Inspection on 08/01/07 for Barnby Court Care Home

This inspection was carried out on 8th January 2007.

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

Barnby Court Care Home 06/01/09

Barnby Court Care Home 19/01/06

Barnby Court Care Home 23/09/05

Barnby Court Care Home 16/03/05

Barnby Court Care Home 02/12/03

Barnby Court Care Home 08/07/03

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Barnby Court Care Home Barnby Moor Retford Nottingham DN22 8QS Lead Inspector Mr Ken Hague Key Unannounced Inspection 8th January 2007 80:30 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 Barnby Court Care Home DS0000008626.V324926.R01.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. Barnby Court Care Home DS0000008626.V324926.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Barnby Court Care Home Address Barnby Moor Retford Nottingham DN22 8QS 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) 01777 705902 01777 719678 Southern Cross Healthcare Services Limited Margaret Greaves Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Barnby Court Care Home DS0000008626.V324926.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Old Age not falling within any other category (OP) Maximum number registered 25 One Named service user as detailed in application dated 09/05/2005 may be admitted in the category DE/E One Named service user as detailed in application dated 20/03/2006 may be admitted in the category DE/E 19th January 2006 Date of last inspection Brief Description of the Service: Barnby Court is a period building that has been extended and adapted to accommodate 25 older people. Service Users have access to well maintained landscaped gardens and there are adequate parking facilities. The home is situated in the village of Barnby Moor. Located in a rural area the village has a public house and hotel. The home has access to a minibus and hired transport when necessary to access a wider range of amenities and promote social interactions beyond the immediate environment of the home. Barnby Court Care Home DS0000008626.V324926.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 5.5 hours. A tour of the premises was undertaken. The registered manager was provided with feedback at the end of the inspection. The main method of inspection used was called ‘case tracking’ which involved selecting three residents and tracking the care they receive through the checking of their records, discussion with them and the staff, and where more appropriate observation of interaction between staff and residents and related care practices. A sample of care records was inspected. Two members of staff were interviewed and the opinions of three residents were sought. A Pre- inspection questionnaire was supplied by the care home to the Commission for Social Care Inspection prior to the site visit being made. The registered manager makes available to all potential new residents a copy of the statement of purpose of the care home when they visit the home for the first time. A copy is displayed in the care home reception area. A copy of the last Commission for Social Care Inspection report is included in the statement of purpose. The home charges, £319 to £420 per week. What the service does well: What has improved since the last inspection? The home has improved its care records to ensure that they meet the National Minimum Standards. The range of activities has been increased since the last inspection in January 2006. Staff training has been increased to ensure staff have the appropriate skills to protect and provide care for residents. Repairs have been carried out to paved areas in the garden. A new stair lift has been fitted. Barnby Court Care Home DS0000008626.V324926.R01.S.doc Version 5.2 Page 6 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. Barnby Court Care Home DS0000008626.V324926.R01.S.doc Version 5.2 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 Barnby Court Care Home DS0000008626.V324926.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards1,2 3 & 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A detailed assessment, which includes a risk assessment, is carried out before any new resident is admitted. An intermediate care service is not offered by the home. Residents are given in writing the cost of their stay at the care home. EVIDENCE: The registered manager stated the home has a statement of purpose, which is made available to the new residents. This sets out the resources of the care home. Residents who were being case tracked confirmed that they had written contracts and were able to state their contribution towards their stay at the care home. Barnby Court Care Home DS0000008626.V324926.R01.S.doc Version 5.2 Page 9 The individual files of three residents were studied as part of the case tracking process. They all contained a detailed assessment including a risk assessment identifying the needs of the individual residents. This provided the essential information to enable a detailed care plan to be written. The registered manager stated that a dedicated intermediate care service is not provided by the care home. Barnby Court Care Home DS0000008626.V324926.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7,8,9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home identifies the health, personal and social care needs of each resident and records them on their care plan. All of the identified needs of residents are being met. The medication policy of the home is being followed. Staff, respect the dignity and privacy of residents. EVIDENCE: Individual residents’ care files were studied in detail to see if the information obtained at the initial assessment had been transferred into their care plan. Care plans set out the needs of the individual resident included social and care needs. If any risk had been identified the management of that risk was included in the care plan. Risk assessments stated what alternative action should be taken if problems still occurred. The health care needs of the residents were recorded on the care files. This included dental care, chiropody, eye care and any involvement by GPs, district nurses and consultants. Care files included a record of professional visits to residents. Barnby Court Care Home DS0000008626.V324926.R01.S.doc Version 5.2 Page 11 There was evidence of risk assessment and care plans being reviewed formerly on a four weekly basis. Staff stated care plans were informally reviewed weekly. The care home has a policy for self-medication. On the day of the site visit no residents were self-medicating. Lockable facilities are provided in bedrooms to enable residents to self-medicate. The registered manager stated that only trained staff, administer medication. She stated medication training is provided by an outside agency. The registered manager said, “I personally check the competency of all staff after training before they can give out medication”. Staff confirmed in formal interviews that medication training has been provided. A pharmacy visit has been made to the care home in December 2006; no requirements were identified. Resident spoken to stated that staff maintain their respect and dignity at all times. Barnby Court Care Home DS0000008626.V324926.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,14 &15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents are encouraged to keep in contact with their family and friends. All visitors are made welcome by staff at the care home. Catering arrangements for the home do not reflects the residents’ choices, preferences. EVIDENCE: Residents stated that relatives and friends who come to visit them are made welcome. The registered manager described details of the activities provided for residents. Activities take place within the home and within the community. An activity organiser has been appointed and there is a possibility of her hours being increased in the future. Residents stated that they go out into the community for events. Residents stated, that they feel they have control over their individual lives. The registered manager provides details of the home’s menu. A requirement was made at the last inspection in January 2006 that the menu must demonstrate choice is being offered to residents. At the site visit the menu board displayed the wrong date and menu. Residents did not know what was being provided for lunch and they confirmed that no choice had been offered. The registered manager stated that choice is offered but could not produce Barnby Court Care Home DS0000008626.V324926.R01.S.doc Version 5.2 Page 13 written records to substantiate this statement. There was no written evidence within care records that special dietary needs were being met. It was agreed with the registered manager that this requirement would be met within 48 hours. Barnby Court Care Home DS0000008626.V324926.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards 16 & 18 The home listens to residents’ views and wishes and acts on them. There are procedures in place to protect residents from any possible abuse. Staff have received appropriate training to protect residents from being harmed. EVIDENCE: Staff have been trained in the recognition and management of abuse. There are procedures and policies in place to ensure that appropriate action is taken should anyone report any suspicion of abuse to the registered manager or the proprietor. Residents state they feel safe living in the care home. The home has received no complaints since 2004.The Commission for Social Care Inspection has received no complaints. No investigations have been carried out in respect of a suspicion of abuse or poor care practice. The home has therefore acted appropriately to protect residents and ensure they live in a safe environment. The registered manager has acted to ensure that residents can raise concerns with any member of staff. These standards are therefore met. Barnby Court Care Home DS0000008626.V324926.R01.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): Standards 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a comfortable, homely, clean environment with a choice of communal areas and personalised bedrooms. The infection control policy of the home is being followed. EVIDENCE: A tour was made of the care home, all areas were very clean and smelt fresh. There was evidence of ongoing maintenance being carried out. Residents spoken to confirmed their total satisfaction with the environment of the care home. The bedrooms viewed during this visit had furniture and fittings, which met the National Minimum Standards. Individual bedrooms have been personalised by the residents. Barnby Court Care Home DS0000008626.V324926.R01.S.doc Version 5.2 Page 16 Improvements have been carried out to the home. A paved area in the garden has been repaired. Areas within the care home have been redecorated. A new stair lift has been fitted. Staff were observed to be wearing protective clothing when providing personal care. Staff stated that the home is a safe place in which to work. They confirmed that the infection control policy and the health and safety policy of the home is being followed. Barnby Court Care Home DS0000008626.V324926.R01.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): Standards 27,28,29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has sufficient staff on duty with appropriate skills to meet the needs of residents. The home has a robust recruitment policy, which protects residents. Training is being provided to staff, residents’ needs are being met. EVIDENCE: Residents confirmed there are always sufficient staff on duty to meet their needs. One resident stated “this home is first-class, staff will do anything they can to help you. I have no complaints, the manager is very approachable, all staff are good”. No negative comment were made by any resident, during the site visit. Residents stated that they felt safe living in the care home. They confirmed that care is provided in a safe and sensitive manner. The registered manager stated that she follows the care home’s recruitment procedure when employing new staff. The recruitment records for two new members of staff were seen and found to contain all the information required by the Care Home Regulations. Evidence was found that ongoing training including specialised training is being provided to staff. The registered manager described the training plan for the next 12 months. It was a requirement at the last inspection to produce a yearly training plan and ensure that all staff were trained in the identification Barnby Court Care Home DS0000008626.V324926.R01.S.doc Version 5.2 Page 18 and management of abuse. The registered manager confirmed this training has been provided to all staff. The staff stated that they were confident in being able to meet the needs of the residents. Staff described the reporting procedure to be followed if they had any suspicion of abuse taking place. They confirmed that they feel able to use the home’s whistle blowing procedure. Barnby Court Care Home DS0000008626.V324926.R01.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): Standards 31,33,35 &38 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The home has an experienced registered manager in post and leads the team effectively. Staff are competent and are provided with training and supervision. The recruitment policy of the home is being followed to ensure residents are protected. There are staff in sufficient numbers, with appropriate training on duty at all times. There is a comprehensive management audit system in place. EVIDENCE: The care home has a registered manager in post, who has successfully completed the registered manager course since the last inspection. The staff stated that she is very supportive and approachable. A resident stated “our manager is very good and easy to talk to”. Barnby Court Care Home DS0000008626.V324926.R01.S.doc Version 5.2 Page 20 The care home has a management structure, which is understood by staff and residents. The inspection of care records provided evidence of a comprehensive audit system being used by the company. A regional manager came to the home during the site visit and explained this system to the Inspector. There was evidence of a regional management audit on residents’ files seen during the site visit. Recommendations had been made where appropriate and evidence was found that the registered manager had acted upon recommendations. The registered manager described the policies and procedure to protect residents’ financial interest. Financial records have been completed in accordance with the companys policies and procedures. The company had issued terms and conditions to residents which included the contribution to their stay at the care home. There were no health and safety issues identified during site visit. Barnby Court Care Home DS0000008626.V324926.R01.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 x X X X X X 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 4 x 3 x 3 x x 3 Barnby Court Care Home DS0000008626.V324926.R01.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 OP15 Regulation 16 (2) (i) Requirement The registered person shall provide in adequate quantities, suitable wholesome and nutritious food which is varied and properly prepared and be available at such time as may be reasonable required by the service users Timescale for action 10/01/07 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 Barnby Court Care Home DS0000008626.V324926.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Barnby Court Care Home DS0000008626.V324926.R01.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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