Inspection on 13/11/06 for Boultham Park House

This inspection was carried out on 13th November 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

Boultham Park House 01/11/05

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 Key Unannounced Inspection 13th November 2006 8:00 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.V319087.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. Boultham Park House DS0000002330.V319087.R01.S.doc Version 5.2 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@osjctlincs.co.uk The Orders Of St John Care Trust Julie Quincey Care Home 36 Category(ies) of Dementia (2), Old age, not falling within any registration, with number other category (36) of places Boultham Park House DS0000002330.V319087.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered to provide personal care for service users of both sexes whose primary needs fall within the following categories: Old Age, not falling within any other category (OP) (36) Dementia (DE) (2) The maximum number of service users to be accommodated is 36. The service users in the category of DE are aged 58 years and over. 2. 3. Date of last inspection 1st November 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. The range of fees is from £336 to £449 per week Boultham Park House DS0000002330.V319087.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This site visit took place over 4.5 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 Registered Manager, four service users, one representative, a visiting District Nurse and two staff members. The visit also included a thematic enquiry. This consisted of asking a number of standardised questions to three service users whose care was followed. This was part of a national pilot scheme. We informed the registered person and sought the agreement of residents in advance of asking the questions about the care they receive. What the service does well: Boultham Park House is a clean, homely, well run and very well maintained environment, which is highly regarded overall by it’s service users who feel they are treated respectfully by staff and that their care needs are appropriately met. Service users comments included: “I can’t complain about the care, we are treated by staff who have limitless patience”. “They are truly kind and helpful, they could not treat you any better than they do here”. It’s wonderful, the staff are kindness itself and it’s well run, all approachable”. Administrative systems are well maintained. For example, recruitment and staff and service users care records. There are good systems in place for promoting service users rights and choices and for seeking the views of service users and their representatives. 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. A wide variety of activities are regularly provided that are enjoyed by service users whom are consulted with about life within the home. Boultham Park House DS0000002330.V319087.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Boultham Park House DS0000002330.V319087.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 Boultham Park House DS0000002330.V319087.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Comprehensive systems are in place for the introduction of service users to the home. Service users are provided with information about the home and they can be assured that their care needs will be appropriately met. EVIDENCE: The service users care records viewed identified that a comprehensive assessment of each service users care needs had taken place, which included a brief life history, individual likes, dislikes and general preferences, psychological and social needs, health care and a physical assessment. An assessment of risk is undertaken and records instruct staff about how these Boultham Park House DS0000002330.V319087.R01.S.doc Version 5.2 Page 9 are to be minimised. Any bereavement arrangements are noted and service users or their representatives are consulted with regarding their care plan. The service users and representative spoken with confirmed that they were satisfied with the homes admission arrangements. Comments included: “I can’t remember receiving any information but then my family always deals with that kind of thing”. “They have always been very good, quite faultless”. They answered any questions and nothing was too much trouble”. “It was recommended and I’ve not regretted it”. Boultham Park House DS0000002330.V319087.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10, 11 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Care records clearly identify service users care needs and document the care provided. Service users feel that they are treated respectfully and are satisfied with standards of care. Procedures for the administration of medication are well maintained. EVIDENCE: The service users spoken with confirmed that their care needs were met and that staff respected their privacy and dignity. Comments included: “I don’t want to live in a care home but have to say they treat you better than you could wish for”. “The staff are a godsend, lovely really, all of them”. “They are always approachable, day or night you can rely on them”. “Of course, you just ask and the help is there, wonderful”. Staff members during the visit were observed being courteous and respectful to the service users and were aware Boultham Park House DS0000002330.V319087.R01.S.doc Version 5.2 Page 11 of the homes policies regarding privacy, dignity, choice, rights and independence. A care plan is completed for each service user and information within these clearly documents each individual’s care needs and how these are met. Information regarding any health care needs is also clearly detailed and updated as necessary. The completed risk assessments identified any potential risks and the action required to be taken by staff to minimise these. The care records viewed were generally updated daily and care plans are reviewed as service users care needs change, of which service users are involved. The District Nurse spoken with was satisfied with the care provided by the home and confirmed that staff appropriately follow any given instruction or advice. Improvements have been made with the homes medication system since the previous visit and a designated medical room is now in place along with updated medication policies and procedures. Medication systems were well maintained and clearly documented medicines as receipted into the building and where administered and where disposed of. Staff whom administer medication receive specific training regarding this. Service users wishes regarding death are recorded and policies and procedures are in place regarding this giving guidance to service users and staff. Two service users spoken with said that items of their clothing were occasionally being misplaced when being sent to wash although the manager agreed to address this immediately. Boultham Park House DS0000002330.V319087.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have access to a variety of activities that currently meets their expectations. The meals provided is enjoyed by service users, it is varied, plentiful and of good quality and the home aims to meet service users individual needs and 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. EVIDENCE: Improvements have recently been made regarding the homes provision of activities. For example, an activity co-ordinator has been recruited and service users views regarding activities are regularly sought. The records viewed identified that a varied and regular programme of activities is provided, of which records are maintained both collectively and individually. The service users spoken with confirmed that they were satisfied with the homes provision Boultham Park House DS0000002330.V319087.R01.S.doc Version 5.2 Page 13 of activities, that they were supported to express their views regarding these, which would be listened to. Service users said there were no restrictions as to how they could spend their time and that visitors were made welcome. Comments included: “I choose not to get involved but there is plenty going on”. “It’s nice because it’s there if you want it”. “You get asked about what activities you would like”. Service users are consulted with about their likes and dislikes upon admission then regularly, which is alongside questionnaires and service users 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 lunchtime and cooked breakfasts are available. The service users spoken with were satisfied with the homes provision of meals. Comments included: “Well I’m a very fussy eater and I have to admit that the food is good”. “Marvellous, home made and they do well to please everyone, we are quite spoilt”. 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.V319087.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users spoken with feel able to complain about the care they receive and staff are made aware of the systems in place to protect service users from abuse. EVIDENCE: Records show that there have been no complaints or safeguarding adult referrals made since the last inspection visit. 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 appropriately acted upon. Comments included: “You would just speak with them and they would listen, if not you can speak with the manager, it’s all very friendly”. “I would complain if I had cause to but really there would be no need here”. “Yes, I think they would listen if I had any complaints”. “They would try to solve any problems with no fuss, I’m sure”. 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 Boultham Park House DS0000002330.V319087.R01.S.doc Version 5.2 Page 15 training and policies and procedures regarding complaints, whistle blowing and abuse are in place. Boultham Park House DS0000002330.V319087.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 22, 25, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the physical environment is good, with the organisation ensuring the maintenance and safety of each area of the home. All private and communal space is suitable for the residents, homely and comfortable. EVIDENCE: 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. There were no obstructions in corridors or other communal areas that could limit mobility. All communal and private areas contain comfortable and wellmaintained furniture. Domestic staff keep the home clean and odour free and Boultham Park House DS0000002330.V319087.R01.S.doc Version 5.2 Page 17 health and safety policies and procedures provide guidance to staff whom also receive training regarding health and safety. Service users personal accommodation was viewed, which was cleanly decorated and demonstrated where service users had personalised their own room. Furniture is of a domestic style and is in good order. The service users spoken with were satisfied with the physical environment. Comments included: “As you can see it’s very well kept and it’s always like this”. “You can visit anytime and it’s clean and tidy”. “You don’t have to remind them to clean anything because it’s all done beautifully”. Radiators are covered and water temperature restrictors are fitted to water outlets to minimise the risk of burns or scalding. Boultham Park House DS0000002330.V319087.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Recruitment procedures are in place to safeguard service users and the staff receive an induction when commencing work at the home. There are sufficient numbers of staff, appropriately deployed and trained to allow them to care for service users. EVIDENCE: The staff files viewed were well maintained and clearly evidenced that appropriate 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. The staff attend a comprehensive amount of statutory training, which is ongoing. Approximately 50 of the homes staff have attained NVQ training to level 2 and others are identified to attend this training. The staff spoken with said that they had received induction and regular training to properly carry out their roles and that there were enough staff to meet service users needs. Boultham Park House DS0000002330.V319087.R01.S.doc Version 5.2 Page 19 The service users and representatives spoken with confirmed that their care needs were appropriately met. Comments included: “Well, this place was a recommendation and we haven’t been let down”. “I’m sure you’ve heard it before but they are a marvellous team, they couldn’t do more for you”. “They do look after you well”. “It’s very family like, they genuinely do their best”. Boultham Park House DS0000002330.V319087.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and systems are in place to ensure that care is provided in a safe and appropriate manner. Service users are supported to express their views regarding life within the home. EVIDENCE: The home is well maintained throughout of which records are kept and a risk assessment of the premises has been undertaken, which is updated as necessary. Boultham Park House DS0000002330.V319087.R01.S.doc Version 5.2 Page 21 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 would be acted upon. The staff members spoken with further confirmed this. Comments included: “It is very well run, in a friendly way, the standards are very good and they are all approachable form the top down”. “They have been truly fantastic to me”. “I really didn’t want to come here but they are very kind and caring and I can speak with the manager if I need to”. “No regrets”. Service users meetings are regularly held and records of these meetings are maintained. Quality satisfaction questionnaires are sent to service users or their representatives where appropriate following each yearly review of the care provided. Records of any action taken following receipt of these is maintained. The staff members spoken with said they received regular supervision and that they have very good management support. Policies and procedures are in place to protect service users where the home has any involvement in their finances. Monies are kept separate and receipts and records of transactions and totals are maintained. Service users sign for any transactions. Boultham Park House DS0000002330.V319087.R01.S.doc Version 5.2 Page 22 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 4 X X X HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 3 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 3 X X 3 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 3 X 3 X 3 3 X 3 Boultham Park House DS0000002330.V319087.R01.S.doc Version 5.2 Page 23 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 OP10 Good Practice Recommendations It is recommended that adjustments are made to the homes laundry systems to minimise any clothing being misplaced. Boultham Park House DS0000002330.V319087.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Boultham Park House DS0000002330.V319087.R01.S.doc Version 5.2 Page 25 - 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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