Inspection on 29/08/06 for Basingfield Court

This inspection was carried out on 29th August 2006.

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

Basingfield Court 28/08/08

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 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Basingfield Court Huish Lane Old Basing Basingstoke Hampshire RG24 7BN Lead Inspector Keith Hopkins Unannounced Inspection 29th August 2006 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 Basingfield Court DS0000011774.V308248.R02.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. Basingfield Court DS0000011774.V308248.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Basingfield Court Address Huish Lane Old Basing Basingstoke Hampshire RG24 7BN 01256 321494 01256 334064 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.V308248.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Not more than 13 service users to be accommodated in PD(E) category 12th December 2005 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. Fees range from £327 to £504 per week. Basingfield Court DS0000011774.V308248.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Six and a half hours were spent visiting the home, during which time the opportunity was taken to look around the home, view records and policies and to talk to the manager, and deputy manager. The inspector also spoke privately with two members of the care staff, and briefly with other staff during the tour of the building. Most of the service users were observed making use of communal areas and their bedrooms. The inspector spoke privately with three service users, and three other service users were spoken with as a group in the dining room. What the service does well: What has improved since the last inspection? Service users’ enjoyment of their surroundings has been enhanced through the provision of new carpeting in some areas, and care needs better addressed through the installation of improved bathing facilities on the middle floor. Basingfield Court DS0000011774.V308248.R02.S.doc Version 5.2 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.V308248.R02.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 Basingfield Court DS0000011774.V308248.R02.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has assessed the needs of its current service users well. These needs are clearly recorded and known to staff. EVIDENCE: Three service users’ files, one relating to a more recently admitted person, were inspected and needs assessments seen within these files contained a good level of detail. There was, for example, information regarding sight, hearing, mobility, and promotion of continence, together with a detailed medical history. The more recently admitted service user confirmed that she had been assessed before going into the home by the manager. She also confirmed that she was aware of the level of the fees. The manager explained that it was usually herself who undertook the initial assessment prior to any decision regarding admission, and that any changes between the assessment and the admission were noted at the time of admission. The inspector saw evidence that assessments were reviewed after admission, and service users spoken with confirmed their involvement in the review process. One person, Basingfield Court DS0000011774.V308248.R02.S.doc Version 5.2 Page 9 for example, had signed a risk assessment relating to the provision of the care he needed. Staff spoken with were clearly aware of the needs assessments and explained how they met these needs on an individual basis. The home does not admit service users for intermediate care. Basingfield Court DS0000011774.V308248.R02.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 at least once during a 12 month period. 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. The home has a good care planning regime, which addresses identified personal, social and health care needs and involves service users. EVIDENCE: Three care plans were examined and contained information for staff to ensure that all aspects of health, personal and social care needs could be met. Plans are reviewed on a regular basis and service users confirmed their involvement in this process. Staff and the service user sign reviews. Service users also said that staff knew how to help them. One person, for example, said that the staff ‘always come when I want to go to bed’ and another service user confirmed that he was quite independent and liked to attend to his own care, this being recorded in his plan. One service user commented that ‘the young ones looking after us are good…. so are the older ones’ Basingfield Court DS0000011774.V308248.R02.S.doc Version 5.2 Page 11 Plans contained information regarding more specific needs such as chiropody and dentistry and of any need to access the community psychiatric nursing service. One service user was noted to be able to manage her own insulin injections. One service user confirmed that she could access her GP when she wished and the manager explained that one GP held a regular surgery at the home, which was much appreciated by his patients. The home has a policy and procedure for dealing with medication, which enables service users to exercise choice over whether they wish to deal with their own medication. A number of service users are currently doing this and the inspector saw a risk assessment in place in the care documentation of one person doing this. Other service users commented that they were happy for the home to deal with their medication. The drugs cupboard, including the separate controlled drugs cabinet, was secure at the time of the inspection. Records relating to two service users were examined and were in order and up to date. A check was made on one person’s controlled medication with the amount tallying with the record held. Medicines requiring refrigeration were kept in a separate dedicated fridge and the temperature of this was regularly checked. Staff responsible for dealing with medication have been trained. A visitor to the home said that she was very happy with the care provided for her mother and that there was nothing that could be done better. Staff were observed to be providing assistance to service users in a calm and dignified manner, and knocked on doors, awaiting a response, before entering. Service users’ wishes regarding the way in which they are addressed by staff are recorded in their care plan and respected by staff. Basingfield Court DS0000011774.V308248.R02.S.doc Version 5.2 Page 12 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 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users enjoy varied lifestyles and undertake activities of their choice. Visitors to the home are encouraged. Service users enjoy attractively presented meals in congenial surroundings. EVIDENCE: Care plans clearly detail what each service user’s interests are and service users themselves confirmed, variously, that they enjoyed activities such as playing bingo, and doing quizzes and crossword puzzles. The home aims to provide a wide range of opportunities for stimulation and the inspector was told that there were singers who came into the home occasionally, that there was an annual fete and that there was also a twice yearly clothes show. A trolley shop was provided every week on a Friday and there were various other trips out, which were well attended. One service user confirmed that Communion is held once a month in the home and another that he was a keen football supporter, and was able to continue to Basingfield Court DS0000011774.V308248.R02.S.doc Version 5.2 Page 13 pursue this interest. Another service user was said to enjoy swimming and attending a local gym. Visitors to the home are welcomed at all times and the inspector spoke briefly with a visitor who was being entertained by a service user in her bedroom. One service user said she ‘enjoyed outings with my daughter’. Service users are able to move freely around the building and were seen to be making use of all communal areas as well as their bedrooms. The inspector noted that service users had chosen to bring into the home treasured personal items with which to decorate their bedrooms. Menus at the home were varied and the inspector observed an attractively presented meal being served in the dining room at lunchtime. An alternative to the main meal was available and the inspector was told that individual needs could be catered for if need be. Staff were observed to be providing assistance in a discreet and dignified way to service users who needed help in dealing with their food. The dining room was well-decorated and it was clear from observation that meals were very much a social occasion with a great deal of conversation taking place. One service user confirmed that the food was good and that choices were available. Service users are encouraged to take meals communally in the dining room but may use their own rooms if they wish. Basingfield Court DS0000011774.V308248.R02.S.doc Version 5.2 Page 14 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a suitable complaints procedure, which service users are aware of and feel able to use. Service users are protected through an adult protection policy and procedure known to and understood by staff. EVIDENCE: The home has a complaints policy and procedure, a copy of which was included in the information available to potential service users. One service user recalled that a copy of the complaints procedure was included with his contract when he moved into the home. Two of the service users spoken with privately said that they had no complaints and were aware of what to do if they had. Service users appeared to have a good degree of confidence that any issues raised would be dealt with. The home has had one complaint to deal with in the previous 12 months, which was dealt with in a timely manner and substantiated. One service user commented that he had raised an issue with the home regarding the timing of the care given to him when going to bed and that this had been satisfactorily dealt with. Staff when interviewed said that they would report to a more senior person any complaints made to them by service users. The home also has a policy and procedure relating to adult protection, with information produced by Hampshire Social Services being available for staff to consult. Staff have been trained in this and when interviewed confirmed their Basingfield Court DS0000011774.V308248.R02.S.doc Version 5.2 Page 15 understanding of what to do in the case of suspected abuse. Both members of staff interviewed said that they would report anything they needed to. Basingfield Court DS0000011774.V308248.R02.S.doc Version 5.2 Page 16 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a comfortable environment, which is suitably furnished and well maintained. EVIDENCE: The tour of the building showed this to be clean and tidy throughout and there were no undue odours. Communal areas were well furnished and adequate bathroom and toilet facilities with aids were available. Communal areas include an attractive, light and airy dining room and well-furnished lounge areas. The inspector visited three service users in their rooms, which were all adequate in size, and had clearly been personalised, to considerable degrees. Comments made variously by service users included that it was ‘nice to bring in my own furniture’, with one service user saying that he had been ‘agreeably surprised’ with his room. Doors to individual bedrooms each have their own letterbox. Basingfield Court DS0000011774.V308248.R02.S.doc Version 5.2 Page 17 Service users were observed to be freely making use of communal areas, such as the lounge and other communal areas and accessed their bedrooms as they wished. The home’s laundry was inspected and was fit for purpose with machines being automatically fed with detergent and capable of meeting disinfection standards. Members of staff spoken with were clearly aware of good practice and there were procedures in place to deal with soiled items. Staff were aware of these procedures and confirmed that gloves and aprons were available. The building is well maintained with the manager reporting that she felt well supported by the owning organisation and that she had her own budget. Since the last inspection new carpeting has been laid in some areas of the building, which was appreciated by service users. Necessary aids, such as hoists and handrails were available and one service user commented that the new bath ‘was wonderful’. Basingfield Court DS0000011774.V308248.R02.S.doc Version 5.2 Page 18 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. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users are well supported by a well-trained staff team who are deployed in sufficient numbers to meet their needs. EVIDENCE: Previous inspection reports indicate that staff had been employed in accordance with corporate recruitment and selection policies and procedures, which included obtaining a Criminal Records Bureau (C.R.B.) check and references. However, on this occasion the inspector was unable to access all information required in staff records so the home was not able to demonstrate the continuing soundness of its recruitment procedures. Specifically, references relating to two members of staff were unavailable and were said to be held at the organisation’s head office. It did not prove possible to obtain copies of these. Two staff files examined contained evidence of a sound and comprehensive induction process and further details of short courses undertaken. Courses included Safe Handling of Medicines, Moving and Handling, Health and Safety, First Aid, Adult Protection and Alzheimers. Staff spoken with said that there were good opportunities for training and it is understood that the manager is herself trained to provide various courses. It is understood that of the fortytwo care staff employed, twenty-six have obtained a National Vocational Qualification at Level 2 or above. Basingfield Court DS0000011774.V308248.R02.S.doc Version 5.2 Page 19 During the inspection the inspector observed staff interacting with service users in a friendly yet professional manner. The staff rota indicated there to be variously six or seven members of the care staff on duty in the mornings and six in the afternoons. There are three waking members of staff on duty at night. Staff spoken with said that there were generally enough of them on duty to meet service user’s needs. Basingfield Court DS0000011774.V308248.R02.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 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 managed by a qualified and competent manager, supported by comprehensive policies known to staff. EVIDENCE: The home’s manager has worked in the home for a considerable number of years and has obtained the Registered Manager’s Award. The manager is well supported by the organisation and able to fulfil her responsibilities. An annual review of the home’s services is undertaken by way of a questionnaire to service users. The most recent survey took place in July 2006, with a very positive outcome. Basingfield Court DS0000011774.V308248.R02.S.doc Version 5.2 Page 21 The home does not deal with any service users’ monies, it being confirmed by the manager that all service users retain their own benefit books and handle their own financial affairs with varying degrees of support from their families or Social Services. The home has a policy for the control of substances hazardous to health known to staff. Chemicals and other items were securely stored in locked cupboards and staff were aware of health and safety issues. The home has a health and safety policy known to staff. A sample of policies, procedures and records required by regulation were inspected and were in order and up to date. This included the home’s fire records, accident book and various maintenance certificates for items of equipment. Basingfield Court DS0000011774.V308248.R02.S.doc Version 5.2 Page 22 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 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Basingfield Court DS0000011774.V308248.R02.S.doc Version 5.2 Page 23 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. 1 Standard OP29 Regulation 19 Requirement The registered person must ensure that staff references are available for inspection at all times. Timescale for action 30/09/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Basingfield Court DS0000011774.V308248.R02.S.doc Version 5.2 Page 24 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.V308248.R02.S.doc Version 5.2 Page 25 - 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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