Inspection on 23/05/07 for Bushey House

This inspection was carried out on 23rd May 2007.

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

Bushey House 26/05/09

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bramley Avenue (73)

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Bushey House 57-59 High Street Bushey Hertfordshire WD23 1QN Lead Inspector Marian Byrne Unannounced Inspection 23rd May 2007 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 Bushey House DS0000069312.V335951.R01.S.doc Version 5.2 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. Bushey House DS0000069312.V335951.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bushey House Address 57-59 High Street Bushey Hertfordshire WD23 1QN 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) 020 8421 8844 010 8950 9387 Barchester Healthcare Homes Ltd Linda Jane Simpson Care Home 60 Category(ies) of Old age, not falling within any other category registration, with number (60), Physical disability over 65 years of age of places (60) Bushey House DS0000069312.V335951.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. They may accommodate 60 older people who need general nursing care and convalescent care. This home may accommodate 10 persons aged 50 years or more with a physical disability who require nursing care. The home may accommodate three older people who require personal care. Date of last inspection Brief Description of the Service: The Bushey House Beaumont is a 19th Century Grade II listed mansion with a purpose built extension in keeping with the original house. The view over a lake and parkland can be seen from the library, dining room and patio. The home is spacious and furnished and decorated to a high standard in keeping with the period style of the building. Individual rooms have en suite facilities and in addition to these there are assisted bathing and toilet facilities to meet the needs of elderly and physically disabled residents. The home is close to the local amenities of Bushey High Street. Details about the home are contained in the Service User Guide, brochure and welcome pack that are available on request from the manager together with a copy of CSCI inspection reports. Details of current fees can be obtained direct from the provider. Bushey House DS0000069312.V335951.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One inspector carried out this inspection over the course of one day. Service users, staff and visitors were spoken with. The inspector toured the premises and observed care and general interaction between staff and service users. What the service does well: What has improved since the last inspection? What they could do better: This was a very positive inspection. Bushey House DS0000069312.V335951.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Bushey House DS0000069312.V335951.R01.S.doc Version 5.2 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 Bushey House DS0000069312.V335951.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are assessed prior to admission, thus ensuring that the service is able to meet their needs. EVIDENCE: Service users are fully assessed prior to admission to the home. Four service users assessments were inspected and they contained full information on the service users’ needs and wishes. The pre-admission assessment was documented and kept in the service user’s file. The home will only admit a service user whose needs can be met. A copy of the contract was given to each service user on admission. Bushey House DS0000069312.V335951.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The health, social and personal needs of the service users are set out in care plans. Health needs are fully met in a manner that respects the dignity of the service user. Medication is administered and recorded appropriately. EVIDENCE: Care plans and risk assessments were in place and detailed how care was to be provided. Six care plans were examined and contained all the relevant information that will equip staff to meet service users needs in a consistent manner. Medication was well maintained and recorded. Bushey House DS0000069312.V335951.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 & 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The daily life and social activities meets the needs of the service users. The home welcomes visitors. Service users exercise control over their lives. EVIDENCE: On the day of the inspection the sun was shining. Many service users were in the garden enjoying the sunshine. All service users spoken with told the inspector that they have access to the gardens. There was an exercise class in the morning that involved very gentle exercise this was well attended. In the afternoon there was a quiz in the dining room this was also very well attended and enjoyed by the majority of the service users who live in the home. There was a monthly schedule of activities that is available to all the service users. The dining room appears to be the social centre of the home. This is a large airy room overlooking extensive well-maintained gardens that have a rural aspect. At lunchtime, the tables are attractively set. Service users have two choices for lunch with an additional vegetarian option. The inspector joined the service Bushey House DS0000069312.V335951.R01.S.doc Version 5.2 Page 11 users for lunch and found the food to be tasty, fresh and well presented. Where required, service users were assisted with lunch in a very a discreet manner that respected their dignity. Pureed lunch was very well presented. Care plans detailed the life histories of the service users and what they like and dislike and how they like to spend their time. There was a steady stream of visitors on the day of the inspection. Family members were observed to join their relatives for lunch. Service users spoken with on the day of the inspection stated that they were happy with the daily life of the home. The hairdresser calls one day per week and was there on the day of the inspection. Bushey House DS0000069312.V335951.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints are dealt with in a timely manner. Service users are protected from abuse. EVIDENCE: All complaints (both written and verbal) were treated seriously. They were responded to promptly in accordance with the home’s complaints policy. Staff spoken to were aware of how to respond if there was to be an incident of abuse in the home. Bushey House DS0000069312.V335951.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The environment is safe and very well maintained. The home is very clean, hygienic and pleasant. EVIDENCE: The home is set in extensive, well maintained grounds. There is sufficient garden furniture to allow the service users to spend time in the garden shaded from the sun. The home is in very good decorative order. Individual room are decorated and furnished to meet the needs of the service users and to reflect the personality. The fixtures and fittings are of a high quality and the home is well set out and maintained. There is a selection of communal areas giving the service users and their visitors a choice of areas to sit quietly and meet their visitors. The home was well-lit, clean, tidy and smells fresh. There was a good supply of well-maintained equipment available to staff to assist service users where necessary. The call bell system is under review and expected to be Bushey House DS0000069312.V335951.R01.S.doc Version 5.2 Page 14 replaced in the very near future. Work to provide a much needed enlarged clinical room and replace the disused hydrotherapy pool with a conservatory has been completed. Bushey House DS0000069312.V335951.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The needs of the service users are met by well-trained caring staff who are recruited appropriately. EVIDENCE: There is a core of well-trained dedicated staff who deliver care to high standards. Staff spoken with informed the inspector that they receive regular supervision from their line manager. These staff were friendly and welcoming of the inspection process. Service users spoken with were clear that the staff met their needs in a manner that respected their dignity and privacy. Staff training records indicate that staff receive mandatory training and staff spoken with informed the inspector that they are encouraged to extend their training 57 of care staff have now completed their NVQ level 2 award. The home works to the ratio of one staff member to five service users. Four staffing files were inspected and they were found to contain all the all the necessary documentation including evidence of Criminal Record Bureau checks and two references. The home does not use temporary staff. Bushey House DS0000069312.V335951.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33 & 38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is well managed and is run in the best interests of the service users. The health and safety of the service users is protected and promoted. EVIDENCE: The home is well managed in the best interests of the service users. Service users and staff stated that they would have not problem taking issues to the manager, as she is very approachable. Efficient systems are in place to monitor staffs’ adherence to policies and procedures. The management approach to service delivery means that the outcomes for a service user living there are excellent. All the necessary health and safety checks were in place. Equipment is serviced regularly and there is a fire plan in place and fire drills take place regularly. Bushey House DS0000069312.V335951.R01.S.doc Version 5.2 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 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 X X HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X X X X X X 3 Bushey House DS0000069312.V335951.R01.S.doc Version 5.2 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. 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. Refer to Standard Good Practice Recommendations Bushey House DS0000069312.V335951.R01.S.doc Version 5.2 Page 19 Commission for Social Care Inspection Hertfordshire Area Team CPC1 Capital Park Fulbourn Cambridge CB21 5XE National Enquiry Line: 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 © 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 Bushey House DS0000069312.V335951.R01.S.doc Version 5.2 Page 20 - 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!