Inspection on 07/06/05 for Barnham Manor

This inspection was carried out on 7th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Barnham Manor 02/10/07

Barnham Manor 17/08/06

Barnham Manor 17/10/05

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 Mrs S Rodgers Unannounced 07 June 2005, 09:00 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. Barnham Manor H60-H11 S39654 Barnham Manor V221473 060605 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Barnham Manor Address 150 Barnham Road, Barnham, Bognor Regis, West Sussex, PO22 0EH 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) 01243 551190 01243 551190 barnhammanorworld@aol.com Barnham Manor Ltd Mrs Sivagamee Curpen CRH (N) Care home with nursing 23 Category(ies) of OP-Old age, not falling within any other category registration, with number of places Barnham Manor H60-H11 S39654 Barnham Manor V221473 060605 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5 August 2004 Brief Description of the Service: Barnham Manor is a Care Home registered to accommodate up to twenty-three service users in the category OP (Old age not falling into any other category) with N (Nursing). Barnham Manor is located on the outskirts of the village of Barnham. Local shops and transport services are near by. Accommodation is provided on two floors: the first floor can be accessed by a passenger lift.The responsible Individual on behalf of the organisation is Mr Gary Curpen. Mrs Sivagamee Curpen is the registered manager in charge of the day to day running of the establishment. Barnham Manor H60-H11 S39654 Barnham Manor V221473 060605 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 5 hours and was carried out as part of the routine programme of inspections. Preparation for this inspection focused on a review of previous inspection reports and general correspondence. During the course of the inspection the inspector toured the home, spoke with residents either privately in their own bedrooms or within the communal areas of the home in order to gain a sense of how the home is being run and how they experienced living at the home. Two visitors were also spoken with in the company of their relatives. Three staff were spoken with in order to gain a sense of the support and training they receive in order to carry out their jobs and to gain insight into their knowledge of the aims and objectives of the homes philosophy of care. Since the last inspection the refurbishment work has been completed. The home appears warm and welcoming, and the standard of cleanliness throughout is of a good standard. One residents who has been living in the home whilst the work has been carried out said that they are pleased with the changes and that the home ‘is much cleaner now’. All residents spoken with said that staff are ‘kind, caring and helpful’. Both residents and relatives told the inspector that they are satisfied with the care and services they receive. The inspector also took the opportunity to observe the interaction between both residents and staff, it was noted that the atmosphere within the home was jovial and relaxed and that the staff carried out their duties in a respectful manner taking into account the dignity and privacy of residents. What the service does well: Residents told the inspector that the standard of care they receive is very good and that staff make every effort to maintain their privacy and dignity. The majority of residents told the inspector that meals provided were of a good standard. The general cleanliness of the home is of a good standard. Barnham Manor H60-H11 S39654 Barnham Manor V221473 060605 Stage 4.doc Version 1.20 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Barnham Manor H60-H11 S39654 Barnham Manor V221473 060605 Stage 4.doc Version 1.20 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 Barnham Manor H60-H11 S39654 Barnham Manor V221473 060605 Stage 4.doc Version 1.20 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) 3 Prior to moving into the home each prospective residents needs are assessed in order to ensure that the home can meet their needs. EVIDENCE: Written pre admission assessments were available and demonstrated that resident’s health, personal and social needs are assessed. Residents spoken with who have recently been admitted confirmed that they were either visited in their own homes or visited Barnham Manor themselves for the day in order for the assessment to be carried out. Barnham Manor H60-H11 S39654 Barnham Manor V221473 060605 Stage 4.doc Version 1.20 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) 7,8,10 Care plan clearly set out the health, personal and social care needs of residents, which enables staff to maintain continuity of care. All care needs are carried out in an appropriate manner ensuring that they dignity and privacy of residents are maintained. EVIDENCE: Four care plans were reviewed, they clearly identified the individual needs of service users. The majority of residents spoken with confirmed that they are aware that information regarding their care needs are kept and that staff refer to them in order o meet their varying needs. Care plans contained all relevant information, including risk assessments for manual handling and nutritional assessments. During the course of the inspection the inspector was able to observe staff maintaining resident privacy and dignity by knocking on doors prior to entering their rooms. Residents who were asked confirmed that staff ensure that they are appropriately covered when being taken to and from the bathroom. Barnham Manor H60-H11 S39654 Barnham Manor V221473 060605 Stage 4.doc Version 1.20 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 Residents are enabled to satisfy their social, religious and recreational interests, which assists them to live a fulfilled life with in the home setting. Residents are offered a well-balanced and varied diet. EVIDENCE: Service users spoken with confirmed that they have the opportunity to take part in the homes programme of activities. There are various activity programmes displayed around the home along with the list of Communion dates. Activities include sing-a longs, music and movement, reminiscence and quizzes. Residents confirmed that they were able to take part in the planned activities or pursue their own interests as they wish. Residents told the inspector that a hairdresser attends the home weekly. The majority of residents spoken with told the inspector that food provided was of a good standard, however one service users told the inspector “that the meat especially the beef, was tough on occasion”. A four weekly menu is followed, it was confirmed that the menus get updated at regular intervals. Menus demonstrate and residents confirmed that they could have a cooked breakfast each morning if they choose. Alternatives to the main meal are available, residents are informed of the menu at coffee time should they not like the Barnham Manor H60-H11 S39654 Barnham Manor V221473 060605 Stage 4.doc Version 1.20 Page 11 main meal they can request an alternative at this time. The kitchen was clean and tidy. A new dishwasher has been installed. All residents told the inspector that evening meals are very good and that the home made soup, “is delicious” Barnham Manor H60-H11 S39654 Barnham Manor V221473 060605 Stage 4.doc Version 1.20 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 standard(s) 16,18 A complaints process is in place enabling residents and relatives to raise their concerns with the management. Policies and procedures are in place to ensure the safety and well being of residents. EVIDENCE: There is a clear complaints procedure, which is included in the Statement of Purpose and Service User Guide. The records of complaints were reviewed. Residents spoken with confirmed they felt able to approach Mrs Curpen or her care team with any concerns they have. All staff have recently undergone training in Adult Protection procedures. Staff spoken with were clear of the action they would take should they suspect that a resident is being abused. Barnham Manor H60-H11 S39654 Barnham Manor V221473 060605 Stage 4.doc Version 1.20 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 standard(s) 19,21, 24,26 The location and lay out of the establishment were suitable to the needs of the current service users EVIDENCE: From touring the building the inspector was able to determine that the standard of cleanliness through out the home was of a good standard. A refurbishment programme has recently been completed. Bathing and WC facilities are sufficient in number. The establishment is well maintained, clean and free from offensive odours. A number of aids and adaptations are in place to enable service users access to various parts of the building and garden areas. Residents who were asked confirmed that they are able to furnish their rooms with their own belongings giving them a personal and homely atmosphere. Barnham Manor H60-H11 S39654 Barnham Manor V221473 060605 Stage 4.doc Version 1.20 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 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) 27,29, Staff were on duty in sufficient numbers and the skill mix of staff as appropriate. A recruitment procedure is in place however all staff must undergo a Criminal Records Bureau Enhanced check prior to commencing employment. EVIDENCE: Duty rotas demonstrated the numbers of staff on duty. One member of staff who has recently been re employed told the inspector that she is aware of the need to submit her CRB application but has not had the time to do so yet. Mr and Mrs Curpen also confirmed that this employee has not yet submitted the application. The inspector advised them that this must be carried out as a matter of urgency and that whilst the CRB check is being sought the employee must be supervised at all times. Barnham Manor H60-H11 S39654 Barnham Manor V221473 060605 Stage 4.doc Version 1.20 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 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) 31,35 The home is run and managed in an appropriate manner. Service users financial interests are safeguarded. EVIDENCE: Mrs Curpen is an experienced nurse who has experience in managing services. She advised the inspector that she will be completing the Registered Managers award in September/October2005. Mr and Mrs Curpen advised the inspector that they do not manage resident personal finances, which was confirmed by residents. However, 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. Should a resident not wish to have money held in safe keeping there is a system in place whereby Mr Curpen can bill residents or their relatives each month. Barnham Manor H60-H11 S39654 Barnham Manor V221473 060605 Stage 4.doc Version 1.20 Page 16 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. Where there is no score against a standard it has not been looked at during this inspection. 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 x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 x 3 x x 3 x 3 STAFFING Standard No Score 27 3 28 x 29 2 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x x x 3 x x x Barnham Manor H60-H11 S39654 Barnham Manor V221473 060605 Stage 4.doc Version 1.20 Page 17 N/A 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 29 Regulation 19 Requirement A robust recruitment procedure must be implemented Timescale for action 06.07.05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Barnham Manor H60-H11 S39654 Barnham Manor V221473 060605 Stage 4.doc Version 1.20 Page 18 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. Extracts may not be used or reproduced without the express permission of CSCI Barnham Manor H60-H11 S39654 Barnham Manor V221473 060605 Stage 4.doc Version 1.20 Page 19 - 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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