Inspection on 12/07/05 for Butterpark Residential Home

This inspection was carried out on 12th July 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

Butterpark Residential Home 22/05/07

Butterpark Residential Home 30/10/06

Butterpark Residential Home 21/03/06

Butterpark Residential Home 11/01/05

Butterpark Residential Home 06/07/04

Butterpark Residential Home 10/02/04

Similar services:

The Vicarage

Fairfields Country Rest Home

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Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Butterpark Residential Home Brook Road Ivybridge Devon PL21 0AX Lead Inspector Margaret Crowley Announced 12 July 2005 th 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 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. Butterpark Residential Home D54-D07 S32410 Butterpark V224083 120705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Butterpark Residential Home Address Brook Road, Ivybridge, Devon, PL21 0AX Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01752 891025 01392 385136 info@devon.gov.uk Devon County Council Sarah Reilly Care Home 30 Category(ies) of Dementia (9), Old age, not falling within any registration, with number other category (30), Physical disability (30) of places Butterpark Residential Home D54-D07 S32410 Butterpark V224083 120705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: The Harford View unit will provide Intermediate care only The Stowford unit will provide Intermediate care only Date of last inspection Brief Description of the Service: Butterpark is a care home for 30 older people, which is owned and managed by Devon County Council. It is located within the town of Ivybridge and has easy access to the town centre and community facilities.Butterpark is a two storey building that has a large enclosed garden to the rear with level access. The home is divided into the four units which are accessed through one main entrance. These four units comprise:Harford View a self-contained unit on the ground floor, which provides intermediate care for eight older frail people and who may or may not have a physical disability.Stowford, which is an assessment unit for five people who have dementia and is situated on the ground floor.Erme, which adjoins Stowford and shares its communal facilities, and provides respite for four older people who are frail and who may or may not have a physical disability, but who do not have dementia. Brooklands which is situated on the first floor and accommodates up to thirteen older people who are frail and who may or may not have a physical disability. Brooklands provides long term care and respite care and currently accommodates nine long stay service users.The role and functions of Butterpark has changed in recent years from being a unit that originally provided mainly long-term care. No new service users requiring long term care are now admitted. Butterpark Residential Home D54-D07 S32410 Butterpark V224083 120705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced and took place on 12th and 13th July 2005. A tour of the premises took place, and records were inspected. A total of fifteen service users were spoken from the four units. Staff on duty were observed in the course of their daily duties and members of staff from each unit were spoken with. Discussions took place with Mrs Paula Hannaford the acting manager. Butterpark does not currently have a registered manager. The previous registered manager transferred to another Devon County Council care home in April 2005.The inspection took place at a time of transition in the unit. The acting manager had been in post for 2 months. What the service does well: What has improved since the last inspection? What they could do better: The premises would benefit from further refurbishment to improve the rooms on the first floor and provide additional bathroom facilities. Attention should be given to safety of the environment including the replacement of tiles in the shower in Stowford unit and the storage of hazardous chemicals. The number of staff on duty in the evening and at nighttime should be reviewed Butterpark Residential Home D54-D07 S32410 Butterpark V224083 120705 Stage 4.doc Version 1.40 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. Butterpark Residential Home D54-D07 S32410 Butterpark V224083 120705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Butterpark Residential Home D54-D07 S32410 Butterpark V224083 120705 Stage 4.doc Version 1.40 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 standard(s) 3,6 There are clear admissions procedures in each of the four units, which ensure that service users needs are assessed and can be met. EVIDENCE: An inspection of the records of those admitted recently in all units demonstrated that admission procedures and assessments had been undertaken. The assessment processes and tools used vary in the units, partly because of their different functions. The new manager is intending to look at ways of sharing best practice between them. Discussions with staff demonstrated their awareness of service users needs. Service users spoken with in all units said they had been made to feel welcome and comfortable, both on admission and since, and confirmed that their needs were being met. Harford View is a self-contained unit, which provides intermediate care for service users who are physically frail with a view to returning to their own homes, if appropriate. Staff are trained and experienced to ensure that the service users care and rehabilitation needs are met. There are clear timescales for the assessment and rehabilitation of service users who stay in the unit. An occupational therapist and physiotherapist provide specialist services. Butterpark Residential Home D54-D07 S32410 Butterpark V224083 120705 Stage 4.doc Version 1.40 Page 9 Stowford unit provides intermediate care for service users with dementia. Senior staff who are trained in the assessment of service users with dementia undertake the assessment, supported by an assessment from the community psychiatric team. The unit is not self-contained, because the four service users from Erme respite unit who do not have dementia share the dining room and lounge. An application has been made to vary the registration to change the function of Erme Unit, to provide respite care for service users with dementia. Butterpark Residential Home D54-D07 S32410 Butterpark V224083 120705 Stage 4.doc Version 1.40 Page 10 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 standard(s) 7,9,10 Service users have clear care plans, which are reviewed and enable their health, personal and social care needs to be met. The systems for the administration of medication are satisfactory with arrangements in place to ensure that service users’ medication needs are met. Service users are treated with dignity and respect and their individuality and independence is maintained. EVIDENCE: Butterpark Residential Home D54-D07 S32410 Butterpark V224083 120705 Stage 4.doc Version 1.40 Page 11 All service users have care plans, which are reviewed with a frequency that varies according to the unit’s function. Daily records showed that any concerns are recorded and addressed. There are different record systems within the four units. Staff said that some recording processes were unwieldy and led to duplication. A review of these is currently taking place and some improvements have been made. Senior care staff from each unit undertakes service users’ assessments and write the care plan. In Brooklands evidence was seen of long stay service users needs being reviewed on a monthly basis. Those service users admitted for respite care have a care plan produced by the care management team prior to admission. Some service users receive periodic respite care and their records are kept for future reference. In Harford View and Stowford reviews are held more frequently, and involve other disciplines and also focus on the discharge package. All of the service users spoken with made very positive comments regarding the quality of care they receive. This was echoed by relatives both in person and via written responses such as “The quality of care at Butterpark is of a particularly high order” and “first class care shown”. Service users said that they were treated with respect at all times and particularly in the context of their personal care. Staff were observed to knock on service users doors before entering. Service users in Harford View greatly valued the efforts of the staff team in assisting them to maintain their independence. There are clear policies and procedures for the administration and storage of medicines. Medication records were found to be satisfactory. Where a service user self- medicates this is subject to risk assessment, and the service user has appropriate storage for the medicines. Each unit within the home has its own drugs trolley, with controlled drugs being kept in a central location. Senior care staff administer medication, having first received the appropriate training. Butterpark Residential Home D54-D07 S32410 Butterpark V224083 120705 Stage 4.doc Version 1.40 Page 12 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 standard(s) 12,13,15 Service users enjoy a range of activities at Butterpark. Service users contact with the local community is encouraged and visitors are welcomed A balanced and varied selection of meals are available that meets service users tastes and choices. EVIDENCE: Staff inform service users verbally regarding activities planned each day. Some activities are shared between the units such as bingo, and themed events. Service users were seen playing scrabble and talking informally with staff. The inspection took place during a period of fine weather and service users were enjoying spending time in the garden. The residents of Stowford and Erme make good use of this facility as it can be accessed directly from the units. Unfortunately those living in Brooklands, which is situated on the first floor, regret that they cannot have easy access to the garden. There is an open visiting policy and it was confirmed that visitors are made welcome. Group meetings are held at Butterpark for the carers of people with dementia. Meals were seen to be of a good standard and service users were pleased with the quality of the food provided. Menus are rotated on a four weekly basis. All the units are served by one main kitchen. Daily choices are posted on a notice board, and staff inform service users verbally. Dining areas in all units are pleasant and mealtimes were seen to be unhurried. Harford View and Stowford have a domestic style kitchen, where service users are enabled to prepare drinks and snacks in preparation for their return home. Butterpark Residential Home D54-D07 S32410 Butterpark V224083 120705 Stage 4.doc Version 1.40 Page 13 Butterpark Residential Home D54-D07 S32410 Butterpark V224083 120705 Stage 4.doc Version 1.40 Page 14 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 standard(s) 16,18 Service users can be confident that procedures are in place to enable them to complain and to protect them from abuse EVIDENCE: Butterpark utilises the Devon Social Services complaints policy and procedure. A record of complaints and concerns is kept. Four complaints have been received during the past year, of which one was substantiated and two partially substantiated. The manager deals with any concerns promptly and feedback is given to staff. Evidence of this was seen in relation to a recent concern regarding a service user who had not received a bath. Service users who were spoken with were aware of whom to speak to in the event of a complaint. Butterpark operates the Devon County Council vulnerable adults protection policy and procedure. There are training videos available within the home. All staff should receive adult protection training. Butterpark Residential Home D54-D07 S32410 Butterpark V224083 120705 Stage 4.doc Version 1.40 Page 15 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 standard(s) 19,21,23,26 Service users are provided with accommodation that is comfortable and clean. The premises require upgrading to ensure that service users live in a safe environment. EVIDENCE: It is planned that Butterpark will undergo further refurbishment to bring the accommodation in line with national minimum standards and to further equip the premises as an intermediate care and respite unit. Butterpark is decorated in a homely style and has pleasant communal areas. The large communal lounge is currently used for meetings and specific events. The gardens are attractive, enclosed and have level access. In Brooklands the rooms of the long stay service users are personalised to their individual taste. These rooms are below national minimum standards in size and have insufficient electrical sockets. The unit has only one bathroom for 13 bedrooms. Harford View has pleasant bedrooms and the bathroom has a shower and an assisted bath. Service users rooms in Stowford and Erme have been refurbished and are more spacious. The premises are lacking in storage space. The shower in the bathroom in Stowford was being used for storage. The wall tiles in this shower area were loose and in a dangerous state. The manager took urgent remedial action on Butterpark Residential Home D54-D07 S32410 Butterpark V224083 120705 Stage 4.doc Version 1.40 Page 16 the day of the inspection to have those tiles accessible to service users removed, but the area needs to be upgraded and all of the tiles replaced. The premises were very clean and free from offensive odours other than in Brooklands unit where there was an odour problem in one service user’s room, which in the hot weather had permeated to the corridor. The manager said that a new carpet cleaner had been purchased and the carpets would be cleaned. There is a central laundry with a washing machine that is capable of a disinfecting cycle. There are no hand washing facilities in the laundry. The clean laundry room is situated directly off the main laundry and is also used as the hairdressing room. During the inspection a service user was seen sitting unsupervised under the hairdryer. The safety measures in this environment must be reviewed and consideration given to re-instating the door dividing the two rooms. A sluice facility is to be provided to serve the Stowford and Erme units. Butterpark Residential Home D54-D07 S32410 Butterpark V224083 120705 Stage 4.doc Version 1.40 Page 17 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29,30 Service users are cared for by staff who are trained and experienced. Staff are employed in sufficient numbers by day to meet service users needs. The number of care staff employed at night should be reviewed to ensure that there sufficient staff to meet service users needs. EVIDENCE: There is a good range skills and experience within the staff group. Twenty – five of the thirty- two staff are qualified to NVQ 2 level or above. Staff have participated in a range of training in the past year, which includes mandatory training in moving and handling, fire safety, health and safety, and first aid, and working with people with dementia. Staff confirmed that they are encouraged to undertake training, but prefer to attend short courses to receive mandatory training rather than completing the distance learning model. The manager said that there are sufficient staff employed to meet service users needs by day and by night. Agency staff have been employed to cover sickness, but additional relief staff are now being recruited. Staff had some concerns regarding staffing levels in the daytime, when staff were absent without sufficient time being available to provide replacement cover. The manager said that on these occasions staff are shared between the units and the deputy manager and the manager supplement the care rota, if necessary. At the previous inspection the inspector raised concerns regarding the lack of dedicated night staff for the Stowford Unit, due to the fact that it undertakes 24-hour assessment of service users who have dementia. Night staffing levels have not been increased. Two night staff to cover the four units. During this Butterpark Residential Home D54-D07 S32410 Butterpark V224083 120705 Stage 4.doc Version 1.40 Page 18 inspection the inspector had concerns regarding the number of accidents recorded in the accident records. Many of the accidents took place during evenings and the night duty hours. The responsible individual must provide an analysis of the accidents and review the staffing levels. Butterpark Residential Home D54-D07 S32410 Butterpark V224083 120705 Stage 4.doc Version 1.40 Page 19 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32,33,35,38 Service users and staff are benefiting from improved systems of management. Service users live in an environment where most health and safety standards are met, but the premises require upgrading to ensure that service users safety is protected. EVIDENCE: Mrs Paula Hannaford was appointed acting manager in May 2005 and holds the Registered Managers Award and NVQ 4. No application has yet been received by the Commission for Social Care Inspection to register her as the manager. The manager is working hard to improve systems within Butterpark. Staff spoken with said that she was supportive and listened to their views. The management and staff team are working together to create a homely and open environment. Butterpark does not have a formal quality assurance system, but the manager is planning to introduce this. Butterpark Residential Home D54-D07 S32410 Butterpark V224083 120705 Stage 4.doc Version 1.40 Page 20 Service users are encouraged to control their own money, if possible. Any money now held on behalf of service users is now kept in an interest bearing account. Routine health and safety issues are managed satisfactorily and records are maintained up to date and accurate. Fire prevention measures are in place, and it was evidenced that equipment is regularly tested, and training for staff is up to date. The home has recently had a legionella assessment for the building, and water temperatures are checked weekly. The cupboards containing hazardous substances in the kitchen and the laundry were unlocked. Butterpark Residential Home D54-D07 S32410 Butterpark V224083 120705 Stage 4.doc Version 1.40 Page 21 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 2 x 2 x 2 x x 2 STAFFING Standard No Score 27 2 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x 3 2 x 3 x x 2 Butterpark Residential Home D54-D07 S32410 Butterpark V224083 120705 Stage 4.doc Version 1.40 Page 22 no 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 OP21 Regulation 16 Requirement The wall tiles in the shower in Stowford bathroom must replaced and the area no longer used for storage The laundry and hairdressing facilities should be risk assessed Hazardous chemicals must be stored in a locked cupboard The reponsible individual must provide an analysis of the accidents records. The responsible individual must review the staffing levels during evenings and at night time A quality assurance system must be implemented for all units in the home . Timescale of 31/05/05 not met Timescale for action 12/09/05 2. 3. 4. 5. 6. OP26 OP38 OP38 OP 27 OP33 16 16 16 18 24 12/09/05 13/07/05 12/09/05 12/09/05 31/12/05 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. 2. Refer to Standard OP24 OP35 Good Practice Recommendations Bedrooms in the Brooklands unit should contain two double electrical sockets There should be a ratio of 1 assisted bath to 8 service D54-D07 S32410 Butterpark V224083 120705 Stage 4.doc Version 1.40 Page 23 Butterpark Residential Home 3. 4. 5. 6. OP18 OP19 users, in the Brooklands unit All staff should receive adult protection training. The premises should have adequate storage facilities. Butterpark Residential Home D54-D07 S32410 Butterpark V224083 120705 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Butterpark Residential Home D54-D07 S32410 Butterpark V224083 120705 Stage 4.doc Version 1.40 Page 25 - 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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