Inspection on 03/06/05 for Belle Green Court Care Home

This inspection was carried out on 3rd June 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

Belle Green Court Care Home 26/06/07

Belle Green Court Care Home 03/01/06

Belle Green Court Care Home 01/03/05

Belle Green Court Care Home 02/07/04

Similar services:

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Snydale Care Home

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Belle Green Court Care Home Off Belle Green Lane Cudworth Barnsley S72 8LU Lead Inspector Jayne Barnet-Middleton Unannounced 3rd June 2005 09:30am 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. Belle Green Court Care Home J51 S6472 Belle Green Court V230352 03.06.05 UI Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Belle Green Court Care Home Address Off Belle Green Lane Cudworth Barnsley S72 8LU 01226 718178 01226 718178 None. Mr Diwan Chand 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) Mrs Sylvia Foster N Care Home with Nursing 40 Category(ies) of OP Old age (40) registration, with number of places Belle Green Court Care Home J51 S6472 Belle Green Court V230352 03.06.05 UI Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 1st March 2005 Brief Description of the Service: Belle Green Court is a care home providing personal care and accomodation 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 J51 S6472 Belle Green Court V230352 03.06.05 UI Stage 4.doc Version 1.30 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 a.m to 1.30 p.m. Seven service users, eight staff, and the registered manager were spoken to. A sample of records was examined and a partial inspection of the building was carried out. Throughout the inspection positive and professional relationships were observed between staff and service users. The inspector wishes to thank the manager, staff and service users for their time and co-operation throughout the inspection process. What the service does well: The home had a warm, friendly and welcoming atmosphere. Service users were relaxed and happy to talk about the care provided. All service users said that they were satisfied with the care that they received. They described the manager and staff as “very good” and “fantastic”. Service users were observed to be receiving personal care in a manner that respected their privacy and dignity and it was evident that service users who required help to wash and dress had been assisted with this. Routines within the home were flexible. Service users were encouraged to spend their day as they wished. There was a good programme of leisure and social activities available. An activities coordinator was employed and activities such as aromatherapy snooker, shopping trips and crafts took place on a regular basis. A good choice of menu was offered and special dietary needs were catered for. Service users said that they enjoyed their meals and described the food as “very good” and “We can have what we want”. Menus were displayed outside the dining area, in a suitable format to assist service users in choosing their meals. The home was very well maintained and a good standard of accommodation was provided. The manager and staff were commended for the exceptional level of cleanliness that was observed. A training and induction programme for staff was in place that met National Training Organisation (NTO) workforce training targets. All new employees completed a three day in house induction programme before working in the home, to ensure that service users were appropriately cared for and the required standards maintained. Belle Green Court Care Home J51 S6472 Belle Green Court V230352 03.06.05 UI Stage 4.doc Version 1.30 Page 6 Through discussions and observations it was evident that the manager had an excellent knowledge of service users individual needs and that she was committed to providing a good quality of service. Staff and service users described the manager as “approachable”, “committed” and “brilliant”. Service users stated that the manager maintained high standards of care and it was evident that they were confident in the way in which she managed the home. Compliments and thank you cards were displayed in the entrance of the home, which thanked the staff for the care that they provided and for “doing a wonderful job”. 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 J51 S6472 Belle Green Court V230352 03.06.05 UI Stage 4.doc Version 1.30 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 Belle Green Court Care Home J51 S6472 Belle Green Court V230352 03.06.05 UI Stage 4.doc Version 1.30 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) 1,3 and 5. Prospective service users and their relatives were provided with the information that they needed to enable them to make an informed decision about moving into the home. Service users were not admitted to the home without their needs being assessed. Service users were given the opportunity to visit the home prior to their admission. Belle Green Court Care Home J51 S6472 Belle Green Court V230352 03.06.05 UI Stage 4.doc Version 1.30 Page 9 EVIDENCE: A Statement of Purpose and Service Users Guide were available, these provided service users and their relatives with the information that they needed to make an informed choice about living at the home. A full needs assessment was carried out for all service users prior to their admission. The manager stated that she also visited prospective service users prior to their admission. This confirmed that the service was appropriate for the service user, and provided staff with the information to formulate an individual plan of care. Service users said that they had been invited to visit the home prior to their admission, to assess the quality, facilities and suitability of the home. The home does not provide an intermediate care service. Belle Green Court Care Home J51 S6472 Belle Green Court V230352 03.06.05 UI Stage 4.doc Version 1.30 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 and 10. Service users individual needs were assessed and their changing needs were reflected in their plan of care. Service users had good access to health care services, which met their assessed needs. Service users privacy and dignity was respected. Belle Green Court Care Home J51 S6472 Belle Green Court V230352 03.06.05 UI Stage 4.doc Version 1.30 Page 11 EVIDENCE: Two Care plans set out in detail the action that was required by staff to ensure that all aspects of service users care needs were met. The Care plans had been completed with the involvement of the service user, which gave them the opportunity to agree with staff the help that they needed to live as independently as possible. Records of healthcare visits were maintained and these evidenced that other healthcare professionals, e.g. general practitioner, chiropodist and optician, were visiting service users on a regular basis. Nutritional screening was undertaken for service users on admission and regular weight monitoring was taking place to ensure that any health problems could be identified. Service users said that their healthcare needs were met and described the care that they received as “ very good”. One service user described in detail how the staff “understand my needs” and how they assisted her to wash and dress in the morning. Service users were observed to be receiving personal care in a manner that respected their privacy and dignity. One relative via a thank you letter had praised the staff team for the care of their relative and thanked them “for the dignity” whilst caring for their relative. Belle Green Court Care Home J51 S6472 Belle Green Court V230352 03.06.05 UI Stage 4.doc Version 1.30 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) 12,13,14 and 15. The daily routines within the home were flexible and promoted service user choice. There was a good programme of leisure and social activities available. Service users were encouraged to maintain contact with their family, friends and the local community as they wished. Service users were encouraged to make informed decisions with regards to their daily lives. A good choice of menu was offered and special dietary needs were catered for. Belle Green Court Care Home J51 S6472 Belle Green Court V230352 03.06.05 UI Stage 4.doc Version 1.30 Page 13 EVIDENCE: The daily routines within the home were flexible. Service users said that they could spend the day as they wished. Staff interviewed said that it was “the residents choice” as to when they got up, when they retired and how they spent their day. An activities coordinator was employed at the home and activities such as aromatherapy, snooker, shopping trip and crafts took place on a regular basis. Service users spoke positively about the level of activities that were available and said that “We enjoy the bingo and snooker” and “quality entertainment”. One service user said that they were able to “do my own thing” and “I tend to go out a lot”. Service users were able to receive their relatives and friends at any reasonable time. One service user visited her relatives at the weekends and confirmed, “The staff help me book the taxi”. Two service users said that on admission they were encouraged to furnish their bedroom with their personal possessions to create a home from home environment, “We could bring what we wanted, including the stereo and video.” A good choice of menu was offered and special dietary needs were catered for. The cook had been employed at the home for several years and had a good understanding of service users individual needs. She confirmed that the menu was reviewed on a regular basis based on service users likes, dislikes and “what they want “. Service users said that they enjoyed their meals and described the food as “very good” and “We can choose what we like”. One service user said that they did not like the choice offered on the day and that “I have ordered an alternative”. Belle Green Court Care Home J51 S6472 Belle Green Court V230352 03.06.05 UI Stage 4.doc Version 1.30 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. The complaints procedure was clear and accessible. Complaints made by service users and their relatives were listened to and action was taken to deal with complaints promptly. There was an adult protection procedure and all staff had received adult protection training. EVIDENCE: The complaints procedure ensured that service users and their relatives were aware of how to make a complaint and who would deal with them. Service users stated that they were satisfied with the care provided, “we have no grumbles”. They confirmed that if they did have any problems about their care, they were confident that the manager and staff were “approachable” and would listen and resolve any concerns that they may have. There was an adult protection policy and procedure that promoted the protection of service users from harm or abuse. Since the last inspection the manager had reviewed the abuse policy to include the local Barnsley Metropolitan council procedures. All staff had received adult protection training and was able to demonstrate how they protected service users from harm. Belle Green Court Care Home J51 S6472 Belle Green Court V230352 03.06.05 UI Stage 4.doc Version 1.30 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 was clean, comfortable and in the very well maintained. Service users were provided with an environment that was safe, accessible and homely. Belle Green Court Care Home J51 S6472 Belle Green Court V230352 03.06.05 UI Stage 4.doc Version 1.30 Page 16 EVIDENCE: The home was very well maintained and a good standard of accommodation was provided. The manager and staff should be commended for the exceptional level of cleanliness that was observed. All service users said that they happy with the accommodation that was provided and said that the home was “always very clean”. The home was very well decorated in a comfortable and welcoming manner including homely touches of pictures and silk flowers. Furniture and fittings were of a good standard and presented a homely environment. There was a well maintained garden and patio area. Service users said that they enjoyed spending time in the garden during the summer months. Laundry facilities were sited away from food preparation areas and service users areas, to ensure that any soiled linen was not carried through areas where food was prepared and did not intrude on service users. Belle Green Court Care Home J51 S6472 Belle Green Court V230352 03.06.05 UI Stage 4.doc Version 1.30 Page 17 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) 29 and 30. Sufficient and experienced staff was provided that met the assessed needs of service users. A training and development programme was in place. Staff received regular training to update their knowledge and competence. A recruitment procedure was in place that promoted the protection of service users. Belle Green Court Care Home J51 S6472 Belle Green Court V230352 03.06.05 UI Stage 4.doc Version 1.30 Page 18 EVIDENCE: A good skill mix of staff was employed at the home to meet the assessed needs of service users. All service users spoke positively about the care that they received and described the staff team as “very good” and “brilliant”. One member of staff that had been recently been employed at the home confirmed that they had “settled in very well” and that their colleagues had been “very friendly and supportive” during their initial weeks of employment. A training and induction programme for staff was in place that met National Training Organisation (NTO) workforce training targets, to enable them to meet the assessed and changing needs of service users. Staff confirmed that they had attended various training courses that included food hygiene, adult protection, moving and handling and first aid. The manager confirmed that all new employees completed a three day in house induction programme before working in the home, to ensure that service users were appropriately cared for and that the required standards of care were maintained. A thorough recruitment policy and procedure was in place that promoted the protection of service users. Two files checked contained a range of information including two references, declaration of health and qualifications/training and proof of identification. All staff employed had undertaken a Criminal Records Bureau Check at the enhanced level. Belle Green Court Care Home J51 S6472 Belle Green Court V230352 03.06.05 UI Stage 4.doc Version 1.30 Page 19 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) 31,33 and 38. Service users and staff benefited from the leadership, experience and management style of the manager. Policies and procedures were in place that promoted and protected the health, safety and welfare of service users and staff. Belle Green Court Care Home J51 S6472 Belle Green Court V230352 03.06.05 UI Stage 4.doc Version 1.30 Page 20 EVIDENCE: The registered manager had many years experience within the caring profession, which enabled her to contribute to the care of residents and communicate a clear sense of leadership to staff. Staff and service users described the manager as “approachable”, “committed” and “brilliant”. Through discussions and observations it was evident that the manager had an excellent knowledge of service users individual needs and that she was committed to providing a good quality of service. There was a relaxed and friendly atmosphere within the home. Service users spoke positively about the care that they received and described the staff team as “very good”. Several staff spoken to stated that they enjoyed working at the home. They commented that “it is very well organised” and “I would not work anywhere else”. Staff meetings were held on a regular basis, which enabled the staff team to contribute to the development of the service. The staff said that they found the meetings “useful”. The records sampled were very well organised, up to date and securely stored in accordance with the Data Protection Act. A handyman was employed at the home and a routine programme of maintenance was in place. All areas throughout the home were very well maintained which promoted a safe environment. The staff had received regular training, which promoted safe working practices and the health, safety and welfare of service users and their colleagues. Belle Green Court Care Home J51 S6472 Belle Green Court V230352 03.06.05 UI Stage 4.doc Version 1.30 Page 21 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 3 x 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 x 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 3 x 3 x x x x 3 Belle Green Court Care Home J51 S6472 Belle Green Court V230352 03.06.05 UI Stage 4.doc Version 1.30 Page 22 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 None. 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 None. Good Practice Recommendations Belle Green Court Care Home J51 S6472 Belle Green Court V230352 03.06.05 UI Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection Unit 3, Ground Floor Waterside Court Bold Street Sheffield S9 2LR 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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