Inspection on 08/08/05 for Bedhampton Nursing Home

This inspection was carried out on 8th August 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

Bedhampton Nursing Home 16/05/07

Bedhampton Nursing Home 06/02/07

Bedhampton Nursing Home 13/02/06

Bedhampton Nursing Home 03/02/05

Bedhampton Nursing Home 20/04/04

Bedhampton Nursing Home 11/11/02

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 Bedhampton Nursing Home 55 Hulbert Road Bedhampton Havant, Hampshire PO9 3TB Lead Inspector Val Sevier Unannounced 08/08/05 10.00am 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. Bedhampton Nursing Home H54 S11476 Bedhampton Nursing Home V240945 080805.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Bedhampton Nursing Home Address 55 Hulbert Road, Bedhampton, Havant, Hants, PO9 3TB 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) 02392 475125 Cheer Health Limited Mrs Lindsey Janet Gurney CRH 30 Category(ies) of OP, PD(E), TI(E) registration, with number of places Bedhampton Nursing Home H54 S11476 Bedhampton Nursing Home V240945 080805.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 03/02/05 Brief Description of the Service: Bedhampton Nursing Home is residential Care Home for older persons. It is registered to accommodate thirty service users over the age of sixty-five years who require nursing and those who have life limiting disease. It is situated in a residential area close to local amenities and is accessible by train and local bus services. It is a family residence that has been extended. Service users have access to a mature garden the rear of the home. Car parking space is available at the front of the home. Bedhampton Nursing Home H54 S11476 Bedhampton Nursing Home V240945 080805.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over 3.5 hours during which time the inspector was able to speak with one of the nurse managers and the responsible individual, the registered manager having been on night duty was unavailable on this occasion. The inspector was able to speak with several residents and staff throughout the inspection all of whom spoke positively about their experiences. What the service does well: What has improved since the last inspection? There were no requests for action from the last inspection and the management and staff team have continued to consolidate their service provision. Bedhampton Nursing Home H54 S11476 Bedhampton Nursing Home V240945 080805.doc Version 1.40 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. Bedhampton Nursing Home H54 S11476 Bedhampton Nursing Home V240945 080805.doc Version 1.40 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 Bedhampton Nursing Home H54 S11476 Bedhampton Nursing Home V240945 080805.doc Version 1.40 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, 4 and 5. Standard 6 is not applicable in this home. The home has a good understanding of the resident’s physical needs using the assessment process. The home has sufficient and understandable information to enable an informed choice for prospective residents and families. EVIDENCE: The inspector looked at 5 care plans and each individual had had an assessment prior to moving to the home. The assessments are clear, with information about physical and psychological needs of the individuals. It was observed that the information gained through the assessment had been used to complete the care plans, with the exception of mental health needs. A relative spoken with on the day, explained what had happened at the assessment for her relative and how she had been involved when the resident was unable to speak for themselves. The relative felt that the needs could be met. Bedhampton Nursing Home H54 S11476 Bedhampton Nursing Home V240945 080805.doc Version 1.40 Page 9 The inspector was able to observe interaction between the staff and residents at the home. The manager explained that staff were to undertake training in dementia and communication and this will be reviewed at the next visit. Staff spoken with had an understanding of the needs of individuals and said they felt able to ask the manager and deputy if they were unsure. The admissions policy and service users guide state that prospective residents and their relatives or representatives are encouraged to visit the home. Relatives commented in feedback that they had been welcomed on the visit to the home and had been able to speak with other relatives before making a decision. Bedhampton Nursing Home H54 S11476 Bedhampton Nursing Home V240945 080805.doc Version 1.40 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 standard(s) 7, 8, 9, 10 and 11 The care plans seen were sufficiently comprehensive in the areas identified, with involvement of other professionals as needed. Staff were observed to behave appropriately with residents identifying their emotional and physical needs. EVIDENCE: The inspector viewed five care plans in conjunction with a sample of medication records and other health monitoring tools used at the home. When looking that the care plans it was seen that other professionals were also involved as necessary, with some individuals receiving continuing support from psychiatric services for example. The care plans had clear identified needs and action to be taken by staff to assist the residents. It also had the strengths and abilities of the individuals, which staff could then help to maintain. There were risk assessments and action to reduce risk such as use of appropriate moving equipment and bed rails. The only issue, which was discussed at the time, was that there was no evidence of a plan to meet the mental health needs for those with dementia. Bedhampton Nursing Home H54 S11476 Bedhampton Nursing Home V240945 080805.doc Version 1.40 Page 11 This has been discussed and training has already been planned for staff at the home. These residents are still supported by Psychiatric nurses and Doctors from the hospital. The care plans had been reviewed regularly and daily notes had been written enabling the inspector to have a picture of the daily life at the home for some. From written evidence of care plans and speaking with staff it would appear that the staff are equipped with knowledge and skills to care for the physical needs of people at the home. It would also seem speaking with staff and from relative’s feedback that no one is afraid to ask questions about issues of concern about needs. It was seen in the care plans that physical health needs are also addressed with arrangements for one resident having been made regarding new dentures. It was also seen that other residents have access to opticians and dentists as needed. Relatives feedback indicated that they were involved in the care planning having meetings with the manager. This was evidenced by the signatures of relatives on the care plans indicating that they were aware of staff action and support. The senior staff are responsible for the ordering, storage and oversee the administration records for medication and auditing them now. The manager on the day explained that the pharmacist and GP are supportive regarding medication. The recent audit had highlighted some concerns regarding the administration records the inspector also saw this. The management explained that a meeting and training session had been organised for the 15th August and further training in September. All procedures were followed as regards to the storage and ordering of medication. Staff were observed speaking and assisting the residents with dignity and respect and it had been seen on care plans that the preferred choice of name had been recoded and staff were heard to speak to residents by the name they wished. Bedhampton Nursing Home H54 S11476 Bedhampton Nursing Home V240945 080805.doc Version 1.40 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 standard(s) 12, 13 and 14. The social needs of the residents at the home are as varied as they are individuals and the home is accommodating many needs. Residents are enabled to maintain interests and activities within the community. Dietary needs of residents are well catered for with a varied selection of food that meets resident’s tastes and choices. EVIDENCE: It was seen in care plans that social and recreational interests had been recorded and a record kept of the observation when an individual participates in an activity. Relative’s feedback indicated that they were happy with the activities. Residents also confirmed that they were able to participate or not in the activity of the day. Some resident’s chose to stay in their room watching television or knitting. Visitors sign in at the home and information for them and others is available in the hallway by the signing in book. Bedhampton Nursing Home H54 S11476 Bedhampton Nursing Home V240945 080805.doc Version 1.40 Page 13 The menu is available daily in the hallway and the residents are offered a choice of meal and their preference is recorded with copies kept. Fruit was seen to be available and residents can choose where to have their meals. Residents spoken with said they liked the meals, relatives feedback also said they were happy with what they had seen and some had meals with their relatives when they visited. The care plans seen, indicated that dietary likes and dislikes had been observed and nutrition was monitored to ensure adequate dietary intake. Where there were issues and concerns action was seen to have been taken regarding how food is offered. Bedhampton Nursing Home H54 S11476 Bedhampton Nursing Home V240945 080805.doc Version 1.40 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 standard(s) 16 and 18. It would seem the staff in conjunction with the manager have worked at establishing a sense of openness at the home so that relatives and residents can voice their concerns. It would seem when talking to staff that they also feel that they can voice concerns especially regarding the care of the residents. EVIDENCE: There have been no complaints made since the last inspection to either the home or to the CSCI. Relatives were aware of how to complain and said they felt comfortable in speaking with the manager or deputy about any issues. There have been no allegations regarding adult protection at the home. The manager undertakes training the staff in this area, and staff spoken with were aware of the whistle blowing policy and the training. Bedhampton Nursing Home H54 S11476 Bedhampton Nursing Home V240945 080805.doc Version 1.40 Page 15 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) 19 and 26. The home appears homely and clean, with personalisation encouraged. EVIDENCE: The inspector undertook a tour of the home and was able to see that many rooms had been personalised with resident’s personal belongings including in one case their bird. In others where there were few personal possessions the home undertakes to make them as ‘homely’ as possible. There were no odours detected in the home. The laundry was seen and soiled and clean linen are dealt with appropriately. Bedhampton Nursing Home H54 S11476 Bedhampton Nursing Home V240945 080805.doc Version 1.40 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, 29 and 30. The level of staff and training programme would seem to meet the needs of the residents. The home undertakes checks within the recruitment process to ensure residents safety. EVIDENCE: The inspector was able to see the rotas for the week of the inspection and older ones. All indicated that the staffing at the home is two nurses and six care staff in the morning with one nurse and four care staff in the afternoon. At night here is one nurse and two care staff. The staff spoken with felt that there was adequate staff and that holiday and sickness are always covered to ensure residents needs are met. The home has a clear recruitment policy that covers all the elements for the protection of residents including criminal records checks, POVA checks and references. Staff files that were read evidenced that this policy was being met. There is a training programme for the forthcoming year including mandatory training and areas needed to meet resident’s needs such as infection control, wound management, catheter care and a refresher course on medicines. The management have undertaken to participate in the training offered by Hampshire County Council in dementia for managers and care staff. Bedhampton Nursing Home H54 S11476 Bedhampton Nursing Home V240945 080805.doc Version 1.40 Page 17 Bedhampton Nursing Home H54 S11476 Bedhampton Nursing Home V240945 080805.doc Version 1.40 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, 36 and 38. The home is run with the interest of residents being considered through a good programme of self-review and consultation. Health and safety is attended to protecting the well being of all at the home. EVIDENCE: The management have established an auditing / quality tool at the home based on the National Minimum Standards, whereby areas are looked at on a monthly basis, in a complimentary manner to the Regulation 26 visits. From these audits action is planned as necessary for example the extra training in medication administration records. The home is achieving supervision six times throughout the year for staff with yearly appraisals for planning training. Bedhampton Nursing Home H54 S11476 Bedhampton Nursing Home V240945 080805.doc Version 1.40 Page 19 Mandatory safety training in moving and handling is up to date as are first aid and food hygiene. The fire safety records were seen and it was noted that these have been maintained. Bedhampton Nursing Home H54 S11476 Bedhampton Nursing Home V240945 080805.doc Version 1.40 Page 20 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 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION 3 x x x x x x 3 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 3 x 3 x x 3 x x 3 x 3 Bedhampton Nursing Home H54 S11476 Bedhampton Nursing Home V240945 080805.doc Version 1.40 Page 21 No 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 Bedhampton Nursing Home H54 S11476 Bedhampton Nursing Home V240945 080805.doc Version 1.40 Page 22 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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