Inspection on 10/01/06 for Belton House Retirement Home

This inspection was carried out on 10th January 2006.

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

Belton House Retirement Home 17/10/07

Belton House Retirement Home 03/05/06

Belton House Retirement Home 10/05/05

Belton House Retirement Home 21/01/05

Belton House Retirement Home 10/06/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Belton House Retirement Home Littleworth Lane Belton-in-Rutland Rutland LE15 9JZ Lead Inspector Martin Hefferman Unannounced Inspection 10th January 2006 10:00 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 Belton House Retirement Home DS0000006458.V263495.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. Belton House Retirement Home DS0000006458.V263495.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Belton House Retirement Home Address Littleworth Lane Belton-in-Rutland Rutland LE15 9JZ 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) 01572 717682 01572 717682 Mr David Arthur Salter Ms Julie Elizabeth Flaherty Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (22) of places Belton House Retirement Home DS0000006458.V263495.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Home will limit the service to the following Service User categories: Older People 22 (OP) To include a maximum of 4 within the registration of 22 with category of D(E) 10th May 2005 Date of last inspection Brief Description of the Service: Belton House is a 22 bedded residential care home for older people located in the small village of Belton in Rutland. Most bedrooms are well in excess of the Minimum Standard sizes. The home has been the subject of major renovation, which has significantly improved its facilities. This work is nearing completion. A new patio area has been built with level access so that residents can enjoy the well kept gardens. A range of facilities have been provided in the grounds a new putting green, croquet area and petange area with a pavillion (with inside and outside seating area, a disabled toilet and small kitchen for residents / relatives to make drinks). The home orders taxis for residents. There is also a frequent bus service, which able residents can use, and the home has now purchased their own minibus. There are also self-contained bungalows as part of the site where residents can develop wider social contacts. Belton House Retirement Home DS0000006458.V263495.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for service users and their views of the service provided. This process considers the establishment’s capacity to meet regulatory requirements & minimum standards of practice and focuses on aspects of service provision that need further development. This inspection took place over the course of approximately four and a quarter hours. The primary method of inspection used was ‘case tracking’ which involved selecting three residents and tracking the care they receive through review of their records, discussion with them (where appropriate), staff and observation of care practices. Three residents were interviewed during the course of this visit. The registered manager facilitated the inspection. What the service does well: What has improved since the last inspection? What they could do better: The home met twelve of the thirteen standards inspected on this occasion. It had already taken action to address the one shortfall that was identified – i.e. the ratio of qualified staff (standard 28). Belton House Retirement Home DS0000006458.V263495.R01.S.doc Version 5.1 Page 6 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. Belton House Retirement Home DS0000006458.V263495.R01.S.doc Version 5.1 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 Belton House Retirement Home DS0000006458.V263495.R01.S.doc Version 5.1 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 the following standard(s): 6 The requirements of standard 6 are not applicable. EVIDENCE: The home does not provide intermediate care. Belton House Retirement Home DS0000006458.V263495.R01.S.doc Version 5.1 Page 9 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): 8 & 10 Residents’ health care needs are fully met. Staff members treat residents with respect and are mindful of their right to privacy. EVIDENCE: Residents stated that staff at the home would take action to ensure that any health care needs were met. Individual plans contain details of any needs that have been identified and of any action that is felt to be necessary as a result. The home maintains records of all appointments with health care professionals. Residents stated that they are treated with respect. They reported that staff members use their preferred form of address and that they knock & wait for a response before entering their rooms. This was observed during the course of the inspection. The requirements of standards 7 & 9 (Service user plans & Medication) were not fully inspected on this occasion. It was noted that issues relating to the use of a resident’s memory box were featured in her care plan. This is seen as good practice. A sample of medication administration records were found to meet relevant requirements. Belton House Retirement Home DS0000006458.V263495.R01.S.doc Version 5.1 Page 10 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): 13 & 14 Arrangements relating to the daily life of residents are well managed. EVIDENCE: Residents stated that they are able to maintain contact with their families & friends. A number of residents received visitors during the course of the inspection. Residents stated that they are able to determine their own daily routine, deciding, for example, when to get up & to go to bed and how to spend their day. One resident stated that it is like staying in a hotel with the added advantage that help is available if needed. Whilst the requirements of standard 15 (Meals & Mealtimes) were not inspected on this occasion, residents stated that they enjoy the meals that are provided. Meals are served at two sittings, enabling residents to choose the time that suits them. Belton House Retirement Home DS0000006458.V263495.R01.S.doc Version 5.1 Page 11 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): 18 Arrangements for responding to allegations of abuse protect residents’ rights. EVIDENCE: The home has a copy of the local multi-agency policies and procedures on the protection of vulnerable adults. The registered manager indicated that she is aware of the action to be taken in the event of an allegation of abuse. She agreed to amend the home’s abuse procedure to clarify the position with regard to contacting the local Social Services Department. Staff members have received training on the protection of vulnerable adults. Belton House Retirement Home DS0000006458.V263495.R01.S.doc Version 5.1 Page 12 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): 19 & 26 The standard of accommodation is excellent providing residents with comfortable and homely surroundings in which to live. EVIDENCE: The home has been the subject of major renovation, which has significantly improved its facilities. This work is nearing completion. The registered manager stated that action has been taken to address patches of damp in bedroom 11 (a requirement from the last inspection). She reported that further action would be taken as soon as work on the roof has been completed. The areas of the home that were inspected were decorated and furnished to a high standard. They were clean and free from offensive odours. A number of residents have furnished their rooms with their own possessions. Two residents stated that they felt cold although a reading taken on the day of the inspection indicated a suitable temperature. Staff took appropriate action to address the residents’ concerns at the time. Belton House Retirement Home DS0000006458.V263495.R01.S.doc Version 5.1 Page 13 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): 28 & 30 Arrangements for training staff are generally well managed. EVIDENCE: The registered manager stated that two members of care staff have completed National Vocational Qualification level 3 and one NVQ level 2. Three of the thirteen members of care staff were in the process of completing NVQ level 2 and a further five were about to start the award. The registered manager stated that difficulties accessing funding for the training had prevented staff from obtaining the qualification. New members of staff complete induction training to the standards set by Skills for Care (the Training Organisation for Personal Social Services). Records indicate that staff members have received training on a range of issues relevant to their work. Belton House Retirement Home DS0000006458.V263495.R01.S.doc Version 5.1 Page 14 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): 31, 33 & 35 The home is well managed. EVIDENCE: The registered manager has completed a NVQ level 4 in management & care. Records indicate that she has attended relevant training. The registered manager stated that she had undertaken a survey of residents’ views but had only received one response. She has produced an amended questionnaire and intends to complete a further survey. Progress regarding this issue will be checked at the next inspection. The home maintains records of any money it handles on behalf of residents. Two members of staff had signed the records that were inspected. A random check indicated that the recorded balance was correct. Belton House Retirement Home DS0000006458.V263495.R01.S.doc Version 5.1 Page 15 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 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 4 X X X X X X 3 STAFFING Standard No Score 27 X 28 2 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X X Belton House Retirement Home DS0000006458.V263495.R01.S.doc Version 5.1 Page 16 Are there any outstanding requirements from the last inspection? No 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 Belton House Retirement Home DS0000006458.V263495.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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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