Inspection on 05/05/05 for Barlavington Manor

This inspection was carried out on 5th May 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

Barlavington Manor 25/05/06

Barlavington Manor 03/10/05

Barlavington Manor 25/11/04

Barlavington Manor 04/05/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

1 Marten Road

St Joseph`s

Ridgemount

Wingham Court

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

CARE HOMES FOR OLDER PEOPLE Barlavington Manor Burton Park Road Heath End, Petworth West Sussex GU28 0JS Lead Inspector Sheila Gawley Unannounced Thursday 5 May 2005, 08:00am th 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. Barlavington Manor H60-H11 S14386 Barlavington Manor V223863 050505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Barlavington Manor Address Burton Park Road, Heath End, Petworth, West Sussex, GU28 0JS 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) 01798 343309 Realmpark Health Care (Petworth) Limited Ms Amanda Therese Ashton CRH 64 Category(ies) of Care Home Only (PC) 64 registration, with number of places Barlavington Manor H60-H11 S14386 Barlavington Manor V223863 050505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of 21 persons in the category MD(E) to be accomodated 2. A maximum of 21 persons in the DE(E) to be accomodated 3. A total of 64 ser may be accomodated at any time. Date of last inspection 04 11 04 Brief Description of the Service: Barlavington Manor is a Care Home, standing in extensive, well cared for grounds, in a rural area near Petworth. It is owned by Realmpark Healthcare (Petworth) Limited (Organisation). The main house is for forty-three service users in the category of Older People. In addition to this, there is separate extended accommodation for service users with dementia. This unit provides en-suite accommodation for twenty-one service users, making a total of sixtyfour service users. Separate entrances/reception offices, car parking and communal areas are provided for each category of registration with a security system for the service users with dementia. The responsible person on behalf of Realmpark Health Care (Petworth) Ltd is Mr Lawrence Harvey and the registered manager is Ms Amanda Ashton. Barlavington Manor H60-H11 S14386 Barlavington Manor V223863 050505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out on 05/05/05. The premises were inspected, residents, visitors and staff spoke to and all expressed that a high standard of care was offered. The premises remain in good decorative order. The overall standard of care observed was good and there was evidence that the needs and opinions of residents are taken into consideration. Residents able to express an opinion mainly felt they could complain. The level of staffing in the dementia unit was less that that provided elsewhere in the home. The unit manager stated that she has requested additional staff. What the service does well: What has improved since the last inspection? What they could do better: The dementia unit does not have the same kitchen and laundry input as the rest of the home, consequently the care staff spend time away from the residents doing these tasks. The residents were seen sitting in the lounge without any supervision or stimulation from the carers, whereas in the main part of the home interaction between staff and residents was much more evident. I had to use the call system to summon attention for one of the residents. The employment of housekeeping support and an activities coordinator would improve the therapeutic aspect of these resident’s care and would reduce the risk of harm. Barlavington Manor H60-H11 S14386 Barlavington Manor V223863 050505 Stage 4.doc Version 1.30 Page 6 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. Barlavington Manor H60-H11 S14386 Barlavington Manor V223863 050505 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 Barlavington Manor H60-H11 S14386 Barlavington Manor V223863 050505 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) 1-5 Residents do not all have an assessment prior to admission. without this there is no assurance that their needs will be met. They are , however given the information on the home to ensure that they settle in well and know the routines of the home. EVIDENCE: Care plans inspected did not have pre assessment recorded therefore there are no assurances that their needs will be met. Barlavington Manor H60-H11 S14386 Barlavington Manor V223863 050505 Stage 4.doc Version 1.30 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 standard(s) 7,8,11 Each resident has a plan of care which sets out health and social needs which is regularly updated. Professional advice is sought as required.Residents are treated with respect and kindness at the time of death. EVIDENCE: A recently admitted resident with several health needs discussed his admission to the home. He feels that he was made welcome and that his care is given in a friendly manner. All residents said that they are spoken to in a respectful manner and their preferred form of address is used. The relative of a resident who was moving out today said she was not entirely happy did not comment further but did take a comment card to fill in. A policy on care of the dying was seen and if relatives are not in attendance a member of staff is allocated to sit with the resident Barlavington Manor H60-H11 S14386 Barlavington Manor V223863 050505 Stage 4.doc Version 1.30 Page 10 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) 12-15 The lifestyle experienced in the main part of the home is active and stimulating. The lifestyle in the dementia unit is not as varied. The meals provided are nutritious and varied. Visitors are welcome. Residents have choice and control. EVIDENCE: All residents spoken to said that they enjoyed their meals and that there was adequate choice. Concern was expressed by some as there is about to be a change of chef. Residents said they had control and choice, for example may chose to take meals in their rooms or go out with relatives. Visitors spoken to stated that they are welcome at all times and find the atmosphere in the home pleasing. The lifestyle and interactions between staff and residents in the main part of the home was lively and stimulating and residents confirmed that they were mostly happy with the activities. These activities are posted on the notice board. There is one activities coordinator and staff spoken to confirmed that the majority of activities take place in the main part of the home. The level of interaction that occurs in the main part of the home was not observed in the dementia unit and staff spoken to felt that this is because they have to do kitchen and domestic duties such as washing up, laying tables and putting away laundry. This unit does not have comparative housekeeping support. Barlavington Manor H60-H11 S14386 Barlavington Manor V223863 050505 Stage 4.doc Version 1.30 Page 11 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 Complaints are mostly acted upon, legal rights are protected and residents are protected from abuse. EVIDENCE: There is a complaints procedure in place. The one on display needs to be updated with the details of the Commission for Social Care Inspection. Most residents spoken to said that if they had a complaint they would be able to raise it and that it would be acted on. One resident spoken to said that she had many times informed staff that an occupant of a nearby room makes a lot of noise at night, grunting, and that nothing has been done. This was discussed with the deputy manager and she confirmed she that this resident was in category. The possibility of moving him to an end room was raised so as to minimise disruption to other residents. Residents who require a postal vote for the upcoming election have received it and the manager stated that relatives are taking those wishing to vote at the ballot box. Abuse procedures are in place and a recent allegation the Commission was informed about via Social and Caring Services was discussed. This concerned a resident admitted with many cuts and bruises due to frequent falls. The need for early assessment when residents care is becoming beyond the remit of the category of the home was discussed. In this instance Social and Caring Services did not institute an Adult Protection investigation. Staff spoken to were aware of Adult Protection Procedures and felt confident they could recognise abuse and report it. Barlavington Manor H60-H11 S14386 Barlavington Manor V223863 050505 Stage 4.doc Version 1.30 Page 12 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) 19,23,26 The residents live in safe, comfortable and hygienic surroundings. The building and grounds are well maintained. EVIDENCE: The home is well decorated with no worn furnishings or fittings, making it a pleasant environment for the residents. Residents room are decorated and furnished according to their choice. The home was clean and odour free. All bathrooms and toilets were clean and hygienic. Barlavington Manor H60-H11 S14386 Barlavington Manor V223863 050505 Stage 4.doc Version 1.30 Page 13 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 In the main part of the home residents needs are met by adequate numbers and skill mix of staff. EVIDENCE: Residents spoken to said that staff were kind respectful and caring and staff were observed caring and interacting in an appropriate manner in all parts of the home. However in the dementia unit there were not any staff in the lounge with the residents and I had to use the call bell to get attention for one of the residents. The skill mix in this unit needs to be addressed. This was discussed with the unit manager who stated that she has requested, from the home manager and the proprietor. extra housekeeping support and an activities coordinator for the unit. Recruitment procedures and training to be addressed at the next inspection. Barlavington Manor H60-H11 S14386 Barlavington Manor V223863 050505 Stage 4.doc Version 1.30 Page 14 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) These standards to be assessed at the next inspection EVIDENCE: Barlavington Manor H60-H11 S14386 Barlavington Manor V223863 050505 Stage 4.doc Version 1.30 Page 15 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 2 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x 3 x x 3 STAFFING Standard No Score 27 2 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 3 3 x x x x x x x x Barlavington Manor H60-H11 S14386 Barlavington Manor V223863 050505 Stage 4.doc Version 1.30 Page 16 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 27 Regulation 18 Requirement Timescale for action 2 months 2. 3 14(1)(a)( b)(c) the registered person to ensure that suitably qualified, competent and experienced staff are working in the care home at all times and in such numbers as are appropriate to the health and welfare of the residents. The registered person shall not 2 months provide accomodation to a service user unless the needs of the service user have been assessed by a suitably qualified person, the registered person has received a copy of the assessment, and there has been suitable consultation with the service user or a representative. 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 16 Good Practice Recommendations complaints procedure on display to show details of The Commission for Social care Inspection. Barlavington Manor H60-H11 S14386 Barlavington Manor V223863 050505 Stage 4.doc Version 1.30 Page 17 Commission for Social Care Inspection 2nd Floor, Ridgeworth House liverpool Gardens Worthing, West Sussex BN11 1RY 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. 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