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Inspection on 12/12/05 for Basingfield Court

Also see our care home review for Basingfield Court for more information

This inspection was carried out on 12th December 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 provides care in a well maintained pleasant and welcoming environment by a well managed supported, motivated, stable, well trained and qualified staff team who work in a manner that recognises residents need for personal privacy dignity at the same time enabling them to concentrate on residents needs and wishes. Service users expressed satisfaction at the quality of the service they were receiving, the quality, quantity and choice of food and the helpful and pleasant staff coming in for particular praise.

What has improved since the last inspection?

The small downstairs lounge has been refurbished and decorated. Number of bedrooms have been redecorated as part of the routine maintenance programme.

What the care home could do better:

There were no areas of concern apart from ensuring all staff are clear on the procedures to follow should they suspect or witness a resident is being abused.

CARE HOMES FOR OLDER PEOPLE Basingfield Court Huish Lane Old Basing Basingstoke Hampshire RG24 7BN Lead Inspector Peter J McNeillie Unannounced Inspection 12th December 2005 10:45 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 Basingfield Court DS0000011774.V272810.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. Basingfield Court DS0000011774.V272810.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Basingfield Court Address Huish Lane Old Basing Basingstoke Hampshire RG24 7BN 01256 321494 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) Hampshire Voluntary Housing Group Mrs Rachel Barry Care Home 52 Category(ies) of Old age, not falling within any other category registration, with number (52), Physical disability over 65 years of age of places (13) Basingfield Court DS0000011774.V272810.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Not more than 13 service users to be accommodated in PD(E) category Date of last inspection Brief Description of the Service: Basingfield Court is a care home registered for up to 52 residents over the age of 65 years some of who also have a physical disability. All residents are accommodated in single rooms on three floors of a large detached property set in its own spacious grounds within three miles of Basingstoke town centre. The home is owned and managed by Hampshire Voluntary Housing. Basingfield Court DS0000011774.V272810.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the second of two unannounced inspections for 2005/2006. During this inspection, which took place between 10:45am and 01:45pm the inspector who was assisted by the registered manager, spoke with 16 residents and all of the staff on duty. Evidence was also gathered from a tour of the building, reading records, a residents satisfaction survey, previous reports, comments by management/staff and observations. During the previous inspection in June 2005 the majority of the core standards were inspected. At that time no concerns were noted and no requirements made. During this inspection only those core standards not previously inspected and standards /areas commented by residents and staff were looked at. Comments regarding all other core standards can be found in the previous report dated 6th June 2005. What the service does well: What has improved since the last inspection? The small downstairs lounge has been refurbished and decorated. Number of bedrooms have been redecorated as part of the routine maintenance programme. Basingfield Court DS0000011774.V272810.R01.S.doc Version 5.0 Page 6 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. Basingfield Court DS0000011774.V272810.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 Basingfield Court DS0000011774.V272810.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): These standards were not inspected on this occasion, there were no concerns when last inspected. EVIDENCE: Please refer to previous inspection report dated 6th June 2005. Basingfield Court DS0000011774.V272810.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): These standards were not inspected on this occasion, there were no concerns when last inspected. EVIDENCE: Please refer to previous inspection report dated 6th June 2005. Basingfield Court DS0000011774.V272810.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): 15 The provision of varied and nutritious meals were well managed and reflected service users interests and choices. EVIDENCE: The quality, quantity, and choice of food served came in for particular praise from the residents. A full and varied menu based on individual likes, dislikes and choices produced by a professional cook was available.Special dietry needs are catered for.The inspector who joined residents for their mid day meal would confirm the comments made. Basingfield Court DS0000011774.V272810.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 and 18 The home has clear policies and procedures in place which ensures residents are protected from abuse .The complaints procedure was satisfactory with evidence that residents are confident to use and feel their views/concerns will be acted upon. EVIDENCE: The home’s a policy and procedure which operates in tandem with the Hampshire County Council policy and procedure designed to protect vulnerable residents from abuse was available as were records to confirm all staff had received training in adult protection. Staff spoken with confirmed they were mainly aware of the procedure to follow should they witness or suspect the abuse of any resident however in talking to some senior staff there seemed some confusion of the precise actions to be taken. The manager gave a verbal undertaking she would address any confusion immediately. Since the inspection a written action plan has been received by C.S.C.I. This matter will be reviewed at a future visit to the home. The complaints procedure which was also included in the service users guide gave information on how to contact The Commission for Social Care Inspection (C.S.C.I) was seen as was a record of complaints that indicated no complaints had been received since the last inspection. Residents spoken to stated they felt comfortable in raising any concerns they had with the home’s management and confident any matters raised would be dealt with fairly and promptly but made it clear to the inspector “They never had concerns”. Basingfield Court DS0000011774.V272810.R01.S.doc Version 5.0 Page 12 Basingfield Court DS0000011774.V272810.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): 19 and 26 A safe, well maintained, clean and suitably furnished home and accessible garden is provided for service users which meets their needs. EVIDENCE: A tour of the building indicated that it was fit for its stated purpose, accessible, safe, well maintained and meeting resident’s individual and collective needs. Furniture was comfortable and homely and in keeping with the décor. Residents commented how satisfied they were with the accommodation. Since the last inspection, a small lounge has been redecorated and refurbished in addition to routine maintenance and a redecoration/maintenance programme. Following assessments, a number of communal and personal aids have been provided. These include handrails, ramps, bath hoists, raised toilets and a lift. The home was clean, hygienic and free from adverse odours. An infection control policy and procedure was in place. Basingfield Court DS0000011774.V272810.R01.S.doc Version 5.0 Page 14 Basingfield Court DS0000011774.V272810.R01.S.doc Version 5.0 Page 15 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): 27,28,29 and 30 Residents needs are met by sufficient numbers of trained care staff who are recruited and selected using a procedure designed to protect all service users EVIDENCE: At the previous inspection residents spoken with were full of praise of their carers adding, “nothing was too much trouble”, “we never have to wait” “the girls are helpful all the time, always smiling. ”all the carers are so kind and considerate”,” I cant fault any of them”. The situation was mirrored in conversations during this inspection. At the time of the inspection the six care staff were supported by a number of other personnel including, two managers (including the registered manager), cleaners, a handy man, laundry staff and an administrator. Care staff confirmed they had ample time to carry out their tasks and were able to offer a personal service, a view that was supported by residents. Three waking care staff supported by an on call manager are available at night. Staffing levels are frequently reviewed to ensure the assessed needs of residents are met at all times. Records seen confirmed that staff turnover is very low, many staff having worked in the home for ten plus years. All staff are recruited in accordance with the home’s selection and recruitment procedure which includes the completion of an application form, signing a rehabilitation of offenders declaration an interview and satisfactory Criminal Records Bureau (C.R.B ),Protection Of Vulnerable Adults(P.O.V.A.)and reference checks. Basingfield Court DS0000011774.V272810.R01.S.doc Version 5.0 Page 16 As part of their terms and conditions of employment, all staff agree to undertake National Vocational Qualification Training (N.V.Q.) following an induction/foundation course. Currently 59 of staff have been trained to N.V.Q. level two or above. Additional subjects such as the administration of medication, food hygiene, moving and handling, first aid are also undertaken. Very comprehensive current training records were available for all staff. Staff spoken to stated how much they enjoyed working in the home and the opportunity to participate in training. Records seen confirmed all staff receive regular supervision. In observing staff during the inspection and in particular during lunch, the inspector noted how they all worked as a team in a calm, unhurried, efficient and considerate way Basingfield Court DS0000011774.V272810.R01.S.doc Version 5.0 Page 17 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 The registered manager is qualified and experienced to run the home to meet its stated objectives. EVIDENCE: The manager is qualified to N.V.Q. level four demonstrated during the formal registration process she was able to manage the home to provide a good quality of care to all residents. All of the other core standards were inspected during the previous inspection. Please refer to previous report dated 6th June 2005 for. Basingfield Court DS0000011774.V272810.R01.S.doc Version 5.0 Page 18 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 X 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 2 3 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 X X X X X X Basingfield Court DS0000011774.V272810.R01.S.doc Version 5.0 Page 19 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. 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 Basingfield Court DS0000011774.V272810.R01.S.doc Version 5.0 Page 20 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 Basingfield Court DS0000011774.V272810.R01.S.doc Version 5.0 Page 21 - 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!