Inspection on 03/05/06 for Butterhill House

This inspection was carried out on 3rd May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Butterhill House 05/06/07

Butterhill House 12/12/05

Butterhill House 13/06/05

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Butterhill House Near Coppenhall Stafford ST18 9BU Lead Inspector Mrs Kathryn Marks Unannounced Inspection 09:30 3rd May 2006 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 Butterhill House DS0000062760.V291061.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. Butterhill House DS0000062760.V291061.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Butterhill House Address Near Coppenhall Stafford ST18 9BU 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) 01530 260285 Mrs Shivvajkunver Jadeja Joyce Lappage Care Home 28 Category(ies) of Dementia - over 65 years of age (7), Old age, registration, with number not falling within any other category (28), of places Physical disability over 65 years of age (9) Butterhill House DS0000062760.V291061.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 1-Day care place. Date of last inspection 12th December 2005 Brief Description of the Service: Butterhill House is a twenty-eight bedded care home for elderly people situated in the Coppenhall area of Stafford. On arrival at the home residents were sitting in the dining and lounge areas having just had breakfast. Pleasantries were exchanged with residents, staff and the care manager who greeted inspector in a friendly manner. The home stands in extensive mature grounds with attractive patio areas and mature gardens. The patio area overlooks a large lawn with an ornamental pool at the far end that has now been guarded with attractive wrought iron railings. Residents said they felt the area looked more attractive with the rails around “more of a feature” Resident’s accommodation is located on the ground and first floor of the home offering both shared and single bedrooms, with a variety of en/suite facilities. Bathrooms and toilets are appropriately sited around the home and offer a range of assisted facilities. The home has three lounge areas for individuals to move around in as they wish. There is a large orangery that is used as a dining room and for social events; this area is light, and spacious. Secluded quiet rear walled patio areas have been created that are attractive and tranquil to sit in. Rear ground floor bedrooms open onto this area and could have tables and chairs outside if resident wished. The local primary health care team visit the home as required and are always available for advice. There is no public transport in the area so a car is necessary when going out. Senior staff now shares on call that makes it more flexible for management. Butterhill House DS0000062760.V291061.R01.S.doc Version 5.1 Page 5 Information gained from the pre-inspection questionnaire received on 27/04/06 identified that current fees charged are £350 to £375 per week. Butterhill House DS0000062760.V291061.R01.S.doc Version 5.1 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was carried out over half day on Wednesday 3rd May 2006 and 4th May 10.30 am to 2.30 pm. During the inspection the inspector spoke to residents, staff district nurse care manager and visitors to the home. All made positive comments about the home and in particular residents about how they are cared for. Two residents were case tracked both were spoken with all records relating to them were seen and accommodation visited. Comments received from residents verbally and via written surveys about staff and life at the home and the manner in which they are cared for were of a positive nature. Surveys were also received from relatives and made positive comments about the home. On arrival at Butterhill it was observed that the front door was bolted at the top the Inspector was told due to one resident wandering. The Inspector requested that the bolt be removed. It is a requirement of this report that following discussion with the Fire Officer an appropriate lock be fitted to this door. Residents at this time had completed breakfast and were deciding on their daily routines. The Care Manager provided written information regarding staffing, staff training, menu and dietary provision that was observed by the inspector to be in place at the home. Residents accommodations is located on the ground and first floor observations of areas that were visited were that the home was clean, generally well maintained and free from odour. Resident’s bedrooms were personalised with favourite items they had brought into the home with them. Butterhill House has in place a Statement of Purpose and Service Users Guide to inform residents and relatives of the services and facilities provided. All service users have a full assessment of their needs carried out prior to admission to the home. Arrangements are in place for meeting the health and personal care needs of residents and details are recorded in care records. The home has in place a complaints procedure that residents who were asked were aware of this is given to relatives and resident on admission to Butterhill. Butterhill House DS0000062760.V291061.R01.S.doc Version 5.1 Page 7 The complaints procedure is displayed in the home along with details of how to contact The Commission for Social Care Inspection. There is a nucleus of experienced staffs at the home that are competent to care for older people and were able to discuss diseases associated with old age. Appropriate recruitment procedures are carried out and staff prior to employment has Criminal Records Bureau and Pova Checks completed. What the service does well: What has improved since the last inspection? Care Manager is very experienced in the care of the elderly and residents said they liked her and Staff the Inspector spoke to say they had a lot of respect for her and had learned from her. Following a risk assessment the proprietor has now had wrought iron railings put around the pond to guard and make safe this area. Risk assessments on residents self-medicating and on residents using the stairs have also been carried out. New procedure in place for recording of accidents that is easier to track has been put in place. Care plans have been reviewed and updated. A number of residents bedrooms have been redecorated this continues on an ongoing basis. Butterhill House DS0000062760.V291061.R01.S.doc Version 5.1 Page 8 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. Butterhill House DS0000062760.V291061.R01.S.doc Version 5.1 Page 9 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 Butterhill House DS0000062760.V291061.R01.S.doc Version 5.1 Page 10 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): 1,2,3,6. Quality outcome in this area is good this means the home was able to meet the needs of residents. This judgement was made using available evidence including a visit to this service. The homes Statement of Purpose and Service Users Guide provides prospective residents with up to date details of the services the home has to offer enabling an informed decision about admission to Butterhill House to be made. EVIDENCE: The homes Statement of Purpose and Service Users Guide is given to residents and relatives clearly describing the services and facilities the home is able to offer. All residents have contracts of terms and conditions of residence at the home a copy of which is on resident’s files. Butterhill House DS0000062760.V291061.R01.S.doc Version 5.1 Page 11 A full assessment of individual needs is carried out prior to admission to Butterhill House to ensure that the needs of residents can be met. The prospective resident or their relative would visit the home where possible and staff would visit the individual in their own home or current surroundings. The outcome of the assessment is confirmed to individuals in writing. Standard 6 is not applicable to this home Intermediate Care is not offered. Butterhill House DS0000062760.V291061.R01.S.doc Version 5.1 Page 12 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health personal and social care needs of residents are well met with evidence of good working practices taking place. The systems for the administration of medication are good with clear arrangements being in place to ensure resident’s medication needs are met. EVIDENCE: As at previous inspection all residents had an individual plan of care that has been reviewed and updated. Residents/relatives are encouraged to sign care plans Risk assessments are carried out and included in care records. Health care needs are met by accessing local health care practices all contacts regarding health and personal care are recorded in care records. Butterhill House DS0000062760.V291061.R01.S.doc Version 5.1 Page 13 Visiting district nurse manager confirmed to inspector that communication with the home is good. Lockable facilities are provided for residents for the safe storage of valuables and medication should they self medicate two residents are currently selfadministering inhalers. Policies are in place to inform staff of systems and procedures in the home. Residents spoken to said they were treated in a dignified and respectful way and this was the observation of inspector in the home today. Residents at the home who have a physical disability are able to join in all events taking place and access all areas of the home. Butterhill House DS0000062760.V291061.R01.S.doc Version 5.1 Page 14 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The systems for resident’s consultation in the home are good with a variety of evidence that indicates that resident’s views are sought and acted upon. The cooks at Butterhill House are providing a choice of traditional food at the home with a mixture of frozen and fresh produce being used. EVIDENCE: When talking to the inspector residents say they are content with the lifestyle at Butterhill and the way they are cared for. Various social opportunities are available for residents, which the majority seem to enjoy. The home within its registration category is registered for 7 residents with dementia. The Care Manager said that there is no specific activities or social events for residents with dementia and that they generally join in with the main activities. The home must review and plan for the diverse needs of this group of residents and evidence appropriate activities. Butterhill House DS0000062760.V291061.R01.S.doc Version 5.1 Page 15 The home operates an open visiting policy the majority of residents having family contact visitors were in and out of the home. Observations were made of staff consulting residents and encouraging them to make choices about their daily routines. Butterhill House DS0000062760.V291061.R01.S.doc Version 5.1 Page 16 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): 16,18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints system with some evidence that resident’s feel their views are listened to. In house awareness training takes place to protect residents from abuse. EVIDENCE: At the time of this key inspection there have been no complaints received about the home since the last inspection. Butterhill House has a complaints procedure in place this is displayed in the hallway and contained in the homes Statement of Purpose and Service Users Guide. The home has in place a book to record any complaints and how they are dealt with. Discussions with some residents identified that they were aware of the complaints procedure and if unhappy about something they would talk to the care manager. Butterhill House DS0000062760.V291061.R01.S.doc Version 5.1 Page 17 Residents are protected from abuse by staff training on abuse/awareness, observations and discussions during staff meetings and supervision. Policies and procedures are in place at the home. Resident’s finances are protected by robust procedures in the home with secure storage of valuables. Finances sampled balanced with records maintained. All staff prior to employment has Criminal Records Bureau and Pova checks carried out. Butterhill House DS0000062760.V291061.R01.S.doc Version 5.1 Page 18 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): 19,26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The standard of the environment within this home is generally well maintained but there are areas that need attention. EVIDENCE: The home generally is well maintained and suitable for its stated purpose. Programmes of routine maintenance are in place work carried out being identified. Externally there are attractive grounds with patio, walkways and seating. There is also a large pond in the garden and following a risk assessment on this area it has now been attractively guarded. Bathrooms and toilets are appropriately sited around the home with a variety of assisted facilities. Specialist equipment is provided, as residents require. Butterhill House DS0000062760.V291061.R01.S.doc Version 5.1 Page 19 Bedrooms have been individualised with favourite items residents have bought to the home with them. On arrival at Butterhill it was observed that the front door was bolted at the top. The Inspector requested that the bolt be removed. It is a requirement of this report that following discussion with the Fire Officer an appropriate lock be fitted to this door. There is a wrinkled carpet in bedroom 9 that presents a hazard and needs replacing/refitting this will be a requirement of this report. There is a chipped ceramic floor tile in the doorway to bedroom 28 that presents a hazard inspector was told that a replacement is ordered. During the course of this visit the conservatory became very warm and would benefit from an air conditioning unit or fans before the weather becomes really warm. Observations were that the home was clean and free from offensive odour. Butterhill House DS0000062760.V291061.R01.S.doc Version 5.1 Page 20 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. As at previous inspection staffs on duty at the home were observed to be competent and satisfactory in number to meet the needs of residents in their care. Appropriate procedures are in place for the recruitment of staff. EVIDENCE: At the time of this inspection visit observations identified that staff on duty were as the rota and were sufficient in number to meet the observed needs of residents in their care. Appropriate recruitment procedures are in place with Criminal Records Bureau checks and Pova checks being carried out The Care Manager was on duty along with three care staff and a cook. Residents commented, “lovely sitting here” “pond looks nice” “new resident said she had settled well and liked living at the home” general observations were of lots of banter and cheerful exchanges taking place. The Care Manager has reviewed all staff training and a training matrix has been developed. All mandatory training has been carried out. Three staff has NVQ level 2 or 3 the remaining 12 staff are registered to start NVQ training. Butterhill House DS0000062760.V291061.R01.S.doc Version 5.1 Page 21 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): 31,33,35,38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is supported by the proprietor in providing clear leadership throughout the home with staff on duty demonstrating an awareness of their roles and responsibilities. EVIDENCE: The Registered Manager is competent and experienced to run the home. For the last five years she has worked as Care Manager at three homes. Care Manager experience/Qualifications: Butterhill House DS0000062760.V291061.R01.S.doc Version 5.1 Page 22 She has the Registered Managers Award, NVQ level 4, D32, D33, Food Hygiene, Medication Training, and has attended courses for dementia care, care planning and risk assessments Observations of the inspector were that staff as at previous inspection were knowledgeable about the needs of residents in their care and were meeting those needs in a sensitive caring way. Robust recruitment policies and procedures are in place, Criminal Records Bureau checks, Pova checks, and two references are taken up prior to the appointment of staff. All new staff is subject to a six months probationary period. The Care Manager promotes the health safety and welfare of residents. Safe working practices are followed with cosh products stored appropriately. Butterhill House DS0000062760.V291061.R01.S.doc Version 5.1 Page 23 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 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 X 18 3 2 X X X 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 X 3 X 3 X X 3 Butterhill House DS0000062760.V291061.R01.S.doc Version 5.1 Page 24 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. 1 Standard OP12 Regulation 12 Requirement Timescale for action 09/06/06 2 OP19 19 You are required to comply with regulation 16 (2) (n) Consult service users about the programme of activities including those service users with dementia and provide evidence that activity for this group of service users are being provided. You are required to comply with 24/05/06 regulation 13 (4) (a) & (c) The registered person shall ensure that all parts of the home that residents have access to are so far as reasonably practicable free from hazards to their safety Unnecessary risks to the health and safety of residents are identified and so far as possible eliminated. The home must consult with the Fire Officer with regard to appropriate locking device at the front door Butterhill House DS0000062760.V291061.R01.S.doc Version 5.1 Page 25 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 Butterhill House DS0000062760.V291061.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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. 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