Inspection on 03/07/07 for Belford Care

This inspection was carried out on 3rd July 2007.

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

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Belford Care Ltd Belford House Care Home Lymington Bottom Four Marks, Alton Hampshire GU34 5AH Lead Inspector Peter J McNeillie Key Unannounced Inspection 3rd July 2007 09:00 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 Belford Care Ltd DS0000068833.V341168.R01.S.doc Version 5.2 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. Belford Care Ltd DS0000068833.V341168.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Belford Care Ltd Address Belford House Care Home Lymington Bottom Four Marks, Alton Hampshire GU34 5AH 01962 773588 01962 772511 belfordhouse@aol.com 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) Belford Care Limited Mr Michael Richard Curtis Care Home 30 Category(ies) of Dementia - over 65 years of age (8), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (8), Old age, not falling within any other category (30) Belford Care Ltd DS0000068833.V341168.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection New service Brief Description of the Service: Belford House is a privately owned and registered care home providing care for up to 30 private and local authority residents 8 of whom may have dementia. The home, which is located in the village of Four Marks, is set in attractive gardens that are accessible to residents provides accommodation in 24 single and 3 double rooms. Ample parking is available. The North Hampshire town of Alton is within a short travelling distance as are the town of Basingstoke and the cities of Winchester and Portsmouth which are approximately 30-45 minutes travelling time. A large sheltered housing service under the same ownership but a separate management is located on the same campus. Fees varied between £327. And £510.) Per week. Belford Care Ltd DS0000068833.V341168.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced visit was the first inspection since the home was registered in January 2007 and took place on 03/07/07 between the hours of 09.00 am and 1.30 pm during which all of the key standards for care homes for older persons were assessed. A number of sources of information/evidence were considered in producing this report including a visit to the home, notifications to the Commission for Social Care Inspection (C.S.C.I.) under regulation 37, examining service users assessments/care plans, staff recruitment/ training records, policies / procedures comments by management, staff, service users and the results of an in house service user satisfaction survey and information provided by the manager in a statutory Annual Quality Assurance Assessment (A.Q.A.A). The results/findings contained in this report will determine the frequency and type of future inspections What the service does well: What has improved since the last inspection? Not applicable as this was the first inspection since registration. Belford Care Ltd DS0000068833.V341168.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Belford Care Ltd DS0000068833.V341168.R01.S.doc Version 5.2 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 Belford Care Ltd DS0000068833.V341168.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a system of assessing and identifying residents needs which ensures their safety and that there assessed needs can be met. Belford Care Ltd DS0000068833.V341168.R01.S.doc Version 5.2 Page 9 EVIDENCE: Samples of three resident’s pre admission assessments were viewed. These confirmed that residents were only admitted following a visit to the home and a detailed assessment of need and risk by a member of the homes management team being carried out. Any prospective resident or residents relative/representative are encouraged to initially visit the home unannounced/without an appointment to assist them in gauging whether it provides a suitable environment for them. Comments by residents and records confirmed consultation and contributions by residents to their assessment. Records also confirmed assessments of need and risk for all residents are reviewed on a regular basis and care plans (Section 7-11 of this report refers) adjusted if required. Respite care is not available in the home. Belford Care Ltd DS0000068833.V341168.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10. Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The arrangements for planning care are clear ensuring that the health, personal care and medication needs of residents are met and their privacy and rights respected. EVIDENCE: A sample of three residents care plans/records were viewed and a number of residents spoken to individually or in groups. All of the residents spoken with confirmed they were very happy, contented, liked the staff and management, were treated with respect felt wanted and would recommend the home to anyone. Belford Care Ltd DS0000068833.V341168.R01.S.doc Version 5.2 Page 11 During our visit we observed staff dealing with residents in patient a kindly, and pleasant manner, knock on bedroom doors and wait before entering and treat residents with respect, and dignity. Apart from the above resident’s observations, comments such as “ The best”, “Four star hotel service”, ”We want for nothing”, ”The staff are kind and helpful” and “Lovely” are a sample of the comments made to describe what living in the home was like. All of the plans viewed, which were based on pre admission assessments of need and risk were reviewed monthly, updated to reflect changing needs and included confirmation that residents were consulted about and participated in the production of the plan. Residents spoken with confirmed they were able to see the doctor or any other health/social care professional of their choice when they needed to. Residents currently have a choice of twenty doctors from six local practices this allows for residents to consult a doctor of the same gender as themselves if they wish. Residents are also able to consult with a community nurse allocated to the home by a group of local GP practices. The staff and management spoke in glowing terms about this arrangement, which they felt had improved the service to residents considerably. Records were kept of appointments with GPs, dentist, optician, chiropodist and any other external health/social care professional and included details of an advice/treatment given by them. Medication records seen confirmed that all prescribed drugs and medicines, which are securely stored, are dispensed by a pharmacist and administered by trained staff. The record of drugs and medicines administered to residents and unwanted drugs disposed of were complete and accurate. A procedure that ensures residents who wish may assume responsibility for their own medication was in place. Records indicated following a risk assessment, one resident was totally responsible and three residents partially responsible for there own medication. Belford Care Ltd DS0000068833.V341168.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The social activities, family contacts and the provision of varied and nutritious meals were well managed and reflected service users interests and choices. EVIDENCE: A selection of recreational activities was available to residents. Current activities on offer include, quizzes, scrabble, cards, keep fit, dancing, games as well as visiting entertainers and occasional trips out. Residents confirmed there was plenty to do and that participation was up to the individual, no one was forced to join in. The home has regular visits from both local Church of England clergy and a Roman Catholic priest who conduct services/communion in the home. Belford Care Ltd DS0000068833.V341168.R01.S.doc Version 5.2 Page 13 The needs of members from any other Christian denominations or other faiths can be catered for. No members from other faiths are currently residing in the home. We were informed if member of other faiths were resident, arrangements would be made to meet their needs. Residents confirmed they were fully consulted and were able to exercise choice in all aspects of their lives i.e., when to get up and go to bed, mealtimes and where meals are taken, visiting times and the right to receive and converse with visitors in private. An in house non- profit making shop was available selling such items as toiletries, sweets and any thing the residents felt they needed. The quality, quantity, presentation and choice of food served came in for particular praise from the residents. A full and varied menu based on individual likes, dislikes and residents choices was displayed. Every day the cook speaks to each resident to find out what they wish to eat from a list of three main courses for the mid day meal including a salad. Vegetarians and persons on special diets religious or medical can be catered for. A large choice is again available for the evening meal and breakfast For which every resident has an individual choice meaning that up to thirty options could be served every morning. We observed residents taking their mid day meal which was served in a relaxed unhurried meal with staff available to give any resident assistance should they require it. Belford Care Ltd DS0000068833.V341168.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 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: An in house Adult Protection policy/procedure that operates in tandem with the policy and procedure produced by Hampshire County Council designed to protect vulnerable residents from abuse was available as were records to confirm all staff had received training. Records viewed and staff spoken with confirmed they had received training in recognising abuse. All were able to demonstrate they knew what to do should they witness or suspect the abuse of any resident. Belford Care Ltd DS0000068833.V341168.R01.S.doc Version 5.2 Page 15 The homes complaints procedure which was also included in the service users guide and the brochure given to all residents on admission included information on how to contact The Commission for Social Care Inspection (C.S.C.I) was seen as was a record of complaints. Residents spoken to said felt comfortable in raising any concerns they had with the homes management and confident any matters raised would be dealt with fairly and promptly. Belford Care Ltd DS0000068833.V341168.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A safe, well maintained, clean and suitably furnished home is provided for residents which meets their needs. EVIDENCE: The home about was clean, hygienic, free from adverse odours, safe and well maintained. All communal areas are accessible by residents including the garden where there is a patio seating area accessed directly from one of the lounges. Belford Care Ltd DS0000068833.V341168.R01.S.doc Version 5.2 Page 17 Furniture, which met resident’s individual and collective needs, was comfortable in a good state, and homely in keeping with the décor. Apart from personal mobility aids a number of communal aids had also been provided to assist residents, these included, lifts, hoists, special baths, grab rails, and ramps. Residents commented how satisfied they were with their accommodation. There is a rolling programme of maintenance to ensure that the building is decorated and kept safe for residents and staff. Future plans include providing a new bath/shower room and patio. Belford Care Ltd DS0000068833.V341168.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s needs are met by sufficient numbers of well trained and supported staff who are recruited and selected using a procedure designed to protect all residents. EVIDENCE: The staff rota indicated the usual deployment of care staff would be five in the morning, four in the afternoon /evening and two overnight plus a cook and three domestics. These numbers do not include the registered manager, joint proprietor and the day- to- day manager. The inspector viewed three staff employment/training files which indicated all staff are recruited and employed in accordance with the homes recruitment/ selection policy and procedure which involves the completion of an application form, the signing of a rehabilitation of offenders declaration, an interview, Belford Care Ltd DS0000068833.V341168.R01.S.doc Version 5.2 Page 19 satisfactory Criminal Record Bureau and Protection of Vulnerable Adults and reference checks prior to commencing employment. On commencement of employment all new staff undergo detailed induction training during a probationary period of employment. The training of staff and achieving qualifications is given a high priority within the home. All care staff undertake National Vocational Training in care to at least level two Records indicated 60 of staff had been trained to at least N.V.Q. level two, this figure is represented by 36 at level two, 20 at level three and 4 at level four. Apart from the above training the inspector saw evidence of additional training/training courses that had been completed or planned, these included courses on, dementia, M.R.S.A., bereavement, terminal care, challenging behaviour, food hygiene, infection control, protection of vulnerable adults and staff supervision. Residents spoken to confirmed, staff appeared “well trained”, “always seemed to have time to help them”, “patient”, “willing”, pleasant” and “cheerful”. Belford Care Ltd DS0000068833.V341168.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management of the home ensures the health, safety and welfare of residents and staff are promoted and the home is run in the best interests of the residents whose views about living in the home are formally sought. EVIDENCE: The service is jointly well managed on a day to day by the provider / registered manager Mr Michel Curtis who has a considerable number of years Belford Care Ltd DS0000068833.V341168.R01.S.doc Version 5.2 Page 21 experience in a senior capacity and a day-to-day manager who is also very experienced and qualified to N.V.Q. level four. Staff confirmed, management have an open door policy, and encourage them to share any concerns or ideas they have to improve the service. There are clear lines of accountability within the home all staff were fully aware of there responsibilities. The inspector viewed responses to a Service User Satisfaction Questionnaire, as a part of the home’s quality assurance programme, which confirmed resident’s satisfaction with the services offered. At the time of the inspections the views of resident’s relatives/representatives and visiting health/social care professional was being sought. The home’s manager stated that no monies were held on behalf of residents but they do hold travel tokens on behalf of residents for which separate records are kept. A health and safety policy and procedure designed to protect and keep both residents and staff safe was in place. Staff were observed to practice good infection control methods by using disinfectant soap/hand gel, disposal aprons and gloves and in the manner in which soils linen was transported to the laundry. During the visit, we observed no immediate obvious hazards to health and safety. Cleaning materials and chemicals were securely stored, 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. Control of substances hazardous to health (COSHH) assessments, fire safety assessments, (produced by a fire consultant), equipment servicing and accident records were all available as were records to confirm all staff have receive training in the techniques of moving and handling first aid, food hygiene health and safety and safety and the procedures to follow in the event of fire, including evacuation. Belford Care Ltd DS0000068833.V341168.R01.S.doc Version 5.2 Page 22 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 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Belford Care Ltd DS0000068833.V341168.R01.S.doc Version 5.2 Page 23 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. 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. Refer to Standard Good Practice Recommendations Belford Care Ltd DS0000068833.V341168.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Belford Care Ltd DS0000068833.V341168.R01.S.doc Version 5.2 Page 25 - 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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