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Inspection on 01/11/05 for Bosworth

Also see our care home review for Bosworth for more information

This inspection was carried out on 1st November 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

All of the residents spoken with and all the comment cards that were returned gave a good account of life at the home, with high standards of care delivered by a caring and friendly staff team. There is a homely feel to the building with the south facing rooms having good views across the nature reserve and Weymouth bay. All of the residents spoken with said that the food was of a good standard with their likes and dislikes being respected.

What has improved since the last inspection?

Through liaison with the fire officer the home now maintains the fire safety requirements whilst at the same time protecting residents from wandering from the home. An omission of the care needs of one resident from their care plan identified at the last inspection has been addressed.

What the care home could do better:

The management must ensure that all new staff have had a Criminal Record Bureau Check undertaken before starting work at the home. The home will be better able to meet resident`s needs with the purchase of a hoist. Residents would be better protected should all the radiators be covered.

CARE HOMES FOR OLDER PEOPLE Bosworth 6 Southdown Avenue Preston Weymouth Dorset DT3 6HR Lead Inspector Martin Bayne Unannounced Inspection 09:15 1 November 2005 st 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 Bosworth DS0000026769.V252513.R01.S.doc Version 5.0 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. Bosworth DS0000026769.V252513.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Bosworth Address 6 Southdown Avenue Preston Weymouth Dorset DT3 6HR 01305 833100 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 Christine Wells Mr Derek Edwin Luckhurst, Mrs Meryl Susan Hodder Mrs Vanessa Danielle Laming Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (22) of places Bosworth DS0000026769.V252513.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named service user (as known to the CSCI) within the category of LD(E) may be accommodated to receive care. 23rd May 2005 Date of last inspection Brief Description of the Service: Bosworth residential home is registered to provide personal care and accommodation for up to 22 people who have frailty of old age. The registered providers of the home are Mrs Wells, Mrs Luckhurst and Mrs Hodder. Mrs Laming is the registered manager and Mrs Wells takes the main responsibility for overseeing of the management of the home. The home is located in the quiet residential area of Preston, on the outskirts of Weymouth, overlooking the nature reserve and with views of the bay. The accommodation is provided on two floors with a passenger lift providing access to the first floor, however six bedrooms and one bathroom are only accessible by a small flight of three stairs. The communal areas of a lounge and separate dining room are located on the ground floor. To the front of the home there is a parking area, whilst to the side of the home there is a small well maintained garden, that residents have access to. Bosworth DS0000026769.V252513.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place between 9:15am and 1:30pm. During the inspection the inspector spoke with a group of seven residents in the lounge area and visited a further five residents in their rooms. In the main the residents spoke highly of their experience of living at the home. The inspector also spoke with one member of staff who gave a positive account of working at the home. The remaining time of the inspection was spent with Mrs Wells, one of the registered providers. The three requirements made at the last inspection were followed up and it was found that there had been compliance in meeting these. One requirement was made concerning the records and checks required for newly appointed staff. 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. Bosworth DS0000026769.V252513.R01.S.doc Version 5.0 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 Bosworth DS0000026769.V252513.R01.S.doc Version 5.0 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 An assessment of needs is carried out prior to a person being offered a place at the home. EVIDENCE: A form is completed when an enquiry is made to the home. The person wishing to move to the home or their relatives are always invited to visit the home. Before a placement is offered the registered manager visits the person and undertakes a pre-admission assessment to ensure that the home can meet the person’s needs. The assessment form for the one resident admitted to the home since the time of the last inspection was viewed. The assessment was comprehensive, covering all the topics detailed in the Standards. It was also noted that residents are asked if they would like a lock on their bedroom door as currently not all bedrooms provide this facility. Mrs Wells informed that a lock would be fitted if the person who was moving to the home wanted this facility. The home accommodates people who are privately funded and some who are funded through social services. A copy of the care management assessment is obtained in these circumstances. Bosworth DS0000026769.V252513.R01.S.doc Version 5.0 Page 8 When a person is admitted to the home they are offered a four-week trial period. The home does not provide an intermediate care service and therefore Standard six does not apply. Bosworth DS0000026769.V252513.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 10 Residents benefit from clear care plans having been developed that inform the staff of their needs. Residents rights to privacy and dignity are respected at the home. EVIDENCE: At the last inspection a requirement was made concerning information about care needs of one resident with diabetes. It was found at this inspection that this had now been included in this person’s care plan. The care pans for two residents, one newly admitted to the home and one who was spoken with, were inspected. The care plans were found to be concise, based on the assessment process and would provided sufficient information for a new member of staff to provide care to that particular person. The care plan for the resident spoken with reflected their care needs as they had described o the inspector. Care plans are contained within one file so that they are easily accessible to the staff. This file also contained copies of risk assessments that form part of the care planning process. It was found that a risk assessment with respect to the prevention of falls was on file for each resident. Bosworth DS0000026769.V252513.R01.S.doc Version 5.0 Page 10 The residents spoken with said that their health needs were met at the home with appointments made with their doctor when requested. They also informed the needs in relation to dentistry, eye care and chiropody were addressed through the staff. Many of the residents have their own phone in their room, however the residents can use one of the two portable phones that are available. From one of the care plans sampled there was evidence that residents are addressed by their preferred form of address. The residents spoken with said that the staff were courteous and respected their right to privacy and dignity. Bosworth DS0000026769.V252513.R01.S.doc Version 5.0 Page 11 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 Residents are able to exercise choice over their lives and are provided with an appealing and balanced diet. EVIDENCE: The residents spoken with said that they had freedom to make choices and could get and go to bed at times that suited them. They also said that staff were very supportive and consulted them on how they are cared for. Mrs Wells informed that residents manage their own financial affairs that that she only managed small sums of money for a few residents in agreement with the residents and their relatives. Full accounts and receipts are kept for all these transactions. Residents are able to bring their personal possessions to make their rooms comfortable. All of the residents spoken with said that the standard of food provided at the home was of a good and that the cook knew of all their likes and dislikes. One of the residents who suffers from diabetes said that their needs were catered to. Bosworth DS0000026769.V252513.R01.S.doc Version 5.0 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): 18 Residents benefit from the staff having been trained in adult protection. EVIDENCE: Since the last inspection in May there have been no complaints made to the management of the home and none brought to the attention of CSCI. The majority of the staff have received training in adult protection from an outside trainer. As part of the induction process for the home staff are required to read and sign the homes procedures relating to adult protection and a copy of “No Secrets”. Bosworth DS0000026769.V252513.R01.S.doc Version 5.0 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 In the main the home provides a safe and well-maintained environment, however residents would benefit from the radiators being covered and the laundry area upgraded. EVIDENCE: The property is built against the side of a hill and has been extended to the rear to provide additional bedrooms, many of which have patio doors that lead to the garden. The home is comfortable and in reasonable decorative order throughout providing a suitable environment to meet its aims and objectives. On the day the home was also found to be clean and free from any adverse odours. Since the last inspection the radiators in the hallways have been covered. Mrs Wells said that all of the radiators had been risk assessed in terms of the hazard they posed to residents for burns. It was the inspector’s opinion that the home should plan for the covering of all radiators to minimise the risk of residents getting burnt. Mrs Wells agreed to plan and budget for covering of more radiators. This will be followed up at future inspections. Bosworth DS0000026769.V252513.R01.S.doc Version 5.0 Page 14 In discussion of the environment Mrs Wells informed that the home was planning to purchase a hoist, due to increased frailty of many of the residents at the home. At the last inspection a requirement was made that the home liaise with the infection control nurses with respect to cleaning of commodes. This has been carried out and policies and procedures developed in line with the advice given. It was reported that all staff receive training in infection control. Mrs Wells was asked to consider providing paper towels in the communal WCs instead of cotton towels to minimise the risk of cross infection. Staff are provided with gloves and aprons. Mrs Well reported that one of the long-term aims of the home was to upgrade the laundry area when the washing machines need replacing. Bosworth DS0000026769.V252513.R01.S.doc Version 5.0 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 29 There are sufficient staff employed to meet the needs of the residents, however residents would be better protected by management ensuring that CRB checks are carried out in respect of all new staff who work at the home. EVIDENCE: Residents spoken with said that there were sufficient numbers of staff to meet their needs. They also said that should they have needed to use their calls bell these are answered promptly. Mrs Wells reported that there was a staff team of 14 carers, comprised of a registered manager, senior carers and care assistants. Between the hours of 8am to 8pm there is one senior, two care assistants and one person responsible for management on duty in the home. During the nighttime period there is one awake member of staff and one member of staff who carries out a sleep-in duty, with the office providing a fold-up bed. It was agreed that the resident who lives in the room that leads off from the staff office and the staff would be consulted whether a curtain should be provided across the office area to afford better privacy. Mrs Wells reported that at times when the need has arisen two awake members of staff have been provided. A staffing roster was available and reflected the above staffing levels. The staffing recruitment files for the last staff member employed at the home was inspected. It was found that appropriate references had been taken up before they started working at the home, an application form completed and copies taken of documents proving their identity; however a CRB check issued in March for their place of previous employment had been used and no new Bosworth DS0000026769.V252513.R01.S.doc Version 5.0 Page 16 check made as required. It is a requirement that a new CRB check is taken up for all staff and they do not start work at the home until this has been returned. Bosworth DS0000026769.V252513.R01.S.doc Version 5.0 Page 17 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 The home is well managed in the interests of the residents. EVIDENCE: Mrs Laming is the registered manager of the home and is a registered nurse. Mrs Wells reported that the long-term aim is to employ a new manager with Mrs Laming being appointed to head of care, as she does not want to carry on with all the management responsibilities. It was agreed that Mrs Wells would keep CSCI informed of developments. At this inspection, with the exception of the staff recruitment records, all other records and policies and procedures were up to date and in place. The residents spoken with said that they felt that the home was run with their interests in mind and that staff and management were receptive to requests and suggestions. Mrs Wells informed that resident and relative surveys were Bosworth DS0000026769.V252513.R01.S.doc Version 5.0 Page 18 carried out regularly to gain feedback on the running of the home. The last survey was carried out in July of this year. The comment cards returned to CSCI also supported that the home was meeting the needs of the residents accommodated. Bosworth DS0000026769.V252513.R01.S.doc Version 5.0 Page 19 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 N/a 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 X 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X X X Bosworth DS0000026769.V252513.R01.S.doc Version 5.0 Page 20 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. Standard Regulation Requirement You must ensure that Criminal Record Bureau checks are carried out on all staff appointed to work at the home. Timescale for action 07/11/05 1 OP29 19 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 Bosworth DS0000026769.V252513.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Bosworth DS0000026769.V252513.R01.S.doc Version 5.0 Page 22 - 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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