Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Burnside Court Care Home Burnside Court Care Home 104-106 Torquay Road Paignton Devon TQ3 2AA The quality rating for this care home is: The rating was made on: three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Michelle Finniear Date: 0 6 0 1 2 0 0 9 Information about the care home
Name of care home: Address: Burnside Court Care Home Burnside Court Care Home 104-106 Torquay Road Paignton Devon TQ3 2AA 01803551342 01803551342 burnsidecourt@btconnect.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: ABC Care Home Ltd care home 21 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category 21 0 Over 65 0 21 Conditions of registration: The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (Code OP) Dementia (Code DE) The maximum number of service users who can be accommodated is 21 Date of last inspection Brief description of the care home Burnside Court is a large, three storey, detached property built in 1892, and situated on the level within a quarter of a mile of Paignton town centre, which has been adapted to provide personal care. Local facilities include the library, which is about 100 yards away, the park, and many shops, restaurants and public houses. The main post office is also only a short distance away. The bus service passes the door with a bus Care Homes for Older People
Page 2 of 9 stop close by. 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. There are 19 single bedrooms and one double bedroom, all having en-suite facilities. These are spread over three floors that can be reached by stairs or a passenger lift. The home is comfortably furnished and attractively decorated and there are communal spaces on the ground and lower ground floors. The home is entered either at the front off the main Torquay Road or from the rear where there are several parking spaces. At the front of the building there are very pleasant garden with seating for people who live in the home, and their visitors, to use in good weather. The home has won the Torbay in Bloom on many occasions for the way it presents the front garden. Fees are displayed in the Statement of Purpose and commence from #350 per week. Care Homes for Older People Page 3 of 9 What we found:
This inspection was carried out to follow up the Annual service review undertaken in November 2008. At that time insufficient information was available from the homes Annual Quality Assurrance Assessment (AQAA) and questionnaires sent to relatives or people living at the home to enable us to make a decision about whether the home had continued to maintain the standards seen at their last Key inspection in November 2007. This inspection site visit was carried out unannounced on a weekday morning. During the visit time was spent with the manager discussing the home; a sample care plan and other documentation was seen; a tour was made of the building; discussions were held with some staff on duty, such as the cook; time was spent looking at staff numbers and training; and discussions were held on the management arrangements of the home. For the annual service review a completed questionnaire indicated that the person completing it had not recieved a contract. During this visit we were able to see signed copies of contracts for people living at the home whether they are funded through the local care trust or privately. Information on the homes terms and conditions is also contained in the service user guide a copy of which was also seen. This information helps people to understand any conditions of residency, such as periods of notice required from either side and helps people to understand what they can expect to receive for the fees they pay. We also discussed the homes admission criteria and the level of care required by the people who live there, many of whom have a memory loss associated with older age. On this visit the home was full, and some of the people living at Burnside Court have quite high care needs. On the day of the visit two staff were off sick, and therefore the manager indicated the staffing compliemnt was lower than usual. However although some tasks such as giving out medication were being done later than usual the staff on duty were managing the workload and were still able to give some individual attention to the people they were caring for. Additional staff came in later to increase the staff on duty. An external activity organiser was also at the home entertaining people which also helped free up staff tme to carry out other care tasks. Evidence could be seen of aids and adaptations being available and information on their use was contained in the care plan sampled. This included hoists and a stand aid, seated showers, bath hoists and a passenger lift to access all floors in use. Medication storage and practices were not inspected on this occasion as the supplying pharmacist had inspected them within the last month. These will be seen on the next inspection visit. A tour was made of all areas of the home, which were clean , tidy and odour free. Discussion was held on the management of infection control in the homes laundry, where potentially soiled or infected linen is kept in the same area as clothing ready to be returned to peoples rooms after laundering. The manager is advised to contact the infection control dept of the local Care Trust or alternately consider the use of Care Homes for Older People Page 4 of 9 dispersible laundry bags which provide a sealed systemfor the transfer of potentially contaminated laundry. Also during the tour of the home a wall mounted heater was found to be in use and have a very hot and unguarded surface. The manager agreed to risk assess and provide a cover or limit the surface temperature without delay as this presented a risk. Discussion was held on staffing levels and the training that staff recieve at the home. The manager confirmed that five care staff are undertaking an NVQ level 3 (Senior level) and that two other staff are doing an NVQ level 2. NVQs are a national award recognising the competency of staff in their working role. Other core staff training is planned and discussion was held on the need to ensure all staff have a full complement of core training as well as training in areas such as protection of vulnerable adults and the Mental capacity Act. Discussion was also held on developing a more person centred approach to care of people with dementia and memory loss and accessing good quality training in dementia care. In the last year the home has recruited additional staff and has plans to increase the staffing further if possible by providing an additional person for a few hours earlier in the day to support staff with helping people with getting up. Discussion was also held on the development of the homes Annual quality assurance system, which needed expansion to adequately reflect the work the home undertakes with people. What the care home does well: What they could do better:
A fire used in one room needs to be guarded or have a limited surface temperature to ensure that people are protected from any risk of injury as a result of coming into contact with a hot surface. Risk assessmrnts need to be undertaken for all hot surfaces at the home and any required action taken to prevent a risk of injury. Staff should recieve training in the care of people with dementia and changes to legisltation in relation to assessing capacity. All staff should also recieve training in the protection of vulnerable adults. This is to ensure that people and their rights are safeguarded. Care Homes for Older People Page 5 of 9 Consideration should be given to ensuring that clean and potentially infected linen and clothing are separated during the laundering process. This helps to reduce the risk of cross contamination and cross infection. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 6 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 7 of 9 Requirements and recommendations from this inspection
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action 1 19 13 The unguarded heater must 07/01/2009 be risk assessed and either a cover provided or the surface temperature reduced This is to ensure people are protected from the risk of injury from coming into contact with a hot surface. Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 26 13 Consideration must be given 06/02/2009 to ensuring a separation between clean and potentially infected laundry. This is to reduce the risk of cross infection Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations 1 30 Staff should receive training on the the Protection of Vulnerable adults and the Mental capacity Act. this helps to ensure people are protected from abuse and that staff are aware of peoples rights. Care Homes for Older People Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 9 of 9 - 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!
