Inspection on 08/02/06 for Bickerley Green

This inspection was carried out on 8th February 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

Bickerley Green 16/12/08

Bickerley Green 20/02/07

Bickerley Green 25/08/05

Bickerley Green 15/02/05

Bickerley Green 30/11/04

Bickerley Green 23/02/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Bickerley Green Kingsbury Lane Ringwood Hampshire BH24 1EL Lead Inspector Gina Pickering Unannounced Inspection 8th February 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 Bickerley Green DS0000037284.V282705.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. Bickerley Green DS0000037284.V282705.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Bickerley Green Address Kingsbury Lane Ringwood Hampshire BH24 1EL 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) 01425 473312 Hampshire County Council Doris Hall Kearton Care Home 23 Category(ies) of Dementia - over 65 years of age (21), Learning registration, with number disability over 65 years of age (2), Old age, not of places falling within any other category (21) Bickerley Green DS0000037284.V282705.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Two identified service users may be accommodated in the category LD (E). 25th August 2005 Date of last inspection Brief Description of the Service: Bickerley Green is a Local Authority care home located in a quiet cul-de-sac close to Ringwood Town centre. The home is undergoing renovation. A new nursing wing has recently been completed. Whilst the residential wing is being refurbished the residents are living in the nursing wing. The home at present is registered to provide personal care for up to twenty-three service users. The home is a large detached purpose built establishment. There are three areas of the home that each consist of single ensuite bedrooms, a lounge/dining small kitchen area and bathroom. Further lounges are available for the use of the residents. The registered provider is Hampshire County Council and the registered manager is Ms Doris (Dorrie) Kearton. Bickerley Green DS0000037284.V282705.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over four hours. The people living at Bickerley green prefer to be known as residents, this will be reflected throughout the report. The inspector toured the environment, looked at a sample of documentation, spoke with nine residents, and five members of staff. Residents said that you ‘could not find a better place to live’ and that the ‘staff are lovely’. Staff confirmed that they receive training to equip them with skills to support the residents at the home. It is judged that the management of the home creates a supportive environment for both the residents and staff at the home. What the service does well: What has improved since the last inspection? What they could do better: Bickerley Green DS0000037284.V282705.R01.S.doc Version 5.1 Page 6 Continued development of the new care planning system should happen. This can only further improve the lives and welfare of those living at Bickerley Green by meeting their needs in detail. 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. Bickerley Green DS0000037284.V282705.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 Bickerley Green DS0000037284.V282705.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 A procedure for the assessment of prospective residents is in use and utilised well to ensure that prospective residents needs are met on moving into the home. EVIDENCE: Prospective residents visit the home prior to moving into the home. During this visit a member of care staff assesses the persons abilities and needs. This information is used to make the decision as to whether the home will be able to meet the needs of the prospective resident. Some prospective residents are unable to visit the home. In this situation a manager visits that person in their present location, usually hospital, to assess whether that person’s needs can be met by the staff team at the home. Assessments were available at the home for persons moving into the home in the forthcoming weeks. Care management assessments compliment the assessment process to ensure that all residents at the home can have their physical, social and emotional needs met. The home does not provide intermediate care. Bickerley Green DS0000037284.V282705.R01.S.doc Version 5.1 Page 9 Bickerley Green DS0000037284.V282705.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 Care planning systems result in detailed information being available of the resident’s health, personal and social needs. Involvement of health care professionals ensures that resident’s health is attended to. Resident’s health and welfare is protected by robust mediations procedures. EVIDENCE: Each resident has a comprehensive plan of care that details how the individual likes to be assisted with their personal needs and the assistance needed to ensure their health are needs are met. Details of their social interests, past and present, are included in these plans. Care plans have the signature of residents suggesting that they are involved in the care planning process. Care plans are reviewed monthly and amended as required. Resident’s files contain details of health care needs and the involvement of health care specialists; this includes details of doctors, district nurses, dietetic, learning disability, and other specialist health care involvement. The manager said that as the home is located within walking distance to the centre of town, generally the residents use the local facilities of dentists, opticians, chiropody and the local GP practices. Resident’s said that if they feel unwell staff at the Bickerley Green DS0000037284.V282705.R01.S.doc Version 5.1 Page 11 home will contact their GP for them; they feel the staff at the home do all they can to keep them feeling well. Medication polices and procedures are in place that incorporates the Royal Pharmaceutical Guidelines. Practices at the home comply with these polices; medications are stored correctly, records are kept of all medications received, administered, and returned to the pharmacy. One resident administers her own medications; risk assessments ensure that this process is safe. Bickerley Green DS0000037284.V282705.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): 14 & 15 The management of the home allows residents make their own choices. Nutritious and balanced meals offer a healthy and varied diet for residents. EVIDENCE: Residents said that they are able to choose when they want to get up, when to retire to bed and any activities they wish to take part in. Residents were observed choosing whether to socialise and with whom to socialise with. One resident said that she is able to arrange taxi’s to take her out when she wishes. One resident was accessing the community with the assistance of an advocate. A volunteer is employed by the home; he helps residents access the community if they wish to. A four weekly rotating menu gives the residents a varied and healthy choice of meals. There are two cooked choices at lunchtime, and a choice of sandwiches or soup in the evening. The present environment of the home allows for simple meals such as beans on toast to be prepared in the communal lounge/ dining areas. Residents said that meals are generally of a good standard and that they enjoy them. Alternatives are offered such as omelettes and baked potatoes with fillings. Bickerley Green DS0000037284.V282705.R01.S.doc Version 5.1 Page 13 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 Staff, who have a clear understanding of the issues surrounding the protection of vulnerable adults, protect the residents from abuse. EVIDENCE: Policies are in place about the protection of vulnerable adults. Training records indicate that staff receive training about this subject. Discussion with staff suggests that they are aware of different forms of abuse and the action to take should they have concerns that an act of abuse has taken place. Bickerley Green DS0000037284.V282705.R01.S.doc Version 5.1 Page 14 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 Resident’s live in an environment that is well maintained and decorated and furnished in a fashion that they are content with. EVIDENCE: The service has recently moved into a new extension to the home that will eventually become the nursing wing of the home whilst the original home is being refurbished. Subsequently the home has been newly decorated and furnished to meet the needs of the residents. Residents said that they like the décor and furnishing of the home. Bathing and toileting facilities meet the needs of the residents; every person living at the home has a good-sized ensuite bathroom with toilet and washbasin. The manager said that when the residents return to the original wing of the care home after refurbishment, there would not be ensuite facilities available. There are a number of lounge areas for the use of the residents. An effective reporting system for maintenance issues is in place that is actioned by Hampshire County Council. This ensures that residents live in a well maintained home. Bickerley Green DS0000037284.V282705.R01.S.doc Version 5.1 Page 15 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 & 30 The number of staff employed at the home meets the resident’s holistic needs. Resident’s health and well being are protected by the skills and training of the staff at the home. EVIDENCE: Staff are deployed in the home so that there are always three members of care staff on duty twenty fours hours a day as well as a member of the management team being on duty during the day hours. Residents said that they feel there are enough staff to meet their needs; staff answer the buzzers quickly and help them with what they need quickly. Care staff were seen reacting to residents needs intuitively and responding to requests for help promptly. A cook and kitchen assistant are on duty each day. A member of the housekeeping staff is on duty every day; the home at the time of the inspection was clean and tidy. Training records indicate that staff receive training to meet the individual and collective needs of the residents. The home is committed to having a care work force made up of 50 NVQ 2 trained in care or above. Staff said that they receive plenty of training that helps them support the residents. Some topics that staff have received trading on are care of persons with dementia, care of persons with catheters, as well as all the mandatory training of moving and handling, health and safety and fire safety. Bickerley Green DS0000037284.V282705.R01.S.doc Version 5.1 Page 16 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 Resident’s live in a home that is managed by a competent manager who offers leadership, guidance and direction to the staff members. Resident’s opinions and wishes are an integral part of the running of the home. Resident’s financial interests are protected by good practices employed by the home. The welfare of resident’s is protected by good health and safety practices at the home. EVIDENCE: Bickerley Green DS0000037284.V282705.R01.S.doc Version 5.1 Page 17 The manager has been in post for over two years. She has the required qualifications to be an effective manager. She said she feels supported by her line manager as well as the whole team at the home. Discussion with staff suggested that they are content with the management of the home, and that they can approach the manager if they have any concerns, personal or professional. Residents said they like the manager. Staff and the manager were observed entering into conversations that evidenced the good working relationship between the manager and staff members. Residents spoke of residents meetings that they attend. They said they are useful in that they are kept informed about the building works in the home and that they are able to put forward suggestions that are often acted upon. A few residents have ‘pocket money’ kept in the office of the home. Accurate recording methods are in place for these monies. Each resident has a locked drawer in their bedrooms for the use of storing money if they wish to. Polices and procedures are in place for all health and safety topics with all staff receiving training in the required topics, including fire safety and moving and handling. Some of the other training that staff receive is in infection control, control substances hazardous to health and first aid. Certificates are present for the servicing of all equipment and services. Three monthly audits of the environment assist in the maintenance of the environment and ensuring the health and safety of all who enter the home. Documentation evidences that the Environmental Health Department has sanctioned the temporary kitchen in use whilst the building work is in process as safe and fit for purposes Bickerley Green DS0000037284.V282705.R01.S.doc Version 5.1 Page 18 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 X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 X X X X X X x STAFFING Standard No Score 27 3 28 3 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 3 Bickerley Green DS0000037284.V282705.R01.S.doc Version 5.1 Page 19 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 Bickerley Green DS0000037284.V282705.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Bickerley Green DS0000037284.V282705.R01.S.doc Version 5.1 Page 21 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!