Inspection on 15/12/05 for Badgers Wood

This inspection was carried out on 15th December 2005.

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 Wood 19/12/06

Badgers Wood 28/06/05

Badgers Wood 12/08/04

Badgers Wood 18/05/04

Similar services:

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Insight - Eastchurch

Southfields

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Seabourne House

33 St John`s Church Road

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

CARE HOME ADULTS 18-65 Badgers Wood Badgerswood Slade Road Ottershaw Surrey KT16 0JN Lead Inspector Cathy Clarke Unannounced Inspection 15th December 2005 10:00 Badgers Wood DS0000034871.V254298.R01.S.doc Version 5.0 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 Wood DS0000034871.V254298.R01.S.doc Version 5.0 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. Badgers Wood DS0000034871.V254298.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Badgers Wood Address Badgerswood Slade Road Ottershaw Surrey KT16 0JN 020 8541 8800 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) Surrey County Council - Adults & Community Care Mr Christopher John Mahoney Care Home 20 Category(ies) of Dementia (1), Learning disability (15), Learning registration, with number disability over 65 years of age (1), Sensory of places impairment (2), Sensory Impairment over 65 years of age (1) Badgers Wood DS0000034871.V254298.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Accommodation and services may be provided to named persons aged 65 years and over with the prior written agreement of the CSCI. Respite care may be provided to a maximum of two persons at any one time The matters detailed in the attached schedule of requirements, must be completed within the given timescales. Accomodation and services may be provided to named persons aged under 65 years with the prior written agreement of the CSCI within the category of Dementia 28th June 2005 Date of last inspection Brief Description of the Service: Badgers Wood is a large detached care home situated in the village of Ottershaw in Surrey. The home is owned and managed by Surrey County Council. Accommodation is arranged over two floors and there are two respite rooms. There is a communal lounge with separate dining area and a large kitchen. The home has a computer suite on the ground floor. There is a wellmaintained garden with barbecue area and ample garden furniture. Car parking spaces are available to the front of the premises. Badgers Wood DS0000034871.V254298.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 3 hours and was the second inspection to be undertaken in the Commission for Social Care Inspection year April 2005 to March 2006. Cathy Clarke, Regulation Inspector carried out this inspection and Mr. Christopher John Mahoney Registered Manager was present as the representative for the establishment. A full tour of the premises took place and documents inspected included, the revised statement of purpose, policies and procedures and activity plans. Two service users were spoken to during the inspection and their comments will be included in the report. This was a positive inspection. The inspector would like to thank the staff and service users for their time, assistance and hospitality during this inspection What the service does well: What has improved since the last inspection? The statement of purpose and brochure have been reviewed and updated and a copy given to the Commission for Social Care Inspection. Communication has improved since the last inspection and the registered manager has addressed any issues during regular team meetings. Monthly management meetings are held and staff on the late shifts come into work two hours early in order to attend. One of the team leaders takes a lead role in ensuring that all staff are fully aware of the plan of care for any service users admitted for respite care. The hot water tap in room 105 has been maintained. The damage to the wall in room 66 has been repaired and room 84 has been redecorated. Badgers Wood DS0000034871.V254298.R01.S.doc Version 5.0 Page 6 The door to the walk in bath in the downstairs bathroom has been maintained. The fridge/freezer has had the condenser replaced. New windows have been fitted on the upstairs landing. The trees in the garden have been assessed by a tree surgeon and any overhanging branches have been lopped. 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. Badgers Wood DS0000034871.V254298.R01.S.doc Version 5.0 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 Badgers Wood DS0000034871.V254298.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 Prospective service users are provided with information regarding all aspects of care within the home. EVIDENCE: The statement of purpose and brochure for the service have been reviewed and updated since the last inspection and a copy has been given to the Commission for Social Care Inspection. Badgers Wood DS0000034871.V254298.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed during this inspection. EVIDENCE: Badgers Wood DS0000034871.V254298.R01.S.doc Version 5.0 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 15,16 The home encourages family and representatives to take a full and active part in the lives of service users. The rights and responsibilities of service users are promoted and recognised in their daily lives. EVIDENCE: Family and friends are encouraged to visit the home at any time and are fully involved where appropriate in the service users care reviews. Service users informed the inspector that they are to spend time with their families at Christmas. One service user said that she got regular mail from her Sister in Malta. One service user flew to Germany to visit his Sister alone. Risk assessments were in place to ensure his safety. The registered manager informed the inspector that he will be sending out a mail shot in January on “Carers Rights” to families who have relatives that use the respite services of the home. Badgers Wood DS0000034871.V254298.R01.S.doc Version 5.0 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not inspected during this inspection. EVIDENCE: Badgers Wood DS0000034871.V254298.R01.S.doc Version 5.0 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 All required policies and procedures are in place to ensure that service users feel their views will be listened to and acted upon. The service conforms to the Surrey Multi Agency procedures for safeguarding adults. EVIDENCE: There have been no complaints or vulnerable adult investigations since the last inspection. Badgers Wood DS0000034871.V254298.R01.S.doc Version 5.0 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 A maintenance plan is in operation for the building and many improvements have been made to the home. EVIDENCE: The hot water tap in room 105 has been maintained. The damage to the wall in room 66 has been repaired and room 66 and 84 have been redecorated. One of the service users living in the home has moved into room 84 and the respite room is now room 62. Room 65 is vacant. One of the service users showed the inspector his room and stated that he liked the colour. The door to the walk in bath in the downstairs bathroom has been maintained. The fridge/freezer has had the condenser replaced. New windows have been fitted on the upstairs landing. The trees in the garden have been assessed by a tree surgeon and any overhanging branches have been lopped. It is recommended that the home continue with the maintenance plan to change the taps within the home where necessary. The home was clean and tidy and there were no mal odorous smells. See recommendations section of this report. Badgers Wood DS0000034871.V254298.R01.S.doc Version 5.0 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 Training and development opportunities are available to staff and ensure that staff have the relevant underpinning knowledge and skills to meet the needs of the service users. EVIDENCE: Since the last inspection two staff have completed NVQ Level 2 and 3. Two staff are to register with a local college for NVQ Training in January and will commence their courses in February 2006. Badgers Wood DS0000034871.V254298.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 Service users have many opportunities to ensure that their views are heard and acted upon. EVIDENCE: Monthly service user, senior management, management and team meetings are held. Comments from service user meetings form part of the agenda at other meetings. One of the staff members responsible for the activities within the home has revised all of the plans with each of the service users and recorded their likes and dislikes. The inspector met with one of the service users in her flat and she informed the inspector that she has four key workers and on a Sunday has a 1-1 session with one of the staff to discuss how she is feeling, which activities she likes and they talk about promoting her independence. The service user informed the inspector that she does her own washing, and administers her own medication. Her hobbies include pottery and art and she is going to see a pantomime locally before Christmas. Badgers Wood DS0000034871.V254298.R01.S.doc Version 5.0 Page 16 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 X X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Badgers Wood Score X X X X Standard No 37 38 39 40 41 42 43 Score X X 3 X X X X DS0000034871.V254298.R01.S.doc Version 5.0 Page 17 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA24 Good Practice Recommendations It is recommended that the home continue with the maintenance programme to replace taps throughout the home where necessary. Badgers Wood DS0000034871.V254298.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN National Enquiry Line: 0845 015 0120 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 Wood DS0000034871.V254298.R01.S.doc Version 5.0 Page 19 - 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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