Inspection on 23/01/06 for Butler Green House

This inspection was carried out on 23rd January 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Butler Green House 24/02/09

Butler Green House 04/01/07

Butler Green House 12/01/05

Butler Green House 11/08/04

Butler Green House 16/03/04

Butler Green House 05/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Butler Green House Wallis Street Chadderton Oldham OL9 8NG Lead Inspector Carol Makin Unannounced Inspection 23rd January 2006 09:30 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 Butler Green House DS0000035532.V276965.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. Butler Green House DS0000035532.V276965.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Butler Green House Address Wallis Street Chadderton Oldham OL9 8NG 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) 0161 911 5086 0161 911 5089 sosc.butlergreen@oldham.gov.uk Oldham M.B.C. Teresa Lever Care Home 39 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (28), of places Physical disability over 65 years of age (18) Butler Green House DS0000035532.V276965.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users to include up to 28 OP, up to 18 PD(E) and up to 10 DE(E). A manager, working a minimum of 30 hours each week, must be in place at all times who has the qualifications, skills and experience necessary for managing the home, and who is registered, or has an application for registration pending, with the Commission for Social Care. The ratio of care staff to service users must be determined according to the assessed needs of service users and staffing levels must be regularly reviewed to reflect service users` changing needs. 15th August 2005 3. Date of last inspection Brief Description of the Service: Butler Green House is a purpose built establishment, commissioned and managed by Oldham Metropolitan Borough Council. Designed around a central hub, the ground floor is home to 39 people who are elderly and have physical disabilities. There are three distinct units, each one having a kitchen, lounge, dining area and bedrooms. One unit is designated for service users who require intermediate care. Applicants for the service are no longer accepted for long term care. All bedrooms are single occupancy and do not have en-suite facilities. The bedrooms are lockable, and there is a secure facility within each room. There are aids and adaptations to meet the assessed needs of the service users. The gardens are well maintained and provide seating for the service users in the better weather. The home is located in a residential area of Chadderton, with access to local and community resources. Butler Green House DS0000035532.V276965.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out on 23rd January 2006. Most of the assessed standards were met, and the quality of care provided was good. During the inspection the inspector spoke with some of the residents and a relative, carried out a partial inspection of the premises, and examined records. Those who spoke with the inspector were very complimentary about the service provided at the home. The registered manager was not on duty at the time of the inspection, and an assistant manager, spoke with the inspector and assisted with the inspection. The inspector also spoke with the cook, and a member of staff who worked on domestic and care duties. Verbal feedback of the findings of the inspection was given to the assistant manager during, and at the end of the inspection. What the service does well: What has improved since the last inspection? What they could do better: Butler Green House DS0000035532.V276965.R01.S.doc Version 5.1 Page 6 A requirement for the ventilation to be improved in the main kitchen, which had appeared on inspection reports since August 2004, remained outstanding. The ventilation in the kitchen is inadequate, and because of this it is very unpleasant and uncomfortable for the members of staff who work in the kitchen, particularly in the hot weather. The registered person must ensure that this matter is dealt with without further delay. 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. Butler Green House DS0000035532.V276965.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 Butler Green House DS0000035532.V276965.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): The standards in this section were not assessed on this inspection. EVIDENCE: The standards in this section were not assessed on this inspection as they were met on the last inspection. Butler Green House DS0000035532.V276965.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 and 10 Residents’ health, personal and social care needs were set out in an individual plan of care, and are met in the home. Residents’ rights were respected and maintained by the staff in the home. EVIDENCE: The care files, which were inspected, contained fully completed care plans and risk assessments, which had been reviewed each month and updated where necessary, and had been signed by the resident and /or a relative. Residents felt that they were well looked after in the home, and that their health and social care needs were met. The inspector spoke with a relative, and asked whether she thought the resident’s rights to privacy and dignity were respected by the staff, to which she replied “very much so”, and added that having all single bedrooms in the home was also “very good for privacy”. Residents were equally positive about how their rights were respected and maintained in the home, and staff said that the importance of respecting residents rights was very much part of their training programme. Butler Green House DS0000035532.V276965.R01.S.doc Version 5.1 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): 15 Residents enjoyed a variety of food, in pleasant surroundings that they liked. EVIDENCE: Standards 12,13 and 14, all of which were met on the last inspection, were not fully assessed on this inspection. Reference was, however made to certain aspects of these standards during the inspection, and the comments subsequently made by residents, and observations made by the inspector, were positive. The residents who spoke with the inspector were very satisfied with the food at Butler Green, which they said was good, varied, and plentiful. A relative also spoke positively about the meals, and confirmed that choices were provided. Reference was also made to residents’ food preferences on their care files. During the inspection, the inspector spoke with the cook, who said that she discussed special dietary needs with residents, and was able to get assistance from the health service dietician if necessary. At the time of the inspection special diets were being provided for residents with diabetes, and one resident was unable to eat dairy products. Butler Green House DS0000035532.V276965.R01.S.doc Version 5.1 Page 11 The dining areas, which were provided on each wing, were attractively furnished and decorated, and met with resident’s approval. The small kitchen/ food serving areas on each wing had been totally refurbished to a very good standard during the last 12 months. Butler Green House DS0000035532.V276965.R01.S.doc Version 5.1 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): 16 A system was in place, to ensure that complainants would know that their complaint had been taken seriously and acted upon. EVIDENCE: The person in charge at the time of the inspection said that there had been no complaints made to the home. There was, however a system in place for recording the complaints, which included the response made to the complainant. Timescales for responding to the complainant were included in the home’s complaints procedure. Residents’ files that were seen during the inspection contained a copy of the procedure which had been signed by them (or their advocate) on the day of admission. The procedure is also included in the Service User Guide. Butler Green House DS0000035532.V276965.R01.S.doc Version 5.1 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): 21 The home was clean, and the owners were providing equipment, facilities, and pleasant accommodation, for the people who live there. EVIDENCE: The key standards and most of the other standards in this section, which were assessed at the last inspection were met. This inspection therefore focused on recommendations from previous inspections and any improvements made to the accommodation since the last inspection. Standards of cleanliness within the home continued to be maintained, and no unpleasant odours were detected. Residents were satisfied with their rooms, and they were able to bring in furniture and other personal possessions of their choice to meet their needs, and make the rooms homely. Comments made by residents and a relative who spoke with the inspector included: “It’s like home from home”; “There’s no smell, it’s always clean”, and “ It’s a lovely environment, bright and welcoming”. Butler Green House DS0000035532.V276965.R01.S.doc Version 5.1 Page 14 Since the last inspection three corridors had been redecorated, two had been fitted with new carpets, some of the bedrooms on each wing had been redecorated and fitted with new carpets, and vertical blinds had been installed throughout the home. A recommendation made previously for sluices to be located separately from service users toilet and bathing facilities had not been resolved, but the assistant manager reported that plans had been approved, and the work was expected to be completed by the end of March 2006. Butler Green House DS0000035532.V276965.R01.S.doc Version 5.1 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 and 28 The staffing levels within the home were sufficient to meet the needs of the residents. Overall, the training programme for staff was suitable for meeting the needs of the residents. EVIDENCE: The rotas which were provided for inspection indicated that the number of staff on duty in the home at the time of the inspection, were sufficient to meet the needs of the residents who were living there. Residents felt there were enough staff in the home, and were very satisfied with the care provided. They made comments such as: “the staff are very good, you can’t fault them”; “they can’t do enough for you here”, and “we are well looked after”. A relative said she was “more than satisfied” with the care provided for her Mum, and added “I can’t praise the staff enough”, and “Mum is so happy here, she has settled really well”. Standard 30 was not fully assessed on this occasion as it was met at the last inspection. Training was, however, discussed with the members of staff who spoke with the inspector, and the comments were positive, with staff feeling that they were given enough training to enable them to do their job. Butler Green House DS0000035532.V276965.R01.S.doc Version 5.1 Page 16 Information which was provided for inspection showed that 6 of the 22 care staff, (27 ), had achieved a National Vocational Qualification (NVQ) at level 2, and 1 of the assistant managers had achieved an NVQ level 3. Training for the qualification was in progress for staff 6 care staff at level 2; 4 care staff at level 3, and 2 of the management staff were training for level 4. The cook had achieved (NVQ) at levels 1&2 in catering, and she said she was in the process of doing further at Salford College. Whilst the percentage of care staff who had achieved NVQ level 2 was below the required 50 , it should be seen in the context of the overall training programme, which provides a range of training for management, care and ancillary staff, and given the number of staff who were undertaking NVQ training, it was clear that arrangements were in hand to increase the number of staff with the qualification, and potentially meet the required percentage. The overall outcome for the residents was good. As previously stated the residents and the relative who spoke to the inspector were very satisfied with the care provided by the staff. Butler Green House DS0000035532.V276965.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): 31,33,35 and 38 The home was being managed to a satisfactory standard. Systems were in place to enable residents and their relatives to comment on the running of the home. Residents’ financial interests were safeguarded. Training was provided to promote the health, safety and welfare of the residents and the staff. Ventilation in the main kitchen needed to be improved. Butler Green House DS0000035532.V276965.R01.S.doc Version 5.1 Page 18 EVIDENCE: At the time of the inspection the deputy manager was acting manager, as the registered manager was on placement as part of training for a Diploma in social work. The registered manager’s qualifications include a Higher National Certificate (HNC), in Social Care Management, and she is an NVQ Assessor. The deputy manager has a degree in social care. The assistant manager who was in charge of the home at the time of the inspection, had achieved a NVQ at level 3 and was undertaking NVQ level 4. A relative described the home as being ”well run”, and a member of staff said, “it’s a good staff team, everyone works together. There’s always a manager on duty, and they are always willing to listen”. Satisfaction surveys are given out to service users and relatives routinely at the end of the residents stay in the home. Questionnaires are also given out to the remaining permanent residents and their relatives periodically. All questionnaires can be completed anonymously, and an analysis is done of those returned each month. Records of money held in safekeeping for residents were selected at random for inspection and were found to be in order. Details of any valuable items held in safe keeping are entered on the property list which is kept on residents files. Staff who spoke with the inspector confirmed that they had received up dates of training in safe working practices, and had frequent fire drills. A requirement made following previous inspections for a food storage area to be screened off had been addressed, but a requirement made for the ventilation in the kitchen to be improved remained outstanding, despite this having been ‘chased up’ by the management of the home on 13/09.05 and 20/12/05. This matter has appeared on inspection reports since August 2004 when a timescale of 01/11/04 was given for completion of the work. The registered person must now ensure that this is addressed without further delay. Butler Green House DS0000035532.V276965.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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X X X 2 X X X X X STAFFING Standard No Score 27 3 28 2 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Butler Green House DS0000035532.V276965.R01.S.doc Version 5.1 Page 20 Are there any outstanding requirements from the last inspection? Yes 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 OP38 Regulation 16 Requirement The registered person must ensure that the kitchen is properly ventilated at all times. (Timescale of 01/11/04 not met) Timescale for action 31/03/06 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 OP21 Good Practice Recommendations The registered person should ensure that sluices are located separately from service users toilet and bathing facilities. Butler Green House DS0000035532.V276965.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD 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 Butler Green House DS0000035532.V276965.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. 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