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Inspection on 27/04/06 for Bassingham Care Centre

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

This inspection was carried out on 27th April 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.

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 are cared for in a safe, environment by staff who are aware of their needs. Care plans identify residents` needs and this helps staff to provide consistent care. People who use the service are happy with the care they receive.

What has improved since the last inspection?

All residents are given a copy of the terms of conditions when they are admitted to the care home. The acting manager has reviewed the medication policy of the care home and introduced checks to ensure that the policy and procedures for the administration and storage of medication is being followed. There have been some progress made in introducing appropriate activities for residents since the last inspection. The acting manager is in the process of appointing an activity organiser. Interviews were held during the week of this inspection, an appointment is imminent. A number of bungalows within the care home are being extensively refurbished.

What the care home could do better:

Staff are not being supervised in accordance with National Minimum Standards, appraisals have not been provided to all staff. While maintenance work is being carried out in the home there is no evidence of a written ongoing maintenance programme.There are many areas of the home, which look tired and worn. The Inspector received a number of written comments from residents and relatives stating that the home is in need of redecoration.

CARE HOMES FOR OLDER PEOPLE Bassingham Care Centre The Old Rectory 2 Lincoln Road Bassingham Lincs LN5 9EY Lead Inspector Mr Ken Hague Key Unannounced Inspection 27th April 2006 09:30 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.V290074.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.V290074.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 Dementia - over 65 years of age (1), Old age, registration, with number not falling within any other category (61) of places Bassingham Care Centre DS0000002504.V290074.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered to provide nursing and personal care for service users of both sexes whose primary needs fall within the following categories:Old age, not falling within any other category (OP) (61) Dementia - over 65 years of age (DE(E) (1) The category DE(E) applies to one named person over 65 years of age who is named in the pre-registration letter dated 21 February 2006. The maximum number of service users to be accomodated is 61. 2. Date of last inspection 05/07/05 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 with 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.V290074.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 6.5 hours. A tour of the premises was undertaken with the assistance of the acting manager and discussion and feedback was given at the end of the inspection. The main method of inspection used was called ‘case tracking’ which involved selecting three residents and tracking the care they receive through the checking of their records, discussion with them and the staff, and where more appropriate observation of interaction between staff and residents and related care practices. A sample of care records was inspected. A member of staff and the acting manager were formerly interviewed. The opinions of four residents were sought. Five additional members of staff were spoken to informally as part of this inspection. The home provided the Inspector with a pre-inspection questionnaire and resident’s feedback forms containing resident’s comments were obtained. Feedback within these forms from residents and relatives are included in the inspection report. What the service does well: What has improved since the last inspection? What they could do better: Staff are not being supervised in accordance with National Minimum Standards, appraisals have not been provided to all staff. While maintenance work is being carried out in the home there is no evidence of a written ongoing maintenance programme. Bassingham Care Centre DS0000002504.V290074.R01.S.doc Version 5.1 Page 6 There are many areas of the home, which look tired and worn. The Inspector received a number of written comments from residents and relatives stating that the home is in need of redecoration. 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.V290074.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.V290074.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): 3&6 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. The home enables residents to visit the home prior to making any long-term decisions. A full assessment is completed for each resident before they are admitted. The detailed assessment makes staff aware of the needs of each individual resident and enables them to meet their needs. Intermediate care services are not provided by the home. EVIDENCE: There were three files sampled as part of the case tracking process. All of the resident’s individual files contained an assessment of need completed prior to admission. The information obtained at the assessments had been transferred onto care plans. The acting manager stated that residents are encouraged to visit the home before making the decision to stay. A resident spoken to during the inspection confirmed this to be the case. The acting manager confirmed that intermediate care beds are not provided by the care home. Bassingham Care Centre DS0000002504.V290074.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): 7,8,9, &10 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. The home identifies the health, personal and social cares needs of each resident and records them on their care plan. This enables staff to meet their needs in a manner, which is described within the individual’s care plan. The medication policy of the home is being followed. Staff respect the dignity and privacy of residents. EVIDENCE: The acting manager described the revised procedure for the administration and storage of medication. This process meets the National Minimum Standards. She stated that all staff are now following this policy, spot checks are being carried out by herself and the Operations Manager. These checks carried out since her appointment provided evidence that medication is being recorded appropriately on individual residents files. There has been action taken to identify a contractor who will collect unwanted medication. A contract has been issued. Staff state only qualified trained staff give out medication. The three individual files for service users being case tracked all contained details of their Bassingham Care Centre DS0000002504.V290074.R01.S.doc Version 5.1 Page 10 health care needs and social care needs. Medical history was recorded as was current medication. Residents stated that staff respect our privacy and dignity. A resident stated “staff are very good”. Bassingham Care Centre DS0000002504.V290074.R01.S.doc Version 5.1 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 the following standard(s): 12,13,14, & 15 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. The home provides organised activities, but residents would like to see the range of activities increased.Family and friends are encouraged to visit the home and keep contact with residents. The home offers a menu which provides choice and meets the dietary needs of individual residents. Residents are able to have choices and control over their own lifestyle. EVIDENCE: The acting manager stated that she had interviewed this week for the post of activity organiser. There were a number of responses in the residents questionnaires, that related to activities. One resident stated there are always activities. Four stated there are usually activities. One resident stated no activities are ever provided. The likes and dislikes of the residents in respect of activities were recorded in care plans. However the activities regularly organised was limited to Bingo on Tuesdays. The acting manager is expecting the situation to change with the appointment of an activity organiser. There is a visiting policy in place, staff state they encourage friends and family to keep in touch. Residents confirmed that visiting is encouraged. Bassingham Care Centre DS0000002504.V290074.R01.S.doc Version 5.1 Page 12 There is a detailed document on residents individual files which states the likes and dislikes of each individual resident this includes their dietary needs. The Inspector observed residents being offered a choice of menu at breakfast. The food was seen to be served in a presentable manner. All residents interviewed stated their satisfaction with the home’s menu. A resident stated in the feedback survey “the meals are always tempting and attractive. A relative of a resident stated that “she eats very well”. A second resident stated “broadly speaking they do very well sweets are exemplary.” The menu included within the pre-inspection questionnaire provided further evidence of choice and variety offered to all residents. Bassingham Care Centre DS0000002504.V290074.R01.S.doc Version 5.1 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 the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. There are robust policies and procedures in place to protect residents. Staff have been provided with training to ensure they can protect residents from any possible abuse. EVIDENCE: The home has a complaint policy known to residents. This has been accessed on four occasions in the last nine months and the procedure has been followed appropriately. Resident stated staff listen to their concerns and complaint. Staff stated that they are aware of a complaint policy and discussed it with Inspector. Staff stated that they take seriously any concerns raised by residents. The home has an abuse policy and the copy of the Lincolnshire County Council Vulnerable Abuse Procedure. Staff have been trained in the recognition and management of abuse. Staff interviewed, were able to describe the appropriate action to be taken in event of them having any suspicion of abuse. Bassingham Care Centre DS0000002504.V290074.R01.S.doc Version 5.1 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 the following standard(s): 19,21,22 & 26 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. Maintenance is being carried out within the care home, but generally the environment is not of a high-quality. Residents feel the decoration standard of the care home is poor. EVIDENCE: Maintenance has been carried out since last inspection but many areas of the home looked tired and worn. Refurbishment of bungalows used for residential residents is being carried out at the present time. Bathrooms were found not being used as storage area as was the case at the last inspection. Specialist equipment was being provided to maximise resident’s independence. The home was found to be clean and hygienic. Bassingham Care Centre DS0000002504.V290074.R01.S.doc Version 5.1 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29, & 30 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. The home is recruiting staff safely and ensuring by training and evaluation that they can meet the needs of individual residents. Residents are therefore been provided with safe care. EVIDENCE: The home had 26 residents on the day of this inspection. It is registered for 61 residents. All staff had received appropriate training to be able to meet the identified needs of the residents who were being case tracked. The acting manager stated that staffing levels would have to be reviewed as the occupancy increased. The care staff interviewed stated that they were able to meet the needs of the residents with present staffing. Residents in stated they felt that there was sufficient staff on duty to meet their needs. The recruitment policy of the care homes has been followed. The Inspector looked at two personal files for new members of staff. This provided evidence that the recruitment policy of the care home and at had being followed all appropriate information required under the care home regulations have been obtained prior to employment been offered. The new members of staff had been provided with an induction. Bassingham Care Centre DS0000002504.V290074.R01.S.doc Version 5.1 Page 16 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): 31,33,35,36 & 38 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. Residents feel the home is run in their best interest. Financial records and procedures are in place to safeguard the financial interest of residents. Staff are not receiving supervision in accordance with the National Minimum Standards. EVIDENCE: The administration officer of the home and acting manager explained the financial procedures in place to protect residents finances. A sample of records seen confirmed that this procedure was being followed. The procedure met the National Minimum Standards. Residents stated that in their opinion the home was been run in their best interest. Two residents spoken to during this of visit confirmed their satisfaction with the care being provided by the care home. A third residents stated “my choice and wishes are considered in Bassingham Care Centre DS0000002504.V290074.R01.S.doc Version 5.1 Page 17 the way that care is provided to me.” The acting manager stated that supervision was not being provided at the frequencies set out in the National Minimum Standards. She has taken steps to introduce a formal supervision procedure. This will include the training of some senior staff to enable them to give supervision to other members of the staff team. There were no health and safety issues identified as part of this inspection. Bassingham Care Centre DS0000002504.V290074.R01.S.doc Version 5.1 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 X X N/a 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 3 3 X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 2 X 3 Bassingham Care Centre DS0000002504.V290074.R01.S.doc Version 5.1 Page 19 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 OP36 Regulation 18-2 Requirement staff must provider was supervision in accordance with the national minimum standards. Timescale for action 01/07/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP19 OP24 Good Practice Recommendations The home should review is with security procedure to ensure that the building is kept secure from intruders The home should provide a lockable item of furniture in the resident’s bedroom. Bassingham Care Centre DS0000002504.V290074.R01.S.doc Version 5.1 Page 20 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.V290074.R01.S.doc Version 5.1 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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