Inspection on 13/09/05 for Bybuckle Court

This inspection was carried out on 13th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Bybuckle Court 25/09/08

Bybuckle Court 03/07/07

Bybuckle Court 27/06/06

Bybuckle Court 14/04/05

Bybuckle Court 02/09/04

Bybuckle Court 29/04/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Bybuckle Court Marine Parade Seaford East Sussex BN25 2PZ Lead Inspector Nigel Thompson Announced Inspection 13th September 2005 12:30 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 Bybuckle Court DS0000021065.V249086.R01.S.doc Version 5.0 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. Bybuckle Court DS0000021065.V249086.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Bybuckle Court Address Marine Parade Seaford East Sussex BN25 2PZ 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) 01323 898094 Mr James Lord Mrs Sylvia Lord Mrs Sylvia Lord Care Home 17 Category(ies) of Old age, not falling within any other category registration, with number (17) of places Bybuckle Court DS0000021065.V249086.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum number of service users to be accommodated is seventeen 14 April 2005 Date of last inspection Brief Description of the Service: Bybuckle Court is an established home providing residential care for up to seventeen older people. It is a large detached property, overlooking the seafront in Seaford and within easy walking distance of the town centre shops, amenities and railway station. Service users’ accommodation comprises fourteen single rooms and two double rooms, situated on two floors. The majority of the rooms have en-suite facilities and all are fitted with a call bell system. A shaft lift provides access to the first floor. The home has a Block Contract with East Sussex Couty Council to provide two beds for respite care. In addition to Bybuckle Court, the proprietors own a second home in Seaford, Hillersdon Court, which also provides residential care for older people. Bybuckle Court DS0000021065.V249086.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over five hours in September 2005. It found that many of the National Minimum Standards had been met or partially met and the overall quality of care provided was good. Service users and relatives spoken to during the inspection expressed satisfaction with the home, the staff and the service provided. A tour of the premises took place and documentation, including service user and staff files were inspected. Two of the service users’ relatives, all the staff on duty and five of the thirteen residents were spoken to. Since the previous inspection, the acting manager has left the home and has been replaced by the previous deputy manager. What the service does well: Despite the recent change of acting manager, the relaxed, homely and welcoming environment has been maintained, reflecting the positive attitude and general stability within the staff team. Independence and individuality continues to be promoted within the home and service user involvement in day-to-day decision making is encouraged. Regular residents’ meetings provide opportunity to discuss many aspects of daily life including menu planning, activities and colour schemes for communal areas within the home. Staff have a sound understanding of the support needs of the service users. Overall standards of care remain high and individual residents spoken to during the inspection expressed satisfaction with the service provided. Bybuckle Court DS0000021065.V249086.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: There is still no service users’ guide in place, despite previous requirements. The acting manager is aware of the need for this information to be made available for both existing and prospective service users. It is recommended that service users sign the written contract, including terms and conditions of residency, provided to each of them on admission to the home. The home is generally clean and well maintained, however it was noted that the condition of the paintwork on some window frames is very poor. There is also evidence of damp on the wall of the dining room and in one service user’s room. The outside of the home is currently looking neglected, with inadequate useable space, both to the front and rear of the building. It was evident from discussions during the inspection that service users, visitors and members of staff currently have very little contact with the owners. In view of these issues and particularly with the recent change of acting manager, this unsatisfactory situation now needs to be addressed. Formal staff supervision – regular and structured one-to-one meetings with individual care staff and their manager – is to be introduced, as required. Bybuckle Court DS0000021065.V249086.R01.S.doc Version 5.0 Page 7 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. Bybuckle Court DS0000021065.V249086.R01.S.doc Version 5.0 Page 8 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 Bybuckle Court DS0000021065.V249086.R01.S.doc Version 5.0 Page 9 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, 5 & 6 Unsatisfactory progress has been made in developing the service users’ guide. Without this information, service users and their relatives are not able to make a fully informed choice about the Home and the services provided. EVIDENCE: With the departure of the previous acting manager, there has been little progress in addressing requirements and recommendations from the last inspection. Service information for existing and prospective residents remains inadequate and despite previous requirements there is still no service users guide in place. Following a referral to the home, the acting manager visits each prospective service user and completes a pre-admission assessment. Bybuckle Court DS0000021065.V249086.R01.S.doc Version 5.0 Page 10 Assessments that were inspected were found to include details of the individual’s mental and physical health, mobility / history of falls, communication, medication and personal and social care needs. The acting manager confirmed that Bybuckle Court continues to have a contract with East Sussex County Council, to provide two respite beds. However emergency or unplanned admissions are not accepted and intermediate care is not provided. For individuals referred through Care Management arrangements, a Social Care Assessment would be requested. On admission to the home, each service user is issued with a contract including a statement of terms and conditions of residency. However, it was noted in service users’ files that were examined that many contracts had not been updated and in some cases were not signed by the service user or a representative, on their behalf. Bybuckle Court DS0000021065.V249086.R01.S.doc Version 5.0 Page 11 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): 8 & 10 The staff have a good understanding of the support and care needs of service users. This is evident from the positive relationships which have been formed between staff and residents. EVIDENCE: All service users are registered with local GPs and are able to access additional health care services via the surgeries, as required. Individual healthcare needs are documented in service users’ care plans. Through direct observation and discussion, it is clear that staff are aware of service users’ privacy and dignity. Members of staff were seen knocking on doors before entering service users’ rooms and were observed to be sensitive and respectful in their manner. Service users and their relatives, spoken to during the inspection, expressed a high level of satisfaction with the care and services provided: ‘Everyone here is very kind. I’m very happy and couldn’t ask for more’. Bybuckle Court DS0000021065.V249086.R01.S.doc Version 5.0 Page 12 ‘My mother is very happy here and so well cared for. The staff all know her so well’. Any personal care is provided in one of the bathrooms or in the service user’s own room. Medical consultations or examinations are also carried out in private. Bybuckle Court DS0000021065.V249086.R01.S.doc Version 5.0 Page 13 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 Social and recreational activities are generally well managed and provide sufficient variety and interest for people living in the home. Family links are generally good, supporting and enriching service users’ social opportunities. EVIDENCE: Service users’ care plans were found to contain details of the individual’s social and recreational interests. There are evidently a number of activities that service users can be involved in, including board games, gentle exercise, indoor bowls and walks along the seafront. However, there is currently no structured activities programme in place. The outside of the home is predominantly laid to concrete and provides little opportunity for recreational activities. Many service users maintain close links and have regular contact with family members. As well as receiving visitors in the home, many service users spoke Bybuckle Court DS0000021065.V249086.R01.S.doc Version 5.0 Page 14 of how they enjoyed having the opportunity to go out occasionally with friends or relatives. The acting manager confirmed that visiting in the home is unrestricted and service uses are able to see their visitors in the lounge or in the privacy of their own room. A relative, spoken to during the inspection, was able to support this: ‘I’m here most days and am always made welcome’. Bybuckle Court DS0000021065.V249086.R01.S.doc Version 5.0 Page 15 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 The open and generally inclusive atmosphere within the home enables service users, staff and visitors to feel able to express any concerns, confident that they will be listened to. Service users are safeguarded from abuse through robust policies, procedures and relevant staff training. EVIDENCE: A clear and accessible complaints procedure has been produced and is in place in the entrance hall. Service users, members of staff and a relative spoken to during the inspection, confirmed that they would have no hesitation speaking to the acting manager or making a complaint if necessary and each person was confident that they would be listened to. It was noted that there have been no complaints received since the previous inspection. Policies and procedures relating to abuse and including whistle blowing are in place. The acting manager confirmed that abuse training is provided for all staff and this was supported by training records and certificates in staff files and confirmed by members of staff themselves. Bybuckle Court DS0000021065.V249086.R01.S.doc Version 5.0 Page 16 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, 20, 24 & 26 The standard of the physical environment is variable and does not always provide service users with an attractive, comfortable and homely place to live. Outdoor facilities are generally poor. This does not enhance the appearance of the building and provides service users with inadequate leisure and recreational opportunities. EVIDENCE: As with many of the environmental standards, the situation at Bybuckle Court remains largely unchanged. Service users’ rooms are generally clean, comfortable and well maintained. Adequate internal, communal areas are provided to meet the individual and collective needs of the service users, including a pleasant dining room and a spacious lounge. Improvements to the physical environment, however, have not been sustained since the last inspection. Of particular note was the poor condition of several window frames, including the lounge and noticeable damp areas in one service user’s room and on the wall of the dining room. Bybuckle Court DS0000021065.V249086.R01.S.doc Version 5.0 Page 17 Outside, the uninspiring concreted area at the rear of the building currently looks uninviting, poorly maintained and more closely resembles a car park than a garden. Service users at Bybuckle Court would certainly benefit from more imaginative use of this space, as well as the equally neglected and unappealing front patio area. With its uninterrupted sea views, some creative, professional input would enhance what could be and should be a real asset for the home. Bybuckle Court DS0000021065.V249086.R01.S.doc Version 5.0 Page 18 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 & 30 Service users benefit from there being sufficient trained and competent staff on duty at all times to meet their assessed care and support needs. EVIDENCE: All new staff are provided with and sign a written contract, including a statement of terms and conditions. Staff training within the home is generally provided by external trainers and includes first aid, control and handling of medication, moving and handling, infection control procedures, fire safety and food hygiene. All training is recorded. Staff spoken to during the inspection are clearly happy in their work and feel both valued and supported by the acting manager: ‘It’s a good place to work – and it’s getting better’. A rota is in place, showing which staff are on duty at any time and their designation. It is evident from discussions with staff, service users and relatives that there are sufficient staff on duty to meet the assessed needs of the service users. Bybuckle Court DS0000021065.V249086.R01.S.doc Version 5.0 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 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, 32, 33 & 36 The recently appointed acting manager already has a good understanding of the areas in which the home needs to improve. Current quality monitoring systems are inadequate and do not ensure that service users’ needs are being met and care standards maintained. EVIDENCE: The most significant development since the last inspection has been a change of acting manager at Bybuckle Court. The previous post holder left for personal reasons and was replaced, at the beginning of July, by the previous deputy manager. From discussions with service users, their relatives and members of staff it is evident that this period of change has been handled professionally and Bybuckle Court DS0000021065.V249086.R01.S.doc Version 5.0 Page 20 sensitively. It is also clear that the new acting manager enjoys the full support of her staff team. ‘The acting manager is settling in very well and we are all behind her’. ‘ She is always very approachable and supportive’. The level of support from the registered provider was discussed with the acting manager. Although she was able to confirm that she is receiving ‘regular support’ from the owner, on a weekly basis, there was no documentary evidence to support this. As the registered providers are now aware, it is a legal requirement that, in circumstances such as this, where the proprietors are not in ‘day to day charge’ of the home that, at least once a month, they will visit the home, unannounced. During this formal monitoring visit they are to inspect the premises, with regard to environmental standards (including the furniture and fittings and any necessary maintenance), speak with service users and staff and prepare a written report on the conduct of the home. A copy of this report is then to be supplied to the CSCI. The acting manager confirmed that she is due to commence studying for the NVQ level 4 in management and care. It was evident from discussions with members of staff and the acting manager that formal staff supervision is not currently provided. To ensure compliance with this standard, it is required that formal and structured supervision be introduced for all care staff. Bybuckle Court DS0000021065.V249086.R01.S.doc Version 5.0 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 2 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 2 X X X 3 X 3 STAFFING Standard No Score 27 X 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 2 X X 2 X x Bybuckle Court DS0000021065.V249086.R01.S.doc Version 5.0 Page 22 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 1 Regulation 5(1) & (2) Requirement It is required that a written service users guide be produced and made available to current and prospective service users. (Timescales of 31.12.2004 and 30.04.2005 not met). It is required that the premises are of sound construction and kept in a good state of repair externally and internally. It is required that external grounds which are suitable for, and safe for use by, service users are provided and appropriately maintained. It is required that the person managing the home has the qualifications, skills and experience necessary for managing the care home. It is required that the provider visits the home at least once a month to inspect the premises, monitor the conduct of the home and prepare a written report. A copy of this report is to be forwarded to the CSCI. It is required that all care staff receive formal supervision at DS0000021065.V249086.R01.S.doc Timescale for action 31/10/05 2 19 23 (2) (b) 31/10/05 3 20 23 (2) (o) 31/10/05 4 31 9 (2) 31/10/05 5 33 26 (1,2,3,4 & 5) 31/10/05 6 36 18 (2) 31/10/05 Bybuckle Court Version 5.0 Page 23 least six times a year 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 2 Good Practice Recommendations It is recommended that each service user signs a written contract, including statement of terms and conditions. Bybuckle Court DS0000021065.V249086.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Bybuckle Court DS0000021065.V249086.R01.S.doc Version 5.0 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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