Inspection on 02/10/07 for Barnham Manor

This inspection was carried out on 2nd October 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

Barnham Manor 17/08/06

Barnham Manor 17/10/05

Barnham Manor 07/06/05

Barnham Manor 05/08/04

Barnham Manor 28/04/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Barnham Manor 150 Barnham Road Barnham Bognor Regis West Sussex PO22 0EH Lead Inspector David Bannier Unannounced Inspection 09:30 2 October 2007 nd 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 Barnham Manor DS0000039654.V347500.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. Barnham Manor DS0000039654.V347500.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Barnham Manor Address 150 Barnham Road Barnham Bognor Regis West Sussex PO22 0EH 01243 551190 F/P 01243 551190 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) Barnham Manor Limited Mrs Sivagamee Curpen Care Home 23 Category(ies) of Old age, not falling within any other category registration, with number (23) of places Barnham Manor DS0000039654.V347500.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th August 2006 Brief Description of the Service: Barnham Manor is a care home which is registered to accommodate up to twenty-three residents in the category (OP) old age, not falling within any other category. It provides personal and nursing care. Barnham Manor is a detached two storey property which has been extended and adapted for its current us. It provides accommodation in shared and single bedrooms located on the ground and first floors. A vertical passenger lift provides access to all floors. A dining room and lounge are located on the ground floor. An attractive garden, located to the rear of the premises is available for residents to use. The property is located in the village of Barnham. The fee levels range from £375 to £575 per week. Additional charges are made for hairdressing and chiropody. The registered provider is Barnham Manor Ltd, who has appointed Mr Gary Curpen to be the Responsible Individual and to supervise the overall management of the care home. Mrs Sivagamee Curpen is the registered manager, who is responsible for the day to day running of the care home. Barnham Manor DS0000039654.V347500.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection has followed the Inspecting for Better Lives methodology and is called a key inspection as it assesses those standards determined by the Commission as key standards. This inspection will also determine the frequency of inspections hereafter. The registered provider returned an Annual Quality Assessment Form (AQAA) prior to the inspection. Some residents and their relatives were sent surveys by the Commission entitled “Have Your Say.” Surveys were also sent to two social workers. These are designed to enable residents, relatives and other stakeholders to give their opinions about how the care home is being run. Seven surveys completed by residents and four surveys completed by relatives were returned to the inspector. one survey was also returned by a social worker. The information received from these documents will be referred to in this report. A visit to Barnham Manor was made on Tuesday 2nd October 2007. As this was an unannounced inspection the care home had no notice of this visit. The inspector met and spoke to eleven residents in order to form an opinion of how it is to live at the care home. The inspector also met and spoke to four staff on duty in order to find what it is like to work at Barnham Manor. The inspector viewed some of the accommodation and observed care practices. Some records were also examined. The visit lasted approximately six hours. Mr and Mrs Curpen were present and kindly assisted the inspector with his enquiries. What the service does well: The service continues to provide residents with an environment in which they can develop and maintain an individual lifestyle within their own capabilities. The atmosphere within the home is relaxed and friendly. Staff continue to be knowledgeable with regards the needs of individual residents. The privacy and dignity of residents continues to be maintained. Barnham Manor DS0000039654.V347500.R01.S.doc Version 5.2 Page 6 The premises continue to be well maintained and the standard of cleanliness through out the home continues to be high. The following comments were made in surveys returned by residents, relatives and visiting social workers. They were asked what they believe the care home does well. One relative commented, “I believe they provide a comfortable, safe environment for all residents. The staff treat all residents as individuals and make every effort to respond to their needs.” Another relative said, “Nursing, care, keeping the patients’ dignity, talking to patients, responding to their needs.” A visiting social worker commented, “The proprietor and staff have a helpful attitude towards providing a good standard of care for all service users.” A resident commented, “My family and I bless the day we found Barnham Manor. It is like being in a family home. I am comfortable and as content as I can be.” What has improved since the last inspection? What they could do better: Information in care plans would be improved if the instructions for staff were more specific. This would ensure the care provided is consistent and continuous. Barnham Manor DS0000039654.V347500.R01.S.doc Version 5.2 Page 7 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. Barnham Manor DS0000039654.V347500.R01.S.doc Version 5.2 Page 8 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 Barnham Manor DS0000039654.V347500.R01.S.doc Version 5.2 Page 9 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): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care needs of all prospective residents are assessed before moving into this care home. This care home does not provide intermediate care. EVIDENCE: The names of three residents, who had been admitted on a permanent basis, were identified for case tracking purposes. Barnham Manor DS0000039654.V347500.R01.S.doc Version 5.2 Page 10 Records seen showed that residents’ care needs were assessed before admission. Information gathered from the assessment process has been transferred into care plans. Residents spoken to said they were very satisfied with the care provided. One resident said, “ All my needs are provided for. I don’t think I can get anywhere better.” Care staff on duty were spoken to as a group. Following discussions about the needs of identified residents, the staff were able to demonstrate they were fully briefed about the care residents required and what was expected of them. Information supplied by Mr and Mrs Curpen prior to the inspection confirmed, “Each service user has an individualised pre-admission assessment to ascertain whether we meet their needs. If we feel the home is not appropriate we provide an explanation of why to the proposed service user or to their representatives.” Mr and Mrs Curpen also confirmed they do not provide intermediate care. Barnham Manor DS0000039654.V347500.R01.S.doc Version 5.2 Page 11 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): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each resident’s health, personal and social care needs are set out in an individual plan of care. Residents’ health care needs are fully met. Residents’ are protected by the home’s policies and procedures for dealing with medicines. Residents feel they are treated with respect and their right to privacy is upheld. EVIDENCE: Barnham Manor DS0000039654.V347500.R01.S.doc Version 5.2 Page 12 Care plans have been drawn up from the information gathered when residents’ needs were assessed. They have also been reviewed regularly. Care plans are informative and include appropriate information and instructions which staff are expected to follow. Following discussion, it was agreed with the manager that care plans would be improved if the instructions for staff were more specific. For example one entry stated, “observe for any signs of pressure areas and nurse accordingly”. It was agreed with the manager that the care plan should specify the treatment to be provided. This will ensure residents’ care is provided in a consistent and continuous manner. The care planning system includes risk assessments for manual handling, pressure area and nutritional assessments. It also records visits to each resident by doctors and other social workers together with any treatment prescribed. Surveys returned by residents and relatives confirmed they receive the care and medical support they need. One resident commented, “The care and support I receive is excellent – I am looked after very well and am happy here.” Another resident commented, “The staff are always kind and caring.” A relative commented, “A very well run home, offering excellent care, much kindness and a very human approach.” Residents spoken to also confirmed they were very satisfied with the care provided. One resident said, “The helpers are so nice. I couldn’t wish for anything else!” The survey returned by a social worker also confirmed individual health care needs have been met by the care service. Appropriate systems have put in place for the recording, storing, handling, administration and disposal of medication. During the last inspection it was identified that Mrs Curpen needs to clarify as to whether the pharmacy she returns unwanted medication to has authority to dispose of medication in line with the pharmaceutical regulations. Mr and Mrs Curpen confirmed that they had spoken to their local dispensing chemist who had assured them that they were in possession of a Waste Management Licence. This means the pharmacy can dispose of unused medication in accordance with legal requirements. Medication is stored safely and securely. There was no evidence of medication being stock piled. Medication record sheets were in good order. A picture of each resident is attached to their own medication record. Trained nurses administer all medication. Records of staff signatures and initials are kept. The inspector witnessed medication being administered. Medication was dispensed from the medicine trolley directly to the resident. Staff on duty were able to demonstrate they were aware of the individual needs of residents and the action to be taken in order to meet them. Staff were seen to provide care in a manner which respected the individual wishes of residents and also ensured their dignity and privacy has been maintained. Staff Barnham Manor DS0000039654.V347500.R01.S.doc Version 5.2 Page 13 were courteous when speaking to residents and ensured doors were closed when personal care was being provided. Information supplied by Mr and Mrs Curpen confirmed that, “We promote the independence of service users and regularly review care plans to reflect the changing needs of our residents. Each service user is supported to make their own decisions. The home uses a person centred care planning approach, which is evaluated at regular intervals. Where service users are unable to manage their own healthcare, we aim to identify any health problems so that they can be dealt with from an early stage. We have care plans and risk assessments in place to identify those at risk of pressure damage and what action is being taken to reduce the risk, for example, pressure relieving equipment. The home has a policy for the receipt, storage and handling, administration and disposal of medication and the registered manager ensures this is adhered to. Service users’ privacy and dignity is respected by all employees; ways to promote this is taught within training.” Barnham Manor DS0000039654.V347500.R01.S.doc Version 5.2 Page 14 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): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident find the lifestyle experienced in the home satisfies their social, religious and recreational interests and needs. Residents maintain contact with family, friends and representatives as they wish. Residents are helped to exercise choice and control over their lives. Residents receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. EVIDENCE: Mr and Mrs Curpen organise activities regularly for residents to enjoy. A programme drawn up for the next few months indicated that a range of activities has been planned. This includes musical entertainments, Barnham Manor DS0000039654.V347500.R01.S.doc Version 5.2 Page 15 reminiscence and discussion sessions, visits by local churches and communion services for residents who wish to attend. A visiting shop is arranged regularly to enable residents to purchase items such as toiletries, sweets and other personal items. The hairdresser visits each week. There are also plans to mark Remembrance Sunday. Seasonal activities will be provided in the weeks leading up to Christmas. This will include carol singers from local schools and churches, a pantomime and a Christmas party. On the day of this visit a group of six residents were in the lounge taking part in a session reminiscing and discussing their memories of London. In order to promote discussion the group leader used pictures of well-known sights of London and information about historical events such as the Great Fire of London. In addition the group leader played music related to London and organised a quiz. Residents who were taking part clearly enjoyed the activity. One resident explained that she enjoyed the quiz whilst another person said they enjoyed the discussion and the social occasion. Surveys returned by residents confirmed that there are activities arranged by the home that they can take part in. One resident commented, “I find the shop very enjoyable as I can always look and browse.” Another resident commented, “Yes, there are many but I choose not to take part as I am happy in my comfortable room. I have lots of visitors.” Residents spoken to confirmed they are able to keep in touch with their families. They are made welcome and offered refreshments when they arrive. One resident said, “My family live just down the road. They can visit and are always made welcome.” Visitors were observed entering the care home to see their friends and relatives during the course of the day. Mr and Mrs Curpen and their staff took time to ensure they were made welcome and offered a drink when they arrived. Residents are encouraged to exercise choice over their lives. Staff on duty were seen to ask residents what they wanted. Whilst discussing the needs of residents staff on duty made it clear the importance of ensuring residents take control wherever possible. They ensure residents choose what they wish to wear and what they wish to do during the day. Surveys returned by residents confirmed that staff do listen to them and act on what they say. The survey returned by a social worker confirmed the care home supports individuals to live the life they choose. The main meal of the day consisted on pork and mushroom pie, with new potatoes, carrots and cabbage followed by apple pie and custard. A member of staff goes round the residents to inform them about the meal during the morning. If they do not want the main meal an alternative is offered. Some residents were having an alternative of steamed fish, broccoli and carrots followed by butterscotch whip. These meals were presented in an appealing Barnham Manor DS0000039654.V347500.R01.S.doc Version 5.2 Page 16 manner to encourage and stimulate residents’ appetite. The pork and mushroom pie was also sampled and was found to be very tasty! Those residents who wanted this were served their meal in the dining room. The surroundings were very comfortable. Tables were attractively laid with fresh, clean table clothes. Residents were also served with a choice of water or fruit juice to have with their meal. Residents were afforded plenty of time to eat their meal without being rushed. Some residents required assistance with eating. Staff sat down to help them. They were also afforded plenty of time to eat their meal in a relaxed, unhurried manner. Residents who returned completed surveys confirmed they liked the meals provided. One resident commented, “I find the food very nice and there is always a variety.” Another resident commented, “Can sometimes be rather heavy.” Whilst a third resident commented, “My appetite has decreased but I do enjoy the excellent roasts and the puddings.” Menus and records of food provided indicated that residents have been provided with a varied, nutritious and wholesome diet. Barnham Manor DS0000039654.V347500.R01.S.doc Version 5.2 Page 17 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): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered provider has ensured complaints will be listened to, taken seriously and acted upon. The registered provider has ensured residents are protected from abuse. EVIDENCE: There is a clear complaints procedure, which is displayed on a notice board near to the front door. It includes details of the person to whom the complaint should be made and indicates the timescales by which the complainant will receive a response. Surveys returned by residents and their relatives confirmed they knew who they should speak to if they wished to complain about the care and services provided. It was also confirmed that the care home has responded appropriately when concerns have been raised about the care provided. One relative commented, “Any complaints about small issues are always dealt with immediately”. Barnham Manor DS0000039654.V347500.R01.S.doc Version 5.2 Page 18 The manager has maintained a record of complaints she has received. No complaints have been recorded since the date of the last inspection. Information supplied by Mr and Mrs Curpen confirmed that, “The home has a clear and accessible concerns/complaints procedure illustrating timescales and how complaints are dealt with. All service users are informed of the concerns/ complaints procedure and would be fully supported by staff in making their complaint. The home keeps a record of all concerns/ complaints received and the action which has been taken.” During the last visit it was found that, “Staff have received training in Adult Protection procedures however a number of staff have since left. If staff have not received instruction in adult protection procedures as part of their induction another training session for them should be arranged.” This was also made a requirement. Mr Curpen has drawn up a staff development and training programme. This indicated that all staff have been provided with appropriate training since the last visit. Attendance certificates were also available for inspection in individual staff files. It was also noted that the registered provider has a copy of the Adult Protection procedures published by West Sussex Local Authority. Staff on duty were able to describe different types of abuse and to explain whom they should report any instance they may find. Information supplied by Mr and Mrs Curpen confirmed that, “All staff are trained in the protection of vulnerable adults (POVA) and work in accordance with these regulations. Procedures are in place to respond to evidence or suspicion of neglect.” Barnham Manor DS0000039654.V347500.R01.S.doc Version 5.2 Page 19 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): 19 and 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 safe, well-maintained environment. The home is clean, pleasant and hygienic EVIDENCE: The private accommodation of several residents was viewed along with the communal areas, including the dining room and the lounge. These areas were tastefully decorated and furnished in a comfortable manner meeting the needs of the residents accommodated. Residents have been encouraged to bring personal effects and small items of furniture in order to make bedrooms as individual as possible. Barnham Manor DS0000039654.V347500.R01.S.doc Version 5.2 Page 20 Individual aides and adaptations have also been provided as required. For example there was evidence of hoists, specialist beds and mattresses and wheelchairs. Bathrooms and toilets have also been fitted with appropriate equipment such as raised seats, grab rails and specialist bathing aids. Mr and Mrs Curpen have made improvements to a bathroom on the ground floor since the last visit. It now provides a shower facility for residents to use. Residents spoken to confirmed they felt this was beneficial to them. They explained that a shower was more easily accessible for them than a traditional bath. This is part of an improvement plan has been drawn up. A number of areas of the premises have been identified as needing improvement. Mr and Mrs Curpen expects to commence work on this in the next 12 months. All areas of the premises have maintained to a good state of cleanliness. This included the laundry and sluice areas. Policies and procedures are in place for control of infection. The home has a contract with a waste disposal company for the collection and disposal of clinical waste. Surveys returned by residents confirmed the home is always fresh and clean. One resident who was spoken to during the visit said, “I like it here in my room.” Another resident said, “My room is like a little flat. My room is a good size and I also have my own bathroom.” Information supplied by the registered provider prior to the visit indicated that the premises has been visited by the Fire Officer and Environmental Health officer to ensure it is safe and meets requirements in terms of fire safety and health and safety regulations. The registered provider has also confirmed that any shortfalls identified have been rectified. Equipment such as gas installations, electrical wiring and equipment have been regularly checked and maintained to ensure they are safe to use. Barnham Manor DS0000039654.V347500.R01.S.doc Version 5.2 Page 21 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): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The numbers and skill mix of staff meets resident’s needs. Residents are in safe hands at all times. Residents are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. EVIDENCE: On the day of this visit Mrs Curpen was on duty as the trained nurse. A team of three nursing assistants supported her. In addition there was a cook and a house-keeper to ensure the premises are kept clean and residents are provided with cooked meals, snacks and drinks throughout the day. According to the staff rota there is a trained nurse supported by a team of three nursing assistants from 8am to 8pm each day. There is one trained nurse and one nursing assistant awake during the night to provide residents with Barnham Manor DS0000039654.V347500.R01.S.doc Version 5.2 Page 22 care and support as required. Surveys returned by residents confirmed staff are available when they are needed. The inspector concluded there were sufficient trained nurses, care assistants and ancillary staff to meet the needs of residents accommodated. This also ensures staff are in safe hands at all times. During the last visit it was found that, “…upon reviewing staff records it was noted that for one staff member the two references required were not on file and one was missing for another staff member.” As a result a requirement was made to ensure the recruitment process protects vulnerable residents. The inspector examined the records of three staff recruited since the last inspection. Records seen were well maintained and were up to date. The information seen included references, criminal records checks and evidence which confirmed the identity of the member of staff. The inspector concluded that the manner in which staff are recruited ensures appropriate checks are carried out to confirm the applicant is appropriate to work with vulnerable residents. Residents spoken to confirmed they feel safe and are satisfied with the quality of care provided. Information supplied by Mr and Mrs Curpen confirmed that, “We undertake a robust recruitment process and carry out various checks on possible employees, for example, CRB, references and employment history.” Mr Curpen confirmed that all staff have undergone a structured induction programme. The model currently used follows the basic principles of good quality of care including understanding how to provide care in a manner which respects residents’ rights of choice, privacy, dignity, independence and being treated as an individual. Records of training provided were also examined and demonstrated that training for all staff has included induction and mandatory training such as fire safety, food hygiene, adult protection and health and safety. Staff on duty confirmed the training they had received. According to information supplied by Mr and Mrs Curpen, Barnham Manor employs 10 nursing assistants on a permanent basis. 5 nursing assistants hold the National Vocational Qualification in care (NVQ) at level. 6 nursing assistants are currently working towards the same qualification at level 3. This means that 60 of the nursing assistants employed are currently working towards this qualification. Satisfaction surveys completed by relatives and a visiting social worker confirmed the view that staff have the right skills and experience to look after people properly. One relative commented, “Brenda and Gary keep tight Barnham Manor DS0000039654.V347500.R01.S.doc Version 5.2 Page 23 discipline and a very watchful eye over their staff, but in a friendly manner. The staff are cheerful and happy.” Barnham Manor DS0000039654.V347500.R01.S.doc Version 5.2 Page 24 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): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Mr and Mrs Curpen have demonstrated they are capable of running Barnham Manor. They have ensure the home is run in the best interests of residents. Residents’ financial interests have been safeguarded. The health, safety and welfare of residents and staff are promoted and protected. EVIDENCE: Barnham Manor DS0000039654.V347500.R01.S.doc Version 5.2 Page 25 Mrs Curpen is the registered manager. She is a Registered Nurse on part 1 of the register. She has also obtained the Registered Managers Award. Mr Curpen is also studying for this award. He is the responsible individual and is responsible for overseeing the management of the care home. Surveys returned by residents, their relatives and a social worker has confirmed their satisfaction with the management of Barnham. A resident commented, “Brenda and Gary are always available.” A relative commented, “There is evidence of good leadership and management are very much hands on.” The social worker commented, “Barnham Manor is a nursing home that is a pleasure to work with. This probably due to the hands on helpful approach of the proprietors.” During the last visit it was noted that, “A policy and procedure regarding quality assurance and quality monitoring systems was submitted to the commission however thee was not evidence at this visit that a quality monitoring audit had taken place.” Mr Curpen provided evidence to confirm that he had carried out an audit using a recognised quality monitoring system. Information supplied prior to the inspection confirmed that, “The care home regularly analyses the quality of the service, the findings of which are used within this document (AQAA). Each service user is sent an annual satisfaction questionnaire so that we can monitor what we are doing well, or not.” He was also able to provide evidence of improvements he intends to make to the running of the care home and to the premises over future months. Residents confirmed they manage their own finances or get help from their relatives. One resident explained that their daughter looks after their financial affairs. When necessary Mr Curpen will send them an itemised bill for incidentals such as newspapers, chiropody and hairdressing. There was evidence during the last inspection which confirmed, “… some money is held for resident on request so that they can pay for things such as hairdressing, small personal items and chiropody. Individual residents money is kept separate and records are kept of transactions made.” Records were not examined on this occasion. The premises have been well maintained, ensuring a safe environment in which residents can live and staff can work. The registered provider has supplied information that indicates equipment such as boilers, other gas installations and electrical equipment have been regularly serviced and maintained. Residents have told the inspector that they are very satisfied with the accommodation and services provided. According to training records staff have been provided training in such subjects as fire safety training, moving Barnham Manor DS0000039654.V347500.R01.S.doc Version 5.2 Page 26 and handling, food hygiene, infection control, health and safety. Staff on duty, who were spoken to confirmed the training they had received. Barnham Manor DS0000039654.V347500.R01.S.doc Version 5.2 Page 27 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 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 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 3 x 3 x 3 x x 3 Barnham Manor DS0000039654.V347500.R01.S.doc Version 5.2 Page 28 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. Refer to Standard Good Practice Recommendations Barnham Manor DS0000039654.V347500.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Barnham Manor DS0000039654.V347500.R01.S.doc Version 5.2 Page 30 - 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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