Care Home: Blackberry Court

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What the care home does well People living in the home are supported by a team of staff who are skilled and well trained and who understand people`s needs. The staff team are supported by a manager who provides them with a clear sense of leadership and direction. People living in the home are supported by the staff team to maximise their independence, through taking part in all aspects of the day to day running of the home. The staff team are provided with a good level of training, which is relevant to the needs of the people that they support. People living in the home are encouraged to make use of public transport, either independently or with support. People living in the home are supported to take part in a variety of community based activities. What has improved since the last inspection? This was the first key inspection visit to the home since it was registered with the commission. No requirements or recommendations were made as a result of this visit. What the care home could do better: The service needs to continue to build on its current good practice. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Blackberry Court Blackberry Rd Stanway Colchester Essex CO3 0RT     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: Neal Cranmer     Date: 0 9 0 1 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 25 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 25 Information about the care home Name of care home: Address: Blackberry Court Blackberry Rd Stanway Colchester Essex CO3 0RT 01206728699 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): blackberrycourt@btinternet.com Sudath Dias,Jonathan Cheung,Teresa So Ying Cheung Name of registered manager (if applicable) Mrs Jacqueline Kennedy Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accomodated is: 5 The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: Learning disability Code LD Date of last inspection Brief description of the care home Blackberry Court is a small modern bungalow situated in a residential area of Colchester. It provides support to young people with a learning disability. The bungalow provides all of the service users with en-suite facilities. It has established gardens to the rear of the property as well as parking to the front, access to the parking area is via a driveway from the main road. The bungalow is situated close to a main bus route with regular buses to colchester Care Homes for Adults (18-65 years) Page 4 of 25 care home 5 Over 65 0 5 Brief description of the care home and the surrounding villages, the bungalow is only a few miles from the nearest main line railway to London Liverpool Street Care Homes for Adults (18-65 years) Page 5 of 25 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 the home on the 9th of January 2009, during our visit we spoke with people who live in the home, the manager, some staff and some relatives who were visiting the home, most of the comments received were good, and people living in the home seemed happy to be there. Care Homes for Adults (18-65 years) Page 6 of 25 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 7 of 25 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 8 of 25 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. Prospective service users can expect their needs to be assessed by a representative of the home prior to admission. Evidence: At the time of the site visit their were four service users in residence the most recent of which was admitted to the home in November 2008, sampling of the service users care plan showed that they were admitted to the home as an emergency admission with a COM 5 (Community Care Assessment, this is an assessment undertaking by a representative of the placing authority). Very quickly following admission a support plan was put in place based upon the needs identified within the COM 5 and from the homes own assessment of need. Care Homes for Adults (18-65 years) Page 9 of 25 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. Service users are involved in decisions about their lives, and play an active role in planning the care and support they receive. Evidence: All of the service users care plans were sampled, all were seen to have been developed from the homes own assessment of need or a Community Care Assessment. All of the plans clearly identifed peoples needs and the support that they required from staff to enable their needs to be met. Each care plan contained details of peoples individual likes and dislikes and discussion and observation of staff indicated that they were aware of these. All three of the care plans were seen to be kept under regular review, and had been reviewed in the last six months. The home does not currently have any advocacy service involvement, although discussion with the manager indicated that they were well aware of how to contact and make a referral should the need arise. All three of the service users have their own bank account, although their parents Care Homes for Adults (18-65 years) Page 10 of 25 Evidence: manage their money on their behalf. The home maintains a small personal allowance for each person, records for two people were sampled and found to be in order, with a clear audit trail in place. Care Homes for Adults (18-65 years) Page 11 of 25 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. Service users are supported to make choices about their lifestyle and are supported to develop their life skills. Evidence: At the time of the site visit none of the service users were employed in any form of paid or voluntary employment, although the registered manager stated that two people had expressed an interest in pursuing a career in hairdressing and care, the manager was exploring this further with the two service users. All of the service users attend a local adult education institute where they take part in a skills for living course. On the day of the visit one service user had already left to attend college when we arrived. The remaining two service users left supported by staff shortly afterwards. Discussion with both werenheld before they left. One spoke of how much they enjoyed a game of pool when they get to the centre. All of the service users attend the local Care Homes for Adults (18-65 years) Page 12 of 25 Evidence: Gateway club every Friday evening. Each of the service users had an activity plan in their individual plan of care, each activity plan was different and had been based upon each persons individual preferences, activities included: Music, swimming, arts and crafts, going to car boot sales, woodwork, shopping and attending the gateway club. The home does not have access to a vehicle, although it is situated on a good public transport route. All of the service users are able to use public transport either independently or with support, and to facilitate this the home has purchased an annual bus pass for each person. The home has an open door policy on the receiving of visitors, and sampling of the homes visitors book showed that relatives visit the home regularly. The registered manager stated that the home has a good rapport with service users relatives. The home operates a key worker system and the key workers support the service users to maintain links with their families. Service users take an active part in planning the homes menus and preparing meals with support. The menus sampled were varied and nutritious and provided service users with a choice. Service users are actively encouraged to assist in daily living activities including dusting, hoovering, emtying the bin, preparing tea, washing up, cleaning thier own rooms, looking after their laundry and gardening. To facilitate these activities the home has set up a rota with a photograph of the service user alongside their chore for the day. Care Homes for Adults (18-65 years) Page 13 of 25 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. The health and personal care that service users receive is based on their individual needs and the principles of respect, dignity and privacy are put into practice. Evidence: The service users residing in the home are quite able to manage their own personal support needs with minimal assistance from staff, they are able to choose independently what clothes they wish to wear and choose when to go to bed and get up in the morning. Service users are supported by a mixed gender team during the day, nightime support is only provided by female staff. All of the service users residing in the home are registered with a local General Practitioner and access a range of generic healthcare services including opticians and dentists. Other healthcare professionals who provide support into the home include a epilepsy nurse specialist and a community nurse. All of the service users have a health action plan, and the home has developed a health record check to encourage service user to make monthly checks on themselves for any signs of any lumps, discharges or unusual bleeding. Records were seen to be kept on file of any visits from healthcare professionals including the reason for the visit as well as the outcome. Record included Care Homes for Adults (18-65 years) Page 14 of 25 Evidence: an information sheet which contained details of the service users next of kin, General Practitioner, emergency contact details, and general medical history. The homes medication practice was sampled in respect of there administration recording and storage, all of which was in order. Only senior care staff administer medication upon completion of training provided by the dispensing chemist, in addition to this training staff administering medication are required to undergo an annual competency assessment. The home employs three senior care staff and certifcates of competency in the administration of medicines was seen for all of them. Care Homes for Adults (18-65 years) Page 15 of 25 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. Service users have access to a robust and effective complaints procedure, and are protected from abuse, furthermore their rights are protected. Evidence: The home has in place policies and procedures foe managing any complaints, concerns or safe guarding issues. The complaints policy included guidance on what constituted a complaint, to who the complaint should be referred, and the timescales within which the complaint would be responded to. There have been no complaints received in respect of the service since it was registered with the Commission. The homes safeguarding policy and procedure also included a definition of abuse, what the indicators were of potential abuse taking place, the actions to be followed by staff in the event of an allegation being made, how to respond to enquiries from outside agencies concerning incidents of abuse. There have been no safeguarding referrals made since the homes registration. The home employs six care staff, at the time of the site visit four of these had received traing in safeguarding, further training was scheduled for the remaining staff, training was being provided by an external training provider. Care Homes for Adults (18-65 years) Page 16 of 25 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. The layout of the home enables service users to live in an environment that is safe, well maintained, and comfortable, and in which they can further develop their independence. Evidence: A tour of the premises was undertaken, which included viewing of service users bedrooms, all benefited from having an en-suite facility, and were well equipped with wardrobes, dressing tables and bed side cabinets. It was noted that each room contained evidence of peoples personal possessions, including photographs, televisions and play stations, and a wide variety of DVDs and videos. All of the service users had their own bedrooms keys, although staff also had access to keys for use in the event of an emergency. Furnishings and fittings in the home were of a good quality and were domestic in nature and in keeping with the style of the home. On the day of the visit the home was comfortable, bright and cheery and looked to be well maintained, there was no evidence anywhere in the home of any unpleasant odours. The laundry room was equipped with domestic style washing machines and tumble dryers, and their was a locked facility for storing cleaning materials. As mentioned previously service users were encouraged to take part in caring for their own laundry. Care Homes for Adults (18-65 years) Page 17 of 25 Care Homes for Adults (18-65 years) Page 18 of 25 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. Service users are supported by a staff team who are well trained and skilled and available in sufficient numbers to meet their assessed needs. Evidence: The home employs six care staff all of who hold a National Vocational Qualification (N.V.Q) in care, the home does not employ any care staff under the age of eighteen, and those staff left in a position of being in charge of the home are all aged over twenty-one, discussion with staff as well as observation of their practice indicated that they were knowledgeable about the needs of the service users. The recruitment records for three members of staff were sampled, all contained copies of application forms, two written references one of which was from the most recent employer, a criminal records bureau check (CRB) in POVA first. The recruitment process carried out by the home was robust and protected service users. Staff training records for the same three staff were sampled and evidenced that they had received a good level of training which included; first aid, manual handling, food hygiene, health and safety, fire safety, safeguarding, epilepsy awareness, medication administration, infection control, dementia awareness, Mental Capacity Act 2007, management of continence and inclusive communication. Discussion with staff during the course of the visit confirmed that they felt that access to staff training was good. Care Homes for Adults (18-65 years) Page 19 of 25 Care Homes for Adults (18-65 years) Page 20 of 25 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. The management and administration of the home is based on openness and respect. However there is no formal process in place to monitor and keep under review the quality of the service provided. Evidence: The registered manager has significant previous experience of managing in the care sector and holds the Registered Managers Award. The manager is responsible for two homes, although they are supported by a deputy manager in the second home, the managers hours are supernumerary, and they split their hours equally throughout the week across the two homes. The manager is on call 24/7 and discussion with staff indicated that the management ethos of the home is based on openness and transparency. The manager is always accessible and staff said that they are provided with a clear sense of leadership and direction and know what is expected of them. The proprietor visits the home monthly to carry out Regulation 26 visits (these are visits that are required by regulation). Sampling of reports from these visits showed that the proprietor set aside time to meet and talk with service users, and review the Care Homes for Adults (18-65 years) Page 21 of 25 Evidence: condition of the premises. The quality assurance processes within the home are not yet fully functional as the service users were still quite new to the home. However the manager was fully aware of the need to develop a process by which the quality of the homes service provision would kept under review. The homes safe working practices was reviewed by the sampling of a range of safety certificates including: gas safety certificate, portable appliance test record, legionella test report and electrical installation test certificate, all of which were current and in order. A ll of the staff have received training in health and safety, fire safety and infection control. Care Homes for Adults (18-65 years) Page 22 of 25 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 23 of 25 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 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 Care Homes for Adults (18-65 years) Page 24 of 25 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 25 of 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!