Inspection on 12/03/07 for Engleburn

This inspection was carried out on 12th March 2007.

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

Engleburn 09/12/08

Engleburn 25/01/06

Engleburn 01/09/05

Engleburn 22/12/04

Engleburn 11/08/04

Engleburn 26/01/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Engleburn Milford Road Barton-on-Sea Hampshire BH25 5PN Lead Inspector Keith Hopkins Unannounced Inspection 12th March 2007 12:15 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 Engleburn DS0000012069.V329216.R01.S.doc Version 5.2 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. Engleburn DS0000012069.V329216.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Engleburn Address Milford Road Barton-on-Sea Hampshire BH25 5PN 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) Mrs Maureen Grey Mrs Tracey Dawn Holland Care Home 31 Category(ies) of Dementia - over 65 years of age (31), Old age, registration, with number not falling within any other category (31) of places Engleburn DS0000012069.V329216.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th January 2006 Brief Description of the Service: Engleburn is a large detached property set in its own grounds about a quarter of a mile from the centre of New Milton. The home has a large lounge adjacent to the dining room. Seating is also available in the hallway and in corridors. There are twenty-five single and three double rooms provided on the ground and first floors. Some rooms have balconies above the garden and some others on the ground floor have patio doors to the garden. A fenced garden is available for free access by residents. Engleburn DS0000012069.V329216.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Five and a quarter hours were spent visiting the home, during which time the opportunity was taken to look around the building, view records and policies and to talk to the manager. The inspector also spoke privately with two members of the care staff. Most of the service users were observed making use of communal areas and their bedrooms and a number were spoken with briefly during the tour of the building. Three service users were spoken with at greater length in private. The inspector was also able to speak privately with a visitor. Fees range from £550 to £650 per week. What the service does well: What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Engleburn DS0000012069.V329216.R01.S.doc Version 5.2 Page 6 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 Engleburn DS0000012069.V329216.R01.S.doc Version 5.2 Page 7 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has assessed the needs of its current service users well. These needs are clearly recorded and known to staff. EVIDENCE: Three service users’ files, one relating to a more recently admitted person, were inspected and needs assessments seen within these files contained a very good level of detail. There was, for example, information regarding memory, communicating, mobility and washing and dressing together with a detailed medical history and any manual handling needs. There was also a family ‘tree’ with staff confirming their involvement in obtaining the details of this during the assessment process. Service users confirmed that they had been made aware of the level of the fees. The manager explained that it was usually herself or a senior member of staff who undertook the initial assessment prior to any decision regarding admission, and that more detailed care plans were Engleburn DS0000012069.V329216.R01.S.doc Version 5.2 Page 8 developed from the initial assessment over the first three months. The inspector saw evidence that assessments were reviewed after admission. Staff spoken with were clearly aware of the needs assessments and explained how they met these needs on an individual basis. The home does not admit service users for intermediate care. Engleburn DS0000012069.V329216.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and10. 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 good care planning regime, which addresses identified personal, social and health care needs. EVIDENCE: Three care plans were examined and contained information for staff to ensure that all aspects of health, personal and social care needs could be met. Plans are reviewed on a regular monthly basis. Care plans comprise a Physical Care Plan, a Night Care Plan and a Socializing and Recreation Care Plan, each of which contained a good level of detail. One Night Care Plan, for example, confirmed that the person in question preferred an evening drink in the lounge rather than in bed. A Socializing and Recreation Care Plan contained comments such as ‘likes watching the news‘ and ‘enjoys piano music, especially Chopin‘. Engleburn DS0000012069.V329216.R01.S.doc Version 5.2 Page 10 Service users also said that staff knew how to help them. One person, for example, said she was ‘well looked after’ with another saying she was ‘well cared for’. A visiting relative commented that the ‘carers are all good’. Plans contained information regarding more specific needs such as chiropody and dentistry and of any need restrict service users in any way. Plans also contained a Waterlow assessment, a Manual Handling assessment and a nutritional assessment. The home has a policy and procedure for dealing with medication and the drugs trolley was secure at the time of the inspection. The inspector also observed staff dispensing medication at lunchtime in accordance with the procedure, and in a dignified way. Records relating to five service users were examined and were, in the main, in order and up to date although the inspector pointed out to the manager two minor errors. One of these related to a person who had not taken medication as she was out at the time of dispensing and the second where a service user had been asleep. Staff responsible for dealing with medication have been trained. Staff were observed to be providing assistance to service users in a calm and dignified manner, and knocked on doors, awaiting a response, before entering. Service users’ wishes regarding the way in which they are addressed by staff are recorded in their care plan and respected by staff. Engleburn DS0000012069.V329216.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users enjoy varied lifestyles and undertake activities of their choice. Visitors to the home are encouraged. Service users enjoy their meals in congenial surroundings. EVIDENCE: The ‘Socializing and Recreation Care Plan’ clearly details what each service user’s interests are and service users themselves confirmed, variously, that they enjoyed activities and that there were lots of them. The home has a dedicated Activities Organiser who explained to the inspector the range of activities on offer. She also said that she spent time with every service user on an individual basis over a period of time. The inspector observed service users enjoying that day’s activity in the lounge. Some service users had chosen not to take part, which was respected by staff. The manager explained that three service users attended local churches and that communion was undertaken by a number of service users in the home on an individual basis. A church choir visited the home on a monthly basis. Engleburn DS0000012069.V329216.R01.S.doc Version 5.2 Page 12 The inspector spoke with a visitor to the home and was informed that she was welcomed at any time. One service user was observed during the inspection to be entertaining her visitors in a quieter communal area of the building although service users could use their bedrooms if they wanted to. Tea and coffee making facilities are freely available to service users and their visitors. Service users are able to move freely around the building and were seen to be making use of all communal areas as well as their bedrooms. Menus at the home were varied and the inspector noted an attractively presented meal being served at lunchtime. All service users confirmed that the food was good and one said that an individual choice is always available as an alternative to the main meal if this were preferred. Engleburn DS0000012069.V329216.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 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 suitable complaints procedure, which service users are aware of and feel able to use. Service users are protected through an adult protection policy and procedure known to and understood by staff. EVIDENCE: The home has a complaints policy and procedure, a copy of which was included in the information available to potential service users. Two of the service users spoken with privately said that they had no complaints and were aware of what to do if they had. Service users all appeared to have a good degree of confidence that any issues raised would be dealt with, although it was reported by the manager that the home had had no complaints to deal with in the previous twelve months. A visitor said that if she had any concerns she would speak with the manager or senior member of staff. The home also has a policy and procedure relating to adult protection, with information produced by Hampshire Social Services being available for staff to consult. Staff have been trained in this and knew what to do in the event of identifying any suspected abuse. Engleburn DS0000012069.V329216.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a comfortable environment, which is suitably furnished and well maintained. EVIDENCE: The tour of the building showed this to be clean and tidy throughout and there were no undue odours. Communal areas were well furnished and adequate bathroom and toilet facilities with aids were available. Communal areas include a large spacious lounge and a separate dining room. The inspector viewed several bedrooms, which were all adequate in size, and had clearly been personalised, to considerable degrees. One service user said that her ’room was nice’, and another commented that she was ‘satisfied with Engleburn DS0000012069.V329216.R01.S.doc Version 5.2 Page 15 my room’. A visitor to the home also confirmed that her relative ‘likes his room, which overlooks the courtyard’. Service users were observed to be freely making use of communal areas, such as the lounge and other communal areas and accessed their bedrooms as they wished. The home’s laundry was inspected and was fit for purpose with industrial machines capable of meeting disinfection standards. Members of staff spoken with were clearly aware of good practice and there were procedures in place to deal with soiled items. Staffs were aware of these procedures and confirmed that gloves and aprons were available. The building is well maintained and the inspector noted the building works which are currently underway to enhance the property and provide additional bedrooms. Necessary aids, such as hoists and handrails were also available around the building, and the inspector was informed of the system for noting and attending to minor faults. Engleburn DS0000012069.V329216.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are well supported by a well-trained staff team, recruited through a sound process, and who are deployed in sufficient numbers to meet their needs. EVIDENCE: Three staff files examined contained evidence of written references being obtained following the completion of an appropriate application form and interview. A member of staff spoken with confirmed that a Criminal Records Bureau (CRB) check had been made in respect of herself. The obtaining of such checks was evidenced in the files examined, and it was confirmed to the inspector that no new staff started without a check in place. The three files contained evidence of a sound and comprehensive induction process and further details of short courses undertaken. Courses included Safe Handling of Medicines, Food Hygiene, Health and Safety, and Care Giving in Dementia. It is understood that of the nineteen care staff employed, thirteen have obtained a National Vocational Qualification (NVQ) at Level 2 with eight of these thirteen people also having obtained NVQ Level 3. Engleburn DS0000012069.V329216.R01.S.doc Version 5.2 Page 17 During the inspection the inspector observed staff interacting with service users in a friendly yet professional manner. The staff rota indicated there to normally be five members of the care staff on duty in the mornings and four in the afternoons, supported by the manager, the owner and ancillary staff. There are two waking members of staff on duty at night. Staff spoken with said that there were generally enough of them on duty to meet service users’ needs and the inspector observed staff assisting service users in a calm and unhurried manner. Engleburn DS0000012069.V329216.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed by a competent manager, supported by comprehensive policies known to staff. EVIDENCE: The home’s manager has worked in the home for a number of years and has completed a National Vocational Qualification at Level 4 in Care. She explained that she was also completing the Registered Manager’s Award. The manager is well supported by the owner and able to fulfil her responsibilities. The inspector examined thirteen satisfaction questionnaires recently completed by service users and their relatives. Comments made on these included ‘the Engleburn DS0000012069.V329216.R01.S.doc Version 5.2 Page 19 new facilities work well’, ‘she never complains’ and that ‘the few points raised have always been very well looked into and resolved’ The home deals with some service users’ monies, it being confirmed by the manager that these monies are held in a ‘charitable’ bank account which neither pays interest nor has a charge. The home has a policy for the control of substances hazardous to health known to staff. Chemicals and other items were securely stored in locked cupboards and staff were aware of health and safety issues. The home has a health and safety policy known to staff. A sample of policies, procedures and records required by regulation were inspected and were in order and up to date. This included the home’s fire records and accident book. Engleburn DS0000012069.V329216.R01.S.doc Version 5.2 Page 20 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 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 3 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 Engleburn DS0000012069.V329216.R01.S.doc Version 5.2 Page 21 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(2) Requirement The registered manager must ensure that medication given, or refused, is accurately recorded. Timescale for action 30/04/07 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 Engleburn DS0000012069.V329216.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Engleburn DS0000012069.V329216.R01.S.doc Version 5.2 Page 23 - 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. 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