Random inspection report
Care homes for older people
Name: Address: Batchfoot Country House 181 Church Street Upwey Weymouth Dorset DT3 5QE zero star poor service 01/06/2009 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Susan Hale Date: 2 2 0 9 2 0 0 9 Information about the care home
Name of care home: Address: Batchfoot Country House 181 Church Street Upwey Weymouth Dorset DT3 5QE 01305812143 01305812143 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs M C Taylor care home 16 Number of places (if applicable): Under 65 Over 65 16 old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 0 0 1 0 6 2 0 0 9 Batchfoot Country House residential home is established in a large detached Georgian listed building set in its own grounds and mature gardens. It is situated in the village of Upwey, half way between the seaside town of Weymouth and County town of Dorchester. The home is close to the local church, wishing well and other village amenities. The home is registered to accommodate a maximum of 16 service users in the category of old age. The service users accommodation is arranged over three floors, with three bedrooms at ground floor level, six at first floor level and four bedrooms on the second floor. For service users with limited mobility there are three stair lifts, one to the first floor and two to access the top floor of the home. There is a large communal lounge and
Care Homes for Older People Page 2 of 12 Brief description of the care home separate dining room on the ground floor. At basement level there is a storage area, office, laundry room and a staff toilet/shower room. A driveway leads to the home and a car parking area is available to the side of the house. The home is set in its own grounds with large landscaped front and side gardens which boast mature trees and shrubs. The fees for the home, as confirmed to the Care Quality Commission at the time of inspection, range from 401 - 495 pounds per week. Additional charges include hairdressing, chiropody and newspapers. The Office of Fair Trading has published a report highlighting important issues for many older people when choosing a care home, e.g., contracts and information about fees and services. The CSCI has responded to this report and further information can be obtained from the following website: http:/www.csci.org.uk/about_csci/press_releases/better_advice_for_people_ choosing a care home.aspx A copy of the homes inspection report will be made available to anyone wishing to read it upon request to the manager. Care Homes for Older People Page 3 of 12 What we found:
We looked at fire safety records and noted that all fire safety equipment including the emergency lighting had been tested and serviced since the last inspection. The fire risk assessment has been updated and all fire exits had been cleared of obstructions All staff have undertaken fire safety training since the last inspection. An environmental risk assessment has also been completed. We looked at the recruitment files of three people who had started work at the home since the last inspection. Application forms including a health questionnaire, two references, proof of individuals identity and satisfactory POVA First and C.R.B. checks were in place before people started work. Some files contained a job description and some contained a record of the interview. The home has obtained an induction booklet that meets the Skills for Care standard and this will be used for all recently employed and new staff. The home provided a training matrix which showed that four people have undertaken training in the protection of vulnerable adults and a further four people were booked on this course in October 2009. Three members of staff are booked on a training course relating to death and dying. Six members of staff have undertaken training in manual handling since the last visit and three staff have completed training in the safe administration of medicines. However, the training matrix provided by the home showed that eight members of staff have not had any training in health and safety and eight staff have not had training in food hygiene. The majority of staff have not undertaken any training in infection control. What the care home does well: What they could do better:
The number of staff with current up-to-date training qualifications remains low. The range of training offered and accessed by staff is limited. However, the registered provider was able to demonstrate the efforts made to access training courses and assured us that staff would be registered on courses as soon as they became available. The staff application form must make it clear that all conviction including those that are spent under the Rehabilitation of Offenders Act must be declared at application. All staff should be given a job description. A record of interviews should be kept and any gaps in employment history discussed at interview.
Care Homes for Older People Page 4 of 12 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 12 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 7 15 The registered manager 20/07/2009 must ensure that all care plans and reviews accurately reflect the needs of the person and give enough detail to guide and inform staff as to how to met the agreed needs. Not looked at during this inspection. To ensure that peoples needs are met 2 8 13 The registered manager must ensure that all accidents are recorded and evaluated Not looked at during this inspection. To ensure to maintain the safety of those who live and work at the home. 20/07/2009 3 9 13 The registered manager 15/07/2009 must ensure that the receiving, administration, recording of and returning of medication is carried out in accordance with the National Pharmaceutical requirements so as not to put people at risk of harm.
Page 6 of 12 Care Homes for Older People Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action To ensure that medication practices do not put people at risk of harm. 4 19 23 You must ensure that the 13/07/2009 home is maintained as fit for purpose. Not looked at during this visit. To ensure the continued well being of those who live and work within the home. 5 19 23 You must take action to 13/07/2009 ensure that fire safety and a safe means of escape for those who live in the home is maintained at all times. To ensure the safety of all those who live work and visit the home 6 21 23 You must ensure there are 04/08/2009 sufficient wash hand basins in the toilet areas to met the needs of those who live at the home. Not looked at during this visit. To ensure good and safe hygiene practices. 7 26 13 You must update the current 30/07/2009 infection control policy with regards to the use of the laundry. Not looked at during this
Care Homes for Older People Page 7 of 12 Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action visit. To ensure poele are not put at unnessessary risk of harm 8 26 13 The registered manager must ensure that infection control policies are adhered to. Not looked at during this inspection. To promote the well being of those at the home 9 26 13 You must ensure that all food 17/07/2009 is stored in a safe and appropriate manner Not looked at during this inspection. To ensure that people are not put at risk by poor food management 10 30 18 The registered manager must ensure that all staff undergo a formal recorded induction into the work they are going to perform. Not fully assessed at this inspection. This is to ensure people are not put at risk from poor practice 11 30 18 The registered manager 10/08/2009 must ensure that all staff have the necessary statutory training.
Page 8 of 12 13/07/2009 31/07/2009 Care Homes for Older People Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action This is to ensure that peoples needs can be met in a safe manner 12 37 17 All records must be kept in accordance with the Data Protection Act Not looked at during this inspection. This is to ensure the privacy of those who use the service 31/07/2009 Care Homes for Older People Page 9 of 12 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 12 More could be done to evidence that structured activities are available based on peoples individual needs and aspirations. Not assessed at this inspection. 2 3 18 19 It is recommended that all staff including management update their safeguarding adults training. That the home carry out an occupational health assessment with regards to its fixtures and fittings to ensure that existing provision that is being provided does not put people at risk of harm. Not assessed at this inspection. 4 27 It is strongly recommended that more effort is made to evidence that equality and diversity issues are recognised within the home. Not assessed at this inspection. 5 29 Staff application forms should make clear that all
Page 10 of 12 Care Homes for Older People Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations convictions including those considered spent under the Rehabilitation of Offenders act must be declared. Application forms should be checked for any gaps in employment and they should be discussed at interview. A record of staff interviews should be kept. All staff should be given a job description and contract of employment. All references received should be date stamped to evidence that they have been received before the person started work. 6 36 Arrangements should be made to carry out formal supervision. Not assessed at this inspection. Care Homes for Older People Page 11 of 12 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 12 of 12 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
