Inspection on 04/10/05 for Burnside Court Care Home

This inspection was carried out on 4th October 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

Burnside Court Care Home 04/11/09

Burnside Court Care Home 06/01/09

Burnside Court Care Home 13/11/07

Burnside Court Care Home 06/12/06

Burnside Court Care Home 16/03/06

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

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 Announced Inspection 4th October 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 Burnside Court Care Home DS0000063855.V282623.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.V282623.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.V282623.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22/03/05 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.V282623.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection which lasted for 7 hours. Since the last inspection the home has changed hands, the previous owners having retired. ABC Carehomes Ltd now owns the home with one of the directors, Mr Balakrishnan acting as the Responsible Individual. Ms Emma Hume is the Registered Manager. Both Mr Balakrishnan and Ms Hume were present for the inspection. Three Service Users were spoken to individually, the relatives of five Service Users were interviewed separately and three members of staff. Comment cards were also received from one Service User and four relatives. What the service does well: What has improved since the last inspection? Burnside Court Care Home DS0000063855.V282623.R01.S.doc Version 5.1 Page 6 Both staff and visitors commented that since the change of ownership the atmosphere in the home has become happier and more relaxed. One visitor said that “it feels like being part of a family”. Staff said that their opinions about the home had been sought by the new owners and that suggestions and requests they had made had been acted upon. 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.V282623.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.V282623.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): 2,3 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 four Service Users were examined including one for a recent admission. All included copies of the home’s contract with the Service User plus Local Authority contracts where appropriate. The home’s contract contained all the required terms and conditions. The files also contained comprehensive assessments done prior to and following admission. The records of the most recent Service User to be admitted were checked and found to include a detailed pre-admission assessment. This 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. Burnside Court Care Home DS0000063855.V282623.R01.S.doc Version 5.1 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 Care is provided in a way that respects Service Users’ privacy and dignity. Some modification to the medication policy and procedure will enhance Service Users’ safety. EVIDENCE: The care plans examined were detailed and included risk assessments. The registered manager stated that the Service Users’ families had been involved in the assessment and care planning process and this was confirmed by the relatives interviewed. They had signed the care plans for the Service Users. Daily records had been completed and there were separate records for visits from GPs, district nurses and other visiting professionals. Records showed that GPs are contacted promptly when a Service User is unwell and other health care services are accessed as required. Pressure relieving equipment being used had been provided by the district nurses. All the visitors spoken to commented that the standard of care provided is good and that they are kept informed of any changes in the relatives condition. Burnside Court Care Home DS0000063855.V282623.R01.S.doc Version 5.1 Page 10 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. All staff undertake the Safe Handling of Medication course through North Devon College. This is a correspondence course with some training sessions and an exam. Towards the end of the course participants start to give Service Users their medication under supervision and with a checklist being used to assess their performance. All the senior carers have also done a more advanced course. This includes the procedures for ordering, checking and returning medication and issues around the use of controlled drugs. Medication is stored in a cupboard within a locked room, controlled drugs are kept in a locked cupboard within the locked room. Creams and ointments need to be labelled with the date they are opened and the date by which they should be discarded. The relatives spoken to all commented on the way that the Service Users’ privacy and dignity are respected by the staff, that they are always clean and tidy and wearing their own clothes. One visitor mentioned in particular the sensitive way in which a member of staff had dealt with a potentially distressing situation for one Service User ensuring that their dignity was preserved. Burnside Court Care Home DS0000063855.V282623.R01.S.doc Version 5.1 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): 12,13,14,15 Service Users’ contact with friends and relatives is positively encouraged. The dietary needs and preferences of the Service Users are met with the provision of nutritious and varied meals. EVIDENCE: Service Users’ preferences are ascertained as part of the assessment process and recorded in their care plans. The manager stated that wherever possible there was flexibility in daily routines and that Service Users were encouraged to take part in social activities. Activities include reminiscence sessions using videos of the 1950s and 1960s and a pianist who visits to entertain the Service Users once a week. The home has recently acquired a giant size snakes and ladders which covers two tables so several people can sit round and join in or just enjoy watching others playing. It was spoken of enthusiastically by two Service Users. One visitor commented that it had been nice to see a member of staff dancing with a Service User with others watching and laughing and clearly enjoying themselves. One of the lounges has a library of large print books and books on tape. When staffing levels permit some Service Users are taken out. There are also good relationships with local churches who visit regularly. The home has a large, easily accessible notice board on which Burnside Court Care Home DS0000063855.V282623.R01.S.doc Version 5.1 Page 12 events for the day and week are displayed along with the names of the staff on duty. The visitors spoken to during the inspection visit the home at different times of the day. All said that they were made to feel welcome, that they were offered a drink and that the home kept them informed regarding the well being of their relatives. The home’s policy states that visitors are welcome at any time and this was confirmed by the visitors spoken to. The home has a visitors book which was seen to be completed by those entering and leaving the home. One Service User manages their own finances, all others are managed by their relatives or solicitors. Service Users are encouraged to bring personal possessions into the home, the extent of which is agreed prior to admission, and are encouraged to personalise their rooms. Meals provided were seen to be well balanced, nutritious and nicely presented. The four-weekly menu plan showed varied meals with choice available for every meal. The cook has City and Guilds in catering and has had training in food hygiene and first aid. All meals are cooked using fresh ingredients and the cook also makes her own cakes and burgers. Meat and vegetables are delivered at least twice a week, more often if required. Special diets are provided when required. The dining room was seen to provide a pleasant environment in which Service Users take their meals but they can have their meals in their rooms if they prefer. Some Service Users require assistance at meal times and this was seen to be provided individually and in a sensitive way. One visitor commented that the food was good and that their relative had put on weight which was very positive. Burnside Court Care Home DS0000063855.V282623.R01.S.doc Version 5.1 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): 16,17,18 Service Users’ rights are protected and they are safeguarded from abuse by staff being made aware of adult protection procedures. EVIDENCE: The home has a complaints procedure which is clear, gives timescales for dealing with the complaint and information regarding contacting the Commission for Social Care Inspection. The relatives interviewed stated that they had not had to make a formal complaint as any problems are dealt with promptly by the manager or other staff. No complaints about the home have been received by the Commission for Social Care Inspection in the last twelve months. The manager stated that all Service Users are registered to vote and enabled to do so if they wish. The home has an Adult Protection procedure and staff have access to the Alerter’s Guide and the “ No Secrets” video. Staff spoken to had received training in adult protection and all showed an understanding of what constitutes abuse and what action they should take. Service Users’ financial affairs are dealt with by their relatives or solicitors. Burnside Court Care Home DS0000063855.V282623.R01.S.doc Version 5.1 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): 19,20,22,26 Burnside Court provides a homely and comfortably furnished environment which is clean and hygienic with a variety of communal areas. EVIDENCE: The home is suitable for its stated purpose. It is comfortable and homely with attractive gardens which are easily accessible. A record of maintenance, repair and refurbishment of the home was provided for the inspection. The home employs a full-time member of staff responsible for maintenance. The home’s lounges and dining room are decorated and furnished in a homely way and are used for a variety of purposes e.g. T.V. lounge, quiet room, library and reading area. Enhanced lighting has been installed to assist those Service Users who have a visual impairment. Burnside Court is a non-smoking home. The home has suitable equipment, including a hoist, to assist Service Users who have difficulties with mobility or to aid the staff to care for them safely. Burnside Court Care Home DS0000063855.V282623.R01.S.doc Version 5.1 Page 15 The home was found to be clean, hygienic and free from offensive odours. This was commented on by visitors spoken to as being a reason for choosing the home for their relatives and as the on-going situation of the home. 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.V282623.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): 27,28,29,30 Staff recruitment procedures and training programmes safeguard Service Users and provide consistent good levels of care. EVIDENCE: Appropriate numbers of staff were found to be on duty at the time of the inspection and the duty rotas seen showed staffing levels to be consistent including two waking staff at night. One relative commented that very occasionally the staff appeared to be overstretched but that they always cope well. The manager stated that this can happen if a member of staff leaves it very late before ringing to say that they are off sick. Reminders have been given to staff regarding this. Staff records seen showed that a thorough recruitment procedure is followed by the home. Two references, CRB and POVA checks had been obtained for recently appointed staff. All the correct documentation was also seen. The home has a commitment to training with all staff encouraged to undertake NVQ 2 and above as appropriate. There are currently seven staff with NVQ level 2 in Care or above with other staff waiting to start. A white board in the staff room/office details training completed and being undertaken by all staff. An annual review of training completed is produced by the home along with a training plan for the coming year. The home’s budget includes an allocation for training. Each member of staff has a personal development plan. Staff Burnside Court Care Home DS0000063855.V282623.R01.S.doc Version 5.1 Page 17 spoken to were appreciative of the training opportunities afforded them by Burnside Court. Burnside Court Care Home DS0000063855.V282623.R01.S.doc Version 5.1 Page 18 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): 31,32,35,38 The management style is open and receptive to the views of all those involved with the home. Safe working practices provide protection for both Service Users and staff. EVIDENCE: Since the last inspection there has been a change of ownership and consequently a change of registered manager. The manager has worked at Burnside Court for several years and had deputised for the previous manager. She therefore knows the staff team and Service Users well. She is currently undertaking the Registered Managers Award. During the inspection there appeared to be a good working relationship between the manager and the Responsible Individual who lives some distance from the home and makes periodic visits. Burnside Court Care Home DS0000063855.V282623.R01.S.doc Version 5.1 Page 19 Staff spoken to said that the manager’s style was open and positive. She was seen to interact well with Service Users, staff and visitors. Staff said that they felt supported and that they could take ideas and suggestions to her or the Responsible Individual and they would be well received. Visitors commented that they had felt anxious about the change of ownership but that all seemed to be running smoothly and the home had a happy, family atmosphere. The home has an extensive quality monitoring system in place which was set up by the previous owners. The manager and Responsible Individual stated that it is their intention to continue with the same system, however, it is too soon to judge whether this is being implemented. At the time of the inspection two Service Users were managing their own financial affairs. For all other Service Users relatives or solicitors have this responsibility. Detailed records are kept of any financial transactions carried out on behalf of a Service User. The home has a safe for the safekeeping of any valuables if required with records kept. The home emphasises the need to adhere to safe working practices. Basic staff training includes manual handling, infection control, food hygiene and first aid. Formal fire safety training is reinforced by the weekly fire alarm tests being done from a different point each week, the staff responses being monitored and instruction given if required. The maintenance person is responsible for fire alarm and emergency lighting tests, which were seen to have been carried out, portable appliance testing and water temperature checks for prevention of Legionella. He calls in specialist personnel as required and ensures that maintenance and servicing of equipment takes place at the required intervals. The hoist was serviced 04/08/05, the bath hoist 26/07/05 and the passenger lift 09/06/05. Health and Safety checks of the building had been carried out. All radiators have guards and windows have been fitted with restrictors. Gas checks were due to be done. Burnside Court Care Home DS0000063855.V282623.R01.S.doc Version 5.1 Page 20 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 3 3 x x 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 x 3 x x x 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 3 x x 3 x x 3 Burnside Court Care Home DS0000063855.V282623.R01.S.doc Version 5.1 Page 21 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 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.V282623.R01.S.doc Version 5.1 Page 22 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.V282623.R01.S.doc Version 5.1 Page 23 - 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. 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