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Inspection on 21/03/06 for Butterpark Residential Home

Also see our care home review for Butterpark Residential Home for more information

This inspection was carried out on 21st March 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Butterpark is a valuable multi-purpose community resource, which provides care of a good standard. It enables many older people to return to and be maintained in their own homes, and includes a respite service that benefits service users and their carers. It continues to provide a homely environment for the remaining eight service users have lived in Butterpark for several years. The premises are comfortable, clean and homely. There are pleasant communal areas and spacious gardens, which are safe and enjoyed by the service users. The home is well managed. There is a welcoming atmosphere, which was confirmed by service users and visitors to the home. Service users value the respectful manner in which they are treated by staff and their needs attended to.

What has improved since the last inspection?

The number of staff on duty in the evening and at nighttimes has been increased to enable staff to be based within the units. Concerns identified regarding the safety matters at the last inspection have been addressed.

What the care home could do better:

Staff must complete medication records fully at the time of administration to ensure medicines are administered safely. Service users are unable to use the shower in Stowford unit because the renovations are not yet complete. The premises are lacking in storage facilities. The lounge in Erme unit should not be used for storage, which makes it uninviting for service users.Brooklands unit would benefit from refurbishment to include increasing the number of electrical sockets in bedrooms, and providing additional bathroom facilities.

CARE HOMES FOR OLDER PEOPLE Butterpark Residential Home Brook Road Ivybridge Devon PL21 0AX Lead Inspector Margaret Crowley Unannounced Inspection 21st March 2006 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 Butterpark Residential Home DS0000032410.V262495.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. Butterpark Residential Home DS0000032410.V262495.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Butterpark Residential Home Address Brook Road Ivybridge Devon PL21 0AX 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) 01752 891025 01392 385136 Devon County Council Mrs 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 DS0000032410.V262495.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The Harford View unit will provide Intermediate care only The Stowford unit will provide Intermediate care only Date of last inspection 12th July 2005 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 which is a self-contained unit on the ground floor and provides intermediate care for eight older frail people and who may a physical disability. Stowford, which is an assessment unit for five people who have dementia and is situated on the ground floor. Erme, which is now registered to provide respite care for four service users who have dementia. Erme adjoins Stowford and shares some of its communal facilities. Brooklands which is situated on the first floor and accommodates up to thirteen older people who are frail and who may have a physical disability. The unit provides long term care and respite care. It currently accommodates eight long stay service users. The role and functions of Butterpark have changed in recent years from its original function of providing long-term care. No new service users requiring long term care are now admitted. Butterpark Residential Home DS0000032410.V262495.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place on 21st March 2006. This report should be read in conjunction with report of the announced inspection on 12th August 2005. A tour of the premises took place, and records were inspected. Service users were spoken with and staff were observed and spoken with in the in the course of their daily duties. Discussions took place with Mrs Paula Hannaford, the acting manager. The Commission is currently processing the application to register Mrs Hannaford as the manager. What the service does well: What has improved since the last inspection? What they could do better: Staff must complete medication records fully at the time of administration to ensure medicines are administered safely. Service users are unable to use the shower in Stowford unit because the renovations are not yet complete. The premises are lacking in storage facilities. The lounge in Erme unit should not be used for storage, which makes it uninviting for service users. Butterpark Residential Home DS0000032410.V262495.R01.S.doc Version 5.1 Page 6 Brooklands unit would benefit from refurbishment to include increasing the number of electrical sockets in bedrooms, and providing additional bathroom facilities. 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 DS0000032410.V262495.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 Butterpark Residential Home DS0000032410.V262495.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): 3 Service users can be confident that admissions procedures ensure that their needs are assessed and can be met. EVIDENCE: Discussions with the manager and staff demonstrated that good liaison with health and social services staff prior to the admission of service users is regarded as essential. Inspection of the records of those admitted recently showed that admission procedures had been followed and assessments had been undertaken. Service users spoken with said they had been made to feel welcome and were satisfied that their needs were being met. Butterpark Residential Home DS0000032410.V262495.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): 7,9,10 Service users health and personal care needs are well met. They are treated with respect and their individuality and independence is maintained. EVIDENCE: Records inspected contained clear care plans to enable health and personal care needs to be addressed. Care plans are reviewed at an appropriate frequency, which vary according to the unit’s function. Daily records showed that concerns are recorded and dealt with. There are different recording systems within the four units, which can be unwieldy if a service user transfers between units. Service users spoken with were pleased with the care given and said that staff are kind and helpful. Staff were observed respecting service uses privacy when entering rooms and addressing service users in a kindly manner. The systems for the administration of medication have been improved since the last inspection following two incidents where medicines were incorrectly administered. The manager has addressed this by providing additional training for staff and clear instructions. However in one unit, inspection of medicine administration records showed they had not been completed fully. The manager addressed this with the unit immediately. Butterpark Residential Home DS0000032410.V262495.R01.S.doc Version 5.1 Page 10 Butterpark Residential Home DS0000032410.V262495.R01.S.doc Version 5.1 Page 11 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): 14,15 Service users are encouraged to exercise choice and enjoy a balanced and varied selection of meals. EVIDENCE: Staff were seen assisting service users to exercise choice during activities and at meal times. Staff spoken with said that all service users are encouraged to to maintain their skills and their independence. This is particularly important in the intermediate care units where service users are enabled to do tasks such as preparing drinks and snacks in preparation for their return home. Service users were seen enjoying lunch. There is a varied rotating menu, which is adapted to suit service users’ dietary needs. Daily choices are posted on a notice board, and staff inform service users verbally of these. Butterpark Residential Home DS0000032410.V262495.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): Service users can be confident that procedures are in place to enable them to complain and to protect them from abuse EVIDENCE: The Commission has received not received any complaints since the last inspection. Butterpark follows the Devon Social Services complaints policy and procedure. A record of complaints and concerns is kept. This was not inspected on this occasion. Service users who were spoken with were aware of whom to speak to in the event of a complaint. Butterpark follows the Devon Social Services vulnerable adults protection policy and procedure. Staff have attended adult protection training since the last inspection. Butterpark Residential Home DS0000032410.V262495.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): 19,26 Service users are provided with accommodation that is comfortable, homely and clean. EVIDENCE: The premises were very clean and free from unpleasant odours throughout. Concerns identified regarding the some safety matters at the last inspection have been addressed including re-instating the door between the main laundry and the clean laundry/ hairdressing room. Service users are still unable to use the shower in Stowford because the renovations are not yet complete. The premises continue to be lacking in storage facilities. The lounge in Erme unit is used for storage, which makes it uninviting and rarely used by service users. The home has its own maintenance worker and routine work is attended to systematically. At the time of the inspection new double glazed windows were being installed throughout the premises. Devon Social Service Department has expressed intentions of undertaking further refurbishment of the premises to bring all of Butterpark Residential Home DS0000032410.V262495.R01.S.doc Version 5.1 Page 14 the accommodation in line with National Minimum Standards. In Brooklands unit, the rooms are small and have insufficient electrical sockets. The unit has only one bathroom for 13 bedrooms. Butterpark Residential Home DS0000032410.V262495.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): 28 Service users are cared for by staff who are trained and experienced. Staff are employed in sufficient numbers meet service users needs. EVIDENCE: There is a good level of skills, experience and NVQ qualifications within the staff group. The staffing levels have been reviewed as required at the last inspection and an additional member of staff has been employed at nighttime. This provides three waking night care staff located in Erme/ Stowford, Harford View and Brooklands. The manager said that sufficient staff are now employed to meet service users needs by day and by night. Where there have been staff shortages due to sickness or vacant posts the rota is usually covered internally without the need to employ agency staff. Butterpark Residential Home DS0000032410.V262495.R01.S.doc Version 5.1 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,35,38 Service users benefit from staying in a home that is well managed and where attention is given to their health, welfare and safety. EVIDENCE: Since this inspection took place, Paula Hannaford has successfully completed the fit person interview and will be registered as the manager of Butterpark. She has managed the home for almost a year and was previously the registered manager of another care home within Devon Social Services. She holds the Registered Managers Award and NVQ 4 in Care. She has many years experience in working with older people. Butterpark is now managed efficiently. The manager and staff team work together to create a homely and open environment. Service users are encouraged to control their own money, if possible. Any money held on behalf of service users is kept in an interest bearing account. Records inspected showed that clear processes were in place. Butterpark Residential Home DS0000032410.V262495.R01.S.doc Version 5.1 Page 17 Routine health and safety issues are managed satisfactorily and records are maintained up to date and accurate. Accidents are recorded appropriately and accident levels monitored. Fire prevention measures are in place, and it was evidenced that equipment is regularly tested. Staff receive regular mandatory training in safe working practices. Butterpark Residential Home DS0000032410.V262495.R01.S.doc Version 5.1 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 3 2 x x x x x x 3 STAFFING Standard No Score 27 x 28 3 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x x x 3 x x 3 Butterpark Residential Home DS0000032410.V262495.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? no STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP9 Regulation 13 Requirement Staff administering medicines must ensure that that the medication records are completed fully at the time. The renovations to the shower in Stowford unit must be completed. Timescale for action 21/04/06 2. OP21 16 21/06/06 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. 2. 3. Refer to Standard OP24 OP35 OP19 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 users, in the Brooklands unit The premises should have adequate storage facilities. The lounge in Erme should not be used for storage Butterpark Residential Home DS0000032410.V262495.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Ashburton Office 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 DS0000032410.V262495.R01.S.doc Version 5.1 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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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