Inspection on 28/08/08 for Basingfield Court

This inspection was carried out on 28th August 2008.

CSCI found this care home to be providing an Good service.

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

Basingfield Court 29/08/06

Basingfield Court 12/12/05

Basingfield Court 06/06/05

Basingfield Court 17/01/05

Basingfield Court 14/04/04

Basingfield Court 03/06/03

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 31/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Basingfield Court Huish Lane Old Basing Basingstoke Hampshire RG24 7BN     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Kathryn Emmons     Date: 2 8 0 8 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 24 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 24 Information about the care home Name of care home: Address: Basingfield Court Huish Lane Old Basing Basingstoke Hampshire RG24 7BN 01256 321494 01256 334064 rachel.barry@hvhs.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable): Type of registration: Number of places registered: Hampshire Voluntary Housing Group Mrs Rachel Barry care home 52 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability Additional conditions: Not more than 13 service users to be accommodated in PD(E) category 0 0 Over 65 52 13 Date of last inspection Brief description of the care home 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. Care Homes for Older People Page 4 of 24 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The visit to the service was undertaken by one inspector who spent six and a half hours at the home. The care received by three residents was looked at in detail. This is a method called case tracking. This included looking at their personal records a range of general records and staff details. This forms part of a key inspection and focused on the standards in the key areas that most effect the quality of life for the residents. Information already held such as a service history and the providers self -audit which is called an AQAA (Annual Quality Assessment Audit) were used to plan the visit. During the visit the inspector spoke to two of the assistant managers , four staff, two relatives and ten residents. We also sent comment cards for staff and residents to complete and we also considered the comments these contained when writing the report. Care Homes for Older People Page 5 of 24 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line – 0870 240 7535. Care Homes for Older People Page 6 of 24 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 7 of 24 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Through pre admission assessments residents can be confident that their needs can be met by the service. Up to date information enables resident to make an informed choice regarding living at the service. Evidence: We looked at three residents admission details including the newest person to be admitted to the service. We could see that information regarding the residents needs had been obtained before the resident had been offered a place at the service. We were told by one resident that they had been able to have their relative Take a look before they came to the service. We saw documents in place called the service user guide and statement of purpose. These two documents are available to residents and their relatives and inform them of the service they can expect to receive if they Care Homes for Older People Page 8 of 24 choose to live at Basingfield Court. Details also included who the staff were and what qualifications they held. These documents are updated by the manager when needed.A complaints procedure was also included in the service user guide. We were told by 3 residents that they had signed their contract and one resident told us they had never seen a contract. The AQAA we received confirmed that all residents have a contract and the assistant manager who assisted us on the day of our visit confirmed that all residents received a contract and that they would look into the issues the one resident had raised. Care Homes for Older People Page 9 of 24 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans and risk assessments which are regularly reviewed give residents confidence that their individual needs are known. Ensuring all medication is signed for will enable residents to be confident that they will receive their medication correctly. Systems in place provide good access to heath care professionals. Residents dignity and privacy is respected. Evidence: Using case tracking we looked at three residents service user plans . These contained admission information detail of medications, care needs ,weight and nutritional needs. We could see the resident had been included in the production of their care plans and reviews were taking place. We could see that daily records were maintained which staff are able to use to monitor the progress and welfare of the resident. Residents we spoke with said that they they were treated with respect and that their Care Homes for Older People Page 10 of 24 dignity was maintained. Examples of this were the way they were addressed, to being given choice over how they spent their days and where support is needed this is given discreetly. We saw many interactions between staff and residents. All of these interactions were appropriate and valuing of the resident. Staff had an awareness of individuality and one carer said They are People in their own rights with their own ideas and ways to live and we need to understand that when we are caring for them. We spoke with ten residents and four of these remember being involved in their care plans. A new system for recording all information is being implemented to enable the information to be easier to read and complete. Residents and a couple of relatives we spoke with all said that access to the doctor , district nurses and other health services such as chiropodist and optician were good. The AQAA informs us that the services provided to the residents are good. One resident said even if Im a bit under the weather they will call the doctor for you andI see the district nurse and the staff will call her if i need her in between visits and I got my eyes looked at and and they sorted out new glasses for me. Medication records were seen for one floor of the service and those three residents case tracked. Generally records had been completed correctly however we did see that there were a couple of signatures missing . We have discussed this with the senior carer who deals with medication administration and one of the assistant managers and it is noted that it was one specific staff member who had not signed. The service is addressing this issue by increasing audit checks on medication sheets. Medications were stored safely and residents told us they were happy with how they received their medication.We could see from staff records that any staff who was involved in medication arrangements had received the necessary training. Care Homes for Older People Page 11 of 24 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are able to lead a lifestyle similar to what they had before living at the service. Appropriate activities are provided and individuality is respected. Dietary choices and preferences are catered for. Evidence: The residents we spoke with told us they always had activities taking place. These included quizzes, bingo , group discussions and out side entertainers. Recently there had been a garden fête at the service and residents told us told us about trips out to Portsmouth and a garden centre visit. Cultural and religious needs of residents are respected and clergy from various denominations visit the service to provide worship services. Residents are also assisted to attend local worship in the local community of their choice. There is a resident meeting held every month and we saw minutes from these meetings . Residents told us they were able to chose how they spend their days and were given choice regarding when they got up and when they went to bed,when they Care Homes for Older People Page 12 of 24 took a bath or shower and what meals they ate. Staff told us they assist residents with small pieces of shopping and there is a post box in the reception area so residents can send letters. We saw cards and books for sale in the main reception area and a couple of residents said this was a useful service for them as its not always easy to get to the shop . The statement of purpose aims to provide residents with a lifestyle which is similar to how they spent their time when they lived in their own home. One resident we spoke to said they Live how i did when i was at home, nothing has changed. Residents told us that they could chose when they received visitors . There were areas around the home for residents to meet with visitors if they didnt want to use their flats. We received a couple of comment cards stating that some of the meals were Bland and Boring we looked at the menu and found it was varied and there were always at least two choices for the lunch and tea. The food served during our visit looked appetising and comments from residents included The food is lovely and There is always a good choice and even if you dont like that you can have something else . Care Homes for Older People Page 13 of 24 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A complaints policy enables residents and visitors to the service to raise any issues. They can be confident that their concerns will be listened to and dealt with. Staff receive safeguarding adult training and know how to deal with any complaints that are made. Evidence: We received information before we visited the service which identified that one complaint had been received since the last inspection. When we visited the service and looked at the complaints and concerns file we saw this issue had been resolved to the complainants satisfaction. Thre was a complaints policy on display and also contained within the service users guide. We spoke with residents and two relatives who told us that if they had any concerns they would speak with one of the staff or the manager. Staff told us they were aware of how to deal with a complaint and that they had been told about complaints and how to deal with them during staff meetings. We spoke with residents regarding being safe at the service. All residents said they felt that staff cared for them well and treated them correctly. Two of the staff we spoke with told us they had received training in safe gaurding adults while another two staff said they had not received this training. We saw training records which showed that training had been delivered to most staff and those who had not received Care Homes for Older People Page 14 of 24 refresher training were due to receive this the following month. Staff were clear on what constituted abusive practice and were very clear on how they would deal with any practice they thought was unacceptable. There is an open and inclusive culture within the home and staff are able to raise issues without this being to their detriment. Residents told us that when they raised issues in the residnets meetings these issues were addressed. Care Homes for Older People Page 15 of 24 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in a clean and pleasant service. Decor and furnishings are residents choice and specialised equipment enables then to be as independent as possible. Evidence: We took a tour of the premises and found them to be clean and tidy and fresh throughout. Comment cards received had identified that two residents thought there needed to be more dusting of their rooms. When we spoke with residents they all said they were happy with their flats and felt they were sufficiently clean and tidy and that they were dusted and vacuumed regularly. The service employs house keepers who work Monday to Friday and at the weekend the care staff will empty room bins and vacuum rooms on request. There is a designated laundry assistant during the week and residents told us that the service was good and that their clothes were well washed and ironed. Each resident has a flat which comprises of a bathroom, kitchenette and large lounge bedroom area. The flats we saw were spacious and well decorated. A maintenance person is employed and any repairs are reported to the management team and are addressed promptly. We were informed by a couple of staff that there was a minor concern over security at night. We discussed this with the person in charge at the time Care Homes for Older People Page 16 of 24 of our visit and were informed that there had been one incident when night staff had believed that someone was trying to enter the building. This was reviewed and all staff carry mobile telephones so they can contact the police if they need to. The exits are locked and alarmed and residents enter the service by the main door. This is security key coded and all visitors need to ring the bell for entry. Bathrooms were clean and tidy and adaptations had been fitted to enable staff to assist residents with bathing in a safe way.Staff told us they had received training in moving and handling and equipment such as hoists had been serviced. We saw that the communal area had a variety of furniture and this was all in good repair. Corridors were clear from possible hazards and a certificate was in place to show the lift had been recently serviced and repaired. We asked residents their views on their flats and they said I have a lot more room here than I would in other homes and The staff keep my room lovely and I like having my meals in the dining room, its a lovely place to sit ,nice touches like a tablecloths and napkins. The AQAA we received indicated that fire safety tests and training take place regularly and the fire system is serviced regularly. We could see staff working to good infection control guidelines and that they were using gloves and aprons when delivering personal care. Care Homes for Older People Page 17 of 24 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. An enthusiastic and trained care team cares for residents. The organisations recruitment procedures are robust and protect residents. Consistent sufficient staffing levels will enable residents needs to be met. Evidence: Residents and relatives we spoke with made very positive comments regarding staff such as They always help you when you ask and They are very good and work very hard They do a very good job and My brother is very well cared for. We received comment cards from both staff and residents which indicated that staff did not have time to sit and talk with residents as much as they used to . Staff told us when we spoke with them that they felt the dependency levels of residents had increased since last year and that they were busier then ever and did not have Any time in the mornings to do more than deliver personal care. We observed staff being very busy in the morning until about 1100am and then we noted that call bells were not ringing for so long. Staff said that at teatime they were also very busy as there was not a cook to assist with giving out teas and thefore this was a task care staff had to do. We looked at the duty rota and could see that where possible bank staff and agency staff had been used to increase the number of staff on each shift. We were told by the Care Homes for Older People Page 18 of 24 assistant manager that they were aware that there were busy times of the day and the staffing rota was being changed to put more staff on duty at busier times of the day. Additionally a recruitment process was in place and a new teatime kitchen assistant had been recruited. Following the inspection we spoke to the manager who confirmed that the new staff rota had been implemented and the feedback from staff and residents was very positive and staff said they had more time to carry out care. We looked at three staff recruitment files. We could see the necessary checks such as written references application forms and criminal record bureau checks had been completed. An induction process is in place and a new member of staff confirmed they had been extra to the numbers of staff on duty when they started work at the home to ensure they had time to learn how to deliver care safely and to each residents preferred way. We looked at training records and could see that training had been delivered in various areas such as basic food hygiene , infection control ,moving and handling and fire safety. A couple of staff said they had not received all mandatory training and the training record showed that some staff were due updates, however generally staff had received training. Staff were supported to gain their NVQs in Care (National Vocational Qualification). This means that they have an increased skill and knowledge base which may mean they are able to deliver an increased quality of care. Staff told us they have staff meetings and we could see that minutes were in place for these meeting. Care Homes for Older People Page 19 of 24 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in a service which is managed by a competent and trained manager. Quality assurance systems are in place to improve the quality of the service. Regular supervision sessions will mean that staff training needs can be identified and met. Heath and safety arrangements keep residents, staff and visitors to the service safe. Evidence: The registered manager was on leave when we visited the service but they had completed the AQAA. We were assisted by 2 of the assistant managers during our visit. Following the inspection we were advised by the manager that the staffing levels had been changed to enable more staff to be on duty at busier times. Most staff told Care Homes for Older People Page 20 of 24 us they found the manager approachable and that she would listen to them.Changes to staffing levels evidence that staff are listened to and the manager is pro active in addressing issues. We could see from the sample of records we viewed that polices and procedure were regularly updated. Supervision sessions take place for staff but these need to be more frequent to meet the standard of six times a year. Residents we spoke with said they liked the manager and She will come and say hello and She is kind and easy to talk to and she is interested in how you are . There is a quality assurance system in place which comprises of questionnaires sent to residents and their families annually. There are monthly staff meetings and resident meetings and a group called Friends of Basingfield Court, who undertake fund raising activities meet every three months. There are monthly visits from one of the organisations representatives. These are required by the commission so the representative can report of the conduct and progress of the home. Part of this reporting includes speaking with staff and residents to obtain their views. Staff informed us, and it is also confirmed by the assistant manager and the manager that currently this does not happen. This may mean that staff views are not considered when changes to the service are made to improve the quality of the care provided. The manager informed us that this issue will be reviewed. Residents financial arrangements were clear and we could see a full audit trail of how monies were kept safe. Care Homes for Older People Page 21 of 24 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 22 of 24 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 23 of 24 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 24 of 24 - 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!