birchway DS0000072680.V373599.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): 12,13,15,16,17, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home are supported to access social opportunities. EVIDENCE: Resident’s files demonstrated that they have opportunities for personal development, and examples were observed throughout the day of residents being encouraged and supported to do the things that give them pleasure. For example, a piano belonging to one resident has been moved from Romulus Close to Birch Way to help one resident with the transition , and because he likes to play it. Observation on the day, and inspection of the record provide evidence that a wide range of opportunities is available to residents. 23 Birchway DS0000072680.V373599.R01.S.doc Version 5.2 Page 12 It was clear that residents are comfortable and relaxed with the staff group, and that a happy atmosphere exists . Good records are kept of meals provided and what individual eat. Menus were well balanced and appeared appetising. 23 Birchway DS0000072680.V373599.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): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People at the home can be assured that their health care needs will be met. EVIDENCE: Individual files were comprehensive and well maintained. Residents looked well cared for, were happy, and appropriately occupied. Medication records were in good order. It is recommended that to promote good practice, there is greater explanation for staff about when and for what reason PRN medication (medication that is used as required) is to be used. 23 Birchway DS0000072680.V373599.R01.S.doc Version 5.2 Page 14 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 (excellent, good, adequate or poor) This judgement has been made using available evidence including a visit to this service. The Commission has not received any complaints or concerns about the service. EVIDENCE: 23 Birchway DS0000072680.V373599.R01.S.doc Version 5.2 Page 15 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): 24,30, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People at the home live in a homely and suitable environment. EVIDENCE: There are 4 bedrooms, all situated on the 1st Floor. Bedrooms 1 and 3 have their own ensuite bathrooms. Bedroom 3’s ensuite has an assisted shower, along with the toilet and hand washbasin. Bedrooms 2and 4 share a bathroom, bath, shower, sink. It is accessed from bedroom 2 and from the first floor landing. Each bedroom includes double electric sockets, plus a TV and telephone point. Artificial lighting sources are a main ceiling light, and bedside lamps will be provided for those who do not bring them with them / or who want them. 23 Birchway DS0000072680.V373599.R01.S.doc Version 5.2 Page 16 Each door has a suitable lock with master key override facility. Each room has curtains on the windows. Residents will either bring their furniture with them or it will be provided. The furniture seen in the staff area was of a good standard. Residents coming on a temporary basis will be bringing their lockable storage areas with them. While the house is being used temporarily for residents some changes in how the premises are used have been agreed with our Registration Department. These are as follows:Two residents currently living at the home, are wheelchair users, and are using two of the downstairs rooms, as bedrooms. Bedroom 1 is being used as the staff sleep in area. A portable parker bath has been temporarily be placed in what will be in the long term the staff room on the ground floor within easy access of the dining room / bedroom. A portable ramp has been purchased to enable the residents with wheelchairs to access the lounge and the garden. Upstairs bedrooms not in use as bedrooms may be used as additional communal space for residents able to get upstairs. Staff will be using bedroom 4 (upstairs)as the sleep in room. Opposite this temporary bath area is the staff shower room that also has a toilet and hand basin in it. This room is also available for the use of residents. There is a dining room and lounge. The kitchen also has a seating area that overlooks the garden. The Four residents who will live at the home on a long-term basis, will be fully ambulant. There is a garden to the rear of the property, which is part decked and part lawned. Access to this is from the kitchen, dining room and lounge. There is car parking for 3 cars and a double garage. 23 Birchway DS0000072680.V373599.R01.S.doc Version 5.2 Page 17 There is a domestic style kitchen and laundry area. The laundry area mostly obviously accessed via the kitchen. I was assured that soiled laundry is not taken via the kitchen. There is a suitable washing machine and an easily accessible hand washbasin in the corridor outside the laundry room. Temperature of the hot water is capped as per company policy at 40 degrees centigrade. The temperature of radiators can be adjusted, residents have been risk assessed in their current accommodation. All windows will have limiters to restrict window openings to approx 6 inches, these will be fitted prior to residents moving into the home. There is no emergency call system, as the home is small enough for residents and staff to easily be in contact in an emergency situation. There is a staff room on the ground floor, which will also be used for sleeping in. There is a staff shower room with toilet and hand basin opposite the office.. Doorways on the ground floor are of a suitable width for wheelchair users to be able to access all areas. 23 Birchway DS0000072680.V373599.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): 32,34,35, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home are supported by sufficient numbers of suitably recruited and trained staff to meet their needs. EVIDENCE: From now until the home is used for long term residents staff will transfer with residents. On the day of this visit, the home was well staffed. Staff spoken to confirmed that staffing levels are good and allow for 1 to 1 time with residents. Staff members and the training matrix confirmed that mandatory and specialist training is provided. Two staff files were inspected and found to be in good order. 23 Birchway DS0000072680.V373599.R01.S.doc Version 5.2 Page 19 23 Birchway DS0000072680.V373599.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): 37,39,42, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the service benefit from a well managed home. EVIDENCE: The post of manager is to remain vacant initially as other registered managers have transferred in the short term with residents, as agreed with The Commission. There is no evidence to suggest that even though this is a temporary arrangement, the home is not being well run. 23 Birchway DS0000072680.V373599.R01.S.doc Version 5.2 Page 21 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 x 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 x 23 x ENVIRONMENT Standard No Score 24 3 25 x 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 x 3 3 x 3 x 3 x x 3 x 23 Birchway DS0000072680.V373599.R01.S.doc Version 5.2 Page 22 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. 1 Refer to Standard YA20 Good Practice Recommendations It is recommended that to promote good practice, there is greater explanation for staff about when and for what reason PRN medication (medication that is used as required) is to be used. 23 Birchway DS0000072680.V373599.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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 23 Birchway DS0000072680.V373599.R01.S.doc Version 5.2 Page 24 - 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!