Inspection on 03/05/06 for Belton House Retirement Home

This inspection was carried out on 3rd May 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 10/01/06

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 3rd May 2006 09:45 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.V292346.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.V292346.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 717552 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.V292346.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 DE(E) 10th January 2006 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. 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 and petange areas with a pavillion (with inside and outside seating, 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 purchased their own minibus. There are selfcontained bungalows as part of the site where residents can develop wider social contacts. At the time of the inspection, fees ranged from £465 to £650. Information for prospective residents is available, although a ‘Residents’ Guide’ needs to be updated. Belton House Retirement Home DS0000006458.V292346.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A visit to the home took place on 3rd May 2006, lasting approximately five and a half hours. The main method of inspection used on that day was ‘case tracking’ which involved selecting three residents and tracking the care they receive through review of their records, discussion with them (where appropriate), the care staff and observation of care practices. Four residents and three relatives were spoken to during the course of the visit. The registered manager and the owner were at the home on the day of the inspection. 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. Belton House Retirement Home DS0000006458.V292346.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 Belton House Retirement Home DS0000006458.V292346.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): 3&6 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Assessment practices are thorough, ensuring that residents’ needs are identified prior to their admission. EVIDENCE: One of the residents who were chosen for the purposes of case tracking had recently moved to the home. Records indicated that an assessment of his needs had been completed before he moved in. Assessments for the other residents whose records were inspected had also been reviewed recently. All of the assessments were detailed, covering a wide range of health and social care needs. The home does not provide intermediate care. Belton House Retirement Home DS0000006458.V292346.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): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Action has been taken to ensure that residents’ health & personal care needs are met in a way that protects their privacy & dignity. EVIDENCE: Residents’ health, personal and social care needs were set out in the individual plans that were inspected. Each of the plans had been reviewed on a monthly basis. It was noted that issues relating to the use of residents’ memory boxes and their spiritual needs were featured in their individual plans. Both are seen as good practice. The home had also completed a risk assessment – covering a wide range of issues - for each of the residents. Residents stated that staff at the home would take action to ensure that any health care needs were met. Individual plans contained details of any needs that had been identified and of any action that was felt to be necessary as a result. A record has been kept of all appointments with health care professionals. Belton House Retirement Home DS0000006458.V292346.R01.S.doc Version 5.1 Page 9 None of the residents who were chosen for the purposes of case tracking were able to manage their medication. Records had been kept of all medicines received into the home and administered to residents. A contract pharmacy inspected medication arrangements at the home during November 2005. A record of that inspection indicated that everything was found to be correct. Staff members have received medication training. Residents stated that they were treated with respect. They reported that staff members used their preferred form of address and that they would knock & wait for a response before entering their rooms. Individual plans referred to the need to promote residents’ privacy & dignity. Belton House Retirement Home DS0000006458.V292346.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): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements relating to the daily life of residents and social activities are well managed and appear to meet residents’ expectations. EVIDENCE: Residents stated that they enjoy the activities that are provided. Records indicated that a varied programme of activities had been planned for May, including a visit by a theatre company. One of the residents who were chosen for the purposes of case tracking stated that she receives Holy Communion in her room every week. Other residents confirmed that they are able to attend regular religious services. 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. They confirmed that they are always made to feel welcome whenever they visit the home. 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. They reported that they enjoy the meals that are provided. Meals are Belton House Retirement Home DS0000006458.V292346.R01.S.doc Version 5.1 Page 11 served at two sittings, enabling residents to choose the time that suits them. Records indicated that residents receive a varied diet. Belton House Retirement Home DS0000006458.V292346.R01.S.doc Version 5.1 Page 12 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): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements for dealing with complaints and for responding to allegations of abuse support the protection of residents’ rights. EVIDENCE: Residents and relatives stated that they would discuss any concerns with staff members or the registered manager. A visitor stated that prompt action had been taken in the past when she had raised an issue regarding her mother’s care. The home has not received any complaints since the date of the last inspection. The registered manager agreed to amend the complaints procedure set out in the home’s ‘Residents’ Guide’ to reflect changes to the regulatory authority. Details of an advocacy service are available in the entrance hall. 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. Staff members have received training on the protection of vulnerable adults. Belton House Retirement Home DS0000006458.V292346.R01.S.doc Version 5.1 Page 13 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 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. 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. Residents stated that they are happy with the environment in which they live. They reported that the home is always kept clean and tidy. The areas of the home that were inspected were decorated and furnished to a high standard. A number of residents have furnished their rooms with their own possessions. Belton House Retirement Home DS0000006458.V292346.R01.S.doc Version 5.1 Page 14 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): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing arrangements are generally well managed. EVIDENCE: Residents reported that they are happy with the care they receive from staff members. They stated that they are in safe hands. Staffing levels comply with the requirements set by the previous regulatory authority. The records relating to two members of staff who had recently started work at the home were inspected. One of them contained one written and one verbal reference. The registered manager was reminded that two written references must be obtained. She stated that she had seen a copy of the staff member’s Criminal Records Bureau disclosure from a previous employer but that she had not been able to take a copy. A new disclosure has been applied for. New members of staff complete induction training to the standards set by Skills for Care (the Training Organisation for Personal Social Services). The registered manager stated that four members of care staff have completed National Vocational Qualification level 2 and two NVQ level 3. Three of the eleven members of care staff have recently started NVQ level 2 and one level 3. Records indicate that staff members have received training on a range of issues relevant to their work. Belton House Retirement Home DS0000006458.V292346.R01.S.doc Version 5.1 Page 15 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 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The available evidence indicates that the home is well managed. EVIDENCE: Residents and relatives stated that the home is well managed. The registered manager has completed a NVQ level 4 in management & care. She has attended training on a range of relevant issues. The registered manager stated that she had distributed a questionnaire for residents to complete earlier that week. A previous survey of residents’ views received one response. The home maintains records of any money it handles on behalf of residents. It was noted that one member of staff had signed a couple of entries. The Belton House Retirement Home DS0000006458.V292346.R01.S.doc Version 5.1 Page 16 registered manager was reminded that two staff members should sign each entry. Staff members have received training in first aid, fire safety, food hygiene and moving & handling. Records indicate that fire tests and drills have been completed at the required frequency. Belton House Retirement Home DS0000006458.V292346.R01.S.doc Version 5.1 Page 17 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 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Belton House Retirement Home DS0000006458.V292346.R01.S.doc Version 5.1 Page 18 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. 1. Refer to Standard OP29 Good Practice Recommendations It is recommended that the home obtain a copy of a previous Criminal Records Bureau disclosure when employing someone with previous care experience. Belton House Retirement Home DS0000006458.V292346.R01.S.doc Version 5.1 Page 19 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. Extracts may not be used or reproduced without the express permission of CSCI Belton House Retirement Home DS0000006458.V292346.R01.S.doc Version 5.1 Page 20 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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