Inspection on 13/12/05 for Bascombe Court

This inspection was carried out on 13th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Bascombe Court 18/10/07

Bascombe Court 14/06/06

Bascombe Court 08/06/05

Bascombe Court 23/11/04

Bascombe Court 28/06/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Bascombe Court Bascombe Road Churston Ferrers Brixham Devon TQ5 0JS Lead Inspector Judy Cooper 13th December 2005 11:30 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 Bascombe Court DS0000018322.V257194.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. Bascombe Court DS0000018322.V257194.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Bascombe Court Address Bascombe Road Churston Ferrers Brixham Devon TQ5 0JS 01803 842360 01803 842360 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) Manor Collection Ltd Vacancy Care Home 31 Category(ies) of Old age, not falling within any other category registration, with number (31), Physical disability over 65 years of age of places (31) Bascombe Court DS0000018322.V257194.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service Users over the age of 50 can be admitted within the category of PD Females over the age of 60 may be admitted within the category of OP Date of last inspection 8th June 2005 Brief Description of the Service: Bascombe Court is a large house situated between Paignton and Brixham with views over Torbay. The home provides care for up to 31 older people, some with physical disabilities. Entrance to the home is through a large parking area with a step into the porch area. There are mature gardens, and three patio areas. The bottom of the garden has been landscaped. The entrance hall has an enclosed office and leads into a large sun lounge, dining area and quiet area. There is level access onto a patio. There are 6 bedrooms on the ground floor. All bedrooms are en-suite, some with showers or baths. The ground floor also has a laundry and an assisted shower and separate toilet. There is a lift to the first floor and second floors, which between them have 15 bedrooms, an assisted bath and a walk-in shower. There are also staff rooms and a staff toilet. The lower ground floor is accessed by a chair lift. It has 6 en-suite bedrooms that all open onto a level patio area. The owner is in the process of completing twelve “close care” units within the grounds of the home. The units, when completed, will operate totally separately from the home and therefore, will not form part of the current registered facility. Bascombe Court DS0000018322.V257194.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on a Tuesday morning/afternoon. Opportunity was taken to tour the premises, examine some records and policies and talk with the owner, the home’s newly appointed assistant manager, many residents, some staff members as well as a visiting District Nurse, a visiting physiotherapist and some visitors to the home. Staff on duty were also observed, whilst in the course of undertaking their daily duties. The majority of required core standards were inspected at the last inspection in June 2005. Those inspected on this occasion concentrated on resident welfare on a day to day basis as well as some general environmental standards and two core standards that were not inspected on the last occasion. What the service does well: The home’s environment continues to provide residents with a very comfortable, excellently maintained, homely, bright, environment. Residents continue to benefit from a “community spirit” within the home and are encouraged and enabled to socialise with each other as desired. The management and staff enable residents to maintain links with the nearby local community and visitors are both encouraged and welcomed into the home. The result of this is that residents benefit from companionship with each other and continue to feel a valued part of the local community. The staff maintains some very individual residents’ lifestyles to good effect which facilitates residents to be able to pursue their own interests. The staff also are involved in providing a full activities programme within the home, with the forthcoming Christmas programme being seen to be full of interesting and enjoyable events. A core group of staff have continued to remain in post for a number of years, thus ensuring a sense of security and continuity for the residents. Bascombe Court DS0000018322.V257194.R01.S.doc Version 5.0 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. Bascombe Court DS0000018322.V257194.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 Bascombe Court DS0000018322.V257194.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): Not inspected on this occasion. EVIDENCE: Bascombe Court DS0000018322.V257194.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): 7,8,10,11 Residents’ health and personal care needs are well documented and known. Residents continue to be treated with dignity and respect and their individuality and independence maintained. EVIDENCE: Two random care plans were inspected. The care plans were concise, up to date, detailed and contained all relevant information appertaining to providing for the individual resident’s care, and included any medical needs of the resident, as well as any visits made by District Nurses, G.P’s or any other health professionals. Those residents that wish to be involved in their care plan and its monthly review are enabled to be so, whilst the manager will undertake reviews for those residents who prefer the home to do this on their behalf. The manager and staff liaise with other professionals as required and, during this inspection a District Nurse was asked for feedback and was able to say that she felt that the staff cared appropriately for the patients she had contact with at the home. She also felt confident that the staff did all they could to follow any clinical instructions she may give. Bascombe Court DS0000018322.V257194.R01.S.doc Version 5.0 Page 10 A visiting Physiotherapist also gave very positive feed back about the care, a client she visits, is receiving. Resident feedback was also very positive about the care they felt they received, with residents saying that they felt well looked after and the staff treated them well and were very kind to them. Visitors spoken with during the inspection also stated that they were welcomed into the home and that they felt that the residents were well cared for with the staff doing all they could to help the residents. During the inspection it was noted that all appropriate care was being made available to a terminally ill resident, with the District Nurse having regular input, and the resident’s family being able to be with the resident as they wished, supported by the home’s staff. Bascombe Court DS0000018322.V257194.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): 12,13,14,15 Residents continue to enjoy a varied, yet peaceful life at the home, with visitors encouraged and welcomed. Choices are made available to residents regarding day to day living and staff take time, and put in effort in, to ensure that all residents enjoy a good quality of life. Residents also continue to benefit from nutritious, well planned and varied meals. EVIDENCE: Staff members continue to regularly undertake activities with residents. External entertainment opportunities are also provided as well and some residents continue to pursue their own interests (one resident still has the use of their car and is able to keep this at the home). The home continues to operate an open visiting policy and the visitor’s book showed that the residents continue to have many visitors at varying times throughout the day, with several coming and going during the inspection. Residents also confirmed that their visitors were able to visit at a time that suited, and were made welcome within the home. Bascombe Court DS0000018322.V257194.R01.S.doc Version 5.0 Page 12 The routines within the home are flexible to ensure that residents can choose how they spend their time. Some residents had again chosen to spend their time in the homes’ communal lounge whilst others had chosen to spend their time in their rooms, and some had gone out for a walk, lunch etc. Residents spoken with stated that they were very happy living at the home. One relative had taken the time to write some comments to the Commission and included such points, as “we have been most impressed with the high standard of cleanliness and the care and consideration given by the staff. As with many of the other residents “------“ is also pleased with the atmosphere and ambience of Bascombe Court”. The home’s Christmas programme was seen to be full of interesting and enjoyable activities and it was pleasing to note that the management have arranged a lunch for the residents’ families to allow them the opportunity to be together with a resident if the family are unable to visit on Christmas Day itself. The home has recently employed a new chef who has proved popular and who was clearly enthusiastic about their role within the home. Residents confirmed that they enjoyed their meals and the meal served during the inspection was hot, well presented and appetising. Bascombe Court DS0000018322.V257194.R01.S.doc Version 5.0 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 Residents and their representatives know how to make a complaint, with any received being fully investigated. EVIDENCE: Residents confirmed that they would be confident in speaking to the home’s new manager, or any staff member about any concern they may have and that they felt these would be dealt with appropriately. The home’s complaint procedure was displayed and included this Commission’s local contact details. There have been two complaints received by this Commission since the last inspection in June this year. One was fully investigated by the provider and is now fully concluded. The second one was investigated by the CSCI and is also now concluded. This involved a complaint being received by a relative of a service user regarding the following issues: 1) The way in which the owner had responded to a complaint made by the relatives about an unmade bed. 2) The manager’s behaviour towards the service user. 3) Some care practice issues. 4) Staffing issues. Out of these, point three was upheld and the following requirements were made: 1) An assessment and review of service users must be undertaken when any change of circumstance takes place. (From 26/08/05) Bascombe Court DS0000018322.V257194.R01.S.doc Version 5.0 Page 14 2) Where appropriate, revise the service users care plan with the service user and/or their representative. (From 26/08/05) Discussion took place at this inspection regarding these requirements with the registered provider who was able to confirm that any assessment or review would now take place when any change of circumstances required. Care planning is undertaken with the residents and the monthly reviews are undertaken with those residents who wish to be involved in this process, whilst others choose to allow the home’s management to undertake these reviews on their behalf. Bascombe Court DS0000018322.V257194.R01.S.doc Version 5.0 Page 15 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): 19,26 Bascombe Court is very comfortable, clean and is well maintained. EVIDENCE: The tour of the building showed that the home maintains an upgrading programme that ensures the home continues to provide a very high standard of accommodation. The accommodation presented as comfortable, very well maintained, clean and welcoming and residents again stated that they enjoyed living in the home’s pleasant environment. Bedrooms have been personalised as desired and residents can bring in personal items with them if they wish to. The owner stated that she will provide a suitable lock if requested by a resident, and has already done so for those that have requested this, but they are not provided as standard on admission. This is documented within the home’s statement of purpose. The lounge and dining areas are both very spacious and well appointed. There is an infection control policy and all areas of the home were odour free. The home’s laundry area is in the process of being re-sited to larger area with Bascombe Court DS0000018322.V257194.R01.S.doc Version 5.0 Page 16 new upgraded laundry equipment being installed to help staff to be able to be able to meet the laundry needs of the residents even more effectivly. Bascombe Court DS0000018322.V257194.R01.S.doc Version 5.0 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28 Staff at the home are trained and employed in sufficient numbers to meet the current resident groups’ needs. EVIDENCE: Staffing levels were seen to be in sufficient numbers to ensure that residents’ needs could be met during the day and night. Residents spoken to again said that they felt well looked after and that staff were always available if needed. During the inspection it was noted that staff had sufficient time to spend with the residents, attending to their personal and social requirements. Training is well planned and supports the staff in providing for the varied needs of the residents. One staff member has already achieved NVQ 2 in care whilst several staff, within the home, are currently undertaking the NVQ training (level 2) with others due to commence this training in January 2006. When these staff have completed this training, along with the existing trained care staff member, the home will have over the 50 of required trained staff. Staff spoken to felt positive about their role and said that they felt well supported by the owner and the management of the home, and felt the new manager’s appointment had been a positive one. Bascombe Court DS0000018322.V257194.R01.S.doc Version 5.0 Page 18 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): 31,38 The owner remains involved in the day to day running of the home, whilst the recent appointment of an experienced new manager within the home has allowed residents to feel secure and settled. Routine health and safety precautions are maintained appropriately, however by not providing regulation of the hot water temperature to residents’ wash hand basins, residents’ remain at risk from scalding. EVIDENCE: There have been some management changes within the past six months. This has been due to the previous (non registered) manager leaving earlier in the year. A new, experienced and appropriately trained acting manager has recently been appointed (November 2005) from within the Court Group. She is to Bascombe Court DS0000018322.V257194.R01.S.doc Version 5.0 Page 19 undergo the registered manager’s “fit person” process as required by this Commission, in the near future. Feedback from residents and staff evidenced that they felt positive about this manager’s appointment and felt able to approach her with any worries/concerns. All hot surfaces have now been protected throughout the home, which helps ensure residents are protected from sustaining a burn. The owner confirmed, in August this year, that window restrictors have now been fitted to required windows within the home. The home’s hot water supply has not yet been fully regulated to a safe temperature to residents’ wash hand basins, although the owner stated that this was in hand. Bascombe Court DS0000018322.V257194.R01.S.doc Version 5.0 Page 20 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 x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 4 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 x 4 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x x x x x x 2 Bascombe Court DS0000018322.V257194.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? Yes 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 OP24 Regulation 15 Requirement The registered provider must ensure that all residents hand wash basins are risk assessed and subsequently fitted with valves to provide hot water to 43 degrees Centigrade. Timescale for action 13/06/06 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 OP31 Good Practice Recommendations The homes newly appointed manager should apply to this Commission, to undertake the registration process to allow her, if successful, to be the registered manager at the home. Bascombe Court DS0000018322.V257194.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Bascombe Court DS0000018322.V257194.R01.S.doc Version 5.0 Page 23 - 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. 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