Inspection on 06/06/05 for Basingfield Court

This inspection was carried out on 6th June 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.

Other inspections for this house

Basingfield Court 28/08/08

Basingfield Court 29/08/06

Basingfield Court 12/12/05

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 Peter J McNeillie Unannounced 6th June 2005 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 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 H54 S11774 Basingfield Court V230714 060605.doc Version 1.30 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 Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) rachel.barry@hvhs.org.uk Hampshire Voluntary Housing Group Mrs Rachel Barry CRH 52 Category(ies) of OP Old age - 52 registration, with number PD(E) Physical dis - over 65 - 13 of places Basingfield Court H54 S11774 Basingfield Court V230714 060605.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Not more than 13 service users to be accommodated in PD(E) category Date of last inspection 17th January 2005 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 whom also have a physical disability. All residents are accomodated in single accomodation 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 H54 S11774 Basingfield Court V230714 060605.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the first of two annual inspections for 2005/2006. During this inspection which took place between 08:45am and 02:00pm, the inspector who was assisted by the registered manager spoke with 24 residents and all of the staff on duty. Evidence was also gathered from a tour of the building, reading records, care plans, previous reports comments by management / staff and observations. What the service does well: What has improved since the last inspection? What they could do better: There were no issues identified for action following this inspection this is the second successive inspection no requirements have been made. Basingfield Court H54 S11774 Basingfield Court V230714 060605.doc Version 1.30 Page 6 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 H54 S11774 Basingfield Court V230714 060605.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Basingfield Court H54 S11774 Basingfield Court V230714 060605.doc Version 1.30 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 standard(s) 3 The home has a well developed system of assessing and identifying residents needs which ensures residents safety and whether needs can be met. EVIDENCE: Records seen and comments by staff and residents confirmed prior to admission the manager or a member of the homes management team visited all prospective residents (including short term respite care residents) and carried out a detailed assessment of their needs and any risks involved in their care. Residents confirmed they were consulted and were involved in the assessment process signatures on assessments confirmed this. Records viewed also confirmed consultation with a wide range of health care professionals including GPs, geriatricians, continence advisors, physiotherapists, occupational therapists and care managers. Basingfield Court H54 S11774 Basingfield Court V230714 060605.doc Version 1.30 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 standard(s) 7.8,9,and 10 There is a clear and consistent care planning system in place which ensures residents needs are met and respects their privacy and rights. The home has adequate policies and procedures in place ensuring the medication needs of residents are met. EVIDENCE: All of the residents when spoken with, expressed total satisfaction with the care they were receiving and the manner in which it was delivered. They also confirmed they were consulted about the contents of their individual care plan and the assessments on which the plan was based. All were aware they could view their plan at any time. A sample of eight care plans were viewed. Care plans which were reviewed monthly included information on how identified needs were to be met. Residents confirmed any personal care was given in private, staff always knocked and waited before entering their bedroom, they were able to make / receive telephone calls and receive and converse with visitors in private. Files seen and comments made by staff and residents confirmed consultation with a range of external health care professionals for example, doctors, district nurses, community phychiatric nurses, psycho geriatricians, physio / occupational therapists, continence advisors take place. Other specialists would be consulted on a needs basis. Basingfield Court H54 S11774 Basingfield Court V230714 060605.doc Version 1.30 Page 10 Residents and staff confirmed all were free to choose their own GP and the source of other personal services eg chiropodists, dentists optician etc. Any restriction on choice with regard to a GP was outside the control of the resident or the home’s management. Records and observations confirmed a number of both personal and communal aids had been provided following consultations and a specialist assessment of need. Aids currently in use included walking frames, wheelchairs, hoists, ramps, lifts and special beds. From records seen observations and comments by the homes staff and management, the inspector confirmed all drugs which are dispensed by the pharmacist in a unit dosage system are securely stored, administered and recorded in accordance with the homes drugs policy and procedure by staff trained at the local Basingstoke college. Following written risk assessments, some residents are responsible for administration of their own drugs and medicines. Records seen also confirmed the local pharmacist also visits the home at least six monthly to give advice on all drug related matters.Since the last inspection a copy of the Royal Pharmaceutical Society Guidelines have been obtained and the administration and recording of “as required” medication improved by ensuring it is now the same as prescribed drugs. Basingfield Court H54 S11774 Basingfield Court V230714 060605.doc Version 1.30 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 standard(s) 12,13,14,and 15 The social activities family contacts and the provision of varied and nutritious meals were well managed and reflected service users interests and choices. EVIDENCE: Records seen, comments from staff and observations made during the inspection confirmed a full published programme of activities and social opportunities both in house and community based was available for all residents. Activities currently available include exercise, beetle drives, quizzes, crafts, special pamper days and, gardening in special raised beds etc. All activities provided are as a result of consultation with residents either on a one to one basis or via a residents committee. Residents confirmed visitors were welcome at any time and that they were able to maintain links with the local community through a local day centre,local churches and trips out. Residents also confirmed they were fully consulted and were able to exercise choice in all aspects of their lives ie, when to get up and go to bed, mealtimes (meals at a later time would be provided if they were out at usual meal times) and the facility to take meals in their own rooms. 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 Basingfield Court H54 S11774 Basingfield Court V230714 060605.doc Version 1.30 Page 12 and choices produced by a professional cook was available.Special dietry needs are catered for. Basingfield Court H54 S11774 Basingfield Court V230714 060605.doc Version 1.30 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 standard(s) 16and 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 feel their views 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 or were about to receive training in the procedures to follow should they suspect abuse has occurred. Staff spoken with confirmed they were fully aware of the procedure to follow should they witness or suspect the abuse of any resident. 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 one minor complaint had been received and dealt with complaints had been since the last inspection. The inspector highlighted the need to ensure all entries in the complaints record are signed. Residents spoken to stated they felt comfortable in raising any concerns they had with the home’s management andwere confident any matters raised would be dealt with fairly and promptly but made it clear to the inspector “They never had concerns”. Basingfield Court H54 S11774 Basingfield Court V230714 060605.doc Version 1.30 Page 14 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 standard(s) 19and 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, garden comments from residents and staff confirmed that the purpose built the building was fit for its stated purpose, accessible, safe, well maintained and meeting residents individual and collective needs. Furniture was comfortable and homely and in keeping with the décor. A number of residents commented how satisfied they were with the accommodation in particular the amount of both personal and communal space available. All of the rooms were fully furnished. Aids to assist service users currently 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. All wash hand basins were equipped with soap and towels. Basingfield Court H54 S11774 Basingfield Court V230714 060605.doc Version 1.30 Page 15 Basingfield Court H54 S11774 Basingfield Court V230714 060605.doc Version 1.30 Page 16 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29and 30 Residents needs are met by sufficient numbers of well trained and supported staff who are recruited and selected using a procedure designed to protect all service users. EVIDENCE: Service users spoken to, 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.” 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), 3 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, resulting in a continuity of care. All staff are recruited in accordance with the home’s selection and recruitment procedure which includes the completion of an application form, an interview and satisfactory Criminal Records Bureau (CRB ), Protection Of Vulnerable Adults (POVA)and reference checks. As part of their terms and conditions of employment, all staff agree to undertake NVQ training courses which they start following an induction / foundation course. Additional subjects such as the administration of Basingfield Court H54 S11774 Basingfield Court V230714 060605.doc Version 1.30 Page 17 medication, food hygeine, moving and handling, first aid are also undertaken. Very comprehensive current training records were available for all staff. Records seen confirmed all staff receive regular supervision. Staff spoken to stated how much they enjoyed working in the home and the opportunity to participate in training. Basingfield Court H54 S11774 Basingfield Court V230714 060605.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33,35 and 38 The management of the home seeks the views and opinions of residents residents representatives, visiting health care professionals and safeguards the health and safety of staff and residents through the implementation of safe working practices. EVIDENCE: Basingfield Court H54 S11774 Basingfield Court V230714 060605.doc Version 1.30 Page 19 Records confirmed a quality monitoring system that seeks the views of service users or their representatives and visiting health care professionals had been implemented. Responses to questions relating to the quality of care results from previous surveys were 20 excellent 40 very good and 20 good from the sample of 10 replies surveyed. The inspector was informed no money was being held on behalf of residents who were all responsible for their own finances or received help from a relative or representative. A health and safety policy, control of substances hazardous to health (COSHH) assessments, equipment servicing and accident records were available as were records to confirm all staff have receive training in the techniques of moving and handling first aid health and safety and the procedures to follow in the event of fire (including evacuation). All of the hot water supplies to baths were fitted with thermostatic controls set at 43 degrees centigrade and all radiators and hot pipes were covered. All wash hand basins were provided with soap and towels. Basingfield Court H54 S11774 Basingfield Court V230714 060605.doc Version 1.30 Page 20 Basingfield Court H54 S11774 Basingfield Court V230714 060605.doc Version 1.30 Page 21 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x x 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 3 x x 3 x x x x STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x 3 3 x x 3 x 3 x x 3 Basingfield Court H54 S11774 Basingfield Court V230714 060605.doc Version 1.30 Page 22 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. 1. 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. 1. Refer to Standard Good Practice Recommendations Basingfield Court H54 S11774 Basingfield Court V230714 060605.doc Version 1.30 Page 23 Commission for Social Care Inspection 4th Floor, Overline House Blechynden Terrace Southampton Hampshire, 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. 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