Inspection on 10/11/06 for Barton Brook

This inspection was carried out on 10th November 2006.

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

Barton Brook 22/11/07

Barton Brook 18/01/06

Barton Brook 19/07/05

Barton Brook 24/03/05

Barton Brook 22/06/04

Barton Brook 07/03/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Barton Brook Trafford Road Eccles Manchester M30 0GP Lead Inspector Elizabeth Holt Key Unannounced Inspection 10th November 2006 09:00 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 Barton Brook DS0000006695.V301664.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. Barton Brook DS0000006695.V301664.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Barton Brook Address Trafford Road Eccles Manchester M30 0GP 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) 0161 787 8437 0161 707 9855 www.bupa.com BUPA Care Homes (CFHCare) Limited Ms Margaret Reeves Care Home 120 Category(ies) of Old age, not falling within any other category registration, with number (116), Physical disability (4) of places Barton Brook DS0000006695.V301664.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. A maximum of 90 service users requiring nursing care may be accommodated. Up to 30 service users requiring personal care only may be accommodated in Monton House. 1 named individual who is below 65 years of age may be accommodated in Brindley House. When this service user leaves, the area will revert to being for use of service users over 65 years of age. 1 named individual who is below 65 years of age may be accommodated in Monton House. When this service user leaves, the area will revert to being for the use of service users over 65 years of age. 1 named individual who is below 65 years of age may be accommodated in Moss House. When this service user leaves, the area will revert to being for the use of service users over 65 years of age. 1 named individual who is below 65 years of age may be accommodated in Irwell House. When this service user leaves, the area will revert to being for the use of service users over 65 years of age. 18th January 2006 4. 5. 6. Date of last inspection Brief Description of the Service: Barton Brook is a care home providing nursing care, personal care and accommodation for up to 120 residents of pensionable age (65 years and over). The home is set in its own grounds in the centre of a residential estate in Eccles, Manchester. The accommodation is provided in four single storey units, each unit housing up to 30 residents. Each unit has access to level garden areas. A number of the bedrooms have personal patios accessed by French windows. The home is close to local amenities with the Trafford Centre shopping complex within a two-minute drive. The home is readily accessed by local public transport and the motorway network is within close proximity. Barton Brooks fees ranges from £355.52-£657.20. This covers personal care only to nursing care. There are additional charges for hairdressing, chiropody and newspapers. Information about the home can be gained through contacting BUPA, the registered provider. Barton Brook DS0000006695.V301664.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place on the 10th November 2006. All the core National Minimum Standards (NMS) were reviewed during this inspection. Information was gathered as part of the inspection process which included a questionnaire completed by the manager which gave information about the residents, the staff and the building. Time was spent talking to the residents and visiting relatives, the manager and the staff team about the day to day life in the home and to establish what the home was like for the residents living there. A partial tour of the premises was undertaken and examination of documents and care files for individual residents. Nine completed resident survey forms were forwarded to the Commission. Responses have been included in this report. Since the last inspection in January 2006 the Commission for Social Care Inspection has not been in receipt of any complaints. What the service does well: What has improved since the last inspection? Since the last inspection an updated Service Users Guide and Statement of Purpose had been provided. Barton Brook DS0000006695.V301664.R01.S.doc Version 5.2 Page 6 Following a requirement made at the last inspection in relation to providing a wholesome balanced diet, it was pleasing to see that a new chef has been appointed, a new menu has been developed and the meals are nutritionally assessed. Residents spoken to were positive about the food provided and staff were seen to assist residents appropriately as necessary. Some further refurbishment and redecoration has taken place since the last inspection. 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. Barton Brook DS0000006695.V301664.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 Barton Brook DS0000006695.V301664.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 at least once during a 12 month period. 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. Prospective residents’ care needs are assessed before they move into the home. EVIDENCE: Since the last inspection an updated Statement of Purpose and a Service User Guide had been provided. Copies of pre admission assessments were available to ensure prospective residents are admitted following a full needs assessment. The assessment included involvement of the prospective resident where possible, his/her representative and any relevant professionals. Copies of Care management assessments for residents who were referred through a social worker were available. The home does not provide intermediate care therefore this standard was not relevant. Barton Brook DS0000006695.V301664.R01.S.doc Version 5.2 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 the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence and following a visit to the home. Improvements had been made to ensure residents’ health, personal and social care needs are fully met. Systems and procedures for dealing with medicines protected residents. EVIDENCE: A sample of care plans were reviewed in the three units visited. Evidence of ongoing work to improve the documentation was seen. Written information showed that monthly reviews had taken place. There was evidence that the plan of care had been drawn up with the involvement of the resident/relative. Care plans included appropriate risk assessments. Improvements were noted in the daily statements which reflected more closely the care delivered and were linked to the identified nursing problems. Barton Brook DS0000006695.V301664.R01.S.doc Version 5.2 Page 10 From observations made during the inspection and discussions with members of staff and residents it appeared that the nurses and care staff treated the residents with respect and dignity. Records were held of any wounds present. It was clear there was liaison with the Tissue Viability Nurse specialist where appropriate. Medication administration records were clearly recorded with codes used appropriately. Policies and procedures were available for the administration, recording storage and disposal of medication. Barton Brook DS0000006695.V301664.R01.S.doc Version 5.2 Page 11 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 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. Activities were provided and residents were encouraged to maintain contact with family and friends. Residents could exercise some choice over their daily lives and received a balanced and nutritious diet. EVIDENCE: It was pleasing to see the care plans included a life biography and an outings chart. The hobby therapist was spoken to on the day of the inspection and it was evident she consulted with the residents regarding the activities and excursions they wished to undertake. A planned programme for Christmas activities was available and included a party in each house. A new chef had been in post for 5 weeks. The main meal included home made soup, salads and a choice of main course. Residents spoken to were positive about the food provided and staff were seen to assist residents appropriately as necessary. A number of local excursions had been carried out by the home. These had included a reminiscence tour of where some of the residents had been brought up. Some residents in a small group had been out on a meal with relatives. Barton Brook DS0000006695.V301664.R01.S.doc Version 5.2 Page 12 From speaking to residents and staff it appeared that residents are able to exercise choice over their lives where possible. Barton Brook DS0000006695.V301664.R01.S.doc Version 5.2 Page 13 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 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 home has the systems and procedures in place that allow people to express their complaints/concerns. Residents are protected from abuse. EVIDENCE: The home had a complaints procedure, which was on display in the main reception area. The manager kept a copy of any complaints/concerns raised which included details of the investigation. Policies and procedures relating to the Protection of Vulnerable Adults were available and staff had received adult protection training. Since the last inspection the Commission for Social Care Inspection have not been in receipt of any upheld complaints/concerns. On each of the units there were a number of cards and letters from residents’ families complimenting them on the care given to their relative. Barton Brook DS0000006695.V301664.R01.S.doc Version 5.2 Page 14 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 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 premises are comfortable, safe and odour free. EVIDENCE: The home felt comfortable and all areas were clean. Resident’s bedrooms were seen to be comfortable and personalised on each unit visited. The home had up to date Infection Control guidance and staff were aware of the policy on this. The laundry was sited away from the residents living and dining areas. Soiled linen was appropriately managed and did not come into contact with food preparation areas. There was evidence of an ongoing refurbishment programme of the building and its environment. Barton Brook DS0000006695.V301664.R01.S.doc Version 5.2 Page 15 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 at least once during a 12 month period. 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 number and deployment of staff appeared sufficient to meet the residents’ assessed needs. The procedures for the recruitment of staff were robust and provided safeguards to protect residents. EVIDENCE: At the time of the inspection there were 67 residents in receipt of nursing care and 28 residents in receipt of personal care only. Staffing levels were adequate to meet the needs of the residents accommodated. Examination of a sample of staff files indicated that the home had carried out the necessary recruitment checks to ensure the protection of residents. Criminal Records Bureau disclosures and POVA checks had been undertaken. There was evidence of an induction programme for newly recruited staff. A staff member spoken to comment she had found her induction period a useful learning period of time. Responses from the resident survey forms showed the staff to be helpful, kind, thoughtful and caring and deal with enquiries well. As raised at the last inspection the duty rotas examined and discussions with staff members showed some use of agency staff to cover for sickness and absence. Staff did comment that they found this difficult due to the extra demands staffing shortages places upon the permanent staff team members. Active attempts to fill staff vacancies were being made, however the staffing Barton Brook DS0000006695.V301664.R01.S.doc Version 5.2 Page 16 levels were adjusted according to the number and dependency needs of the residents accommodated. The home has a commitment to encouraging care staff to undertake the NVQ level 2 qualifications. The home employs 54 care staff with 42 of the staff members having successfully achieved NVQ level 2. Barton Brook DS0000006695.V301664.R01.S.doc Version 5.2 Page 17 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 at least once during a 12 month period. 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 was seen to promote the health, safety and welfare of the residents and staff. EVIDENCE: The residents in Barton Brook Nursing Home benefited from an experienced manager who is a Registered Nurse who is committed to the care of older people. The home has a policy in place for the resident or their family member to be responsible for their personal finances. The home has residents’ meetings where friends and family members are invited to attend. Minutes of the previous meeting are available. Accurate fire logs and fire drills were being recorded and maintained. Barton Brook DS0000006695.V301664.R01.S.doc Version 5.2 Page 18 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 Barton Brook DS0000006695.V301664.R01.S.doc Version 5.2 Page 19 No 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. 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 Barton Brook DS0000006695.V301664.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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. 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