Inspection on 01/11/05 for Boultham Park House

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 Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Boultham Park House 13/11/06

Boultham Park House 23/05/05

Boultham Park House 29/09/04

Boultham Park House 13/05/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Boultham Park House Rookery Lane Lincoln Lincs LN6 7PH Lead Inspector Mr David Bacon Unannounced Inspection 1st November 2005 08:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Boultham Park House DS0000002330.V262937.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. Boultham Park House DS0000002330.V262937.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Boultham Park House Address Rookery Lane Lincoln Lincs LN6 7PH 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) 01522 681500 01522 696399 manager.boultham@osjct.lincs.co.uk The Orders Of St John Care Trust Manager post vacant Care Home 36 Category(ies) of Dementia (2), Old age, not falling within any registration, with number other category (34) of places Boultham Park House DS0000002330.V262937.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2 DE aged 58 years or over. Date of last inspection 23rd May 2005 Brief Description of the Service: Boultham Park House is a 2-storey building located on the outskirts of Lincoln and is situated at the end of a small lane, behind residential housing and shops. The home is set in well-maintained gardens and a car park is situated at the front of the premises. The rear of the property overlooks Boultham Park and its lake. The home is close to local facilities and a short bus ride from the City Centre. The home is registered to provide personal care for up to 36 service users, 34 of these being over 65 years and 2 having specific mental health needs. Accommodation is provided in 32 single and 2 double bedrooms situated on the ground and first floor. Boultham Park House DS0000002330.V262937.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 3.5 hours; it was unannounced and was carried out by one inspector. A tour of the premises was conducted, service users care records and staff records were inspected along with administrative systems. The inspector spoke with the acting manager, six service users, one representative and six staff members. What the service does well: Boultham Park House is a clean, homely and very well maintained environment, which is enjoyed by service users who are satisfied with the standards of care and how they are treated by staff. Comments included: “It’s been a godsend to me, of course I didn’t want to leave my home but they couldn’t have been better with me”. “We have been satisfied, they put our minds at rest really, it’s all very good”. “I like it because you can talk to them, about anything and they are interested and listen”. “It always strikes me as a very friendly place, always”. “The place is spotless and the care is top notch”. Administrative systems are very well maintained overall. For example, recruitment and staff and service users care records. There are good systems in place for seeking the views of residents and relatives. The quality of food is good, it is enjoyed by service users, whose views regarding meals are sought on a regular basis and there is a choice. Boultham Park House DS0000002330.V262937.R01.S.doc Version 5.0 Page 6 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. Boultham Park House DS0000002330.V262937.R01.S.doc Version 5.0 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 Boultham Park House DS0000002330.V262937.R01.S.doc Version 5.0 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, 2, 3, 4, Satisfactory policies and procedures are in place for the guidance of care staff during the introduction of service users to the home. Information is provided to prospective service users to enable them to make informed choices about the facilities and services provided. EVIDENCE: The care records viewed clearly evidenced the assessment of each service users care needs. The completed risk assessments identified any risks and documented where service users or their representatives had been consulted with regarding their care plan. The service users and representative spoken with confirmed that they were fully satisfied with the homes admission arrangements. Comments included: “They made us all welcome from the start, we had a look round and they were all very kind and helpful”. “I can’t remember too far back but I was made welcome here and nothings changed”. “Yes, they were marvellous to me, very welcoming and there was no pressure or anything”. Boultham Park House DS0000002330.V262937.R01.S.doc Version 5.0 Page 9 A statement of purpose and service users guide have been devised, which detail the services provided by the home and the aims and objectives and these are made available to service users. Written confirmation is provided to service users where the home is able to meet their individual care needs. Service users are provided with written terms and conditions of residence contracts and signed copies of these are maintained. Admission policies and procedures are in place, giving guidance to staff. Boultham Park House DS0000002330.V262937.R01.S.doc Version 5.0 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, 11 Care records provide staff with sufficient information overall to meet service users care needs and service users feel that they are treated appropriately and with respect. Procedures for the administration of medication are well maintained overall. EVIDENCE: A care plan is completed for each service user and information within these clearly documents how each individual’s care needs are to be met. Information regarding any health care needs is also clearly detailed. The completed risk assessments identified any potential risks and the action required to be taken by staff to minimise these. Care records are generally updated daily although minor alterations are required regarding this and care plans are reviewed as service users care needs change. The homes medication system was well maintained overall and mostly documented medicines as receipted into the building and where administered Boultham Park House DS0000002330.V262937.R01.S.doc Version 5.0 Page 11 although minor alterations are required regarding this. A record is maintained where medicines are disposed of although these were not available during the visit. Medicines are appropriately stored and staff whom administer medication receive specific training regarding this. The service users and representatives spoken with confirmed that staff respected their privacy and dignity in all areas of care. Comments included: “They are marvellous, the carers here know what to do and how to treat you”. “I’ve never really thought about it but they look after you as you would hope”. Service users wishes regarding death are recorded and policies and procedures are in place regarding this giving guidance to service users and staff. Boultham Park House DS0000002330.V262937.R01.S.doc Version 5.0 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, 13, 14, 15 The food and drink provided is enjoyed by service users, it is varied, plentiful and of good quality and the home aims to meet service users preferences regarding this. Service users are supported to express their views regarding the care they receive, life within the home, and to maintain and develop community links as they prefer. The homes variety of activities is limited although enjoyed by service users. EVIDENCE: The service users and representative spoken with confirmed that they were no restrictions as to how residents spend their time and that staff respected their individual wishes and preferences. Service users said that they enjoyed the homes provision of activities but that these were infrequent. Comments included: “Yes, I enjoy the activities and things”. “We have exercises and a few other things but I would like for there to be more to do, more outings and entertainment”. “They always make you welcome, you can approach them to ask anything”. “The atmosphere is always very good they all make you welcome”. “You can do as you like as far as I know”. “There’s not quite enough to do for my liking but we do some things which are enjoyable”. The acting manager said that an activity co-ordinator had been recruited and was due to commence working at the home. Boultham Park House DS0000002330.V262937.R01.S.doc Version 5.0 Page 13 Service users are informally consulted with about their likes and dislikes and they have opportunities to express their views at residents meetings. The food in the home is of a good quality and a choice of food is offered at each mealtime. Much of the food is home produced, including soups, which are served as a starter at each lunchtime and cooked breakfasts are available. The service users spoken with were satisfied with the homes provision of meals. Service users views regarding meals are sought on a regular basis and records of these are maintained along with records of temperatures and cleaning schedules. Boultham Park House DS0000002330.V262937.R01.S.doc Version 5.0 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 The service users spoken with feel able to express their views regarding the care they receive and complaint guidelines are in place regarding this. Staff are aware of the homes whistle blowing and abuse policies and procedures. EVIDENCE: Complaint policies and procedures are in place and information regarding these is provided to service users. The service users and representative spoken with said that they felt able to express their views regarding the care provided and that any comments would be acted upon. Comments included: “Well, I would speak with them if I had cause to but I haven’t”. “I’m sure the staff would listen if I had any complaints”. The staff members spoken with were aware of the correct action to be taken in the event of an issue of abuse being suspected. Staff attend abuse awareness training and policies and procedures regarding complaints, whistle blowing and abuse are in place. Boultham Park House DS0000002330.V262937.R01.S.doc Version 5.0 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, 20, 22, 26 The standard of the physical environment is good, with the organisation ensuring the maintenance of each area of the home. All private and communal space is suitable for the residents, homely and comfortable. EVIDENCE: The service users spoken with were satisfied with the physical environment. Comments included: “Well it’s always been a nice clean place to live”. “Its always kept clean, yes they work hard with this”. The home is well furnished and decorated and the standard of the environment and its facilities are appropriate to the needs of residents. Maintenance programmes are in place although these were not viewed on this occasion. Domestic staff keep the home clean and odour free and health and safety policies and procedures provide guidance to staff whom also receive training regarding health and safety. Boultham Park House DS0000002330.V262937.R01.S.doc Version 5.0 Page 16 Service users personal accommodation was viewed, which was cleanly decorated and demonstrated where service users had personalised their room. Furniture is of a domestic style and is in good order. Radiators are covered and water temperature restrictors are fitted to water outlets to minimise the risk of burns or scalding. Aids and adaptations are provided for residents who require them, they are serviced regularly and the staff receive training to use any equipment as necessary. A new bath was being installed during the visit. Boultham Park House DS0000002330.V262937.R01.S.doc Version 5.0 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, 28, 29, 30 Recruitment procedures are in place and the staff receive an induction when commencing work at the home. There are sufficient numbers of staff, appropriately deployed to allow them to care for the residents. EVIDENCE: The service users and representatives spoken with confirmed that their care needs were appropriately met. Comments included: “I’m satisfied, yes, they look after you, always”. “They all work so hard, the care from them all is good, wonderful really”. “The care seems to be good here”. “I couldn’t complain because the care and treatment is so good”. The staff files viewed were well maintained and clearly evidenced that recruitment policies and procedures are in place. The staff members spoken with confirmed that they had received induction upon commencing work at the home, which was further evidenced within the records inspected. At least 50 of the homes staff have attained NVQ training to level 2 and others have been identified to attend this training. Boultham Park House DS0000002330.V262937.R01.S.doc Version 5.0 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): 32, 33, 38 Service users are supported to express their views regarding life within the home. The staff are trained to meet service users care needs. EVIDENCE: The home is very well maintained and a risk assessment of the premises has previously been undertaken although this could not be located during the visit. The service users spoken with confirmed that they were satisfied with the management of the home, the care provided and that they felt able to express their views regarding life within the home and that these generally would be acted upon. Residents meetings are held regularly and records of these meetings are maintained. Quality satisfaction questionnaires have been devised and these are sent to service users or their representatives where Boultham Park House DS0000002330.V262937.R01.S.doc Version 5.0 Page 19 appropriate following each yearly review of the care provided. Records of any action taken following receipt of these is maintained. The staff attend a comprehensive amount of statutory training, which is ongoing. Boultham Park House DS0000002330.V262937.R01.S.doc Version 5.0 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 X N/a HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X 3 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 X 3 3 X X X X 2 Boultham Park House DS0000002330.V262937.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? Yes 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 OP12 Regulation 15 16 (2) (n) Requirement The registered person shall prepare a plan as to how the service users needs in respect of health and welfare are to be met. Therefore, it is required that care records demonstrate fully how the daily living and recreational needs of service users are met (previous timescale 31.07/05 not met). A comprehensive care plan must be completed for each service user, which must clearly demonstrate how service users care needs are met and be updated on a regular basis. Timescale for action 31/01/06 2 OP7 13(4)c 14(2) 15(1)(2) 31/01/06 3 OP9 13 (2) The registered person shall make 30/11/05 arrangements for the recording, handling and safe administration of medicines. Therefore, all medicines must be receipted as received into the home. A risk assessment of the security of the premises based on service users vulnerability must be completed. DS0000002330.V262937.R01.S.doc 4 OP38 12(1) 13(3)(4) 31/01/06 Boultham Park House Version 5.0 Page 22 4 OP38 16(j)(k) 23(4)(e) A risk assessment of the security of the premises based on service users vulnerability must be completed. 31/01/06 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 Boultham Park House DS0000002330.V262937.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Boultham Park House DS0000002330.V262937.R01.S.doc Version 5.0 Page 24 - 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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