Inspection on 30/11/05 for Bamford Close

This inspection was carried out on 30th November 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 28/06/05

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 Cheshire SK3 8HT Lead Inspector Sylvia Brown Unannounced Inspection 30th November 2005 10:30 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 Bamford Close DS0000008538.V269811.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 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 DS0000008538.V269811.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Bamford Close Address Adswood Lane West Cale Green Stockport Cheshire SK3 8HT 0161-480 6712 0161 429 6123 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) Borough Care Limited Amanda Crabtree Care Home 40 Category(ies) of Dementia - over 65 years of age (4), Old age, registration, with number not falling within any other category (40) of places Bamford Close DS0000008538.V269811.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users to include up to 40 OP and up to 4 DE(E). The registered manager must ensure that she successfully completes a relevant qualification in management by April 2006. 28th June 2005 Date of last inspection 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 also 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 DS0000008538.V269811.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of Bamford Close was unannounced, commencing at 10:30am. Time was spent sitting and talking to residents and observing the day to day routines of care staff. A sample of records was evaluated and time was spent in discussion with the registered manager regarding the home’s progress in complying with two requirements arising and developmental issues since the previous inspection. Not all National Minimum Standards were inspected on this occasion and it is recommended that this report is read in conjunction with the previous inspection report of 30th June 2005. What the service does well: What has improved since the last inspection? Since the last inspection the manager has become registered with the CSCI and begun to establish management style with the team which, after speaking with staff, appears to have been well received. On the day of the inspection carpet fitters were completing the fitting of carpets in parts of the home, including the main entrance. Bamford Close DS0000008538.V269811.R01.S.doc Version 5.0 Page 6 Redecoration has also been completed in a number of lounges and bedrooms, and new lounge and dining chairs have been provided. Curtains in a number of lounges have been replaced or sent away for cleaning. Some lounges were in the process of being redecorated. Residents assisted in the choosing of carpets and decoration. It was pleasing to see that the company continues to invest in the home; this is appreciated by residents. 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 DS0000008538.V269811.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Bamford Close DS0000008538.V269811.R01.S.doc Version 5.0 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 the following standard(s): 1&3 Standard 6 does not apply to the home Prospective residents receive information and have their needs assessed prior to being accommodated. EVIDENCE: The inspector had the opportunity of speaking with a family member of a resident who was completing introductory visits. She stated she had phoned the home previously and had received written information from the home about the services offered. Another newly admitted resident confirmed that someone from the home had visited her prior to her moving in, to see “how things were”. Assessment records are maintained on file. Bamford Close DS0000008538.V269811.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Residents have their care needs met and are treated in a respectful and dignified manner. EVIDENCE: Residents have written care plans in place and, in the main, recordings and information is improving. However, one file did not have all the expected records. There was no property list, activities and leisure interests and participation was not sufficiently recorded. The registered manager stated there had been an oversight, quite possibly due to the transference of the short stay placement into permanent accommodation and that the paperwork has not been fully revised. Bamford Close DS0000008538.V269811.R01.S.doc Version 5.0 Page 10 One resident spoken with, who had recently been admitted, stated “its great, they are helping me get sorted”. The resident confirmed she had received health care support and was awaiting chiropody treatment. Another resident informed the inspector “if you feel unwell you just tell them and they get the doctor”. All residents stated they felt well cared for and that they had all their needs met. Records confirmed health care visits to residents and detailed treatments provided. Medication administration records were well maintained with routine and efficient monitoring systems in place to quickly identify any errors made. Feedback from residents about how care support was provided was positive. One resident said “they are very nice people”. Another said “they knock on your door and pop their head round to see if you are ok or want anything”. On being asked about bathing routines, one lady confirmed that they are pleasant experiences and that she has a bubble bath and was “pampered”. Residents may chose where they spend their day, some chose communal parts of the home, whilst other remain in their room preferring solitude and quiet. A resident told the inspector that she “comes out and mixes for a while and then goes back to watch my own TV in the quiet”. Bedroom doors have locks and systems are in place for residents to receive their own key. Bamford Close DS0000008538.V269811.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 15 Residents receive an enjoyable diet that appears to be nutritionally balanced. EVIDENCE: The registered manager confirmed that there were no significant changes relating to the above standards since the last inspection which identified that residents have a flexible lifestyle within the home and are able to freely meet with visitors in private. The inspector had the opportunity to observe several residents whilst they received lunchtime support. Staff were kind and considerate, attempting, where possible, to encourage the most dependant residents to retain some independence. One to one support was given in a timely and relaxed manner and residents were observed to be enjoying their meals. Bamford Close DS0000008538.V269811.R01.S.doc Version 5.0 Page 12 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 the following standard(s): These standards were not evaluated at this inspection. The previous inspection identified the home met the required standard to safeguard and protect residents. EVIDENCE: Bamford Close DS0000008538.V269811.R01.S.doc Version 5.0 Page 13 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 the following standard(s): 26 Residents live in clean and pleasant surroundings. EVIDENCE: Standards 10 to 25 were evaluated at the last inspection and met the required standard. Throughout this inspection redecoration and re-carpeting was underway, as stated within the summary of this report. The home was clean and well presented, residents confirmed they enjoyed their environment, with one short stay resident commenting “I like to come for a break, its all very nice”. Domestic routines were observed and found to be, as far as possible, unobtrusive to residents, staff completed their tasks in a flexible way, working around residents’ daily routines rather than imposing on them. Bamford Close DS0000008538.V269811.R01.S.doc Version 5.0 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following 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. Peak periods have increased staffing levels when required and increased staffing levels are in place if and when the needs of residents increase. The home continues to have a rolling training programme in place, which automatically identified when staff require training or updates. The company retains staff files at its head office, with the home holding copies of required information. Robust recruitment procedures are in place and the company ensures that all statutory checks are received prior to the new staff member attending for their first duty. An evaluation of three copy files identified one as not having all the correct information to confirm procedures were being followed. A current photograph was not evident, nor was a contract of employment in place. The registered manager confirmed that a current photograph had not been received and that the staff member had received a contract but failed to return a signed copy. Bamford Close DS0000008538.V269811.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 36, 37 & 38 The home is well managed and is run in the best interests of residents. EVIDENCE: Since the previous inspection the manager has successfully completed the registration process with the CSCI to become the registered manager of Bamford Close. It was pleasing to see her development progress to establish her own management style and develop practices within the home. Records evidenced she consults well with both residents and staff and encourages staff to influence how the home is conducted. Staff stated they feel more encouraged to contribute their ideas and found the manager supportive. “She listens to you” said one staff. Bamford Close DS0000008538.V269811.R01.S.doc Version 5.0 Page 16 Whilst still becoming familiar with all the administration systems at the home, the registered manager has managed to develop some records to ensure they reflect the care provided and the day to day life of the resident. She stated she was committed to continuous improvement and that the team are working towards maintaining high care standards. Records confirmed residents’ meetings are in place, giving them the opportunity to comment on service provision and develop practice. The registered manager was able to demonstrate that she acted on ideas and comments received. Small balances are held for some residents. Evaluation of accounting systems confirmed that they are well maintained with two people auditing the accounts ensuring balances are correct. Staff files contained supervision forms which identified that care practice was discussed, as were various related issues concerning the staff roles and responsibilities, training and development. Policies and procedures are in place to guide staff in all aspects of their work and health and safety records confirmed that routine checks are made throughout the home concerning fire safety equipment and to ensure electrical appliances are working correctly. Accidents and incidents are recorded and evaluated to identify any common factors in order to prevent further risks. Appropriate and required certificates of insurances and servicing records were evident and up to date. Bamford Close DS0000008538.V269811.R01.S.doc Version 5.0 Page 17 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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 x X X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 X 3 3 3 Bamford Close DS0000008538.V269811.R01.S.doc Version 5.0 Page 18 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. 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 2 Refer to Standard OP7 OP29 Good Practice Recommendations The registered person should ensure all residents’ files reflect their interests and hobbies and, where activities are undertaken, recorded. The registered person should ensure that staff files held at the home contain a current photograph and signed contract of employment. Bamford Close DS0000008538.V269811.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs 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 DS0000008538.V269811.R01.S.doc Version 5.0 Page 20 - 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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