Inspection on 13/09/05 for Belmont View

This inspection was carried out on 13th September 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

Belmont View 22/06/07

Belmont View 03/05/06

Belmont View 18/01/06

Belmont View 25/01/05

Belmont View 05/08/04

Belmont View 30/03/04

Similar services:

Claremont House

Oak Ridge

Coopers Mill Ltd

Sun Court Nursing Home

Ashville House

Bramley Avenue (73)

Paradise Lodge

Grangewood

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

CARE HOMES FOR OLDER PEOPLE Belmont View Hailey Lane Hailey Hertford SG13 7PB Lead Inspector Sheila Knopp Unannounced 13 September 2005 10:00 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. Belmont View I52 s19286 belmont view v248658 130905 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Belmont View Address Hailey Lane Hailey Hertford SG13 7PB 01992 450304 01992 459067 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) Quantum Care Limited Ms S Loveday acting manager. Registered Manager, Ms D Green, on secondment Care Home 60 Category(ies) of DE(E) Dementia (over 65) - 60 registration, with number OP Old Age - 60 of places PD(E) Physical Disability (over 65) - 60 Belmont View I52 s19286 belmont view v248658 130905 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 25 January 2005 Brief Description of the Service: Belmont View is a care home providing personal care and accommodation for 60 older people, including those with a physical disability or dementia. It is owned by Quantum Care, which is a voluntary organisation that owns a large number of homes in Hertfordshire. The home is situated on the outskirts of Hoddesdon, with local shops a short distance away. The home was opened in 1996. It is purpose built and consists of a two storey building with two units for 15 people on each floor. All the bedrooms are single and have en-suite facilities. There is a passenger lift. There is a large garden that is well maintained and landscaped in order to provide access to all parts. Belmont View I52 s19286 belmont view v248658 130905 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Two inspectors carried out this unannounced inspection. The information in this report is based on what was observed on the day of inspection and contact with 16 residents, 6 relatives and 7 staff. Care records were reviewed and complaint, accident, fire, medication, and staff training records were checked. At the time of writing this report comment cards had been received from 34 (56 ) residents, 22 relatives, 7 General Practitioners (GP’s) and a social services placement officer. Their views have been included in this report. Including preparation time and analysis of comments cards 12 hours of inspector time has been allocated to this inspection. This was a positive inspection that demonstrated the home continues to provide excellent standards of care and support to its residents. A high standard of housekeeping is maintained and all areas visited were found to be fresh and clean. What the service does well: The overwhelming view of residents and their relatives is that Belmont View is a caring, friendly place to live. There is a lively stimulating environment, which is evident from the dynamic way residents interact with each other and staff. The home is well managed and staff have an excellent understanding of the needs of older people, including those with dementia. Relatives interviewed on the day of the inspection and those who completed comment cards spoke of the caring and friendly attitude of staff. One person said ‘ they care for my mother as I would’. Another person said ‘every one is so kind, which puts my mind at rest knowing he is well looked after’. Another person commented that their relative had got their quality of life back. A comment card received from a social care professional in contact with the home stated ‘ Belmont View is highly thought of as one of the best homes in the area, personally I have been very impressed with their efficiency when assessing people and admitting them. Paperwork is good and staff efficient, excellent manager’. Positive comments were received from 7 General Practitioners – ‘Belmont View is a ‘well run community’, the ‘patients seem well looked after and staff are Belmont View I52 s19286 belmont view v248658 130905 stage 4.doc Version 1.40 Page 6 caring and helpful and competent’, ‘there are excellent standards of care, good working relationships and communication’. 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. Belmont View I52 s19286 belmont view v248658 130905 stage 4.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 Belmont View I52 s19286 belmont view v248658 130905 stage 4.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 A member of the management team visits individuals before admission and gathers information for health and social care professionals to ensure that that their personal health and social care needs can be met at Belmont View. The staff team are competent and experienced in supporting the needs of the residents at Belmont View. EVIDENCE: Details of pre-admission assessments and information from other professionals involved with individual residents form part of the care plan developed on admission. The assessments covered their personal care and physical well-being, health care needs and social needs. Following admission a care plan is put in place detailing how the individual wishes to be cared for and how their needs are to be met. The care plans provide the opportunity for staff to discuss the religious and cultural needs of Belmont View I52 s19286 belmont view v248658 130905 stage 4.doc Version 1.40 Page 9 residents but this information was limited in some of the care plans reviewed. The manager agreed to look at developing staff confidence to approach this area in more detail with residents and relatives. The interviews with staff and residents identified that staff were well trained in caring for residents and demonstrated a skilled approach to residents with dementia. A relative stated ‘We are very impressed and satisfied by the loving and caring attitude of staff’. Belmont View I52 s19286 belmont view v248658 130905 stage 4.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 A high standard of care is provided which supports the health, personal care needs and social needs of individual residents within the home. Residents feel they are treated with dignity and respect by staff and that their relationships with staff are positive. There are safe systems in place for administering medication and supporting those who wish to continue to manage this for themselves. EVIDENCE: Information obtained from 7 General Practitioners and 3 Community Nurses in contact with the home confirmed that high standards of care are provided at Belmont View. The care plans set out the actions required by staff to meet the needs of each individual. Examples of individual preferences and needs that residents discussed with the inspectors were recorded as part of the care plan. Belmont View I52 s19286 belmont view v248658 130905 stage 4.doc Version 1.40 Page 11 Observation of the interaction between staff and residents during the day confirmed residents are treated with dignity and respect. Staff demonstrated skill in promoting a sense of purpose and well being in residents with dementia. The residents observed had received a high standard of personal care and 100 of residents who returned comment cards said they were well cared for. Belmont View I52 s19286 belmont view v248658 130905 stage 4.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, 14 & 15 Belmont View provides a ‘home’ like environment, which supports a lively positive atmosphere involving residents and their relatives. Residents expressed a high level of satisfaction with the activities provided and their level of involvement in decision making within the home. EVIDENCE: Twenty-nine out of 34 residents who completed comment cards said that suitable activities were provided. Thirty-two out of 34 residents who completed comment cards said their privacy was respected. Examples of individual’s likes and interests had been included in the care plan and there were examples of staff encouraging and supporting people to continue with their interests. Residents and their visitors appreciate the garden area and take great interest in watching the abundant wildlife. Belmont View I52 s19286 belmont view v248658 130905 stage 4.doc Version 1.40 Page 13 The level of interaction and interest observed among the residents and their interaction with each other and staff demonstrated that the focus providing a stimulating environment. There is a planned programme of activities but also staff on each unit are actively involved in one to one support and smaller group activities. Residents on the dementia care unit have access to a range of items of day-to-day interest to provide a sense of well being through stimulation and familiarity. It is felt that this area exceeds the minimum standards compared to other similar homes because of the expertise staff have in supporting the social life of it’s residents but particularly those with dementia. For this reason the scoreof 4 has been awarded. A group discussion with three gentlemen identified that also appreciated being able to sit quietly in their rooms when they felt like it. The home has recently acquired a new mini bus and this is used for planned and impromptu trips. Belmont View I52 s19286 belmont view v248658 130905 stage 4.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 & 18 There is an open and positive culture in this home which encourages residents, relatives and staff to speak out. EVIDENCE: 100 of residents who completed comment cards said they felt safe, were well care for and treated well. Residents and relatives expressed the opinion that nothing was too much trouble and as soon as you mentioned something it was done. All 22 relatives who completed comment cards stated they were kept informed of important matters. Staff are aware of the complaints procedure which is given to residents / relatives on admission. The procedure provides clear timescales for a response from the home and company should a formal complaint be received. Details of the Commission’s local office are also provided. No complaints have been raised directly with the Commission between inspections and no concerns have been raised by other health and social care professionals involved with the home. Staff confirm there is an open and positive culture within the home which would enable them to raise issues of concern. Staff receive training in the protection of vulnerable adults as part of their induction and foundation programmes but information was not available to show that long standing members of staff had received a recent up date. Belmont View I52 s19286 belmont view v248658 130905 stage 4.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) Not inspected. EVIDENCE: There have been discussions within the company for some time in relation to extending the dining room on Rowan Unit to provide residents with a more comfortable area in which to have their meals. Belmont View I52 s19286 belmont view v248658 130905 stage 4.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 & 30 Residents are supported by a competent staff team provided in sufficient numbers and mix of skills and experience to meet their needs. EVIDENCE: There is a stable staff team of managers, care and support staff. The home is currently fully staffed and does not require the use of agency staff. Three staff are provided on the dementia care unit with 2 staff on the other units and a ‘floater’. A new member of staff working on the day of inspection was supernumerary as part of his induction. In addition to the care staff there is a manager and duty manager. Each unit also has their own manager. Staff from attached day centre are also available to work in the home before the day centre opens. Four staff are provided at night. On the day of inspection the staff team were confidently meeting the needs of the residents. However two residents spoken to on the day of inspection and 5 relatives who completed comment cards stated there were not always sufficient staff on duty. This appears to be related to unforeseen absences requiring last minute cover rather than a regular occurrence. One relative made the suggestion that the overall establishment should be increased to manage this. Training records are maintained and it was confirmed from the records and staff interviews that induction training, training in care related issues, mandatory health & safety training is carried out. Quantum Care also a Belmont View I52 s19286 belmont view v248658 130905 stage 4.doc Version 1.40 Page 17 dementia care training programme through which staff can progress at varying levels. Belmont View I52 s19286 belmont view v248658 130905 stage 4.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) Not inspected. EVIDENCE: The records of fire safety checks and fire drills were examined. It has been recommended that staff record the reason and follow up action when the alarm bells are activated at times other that the routine weekly check to identify and training or maintenance issues. Examination of the accident records demonstrated that appropriate action is taken and the required authorities notified. Belmont View I52 s19286 belmont view v248658 130905 stage 4.doc Version 1.40 Page 19 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 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 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION x x x x x x x x STAFFING Standard No Score 27 3 28 x 29 3 30 x 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 x x x x x x Belmont View I52 s19286 belmont view v248658 130905 stage 4.doc Version 1.40 Page 20 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 No requirements have been made. 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. 2. 3. 4. Refer to Standard 4 18 19 38 Good Practice Recommendations Develop skills and confidence of staff in identifying and recording the cultural and religious needs of residents.. Provide updated Protection of Vulnerable Adult for long standing members of staff. Company to provide timescales and plans for enlarging Rowan Unit dining area. Record reason for fire alarm activation and any follow up action taken. 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