Inspection on 15/08/07 for Barrington Lodge Care Home

This inspection was carried out on 15th August 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

Barrington Lodge Care Home 26/07/06

Barrington Lodge Care Home 19/12/05

Barrington Lodge Care Home 06/10/04

Barrington Lodge Care Home 15/06/04

Similar services:

The Highlands

Turret Villa Retirement Home

Moor House

Blenheim House

1 Lanark Close

Mendip House

Beaconsfield Court Care Home

Ann Charlton Lodge

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

CARE HOMES FOR OLDER PEOPLE Barrington Lodge Care Home St Andrews Road Bishop Auckland Durham DL14 6XX Lead Inspector Mrs Sue Lowther Unannounced Inspection 09:30 15 and 23 August 2007 th rd 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 Barrington Lodge Care Home DS0000000690.V349042.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. Barrington Lodge Care Home DS0000000690.V349042.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Barrington Lodge Care Home Address St Andrews Road Bishop Auckland Durham DL14 6XX 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) 01388 662322 01388 605405 barrington.lodge@fshc.co.uk www.fshc.co.uk Tamaris Healthcare (England) Ltd Position Vacant Care Home 70 Category(ies) of Dementia (30), Dementia - over 65 years of age registration, with number (30), Old age, not falling within any other of places category (40), Physical disability (6) Barrington Lodge Care Home DS0000000690.V349042.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Up to 6 persons in the category PD 55 years and over. Date of last inspection 26th July 2006 Brief Description of the Service: Barrington Lodge is a purpose built 70 bedded home located on the outskirts of Bishop Auckland. Accommodation is provided on 2 floors. All rooms are single en-suite and the home caters for elderly service users who require nursing or residential care. There is a 40 bedded unit for service users with general needs and a 30 bedded unit for service users with mental health needs. Several spacious lounge and dining areas are also available. The home is located in a quiet cul -de- sac and has pleasant gardens. It is close to the town centre and other local facilities. The fees charged at the time of this inspection were between £365 and £575 per week. This does not include hairdressing, chiropody, newspapers, personal toiletries and clothing. Barrington Lodge Care Home DS0000000690.V349042.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection of Barrington Lodge took place on 15th and the 23rd August 2007. Records were examined and a tour of the building took place. Time was spent talking to staff, the people who live in the home and their relatives. The manager supplied some written information to the CSCI before the inspection. The inspection focussed on key standard outcomes for people who live in the homes and to check whether requirements from the previous report had been met. What the service does well: What has improved since the last inspection? The administrator said that all of the people who live in the home have been issued with a contract a contract so that they understand the service they are entitled to receive. There was evidence within the plans available to confirm that people are now consulted with regard to their care. The areas of the home that had been refurbished were bright and cheerful and provide a homely environment for the people who live there. New table settings have been purchased. These make the dining areas look very attractive. The acting manager said that consideration is being given to reorganising the home to make it more unitised. She feels this may be a more effective way for staff to look after people. Barrington Lodge Care Home DS0000000690.V349042.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. Barrington Lodge Care Home DS0000000690.V349042.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 Barrington Lodge Care Home DS0000000690.V349042.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): 2 and 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Whilst admissions to the home are well managed some service users have not returned a signed contract to confirm that they know what is included in their fees. The home does not provide intermediate care and therefore assessment of Standard 6 is not applicable. EVIDENCE: The administrator said that all of the people who live in the home have been issued with contracts. She showed the inspector some contracts that had been signed and retuned. However some people have still not returned the signed contract to confirm that they agree with the terms and conditions. Barrington Lodge Care Home DS0000000690.V349042.R01.S.doc Version 5.2 Page 9 Two care plans examined showed that a full pre-admission assessment had been carried out. The acting manager said that that she visits the prospective person before they are admitted to the home. The person and their relatives are involved in this process. One family said that they had looked around the home before their relative went to live there. They said that there was enough information available for them to decide whether or not their relative would like to live in the home. One person who lives in the home said “I had visited relatives in the home before I came to live here. I always knew that if I needed care this would be the place for me”. Barrington Lodge Care Home DS0000000690.V349042.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): 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. Good systems are in place to ensure that health care needs of the people who live in the home are met. People can be confident that their privacy and dignity is protected and that they are treated with respect. EVIDENCE: The acting manager said that all of the people who live in the home have care plans. Six were looked at during the inspection. Care plans have been updated and they now provide staff with more detailed information about how to meet needs of the people who live in the home. Three of the people spoken to said that they were aware of their plan of care and there was evidence to confirm that they had been consulted. Records examined showed that people receive visits from other healthcare professionals. These include district nurses, doctors, and care managers. Barrington Lodge Care Home DS0000000690.V349042.R01.S.doc Version 5.2 Page 11 The inspector spoke to five people who said that they usually receive the support and care they need. One said, “I can get up and go to bed when I want”. Another said, “ I have made good progress since I came to live here. The staff talk to me all the time and give me all of the help I need”. Medication systems were looked at during this inspection. A qualified nurse gives out medications. The home uses a monitored dosage system. The acting manager told the inspector that she had carried out an audit recently and several improvements have been made. This is to make sure that people receive their medication correctly. The people who live in the home and relatives said that the staff are polite, friendly and treat people with respect. One person said, “Staff are nice. I would tell them off if I had a problem”. Barrington Lodge Care Home DS0000000690.V349042.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): 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. The activities are varied and provide recreation for some of the people living in the home. Family and friends can visit the home at any time and are made to feel welcome. The meals are of a good standard. Menus are varied and service users are given a choice. EVIDENCE: The home employs an activities co-ordinator. Activities take place both inside and outside of the home. The indoor activities include bingo, board games, dominoes, skittles and carpet bowls. Outside entertainers visit the home from time to time. Some people also like to walk up to the nearby town and visit the local pub. One person said, “I just like to have a wander out. As long as I tell staff where I am going I can do that”. The inspector saw that this person had a risk assessment in place to make sure he would be safe when going out alone. The activities organiser said that she tries to spend time with people on an individual basis so that she can find out which activities they like. One service user said, “I enjoy the sing a longs”. Another said, “I just like to sit in my Barrington Lodge Care Home DS0000000690.V349042.R01.S.doc Version 5.2 Page 13 room and watch TV. The staff pop in and out all of the time to have a chat and ask if I need anything”. Relatives said that they can visit at any time and that they are always feel welcome. One relative said, “When we visit we are always made to feel welcome and we are sometimes offered a cup of tea”. There are several dining areas available throughout the home. During lunch the atmosphere was relaxed and unhurried. Staff who were helping service users with their food did this in a courteous and discreet manner. New table settings have been purchased. These make the dining area look very attractive. People said that they like the food and that they get a choice. One person said, “The food is good and you get a choice”. Nutritional needs are assessed and a record kept in the care plan. Barrington Lodge Care Home DS0000000690.V349042.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): 16 and 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Whilst a complaints procedure is available, people cannot be assured that their complaints have been fully investigated. Adult protection systems in the home serve to safeguard service users from abuse. EVIDENCE: Information is available for then people who live in the home and their visitors about how to make a complaint. The manager confirmed that all complaints are taken very seriously and that the company has a robust policy and procedure for dealing with complaints about the service. There was one complaint recorded in the home since the last inspection. However from the evidence available it appeared that the previous manager had not investigated this appropriately. The acting manager agreed to make some further enquiries to make sure the problem had been addressed. The policies and procedures regarding protection of people are regularly reviewed and updated. These provide information and guidance to staff. A copy of Durham and Darlington Adult Protection Committees policy and Barrington Lodge Care Home DS0000000690.V349042.R01.S.doc Version 5.2 Page 15 procedures on adult protection matters is held in the home. Staff training has taken place in abuse. Staff recruitment procedures are good and staff are employed following appropriate CRB and POVA checks. Barrington Lodge Care Home DS0000000690.V349042.R01.S.doc Version 5.2 Page 16 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. The home is clean and well maintained. It is decorated and furnished to a good standard and provides a homely environment for the people who live there. EVIDENCE: During the tour of the building and whilst talking to people in their bedrooms, the inspector saw that people could bring in their own furniture and belongings should they wish to do so. The communal areas within the home of the home were clean. The people who live in the home confirmed that their rooms are cleaned to a good standard. One person said, “My room is cleaned every day. The cleaners work really hard”. New carpets have been fitted to some areas of the home and there is a plan in place to refurbish all areas. Barrington Lodge Care Home DS0000000690.V349042.R01.S.doc Version 5.2 Page 17 The inspector found the building to be clean, tidy and free from offensive odours. Barrington Lodge Care Home DS0000000690.V349042.R01.S.doc Version 5.2 Page 18 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. Staff are recruited in sufficient numbers to meet the needs of the people who live in the home. EVIDENCE: Staffing levels are maintained at those advised by the company’s guidelines following a calculation based on the dependency levels of the people who live in the home. Three people said that staff are usually available when needed and two said that staff were always available. One person said, “There is always someone around to call on”. Staff felt that staffing levels are sometimes affected when a member of staff needs to escort a service user to hospital, which leaves them short. They said that this could have an impact on how quickly they can respond to other people. The acting manager said that she is reviewing the layout of the building. She said that she may reorganise some areas to make it more unitised. She feels this may be a more effective way for staff to look after people. Barrington Lodge Care Home DS0000000690.V349042.R01.S.doc Version 5.2 Page 19 Training has recently taken place in fire safety, protection of vulnerable adults (POVA), wound management and health and safety. Several care staff are qualified to NVQ Level 2 or above. Four staff files were audited. One was for a recently recruited member of staff. All contained evidence that the required checks are carried out before employment to protect service users. This includes two references, an enhanced criminal record bureau check (CRB) and a medical reference. Induction and training records are also available. Barrington Lodge Care Home DS0000000690.V349042.R01.S.doc Version 5.2 Page 20 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. The home has an acting manager in place who provides support and guidance to staff, the people who live in the home and their visitors. EVIDENCE: The previous manager was registered with the CSCI following the last inspection, but has since left the home. On the second day of the inspection an acting manager had been recruited. She had only been working in the home for two weeks. She transferred to Barrington Lodge from another home owned by the same company. She is a Barrington Lodge Care Home DS0000000690.V349042.R01.S.doc Version 5.2 Page 21 qualified nurse and has completed an appropriate management course. She has applied to the CSCI to be the registered manager of Barrington Lodge. She said that she intends to meet with each member of staff on an individual basis so that she knows the training and work related personal needs of all of the staff. She will then introduce formal supervision and staff meetings. She currently has an open door policy for staff, the people who live in the home and their relatives. All of the staff spoken to said that the acting manager is approachable. One relative said, “I have found the new manager to be very approachable and helpful”. The company carries out regular monitoring visits on a monthly basis. This includes all aspects of care delivery and environmental issues. Regular customer satisfaction surveys are also carried out. The administrator is responsible for the record keeping with regard to the personal allowances of the people who live in the home. She was able to identify the amount that each person had in his or her account. The records for three people were checked and found to be in order. The acting manager confirmed that all equipment in the home is regularly checked. The maintenance certificates checked were found to be in order. Barrington Lodge Care Home DS0000000690.V349042.R01.S.doc Version 5.2 Page 22 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 3 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 2 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 2 X 3 X 3 X X 3 Barrington Lodge Care Home DS0000000690.V349042.R01.S.doc Version 5.2 Page 23 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 OP16 Regulation 22 Requirement Timescale for action 31/10/07 2. OP27 18 The registered person must make sure that all complaints are investigated fully and records kept. Staffing levels must be under 31/10/07 review to ensure that there are appropriate numbers on duty at all times to meet the needs of the people who live in the home. 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 Barrington Lodge Care Home DS0000000690.V349042.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Barrington Lodge Care Home DS0000000690.V349042.R01.S.doc Version 5.2 Page 25 - 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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