Inspection on 08/11/05 for Barrington House

This inspection was carried out on 8th November 2005.

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

The inspector found no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Barrington House 23/09/08

Barrington House 31/07/07

Barrington House 18/07/06

Barrington House 28/04/05

Barrington House 21/10/04

Barrington House 26/05/04

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

CARE HOME ADULTS 18-65 Barrington House Rye Road Ore Hastings East Sussex TN35 5DG Lead Inspector Jeanette Denereaz Unannounced Inspection 8th November 2005 10:00 Barrington House DS0000021040.V261184.R01.S.doc Version 5.0 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 Barrington House DS0000021040.V261184.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. 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. Barrington House DS0000021040.V261184.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Barrington House Address Rye Road Ore Hastings East Sussex TN35 5DG 01424 422228 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) Barrington House Limited Mrs Delize Pardii Care Home 26 Category(ies) of Learning disability (26) registration, with number of places Barrington House DS0000021040.V261184.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum number of service users to be accommodated is twentysix (26) 28th April 2005 Date of last inspection Brief Description of the Service: Barrington House is a large Georgian house situated on a prominent junction in the village of Ore on the outskirts of Hastings. It is convenient for main bus routes and is within walking distance of all local amenities. There is no lift in the home and wheelchair access is only available on the ground floor. The home is registered for 26 adults with a learning disability. Only people with a mild to moderate learning disability can be accommodated. The home has two people carriers for trips and transport to clubs. There is a designated area in the home for smoking. There is a lawned area to the front and side of the building of the house and a wheelchair ramp at the rear of the house allows wheelchair access. Limited parking is available on site. Barrington House DS0000021040.V261184.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, the second in the year running from April 1st 2005 to March 31st 2006. The inspection took place between 10.00 and 1300. The overall focus of the inspection was on meeting with the manager and reviewing the progress of the requirements from the previous inspection. Time was spent meeting the manager, inspecting a number of records, policies, procedures and other documentation. Residents at home during this inspection were spoken to. Comments made included: • Staff are nice, food mostly is good and there is always a choice. • Staff respect my wishes. I enjoy the food; you can have seconds if you want. I would like to go out more; I would like to join the library. • I’ve been living here a long time. People are nice it’s smashing. I eat all the food, and it’s nice. I often go out shopping. • I use to go the Hastings shopping centre. The inspector escorted by the registered manager undertook a full tour of the home. As this report was made following the second unannounced visit, and does not cover all the standards, therefore for the reader to make a judgment about the home, it is recommended that a copy of the last inspection report of the 28th April 2005 also be obtained to have a clearer picture of the home. There have been discussions between the registered manager and the CSCI as to the most appropriate registration category for the home. The majority of the resident are over sixty years old with many much older, and the manager fully understands that it would be inappropriate to admit any new service users who were younger. It has been suggested that the home should consider changing the registration category to the Older People’s National Minimum Standards. However, this inspection was carried out under the National Minimum Standards for Younger Adults What the service does well: The Inspector found the home to be pleasant and warm with a comfortable homely atmosphere. All the residents were observed and confirmed to the inspector to be happy and relaxed with the home. The residents and staff interviewed all spoke positively about the home and the registered manager. The manager and deputy manager have extensive knowledge and experience and continue to be very involved within the home. The inspector was invited to lunch and the meal was very good, well cooked and nicely presented. Barrington House DS0000021040.V261184.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: The review of Care plans to be completed, and staff to be instructed on the recording of information, including to always date such information and submit reviews dates. The registered manger will be addressing the issue of gaps in the daily records immediately. Review dates of risk assessments should be adhered to and following reviews actions must be undertaken, recorded and dated. It is required that staff ensure individual residents’ wishes and aspirations are achieved as far as possible, and such work is recorded to confirm actions have taken place. The home has a comprehensive staff handbook, but it is recommended that it should be condensed for easier reading and assimilation; there is a need to review the information and passed information archived to reduced the bulkiness of this document. Please contact the provider for advice of actions taken in response to this Barrington House DS0000021040.V261184.R01.S.doc Version 5.0 Page 7 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Barrington House DS0000021040.V261184.R01.S.doc Version 5.0 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Barrington House DS0000021040.V261184.R01.S.doc Version 5.0 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1&2 Prospective residents, their care managers and families are given all the information they need to able to make an informed decision to live at Barrington House. EVIDENCE: The majority of service users group has been stable and most of the staff have worked at the home for some time. There is a good understanding of the needs of the service users and how these may be met The home has a statement of purpose and any prospective service user would have access to suitable information to inform them of the service and what it is like to live in the home. There have been discussions between the registered manager and the CSCI as to the most appropriate registration category for the home. The majority of the resident are over sixty years old with many much older, and the manager fully understands that it would be inappropriate to admit any new service users who were younger. It has been suggested that the home should consider changing the registration Barrington House DS0000021040.V261184.R01.S.doc Version 5.0 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 67&9 The manager needs to continue to complete the review of care plans so that staff have explicit advice on the actions required of them to meet the goals identified. Residents continue to be supported to take risks as part of an independent lifestyle dictated by the their age and disabilities. However, to ensure residents assessed and changing needs are met, the staff need to take more care when recording. EVIDENCE: The registered manager continues to work to amend and review all the care plans. However, the inspector found gaps in the daily records and information written not dated, also there were review dates that had not been adhered to. The manager will be addressing these issues with the staff through training, within staff meetings and individually to ensure that the residents’ assessed and changing needs and personal goals are reflected in their care plans. Barrington House DS0000021040.V261184.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,16 & 17 Service users are now requiring a more quiet life and there are activities are in-house and in the local community. Notice should be taken to ensure individual residents’ wishes and aspirations are achieved as far as possible, and such work is recorded to confirm actions have taken place. The meals in the home are of a high standard and meet personal choice and preferred dietary needs. EVIDENCE: The home continues to reassess each resident’s wishes as to how they wish to spend their days, and through discussion with the residents most are satisfied with their daily activates. However, one resident who uses a wheelchair, stated she would like to go the library, but the inspector was told this is not possible because the local library does not have disabled access. It was apparent that this individual is an avid reader and therefore the home should explore this opportunity to join a library further. Barrington House DS0000021040.V261184.R01.S.doc Version 5.0 Page 12 All the residents spoken to during this inspection said they enjoyed the meals and there was plenty of choice. Barrington House DS0000021040.V261184.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 & 20 Service users receive adequate personal supporting they way they prefer and require. . EVIDENCE: Records once again showed the proper arrangements are made to meet the healthcare needs of residents. Medication is securely stored, and the inspector observed staff administrating lunchtime medications to residents. The deputy manager explained the system in place for residents who take medication to the day service, and how the home ensures this is recorded and administered appropriately offsite. All medication is now securely stored and the record of medication administered was correct and in order at this inspection. Barrington House DS0000021040.V261184.R01.S.doc Version 5.0 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were inspected at the last inspection on the 28th April 2005 and were fully met. There have been no verbal or recorded complaints in the home since the last inspection. EVIDENCE: Barrington House DS0000021040.V261184.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 The home continues to generally well maintained, furnished and equipped to provide a congenial and safe home for the residents to live. EVIDENCE: The inspector undertook a full inspection of the home which included some bedrooms, all the communal areas, the kitchen and laundry. The home is in keeping with the local community. The home, during this inspection was found to be a safe, bright, comfortable, airy and free from offensive odours. Barrington House DS0000021040.V261184.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 & 34 The residents’ needs are met by a stable staff team, who support each other, work closely together and seem to have a good understanding of the aims and objectives of the home EVIDENCE: Training of staff is very important to the management and the home continues to work toward meeting the 50 of care staff achieving a NVQ 2 in care. The recruitment of staff, including the information regarding employment history has been reviewed since the last inspection and now is more robust and ensures that all referees are the current and previous employers of the prospective staff. It is recommended that the staff handbook should be condensed for easier reading and assimilation; there is a need to review the information and passed information archived to reduced the bulkiness of this document. Barrington House DS0000021040.V261184.R01.S.doc Version 5.0 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 42 The residents continue to benefit from a well-established and motivated manager, and stable staff team. The home was found to be conducted in a safe, open and friendly manner with staff feeling supported to carry out their roles EVIDENCE: Since the last inspection the home has had an Environmental Health inspection and the report following this inspection was satisfactory. Health and Safety checks and servicing documentation was seen by the inspector and found to be in order. Barrington House DS0000021040.V261184.R01.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 2 X 2 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X X LIFESTYLES Standard No Score 11 X 12 2 13 X 14 X 15 X 16 2 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Barrington House Score 3 X 3 X Standard No 37 38 39 40 41 42 43 Score X X X X X 3 X DS0000021040.V261184.R01.S.doc Version 5.0 Page 19 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 YA6 Regulation 15(1) Requirement Timescale for action 31/03/06 2. YA7YA9 3. YA16YA12 It is required that the registered manager must complete the task of reviewing all the care plans, and such care plans must include explicit advice the action required by staff to meet the goals identified. (This is a requirement from previous inspections) 12(3) 13(4) It is required that the 08/11/05 registered manager must ensure that staff record all relevant information in the daily record book and in care plans with no gaps. All reviews are undertaken and adhered to. Also all written information should be signed and dated by the author. 16(2)(m)(n) It is required that the 31/03/06 12(4)(a) registered manager must ensure that all residents have access to community activities. With reference to an individual having access to public library facilities, and the manager should explore facilities with disabled person’s access Barrington House DS0000021040.V261184.R01.S.doc Version 5.0 Page 20 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 YA1 Good Practice Recommendations It is recommended that the Management consider changing the registration of the home to Older People National Minimum standards, thus reflecting the age, current and changing needs of the residents. It is recommended that 50 of care staff achieve an NVQ 2 in care. It is recommended that the staff handbook should be condensed for easier reading and assimilation; there is a need to review the information and passed information archived to reduced the bulkiness of this document. 2 3 YA32 YA34 Barrington House DS0000021040.V261184.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Barrington House DS0000021040.V261184.R01.S.doc Version 5.0 Page 22 - 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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