Inspection on 11/05/05 for Boars Tye House

This inspection was carried out on 11th May 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

Boars Tye House 23/08/07

Boars Tye House 24/08/06

Boars Tye House 01/12/05

Boars Tye House 21/12/04

Boars Tye House 17/05/04

Boars Tye House 11/12/03

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Boars Tye Residential Home 20, Boars Tye Road Silver End Witham, Essex CM8 3QA Lead Inspector Alan Thompson Draft Report Unannounced 11th May 2005 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. Boars Tye Residential Home I56 105 S17775 Boars Tye V226716 UI 11.05.05 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Boars Tye Residential Home Address 20, Boars Tye Road Silver End Witham Essex CM8 3QAi 01376 584515 01376 585007 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) Mr Clive Weir Mrs Bernadette Weir Vacant Care Home Twenty Seven (27) Category(ies) of Old age, not falling within any other category registration, with number (27) of places Boars Tye Residential Home I56 105 S17775 Boars Tye V226716 UI 11.05.05 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Persons of either sex, aged 65 years and over, who require care by reason of old age only (not to exceed 27 persons) Date of last inspection 21st December 2004 Brief Description of the Service: Boars Tye house is a fully detached property originally constructed approximately three hundred years ago as a farm house. The property has been converted and extended into a twenty-seven place residential home for elderly people (over the age 65). Accommodation is provided in twenty-three single rooms and two shared rooms. Sixteen of these benefit from fitted en-suite facilities. Accommodation is provided on both floors of the home, with communal lounge/dining rooms on the ground floor. Access between floors is provided by a shaft passenger lift. Boars Tye house is located in the village environment of Silver End and is approached via a private drive alongside a large, landscaped front garden. At the rear of the home there is a small rear garden and patio area, which is fully enclosed. Ample car parking is provided to the front for visitors, and bus services pass the front of the building along the main road. Local shopping facilities are available a short walk from the away. Externally the home is very well maintained retaining an attractive period appearance. Internally much of the character of the original property has been retained. Boars Tye Residential Home I56 105 S17775 Boars Tye V226716 UI 11.05.05 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place at 1030 hours on Wednesday 10th May 2005. This was the first inspection of this home in the inspection year 2005/6. Residents, staff and visitors were spoken with. Records, policies and procedures were inspected and a tour of the premises took place. All residents spoken to expressed satisfaction with the care they received and with the quality of the food and accommodation offered. Staff confirmed they received good support from management. They also confirmed that they were provided a range of training opportunities including NVQ awards levels 2 & 3. What the service does well: What has improved since the last inspection? What they could do better: The registered provider advised that he intends to refresh staffs’ understanding of the expected welcome to visitors. There is to be a minor amendment to information included in staff recruitment records, this relates to retaining copies on file of proof of identity. Boars Tye Residential Home I56 105 S17775 Boars Tye V226716 UI 11.05.05 Stage 4.doc Version 1.30 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. Boars Tye Residential Home I56 105 S17775 Boars Tye V226716 UI 11.05.05 Stage 4.doc Version 1.30 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 Boars Tye Residential Home I56 105 S17775 Boars Tye V226716 UI 11.05.05 Stage 4.doc Version 1.30 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 & 5 The home’s assessment format and process was adequate for ensuring that initial perceived needs were identified upon admission. Anyone considering moving into the home may visit to meet residents, staff and facilities, to enable them to assess the suitability of the service. EVIDENCE: One of the deputy managers visits prospective new residents to undertake an assessment of need. Headings covered included: personal care, health, diet, weight, sight, hearing, communication, oral, foot care, mobility, dexterity, falls, continence, medication, social, interests & hobbies, safety & risk and mental health needs. A care plan is compiled after admission. The deputy manager on duty confirmed that residents and their families are invited to visit before admission, to meet with existing residents and staff. Boars Tye Residential Home I56 105 S17775 Boars Tye V226716 UI 11.05.05 Stage 4.doc Version 1.30 Page 9 Initial admission of all new residents is on a four-week trial basis, after which a review of placement is undertaken involving the resident, their relatives and the responsible social worker. Boars Tye Residential Home I56 105 S17775 Boars Tye V226716 UI 11.05.05 Stage 4.doc Version 1.30 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 & 10 Individual plans of care were in place. These contained daily actions required from staff. Internal reviews of care plans had been recorded. Discussions with residents indicated that staff treat them with respect, paying attention to their privacy and dignity when providing personal care support. EVIDENCE: Three care plans were inspected. Included was background information, personal details, next of kin contacts. The residents’ needs/action sheet covered areas of hygiene, mobility, continence, social, medical, diet, night care, acute care and also included was a risk assessment profile and a moving and handling profile. Needs instructions to staff covered the identified need with daily action required from them and the overall objectives. Care plans seen included records of residents’ weight, and had been regularly reviewed. Records of health needs visits, GP consultations and falls were also included in care plan files. Residents spoken with confirmed that they consider staff do respect their privacy and dignity when providing personal care support. Boars Tye Residential Home I56 105 S17775 Boars Tye V226716 UI 11.05.05 Stage 4.doc Version 1.30 Page 11 Treatments and consultations are provided in private, privacy screens were observed in shared rooms. Residents’ also confirmed that they wear their own clothes and that staff use their preferred term of address. Some residents had their own private telephone lines, for others a portable phone was available to receive private calls. Boars Tye Residential Home I56 105 S17775 Boars Tye V226716 UI 11.05.05 Stage 4.doc Version 1.30 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 A range of activities are offered in the home each day, this included opportunities for community contact and religious observance. Visitors are welcome at all times. Privacy is assured if required. EVIDENCE: Residents meetings take place three times a year, relatives are welcome to attend these. Minutes of issues discussed and decisions made were inspected. Topics included: meals, routines, activities, finances and pets. Some residents attend a local church each week, with community support. Meals may be taken in private rooms if preferred. Two part time staff work to provide activities in the home, records had been maintained of types of activities offered, these included: indoor games, quizzes, nail care, puzzles, bingo, visiting entertainers, board games, shopping trips (using dial-a-ride), painting, sing-a-longs, outings, theatre and music. Visitors are welcome at all times, the home’s statement of purpose confirms the visiting policy. The registered provider and deputy manager confirmed that residents are supported by staff in whom they see and do not see. Seating has been provided in a quiet area on the first floor for use by residents and their visitors who wish to meet away from the main lounge. Boars Tye Residential Home I56 105 S17775 Boars Tye V226716 UI 11.05.05 Stage 4.doc Version 1.30 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 standard(s) 16 The home’s complaints procedure allowed for residents and relatives to formally raise any concerns. Residents and visiting relatives spoken with said they knew who to speak to if they had any issues about care or services in the home. EVIDENCE: The home’s complaints procedure was presented for inspection and was seen to contain guidance on how to make a complaint and who to complain to. Also included were timescales for responses from the home. Evidence was available to confirm that records are maintained in the home, of complaints received and of any investigation and resulting outcomes. Boars Tye Residential Home I56 105 S17775 Boars Tye V226716 UI 11.05.05 Stage 4.doc Version 1.30 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 standard(s) 19-26 Residents confirmed they were satisfied with their rooms. The grounds were accessible and considered safe. There were sufficient numbers of toilets and bathrooms. Risk assessments were in place for individuals and premises. The home was very clean and considered hygienic. EVIDENCE: Boars Tye house is a converted farm house set in the quiet village of Silver End, nearest towns are Witham and Braintree. The home is accessed via a private drive alongside the home’s large landscaped well maintained front garden, which is fully accessible to residents. There is also a smaller enclosed rear garden accessible from the conservatory and the back of the home. The home was fully accessible to residents’ currently accommodated and was very well maintained externally and internally. Boars Tye Residential Home I56 105 S17775 Boars Tye V226716 UI 11.05.05 Stage 4.doc Version 1.30 Page 15 Individual private accommodation and facilities are all considered to be of a good standard with renewal of equipment and maintenance undertaken on an as and when required basis. Bedrooms are usually re-decorated when empty. Evidence was available to confirm that the local Fire Service and Environmental Health department continue to visit the home at periodic intervals. Local shops are a short walk from the home and a bus service passes along the main road to the front of the property. There is one designated dining room in the home with one lounge/dining room and a further lounge and conservatory area, all on the ground floor. Lighting in communal rooms was considered domestic in character and sufficiently bright. The furnishings of communal rooms were mainly domestic in character, of good quality and appropriate to the range of needs of residents. There are three communal bathrooms, two provided assisted bathing and one did not. All three bathrooms in the home have WC’s and in addition there are four separate communal WC’s (3 on the ground floor and 1 on the first floor). Sixteen private bedrooms in the home benefit from fitted en-suite WC. A designated hair dressing room has been provided (this was previously an unused bathroom). Staff call systems were located in all private rooms and communal rooms seen. The home is equipped with a shaft passenger lift to provide access between floors. There were three portable hoists available for use by staff when resident’s require this level of support. Grab rails are located in corridor areas of assessed need. Ramps were seen to be fitted to appropriate areas to facilitate wheelchair access internally and externally. Generally, adaptations, aids and equipment in the home were considered by the inspector to be suitable and appropriate for the residents’ currently accommodated. Boars Tye Residential Home I56 105 S17775 Boars Tye V226716 UI 11.05.05 Stage 4.doc Version 1.30 Page 16 Rooms were well-decorated, comfortable and evidenced individual taste. Preferences are encouraged/respected. Door locks and keys are provided according to individual choice and risk assessment, although no residents’ held their own keys at the time of this inspection. Residents’ spoken with confirmed that they were satisfied with their rooms and with the facilities and choices provided to them. All rooms inspected were naturally ventilated with windows and all were centrally heated. Hot water supplying the home is regularly tested by staff and records were presented to confirm that water storage is maintained at 60 degrees celcuis and baths are checked to ensure that temperature is 43 degrees celcuis before residents get into the water. However regulator valves were not been fitted to hot water supply to mechanically restrict hot water supply at or near to 43 degrees celcuis. There is a recommendation regarding this item in this report. It is understood by the inspector that the local authority environmental health department has confirmed acceptance of the current arrangements and risk assessment in the home relating to hot water supply. All radiators in the home, seen, were guarded and lighting in residents’ rooms was considered domestic in character and fully appropriate for individuals requirements/needs. On the day of the inspection the premises were considered to be very clean and hygienic. Policies and procedures were available for inspection confirming that working practices are in place to control the spread of infection. A separate sluice is provided. The home’s laundry room was inspected and was equipped with appropriate industrial type washing machines and tumble driers. Washing machines were seen to be equipped with minimum 65 and 90°C wash cycles. The laundry flooring had an impermeable finish. Walls and work surfaces met the standard. Boars Tye Residential Home I56 105 S17775 Boars Tye V226716 UI 11.05.05 Stage 4.doc Version 1.30 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 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 & 29 Staffing numbers on duty at the time of this inspection met the required levels. Staff were provided the training to equip them with the skills for their role. Recruitment procedures aimed at safeguarding the protection of residents had been followed. EVIDENCE: The home’s staffing rota was inspected and confirmed that staffing levels are being maintained at five care staff on duty on daytime shifts (including the person-in-charge). Separate and additional rostered staff were employed to undertake cooking, kitchen assistant, administrative, activities, domestic and maintenance duties. Additional domestic staff had been employed since the last inspection, this resulted in improved cleaning schedules in the home. Staff records evidenced that application forms had been completed, two written references obtained, contracts of terms & conditions issued and criminal records checks undertaken. Boars Tye Residential Home I56 105 S17775 Boars Tye V226716 UI 11.05.05 Stage 4.doc Version 1.30 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) 31, 37 & 38 There is currently an acting manager (the registered provider) in post. The management approach encourages an open inclusive and supportive working environment. All records required to be kept, that were seen, were up to date. Staff training provided included the appropriate health and safety statutory and good practice subjects required. The acting manager was aware of the importance of ensuring that the home was safe for residents and staff. Boars Tye Residential Home I56 105 S17775 Boars Tye V226716 UI 11.05.05 Stage 4.doc Version 1.30 Page 19 EVIDENCE: There was no registered manager in place, however the registered provider was continuing to undertake the role of manager and will seek registration with the CSCI as manager as soon as he receives verification of his completion of the registered managers award (NVQ 4 in care and management). Random samples of records required to be kept were inspected. These included: care plans, assessments, staff rotas, accident records, visitors book, fire drills, regulation 37 notices, background information and next of kin details, records of falls, records of valuables brought into the home and staff files. All seen were considered appropriately maintained at the time of this inspection. Evidence (certificates of attendance) was seen to confirm that appropriate first aid, manual handling, fire safety, food hygiene, health & safety and infection control training has been provided to staff. The control of substances hazardous to health (COSHH) regulations had been met by provision of a COSHH register, with data sheets for relevant substances used in the home. Updated (January 2005) comprehensive risk assessments were in place for safe working practices in and around the home. Certificates and service records were available for inspection to confirm that the home’s fire alarms and equipment, passenger lift, hoists, call alarms, emergency lights, portable electrical appliances and electrical installation supply had all been tested/serviced within recommended timescales. First floor windows were fitted with restricted opening devices. Hot water supply in the home is still not mechanically regulated, for comments regarding this issue please refer to standard 25. Boars Tye Residential Home I56 105 S17775 Boars Tye V226716 UI 11.05.05 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION 3 3 3 3 3 3 2 3 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 x 3 3 x x x x 3 3 Boars Tye Residential Home I56 105 S17775 Boars Tye V226716 UI 11.05.05 Stage 4.doc Version 1.30 Page 21 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 None 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 25 Good Practice Recommendations The registered person should ensure that hot water supply in the home is regulated to ensure delivery at or close to 43 degrees celcius. Boars Tye Residential Home I56 105 S17775 Boars Tye V226716 UI 11.05.05 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection Fairfax House Causton Road Colchester, Essex CO1 1RJ 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 Boars Tye Residential Home I56 105 S17775 Boars Tye V226716 UI 11.05.05 Stage 4.doc Version 1.30 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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