Inspection on 15/07/08 for Barton Lodge Residential Retirement Care

This inspection was carried out on 15th July 2008.

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 Lodge Residential... 14/08/06

Barton Lodge Residential... 10/10/05

Barton Lodge Residential... 03/05/05

Barton Lodge Residential... 05/11/04

Barton Lodge Residential... 07/06/04

Barton Lodge Residential... 28/11/03

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Newbeech House

Winton House

Treloar College

Rush Court

Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOMES FOR OLDER PEOPLE Barton Lodge Residential Retirement Care Barton Common Road Barton-on-sea Hampshire BH25 5PR Lead Inspector Pat Trim Unannounced Inspection 15th July 2008 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 Lodge Residential Retirement Care DS0000012392.V367336.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 Lodge Residential Retirement Care DS0000012392.V367336.R01.S.doc Version 5.2 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 01425 627310 www.lovingcare-matters.co.uk Manucourt Limited Mrs Pamela Mary Torr Care Home 39 Category(ies) of Dementia - over 65 years of age (39), Old age, registration, with number not falling within any other category (39), of places Physical disability over 65 years of age (4) Barton Lodge Residential Retirement Care DS0000012392.V367336.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th August 2006 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 people who are older persons and who may have dementia or a physical disability. The home is over two floors and there are lifts to enable people to access both levels. The home is privately owned by Manucourt Limited who also has another home in Hampshire. Recent improvements to the home have resulted in the addition of six new bedrooms with en suite wet rooms. This had not led to an increase in numbers as the home continues to offer shared rooms as singles unless two people express a wish to share. The home has several lounges, large patio area and secure landscaped gardens. A new kitchen, laundry, staff training room and office have also been added recently. The registered manager said the current fees are between £450.00 and £950.00 a week. Items not included in the fee are hairdressing, newspapers, chiropody and personal toiletries. Barton Lodge Residential Retirement Care DS0000012392.V367336.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means people who use this service experience good quality outcomes. The information used to write this report was obtained in the following ways. We looked to see if we had received any complaints about the home and saw that we had not. We also looked at any information the home had given us about what might have happened since we visited. We used some of the information the provider gave us about the home in a form called the Annual Quality Assurance Assessment (AQAA). This is a form the home has to fill out every year to tell us what they are doing to make sure the home gives the people who have used the service the care that they want. A six and a half hour visit was made to the home by one inspector to carry out a key unannounced inspection. During the visit time was spent talking with six of the people who use the service to get their views about it. There was also an opportunity to get the views of three visitors and three staff who worked in the home. Time was also spent discussing the provider’s plans for the home and looking at the environment. A random selection of documents was viewed. Four people who use the service were case tracked. This means their records were looked at to see how the provider identified their needs and made sure they were met. What the service does well: The service provides a warm, friendly, homely environment where people who use the service feel they can make decisions about how they live their lives. People who use the service said they decide when they get up and go to bed and where they spend their time. They made the following comments about how they are looked after: ‘The staff are all lovely. They look after us really well.’ ‘I have my breakfast in bed as I don’t want to get up.’ ‘We like to go to our room in the afternoon and that’s fine with staff.’ People said how much they enjoyed the activities programme provided. ‘We did the quiz this morning and are going to listen to the entertainer this afternoon. There’s lots to do.’ Barton Lodge Residential Retirement Care DS0000012392.V367336.R01.S.doc Version 5.2 Page 6 Staffing levels are provided that encourage and support staff to provide social and emotional support as well as looking after physical needs. There is a planned programme of activities that ensures everyone in the home has an equal opportunity to do something they enjoy on an individual basis if they do not wish to join in the group ones. 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. The summary of this inspection report can be made available in other formats on request. Barton Lodge Residential Retirement Care DS0000012392.V367336.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 Lodge Residential Retirement Care DS0000012392.V367336.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Standard 6 does not apply. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A detailed pre admission assessment is completed which makes sure abilities and needs are identified before someone moves into the home. This means people wishing to use the service can be sure they will only be offered a place if the home can meet their needs. EVIDENCE: The AQAA stated ‘Pre-admission assessments are completed for every resident, to give an in depth view of the immediate care needs. This format follows the Roper Logan and Tierney model of nursing used in the Care plans. This pre-assessment gives a basis for good safe care whilst the carers are developing their relationship wit the resident.’ Four people who use the service were case tracked to see what their experience of moving into the home had been. Each file contained a detailed pre admission assessment that gave information about the person’s personal Barton Lodge Residential Retirement Care DS0000012392.V367336.R01.S.doc Version 5.2 Page 9 care, health care and daily routine. For example, one assessment identified arrangements had already been made for the person to stay with their dentist, but they would need to see the chiropodist when he/she visited the home. In addition, two files had assessments completed by health and social care staff. These people were in hospital, prior to their admission to the home. The service users’ guide stated that only planned admissions were made to the home, after an assessment of need had been completed. It also recorded that people were encouraged to visit the home for a day or afternoon. Two of the files seen had the assessment completed when the person visited the home. Barton Lodge Residential Retirement Care DS0000012392.V367336.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All care plans must have sufficient detail about peoples’ individual abilities and needs if everyone is to consistently receive their care in the way they like it and in a way that promotes their rights to privacy and dignity. The home liaises with health care professionals to ensure peoples’ health care needs are met and staff have the training and skills they need to manage medication safely. EVIDENCE: Four care plans were viewed. These varied in the quality of information about what help each person required and did not always reflect the way staff gave assistance. For example, one plan recorded that the person ‘had their own way of doing things’ but what this was had not been recorded. Staff spoken with knew the person’s preferred routine and were clear about how to follow it. Another plan had detailed information that ensured care could be consistently given in the way the person liked it, recording the person was able to wash the top half of their body, but needed help with the lower half. It also recorded that the person preferred to have two showers a week. Barton Lodge Residential Retirement Care DS0000012392.V367336.R01.S.doc Version 5.2 Page 11 The registered manager said she was aware the recording of care plans varied and was in the process of developing a system that ensured individual preferences were recorded. She said people who used the service were involved in writing their care plans but this was not always recorded. The AQAA recorded that a future objective is to consider whether to provide a large print summary of the care plan to each person and to consistently record when they and their relatives have been involved in reviews. Care plans were reviewed on a monthly basis, using a number of assessment tools such as activities of daily living and weight monitoring charts. Any amendments to the plans were recorded so staff were clear changes had been made. The registered manager said the home had ‘pen pictures’ which contained a summary of peoples’ care needs. These were for agency staff so they had a quick reference guide. The information contained in these was very detailed and it was suggested it should be included in the care plan to give a more holistic and individual picture of what people wanted. People spoken with said staff were very good at understanding what help they needed and felt they were treated with respect at all times. Staff were observed giving help to people who use the service at their own pace, giving them time to make decisions about what they did. Staff knocked on doors and waited for permission to enter. Each person’s preferred form of address is recorded on the file and staff were heard using these names when speaking to people. The majority of staff have completed their National Vocational Qualification (NVQ) and this includes looking at the rights of the individual. The AQAA recorded that staff induction included looking at core values such as dignity and privacy and that all staff were given a copy of the General Social Care Council (GSCC) Code of Conduct. The health care needs of people were monitored and met. A separate record was kept of doctor’s visits, hospital appointments and specialist involvement which showed people who used the service had access to a wide range of health care provision, such as doctors, district nurses and a chiropodist. Health care needs are assessed prior to admission and arrangements made to ensure health care needs are met. For example, the home has been working with the rehabilitation service to help improve one person’s mobility. The registered manager said she also liaised with the falls clinic when there were concerns about someone’s mobility. Risk assessments were completed to identify areas of concern. These included moving and handling, falls and tissue viability. Plans were put in place to Barton Lodge Residential Retirement Care DS0000012392.V367336.R01.S.doc Version 5.2 Page 12 enable staff to manage risks. For example, one person had a risk assessment and plan to manage a small injury to their leg. The plan was signed off when the wound healed and needed no further attention. The home has a robust medication policy and procedure. Only staff who have completed an external training course and been assessed as competent may assist with medication. A risk assessment is completed for each person to assess whether they are able to manage their medication independently or need assistance. Medication is supplied in a monitored dosage system, colour coded for morning, lunchtime, teatime and night. Staff were observed giving out the lunchtime medication. Each person was given their tablets with a drink and the record then signed to show they had taken it. All medication was checked on receipt into the home and a record kept. A record was also kept of any unused medication returned to the pharmacist for disposal. Barton Lodge Residential Retirement Care DS0000012392.V367336.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 &15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People who use the service are able to make choices about how they spend their day and are offered activities meet their diverse needs, provide mental stimulation and that they enjoy. People who use the service are supported to maintain contact with family and friends. Meals are provided that are nutritional and meet the needs of everyone living in the home. EVIDENCE: The initial assessment records individual preferences about daily routines, such as what time someone usually likes to get up or go to bed. The statement of purpose recorded that people could choose where they had their meals. People who use the service confirmed they could choose whether they have their meals in their rooms or in the dining room. One person commented ‘I have my breakfast in bed as I don’t wish to get up.’ The home is designed with several lounges, so people can choose whether they wish to socialise, spend time alone or watch television in the T.V. lounge. Several people said they also had a television and a telephone in their own room. All bedrooms are lockable and people able to have a key to their room if they wish. Barton Lodge Residential Retirement Care DS0000012392.V367336.R01.S.doc Version 5.2 Page 14 Staff are expected to provide mental stimulation and social interaction to the people who use the service as part of the daily routine. Each morning a number of one to one activities are planned and staff are allocated individual people who use the service to do these activities with. For example, they might play a board game or paint someone’s nails. A record is kept of these activities to make sure that everyone has regular opportunities to spend time with staff on a one to one basis. In addition to this, a care co-ordinator provides group activities every day. People who use the service said how much they enjoyed the wide variety of activities provided. A large group joined in a lively discussion of the day’s news, a reminiscence group and a quiz during the morning. In the afternoon an entertainer came in. Information about activities is displayed in large print on the main notice board and staff remind people on an individual basis about what is happening. The initial assessment records what hobbies people who use services had before they moved in. Activities are arranged that enable them to continue with these if they wish. For example, one person liked to go for walks. The activities record showed that he was able to go for a walk on his own or with staff on most days. Another plan recorded that someone enjoyed reading. Staff made sure this person had their newspaper. The care co-ordinator said monitoring of activities enabled her to review what was offered to make sure everyone had activities that were meaningful to them and that they enjoyed. People are asked about their spiritual needs on admission. People said there is an opportunity to take communion each month and the AQAA stated arrangements could be made to take people to the church of their choice. Visitors to the home said they are always made welcome and felt involved in supporting their relative. A letter from a relative was seen on file, thanking the home for making them so welcome. The AQAA stated that visitors are always welcome, provided the person using the service wished to see them. People who use the service said the food was very good. The registered manager said, following feedback from people who use the service, changes had been made to ensure food was always hot when served and people confirmed this. Changes to meals had also been made following requests from the people who use the service. Meals were served in the dining room at tables that could sit small groups of people. People were able to help themselves to drinks from jugs placed on each table. Staff brought each person their meal. One person did not wish to go to the dining room. Staff brought her a meal, pudding and drink to her chair in the lounge. Other people chose to eat in their rooms and staff were seen taking their meals to them. Barton Lodge Residential Retirement Care DS0000012392.V367336.R01.S.doc Version 5.2 Page 15 During the morning people were asked if they liked the main choice or wanted an alternative. On the day of the inspection visit, the main meal comprised toad in the hole, roast potatoes, peas, broccoli and ratatouille. A sweet trolley provided several choices of pudding. Several people had chosen alternatives such as fish. Records showed that people routinely chose alternatives. The cook said that people could choose something different at any time. He said menus were planned on a weekly basis and included meals that people who use the service had requested. Seasonal vegetables and fruit were used as they became available. Specialist diets could be catered for and at present the home catered for a number of people with diabetes. They were able to have the same menu choice as everyone else, as the home provided diabetic substitutes for items such as marmalade, jelly and jam and used sugar substitute in puddings. The AQAA recorded that people could have snacks and drinks outside the main meal times and staff were observed giving people hot drinks during the morning and afternoon as well as cold drinks and fresh fruit. The AQAA recorded that the medication trolley was no longer taken to the dining room to remove the ‘clinical’ element. Staff were observed taking medication individually to people sitting at the table during lunch from the trolley which was kept out of sight. Barton Lodge Residential Retirement Care DS0000012392.V367336.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service have the information and the opportunity to be able to make complaints and are confident any issues will be investigated. Staff have the training and information they need to be able to report any allegations of abuse, which minimises the risk to the people who use the service. EVIDENCE: People who were spoken with said they had not had to make any complaints but knew how to do so. Relatives who were visiting the home confirmed this. The registered manager said everyone had a copy of the complaints procedure in their rooms and a copy of it was included in the service user’s guide. This gave information about how a complaint would be handled including the timescales for responses. The complaints log contained a record of any complaint made, together with the date the investigation was concluded and a response written. Copies of letters sent are kept on individual files. Only one complaint had been received by the home since the AQAA was completed and the letter on file showed that this had been dealt with effectively, within the given timescale. The commission had received no complaints about the service. The registered manager said she looked on complaints as an opportunity to review practice. AQAA stated ‘We welcome complaints and suggestions from Barton Lodge Residential Retirement Care DS0000012392.V367336.R01.S.doc Version 5.2 Page 17 residents, family, staff and any others who use our services. Complaints are seen as opportunities from which we can learn and improve care.’ Staff training records showed they had training about safeguarding adults and this subject was also covered in their induction. Two staff spoken with said they were able to see a training video and had to answer questions about it to demonstrate their understanding. Both were aware of the whistleblowing policy and their responsibility to report any allegation of abuse to their line manager. The home had a policy in respect of safeguarding adults and a copy of Hampshire’s safeguarding procedure so staff had access to information and guidance. The home’s recruitment procedure included obtaining Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) to make sure the risks to people who use the service are minimised. Barton Lodge Residential Retirement Care DS0000012392.V367336.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home provides a safe, comfortable environment that is adapted to meet the needs of the people who live there and that they enjoy. Systems are in place to make sure the risk of infection is minimised. EVIDENCE: The owners have carried out a major refurbishment to the home that has improved facilities for the people who use the service. A conservatory has been added to the front of the building that gives people a large room to hold events and activities. This was well used all day. There are a number of areas for people to sit together, or quietly on their own. One room has a television in it so people have the choice to sit and watch it or to sit elsewhere. The home is well furnished and comfortable. A maintenance man carries out routine repairs and the home employs cleaners on a daily basis. The home was clean and there were no unpleasant smells. People who used the service Barton Lodge Residential Retirement Care DS0000012392.V367336.R01.S.doc Version 5.2 Page 19 said staff kept the home very clean and they liked their environment very much. The refurbishment has included the addition of six single bedrooms with en suite wet rooms. This has not increased the number of people who can live in the home, as the providers always used shared rooms as singles unless people specifically wished to share. The home has large grounds with a patio area. The courtyard has had a partial cover fitted so that people can sit outside if they wish whatever the weather. The gardens are being landscaped to provide a pleasant environment for the people who live there and their visitors. The grounds are enclosed and the gates can only be opened remotely by pressing a button to contact the staff. This ensures staff know who is coming into or leaving the home and means people can wander freely inside and outside the home. The registered manager said the next stage in the refurbishment programme was to change more communal bathrooms into wet rooms. A new laundry has been added to the home, which has equipment capable of dealing effectively with soiled linen and staff demonstrated their knowledge of the procedure for bringing it to the laundry. The training programme showed staff have infection control training and information about hand washing was displayed in every bathroom. The AQAA stated ‘The building complies with the requirements of the local Fire service and environmental health office’ and the registered manager said there were no requirements from a recent environmental health inspection. Barton Lodge Residential Retirement Care DS0000012392.V367336.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A well trained team of carers in sufficient numbers to meet their needs supports people who use the service. A robust employment procedure is followed that ensures people who use the service are protected. EVIDENCE: The registered manager said that part of the care staff’s duties is to engage with people who use the service and to provide them with mental stimulation. Staff are expected and encouraged to spend time talking with people who use the service. The level of staff provided makes sure they are able to do this and to provide care that supports peoples’ social and emotional wellbeing as well as their physical needs. The rota showed four care staff are on duty from 7 a.m. till 7 p.m. each day. The registered manager, head of care, kitchen and domestic staff support them. There were four staff on duty during the day of the inspection. Two waking staff are on duty at night with a senior carer who sleeps in providing extra support when needed. The registered manager promotes a culture where staff are supported to obtain qualifications and attend training. Staff said they felt they were well supported and had opportunities to do a wide range of training. Two staff, recently employed had completed a comprehensive induction programme based on Skills for Care induction standards. Training included in house sessions using videos and questionnaires on topics such as fire safety, cross Barton Lodge Residential Retirement Care DS0000012392.V367336.R01.S.doc Version 5.2 Page 21 infection, safeguarding and food hygiene. There is also a training course in dementia care. The registered manager has a teaching qualification and provides some of the in house training. External trainers provide training in moving and handling, four-day first aid course, and the safe management of medication. The AQAA identified that an objective for this year is to offer the four-day first aid training course to more staff. At present four staff have completed this. Part of the new build has been to provide a staff room, which can be used for training. Staff were seen spending time here with their NVQ assessor. More than 50 of staff have completed a National Vocational Qualification (NVQ) 2 and some have completed or are completing NVQ 3. The registered manager said staff receive regular supervision. Staff spoken with confirmed this and copies of supervision sessions were seen on file. The AQAA stated that all staff have to go through a robust employment procedure. Two staff spoken with confirmed they had been required to go through the process before being employed. The home has an effective system for making sure the recruitment process is monitored and all the required checks completed. The files for the two staff spoken with contained completed application forms, proof of identity, relevant checks such as Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) and two references. They had been required to attend an interview and copy of their responses was kept on file. Barton Lodge Residential Retirement Care DS0000012392.V367336.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and people who use the service are able to express their views about it. The health and safety of service users are promoted by training staff and by the regular service of equipment. EVIDENCE: The registered manager has a nursing background, many years experience of working in a care setting and holds a degree in care homes management. People who use the service, relatives and staff said she was approachable, provided a strong sense of leadership and felt that the home offered a warm and friendly environment. Ms. Torr said the providers were also very involved in the day to day management of the home and visited frequently. Barton Lodge Residential Retirement Care DS0000012392.V367336.R01.S.doc Version 5.2 Page 23 The provider had misinterpreted recent guidance about Regulation 26 visits. The guidance stated the reports no longer needed to be sent to the commission but should be held at the home. Ms. Torr said this was not happening, as the reports were being kept at the provider’s registered address. She agreed to arrange for copies of them to be made available at the home from now on. There was evidence that people who use the service were able to give feedback about it. The home held regular resident meetings and copies of the minutes were seen. Suggestions about how the home could be improved were acted upon. For example, following information received from people who use the service the way food was served was reviewed to ensure it was served as hot as people wanted it. Quarterly meetings are also held for relatives so they can give their views and be given information. The registered manager said she also sent out questionnaires on an annual basis and reviewed the comments received. The AQAA recorded an objective was to develop a questionnaire to get feedback from people following their month’s trial period and from people who had been at the home for a short stay. The AQAA recorded that the home had a robust system for looking after money for people who use the service. Records were kept of any money received, spent and the balance, together with receipts for any expenditure. The AQAA recorded that all equipment and facilities are regularly serviced. A random selection of records was seen during the inspection that evidenced this. Staff received mandatory training such as food hygiene; infection control and fire safety on a rolling programme that was monitored to make sure their training remained up to date. Detailed records were kept of any accident to people who use the service and information was passed to the commission where necessary. Barton Lodge Residential Retirement Care DS0000012392.V367336.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 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 Lodge Residential Retirement Care DS0000012392.V367336.R01.S.doc Version 5.2 Page 25 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.V367336.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Barton Lodge Residential Retirement Care DS0000012392.V367336.R01.S.doc Version 5.2 Page 27 - 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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