Inspection on 11/05/05 for Buchan House

This inspection was carried out on 11th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Buchan House 22/04/08

Buchan House 09/05/06

Buchan House 20/09/05

Buchan House 03/12/04

Buchan House 08/06/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bramley Avenue (73)

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Buchan House Buchan Street Kings Hedges Road Cambridge CB1 2XF Lead Inspector Alan Buttery Unannounced 11 May 2005 @ 10:00 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 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. Buchan House I53 I03 S15236 BUCHAN HOUSE V224928 110505 STAGE 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Buchan House Address Buchan Street, Cambridge CB1 2XF Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01223 712111 01223 712111 Excelcare Ltd To be appointed CRH 66 Category(ies) of DE (E) 33 registration, with number OP 66 of places Buchan House I53 I03 S15236 BUCHAN HOUSE V224928 110505 STAGE 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 3rd December 2004 Brief Description of the Service: Buchan House is a purpose built home for the elderly, built on two floors and was previously owned and operated by the Local Authority. Stairs and a passenger lift provide access to the upper floor. The home has enclosed gardens and a visitor’s car park, and offers a dedicated and safe facility for service users with dementia. All rooms are single occupancy and have en-suite toilet and washing facilities.The home is situated in the King Hedges area of Cambridge, close to local facilities and amenities. Buchan House I53 I03 S15236 BUCHAN HOUSE V224928 110505 STAGE 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection of the current year, and took place in two parts, on the 11th and 17th May 2005. The first part of the inspection was unannounced, and lasted about three hours. Alan Buttery and Cathryn Bramham visited the home, and met the company’s area manager, who until very recently had been managing the home pending recruitment of a new permanent manager. In addition, the inspector attended a relatives meeting held in the home on the 17th May, at which the relatives of about 12 service users were present. Comment cards were left at the home, and distributed to service users and staff, and at the time of writing the report, a number had been returned, with in general very favourable comments, particularly noting the improvements to the service over the past three months. What the service does well: What has improved since the last inspection? At the last inspection, and subsequent contract and complaint investigation visits, a number of issues were identified, and acknowledged by the home. Changes to the management of the home, and a focus on dealing with the outstanding issues has resulted in a great improvement, to both the Buchan House I53 I03 S15236 BUCHAN HOUSE V224928 110505 STAGE 4.doc Version 1.30 Page 6 cleanliness of the home and the care provided. This has also led to a more open style of management, with a more positive morale among the staff tem, and a sense of direction. In addition, the activities available to service users have improved, with a good variety on offer, both in and out of the home. Care plans have all been revised, and the recording of day to day events is now much better, enabling the inspector to see what is happening in the home. 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. Buchan House I53 I03 S15236 BUCHAN HOUSE V224928 110505 STAGE 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Buchan House I53 I03 S15236 BUCHAN HOUSE V224928 110505 STAGE 4.doc Version 1.30 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 standard(s) 3 The homes pre admission procedures ensure that service users now moving into the home can be confident their assessed needs can be met by the home. EVIDENCE: During the inspection, the documentation used for new admissions to the home was examined, which included pre admission care diaries. These provided detailed information on the likes and dislikes of service users, and formed the basis on which care plans were written. The files examined also included risk assessments, copies of the local authority assessments, and other relevant information. In addition, prospective service users are encouraged to visit the home, with their relatives if they choose, before any decisions are made. The home does not offer any intermediate care facilities. Buchan House I53 I03 S15236 BUCHAN HOUSE V224928 110505 STAGE 4.doc Version 1.30 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, and 10 The healthcare needs of service users in the home are identified, and individual care plans detail these needs and how they should be met, to ensure all carers have the information they need when caring for the service user, however, these must always be completed in full. EVIDENCE: Since the last inspection, all individual care plans have been reviewed, and now clearly show the needs of the service users and how these needs will be met. The homes management regularly audit the care plans, to ensure they remain at an acceptable standard, and the care plans include health and social aspects of care. Where necessary, food and fluid intake is recorded in the care plan file, together with a monthly record of weight, although in one of the plans looked at, the weight recordings were not being done. It is important that this is done regularly, and trends monitored. A dietician visits the home on a monthly basis, and assists with the monitoring of weight, as well as providing advice and guidance on food and menus. Buchan House I53 I03 S15236 BUCHAN HOUSE V224928 110505 STAGE 4.doc Version 1.30 Page 10 Service users and relatives spoken to during the inspection, and subsequent relatives meeting felt that the staff treated all service users with a great deal of respect, and made every effort to provide care in a dignified and private manner. Buchan House I53 I03 S15236 BUCHAN HOUSE V224928 110505 STAGE 4.doc Version 1.30 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,and 14 Buchan House offers a wide variety of activities and events, both social and spiritual, to satisfy the needs and wishes of the service users living there, offering them choices in all aspects of their day to day living. EVIDENCE: During the inspection, and from conversations with service users, relatives and staff, it was apparent that the social, cultural and religious needs of the service users are now being met. The inspectors spoke to the home’s activity worker, whose enthusiasm for her role was particularly noted. She was able to demonstrate the variety of activities and trips available, some of which are shared with other home owned by the same company. This was discussed at the relatives meeting, and the comments from there were very favourable. Monthly religious services are held, and Holy Communion available for those who wish to take part, and other faiths are acknowledged, and arrangements made where needed. From discussions with the relatives present at the meeting, it was clear that regular visits are encouraged. Buchan House I53 I03 S15236 BUCHAN HOUSE V224928 110505 STAGE 4.doc Version 1.30 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 Appropriate policies and procedures are in place to deal with concerns and complaints, and service users are confident they will be listened to. EVIDENCE: A recent complaint that has been made to the home has been appropriately dealt with, to the satisfaction of the complainant, and the policies and procedures in place are in line with the requirements. One of the more recent difficulties appears to be a breakdown in communication between the home and the families of service users living there, and the recent relatives meetings in February and May have been well supported and gone a long way to restoring the relationship. This must continue Buchan House I53 I03 S15236 BUCHAN HOUSE V224928 110505 STAGE 4.doc Version 1.30 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 26 The home offers a spacious and well maintained environment which is comfortable and safe for service users to live in, although further work must be done to avoid unpleasant smells in the home. EVIDENCE: During a tour of the premises, plans for redecoration in the dementia care unit were discussed, together with improvements to the lighting in this area. The premises were seen to be clean, but an unpleasant odour was noted in some parts of the dementia care unit, which must be addressed. The standard of cleanliness has improved considerably since the last inspection, following extensive discussions between the CSCI, the Local Authority and the home, and improved staffing levels. Communal facilities were appropriate, and efforts are obviously being made to make the environment more homely, with quieter areas available for some service users. Buchan House I53 I03 S15236 BUCHAN HOUSE V224928 110505 STAGE 4.doc Version 1.30 Page 14 Buchan House I53 I03 S15236 BUCHAN HOUSE V224928 110505 STAGE 4.doc Version 1.30 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 and 30 A full complement of staff is in place, and they are receiving appropriate training to ensure the needs of the service users living in the home can be met. EVIDENCE: Since the last inspection, staffing levels have improved, and there are currently no vacancies. A copy of the most recent rotas was provided as evidence of the staffing levels. Other changes have been made which now ensure that a unit manager is always available, and details of the days staffing are displayed on a board for service users and relatives to see, which will be accompanied by photographs. Details of the training being provided was discussed, and a copy of the training plan for the coming year requested, although at the time of writing the report, this has yet to be received. Specialist training around continence issues is planned, and all staff receive the mandatory training as part of their induction, Team leaders and unit managers will be receiving training in providing supervision to staff, which will ease the management load. Buchan House I53 I03 S15236 BUCHAN HOUSE V224928 110505 STAGE 4.doc Version 1.30 Page 16 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 New management arrangements have improved the overall morale in the home, and service users can now be more confident their needs will be met. EVIDENCE: From discussions with service users and relatives, and observations during the inspection, the recent changes have placed a greater emphasis on the service users. The changes have improved the overall care received and he environment hey are living in, and the atmosphere and morale in the home is now much improved. Buchan House I53 I03 S15236 BUCHAN HOUSE V224928 110505 STAGE 4.doc Version 1.30 Page 17 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION 3 x x x x x x 2 STAFFING Standard No Score 27 3 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x 3 x x x x x Buchan House I53 I03 S15236 BUCHAN HOUSE V224928 110505 STAGE 4.doc Version 1.30 Page 18 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. 1. 2. Standard 8 26 Regulation 12(1)(a) 23(2)(d) Requirement All recordings of weight must be recorded in care plans The home must ensure there are no unpleasant odours Timescale for action 31/7/05 ongoing 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 33 Good Practice Recommendations Relatives meetings should continue to ensure communication between the home and the families of service users remains good. Buchan House I53 I03 S15236 BUCHAN HOUSE V224928 110505 STAGE 4.doc Version 1.30 Page 19 Commission for Social Care Inspection CPC1, Capital Park Fulbourn Cambridge CB1 5XE 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 Buchan House I53 I03 S15236 BUCHAN HOUSE V224928 110505 STAGE 4.doc Version 1.30 Page 20 - 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!