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Inspection on 23/12/05 for Bassingham Care Centre

Also see our care home review for Bassingham Care Centre for more information

This inspection was carried out on 23rd December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

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

Residents live in a comfortable, clean and warm home. They are able to bring their own personal belongings into their own rooms to make them more homely. One resident said, `I love my room`. Another resident in the home said, `the staff are wonderful and not only do they look after my physical needs but they also look after my spiritual needs`. Another resident said, staff were `wonderful`.

What has improved since the last inspection?

The home appears cleaner and more homely and comfortable and welcoming. Staff have been redeployed to ensure that they are able to meet residents` needs and staff were happier. Residents now receive terms and conditions of their stay on admission to the home. A new operations manager has been appointed to oversee the group of homes.

CARE HOMES FOR OLDER PEOPLE Bassingham Care Centre The Old Rectory 2 Lincoln Road Bassingham Lincs LN5 9EY Lead Inspector Jean Cope Unannounced Inspection 23rd December 2005 11.30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Bassingham Care Centre DS0000002504.V275776.R01.S.doc Version 5.1 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. Bassingham Care Centre DS0000002504.V275776.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Bassingham Care Centre Address The Old Rectory 2 Lincoln Road Bassingham Lincs LN5 9EY 01522 788215 01522 788509 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) Cornward Limited Care Home 61 Category(ies) of Old age, not falling within any other category registration, with number (61) of places Bassingham Care Centre DS0000002504.V275776.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Service User in the category of Physical Disability (PD) is on a named basis only and is aged 62 years and over. 5th July 2005 Date of last inspection Brief Description of the Service: Bassingham Care Home for Older People is situated in its own grounds in a village location, which has a church, shops and public house. Accommodation is provided in two areas. The main house was a former rectory and has been adapted and extended to provide accommodation for residents on two floors. The first floor is accessed by a shaft lift. Rooms are shared or single and some have en-suite facilities. The main building houses the laundry and kitchen, which provides a service to both units.The second area is of bungalow style units, which provide accommodation for up to two Service Users in each bungalow. The bungalows are self-contained, with a kitchenette, and bathroom, bedroom and sitting room. The bungalows have patio doors on to the garden. A large communal room is available for residents for leisure and social activities. The home has a large garden and is laid to lawn and flowerbeds. In the summer seating areas are provided. There is ample parking both to the front and side of the building. The home is registered to provide care and accommodation for people over 65 years, offering nursing and personal care for 61 Service Users. The home is privately owned and managed, and is one of four homes which are operated as a group. Bassingham Care Centre DS0000002504.V275776.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One inspector undertook this unannounced inspection with the assistance of the deputy manager of the home, Mrs. Ryan over a three hour period. The inspector toured the building, talked with residents and visitors and spoke with the manager and two members of staff. The main method of inspection used was called ‘case tracking’ which involved selecting three residents and tracking the care that they receive through the checking of their records, discussion with them, the care staff and observation of care practices. What the service does well: What has improved since the last inspection? The home appears cleaner and more homely and comfortable and welcoming. Staff have been redeployed to ensure that they are able to meet residents’ needs and staff were happier. Residents now receive terms and conditions of their stay on admission to the home. A new operations manager has been appointed to oversee the group of homes. Bassingham Care Centre DS0000002504.V275776.R01.S.doc Version 5.1 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. Bassingham Care Centre DS0000002504.V275776.R01.S.doc Version 5.1 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 Bassingham Care Centre DS0000002504.V275776.R01.S.doc Version 5.1 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): 6 The home does not provide a service for intermediate care. EVIDENCE: The home does not provide a service for intermediate care. Bassingham Care Centre DS0000002504.V275776.R01.S.doc Version 5.1 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): EVIDENCE: None of these outcomes were inspected on this occasion. Bassingham Care Centre DS0000002504.V275776.R01.S.doc Version 5.1 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): 12 amd 13 Service users visitors, families are made to feel welcomed into the home. EVIDENCE: Visitors were present in the home visiting residents in their own room and also talking in communal rooms. A local minister had visited the home the previous day to see a new resident who unfortunately had not returned from hospital, but had organised to come back the following day to speak with her. A Communion Service is held in the home on a monthly basis, but the vicar will call whenever requested. The local Darby and Joan Club attended the home with the intention of setting up a regular meeting within the home, however none of the residents attended. The organisers have said that they will try again to set up a new group in the Spring. The home was visited by the local church over Christmas who sang some Carols which the residents enjoyed, there was also a Christmas Party which relatives were invited to. Bassingham Care Centre DS0000002504.V275776.R01.S.doc Version 5.1 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): Residents know that their concerns will be taken seriously. EVIDENCE: The home has a complaints procedure, which is available in the written information provided. The deputy manager and her staff take complaints seriously. A local GP was visiting the home and said that she was pleased with the service the home and had no complaints. Bassingham Care Centre DS0000002504.V275776.R01.S.doc Version 5.1 Page 12 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, 20 and 21 The home provides a comfortable and clean environment which is homely and welcoming. EVIDENCE: The home was cleaned to a high standard and was odour free throughout. The bathrooms and toilets were clean and clutter free. Residents and their visitors were sitting chatting in communal rooms which were comfortable and homely. The home had been nicely decorated for Christmas. The home was warm, light and airy. A resident explained how happy she was in her own room where she chose to spend most of her time and how comfortable and happy she was. Residents are encouraged to bring small items of furniture and some of their own belongings to make their rooms more homely. Bassingham Care Centre DS0000002504.V275776.R01.S.doc Version 5.1 Page 13 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 EVIDENCE: Since the last inspection the number of staff working in the bungalows has been increased and the staffing situation has been reviewed. A resident new to the home said that the staff had helped her settle last night which was her first night. Discussion with one resident indicated that he felt that some of the overseas staff did not understand English culture. This was discussed at great length. The resident said that the staff were very helpful and kind. Bassingham Care Centre DS0000002504.V275776.R01.S.doc Version 5.1 Page 14 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 and 35 Robust arrangements have been made to ensure that residents know that their financial interests are protected. EVIDENCE: Since the last inspection the registered manager has retired. The deputy manager is currently running the home, however a new manager has been appointed and should be in post early in the New Year. Staff spoken with were happy with the care that they were able to provide for residents and said that there ‘was a good atmosphere in the home’. One member of staff who had previously left the home had returned ‘to help out’ and was very happy working in the home. Bassingham Care Centre DS0000002504.V275776.R01.S.doc Version 5.1 Page 15 Since the last inspection a new system has been put in place to ensure that residents’ monies are regularly checked and that all transactions are recorded and receipts are retained. Bassingham Care Centre DS0000002504.V275776.R01.S.doc Version 5.1 Page 16 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 3 13 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 3 3 X X X X X STAFFING Standard No Score 27 3 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 2 X X Bassingham Care Centre DS0000002504.V275776.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP9 Regulation 13(2) Requirement Timescale for action 30/01/06 2. 3 OP31 OP33 8 24 10. OP36 18(2) Medication record sheets must be signed and reasons offered if a medication has not been given. On this occasion this was not inspected. The home must have a 05/07/06 registered manager. The registered person must 05/07/06 ensure that the home is run in the best interest of the residents. Some evidence must be available to confirm this. All staff must be supervised 05/07/06 appropriately. 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 Bassingham Care Centre DS0000002504.V275776.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Bassingham Care Centre DS0000002504.V275776.R01.S.doc Version 5.1 Page 19 - 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. 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