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Inspection on 10/10/05 for Barton Lodge Residential Retirement Care

Also see our care home review for Barton Lodge Residential Retirement Care for more information

This inspection was carried out on 10th October 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home has a well-managed and sound admission procedure with residents having a good level of information upon which to make decisions. Attractively presented meals are provided in an airy and pleasant environment. The home is well managed and comprehensive policies and procedures, known to staff, provide protection to residents who said how much they liked living at the home.

What has improved since the last inspection?

Care staff have more specifically delegated responsibilities for day-to-day work and contact with residents. Individual staff members have activities to undertake with residents in written form every day through a `mapping` process.

What the care home could do better:

Residents` safety could be improved through the completion of the home`s programme for the fitting of thermostatically controlled valves at hot water outlets.

CARE HOMES FOR OLDER PEOPLE Barton Lodge Residential Retirement Care Barton Common Road Barton-on-sea Hampshire BH25 5PR Lead Inspector Keith Hopkins Unannounced Inspection 10th October 2005 10:00 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 Lodge Residential Retirement Care DS0000012392.V249921.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 Lodge Residential Retirement Care DS0000012392.V249921.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Barton Lodge Residential Retirement Care Address Barton Common Road Barton-on-sea Hampshire BH25 5PR 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) 01425 617111 www.lovingcare-matters.co.uk Manucourt Limited Mrs Pamela Mary Torr Care Home 39 Category(ies) of Old age, not falling within any other category registration, with number (39), Physical disability over 65 years of age (4) of places Barton Lodge Residential Retirement Care DS0000012392.V249921.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Not more than 4 residents in the category PD(E) referred to above are to be accommodated at any one time. 3rd May 2005 Date of last inspection Brief Description of the Service: Barton Lodge is located in a rural setting on the edge of Barton Common with extensive views over the Solent to the Isle of Wight. It provides residential care for up to thirty-nine elderly residents, four of whom may have a physical disability. The home is on ground and first floors and there are two lifts between these. There are a variety of aids and adaptations to allow residents to move about more independently. Twenty-five of the bedrooms are single and seven are doubles, with some of the bedrooms having their own balcony. Twenty-four rooms benefit from having en-suite facilities. There are two spacious lounge areas, a television lounge, conservatory and separate dining room. There are large gardens to the front of the property with car parking facilities for several cars to the rear of the property. Barton Lodge Residential Retirement Care DS0000012392.V249921.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Four hours were spent visiting the home, during which time the opportunity was taken to look around the home, view records and policies and to talk to the manager and deputy manager. The inspector also spoke privately with two members of staff. Most of the residents were observed making use of communal areas and their bedrooms and several were spoken with briefly. Four residents were spoken with at greater length their bedrooms, and two further residents were spoken with in a private area of the home. What the service does well: What has improved since the last inspection? What they could do better: Barton Lodge Residential Retirement Care DS0000012392.V249921.R01.S.doc Version 5.0 Page 6 Residents’ safety could be improved through the completion of the home’s programme for the fitting of thermostatically controlled valves at hot water outlets. 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 Lodge Residential Retirement Care DS0000012392.V249921.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 Lodge Residential Retirement Care DS0000012392.V249921.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 and 6. The admission process is well managed with an assessment of needs being done to ensure these can be met. Residents are given clear information regarding the service to enable them to make an informed choice about where to live. EVIDENCE: The home has an attractively presented brochure, which contains information by way of a ‘Residents Charter’ together with a statement of the philosophy of care and which is provided to enquirers. There is a clear reference to the level of fees and two residents spoken with said that they knew before they came into the home how much they would have to pay. Documentation examined confirmed the manager’s explanation of the admission process, which included a domiciliary visit and initial assessment. The inspector noted that a date had been agreed for the forthcoming admission of a resident and that a contract had been prepared and was ready Barton Lodge Residential Retirement Care DS0000012392.V249921.R01.S.doc Version 5.0 Page 9 to be signed on admission. Signed contracts were seen in other documentation inspected. There is a detailed procedure to be followed when greeting and welcoming new residents and staff spoken with were clearly aware of this. This included ensuring that fresh fruit and a card were in the resident’s room. Staff also had specific responsibilities for working with residents on an individual basis, being guided through the recording (‘mapping’) of activities to be undertaken on a daily basis. One resident who was in the home for respite care, before returning to his family home, said how he had been helped whilst in the home, and described the arrangements that were in hand for his return. Barton Lodge Residential Retirement Care DS0000012392.V249921.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Outcomes for this group of standards were not inspected on this occasion, as they were inspected on the previous inspection. EVIDENCE: Barton Lodge Residential Retirement Care DS0000012392.V249921.R01.S.doc Version 5.0 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): 15. Residents enjoy a wide choice of breakfast, lunch and tea meals, which are attractively presented and served communally or in private if this is requested. EVIDENCE: Care plans confirm what residents like to eat and the cook confirmed to the inspector that individual likes and dislikes were known to her. An alternative to the main meal was provided if needed and a record kept of this. Menus examined were varied and one resident said that the ‘food is nice’. The inspector saw an attractively presented meal being served in the dining room, which was itself light and airy. Barton Lodge Residential Retirement Care DS0000012392.V249921.R01.S.doc Version 5.0 Page 12 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. The home has a suitable complaints procedure, which residents are aware of and feel able to use. Residents are protected through an adult protection policy and procedure known and understood by staff. EVIDENCE: The home has a complaints policy and procedure, a copy of which is made available to each resident within the service users guide. Both residents spoken with privately said that they ‘no complaints’, and one explained that if she had then she would raise this with her keyworker or directly with the manager. Residents all appeared to have a good degree of confidence that any issues raised would be dealt with. There has been one complaint from a relative for the home to deal with in the last 12 months, this being dealt with in a timely manner. The inspector also saw a number of complimentary letters about the services offered The home also has a policy and procedure relating to adult protection, information produced by Hampshire Social Services being available for staff to consult. Staff have been trained in this and when interviewed confirmed their understanding of what to do in the case of suspected abuse. Barton Lodge Residential Retirement Care DS0000012392.V249921.R01.S.doc Version 5.0 Page 13 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): Outcomes for this group of standards were not inspected on this occasion, as they were inspected on the previous inspection. The manager however confirmed that a small number of hot water outlets had still to be fitted with thermostatically controlled mixer valves in the near future, as part of a planned programme. EVIDENCE: Barton Lodge Residential Retirement Care DS0000012392.V249921.R01.S.doc Version 5.0 Page 14 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): Outcomes for this group of standards were not inspected on this occasion, as they were inspected on the previous inspection. EVIDENCE: Barton Lodge Residential Retirement Care DS0000012392.V249921.R01.S.doc Version 5.0 Page 15 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 and 35. The home is well managed with residents and their relatives having a means of influencing policy and practice. Financial interests are safeguarded and residents’ welfare is promoted through sound policies and procedures. EVIDENCE: The manager has several years experience of management in a residential care setting. The inspector was informed that, as a part of the home’s quality assurance programme, meetings were held on a regular basis with residents and then their relatives. Both of these meetings were, coincidentally, to be held later that day. One resident said that she knew that the meeting was being held that day and would be attending. Once views were received changes were put into practice as appropriate. Residents spoken with all commented on how nice the home was. Barton Lodge Residential Retirement Care DS0000012392.V249921.R01.S.doc Version 5.0 Page 16 The home’s manager confirmed that some assistance was given to a number of residents in dealing with day-to-day spending and that monies were held on behalf of some residents. The inspector examined records and receipts kept in respect of two residents and noted that these tallied accurately with monies held securely for safekeeping. No immediately obvious hazards to health and safety were observed by the inspector during the inspection. A sample of policies and records required by regulation were inspected and were in order and up to date. Barton Lodge Residential Retirement Care DS0000012392.V249921.R01.S.doc Version 5.0 Page 17 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 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X X Barton Lodge Residential Retirement Care DS0000012392.V249921.R01.S.doc Version 5.0 Page 18 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. 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 Lodge Residential Retirement Care DS0000012392.V249921.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Lodge Residential Retirement Care DS0000012392.V249921.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!