Inspection on 17/05/05 for Barton Court

This inspection was carried out on 17th May 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

Barton Court 22/11/07

Barton Court 03/05/06

Barton Court 29/11/05

Barton Court 07/12/04

Barton Court 09/08/04

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 Barton Court New Road Minster on Sea Sheppey Kent ME12 3PX Lead Inspector Graham Cummings Unannounced 17 May 2005 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. Barton Court H56-H05 S23901 Barton Ct V225965 170505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Barton Court Address New Road, Minster on Sea, Sheppey, Kent, ME12 3PX 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) 01795 878003 01795 871296 Kent Community Housing Trust Mrs Pamela Margaret Jones CRH 41 Category(ies) of Care Home for Older People - 21 Older People registration, with number and 20 Older People with Dementia of places Barton Court H56-H05 S23901 Barton Ct V225965 170505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 07 December 2004 Brief Description of the Service: Barton Court is owned by Kent Community Housing Trust and is one of 10 homes in the Kent area, the company also have 8 homes in Bexley and 4 in Greenwich. The home occupies premises that were originally custom built for the local authority, but were taken over by KCHT some years ago. It provides accommodation for 41 older people, some of who have a diagnosis of dementia, these latter being accommodated in a designated unit. The home is within walking distance of the village of Minster and close to local shops and other amenities. It is near a bus route and is served by GPs from several local practises. There is a warm and friendly atmosphere within the home and visitors are made welcome at any time. Barton Court H56-H05 S23901 Barton Ct V225965 170505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspection was unannounced and carried out by Graham Cummings on Tuesday 17th May 2005. On the day of inspection there were 39 Service Users living at the home. The Inspector spoke with the Manager, staff and Service Users as well as looking at documentation and touring the home. Barton Court has a pleasant warm and welcoming feel about it, it was light and spacious and well decorated. The Service Users spoken to were all very positive about the care they received, one of the new Service Users said that the ‘staff were very good’ and ‘the food was very nice’, they also commented that ‘no one has any complaints that I have spoken to’. The managers office has now moved from the detached building in the grounds and is now by the front door, the Manager told Inspectors that she now feels ‘more involved’ with the daily running of the home. All 3 Requirements made at the last inspection have been addressed with 2 waiting to be agreed. (1) The Statement of Purpose has been rewritten to include the fire precautions and emergency procedures; the document is presently with the Kent Community Housing Trust Development Team for ratification. (2) One of the Service Users assessed as requiring nursing care has died since the Inspection and Care Managers are reassessing the placement of another Service User. (3) Quotes have been received to replace the old sluices and an order has been placed. Staffing for the day included 3 agency staff, the Manager has been advertising for staff, the response has been good and interviews are being held in week beginning 23rd May 2005. Care practice observed and interaction between staff and Service Users was good. Service Users spoken to said that staff were ‘good and friendly’. What the service does well: The care provided was Service User focused and of a good standard, the staff offer activities and outings to the Service Users including Ten Pin bowling, pub lunches and fish and chips on the sea front, staff encourage and support Service Users to participate in the outings and activities on offer, recent entertainment brought into the home includes a singer, bingo caller and a choir. The home is clean and odour free with bedrooms well-decorated and personalised with Service Users own belongings. The home provides excellent food and the cook makes a point of speaking to Service Users on admission and makes a list of likes and dislikes. Barton Court H56-H05 S23901 Barton Ct V225965 170505 Stage 4.doc Version 1.30 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 report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Barton Court H56-H05 S23901 Barton Ct V225965 170505 Stage 4.doc Version 1.30 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 Barton Court H56-H05 S23901 Barton Ct V225965 170505 Stage 4.doc Version 1.30 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) 1,2,3, The homes Statement of Purpose and Service User Guide are very good. They provide Service Users and prospective Service Users with the information they need to make a decision about moving into the home. Service User files seen were complete with assessments EVIDENCE: The Inspector was told that the Statement of Purpose was presently with the companies Development team to be agreed at the next meeting, the Area Manager who visited the home during the Inspection confirmed this. The Inspector looked at 3 Service User plans, the last admission was on the 25/4/05. This Service User plan contained, Terms and Conditions, admission check list, picture, referral form, medication history, assessment and recommendations, personal details, risk assessments for moving and handling, choking, sore skin, unpleasant odours, mobility, communication, personal care and routines for getting up and going to bed, likes and dislikes for breakfast, lunch and tea, mental health, medication, social needs, review form and named key worker. The only blank form was for family details. When the Inspector spoke to the Service User he got a photo album out which included pictures of his brother and army associates in Egypt. Barton Court H56-H05 S23901 Barton Ct V225965 170505 Stage 4.doc Version 1.30 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 Service Users know that their personal goals are reflected in their individual plans and that potential risks are managed. Service Users know that their views are listened to and that their records will be kept securely maintaining confidentially. Personal care is offered in a ways that protect Service Users privacy and dignity and promote independence. EVIDENCE: The Service User plans looked at all contained likes and dislikes of the individual concerned and included routines for getting up in the mornings and going to bed at night. The plan also included what support and assistance each person required with personal hygiene. One Service User has frequent blood sugar level checks but these were not recorded, also no risk assessment or procedure for staff to follow if the blood level taken was outside of the parameters. The inspector noted that when touring the home staff were knocking on Service Users doors before entering. Barton Court H56-H05 S23901 Barton Ct V225965 170505 Stage 4.doc Version 1.30 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) 12,13,14,15 Links with the community are good and support and enrich Service Users social and educational opportunities. Family and friends are encouraged to visit. The meals in this home are good offering both choice and variety and catering for special diets. EVIDENCE: The care provided was Service User focused and of a good standard, the staff offered activities and outings to the Service Users including Ten Pin bowling, pub lunches and fish and chips on the sea front, staff encourage and support Service Users to participate in the outings and activities on offer, recent entertainment brought into the home includes a singer, bingo caller and a choir. The Manager informed the Inspector that extra staff were brought in when outings were due to take place to care for those who chose not to participate. During the inspection it was noted that visitors were calling to see Service Users, either family or friends. The dining area was spaciously set out, there were flowers on each table, condiments and glasses and jug of water. One Service User told the Inspector that ‘the food was very nice’, another said ‘ nice food, stew today’, the third Service User said that he did not want his food mashed up for him, however the Service User plan contained guidelines from hospital to say that his food should be mashed to avoid choking, there was a risk assessment on file regarding this. Barton Court H56-H05 S23901 Barton Ct V225965 170505 Stage 4.doc Version 1.30 Page 11 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) 18 Staff have knowledge and understanding of Adult protection issues, which protects Service Users from abuse. EVIDENCE: The company who own Barton Court have their own training section and hold regular courses for staff regarding adult protection, moving and handling and first aid. The home has been diligent in the recording of any Regulation 37 notices ranging from the notification of death of a Service User, to the reporting of the ‘Aid Call’ system being faulty. Barton Court H56-H05 S23901 Barton Ct V225965 170505 Stage 4.doc Version 1.30 Page 12 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) 19,20,22,23,24,25,26 The standard of the environment within the home is good providing Service Users with an attractive safe and homely place to live. The home has wheelchairs and adaptations that support Service Users living as independently as possible. The bedrooms are well furnished and Service Users have personal belongings on display. The home is clean and tidy and free of any odours. EVIDENCE: One Service User told the Inspector that ‘ no one has any complaints that she has spoken to’ another said that she was ‘very happy’. Several of the Service Users have mobility aids and the Inspector observed staff assisting a Service User from a motorised external wheelchair to an internal manual one, it was obvious that one of the staff did not know the routine and the regular staff member talked her through it stage by stage with the Service User also involved. The bedrooms were all well decorated, spacious and free of any odour. In all of the bedrooms viewed Service Users personal belongings such as photographs, ornaments and family pictures were displayed. Barton Court H56-H05 S23901 Barton Ct V225965 170505 Stage 4.doc Version 1.30 Page 13 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) 27,28,29,30 Staff morale is good resulting in an enthusiastic workforce that works positively with Service Users to improve their whole quality of life. Staff are skilled ensuring good quality care and support. The arrangements for the induction of staff are good with the staff demonstrating a clear understanding of their roles. The staff have a good understading of Service Users support needs. This is evident from the positive relationships, which have been formed between the staff and Service Users. EVIDENCE: The staff on duty during the visit included three agency staff, although the Manager pointed out that if agency staff were used they tried to ensure that staff that had been to Barton Court were tried first. The Manager informed the Inspector that the response to advertising had been good and interviews were taking place the following week. Staff spoken to said that they were supported well and received training opportunities. Three staff files were looked at, one was for a member of staff who had not started yet as her CRB had not been received, the Inspector noted that the application form did not contain a full employment history or education details, the manager said this would be rectified before employment began. All files contained two references, completed training applications and evaluation forms, identification, interview notes, contracts and job descriptions. As the company owning Barton Court had their own training section statutory training was available at regular intervals. Barton Court H56-H05 S23901 Barton Ct V225965 170505 Stage 4.doc Version 1.30 Page 14 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) 31,32,33,36,38 The Manager has a clear development plan and vision for the home, which she has effectively communicated to the Service Users, staff and stakeholders. The Manager is supported well by the senior staff in providing clear leadership throughout the home with all staff demonstrating an awareness of their roles and responsibilities. Service Users benefit from a well run home. EVIDENCE: The Service Users spoken to were complimentary about the Manager and staff, one Service User saying that ‘staff are very good’ another said ‘staff are good and friendly’ and ‘they were very happy here’. The Manager and Area Manager who visited the home during the inspection discussed probable future development and upgrading for the home with the Manager fully informed and involved in what changes, if any, the company agreed to make. Senior staff meetings take place regularly as well as care staff meetings. Barton Court H56-H05 S23901 Barton Ct V225965 170505 Stage 4.doc Version 1.30 Page 15 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 x 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 3 3 3 3 x x 3 x 3 Barton Court H56-H05 S23901 Barton Ct V225965 170505 Stage 4.doc Version 1.30 Page 16 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. 1. Standard 29 Regulation 19(1) (b)(i) Requirement The Registered person shall not employ a person to work at the care home unless - subject to paragraph (6), he has obtained in respect of that person the information and documents specified in - paragraph 1 - 6 0f Schedule 2. Particularly a full employment and training history. The Registered provider shall ensure that the care home is conducted so as - to promote and make proper provision for the health and welfare of Service Users. Particularly that records of an individuals blood sugar levels should be recorded and a procedure put in place for staff to foolow should the result fall outside of the levels agreed by the G.P. Timescale for action 31st August 05 2. 8 12(1)(a) RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Barton Court H56-H05 S23901 Barton Ct V225965 170505 Stage 4.doc Version 1.30 Page 17 No. 1. Refer to Standard Good Practice Recommendations Barton Court H56-H05 S23901 Barton Ct V225965 170505 Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection 33 Greycoat Street London SW1P 2QF 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 Barton Court H56-H05 S23901 Barton Ct V225965 170505 Stage 4.doc Version 1.30 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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