Inspection on 23/05/07 for Bosworth Court Nursing Home

This inspection was carried out on 23rd May 2007.

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

Bosworth Court Nursing Home 13/03/09

Bosworth Court Nursing Home 04/11/08

Bosworth Court Nursing Home 15/04/08

Bosworth Court Nursing Home 13/06/06

Bosworth Court Nursing Home 14/11/05

Bosworth Court Nursing Home 16/06/05

Bosworth Court Nursing Home 22/12/04

Bosworth Court Nursing Home 21/06/04

Bosworth Court Nursing Home 13/01/04

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Bosworth Court Nursing Home Station Road Market Bosworth Nuneaton Warwickshire CV13 0JP Lead Inspector Chris Wroe Key Unannounced Inspection 23rd May 2007 10:40 X10029.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 Court Nursing Home DS0000001891.V337491.R01.S.doc Version 5.2 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 and Care Homes for Adults 18 – 65*. 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 Court Nursing Home DS0000001891.V337491.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bosworth Court Nursing Home Address Station Road Market Bosworth Nuneaton Warwickshire CV13 0JP 01455 290867 01455 292455 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) www.givecare.hotmail.com Dr Kumar Tripurari Prasad Mr Anthony C Marson Mr Stuart Smithers Care Home 47 Category(ies) of Dementia - over 65 years of age (5), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (5), Old age, not falling within any other category (47), Physical disability (5), Physical disability over 65 years of age (24) Bosworth Court Nursing Home DS0000001891.V337491.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No person under 55 years falling within category PD may be admitted to the Home Service User Numbers No person falling within categories MD(E) or DE(E) may be admitted to the home when 5 persons in total in these categories/combined categories are already accommodated within the home. No person falling within category PD(E) may be admitted to the Home when 24 persons of that category are already accommodated within the Home No person falling within category PD may be admitted to the Home when 5 persons who fall within that category are already accommodated within the Home 13th June 2006 3. 4. Date of last inspection Brief Description of the Service: Bosworth Court is a care home registered to provide care and accommodation for up to forty-seven people, both men and women. The home is registered to provide care for people who have needs relating to mental health, becoming older, physical disability and dementia. The home is situated in the historic town of Market Bosworth in Leicestershire. It is situated on two floors, and there are stairs and a passenger lift to enable access. The home has two large lounges and each lounge has an adjoining dining area. On the ground floor, there is also a large conservatory. Outside the home there is an enclosed garden patio area for residents’ use. The home is staffed twenty-four hours per day by trained nursing and care staff. The home is situated on the main road close to attractions such as Bosworth Field and Country Park, and also to shops and restaurants. The home currently charges between £425 and £470 per week in fees, with additional charges for specified nursing care. Bosworth Court Nursing Home DS0000001891.V337491.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection included a visit to the service. We visited the home on 23rd May 2007. The manager, Stuart Smithers, and staff helped us during the visit. The visit started at 10.40am and lasted for almost seven hours. The inspector spoke with a number of residents and relatives during the inspection, and their views are given in the report. We also received comments cards from six relatives, who gave views about different aspects of care. The main method of inspection used was ‘case tracking’. This means looking at the care given to service users in different ways. The ways this was done are: • talking to the service users • talking to staff and the manager • watching how service users are given support • looking at written records. All the residents who spoke to us were happy about the care given by staff. They felt they were well looked after. They felt the home was comfortable and they had what they need. All the key standards were checked during this inspection. The information below is based only on those aspects checked in this inspection. Details about individual people has been kept out of the report, to make sure it is kept confidential. What the service does well: The manager and nursing manager carry out assessments for people who might like to come and live in the home, to find out about their care needs and whether the staff will be able to support them. Staff have training to enable them to meet the needs of people living in the home. The home makes sure that it meets people’s diverse assessed needs, for example supporting people to continue to practice their religion if they choose. Staff write care plans about people who live in the home, which give information about their needs. Staff review these to make sure they are kept up to date. The members of staff we spoke to showed a good understanding of the different needs of people who live in the home. Residents who gave us their views said they felt very well looked after. Care plans contain details about risks to residents, to make sure that staff keep residents safe in the home. Bosworth Court Nursing Home DS0000001891.V337491.R01.S.doc Version 5.2 Page 6 The nursing staff give out medication in the home. We checked a sample of medication records and stocks. Medication is stored appropriately and mostly properly administered and recorded. Residents told us they are able to make choices in their daily lives – about when they get up and go to bed and what they would like to do during the day. There are some activities available for people to do in the home. We did observe that some residents spent a large part of the day sitting in the lounge areas, without planned activities taking place, although relatives did visit. Relatives did tell us that people with dementia/confusion are also supported to be involved in activities in the home, and are not excluded. Residents can have visitors to see them when they choose to. During our visit, relatives were made welcome in the home. Residents are able to take part in religious worship if they want to. Residents told us that they like the food, and that they are able to have a choice in what they would like to eat. The food is freshly cooked on the premises every day. The cook showed good awareness of the importance of a balanced, nutritious diet for residents, particularly in relation to health and prevention of illness in older people. The home is commended for the attention paid to meals for residents. There is a complaints procedure in the home. The manager has dealt with some complaints raised with him, and we saw from records that these were looked into quickly and appropriate action taken. Residents who we spoke to told us that they felt able to raise any concerns with the manager or with staff. Residents said that they felt safe and well looked after in the home. Relatives or solicitors mainly handle the financial affairs of residents. There are facilities for residents to keep money safely in the home. During the visit, we looked around at some parts of the home. We found all areas were clean and tidy and well-maintained. Residents are able to have their own possessions in their bedrooms. Residents told us that they felt comfortable in the home and had what they needed in their own bedrooms. The manager makes sure that safety precautions and checks are carried out in the home. There is a rolling programme of planned maintenance in the home. There are systems in place for making sure laundry is done efficiently. There are new machines in the home, which are suitable for purpose. We saw that the numbers of staff on duty on the day of inspection was consistent with the staff rota. There were no concerns expressed to us by residents or relatives about staffing levels on the day of our visit. Staff have ongoing training in relevant aspects to help them to work well. Areas of training include moving and handling, first aid, hoist awareness, Bosworth Court Nursing Home DS0000001891.V337491.R01.S.doc Version 5.2 Page 7 infection control. One member of senior staff is now responsible for training and ensuring all staff are trained in relevant areas. The manager makes sure that recruitment practices are safe and that all relevant checks are carried out on people who wish to work in the home, including collecting references and making Criminal Record Bureau checks. The registered manager remains in post in the home. The staff, residents and relatives are very positive about the manager and feel that he is very open and approachable. There are different ways in which the manager tries to get people’s views about how the home is run. Residents’ ideas are taken up by the manager and changes are made where possible. 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. The summary of this inspection report can be made available in other formats on request. Bosworth Court Nursing Home DS0000001891.V337491.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Bosworth Court Nursing Home DS0000001891.V337491.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): OP 3, YA 2 (OP 6 not applicable at this time) Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents benefit from a good admissions process to the home. EVIDENCE: The manager and nursing manager carry out assessments for people who might like to come and live in the home, to find out about their care needs and whether the staff will be able to support them. Information about people includes social services assessments, where they have help with funding or have come to the home from hospital. Bosworth Court Nursing Home DS0000001891.V337491.R01.S.doc Version 5.2 Page 10 Staff have training to enable them to meet the needs of people living in the home, such as training in moving and handling to help them to meet the needs of physically disabled people. One resident we spoke to said that they were told about the home before they came and had a chance to see how they liked it. They said they found it the best out of homes they had lived in. Staff make sure they meet people’s diverse assessed needs, for example supporting people to continue to practice their religion if they choose. We discussed with the manager how to make the home welcoming to all prospective residents from different communities and backgrounds – this is something the manager says he tries to do when carrying out assessments. Bosworth Court Nursing Home DS0000001891.V337491.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): OP 7, 8, 9, 10; YA 6, 9, 18, 19, 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents mostly benefit from having their health and personal care needs well looked after. Bosworth Court Nursing Home DS0000001891.V337491.R01.S.doc Version 5.2 Page 12 EVIDENCE: Staff write care plans about people who live in the home, which give information about their needs. Staff review these to make sure they are kept up to date. The members of staff we spoke to showed a good understanding of the different needs of people who live in the home. We spoke to four residents who told us that they felt very well cared for. Three relatives we spoke to also said that they felt the staff cared for residents very well. In addition, relatives commented, in five out of six comments cards we received, that staff always meet the needs of residents; one said they usually do. One person commented: ‘The care and support [my wife] gets is excellent’. Care plans contain details about risks to residents, to make sure that staff keep residents safe in the home. In some cases, these tie in with the care plans, to tell staff how to make sure people are well supported, for example how to manage peg feeds, and how to ensure people’s mental health needs are met. Staff keep other records, like daily records about how residents are, and records of accidents. The nursing staff give out medication in the home. We checked a sample of medication records and stocks. Medication is stored appropriately. Residents who spoke with us on the day of our visit said that they felt well looked after regarding their health and medication. The nursing manager carried out monthly audits of medication. However, we did find in checking records for those residents who we were case tracking, that there were some gaps in recording, which had not been followed up, and that nurses were sometimes making decisions about whether medication was needed or not, without seeking for a review of medication from the GP. Following our visit, the manager and head of nursing gave us detailed information about improvements they had made in this area, including talking to staff about the importance of accurate recording and requesting clarification from the GP about individuals’ medication. We observed the ways in which staff interact with residents – they were seen to be respectful and sensitive to their needs and moods. One relative said in a comment card: ‘The staff are delightful – polite, friendly and always ready to help’. People who live in the home can be on their own in their bedrooms if they want to, but are supported to be with others if they choose. Some residents have clearly formed friendships in the home. We observed during the inspection that residents’ clothes were well looked after and clean, and that they were supported to maintain a good appearance. Bosworth Court Nursing Home DS0000001891.V337491.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): OP 12, 13, 14, 15; YA 12, 13, 15, 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents are enabled to have a generally good lifestyle in the home. EVIDENCE: Residents told us they are able to make choices in their daily lives – about when they get up and go to bed and what they would like to do during the day. Residents told us about the things they like to do, like crosswords, listening to Bosworth Court Nursing Home DS0000001891.V337491.R01.S.doc Version 5.2 Page 14 talking tapes, and sewing. There are some planned activities available for people to do in the home, and one carer has been given the task of organising these, which is an improvement made since the last inspection. Activities in the home include bingo and sing-alongs, dominoes and cards, and sometimes staff support resident to go out for walks. Relatives also take residents out sometimes. We did observe that some residents spent a large part of the day sitting in the lounge areas, without any planned activities taking place, although relatives did visit. Relatives did tell us that people with dementia/confusion are also supported to be involved in activities in the home, and are not excluded. Residents can have visitors to see them when they choose to. During our visit, relatives were made welcome in the home. Residents can see visitors in their rooms or in one of the lounges. Residents also have use of the garden at the back of the home, which has been improved, with new paving areas and beds. It is secure, to enable all residents to enjoy it. Residents are able to take part in religious worship if they want to. A vicar comes to the home to give Holy Communion. An ecumenical service is offered in the home monthly, and residents and relatives told us they enjoyed singing hymns. Residents told us that they like the food, and that they are able to have a choice in what they would like to eat. We saw staff offering residents a choice on the day of inspection – immediately before the meal rather than a long time before, which is good practice. There is enough prepared for everyone to have what they would like. Meals are served in the dining areas of the two lounges. The food is freshly cooked on the premises every day. The cooks arrange their shifts so they can cover all meals seven days a week, and ensure meals are freshly made for residents. The lead cook has worked at the home for many years, and achieved a ‘Foodwise’ award. She showed good awareness of the importance of a balanced, nutritious diet for residents, particularly in relation to health and prevention of illness in older people. The home is commended for the attention paid to meals for residents. Bosworth Court Nursing Home DS0000001891.V337491.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): OP 16, 18; YA 22, 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents are well protected by procedures and good staff awareness regarding complaints and safeguarding from harm. EVIDENCE: There is a complaints procedure in the home. There have been no complaints received by us since the last inspection. The manager has dealt with some complaints raised with him, and we saw from records that these were looked into quickly and appropriate action taken. Residents who we spoke to told us that they felt able to raise any concerns with the manager or with staff. Out of six comment cards received from relatives, all commented that they always knew how to make a complaint, and five that they were always happy with the home’s response if they raised concerns (one said they were usually happy). Residents we spoke to said that they felt safe and well looked after in the home. Staff have received training in the importance of protecting vulnerable adults from abuse. Bosworth Court Nursing Home DS0000001891.V337491.R01.S.doc Version 5.2 Page 16 Relatives or solicitors mainly handle the financial affairs of residents. There are facilities for residents to keep money safely in the home. The manager keeps records and receipts of monies spent. At the moment, only the manager signs these records, without confirmation by the residents themselves or staff as witnesses, which may not provide good enough safeguarding. Bosworth Court Nursing Home DS0000001891.V337491.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): OP 19, 26; YA 24, 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents benefit from a comfortable, clean and well-maintained living environment. Bosworth Court Nursing Home DS0000001891.V337491.R01.S.doc Version 5.2 Page 18 EVIDENCE: During the visit, we looked around at some parts of the home. We looked at a sample of bedrooms, bathrooms and toilets, and lounges/dining rooms. We found all areas were clean and tidy and well-maintained. Residents are able to have their own possessions in their bedrooms. Residents told us that they felt comfortable in the home and had what they needed in their own bedrooms. One resident told us that she is going to choose some trailing flowers for the wall outside her bedroom window. The manager makes sure that safety precautions and checks are carried out in the home. Records showed that the manager has contact with the fire service and with the Environmental Health department. There is a fire risk assessment in place in the home, to make sure residents are kept as safe as possible from any risk of fire. There is a rolling programme of planned maintenance in the home. There are systems in place for making sure laundry is done efficiently. There are new machines in the home, which are suitable for purpose. One person said ‘I love it. I can chuck my dirty washing on the floor and someone takes it away and it comes back clean!’ There have been some improvements carried out to the home: a number of bedrooms have been re-decorated with residents able to choose the colours. Lounge/dining areas have been re-decorated and are bright and airy. The front driveway and garden has been improved and a secure garden area built at the back of the home. New carpets or vinyl flooring have been provided, and the hairdressing salon has been refurbished, again according to residents’ choice. This is very positive. Generally people do not have locks on their bedrooms in the home – the manager said this ties with the philosophy of the home, as a safe, open place for residents – but that residents are given a choice. One person does have a lock on their bedroom door. One resident we spoke to said she was happy not to have a lock and preferred that. Bosworth Court Nursing Home DS0000001891.V337491.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): OP 27, 28, 29, 30; YA 32, 34, 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a well trained staff team and positive recruitment processes. EVIDENCE: We saw that the numbers of staff on duty on the day of inspection was consistent with the staff rota. We asked residents and relatives for their views about staffing. Of six comments cards received from relatives, three said that staff always have right skills and experience to perform their role, three said staff usually do. Three people further suggested that one way to improve the home might be to have more staff – although these were people who were generally very happy with the home and did not want to discuss this further Bosworth Court Nursing Home DS0000001891.V337491.R01.S.doc Version 5.2 Page 20 with us. There were no concerns expressed to us by residents or relatives about staffing levels on the day of our visit. Staff have ongoing training in relevant aspects to help them to work well. Areas of training include moving and handling, first aid, hoist awareness, infection control. One member of senior staff is now responsible for training and ensuring all staff are trained in relevant areas. Staff nurses have training in dementia care. Staff who spoke to us confirmed that they are supported and supervised in their work. The manager makes sure that recruitment practices are safe and that all relevant checks are carried out on people who wish to work in the home, including collecting references and making Criminal Record Bureau checks. Bosworth Court Nursing Home DS0000001891.V337491.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): OP 31, 33, 35, 38; YA 37, 39, 42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents benefit from living in a well managed home. Bosworth Court Nursing Home DS0000001891.V337491.R01.S.doc Version 5.2 Page 22 EVIDENCE: The registered manager remains in post in the home. The manager has completed the Registered Managers Award and National Vocational Qualification Level 4. The staff, residents and relatives are very positive about the manager and feel that he is very open and approachable. One person commented ‘Stuart is always available to help’. There have been a number of improvements in the home since the last inspection, and the manager is continuing to work with the staff to drive standards up. There are different ways in which the manager tries to get people’s views about how the home is run. Residents fill in surveys about their views of the home, and the manager has prepared a report to show the results. Residents’ meetings are held regularly, and residents’ ideas are taken up by the manager and changes made where possible – for example the manager purchased a cordless digital phone system after the residents expressed a wish for this. Staff meetings are held regularly to make sure that staff are aware of working practices and procedures, and to get their views. Staff have training in safety aspects, such as infection control and first aid. There are procedures in the home to make sure that staff work safely. Safety checks of equipment are regularly carried out. Bosworth Court Nursing Home DS0000001891.V337491.R01.S.doc Version 5.2 Page 23 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 X 2 X 3 3 4 X 5 X 6 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 ENVIRONMENT Standard No Score 19 3 20 X 21 X 22 X 23 X 24 X 25 X 26 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 X 33 3 34 X 35 3 36 X 37 X 38 3 Bosworth Court Nursing Home DS0000001891.V337491.R01.S.doc Version 5.2 Page 24 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 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 OP18 Good Practice Recommendations It is recommended that the manager ensures that either the signature of residents themselves or a witness is included in records of spending of residents’ money, to ensure their financial interests are safeguarded. Bosworth Court Nursing Home DS0000001891.V337491.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Court Nursing Home DS0000001891.V337491.R01.S.doc Version 5.2 Page 26 - 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. 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