Inspection on 28/06/05 for Bamford Close

This inspection was carried out on 28th June 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

Bamford Close 20/04/07

Bamford Close 30/11/05

Bamford Close 26/11/04

Bamford Close 04/06/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Bamford Close Adswood Lane West Cale Green Stockport SK3 8HT Lead Inspector Sylvia Brown Announced 28th June 2005 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 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. Bamford Close F54 F04 bamford close A s8538 v222980 300605 stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Bamford Close Address Adswood Lane West, Cale Green, Stockport, SK3 8HT Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0161-480-6712 0161-429-6123 Borough Care Limited Mrs Amanda Crabtree. CRH Care Home 40 Category(ies) of DE(E) Dementia - over 65 (4) registration, with number OP Old Age (40) of places Bamford Close F54 F04 bamford close A s8538 v222980 300605 stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Service users to include up to 40 OP and up to 4 DE(E). Date of last inspection 26 November 2004 Brief Description of the Service: Bamford Close is a purpose built, single storey building offering accommodation for up to 40 older people four, of whom may be diagnosed as having a degree of dementia. The home provides a day care service for up to ten people. The home is situated within a short drive from the motorway network, Stockport town centre and the local shopping precinct. Public transport is easily accessible and there are local shops within walking distance. The home is one of 12 care homes owned by Borough Care Limited, a “not-forprofit” company. The home is divided into four units, each accommodating up to ten residents, all of who have single rooms. Each unit has a lounge, kitchen, bathing and toileting facilities which offer comfort and support to all residents. Bamford Close presents as a lively home with lots going on. Day care and residential residents are able to meet and enjoy each others company in the main areas, with the individual units being restricted to residential care residents only. Bamford Close F54 F04 bamford close A s8538 v222980 300605 stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of Bamford Close was announced. It lasted one day, starting at 7:30am with a total of 8.5 hours spent on the premises. During the inspection the inspector spoke with five residents at length, spending time sitting with them in communal parts of the building and sharing meal times. Prior to the inspection comment cards were received from one resident and one relative. In addition, eight comment cards were received from professional health care workers who visit the home. The inspector looked at two residents’ care in detail. Time was specifically spent talking with the residents and observing the care and support they received. The home completed a pre-inspection questionnaire prior to the inspection, the details of which are included within the report, as are comments made by residents and visitors. What the service does well: Bamford Close manages to provide a homely and enjoyable environment for residents. One resident stated that she had lived there for two years and felt it was a lovely place to live “they look after me better than I could look after myself” she told the inspector. All residents spoke of the staff’s kindness and the support they receive from night care staff in particular. “They pop in to see you and you can buzz for anything and they bring it for you”. Residents continue to receive support to maintain their individuality. All residents were dressed according to their own tastes and stated that they received the care and attention they needed. Meals are of a good standard with residents informing the inspector about the number of food choices they can have at each meal time. Comments made by Doctors were positive, with the general opinion that “staff demonstrate a good understanding of the care needs of residents and act in their best interest”. Bamford Close F54 F04 bamford close A s8538 v222980 300605 stage 4.doc Version 1.30 Page 6 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. Bamford Close F54 F04 bamford close A s8538 v222980 300605 stage 4.doc Version 1.30 Page 7 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 Standards Statutory Requirements Identified During the Inspection Bamford Close F54 F04 bamford close A s8538 v222980 300605 stage 4.doc Version 1.30 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3, 4 & 5 Residents receive sufficient information to enable them to make decisions prior to and during their stay. The residents’ needs are assessed before they move into the home and routinely during their stay. EVIDENCE: The records of two most recently admitted residents and one who has been at the home for some considerable time, provided the following information. A detailed assessment of need had been completed by the placing authority, and the home had visited the resident to complete their own pre-assessment and shared information with the resident. Contracts and terms and conditions of residency were in place and a copy of the home’s Statement of Purpose and service user guide had been received. Bamford Close F54 F04 bamford close A s8538 v222980 300605 stage 4.doc Version 1.30 Page 9 One resident explained that she has attempted a return home but found it better to have her needs cared for by the home, rather than become unsafe in her own home. She confirmed she is made aware of any changes about her care and felt happy with the way the home shared information with her. Bamford Close F54 F04 bamford close A s8538 v222980 300605 stage 4.doc Version 1.30 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 & 10 Care plans did not fully detail all the needs and preferences for care for the residents and medication administration did not meet required standards. Residents had their care needs met and their dignity and privacy was upheld. EVIDENCE: Inspection of the care files identified that whilst lots of information was recorded, the basic care plans failed to record all the residents’ needs and preferences for care and how they should be met by staff. Such omissions have the potential for residents not receiving the care they need and staff not receiving care direction specific to the individual. Bamford Close F54 F04 bamford close A s8538 v222980 300605 stage 4.doc Version 1.30 Page 11 Medication administration was observed during the inspection. The person in charge of administering medication took their time and was sensitive with residents during administration, taking time to explain what medication was being given when asked. However, during the process medication was handled, eye drops were administered whilst residents were sat at the table eating and administration records signed before the residents had taken their medication. One resident was observed putting one tablet in her tea. There was no system to identify she had done this, if it affected the medication or if the resident drank her drink. Another resident was observed some considerable time later having her breakfast. A different member of staff to the person administering medication, reminded her to take her medication (which had been dispensed) after she had eaten. Residents who self administer their own medication have been assessed to do so and receive support to manage their medication safely. Comments received from medical practitioners confirm that the health care needs of residents are met and that the home works in partnership with medical professionals for the safety and benefit of the resident. Without exception all residents spoken with stated their satisfaction with the care provided. One family stated they were “very pleased with the home” and that they “provided a high standard of care and attention”. Bamford Close F54 F04 bamford close A s8538 v222980 300605 stage 4.doc Version 1.30 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 & 15 Residents have a flexible lifestyle within the home and are able to freely meet with visitors in private. Meals and mealtimes are enjoyable experiences for residents. receive a varied diet which offers choice. Residents EVIDENCE: Residents explained their routines to the inspector; they confirmed that they chose their own times for getting up and going to bed. They felt confident at buzzing for assistance in the night and said they received drinks and light snacks if they wished. During the day residents had differing routines, some preferring to stay in their rooms, whilst other sat within their own units. Some residents enjoyed sitting with day care visitors in the main lounge and joined in activities in both the morning and afternoon. Visitors are able to visit without restriction and arrangements are made to visit in private or sit in the communal areas if preferred by the resident. One family stated that they visit at all times and that the care and approach of staff is consistently good. They are made to feel welcome and they are satisfied with the care their relative is receiving. Bamford Close F54 F04 bamford close A s8538 v222980 300605 stage 4.doc Version 1.30 Page 13 A menu displays each day’s meal options. Residents informed the inspector of the choices available and encouraged her to request her preference. Two residents confirmed that the food was good and that they received enough to satisfy them. If hungry, they were able to ask for more and/or additional snacks. One resident explained that meals and mealtimes were discussed at residents meeting and that they could have “ their say”. Bamford Close F54 F04 bamford close A s8538 v222980 300605 stage 4.doc Version 1.30 Page 14 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 & 18 Residents felt able to make complaints. Residents are protected from abuse. EVIDENCE: The pre-inspection questionnaire identified that two complaints had been made since the last inspection. The complaints record detailed both complaints and the action taken to rectify the matters. Residents stated they could make complaints if they wanted to, however most stated they “would tell the manager”. Visitors stated that they felt confident that any matters given to the manager would be dealt with and that they had never had cause to make a “real complaint.” A complaints procedure is in place and notice boards display information on how to complain. Staff receive ongoing training in adult protection. The home has written policies and procedures in place which aim to protect residents if a suspicion of abuse arises. When asked, residents confirmed they had someone who they could talk to if they felt unsafe or were mis-treated. Bamford Close F54 F04 bamford close A s8538 v222980 300605 stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 21, 22, 23, 24, 25 & 26 Residents live in a clean and well maintained home which has systems in place to ensure their safety. EVIDENCE: The home is clean and welcoming. A number of units have been upgraded, including new carpets, seating and kitchens. Plans are in place to continue with the upgrading programme. All areas were free from hazards and there were no odours in the home. Residents’ bedrooms were furnished in a similar style with small fixtures and fittings introduced from the residents’ own homes. One resident explained she enjoyed sitting in her room in the evening “watching television in the quiet and away from others”. She stated she liked her room and had “everything she needed.” Bamford Close F54 F04 bamford close A s8538 v222980 300605 stage 4.doc Version 1.30 Page 16 There are enough toilets and bathrooms to meet the needs and demands of the home and all areas were clean and well presented. The home has support from and handyman service, which ensures repairs are swiftly dealt with. Servicing records confirmed that equipment is checked and safe for use. The home’s laundry met required standards and washing machines had appropriate sluicing programmes which minimise the risk of cross-infection. Bamford Close F54 F04 bamford close A s8538 v222980 300605 stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 & 30 Residents’ needs are met by staff who are in appropriate numbers, trained and competent. EVIDENCE: Staff are provided in sufficient numbers to meet the needs of residents. Residents stated staff were kind and considerate and that they felt they could ask them for help without “feeling a burden”. Staffing records confirmed that they were recruited and selected appropriately and that they completed induction training before they provided care support to residents. Ongoing training records confirmed that staff received continuous training and that 50 of the staff team have completed NVQ training at levels 2 and 3. Staff receive day to day guidance from senior staff and routine formal supervision. Bamford Close F54 F04 bamford close A s8538 v222980 300605 stage 4.doc Version 1.30 Page 18 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 35 & 38 Residents live in a home which is well run and is managed in their best interest. Residents’ health, welfare and safety are promoted EVIDENCE: Routines within the home are discussed and developed with residents. They confirmed that residents’ meetings give them the opportunity to change practice and be kept informed. Residents spoken with were aware that a new manager had been appointed and had had the opportunity to talk with her. The company completes quality assurance systems which consults with residents and relatives, a report of the outcomes is completed and available to the public. Bamford Close F54 F04 bamford close A s8538 v222980 300605 stage 4.doc Version 1.30 Page 19 Health and safety records confirmed that the company representative visits the home each month and monitors the day to day management of the home. Records confirmed that accidents and falls are recorded and monitored, however the falls record was not maintained to the standard required under the Data Protection Act 1998. Health and safety records confirm that appropriate checks are made to ensure residents’ safety is, as far as possible, maintained. Residents’ finances are, in the main, managed by themselves with support from their family and/or Social services. Small balances are held at the home with records detailing all expenditures. Bamford Close F54 F04 bamford close A s8538 v222980 300605 stage 4.doc Version 1.30 Page 20 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 3 x 3 x x 3 Bamford Close F54 F04 bamford close A s8538 v222980 300605 stage 4.doc Version 1.30 Page 21 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 OP7 Regulation 15 Requirement The registered person must ensure that care plans detail the up to date care needs of residents and include their preference for how care is provided. The registred person must ensure that medication is administered in accordance with the Royal Pharmaceutical Societys Guidance. Timescale for action 1/8/05 2. OP9 13(2) 15/7/05 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 OP37 Good Practice Recommendations The registered person should ensure that all records are compliant with the Data Protection Act 1998. Bamford Close F54 F04 bamford close A s8538 v222980 300605 stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection 2nd Floor Heritage Wharf Portland Place Ashton under Lyne, OL7 0QD 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 Bamford Close F54 F04 bamford close A s8538 v222980 300605 stage 4.doc Version 1.30 Page 23 - 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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