Inspection on 18/07/06 for Botham Hall

This inspection was carried out on 18th July 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

Botham Hall 11/12/07

Botham Hall 03/10/05

Botham Hall 26/04/05

Botham Hall 04/10/04

Botham Hall 27/05/04

Botham Hall 04/03/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Botham Hall Botham Hall Road Milnsbridge Huddersfield West Yorkshire HD3 4RJ Lead Inspector Karen Summers Key Unannounced Inspection 18th July 2006 08:40 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 Botham Hall DS0000026266.V296929.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. 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. Botham Hall DS0000026266.V296929.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Botham Hall Address Botham Hall Road Milnsbridge Huddersfield West Yorkshire HD3 4RJ 01484 646327 01484 462286 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) Southern Cross Care Homes Limited Ms Christina Halonka Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Botham Hall DS0000026266.V296929.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named person aged under 65 years of age - category PD Date of last inspection 3rd October 2005 Brief Description of the Service: Botham Hall provides personal care and accommodation for up to 40 older people of either gender, and over the age of 65 years. The home is purpose built and stands in the grounds of a former residential property. The accommodation if over three floors, with lounges, a smoking room, and a dining room on the ground and first floors, and staff accommodation on the second floor. There are forty single bedrooms, sixteen of which have en-suite facilities and all other rooms are close to bathroom facilities. Outside there is a large paved patio area, with well-kept tubs and hanging baskets. Botham Hall is close to local amenities such as shops, and churches. Fees at the home start at £ 332.98 - £425.50 per week. Items not included in the fee include: Hairdressing, toiletries, and newspapers/ magazines. Botham Hall DS0000026266.V296929.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report refers to a key inspection, which included an unannounced site visit on the 18th July 2006, and the duration of the inspection was 7 hours. There were 35 service users in residence on the day. Mrs C Halonka, manager, was present throughout the inspection. The following areas were looked at and have been used in the production of this report; a sample of records, care plans, medication, individual discussion with five service users, a relative, two members of staff, tour of the premises and document reading. To reflect the views of those who use the service, satisfaction questionnaires were sent to: 10 service user, 9 were returned; 10 relatives, 4 were returned, GP practices, none were returned, and district nurses, 1 was returned. The inspector would like to thank those who contributed to the inspection process, and also thank Mrs Halonka, her staff, service users and their relatives, for their time and hospitality on the day of inspection. What the service does well: What has improved since the last inspection? Botham Hall DS0000026266.V296929.R01.S.doc Version 5.2 Page 6 Following the pre admission assessment, the manager now confirms in writing, that the home is suitable for meeting the service user’s needs in respect of his health and welfare. Should a service user wish to self-administer their medication; there is a procedure and risk assessment. There is a simple and clear complaints procedure, and an assurance that complaints are dealt with promptly and effectively, and within a period of 28 days. Fire alarms are tested weekly and recorded. 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. Botham Hall DS0000026266.V296929.R01.S.doc Version 5.2 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 Botham Hall DS0000026266.V296929.R01.S.doc Version 5.2 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): 1-5 Quality in this outcome area is excellent. This judgement has been made from evidence gathered both during and before the visit to this service. No service user moves into the home without having had his/ her needs assessed and been assured that those needs will be met. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. EVIDENCE: There is an up to date statement of purpose and service user guide, and both documents are available in Braille and audiocassette. Prospective service users and their relatives are encouraged to have a look around the home, and spend some time there before deciding to move in, and service users are admitted following an assessment of their needs. Without exception, all service user questionnaires stated that they receive enough information about the home before deciding it is the right home for them. Botham Hall DS0000026266.V296929.R01.S.doc Version 5.2 Page 9 Service users are provided with a statement of terms and conditions at the point of moving into the home, or contract if purchasing their care privately. Botham Hall DS0000026266.V296929.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The service users’ health, personal, and social needs are set out in a plan of care, and they receive the level of support they require to ensure that those needs are maintained. Service users are protected by the home’s policies and procedures for dealing with medicines. Service users are treated with respect. EVIDENCE: Care plans were of a good standard and set out the action that needs to be taken by care staff, to ensure that the needs of the service users are met. The daily record was also comprehensive and referred to the identified needs. One of the service user questionnaires stated that the staff were wonderful and marvellous, and the nurses were all very kind. Botham Hall DS0000026266.V296929.R01.S.doc Version 5.2 Page 11 The District nurse questionnaire stated that they were satisfied with the overall care provided to service users within the home, and that service users appeared to be well cared for. The questionnaire returned from a doctor stated, that he was also satisfied with the overall care provided to service users, and that staff demonstrate a clear understanding of the care needs of service users. Medication housekeeping was of a satisfactory standard; should a service user wish to self- administer their medication, there is a risk assessment and documentation. Botham Hall DS0000026266.V296929.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 - 15 Quality in this outcome area is excellent. This judgement has been made from evidence gathered both during and before the visit to this service. Service users find the lifestyle experienced in the home matches their expectations and preferences. The needs of those service users who have a visual disability are supported. Service users are encouraged to maintain contact with family and friends, and they visit on a regular basis. A variety of meals are offered that take into account the likes and dislikes of the service users. EVIDENCE: An activities coordinator is employed Monday – Friday 16hrs per week, and in addition to this the coordinator and staff work extra duties to take people out on trips in the mini bus, to local places of interest. On the day of the visit a trip had been arranged to go to Cannon Hall. A programme of activities is displayed in various parts of the home, and without exception service users said that there are activities that they can take part in. One person wrote, “I join in what I can, and activities are very good.” “I have just been on a trip, it Botham Hall DS0000026266.V296929.R01.S.doc Version 5.2 Page 13 was very good.” I also spoke with a relative who said that she had just returned from holiday, and because her father loves it at the home, she was able to go away with peace of mind. She said that the staff were excellent, and that her father enjoys the food. Consideration is given to people with visual and hearing impairments, and large print books and talking books are made available at the home. Botham Hall DS0000026266.V296929.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Service users and their relatives can be confident that their complaints will be listened to, taken seriously and acted upon in a timely manner. Service users are protected from abuse. EVIDENCE: There is a complaints procedure which specifies how complaints may be made, and with an assurance that they will be responded to within a maximum of 28 days. There is also a whistle blowing procedure, and staff receive abuse awareness training. The home received a complaint in January this year, which was in relation to a service user receiving a glass of water instead of a beaker. The complaint, which was upheld, was responded to in an appropriate manner. Without exception all questionnaires stated that relatives and service users were aware of the complaints procedure and knew how to make a complaint. Botham Hall DS0000026266.V296929.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The home is in a good state of repair and decorative condition, and service users’ individual needs are met in a comfortable and homely setting. The premises are clean and systems are in place to control the spread of infection. EVIDENCE: The decorative condition of the home was of a good standard, and there was evidence that there is a programme of routine maintenance and renewal of the fabric and decoration of the premises. The premises were clean and systems are in place to control the spread of infection. The service user satisfaction questionnaires commented that the home was always clean. One service user wrote, “The place is beautiful, and I Botham Hall DS0000026266.V296929.R01.S.doc Version 5.2 Page 16 like the decoration.” Another service user wrote, “I think the home is very clean and always smells nice.” Botham Hall DS0000026266.V296929.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 - 30 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The staffing levels and skill mix were sufficient to meet the number and needs of service users. Service users are supported and protected by the home’s recruitment practices. Staff are also trained and competent to do their job. EVIDENCE: There was a sufficient number and skill mix of staff on duty to care for the number of service users in the home. Three out of four relative’s questionnaires stated that there were always sufficient numbers of staff on duty. 50 of care staff have an NVQ level 2 or equivalent. The registered person operates a thorough recruitment process, ensuring the protection of service users. Staff confirmed that they had had induction training within 6 weeks of their employment, and were able to say what the induction included. The information was also recorded in the staff training files. Botham Hall DS0000026266.V296929.R01.S.doc Version 5.2 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The service users benefit from the management approach of the home and the registered manager ensures so far as is practicable that the health, safety and welfare of service users and staff are protected. Service users are safeguarded by the accounting and financial procedures of the home. Staff are appropriately supervised. EVIDENCE: Mrs C Halonka, the manager has nearly completed the Registered manager award, and an NVQ level 4 in care. Botham Hall DS0000026266.V296929.R01.S.doc Version 5.2 Page 19 Satisfaction questionnaires have been done for relatives, and the manager is in the process of doing the ones for the service users. When they have been completed, the manager said that they would be published, and circulated to all interested parties. In addition to this an in house newsletter is published and notices displayed around the home of forthcoming events. Quotes from some of the questionnaires received from relatives included, “I cannot fault anything.” “Staff are excellent.” “I cannot praise them enough.” “My relative is very well looked after, and they feel secure and safe.” Service users personal finances were inspected and found to be correct. The supervision of staff takes place a minimum of six times a year, and appropriate records are maintained. Botham Hall DS0000026266.V296929.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 Botham Hall DS0000026266.V296929.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP31 Good Practice Recommendations 31.2 - The registered manager should hold an NVQ level 4 in management and care or equivalent. Botham Hall DS0000026266.V296929.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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 Botham Hall DS0000026266.V296929.R01.S.doc Version 5.2 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. 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!