Inspection on 20/01/06 for Bempton Old Rectory

This inspection was carried out on 20th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Bempton Old Rectory 13/10/09

Bempton Old Rectory 15/10/08

Bempton Old Rectory 28/09/06

Bempton Old Rectory 18/10/05

Bempton Old Rectory 08/03/05

Bempton Old Rectory 27/10/04

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Snydale Care Home

Hawkhills

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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 Bempton Old Rectory Vicarage Lane Bempton Bridlington East Riding Of Yorks YO15 1HF Lead Inspector Ann Day Unannounced Inspection 20th January 2006 11.00 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 Bempton Old Rectory DS0000019648.V274571.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. Bempton Old Rectory DS0000019648.V274571.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Bempton Old Rectory Address Vicarage Lane Bempton Bridlington East Riding Of Yorks YO15 1HF 01262 850072 01262 850072 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) Mrs Dorothy Hunter Care Home 17 Category(ies) of Dementia - over 65 years of age (17), Old age, registration, with number not falling within any other category (17) of places Bempton Old Rectory DS0000019648.V274571.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th October 2005 Brief Description of the Service: Bempton Old Rectory is situated within the small village of Bempton, near the costal resort of Bridlington. The home is registered to care for a maximum of 17 older people some of whom may experience some memory impairment. The home is a grade two listed building, which has been extended and refurbished for its purpose and thus provides service users with a homely and comfortable environment. The village has a number of local amenities including pub, village shops as well as a bus service to nearby Bridlington. Bempton Old Rectory DS0000019648.V274571.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over four hours on 20th January 2006. There were 17 service users resident in the home, receiving personal care. The inspection focused on a number of key standards. A tour of the premises took place, including a number of bedrooms, the homes dining room, lounges and bathrooms. The care records of two service users were examined in detail and a number of service users were spoken to and asked about the care they receive. There were discussions with one member of staff on duty, the current manager Dianne Beevers and one relative, who was visiting the home at the time of the inspection. What the service does well: Bempton Old Rectory provides a very good standard of care and accommodation for its residents, of whom some may be forgetful. The atmosphere is homely, calm and relaxed, visitors are welcomed. Members of staff and residents are seen to regard each other with mutual respect. The home has achieved “The Investors in People”; “Positive about Disabled People”; and the “Heart Beat” awards. Detailed plans of care are in place and this helps ensure that service users’ health and social care needs and individual choices are identified and met. Members of this community are encouraged to reach their potential joining staff in life long learning opportunities; completion of training is rewarded by the presentation of certificates that are well prized. Success of this innovative approach can be measured by improvements in the relationship and understanding between the residents and members of staff; the calmness of the atmosphere, and improved safety. The home is particularly good at monitoring its own performance and regularly carries out internal quality audits in all areas of care and staffing, the results of which are talked through with the residents. Bempton Old Rectory DS0000019648.V274571.R01.S.doc Version 5.1 Page 6 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. Bempton Old Rectory DS0000019648.V274571.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 Bempton Old Rectory DS0000019648.V274571.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): 3,5,6 Service users’ needs are fully assessed prior their admission to the home, enabling the home’s staff to meet their individual needs. EVIDENCE: Care records of two service users were examined. The current manager of the home assesses prospective service users prior to their admission. Service users/relatives are able and encouraged to visit the home prior to admission to meet with staff and see their prospective room before making a decision to come into the home. Information about service users’ health and personal care needs had been documented and information gathered from relatives and other health professionals giving a good picture of the care that needed to be provided. Bempton Old Rectory DS0000019648.V274571.R01.S.doc Version 5.1 Page 9 The home does not provide intermediate care. Bempton Old Rectory DS0000019648.V274571.R01.S.doc Version 5.1 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 the following standard(s): 7,8,9,10,11 Service users’ health and social care needs are fully met. EVIDENCE: Care records of residents were found to be well kept and comprehensive. Care plans were detailed; reviews were documented and key workers recorded monthly evaluation of the care provided for each individual resident. Plans are drawn up with the involvement of service users and their families who signed where possible. All aspects of health, personal and social care needs are addressed. There are comprehensive risk assessments on file and risk management plans in place. The home has a detailed policy on the safe handling and administration of medication, which includes self-medication. Records of all medication received, administered and disposed of were available. Records checked by the inspector on the day were accurate. The storage and recording of controlled medication prescribed adheres to regulations. One member of staff has overall responsibility for the safe handling of medication in the home, and members of staff have received training enabling Bempton Old Rectory DS0000019648.V274571.R01.S.doc Version 5.1 Page 11 them to safely administer medication. The home employs a blister pack system and a pharmacist visits regularly. Members of staff were seen knocking on bedroom doors and awaiting an invitation before entering. The manager and staff were seen to have good relationships with the residents. The home has policy and procedures to ensure the care of the dead and the dying; individuals’ wishes are recorded. The current manager, Dianne Beevers has undertaken a survey to establish residents’ and relatives’ wishes during this year. Bempton Old Rectory DS0000019648.V274571.R01.S.doc Version 5.1 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 the following standard(s): 12,13,14,15 Service users are provided with the opportunity to engage in a variety of activities, satisfying their social, cultural and religious needs. Service users maintain contact with family and friends as they wish; they are helped to exercise choice and control over their lives; and they receive a wholesome appealing balanced diet in pleasing surroundings. EVIDENCE: The home has a comfortable and relaxed atmosphere. Time is spent each day in engaging those service users in conversation or activity who might have difficulty with concentration or who have a deteriorating condition. Members of this community are encouraged to reach their potential joining staff in life long learning opportunities; completion of training is rewarded by the presentation of certificates that are well prized. Success of this innovative approach can be measured by improvements in the relationship and understanding between the residents, relatives and members of staff. The staff team have a holistic approach and the manager stressed the value of laughter. Bempton Old Rectory DS0000019648.V274571.R01.S.doc Version 5.1 Page 13 A relative commented that the “Home was very good”. Although it had only been a short time, their mother was less anxious, perfectly happy and more alert; and as visitors they were made to feel welcome when visiting daily. Dianne Beevers, the manager, confirmed that relatives were encouraged to invest their time and become truly involved in the community. The meals continue to be of a high standard. All food preferences, allergies and medical dietary needs are recorded on individual care records. All said they found the meals to be excellent and questionnaires confirmed this. A midday meal took place during the visit; it was well presented, of an appropriate temperature, well cooked and appetising. The home has achieved the “Heart Beat” award. Bempton Old Rectory DS0000019648.V274571.R01.S.doc Version 5.1 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 the following standard(s): 16,17,18 Service users and their relatives are confident that their complaints will be listened to, taken seriously and acted upon, their legal rights are protected and there are policies and procedures in place to protect them from abuse. EVIDENCE: The home has a comprehensive complaints policy and procedures. Service users and members of staff said that they would have no hesitation in raising any concern with the manager, in the knowledge that she would treat their concerns seriously. The home has not received any complaints since the last inspection. The manager has ensured that every resident has a postal vote, enabling them to take part in local and national elections. The home makes available policies and procedures and local guidance for the Protection of vulnerable adults and staff have attended training. Bempton Old Rectory DS0000019648.V274571.R01.S.doc Version 5.1 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 the following standard(s): 19,20,21,22,23,24,25,26 Service users live in a safe, well maintained, clean environment, with their own possessions about them. EVIDENCE: The home provides comfortable, homely and attractive accommodation for service users. The home is well maintained and there is a refurbishment and maintenance programme in place. Furnishings and décor are comfortable, domestic in nature and of good quality. All of the bedrooms in the home have en suite facilities. Bathrooms are provided for service users, which are adapted for service users with mobility problems. The home has secure well-maintained gardens for service users to enjoy. Service users rooms are personalised with pictures, photographs and small items of furniture they have brought from home. Bempton Old Rectory DS0000019648.V274571.R01.S.doc Version 5.1 Page 16 The home was clean and fresh smelling throughout and gloves and aprons were in good supply, infection control policies and procedures are in place. The home has a laundry, which is well equipped and located away from the dining area. Bempton Old Rectory DS0000019648.V274571.R01.S.doc Version 5.1 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 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 Service users’ needs are met by sufficient competent and trained members of staff, and are protected by the home’s recruitment policy and practices. EVIDENCE: Sufficient numbers of staff were on duty on the day of the inspection to meet the needs of the current 17 residents of the home. The manager confirmed that staffing is adjusted to meet the needs and numbers of service users in the home and that time is allocated to engage residents in activities of their choice. The home has robust recruitment policies and procedures in place. One staff file (new recruit) was inspected on this occasion. Members of staff receive thorough training; lifelong learning includes the positive involvement of the residents. A member of staff said, “Access to training is brilliant, we previously didn’t feel confident about training, I have been given a big opportunity and I feel valued”. Additional training is identified during staff supervision. Bempton Old Rectory DS0000019648.V274571.R01.S.doc Version 5.1 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 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): 31,32,33,34,35,36,37,38 The home is well managed and provides a safe place for service users to live and staff to work. EVIDENCE: Dianne Beevers has been in post one year; she has considerable management experience and comes to the care sector from education. Dianne has an advanced management qualification and has completed the Registered Managers Award. It is recommended that the current manager Dianne Beevers, applies to the Commission to be registered. One member of staff said, “Dianne (the manager) has brought a different atmosphere, we feel valued”. The results of the quality assurance surveys are published and available for any interested party to examine. The home has a policy of continual self monitoring and has a proactive approach to improving the quality of service Bempton Old Rectory DS0000019648.V274571.R01.S.doc Version 5.1 Page 19 through consultation and regular review. The home does not become involved in service users’ finances. All members of staff receive regular supervision, which is recorded. Policies, procedures and documentation adhere to regulations and good practice, are in place and were available for inspection. There is evidence that staff undertake health and safety training on an ongoing basis and that there are relevant policies and procedures available for inspection. The fire alarm system checks had been undertaken and there is a fire risk assessment in place. Residents’ positive involvement in Moving & Handling training has resulted in safer responses from residents when they find themselves in any difficulties; One resident who can be forgetful remembered to stay still and call for assistance, rather than move after a fall. Bempton Old Rectory DS0000019648.V274571.R01.S.doc Version 5.1 Page 20 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 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 4 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 4 3 3 3 3 4 4 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 4 3 3 3 3 3 Bempton Old Rectory DS0000019648.V274571.R01.S.doc Version 5.1 Page 21 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 OP31 Good Practice Recommendations Recommend that the current manager Dianne Beevers, applies to the Commission to be registered. Bempton Old Rectory DS0000019648.V274571.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Bempton Old Rectory DS0000019648.V274571.R01.S.doc Version 5.1 Page 23 - 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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