Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 16/03/06 for Burnside Court Care Home

Also see our care home review for Burnside Court Care Home for more information

This inspection was carried out on 16th March 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Burnside Court provides a comfortable and homely environment for Service Users who can be confused and disorientated. All the relatives and Service Users contacted praised the way in which the Service Users are cared for. One Service User in particular commented on the increased range of activities available and said how much she enjoyed them. She also said that the staff were very good and felt that the way in which she was cared for could not be improved. Records showed that the manager and staff had coped very well with an urgent admission when they had very little information from either social services or the home from which the Service User had come. The meals provided are made with primarily fresh ingredients, are nutritious and nicely presented. A choice is offered and assistance provided at meal times if required. The manager has an open style of management and is receptive to the views of all those involved with the home.

What has improved since the last inspection?

The manager and staff have provided an increased range of activities for the Service Users which has been appreciated by them. Relatives are encouraged to participate if they wish and records show that some have done so. The registered provider has replaced the carpets in the corridors and on the stairs, some of the basic kitchen equipment and has improved the laundry facilities.

What the care home could do better:

The responsible individual needs to ensure that written reports are completed after each monthly visit to the home.

CARE HOMES FOR OLDER PEOPLE Burnside Court Care Home Burnside Court Care Home 104-106 Torquay Road Paignton Devon TQ3 2AA Lead Inspector Susan Samways Unannounced Inspection 16th March 2006 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 Burnside Court Care Home DS0000063855.V269963.R01.S.doc Version 5.1 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. Burnside Court Care Home DS0000063855.V269963.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Burnside Court Care Home Address Burnside Court Care Home 104-106 Torquay Road Paignton Devon TQ3 2AA 01803 551342 01803 551342 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) ABC Carehomes Ltd Miss Emma Zoe Hume Care Home 21 Category(ies) of Dementia - over 65 years of age (21), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (21), Old age, not falling within any other category (21), Physical disability over 65 years of age (21) Burnside Court Care Home DS0000063855.V269963.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 04/10/05 Brief Description of the Service: Burnside Court is a large, three storey, detached property situated on the level and easily accessible to local facilities including the library, park and local shops. The home is registered to provide long term care for 21 elderly people who may also have a degree of mental and/or physical infirmity. The home is furnished and decorated in a homely way and the home benefits from a passenger lift which provides Service Users with access to all areas of the home. Externally there are very pleasant gardens for Service Users and their visitors to use. Burnside Court Care Home DS0000063855.V269963.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection which lasted for seven hours. The registered manager was on duty and was available throughout the inspection. The deputy manager was present for the latter part of the day. A preinspection questionnaire had been received by the Commission for Social Care Inspection which provided up to date information regarding the home, Service Users and staff. In addition two comment cards had been received from Service Users and three from relatives. One Service User was spoken to at length during the inspection and others in passing. Comments about the care provided were all very positive. What the service does well: What has improved since the last inspection? Burnside Court Care Home DS0000063855.V269963.R01.S.doc Version 5.1 Page 6 The manager and staff have provided an increased range of activities for the Service Users which has been appreciated by them. Relatives are encouraged to participate if they wish and records show that some have done so. The registered provider has replaced the carpets in the corridors and on the stairs, some of the basic kitchen equipment and has improved the laundry facilities. 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. Burnside Court Care Home DS0000063855.V269963.R01.S.doc Version 5.1 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 Burnside Court Care Home DS0000063855.V269963.R01.S.doc Version 5.1 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): 3,5 Prospective Service Users have a comprehensive assessment made which provides all those concerned with sufficient information to make the decision whether Burnside Court is an appropriate home for them. EVIDENCE: The files for three Service Users, including that for the most recent admission to the home, were examined. Two of the files were found to have comprehensive assessments completed by senior staff within the home which had been done prior to and following admission. These included information about their family history, medical history, likes and dislikes as well as information about the degree to which they are able to care for themselves and what assistance they require. The most recently admitted Service User had only been in the home for two days. He had been transferred as a matter of urgency from another home at the request of social services. Despite this no written information about the Service User had been received from social services, even following several phone calls to them made by the manager, and only limited paperwork from Burnside Court Care Home DS0000063855.V269963.R01.S.doc Version 5.1 Page 9 the previous home. As a result the manager has had little information on which to base an assessment. However, a large part of the home’s assessment form had been completed with some input from the next of kin and the Service User had been assisted by the staff to settle into the home. Burnside Court Care Home DS0000063855.V269963.R01.S.doc Version 5.1 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Service Users’ care needs are met in a way which respects their privacy and dignity. EVIDENCE: The care plans for three Service Users were examined. These were found to be detailed and included risk assessments. Care plans had been signed by relatives on behalf of the Service Users. The records included details of visits by GPs and other health care professionals and showed that the relevant professional was contacted promptly when required. Pressure relieving equipment being used had been provided by the district nurses. Comment cards received from Service Users and relatives all said that the standard of the care provided was good and one Service User spoken to said that she was well looked after and felt that the care could not be improved. Staff were observed to treat Service Users with respect and to provide assistance in a sensitive way. Burnside Court Care Home DS0000063855.V269963.R01.S.doc Version 5.1 Page 11 The home uses a monitored dosage system for the administration of medication. No Service Users manage their own medication but the home has a policy in place should this ever be the case. All records regarding medication seen were up to date and fully completed. Only named staff, who have undergone training, are responsible for administering medication. Medication is stored in a cupboard within a locked room, controlled drugs are kept in a locked cupboard within the locked room. A new refrigerator has recently been purchased for the storage of certain medicines. Burnside Court Care Home DS0000063855.V269963.R01.S.doc Version 5.1 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15 An increased range of activities provides a stimulating environment for Service Users. The dietary needs and preferences of the Service Users are met with the provision of nutritious and varied meals. EVIDENCE: Since the last inspection the manager has worked hard to increase the range of activities available for Service Users. These now include skittles, basketball, ‘magic’ painting, kareoke, sunflower challenge – whose seed will produce the tallest flower?, and simple cookery. One Service User commented that there was now more to do and that she was enjoying all the activities. A record of activity sessions is being kept with all who participated, including staff and relatives, being noted. Members of local churches continue to visit regularly and on request with the Church of England holding a communion service once a month and the Catholic Church once a week. Relatives who had completed comment cards all said that they are made welcome by the home, that they can visit their relatives in private and that they are kept informed about their health and welfare. Support is also provided by the home to the relatives and this was observed during the inspection. Burnside Court Care Home DS0000063855.V269963.R01.S.doc Version 5.1 Page 13 Comment cards received from Service Users and those spoken to all praised the standard of the meals provided. On the day of the inspection the lunch was seen to be well balanced, nutritious and nicely presented with a choice offered. The cook clearly enjoys her job and takes a pride in providing good food which the Service Users like and are able to eat. She uses primarily fresh ingredients and bakes her own cakes. The cook also works some hours as a carer and has recently started to do some simple cookery with a couple of Service Users. Since the last inspection a large larder refrigerator has been purchased, a lot of the basic kitchen equipment has been replaced and new crockery and cutlery has been provided. Burnside Court Care Home DS0000063855.V269963.R01.S.doc Version 5.1 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: None of these standards were examined during this inspection. Burnside Court Care Home DS0000063855.V269963.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Burnside Court provides a homely and comfortably furnished environment which is clean and hygienic. EVIDENCE: The home is suitable for its stated purpose. It is comfortable and homely with attractive gardens which are easily accessible. The home employs a full-time member of staff responsible for maintenance. Since the last inspection the carpet on all corridors and staircases has been replaced. An additional washing machine and a replacement tumble dryer have been purchased. All mops, buckets and other cleaning equipment have been replaced. The home was found to be clean, hygienic and free from offensive odours. The home has an infection control policy and records show that several of the staff have undertaken training in infection control. Burnside Court Care Home DS0000063855.V269963.R01.S.doc Version 5.1 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 Staff recruitment procedures and training programmes safeguard Service Users and provide consistent good levels of care. EVIDENCE: This was an unannounced inspection. On arrival sufficient staff were found to be on duty to meet Service Users’ needs and staff rotas indicated that this was the norm. Of the 14 care staff employed at Burnside Court eight have NVQ level 2 and of those eight four have NVQ level 3 with another one undertaking it. Two new staff are due to start NVQ level 2. The manager was able to describe a thorough recruitment procedure and stated that staff either did not commence employment until their CRB check had been received or worked under close supervision provided that the POVA first clearance was satisfactory. The files for three new members of staff were examined. All had the required documentation including completed application forms, two references, CRB and POVA checks. Burnside Court Care Home DS0000063855.V269963.R01.S.doc Version 5.1 Page 17 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): 31,33,36,37 The management style is open and supportive to both staff and Service Users. EVIDENCE: The registered manager continues to work towards achieving NVQ level 4 and the Registered Managers Award. She reported that she has a good working relationship with the responsible individual who she speaks to most days that she is on duty. The responsible individual makes regular visits to the home and is open to and acts upon ideas and suggestions as to how the service provided can be improved. However, he needs to ensure that the monthly written reports about the home, required under Regulation 26 of the Care Homes Regulations 2001, are completed, with a copy being kept in the home and another sent to the Commission for Social Care Inspection. The registered manager stated that she is currently reviewing the questionnaires used to obtain the views of relatives and visiting professionals Burnside Court Care Home DS0000063855.V269963.R01.S.doc Version 5.1 Page 18 about the home. She is also intending to review all policies and procedures over the next twelve months. She has also booked a place on an auditing course. Staff supervision is well established with the manager having one to one meetings with each member of staff every two months. Records of these sessions were seen. Staff meetings are also held on a regular basis. The last one was held in the evening and was well attended by both day and night staff. Burnside Court Care Home DS0000063855.V269963.R01.S.doc Version 5.1 Page 19 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 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 x 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 x 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x x 3 2 x Burnside Court Care Home DS0000063855.V269963.R01.S.doc Version 5.1 Page 20 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 OP37 Regulation 26 Requirement The registered provider must ensure that written reports are completed following the monthly visits to the home by the responsible individual. A copy of each report must be kept in the home and another sent to the Commission for Social Care Inspection. Timescale for action 30/06/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP9 Good Practice Recommendations The registered manager should ensure that all creams and ointments are labelled with the date they are opened and the date by which they should be discarded. Burnside Court Care Home DS0000063855.V269963.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Burnside Court Care Home DS0000063855.V269963.R01.S.doc Version 5.1 Page 22 - 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!