This inspection was carried out on 3rd January 2006.
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 made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
CARE HOMES FOR OLDER PEOPLE
Belle Green Court Care Home Off Belle Green Lane Cudworth Barnsley South Yorkshire S72 8LU Lead Inspector
Mrs Jayne White Unannounced Inspection 3rd January 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 Belle Green Court Care Home DS0000006472.V274205.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. Belle Green Court Care Home DS0000006472.V274205.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Belle Green Court Care Home Address Off Belle Green Lane Cudworth Barnsley South Yorkshire S72 8LU 01226 718178 01226 718178 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) Mr Diwan Chand Mrs Sylvia Forster Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Belle Green Court Care Home DS0000006472.V274205.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. 3. Persons accommodated shall be aged 60 years and above There are 20 beds registered for nursing (N) only, and 20 beds registered for personal care (PC) only. One specified service user under the age of 60 years may reside at the home. 3rd June 2005 Date of last inspection Brief Description of the Service: Belle Green Court is a care home providing personal care and accommodation for 40 older people. Mr Diwan Chand owns the home. The home occupies a central position in the village of Cudworth in Barnsley, central to all local amenities. The home is a two-storey building. All bedrooms at the home are single with en-suite facilities. There is a passenger lift. The home has a garden area that was well maintained and accessible. Belle Green Court Care Home DS0000006472.V274205.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out from 9.30 to 12.30. Opportunity was taken to inspect a sample of records and talk to residents, staff and the manager. The majority of residents and staff were seen during the inspection and the inspector spoke in more detail to five residents about their views on aspects of living at the home and one member of staff on duty about their knowledge, skills and experiences of working at the home. Throughout the inspection positive and professional relationships were observed between staff and residents. What the service does well: What has improved since the last inspection? 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. Belle Green Court Care Home DS0000006472.V274205.R01.S.doc Version 5.1 Page 6 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 Belle Green Court Care Home DS0000006472.V274205.R01.S.doc Version 5.1 Page 7 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): See below EVIDENCE: Outcomes for this section of the report were checked on the last inspection. Belle Green Court Care Home DS0000006472.V274205.R01.S.doc Version 5.1 Page 8 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): The outcome for standard 9 was inspected. There were no residents’ responsible for their own medication. EVIDENCE: The manager said there were no residents’ responsible for their own medication and that this had been assessed as part of a risk management framework. The policy/procedure that was in place confirmed this. Records were kept of medication received into the home, but the recording mechanism for medication that was not received in the NOMAD system in one instance, there was no method of auditing the amount of medication received, administered and that remaining. The manager said she would address this. Belle Green Court Care Home DS0000006472.V274205.R01.S.doc Version 5.1 Page 9 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): See below EVIDENCE: Outcomes for this section of the report were checked on the last inspection. Belle Green Court Care Home DS0000006472.V274205.R01.S.doc Version 5.1 Page 10 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): See below EVIDENCE: Outcomes for this section of the report were checked on the last inspection. Belle Green Court Care Home DS0000006472.V274205.R01.S.doc Version 5.1 Page 11 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): See below EVIDENCE: Outcomes for this section of the report were checked on the last inspection. Belle Green Court Care Home DS0000006472.V274205.R01.S.doc Version 5.1 Page 12 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): The outcome for standard 27 was inspected The numbers and skill mix of staff met residents’ needs. EVIDENCE: The staff rota for the week of the inspection demonstrated that minimum staffing levels were met and a good skill mix of staff were employed to meet the assessed needs of residents. Sufficient ancillary staff were employed to ensure standards relating to food, meals and nutrition were fully met and the home is maintained in a clean and hygienic state. All residents’ spoke positively about the care that they received and spoke highly of the staff team describing them as “very good” and “brilliant”. There was a member of staff providing care to residents’ who was 17 years old. The manager said the member of staff currently worked supernumerary. The staff rota confirmed this. Belle Green Court Care Home DS0000006472.V274205.R01.S.doc Version 5.1 Page 13 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): The outcome for standard 35 was inspected Residents’ financial interests were safeguarded. EVIDENCE: Residents’ were able to maintain control over their finances if they wished and had the capacity to do so. Where the manager was responsible for the payment of personal allowances, written records of all transactions were maintained. The record of monies held on behalf of a resident was maintained with the balance and monies correlating. On the whole the financial transactions were signed by two persons to confirm the transaction. Where financial transactions occurred the description of what the monies were used for was accounted for by other records and/or receipts. Belle Green Court Care Home DS0000006472.V274205.R01.S.doc Version 5.1 Page 14 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 2 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X X Belle Green Court Care Home DS0000006472.V274205.R01.S.doc Version 5.1 Page 15 Are there any outstanding requirements from the last inspection? NA 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 & 17 Requirement There must be an audit trail for all medicines received, administered and remaining. Timescale for action 03/01/06 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 Refer to Standard OP27 Good Practice Recommendations That staff employed to provide personal care are aged at least 18. Belle Green Court Care Home DS0000006472.V274205.R01.S.doc Version 5.1 Page 16 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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