Inspection on 06/12/06 for Badgers Holt

This inspection was carried out on 6th December 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Badgers Holt 26/11/08

Badgers Holt 19/01/06

Badgers Holt 01/08/05

Badgers Holt 31/01/05

Badgers Holt 20/09/04

Badgers Holt 15/12/03

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Badgers Holt Butts Ash Lane Hythe Southampton Hampshire SO45 3QY Lead Inspector Keith Hopkins Unannounced Inspection 6th December 2006 12:45 X10015.doc Version 1.40 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 Badgers Holt DS0000011926.V318994.R03.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 Older People. 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. Badgers Holt DS0000011926.V318994.R03.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Badgers Holt Address Butts Ash Lane Hythe Southampton Hampshire SO45 3QY 023 8084 9310 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) www.badgersholtresidential.co.uk Mrs Teresa Rayner Ms Gina Rayner Care Home 25 Category(ies) of Dementia - over 65 years of age (25), Old age, registration, with number not falling within any other category (25) of places Badgers Holt DS0000011926.V318994.R03.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19/01/06 Brief Description of the Service: Badgers Holt is a home offering personal care and accommodation to 25 older people, some of whom may have dementia. The home is located in an area known as the Waterside, on the outskirts of a village, which in turn is on the outskirts of the New Forest. Both areas offer attractive scenery, being a mixture of beach, sea and forest. The city of Southampton is accessible by car and public transport. The home was opened in 1986 and consists of a twostorey building although most of the bedrooms are on the ground floor. There are 21 single bedrooms and two shared rooms. Communal accommodation includes three sitting rooms, and a dining room. There is a large garden which is accessible to service users. Badgers Holt DS0000011926.V318994.R03.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Five and a quarter hours were spent visiting the home, during which time the opportunity was taken to look around the home, view records and policies and to talk to the owner, manager, and deputy manager. The inspector also spoke privately with two members of the care staff, and briefly with other staff during the tour of the building. Most of the service users were observed making use of communal areas and their bedrooms. The inspector spoke privately with three service users, and four other service users were spoken with as a group in one of the lounges. The inspector was also able to speak privately with a visiting health care professional and with five visitors to the home. Fees range from £325 to £450 per week. What the service does well: What has improved since the last inspection? 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. Badgers Holt DS0000011926.V318994.R03.S.doc Version 5.2 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Badgers Holt DS0000011926.V318994.R03.S.doc Version 5.2 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Potential service users are provided with a good level of information about the home and its services and are provided with a written statement of terms and conditions if they choose to move in. The home has assessed the needs of its current service users well. These needs are clearly recorded and known to staff. EVIDENCE: The home makes use of a ‘Welcome to Badgers Holt Residential Care Home’ information pack which is provided to anyone enquiring about the home. Two visitors who had helped their relatives to make a choice about moving in confirmed that they had received this pack. The inspector was also told that a contract was made available upon a service user moving into the home and saw evidence of this in service users’ files, with one person recalling that he had ’signed a contract’. A relative said that ‘… (she)…had a contract when she moved in’. Service users and relatives variously confirmed that they were Badgers Holt DS0000011926.V318994.R03.S.doc Version 5.2 Page 8 made aware of the home’s fees at the time of admission and were informed of any changes to these. ‘they told us the fees were going up’, ‘the fees go up every year and they tell us’, and ‘they always write to you about any changes’ were comments made to the inspector. Four service users’ files, one relating to a more recently admitted person, were inspected and needs assessments seen within these files contained a good level of detail. There was, for example, information regarding sight, hearing, mobility, and promotion of continence, together with a detailed medical history. The more recently admitted service user confirmed that she had been assessed before going into the home by the manager. The manager explained that it was usually herself who undertook the initial assessment prior to any decision regarding admission, and that any changes between the assessment and the admission were noted at the time of admission, when a more detailed care plan was developed. The inspector saw evidence that assessments were reviewed after admission, and service users were involved in this process. Staff spoken with were clearly aware of the needs assessments and explained how they met these needs on an individual basis. The home does not admit service users for intermediate care. Badgers Holt DS0000011926.V318994.R03.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a good care planning regime, which addresses identified personal, social and health care needs and involves service users. EVIDENCE: Four care plans were examined and contained information for staff to ensure that all aspects of health, personal and social care needs could be met. There was, for example, information in plans about the specific help service users needed with mobility. Plans also contained risk assessments regarding the possibility of falls, and the inspector noted that the home was proactive in trying to lessen the number of falls. There was information on ‘slips, trips and falls’ together with an analysis of these to try to identify if there were specific individual reasons for falling. Plans are reviewed on a regular monthly basis with visitors and service users confirming their involvement in this process, together with that of the keyworker. Badgers Holt DS0000011926.V318994.R03.S.doc Version 5.2 Page 10 Plans contained information regarding more specific health care needs, and details of any contact with a GP or nurse. The inspector noted that several GPs from four different surgeries were involved with the home. The manager reported a good level of support from local health related services. The home has a policy and procedure for dealing with medication, which enables service users to exercise choice over whether they wish to deal with their own medication. The inspector was informed that no-one is currently doing this but that it had happened in the past. The drugs trolley and cupboard, including the separate controlled drugs cabinet, was secure at the time of the inspection. Records relating to three service users were examined and were in order and up to date. A check was made on one person’s controlled medication with the amount tallying with the record held. The home has a separate refrigerator in which to store medicines requiring this. Staff responsible for dealing with medication have been trained. All visitors to the home spoken with said that they were very happy with the care provided for their relative. The visiting health care professional said that he had been ‘very happy with the level of care for clients over several years’, that ‘the home has dealt successfully with difficult clients’ and that there was a ‘good level of communication’ between himself and staff at the home. Staff were observed to be providing assistance to service users in a calm and dignified manner, and knocked on doors, awaiting a response, before entering. Screening is available and used in double rooms. Service users’ wishes regarding the way in which they are addressed by staff are recorded in their care plan and respected by staff. Badgers Holt DS0000011926.V318994.R03.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users enjoy varied lifestyles and undertake activities of their choice. Visitors to the home are encouraged. Service users enjoy attractively presented meals in congenial surroundings. EVIDENCE: Care plans clearly detail what each service user’s interests are and service users themselves confirmed, variously, that they enjoyed activities such as reminiscence work, arts and crafts and quizzes. The home aims to have an activity every weekday, this including exercise with music on a Monday, and a trip out or watching a DVD on a Wednesday. More recently the home has arranged for a local college to provide an art class every Friday and it was clear that this was much enjoyed by service users, who were proud to display their paintings around the home and in their bedrooms. The manager explained that three service users attended the local church and that there was a church service in the home on a regular monthly basis, this being provided in turn by Methodist, Catholic and Church of England ministers respectively. Badgers Holt DS0000011926.V318994.R03.S.doc Version 5.2 Page 12 The inspector spoke with five visitors to the home who without exception were pleased with the services offered to their relatives. Service users were observed during the inspection to be entertaining their visitors either in the communal areas of the home or in private in their bedrooms. Service users are able to move freely around the building and were seen to be making use of all communal areas as well as their bedrooms. Menus at the home were varied and the inspector noted that in addition to the 28-day menu there were also full 7-day menus for soft diets, vegetarians and diabetics. All service users confirmed that the food was good and that individual choices were available should either of the alternatives at lunch not be liked. Service users are encouraged to take meals communally in the dining room but may use their own rooms if they wish. The home has a snack bar available to service users to help themselves to chocolate bars and fruit. The manager explained that the home was moving towards a more ‘hotel-type’ service whereby service users could expect to have what they wanted when they liked. Badgers Holt DS0000011926.V318994.R03.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a suitable complaints procedure, which service users are aware of and feel able to use. Service users are protected through an adult protection policy and procedure known to and understood by staff. EVIDENCE: The home has a complaints policy and procedure, a copy of which was included in the information available to potential service users. One service user recalled that a copy of the complaints procedure was included with his contract when he moved into the home. Two of the service users spoken with privately said that they had no complaints and were aware of what to do if they had. Service users all appeared to have a good degree of confidence that any issues raised would be dealt with, although it was reported by the manager that the home had had no complaints to deal with in the previous 12 months. Staff when interviewed said that they would report to a more senior person any complaints made to them by service users. The home also has a policy and procedure relating to adult protection. The home has needed to make use of this procedure on one occasion recently with a satisfactory outcome. Staff have been trained in Adult Protection and when interviewed confirmed their understanding of what to do in the case of Badgers Holt DS0000011926.V318994.R03.S.doc Version 5.2 Page 14 suspected abuse. Both members of staff interviewed said that they would report anything they needed to. Badgers Holt DS0000011926.V318994.R03.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home provides a very comfortable environment, which is suitably furnished and well maintained. EVIDENCE: The tour of the building showed this to be clean and tidy throughout and there were no undue odours. Communal areas were very well furnished and adequate bathroom and toilet facilities with aids were available. Communal areas include three separate lounges and a dining room. The inspector visited three service users in their rooms, which were all adequate in size, and had clearly been personalised, to considerable degrees. Comments made variously by service users included that it was ‘nice to bring in my own furniture’, with one service user confirming that she had brought in Badgers Holt DS0000011926.V318994.R03.S.doc Version 5.2 Page 16 her own bed. Several service users had chosen to bring items such as a favourite chair or table into the home. Service users were observed to be freely making use of communal areas, such as the lounge and other communal areas and accessed their bedrooms as they wished. The home’s laundry was inspected and was fit for purpose with machines being capable of meeting disinfection standards. Members of staff spoken with were clearly aware of good practice and there were procedures in place to deal with soiled items. Staff were aware of these procedures and confirmed that gloves and aprons were available. The building is very well maintained with the opportunity taken when a room is vacated for any new service user to be involved in the choice of décor before moving in. Necessary aids, such as hoists and handrails were also available around the building. Badgers Holt DS0000011926.V318994.R03.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are well supported by a well-trained staff team who are deployed in sufficient numbers to meet their needs. At the time of the visit the home was unable to fully demonstrate the soundness of its recruitment procedure. EVIDENCE: Two staff files examined contained evidence of written references being obtained following the completion of an appropriate application form and interview. Although both members of staff confirmed that a Criminal Records Bureau (CRB) check had been made only one file contained evidence of this having taken place. A third file looked at did contain evidence of such a check. The two files contained evidence of a sound and comprehensive induction process and further details of short courses undertaken. Courses included Safe Handling of Medicines, Moving and Handling, Health and Safety, First Aid, Adult Protection and Dementia. Staff spoken with said that there were good opportunities for training and felt well supported by the home’s owner and manager. It is understood that of the fourteen care staff employed, six have obtained a National Vocational Qualification at Level 2 or above, as have both the manager and deputy manager. Badgers Holt DS0000011926.V318994.R03.S.doc Version 5.2 Page 18 During the inspection the inspector observed staff interacting with service users in a friendly yet professional manner. The staff rota indicated there to normally be three members of the care staff on duty in the mornings and two in the afternoons, supported by ancillary staff and the manager. There are two waking members of staff on duty at night. Staff spoken with said that there were generally enough of them on duty to meet service user’s needs. Badgers Holt DS0000011926.V318994.R03.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed by a qualified and competent manager, supported by comprehensive policies known to staff. EVIDENCE: The home’s manager has worked in the home for a considerable number of years, has obtained the Registered Manager’s Award and is able to discharge her responsibilities. The home presents an ‘open’ and welcoming atmosphere and it was clear to the inspector through observation of the interaction between service users, staff and visitors that it is run in the best interests of service users. Visitors in Badgers Holt DS0000011926.V318994.R03.S.doc Version 5.2 Page 20 particular commented on this and also on the approachability of the owner and manager. Service users’ and relatives’ views are sought on an informal basis and the inspector discussed with the manager the possibility of formalising this. The home provides safekeeping for small amounts of cash for some service users but other than this has no involvement in any service users’ personal finances. The inspector checked two records of monies held which balanced accordingly. The home has a policy for the control of substances hazardous to health known to staff. Chemicals and other items were securely stored in locked cupboards and staff were aware of health and safety issues. The home has a health and safety policy known to staff. During the tour of the building there were no immediately apparent hazards to service users or staff. A sample of policies, procedures and records required by regulation were inspected and were in order and up to date. Members of staff spoken with were clearly aware of, and had access to, such policies and procedures. Badgers Holt DS0000011926.V318994.R03.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 Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Badgers Holt DS0000011926.V318994.R03.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP29 Regulation 19(1)(b) Requirement The registered person must ensure that evidence of a Criminal Records Bureau (CRB) check having been made in respect of each member of staff is available for inspection. * On the day following the inspection prior to the preparation of the report CSCI received a fax providing evidence that this requirement had been met. Timescale for action 31/01/07 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 Badgers Holt DS0000011926.V318994.R03.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Badgers Holt DS0000011926.V318994.R03.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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