Care Home: Blakeney House

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What the care home does well Every person has a care plan.This tells staff what the resident likes and dislikes.Staff care for residents and look after them very well.Residents always have medicine and treatment they need.Staff listen to resident`s complaints and put things right.Staff protect residents and keep them safe.The home is clean and safe and residents like living there. What has improved since the last inspection? .Better checks are carried out on people before they start work in the home. What the care home could do better: Some of the information could be made easier for residents to understand. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Blakeney House 33-35 Park Road Westcliff On Sea Essex SS0 7PQ The quality rating for this care home is: three star excellent 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: Carolyn Delaney Date: 2 8 0 8 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. They reflect the things that people have said are important to them: 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 32 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (20092008) 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 32 Information about the care home Name of care home: Address: Blakeney House 33-35 Park Road Westcliff On Sea Essex SS0 7PQ 01702335724 01702335986 blakeney@consensussupport.com www.concensusupport.com Consensus Support Services Limited care home 10 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) : Number of places (if applicable): Under 65 Over 65 10 0 learning disability Additional conditions: The maximum number of service users who can be accommodated is 10 The registered person may provide the following categories 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 categories: Learning Disability - Code LD Date of last inspection 1 4 0 8 2 0 0 7 Care Homes for Adults (18-65 years) Page 4 of 32 A bit about the care home Blakeney House is a home for people who have a learning disability. Up to ten people can live in the home. Staff help residents with their daily lives. Care Homes for Adults (18-65 years) Page 5 of 32 The home is close to the town and the seafront. Each person has their own bedroom. It costs from £1331.78 to £1805.09 each week to live in the home. Care Homes for Adults (18-65 years) Page 6 of 32 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: three star excellent 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 Care Homes for Adults (18-65 years) Page 7 of 32 How we did our inspection: This is what the inspector did when they were at the care home We spoke with residents and staff about the home. We looked at care plans. We looked at how complaints were dealt with and how residents were protected. Care Homes for Adults (18-65 years) Page 8 of 32 We looked at how many staff worked at the home and how they were trained. We looked at the home to see if it was safe and comfortable. Care Homes for Adults (18-65 years) Page 9 of 32 What the care home does well Every person has a care plan. This tells staff what the resident likes and dislikes. Staff care for residents and look after them very well. Care Homes for Adults (18-65 years) Page 10 of 32 Residents always have medicine and treatment they need. Staff listen to resident’s complaints and put things right. Staff protect residents and keep them safe. The home is clean and safe and residents like living there. Care Homes for Adults (18-65 years) Page 11 of 32 What has got better from the last inspection . Better checks are carried out on people before they start work in the home. What the care home could do better Some of the information could be made easier for residents to understand. Care Homes for Adults (18-65 years) Page 12 of 32 If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Carolyn Delaney 03000 616161 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 13 of 32 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 14 of 32 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People looking for a care home can be assured that their assessed needs will be met at Blakeney House. Evidence: The manager told us in the Annual Quality Assurance Assessment that there was good system for dealing with referrals and admissions. They told us that one person who had moved into the home within the past year had needed a ground floor with wet room shower facilities and that this had been arranged before the person moved in. They also told us staff had visited the person in their previous care home to help get to know them and to understand their needs. Two of the four residents who completed surveys told us that they had been asked if they wished to move into the home and had been give information to help them decide if it would be the right place for them. Two health care professionals told us in surveys that the homes arrangements for assessment ensured that the right service was planned for people. When we visited the home we looked at the arrangements for assessing a persons needs before they moved into the home. We looked at the file for one person who had moved into the home within the past twelve months. We saw that staff had visited the Care Homes for Adults (18-65 years) Page 15 of 32 Evidence: person in their home to get to know them and to understand their needs. We saw that the manager had carried out a detailed assessment of the persons health, personal care, social and cultural needs. There was detailed information recorded about what level of support the person needed in order to live their preferred lifestyle and details about how they wished to spend their time and preferred daily routines. We saw that following a review of the information the manager made the decision that the home would be able to meet the person’s needs. We looked at the information given to people to help them decide if the home would be suitable for them. We saw each person living in the home was provided with a copy of the homes service users guide. This document contained information about what is was like to live in the home, including arrangements for support and treatment, meals and laundry. There was detailed information about staff and their experience, how a person may complain if they were unhappy and information about the surrounding area. There were photographs and picture references to assist people who had difficulty in reading. The manager told us that there was some ongoing work around providing the information about the home in other formats, which residents might be able to understand better. Care Homes for Adults (18-65 years) Page 16 of 32 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 living in the home can make decisions and choices about their lives. Evidence: The manager told us in the Annual Quality Assurance Assessment that care plans were developed with residents and that they reflected individual’s needs and choices. They told us that there were individual risk assessments in place for people so as to promote independence and minimise risks to residents. Two health care professionals who completed surveys told us that the service supported people to live the life they choose. Staff told us that the way in which information about residents was communicated worked effectively so that they could best support people. When we visited the home we looked at how staff supported residents to make decisions about the care and support they received. We looked at the care plans for two people. Care plans were detailed and written with information about how residents wished to be supported and what they liked and disliked. Each care plan included details of each persons strengths and their goals and aspirations. We saw how residents were supported to achieve the things they wished to do. Each person had a nominated keyworker who worked with them in planning and achieving the things the individual wished to do. Care Homes for Adults (18-65 years) Page 17 of 32 Evidence: We saw that there was a system for identifying and assessing risks to the health, safety and welfare of residents. Where specific risks were identified such as risk of injury or risk around financial, sexual or physical vulnerability there were plans implemented so as to minimise the risks and allow residents to do the things they wished to do. All risk assessments and care plans were reviewed on a regular basis with input from residents and amendments made to the plans as required so that they accurately reflected the needs of people living in the home. Care Homes for Adults (18-65 years) Page 18 of 32 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home enjoy a lifestyle which reflect their individual wishes, goals and aspirations. Evidence: The manager told us in the Annual Quality Assurance Assessment that staff were available to support residents to attend college and pursue activities of their choosing. They told us that residents attended local clubs to meet with their peers and that residents had access to local amenities such as pubs, clubs, swimming, cinema and theatre. They told us that they arranged different events at Blakeney and the people who lived there were involved in the planning and were encouraged to invite their friends and family. Residents who completed surveys told us that they could make decisions about they things they did and that they could do what they want to do during the day, evenings and at weekends. When we visited the home we looked at how residents were supported in participating in the activities and other occupations they wished to. We saw that there were individual plans for residents, which described their goals and Care Homes for Adults (18-65 years) Page 19 of 32 Evidence: aspirations and the things they wished to do. We saw evidence that residents were supported to attain their goals such as places they wished to visit or activities they wanted to participate in. Residents attended college courses or day care centres where they could participate in occupational activities and meet with friends. Residents chose where they wished to go on holiday and one person told us that they were looking forward to their holiday to Euro Disney. We saw photographs of recent residents holidays and other events such as parties and trips out of the home. Two residents we spoke with told us they enjoy going out in Southend, going to London and the events organised at the home. The home accommodates people from different cultural backgrounds and the menu reflects this as do the events and activities in the home. There were international days where different cultures were celebrated. Residents were involved in planning menus and these were discussed as part of the regular meetings. We saw that residents were provided with meals which were healthy and reflected residents choices. Care Homes for Adults (18-65 years) Page 20 of 32 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home have their assessed health and personal care needs met in a way which they choose. Evidence: The manager told us in the Annual Quality Assurance Assessment that each resident had a health action plan and access to all relevant health professionals. They told us that the home had a good relationship with the local learning disabilities team and general practitioner surgeries. They told us that they regularly involved the services of the local occupational therapy team and this had resulted in the purchase of specialist equipment which suited the needs of residents. Residents who completed surveys told us that they received the care and support they needed. Two health care professionals told us that staff have the right skills and experience to support resident’s needs and that they support residents to administer their own medicines or manage this safely where this is not possible. When we visited the home we looked at how staff supported residents to meet their health and personal care needs. We saw that information about how residents wished to be supported was clearly recorded such as the times they wished to have baths or showers. Information was recorded as to how much of each activity the person could complete either independently or with assistance. This helped to ensure that resident’s Care Homes for Adults (18-65 years) Page 21 of 32 Evidence: wishes were met and that they were supported to remain as independent as they could for as long as possible. Where residents had specific medical conditions there were plans in place as to how these were to be managed and how staff could support the person. We saw that residents had access to their doctors when they were unwell and that they attended routine appointments for health screening. At the time of the inspection none of the people living in the home were capable of safely keeping and administering their medicines. Each person had a care plan for their medication. Staff were trained to administer medicines and we saw that they kept good records in respect of this. Care Homes for Adults (18-65 years) Page 22 of 32 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home are well cared for and know that their concerns will be taken seriously. Evidence: The manager told us in the Annual Quality Assurance Assessment that all staff undertake PoVA First checks and Criminal Records Bureau disclosures before they commence work in the home. They told us that staff received training around safeguarding people who may be vulnerable from abuse and that there is information available to residents as to how they may complain or raise any issues if they were unhappy. Each of the four residents who completed surveys told us that staff treated them well. They told us that they knew who to speak if they were unhappy and how to complain formally. Staff told us that they knew what to do if a resident or other person made a complaint or raised concerns. Both health care professionals who completed surveys told us that the service always responded appropriately if any concerns were raised. When we visited the home we looked at the arrangements for receiving and dealing with complaints and safeguarding people from abuse. We saw that there was a complaints policy and procedure available to residents and that this was available with pictures and photographs to help people understand how to complain. We saw that this was regularly discussed at residents meetings so as to reinforce the policy and provide an opportunity for residents to air any concerns. We looked at records and saw that there had no complaints made within the previous twelve months. Care Homes for Adults (18-65 years) Page 23 of 32 Evidence: We looked at how people in the home were safeguarded. We saw that all staff undertake safeguarding training and that local guidelines were followed. We saw that staff were recruited thoroughly and monitored so that they supported residents appropriately. During the inspection we observed how staff engaged with residents. We saw that there was an open and positive culture within the home where staff and residents interacted freely and residents appeared very comfortable in their company. Two residents we spoke with told us that staff treated them well and others who could not communicate verbally indicated that they were happy. Care Homes for Adults (18-65 years) Page 24 of 32 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents enjoy an environment which is clean, safe comfortable and reflects their needs and preferences. Evidence: The manager told us in the Annual Quality Assurance Assessment that when you walked into Blakeney it was homely and that there were photos on the walls. They told us that they offered a safe and secure environment and all health and safety requirements were met. They told us that this was evidenced by all relevant paper work in place such as fire drills and weekly and monthly health and safety Inspections. Residents who completed surveys told us that the home was always clean and fresh. Three residents we spoke with during the inspection told us that they liked living in the home. They told us that they could choose the colour of their bedroom and how their rooms were decorated. All residents had keys to their bedrooms so as to help promote privacy and independence. We carried out a brief tour of the home and all areas we saw where clean and well maintained. The home was decorated and furnished to a good standard. There was a well maintained garden area and a quiet room, which residents could access if they wished to. Care Homes for Adults (18-65 years) Page 25 of 32 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home are well cared for by a team of competent staff who understand their needs. Evidence: Each of the three residents who completed surveys told us that staff treat them well, listen to them and act on what they say. Both health care professionals who completed surveys told us that they felt that staff had the skills and experience to support people social and health care needs. Staff told us that all of the checks including references and Criminal Records Bureau disclosures had been obtained before they started work in the home. They told us that their induction covered everything the needed to know about the job and that they received training, which was relevant and helped them understand the needs of residents. When we visited the home we looked at the arrangements for recruiting, training and deploying staff so as to support residents for their needs. The manager told us that staffing levels were five during the day and two during the night. We looked at staff duty rotas and saw that these levels were maintained and that staff had appropriate time off. We looked at how staff were recruited to work in the home. We looked at the files for two people who had started work in the home since the last inspection. We saw that before both people started work that a full employment history had been checked and references had been obtained form previous employers. We saw that staff had been Care Homes for Adults (18-65 years) Page 26 of 32 Evidence: interviewed so as to determine their fitness and to identify any training or development needs. Each person had completed an in-house induction to help them familiarise themselves with the homes policies and procedures. In addition staff completed Learning Disability Qualification induction so as to help them understand the needs of people who live in the home. We looked at how staff were trained to understand and support people living in the home. We saw that there was a training plan for staff which included administering medication, safe moving and handling, fire safety, infection control and care planning. In addition staff undertook training specific to the needs of people who live in the home including epilepsy and Prada Willi Syndrome. Care Homes for Adults (18-65 years) Page 27 of 32 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is very well managed in the interests of people who live there. Evidence: The manager told us in the Annual Quality Assurance Assessment that they held regular residents meetings and staff meetings which were very person centered. They told us that they had supervisions with the staff and that the team worked well to ensure that residents enjoyed the lifestyle of their choice. The manager said that they and the deputy manager worked to a high standard alongside the staff team. They told us that all staff were aware of the management accountability and external management who their area manager is etc. Residents, staff and health care professionals told us in surveys what the home did well and what could be improved. Health care professionals told us that the service worked well with outside agencies so as to provide good care and support. One person commented that communication between staff and residents could be improved. One resident told us I like the cat and activities. It’s quiet when I go to bed. Another person told us the food is nice, I like playing puzzles, going out and activities. Staff told us that the home looks after residents properly and giving them lots of activities. Another person said We meet resident’s cultural needs and meet their individual needs and wishes. Care Homes for Adults (18-65 years) Page 28 of 32 Evidence: When we visited we looked at the arrangements for managing the home. We saw that the manager was supported by a deputy and a team of staff who understood and supported residents. There were detailed policies and procedures in place for the efficient running of the home and staff had access to these. Regular staff and residents meetings were held so as to discuss issues and how things could be made better for people. We looked at the minutes from residents meetings and saw that things which were important to them such as meals, activities and holidays. Resident’s wishes and choices they made were reflected in the notes and we saw evidence that where residents made decisions and choices that staff supported them to achieve their goals. We looked at a sample of records and saw that the homes environment, equipment and installations such as heating and hot water systems, fire detecting and fighting equipment were well maintained, serviced and repaired or renewed as necessary. Care Homes for Adults (18-65 years) Page 29 of 32 Are there any outstanding requirements from the last inspection? Yes  No  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 30 of 32 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 Description 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 Description 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 31 of 32 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 32 of 32 - 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. 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