Inspection on 04/10/05 for Burnworthy House

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

Burnworthy House 14/08/07

Burnworthy House 16/08/06

Burnworthy House 25/01/06

Burnworthy House 07/01/05

Burnworthy House 26/05/04

Burnworthy House 27/02/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

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 Burnworthy House South Street South Petherton Somerset TA13 5AD Lead Inspector John Hurley Unannounced 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 Burnworthy House DS0000016077.V260517.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. Burnworthy House DS0000016077.V260517.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Burnworthy House Address South Street South Petherton Somerset TA13 5AD 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) 01460 240116 01460 241729 claire.smith@somersetcare.co.uk Somerset Care Limited Mrs Claire Smith Care Home 37 Category(ies) of Old age, not falling within any other category registration, with number (37) of places Burnworthy House DS0000016077.V260517.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th January 2005 Brief Description of the Service: Burnworthy House is operated by Somerset Care Limited, a “not for profit” organisation. The home provides care and support for up to 37 older people. It is situated in South Petherton, with good proximity to the shops and other amenities in this large, south Somerset village. The home comprises of 31 single bedrooms, (14 of these having en-suite facilities) and 3 double bedrooms (also with en-suite facilities). Double rooms are used as doubles exclusively for married couples or close relatives who choose to share. There are 5 communal rooms and service users also have access to the gardens at the rear of the property. Day to day management of the home is under the direction of the manager and her deputy. Both have worked at Burnworthy House for a many years. The majority of staff employed at the home live locally. Many of the service users have known both staff and other service users, within village life, for many years. The home has a number of locally based volunteers who visit the home on a regular basis. The home is fully engaged with the local community and service users are encouraged and supported to maintain links with families and friends. Burnworthy House DS0000016077.V260517.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out over five hours. The inspector spoke with five service users and two visiting relatives. They spoke with members of staff ranging from domestic support staff, care workers and management. The inspector toured the premises when first entering the home and looked at most areas of the building. They sampled the service user and staff records together with a sample of the organisations documentation. What the service does well: 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. Burnworthy House DS0000016077.V260517.R01.S.doc Version 5.0 Page 6 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 Burnworthy House DS0000016077.V260517.R01.S.doc Version 5.0 Page 7 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): 1,3,5 The information provided to prospective service users enable the individual to decide if the home will suit them. There is strong evidence to say that individuals are fully involved with the admissions process. EVIDENCE: The inspector spoke with visiting relatives of a service user. They informed them that they were pleased with the placement and the arrangements that were made to take their family member into the home. They confirmed they had been involved with and agreed with the short term plans that had been made. They discussed their understanding of what the home could offer and were generally pleased with the transition from home to the service. A new service user further confirmed that they had been given lots of information about what to expect and what the home would offer them. They were also able to explain the keyworker system in operation at the home. The inspector sampled the pre-admission assessment documentation. If an individual is placed by the local authority the pre admission assessment Burnworthy House DS0000016077.V260517.R01.S.doc Version 5.0 Page 8 is completed by the local authority, if an individual is privately funding their stay then the manager or deputy of the home carries out the pre admission assessment. Unfortunately they do not record their assessments, the manager agreed to ensure that all preadmission assessments are formally recorded from now on. Burnworthy House DS0000016077.V260517.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): 7,8,10 The staff are able to demonstrate that they are aware of the individual service users needs. They are further able to demonstrate how these needs should be met. EVIDENCE: The care plans observed have been generated from the pre admission assessment documentation where available or from discussions and observations during a settling in period. These plans are reviewed after the first month and amendments made. The plans note health care needs and how these should be met. Relatives and service user agreed that visiting health care professionals visit the home regularly and attend to the individuals needs. The service users the inspector spoke with informed them that they felt the staff were kind to them and would help them if required. One service user informed the inspector that they could sit in their room all day if they liked, get up when they liked and have breakfast in bed if they asked. Burnworthy House DS0000016077.V260517.R01.S.doc Version 5.0 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 the following standard(s): 12,13,14,15 The service users appear to appreciate the daily routines of the home. The home maintains and enjoys a strong community presence EVIDENCE: The service users confirmed that there are close links with the local community. Religious services are available for those who wish to attend. There are planned activities that provide extra stimulation to the service user group. These range from singing and bingo, gentle exercise, ball type games through to trips out to surrounding places of interest. Several service users told the inspector that they knew what activities were taking place, some they liked others they did not. Visiting relatives confirmed that they could visit at any reasonable time. The inspector discussed the mealtime arrangements with a group of service users and two visiting relatives. There was a general consensus that there was sufficient food on offer at varying times of the day. They felt that they had a degree of choice of what to have and when to have it. When the inspector asked what was for dinner no one knew for certain. They did however know where they could find the planned menu or considered they could just ask the staff. Burnworthy House DS0000016077.V260517.R01.S.doc Version 5.0 Page 11 The inspector observed the dinning area prior to the lunchtime meal. The tables were well laid out giving the impression of a homely setting. The inspector also briefly observed lunch and considered that staff made every effort to ensure this group meal was a relaxed and unhurried affair. Burnworthy House DS0000016077.V260517.R01.S.doc Version 5.0 Page 12 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): The manager informed the inspector that no complaints had been made since the last inspection. Similarly no issue have been raised with the regulator. Therefore this group of standards were not inspected during this visit. EVIDENCE: Burnworthy House DS0000016077.V260517.R01.S.doc Version 5.0 Page 13 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): 20,22,24,26 The home is generally well maintained with the exception of the patio area. Service users express a degree of satisfaction with their surroundings. EVIDENCE: The home was being cleaned when the inspector toured the premises at 9.15am. All toilet and bathroom areas were clean and suitably maintained. These areas had liquid soap dispensers and paper towels for the use of those who use them. Following a visit by Environmental Health Officers the requirement to deep clean the kitchen area was being attended too. The home benefits from large gardens which would be more accessible if the patio area, which allows the main access to the garden was re-laid to ensure that some of the slabs do not pose a tripping hazard, the registered manager acknowledged this point and agreed to request that the organisations maintenance department look at this issue before the end of the year. Burnworthy House DS0000016077.V260517.R01.S.doc Version 5.0 Page 14 The communal corridors are fitted with handrails to enable more independent access to areas of the home. There are also a range of aids and adaptations to further support the individual where required. The service users rooms are comfortable and well maintained. A service told the inspector that they had brought in some of their own photos and keepsakes. They said that they liked their room and felt it was furnished to their liking. Burnworthy House DS0000016077.V260517.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): 27,28,29,30 The staff are suitable trained and experience with regards to the care of the homes service user group. There is a good, evaluated induction procedure. EVIDENCE: The services users informed the inspector that they felt safe living at the home and considered that there is generally enough staff to assist them when required. The registered manager informed the inspector that all new staff undergoes an induction training programme which is evaluated through written questions and one to one supervision with senior staff. The inspector sampled some of the staff records that evidenced that staff completes an application form, two references are taken up and Criminal Records Bureau Checks are undertaken on all staff. The inspector noted that the application forms sampled did not allow the applicant to give a full employment history, the registered manager acknowledged this as a weakness in the vetting procedure and agreed to bring this to the attention of the organisation personal department. The training records confirm that all staff are given opportunities to learn and attend training course both internally and externally. The new member of staff was undertaking induction training. The manager who has many years experience in the caring industry and is suitable qualified to undertake the role they are appointed for informed that they have enough access to training course for themselves Burnworthy House DS0000016077.V260517.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): 31,32,38 The service is ran and managed well. Support from the organisation appears to be consistent and appropriate. EVIDENCE: The registered manager has been in post for a number of years and continues to ensure that the National Minimum Standards are maintained by the home. The staff the inspector spoke with considered the manager to be approachable, fair and consistent with the decisions they make. The service user further confirmed that they knew who was in charge and how to raise issues should they wish. Burnworthy House DS0000016077.V260517.R01.S.doc Version 5.0 Page 17 The inspector did not inspect fully the health and safety policies of the home, as these have not changed since the last inspection. However they did note that it would be helpful if the missing persons policy and a recent photograph of the service user be put in the file of those individuals who have been assessed as being at risk of leaving the home unsupported, the registered manager agreed to this course of action. Burnworthy House DS0000016077.V260517.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 3 X 3 X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 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 X 17 X 18 X X 3 X 3 X 3 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 X X X 3 Burnworthy House DS0000016077.V260517.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. 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 OP38 Good Practice Recommendations The registered manager should consider putting the missing persons policy and recent service user photograph in any individuals’ file that is assessed as at risk of leaving the home unsupported. The responsible individual of the organisation should consider asking prospective staff for a full employment history The responsible individual should ensure that the outside patio area is fit for purpose before spring 2006. The registered manager should consider recording their initial assessment of need 2 3 4 OP29 OP19 OP3 Burnworthy House DS0000016077.V260517.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 Burnworthy House DS0000016077.V260517.R01.S.doc Version 5.0 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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