Inspection on 26/04/05 for Burlington Hall Care Home

This inspection was carried out on 26th April 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 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

Burlington Hall Care Home 30/01/07

Burlington Hall Care Home 04/04/06

Burlington Hall Care Home 04/10/05

Burlington Hall Care Home 12/05/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Burlington Hall Care Home 9 Station Road Woburn Sands Milton Keynes, Bucks MK17 8RR Lead Inspector Caroline Roberts Unannounced 26 April 2005 1:30pm 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. Burlington Hall Care Home 20052209 Burlington Hall X100015 AI Stage 5 s15049 V209394 H53.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Burlington Hall Care Home Address 9 Station Road, Woburn Sands, Milton Keynes, Bucks, MK17 8RR 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) 01908 289700 Burlington Care Homes PLC Care Home 42 Category(ies) of Old age, not falling within any other category registration, with number (0), Physical disability (0) of places Burlington Hall Care Home 20052209 Burlington Hall X100015 AI Stage 5 s15049 V209394 H53.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th January 2005 Brief Description of the Service: Burlington Hall is a care home for Older People in Woburn Sands it is ideally situated for access to the local amenities.Burlington Hall has 52 bedrooms all with en-suite facilities; the home has four lounges, all with small kitchenette facilities. The home has six bathrooms, which provide disabled bathing facilities.An assistant manager and a senior team of fourteen, as well as a welltrained group of care staff assist the manager with the management duties. Burlington Hall Care Home 20052209 Burlington Hall X100015 AI Stage 5 s15049 V209394 H53.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the summary of the un-announced inspection carried out at Burlington Hall on the 26th April 2005, between1.30am and 4.30pm. The lead inspector was Mrs Caroline Roberts who was accompanied by Mr Guy Horwood (Inspector). The inspection consisted of meeting with Residents and staff, viewing records and documents pertaining to the provision of care and the running of the home. The inspectors toured the building, gaining permission from a number of residents to enter their bedrooms and viewing a further number from the doorway. The inspectors met and discussed the inspection findings with the deputy manager, area manager and the provider before leaving. This inspection has resulted in no requirements being served. The inspectors found staff polite, helpful and welcoming, and would like to thank them for their co-operation and assistance throughout the course of the inspection. The inspectors would especially like to thank the residents for their time and for allowing the inspectors into their home. What the service does well: The standard of the environment within this home is good providing residents with a clean, attractive and homely place to live. The home is equipped with pressure relieving devices and moving and handling equipment, thus enabling staff to meet specific health care needs. Residents have access to a variety of health care services external to the home. Residents appeared well cared for, and the inspectors had the opportunity to speak with a number of residents during the visit. Comments received included, “The food is good”, “The staff are kind”. “We are listened to”. Residents are able to choose where they spend their time, and to furnish their bedrooms with personal belongings. The providers are pro active in the refurbishment and on-going maintenance of the home, creating a homely and pleasant environment. Burlington Hall Care Home 20052209 Burlington Hall X100015 AI Stage 5 s15049 V209394 H53.doc Version 1.40 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. Burlington Hall Care Home 20052209 Burlington Hall X100015 AI Stage 5 s15049 V209394 H53.doc Version 1.40 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 Burlington Hall Care Home 20052209 Burlington Hall X100015 AI Stage 5 s15049 V209394 H53.doc Version 1.40 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) EVIDENCE: Burlington Hall Care Home 20052209 Burlington Hall X100015 AI Stage 5 s15049 V209394 H53.doc Version 1.40 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 Care plans are working documents, are up to date and subject to regular review. This ensures residents identified needs are known to staff to enable them to provide the most appropriate care. EVIDENCE: The home has recently changed to the standex care planning system. A random selection of care plans were viewed. Individual plans of care are available, and of those viewed, most were completed to a satisfactory level, were up to date and subject to regular review, with relevant information relating to identified health, personal and social care needs. Each plan of care contained an up to date risk assessment. Although moving and handling assessments had been completed, these held limited detail as to instructions for staff and equipment to be used. The deputy manager was aware of this and informed the inspectors that this was an area that still needed developing. The progress made with the change over to the standex system is encouraging; progress will be monitored during the next visit. Burlington Hall Care Home 20052209 Burlington Hall X100015 AI Stage 5 s15049 V209394 H53.doc Version 1.40 Page 10 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) Residents appear to receive a wholesome and adequate diet with evidence of choices. The routines and lifestyle of the home appeared to mostly suit the preferences of residents. EVIDENCE: Burlington Hall Care Home 20052209 Burlington Hall X100015 AI Stage 5 s15049 V209394 H53.doc Version 1.40 Page 11 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) 16,18 The home has a satisfactory complaints system ensuring that resident’s views are listened to and acted upon. Staff receive abuse awareness training, policies relating to abuse awareness and whistle blowing are reviewed on a regular basis, therefore protecting residents from abuse. EVIDENCE: The home has a complaints procedure, which is accessible to residents and their representatives. A record of all complaints is maintained, and this was viewed. The records detail the investigation and outcomes of complaints raised. One resident spoken with confirmed that she was aware of the complaints procedure, and that she always felt that she was listened to. The deputy manager is responsible for the training of care staff in abuse awareness, and she arranges periodic updates to ensure staff awareness in this area. The home has policies in place for abuse awareness and whistle blowing. Burlington Hall Care Home 20052209 Burlington Hall X100015 AI Stage 5 s15049 V209394 H53.doc Version 1.40 Page 12 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) 19,20,21,24,26 The standard of the environment within this home is satisfactory, providing residents with a clean, attractive and homely place to live. EVIDENCE: Burlington Hall is located in the centre of Woburn Sands; it is pleasantly decorated with co-ordinating curtains and upholstery. The corridors all have handrails to assist service users if needed; the home also has two shaft lifts. The home has recently been extended and now provides another 10 bedrooms all of which are en-suite. The home has a variety of lounges, all of which are a good size and are decorated in a homely style. Furnishings are domestic in character and meet the needs of individual’s residents. Individual bedrooms contained personal belongings reflecting the character of the occupant. Burlington Hall Care Home 20052209 Burlington Hall X100015 AI Stage 5 s15049 V209394 H53.doc Version 1.40 Page 13 All bedrooms have en-suite facilities, the home has 14 toilets, and 7 bathrooms all have disabled bathing facilities. Burlington Hall Care Home 20052209 Burlington Hall X100015 AI Stage 5 s15049 V209394 H53.doc Version 1.40 Page 14 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 Residents needs appear to be met by the numbers and skill mix of staff. EVIDENCE: At the time of the inspection the home was adequately staffed to meet residents needs. The usual staffing levels within the home were discussed with the deputy manager, and staff numbers on duty at the time of the visit appeared to mirrow those depicted within the staffing rota. Burlington Hall Care Home 20052209 Burlington Hall X100015 AI Stage 5 s15049 V209394 H53.doc Version 1.40 Page 15 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) 31,33 The home does not have an experienced manager, therefore residents and staff do not benefit from having a clear sense of direction and leadership. Burlington Care Homes operates a quality assurance monitoring system, which seeks the views of residents, visitors and staff, ensuring that the home is run in the best interests of the residents. EVIDENCE: At the time of this visit the home is without a registered manager, advertisements have been placed in local papers. The area manager is working at the home for two days each week, to support the deputy manager, it is expected that this arrangement will continue until a new, manager is appointed. Burlington Hall Care Home 20052209 Burlington Hall X100015 AI Stage 5 s15049 V209394 H53.doc Version 1.40 Page 16 Service user satisfaction questionnaires are in use, and evidence of this was seen of this during the inspection. Views of relatives and visiting professional have been sought. The home has an annual development plan, and the area manager on a monthly basis undertakes monitoring. Burlington Hall Care Home 20052209 Burlington Hall X100015 AI Stage 5 s15049 V209394 H53.doc Version 1.40 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 x x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION 3 3 3 x x 3 x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 1 x 3 x x x x x Burlington Hall Care Home 20052209 Burlington Hall X100015 AI Stage 5 s15049 V209394 H53.doc Version 1.40 Page 18 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. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 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. 2. 3. Burlington Hall Care Home 20052209 Burlington Hall X100015 AI Stage 5 s15049 V209394 H53.doc Version 1.40 Page 19 Refer to Standard Good Practice Recommendations 4. 5. 6. 7. Burlington Hall Care Home 20052209 Burlington Hall X100015 AI Stage 5 s15049 V209394 H53.doc Version 1.40 Page 20 Commission for Social Care Inspection Cambridge House, Smeaton Close 8 Bell Business Park, Aylesbury Buckinghamshire HP19 8JR 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 Burlington Hall Care Home 20052209 Burlington Hall X100015 AI Stage 5 s15049 V209394 H53.doc Version 1.40 Page 21 - 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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