Inspection on 29/11/05 for Barton Court

This inspection was carried out on 29th 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 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 17/05/05

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 Announced Inspection 29th November 2005 09:30 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 Court DS0000023901.V254898.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 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 DS0000023901.V254898.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Barton Court Address New Road Minster On Sea Sheppey Kent ME12 3PX 01795 878003 01795 871296 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) Kent Community Housing Trust Mrs Pamela Margaret Jones Care Home 41 Category(ies) of Dementia - over 65 years of age (20), Old age, registration, with number not falling within any other category (21) of places Barton Court DS0000023901.V254898.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th May 2005 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 DS0000023901.V254898.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspection was Announced and carried out by Graham Cummings on Tuesday 29th November 2005. On the day of inspection there were 39 Service Users living at the home. The Inspection consisted of speaking with the Manager, 2 staff and Residents, viewing 5 staff and 4 Resident files, 2 Resident and 2 visitor comment cards the Pre Inspection Questionnaire and a tour of the home. The home is light and spacious and was clean and tidy although there was a noticeable odour emanating from room 11, the Manager informed the Inspector that the carpet is cleaned daily, the Inspector felt that it may be time to replace the carpet as the odour was quite noticeable. The Requirements from the last inspection had both been addressed, the Inspector looked at 5 staff files and found that they all contained relevant information, however, the manager will need to check all staff files to ensure they have photographic identification. Protocols and procedures were in place for staff to follow should a Resident with Diabetes blood sugar level reading be outside the agreed level. The Manager and Deputy are interviewing 2 people on the 30th November to fill staff vacancies, at present the home is using between 150 and 200 hours a week agency, the majority of this is with the same staff. The Manager informed the Inspector that formal staff supervision was not taking place as required due to maintaining the quality of care on offer to the Residents and not reducing staff levels, the Manager is going to address this issue. The staff spoken to said that despite no formal supervision they felt comfortable and able to get any support they needed from the management team. The Residents enjoy varied activities within the home but the home does not have any transport and are relying on family/friends, staff using their own cars or local businesses to assist in getting Residents out into the community. The home would benefit from getting their own transport to improve community presence. The variation application to increase the number of Dementia beds has been agreed and the new certificate will be issued on receipt of the 5 Residents dates of birth. The Inspector on leaving the home was satisfied that the Residents were protected and well cared for. What the service does well: What has improved since the last inspection? Barton Court DS0000023901.V254898.R01.S.doc Version 5.0 Page 6 The removal of a partition in the dining room and it’s redecoration has greatly improved the size and layout of the area. Some bedrooms and a hallway have been redecorated and a double bedroom has been made into a single bedsitting room. The home is still registered for 41 but it is anticipated that the maximum occupation will be 40. Pot washers have now been installed upstairs and downstairs. A new fire alarm panel was being fitted with the sensors being replaced if they have been found faulty when checked. The home has put in place protocols and procedures for individual Residents who have diabetes. The procedures for the recruitment of staff have improved and application forms contained a full working history. 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 DS0000023901.V254898.R01.S.doc Version 5.0 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 Court DS0000023901.V254898.R01.S.doc Version 5.0 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): 1,2,3,4,5,6 Prospective Residents have information that allows them to make an informed choice. Each Resident has a written contract and have had their individual needs assessed and know that they will be met. Residents, family and friends can visit the home prior to placement. It is not usual for the home to cater for Intermediate care. EVIDENCE: The Business team within the company has now ratified the Statement of Purpose. The Inspector looked at 4 Resident files and found that they all contained written contracts and had pre placement assessments, there were no assessments from funding authorities on any of the files, the Manager should continue to request and insist on receiving these. Residents and family/friends are invited to visit prior to the placement commencing, letters are sent to families that include the Statement of Purpose. Families and friends are involved in the Pre Placement Assessment. The home does not accept intermediate care residents and there would need to be special circumstance for them to do so. Barton Court DS0000023901.V254898.R01.S.doc Version 5.0 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): 7,8,9,11 Residents personal and social care needs are set out in an individual care plan. Residents health care needs are met. No Resident self medicates. Residents requests and wishes are discussed and written into the care plan. EVIDENCE: The Inspector looked at 4 Residents files and found that they contained detailed care plans and risk assessments. The risk assessment form is in the process of being changed and updated, the Inspector noted that the initial rating of the risk was noted but that following the ‘control measures’ put in it did not show the outcome level of the risk following this, the Inspector felt that this may be useful to record. On 2 of the files the Residents social history was not completed and this needs to be done. The information regarding the Residents wishes at their time of death are gained through talking to the Resident, their family and/or the care manager. Barton Court DS0000023901.V254898.R01.S.doc Version 5.0 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 the following standard(s): 13,14,15 Residents maintain contact with family and friends. Residents are helped to exercise choice in their lives. Residents receive a nutritious and wholesome diet. EVIDENCE: The home has arranged for a Catholic and Church of England representative to visit weekly and monthly respectively. Family and friends can visit as and when they wish. Residents are encouraged to choose the clothes they wear, to rise and retire to bed when they want, and participate in activities wherever possible. The Inspector saw a revolving 4 week menu and Residents spoken to said the food was good, staff also confirmed to the Inspector that the food was nutritious, balanced and wholesome. Barton Court DS0000023901.V254898.R01.S.doc Version 5.0 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 the following standard(s): 16,17,18 Resident and Relatives complaints are listened to. Residents legal rights are protected. Residents are protected from abuse. EVIDENCE: The comment cards received from relatives showed they were aware of the complaints procedure but had never needed to use it. The Inspector had received 1 complaint since the last inspection and the Manager and the companies Area Director have dealt this with appropriately. The Manager informed the Inspector that the Fire Prevention Officer had visited the day before, Monday 28th November, having received a complaint that the fire alarm was going off frequently and staff were not reacting appropriately as it happened so often, the Fire Officer saw that a new main fire alarm panel was being installed and tested and was assured that new detectors would be fitted where required. The Inspector received a letter relating to the same issue 2 days after the Inspection and was satisfied that the home acted appropriately to the problem. The home has a good training package that is supplied by the companies own training department and this has included Adult Protection. Barton Court DS0000023901.V254898.R01.S.doc Version 5.0 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 the following standard(s): 19,21,24,25,26 Residents live in a safe well-maintained environment. Residents have sufficient and suitable lavatories and washing facilities. Residents bedrooms are decorated to include personal belongings. Residents live in safe and comfortable surroundings. The home is clean but has 1 room with an offensive odour. EVIDENCE: The home employs a maintenance person and the home is safe and well maintained. There are 9 toilets, 3 bathrooms and 1 shower to meet the needs of the Residents. The Residents bedrooms are well decorated and furnished with personal possessions on display. The home has ample lounge space that is comfortable and safe. The home is clean and tidy but the Inspector noted that there was an offence odour in Room 11, the Manager informed the Inspector that the carpet was cleaned daily but agreed that the solution was to have the carpet be replaced. Barton Court DS0000023901.V254898.R01.S.doc Version 5.0 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 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): 27,29,30 Residents needs are met by the numbers of staff on duty. Residents are supported and protected by the homes recruitment process. Staff are trained and competent to do their jobs. EVIDENCE: The Residents needs are met by the number of staff on duty, there are 5 care staff plus the Deputy and Manager on throughout the day, there are 3 wake night staff on duty who have to log their checks on the Residents. The Inspector looked at 5 staff files and found that they contained most of the requirements set out in Schedule 2, however there was no identification included in terms of a photo, passport or birth certificate, CRB’s, 2 references, Interview notes were on file. Staff have access to the companies training team who supply all of the basic training requirements. The staff spoken to were very positive about the running of the home and comments made included ‘the Residents receive a high standard of care’ ‘The home is run for the Residents’ and ‘I get the support I need to do my job’. The Manager is interviewing on the 30th November to fill staff vacancies and at present the home is using between 150 and 200 hours of agency staff, the Manager informed the Inspector that every effort is made to have the agency send the same staff. Barton Court DS0000023901.V254898.R01.S.doc Version 5.0 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 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): 31,33,34,35,36,38 A committed and responsible Manager runs the home. The home is run in the best interest of the Residents. Residents financial interests are safeguarded by the homes policy and procedures. Staff do not receive formal supervision. The health, safety and welfare of the Residents is promoted and protected. EVIDENCE: The Manager is very committed to her role in providing a quality service to the Residents living in the home. Staff sickness and shortages have led to a difficult time for the Manager in the day to day provision of care. All of the Residents finances within the home are dealt with by the funding authority or family. The home does keep some spending money on site, this is kept in individual pouches and when requested it has the signature of a staff member and Resident, access to the money is through the Manager, Deputy or Team Leader. The Cash is kept in a locked box in a locked office. Policies and Procedures are in place to protect the Residents finances. The Manager informed the Inspector that due to staff sickness and agency usage that formal supervisions had not been taking place but that they would be looking to Barton Court DS0000023901.V254898.R01.S.doc Version 5.0 Page 15 implement a program almost immediately, the Manager did say that there was always a member of the management team to give advice and guidance on any care issues, this was confirmed when the Inspector spoke with the staff. On the information available, the Inspector was of the opinion that the Residents health, safety and welfare was promoted and protected. Barton Court DS0000023901.V254898.R01.S.doc Version 5.0 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. 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 3 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 X 3 X X 3 3 2 STAFFING Standard No Score 27 3 28 X 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 3 3 2 X 3 Barton Court DS0000023901.V254898.R01.S.doc Version 5.0 Page 17 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 OP26 Regulation 16(2)(k) Requirement The Registered person shall having regard to the size of the care home and the number and needs of the Service Users – keep the home free from offensive odours – this instance refers to Room 11. 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 photographic identification, copy of birth certificate and passport where available. The Registered Person shall ensure that persons working at the care home are appropriately supervised – Individual formal supervision should take place at least 6 times per year Timescale for action 28/02/06 2. OP29 19(1) (b)(i) 28/02/06 3 OP36 18(2) 28/02/06 Barton Court DS0000023901.V254898.R01.S.doc Version 5.0 Page 18 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 OP3 Good Practice Recommendations The Registered person must make every effort to obtain a copy of the care manager assessment, as well as carrying out their own assessment of needs prior to a placement taking place. The new risk assessment form shows the risk rating of the risk to be addressed, it may be helpful to include the outcome risk rating following the implemented work practice and strategies to reduce the initial risk rating. The quality of the Residents life could be enhanced if the company could provide the home with transport suitable to the needs of service users. 2 OP7 3 OP13 Barton Court DS0000023901.V254898.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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 DS0000023901.V254898.R01.S.doc Version 5.0 Page 20 - 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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