Inspection on 07/11/05 for Burkitt Nursing Home

This inspection was carried out on 7th November 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

Burkitt Nursing Home 07/10/08

Burkitt Nursing Home 23/04/08

Burkitt Nursing Home 04/12/07

Burkitt Nursing Home 26/07/07

Burkitt Nursing Home 22/01/07

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 Burkitt Nursing Home Burkitt Care Home 41-47 Melton Road West Bridgford Nottingham NG2 7NE Lead Inspector Steve Keeling Unannounced Inspection 7th November 2005 10:00 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 Burkitt Nursing Home DS0000065667.V262844.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. Burkitt Nursing Home DS0000065667.V262844.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Burkitt Nursing Home Address Burkitt Care Home 41-47 Melton Road West Bridgford Nottingham NG2 7NE 01255 860737 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) Mr David Hetherington Messenger Mrs Jacqueline Kavanagh Care Home 55 Category(ies) of Old age, not falling within any other category registration, with number (55) of places Burkitt Nursing Home DS0000065667.V262844.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. One named service usershall be within Category PD Service user shall be within the Category OP Date of last inspection Brief Description of the Service: The Burkitt is a care home registered for 55 people, providing both nursing and personal care for older people. The home was first registered by the Nottingham Health Authority on 20th January 1986. The home is an older, converted and extended detached property, with bedrooms on the ground, first and second floor. There are 2 passenger lifts, which facilitate access to the upper floors. Handrails and adapted toilet and bathing facilities are available. There are 30 single bedrooms, 11 of which have en-suite facilities and 6 double bedrooms, none of which have en-suite facilities. There is a lounge and dining room on the first floor and a large lounge and small dining area on the ground floor. The home is situated on one of the main roads running through West Bridgford and is thus convenient for public transport. The centre of West Bridgford is also close by which offers facilities such as shops, cafes, a library and public houses. The home has an enclosed garden to the rear of the property. Burkitt Nursing Home DS0000065667.V262844.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over a 4 hour period and involved one inspector and a regulation manager. The main method of inspection was case note tracking, this is a method of selecting service users within the home and discussing with them their expectations and experiences of living within the home environment. The case tracking method also analyses the records of the service users to ascertain if the service users identified needs are being addressed appropriately within the care home setting and that their safety and well being is being maintained. On this occasion two residents were case tracked. Also as part of the inspection process, staff at the home were informally interviewed to further evidence the quality of care afforded to the service users. At the time of the inspection a total 40 service users were accommodated at the home. It was evident that the management and staff within the home are committed to providing a high standard of care to the service users. The manager and staff within the unit was very helpful and cooperative thus ensuring that the inspection process progressed in a professional and efficient manner. All service users spoken with expressed satisfaction with the service they received at the Care Home. What the service does well: The manager ensures that a safe and homely environment is provided for the service users. Having recently completed a degree level management course, it was evident that the manager at Burkitt Nursing Home provides effective direction, leadership and education for all grades of staff. Care plans are detailed and provide appropriate information on what care is needed to maintain optimum independence for the service users. Residents spoken with were positive about the staff and the quality of care provided, all residents spoken with said they felt secure and safe within Burkitt Nursing Home and were particularly pleased with the caring attitude of the staff within the home. Burkitt Nursing Home DS0000065667.V262844.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. Burkitt Nursing Home DS0000065667.V262844.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 Burkitt Nursing Home DS0000065667.V262844.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): Standards 1 to 6 were not inspected on this occasion. EVIDENCE: Burkitt Nursing Home DS0000065667.V262844.R01.S.doc Version 5.0 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 the following standard(s): 7. 8. 9. 10. The service users health, personal and social care needs are set out in individual care plans that addresses identified needs gleaned from the preadmittance assessments. It could not be established the all the service users identified needs within care plans were fully met within Burkitt Nursing Home as the evaluation process did not address some elements of the care plan is detail. No service users within Burkitt Nursing Home are responsible for the administration of their own medication at the time of the inspection, although facilities for self administration of medicines are available should it be required. Service users and service users relatives stated that they are treated with respect and dignity and that privacy is always maintained within Burkitt Nursing Home. Burkitt Nursing Home DS0000065667.V262844.R01.S.doc Version 5.0 Page 10 EVIDENCE: The care plans examined at the time of the inspection were clear, concise and very well organised. The service users needs were assessed holistically and all identified needs are documented effectively in the care planning process. Care plans are evaluated on a monthly basis so as to address any changes in the service users needs. All care plans were signed and dated by the assessor. Specific elements identified within care plans such as daily foot care could not always be evidenced within the daily records documentation and as such the inspector could not establish effective adherence to care plans. At the time of the inspection no service users were responsible for the selfadministration of medicines. It was established that should a service user wish to be independent in the administration of medicines and has been assessed as being safe, self-medication would be facilitated. At a previous inspection a requirement was made to ensure that all hand written entries on the Medication Administration Records (MAR) charts are countersigned and dated, it was evident that this process is now taking place. Service user stated that the staff always respected their privacy and dignity and that all the staff within the home are understanding and considerate. It was established that staff always knocked on the bedroom doors of service users before entering thus promoting the principles of privacy and dignity. All service users were very presentable at the time of the inspection, it was established that the laundry facilities within the home are very good. Service users spoken with stated that their clothes were always returned promptly and in a clean well ironed condition. The inspection process established that staff within Burkitt Nursing Home ensures that all interactions are performed in a pleasant and respectful manner and it was evident that the service users were very comfortable and contented within the home environment. It was a requirement from a previous inspection that information relating to service users in the “bath book” was not documented in accordance with the Data Protection Act 1998, this minor shortfall has now been rectified by the deputy manager. Burkitt Nursing Home DS0000065667.V262844.R01.S.doc Version 5.0 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 the following standard(s): 12. 13. 14. Service users have the opportunity and choice to participate in varied and stimulating social activities. Service users maintain contact with family, friends and representatives from the local community. Service users can exercise choice and control over their lives. EVIDENCE: The pre admittance assessment allows for the identification of service users hobbies and interests. The activities coordinator with the aid of staff members, within the home will attempt to facilitate them if at all possible. The activities coordinator, who is currently employed over four days, is responsible for the provision of varied and stimulating social activities such as knitting, bingo, guest entertainers, painting, colouring, film afternoons, glass painting, gardening and flower arranging. Burkitt Nursing Home DS0000065667.V262844.R01.S.doc Version 5.0 Page 12 Transport is now available to take service users to local areas of interest and the activities coordinator is very enthusiastic for this facility to commence at the earliest opportunity. Should the service users wish, the activities coordinator will accompany service users into West Bridgford town centre to shop or browse. It was established that no restrictions are in place in relation to visiting times. Service users spoken with confirmed that the home operates an open policy in relation to visiting times. Service users relatives are also encouraged to take resident out for day trips or to the church as they wish. Service users spoken with were very well presented, dressed in appropriate clothing for the season, and were wearing their own shoes or slippers. Burkitt Nursing Home DS0000065667.V262844.R01.S.doc Version 5.0 Page 13 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): Standards 16 to 18 were not inspected on this occasion. EVIDENCE: Burkitt Nursing Home DS0000065667.V262844.R01.S.doc Version 5.0 Page 14 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): Standards 19 to 26 were not inspected on this occasion. EVIDENCE: Burkitt Nursing Home DS0000065667.V262844.R01.S.doc Version 5.0 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 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 An appropriate number and skill mix of staff are employed at Burkitt Nursing Home to meets the service users needs. Staff at Burkitt Nursing Home receive appropriate training and are competent in meeting the needs of the service at the home. EVIDENCE: Staff rotas evidenced that a satisfactory number of staff were employed on the day of inspection and that the skill mix was appropriate to need the needs of the forty service users at the home over a 24hour period. Staff files contained appropriate documentation such as two satisfactory references and Criminal Records Bureau checks (CRB). It was established that all new staff members received an appropriate induction process within Burkitt Nursing Home and that clear and concise records are maintained to evidence training courses attended, and courses planned for the future. It was evidenced that the manager performs regular supervision sessions for all members of staff to ensure that health promoting practices performed by all grades of staff at the home are safe and meet the needs of the service users. Burkitt Nursing Home DS0000065667.V262844.R01.S.doc Version 5.0 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 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. It was evident that the manager at Burkitt Nursing Home is professional, fit to be in charge, of good character and is able to discharge her responsibilities fully. The manager ensures that the home is run in the best interests of the service users. Service users financial interests are safeguarded by the policies utilised at Burkitt Nursing Home. EVIDENCE: The registered manager has been in post at the home for the past two years. Qualified as a Registered Mental Nurse (RMN) in 1997 she has very recently completed a degree level registered managers award. Burkitt Nursing Home DS0000065667.V262844.R01.S.doc Version 5.0 Page 17 The manager at the home is committed to the service users and it is evident that an environment conducive to maintaining optimum independence for the service users has been achieved. The manager, in conjunction with a dedicated deputy manager maintains effective documentation and evaluations appertaining to the needs of the service users. All documentation is stored securely to protect service users confidentiality. At the time of the inspection it was evidenced that the service users monies are effectively managed. A clear record of monitory transactions could be evidenced, within the case tracked service users, monies are securely stored, thus protecting the service users from financial abuse. Through discussion with service users it was evident that they felt confident in the managers ability to manage the home well and felt assured that any concerns would be addressed effectively and efficiently. The manager ensures that the home is run in the best interests of the service users, to aid this process service users are encouraged to attend monthly residents meetings within the home so that issues relating to the care provided to service users can be openly discussed thus identifying and addressing any concerns that the service users might have. The monthly meetings also provide a forum to discuss plans for the development of Burkitt Nursing Home, such as the current refurbishment, so that the service users have an active role in the development of the home. Burkitt Nursing Home DS0000065667.V262844.R01.S.doc Version 5.0 Page 18 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 x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 x x x x x x x x x 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 3 x 3 x 3 x x x Burkitt Nursing Home DS0000065667.V262844.R01.S.doc Version 5.0 Page 19 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. 1 Standard 8 Regulation 15 (2) (b) Requirement The responsible individual will ensure that elements of care identified in the care plans are be appropriately addressed in the service users daily records. Timescale for action 14/11/05 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 Burkitt Nursing Home DS0000065667.V262844.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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. 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