Care Home: Bridge Court Bungalow

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What the care home does well Bridge Court Bungalow continues to offer a friendly and welcoming environment where people feel `safe` and `happy`. The residents are encouraged to view the house as their home, and participate in all decisions that effect their own lives and lifestyles. Residents have access to local community facilities and groups. All are encouraged to participate in their own hobbies and interests and are enabled to access college, day centres and work placements. There is a very stable staff team who therefore provide consistent support to the residents. The staff are well-trained and receive ongoing training to keep up to date. The majority of staff hold an NVQ at level 2 or above. The physical environment of the home is pleasant and comfortable, residents are encouraged to make their rooms their own. What has improved since the last inspection? Work has been carried out to improve the shower room and replace the flooring in the toilet. Staff now have access to a training package for non practical training that can be completed at the home, at their own pace and at convenient times. Individual residents wishes and goals are now recorded in their plans of care and are reviewed on a regular basis. What the care home could do better: There were no requirements made at this inspection. The home should continue to monitor the service it provides to ensure that it continues to reflect the needs and care of individual residents. CARE HOME ADULTS 18-65 Bridge Court Bungalow Bridge Court High Street Normanby Middlesbrough TS6 0LD Lead Inspector Jane Bassett Unannounced Inspection 12th December 2007 10:00 Bridge Court Bungalow DS0000000110.V356298.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 Bridge Court Bungalow DS0000000110.V356298.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. Bridge Court Bungalow DS0000000110.V356298.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bridge Court Bungalow Address Bridge Court High Street Normanby Middlesbrough TS6 0LD 01642 463356 F/P 01642 463356 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) londonroad@tiscali.co.uk Milbury Care Services Ltd Mr Geoffrey Sirs Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Bridge Court Bungalow DS0000000110.V356298.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th January 2007 Brief Description of the Service: Bridge Court Bungalow is a modern purpose-built property situated in a quiet cul-de-sac off Normanby High Street. Accommodation is provided in six single bedrooms, none having an en-suite facility but all meeting the requirements of the National Minimum Standards relating to room size. The bungalow has its own private garden and residents are able to access the more extensive grounds of Bridge House (another Milbury home for people with learning disabilities on the same site). The home is within easy walking distance of local community facilities: Church; shops; public houses etc. The public transport system provides direct access to the coast, countryside and Middlesbrough town centre. Bridge Court Bungalow DS0000000110.V356298.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection report includes information obtained from an Annual Quality Assurance Assessment (AQAA) completed by the manager of the home. An unannounced visit to the home was carried out. During the visit, which lasted five hours the inspector walked around the building and looked at documentation including staff records and residents files. The inspector spoke to two residents, three staff members and the manager. As the inspector walked around the home she carried out indirect observation of interactions between residents and staff. Four relatives and five residents returned surveys to CSCI. What the service does well: What has improved since the last inspection? Work has been carried out to improve the shower room and replace the flooring in the toilet. Staff now have access to a training package for non practical training that can be completed at the home, at their own pace and at convenient times. Individual residents wishes and goals are now recorded in their plans of care and are reviewed on a regular basis. Bridge Court Bungalow DS0000000110.V356298.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. Bridge Court Bungalow DS0000000110.V356298.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 Bridge Court Bungalow DS0000000110.V356298.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): Outcomes for standard 2 were looked at. People who use the service experience good quality outcomes in this area. There are process’s in place that should ensure prospective people to use the service have their needs assessed and are given the information needed to choose a home. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: The inspector was told that the people who are living at the home had all been there for a number of years, and therefore there had not been any recent admissions. Staff at the home were able to describe the process of admission for any new resident. This would involve a gradual introduction to the home, the other residents and the staff. Staff would be able to assess the individual’s needs and whether these could be met at the home. Staff also stated information would be obtained from the persons social worker and where ever possible the family. During the inspection 4 residents files were examined, these were found to contain evidence of assessment, evaluation and review of needs carried out by the home and the authority funding that person’s care. Bridge Court Bungalow DS0000000110.V356298.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): Outcomes for standards 6, 7, & 9 were looked at. People who use the service experience good quality outcomes in this area. Individuals are involved in decisions about their lives, and play an active role in planning the care and support they receive. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: During the inspection four resident care files were examined. These were found to contain plans of care and risk assessments. Information was recorded in such a way as to reflect that persons individual preferences, wishes and goals. Information is discussed with residents at a monthly meeting and is recorded in both written and picture format. People who spoke to the inspector confirmed service users make their own decisions about their lifestyles. On the day of inspection, the inspector observed people deciding, what they would do, what they wanted to eat, and if they would go out. The staff made use of opportunities as they arose during the day to offer people choices. Two residents who spoke to the inspector told her they were both very happy with the care and support they receive. Staff talk to them and they can make Bridge Court Bungalow DS0000000110.V356298.R01.S.doc Version 5.2 Page 10 decisions about their daily lives. One person commented ‘ I like it here, I can do as I like’, another said ‘I can pick my own meals and things’. Relatives commented on the encouragement people receive to make their own decisions and to take part in activities. One person stated people receive ‘very good support’. Bridge Court Bungalow DS0000000110.V356298.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): Outcomes for standards 12, 13, 15, 16, & 17 were looked at. People who use the service experience good quality outcomes in this area. People who use the service are able to make choices about their lifestyle, and are supported to develop life skills. Social, educational, and recreational activities meet individual’s expectations. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: The inspector found evidence of varied individual activities, which residents at the home participate in for example shopping, socialising both within the home and in the local community, and holidays. They have a car to facilitate this but also take public transport or walk. Residents are encouraged to follow their own interests and hobbies. One resident has recently completed a parachute jump; another has a helicopter ride planned. A number of residents attend college and day centres, one resident works part time in a café. Bridge Court Bungalow DS0000000110.V356298.R01.S.doc Version 5.2 Page 12 Resident’s wishes and goals are discussed at a monthly meeting with their key worker and these are recorded and reviewed. Residents and staff who spent time with the inspector spoke of contact with families, evidence of contact was found resident files. Staff who spent time with the inspector were able to demonstrate through response to questions how the home promotes individuals rights and choices. During the day the residents moved from the communal areas to their own rooms as they wished. The routines observed very much encouraged individual choice and freedom of movement. Residents told the inspector that they were supported by staff to cook meals in the house, thereby building on their skills. At lunchtime the inspector observed residents and staff interacting well, chatting to one another The residents have unrestricted access to the kitchen and can help themselves to snacks and drinks as they wish. Residents assist in the meal in some way, for example, cooking, setting the table, or clearing up afterwards. All have an involvement with choice of menu. Bridge Court Bungalow DS0000000110.V356298.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): Outcomes for standards 18, 19, & 20 were looked at. People who use the service experience good quality outcomes in this area. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: During the inspection four resident files were examined. These were found to contain plans of care, behavioural support plans and risk assessments appropriate to the individuals needs. Files also contained detailed social, family and health histories. The resident’s file examined showed that there was good communication between the individual and other health professionals. People made use of chiropodists, opticians, and dentists, for example, as required. The home operates a key worker system. Staff who spent time with the inspector were able to demonstrate a good knowledge of individuals needs, goals and preferences. All were able to describe the support and assistance each resident required to enable them to maintain as much independence as possible. Residents who spent time with the inspector told her they were happy with the care and support they receive. Both residents who spoke to the inspector said Bridge Court Bungalow DS0000000110.V356298.R01.S.doc Version 5.2 Page 14 staff listen to them. One person commented ‘ I am happy here’ another said ‘ it is good here’. The inspector found a medication list in each file examined, these contained details of what each medication is for, when to administer as required medication and any possible side effects. A sample audit of the medication systems found no major concerns with storage, administration and recording. Medication administration charts were completed appropriately with the initials of two staff each time medication is administered. Staff records seen by the inspector contained evidence of training in either safe handling of medication for those staff who have responsibility for administration or medication awareness for other staff. Bridge Court Bungalow DS0000000110.V356298.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): Outcomes for standards 22 & 23 were looked at. People who use the service experience good quality outcomes in this area. People who use the service are able to express their concerns and have access to a complaints procedure, are protected from abuse and have their rights protected. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: Information given to the inspector both on the day of inspection and in the AQQA indicated the home had not received any complaints since the previous inspection. The home has documentation available to record any concern that may be raised. The complaints procedure was seen in both written and picture format and was available to all. The service user guide was also seen to be available and in an appropriate format. Both residents who spoke to the inspector stated they were listened to, and they felt safe. Staff who spent time with the inspector were able to describe the actions they take to safeguard the residents and the procedure to follow should any concern be raised. Documentation seen by the inspector indicated staff have received training relating to prevention of abuse and the ‘ no secrets’ guidance. A random sample audit of monies held by the home on behalf of residents found no discrepancies between amount recorded and cash held. All the relevant building society statements were available to see. Bridge Court Bungalow DS0000000110.V356298.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): Outcomes for standards 24 & 30 were looked at. People who use the service experience good quality outcomes in this area. The physical design and layout of the home enables people who use the service to live in a safe, well maintained and comfortable environment, which encourages independence. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: On the day of the inspection the inspector walked around the building. Bedrooms were seen to be personalised to individual’s choice and taste. The inspector was told residents have choice of décor. There is a choice of lounge for the service users, either in the main lounge or in a different ‘quiet room’ for those who may want that. All rooms were found to be homely, well decorated, clean and odour free. Repairs had been carried out in the shower room and the toilet flooring had been replaced as required at the previous inspection. Information in the AQQA indicates the home and equipment are maintained as required. Bridge Court Bungalow DS0000000110.V356298.R01.S.doc Version 5.2 Page 17 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): Outcomes for standards 32, 34, & 35 were looked at. People who use the service experience good quality outcomes in this area. Staff at the home are trained, skilled and in sufficient numbers to support the people who use the service and to support the smooth running of the home. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: The inspector examined the files of two bank staff recently recruited by the home. These were found to contain evidence of appropriate recruitment checks carried out prior to employment. Other staff records seen included evidence of supervision and training including, induction, fire safety, food hygiene, first aid, moving and handling, person centred planning, non violent crisis intervention and autism training. The inspector was told that 13 of the 15 staff employed at the home have achieved NVQ level 2 or above. A new system of training has recently been introduced. This is called L BOX and allows staff to work through non practical training at own their own pace using a computer programme. The progress of staff and the system are monitored and reviewed by the manager to ensure all are completing and achieving the appropriate qualifications. Courses covered in this way include, introduction, food hygiene, prevention of abuse and fire safety. Bridge Court Bungalow DS0000000110.V356298.R01.S.doc Version 5.2 Page 18 Staff who spoke to the inspector confirmed that they received regular supervision and training as required. Both staff and residents who spent time with the inspector said there were sufficient staff on duty to meet individuals needs and choices. Bridge Court Bungalow DS0000000110.V356298.R01.S.doc Version 5.2 Page 19 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): Outcomes for standards 37, 39, & 42 were looked at. People who use the service experience good quality outcomes in this area. The management and administration of the home is based on openness and respect and has quality assurance systems in place. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: The manager is suitably qualified and has been in post for a number of years. Discussion with the manager and the staff showed a positive approach to their work. They were all clear about their role within the house and their dedication was apparent. Staff were seen to deal with residents requests and needs in a friendly and respectful manner. Staff spoke of a stable and committed team who put the needs of the residents first. Staff also stated that the manager was approachable, they are listened to and any issues raised are addressed. Bridge Court Bungalow DS0000000110.V356298.R01.S.doc Version 5.2 Page 20 The views and opinions of the residents are sort at the monthly meetings with key workers as well as on a day to day basis. The home carries out an annual quality assurance survey, collecting the views of the resident’s families and representatives. Comments received from relatives included ‘ 10 out of 10’, very good support’, and people are ‘encouraged to feel that this is their own home’. Regular visits are carried out by senior managers, staff confirmed that during these visits the views of both residents and staff are sort. All records and documentation seen on the day of the inspection was found to be well organised and up to date. Information contained in the AQQA indicates the home has a range of policies and procedures that should promote the safety and well being of the residents. Other information in the AQQA and documentation seen on the day of the inspection indicates the home and equipment are maintained as required. Accidents were seen to be recorded appropriately. Bridge Court Bungalow DS0000000110.V356298.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 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 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 3 3 3 x 3 X 3 X X 3 x Bridge Court Bungalow DS0000000110.V356298.R01.S.doc Version 5.2 Page 22 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. 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. Refer to Standard Good Practice Recommendations Bridge Court Bungalow DS0000000110.V356298.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Bridge Court Bungalow DS0000000110.V356298.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. 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