Inspection on 11/04/06 for New Bassett House

This inspection was carried out on 11th April 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.

Other inspections for this house

New Bassett House 20/06/07

New Bassett House 07/12/05

New Bassett House 15/07/05

New Bassett House 03/02/05

New Bassett House 04/05/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE New Bassett House New Bassett House Park Avenue Shirebrook Nr Mansfield Derbyshire NG20 8JW Lead Inspector Denise Bate Key Unannounced Inspection 11th April 2006 09:30 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 New Bassett House DS0000035586.V288359.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. New Bassett House DS0000035586.V288359.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service New Bassett House Address New Bassett House Park Avenue Shirebrook Nr Mansfield Derbyshire NG20 8JW 01623 588000 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) Derbyshire County Council Susan Ina Elsden Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places New Bassett House DS0000035586.V288359.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th December 2005 Brief Description of the Service: New Bassett House is a home offering 40 places to older persons, which now includes 2 places as part of an intensive assessment or intermediate care project. As well as longer-term care the home offers short-term respite care, which had been used by a number of service users to acquaint themselves with the home before making a final decision about their future. The home is built on one level and is situated in a residential area, near to the town centre of Shirebrook. Arranged on 3 wings the home offers a range of communal rooms to suit different purposes and access for persons with a physical mobility problem is assisted by wide corridors and an open central area. Facilities have been arranged with a domestic style in mind and there is good access to the outside areas of the home. Access to outside professionals is routinely arranged and the home benefits from the active support of a local GP who had assisted to raise the profile of health care in the home New Bassett House DS0000035586.V288359.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced one and took place over approximately six hours. During the inspection 5 staff members, including the cook and one of the deputy managers, and 6 residents were spoken with. The Manager was present throughout the inspection and provided assistance and information. A tour of the building took place. A number of records were examined, including risk assessments and care plans, health and safety documentation, staff files, Regulation 26 visit records and records of service users monies held. An assessment was also made of the progress by the registered persons to address requirements made at previous inspections. Three residents were case tracked, and the care plans of other residents were seen. What the service does well: What has improved since the last inspection? Some routine decoration has taken place. Medication recording and administration has improved, although formal staff training is still to take place. Staff have received training on the protection of vulnerable adults. A quality assurance exercise has taken place, indicating a high level of satisfaction with the quality of care provided. Development plans covering care matters and the building are in place. Regulation 26 reports (reports of visits by Derbyshire County Council line manager) indicate that the registered person’s representative visits regularly and that matters relating to the day to day running of the home are picked up and dealt with appropriately. There is a computerised system for monitoring residents’ personal finances. There is a programme in place for regular staff supervision, although the inspector was informed that the formal recording was not all up to date on the day of New Bassett House DS0000035586.V288359.R01.S.doc Version 5.1 Page 6 inspection. Staff confirmed that regular supervision takes place, and they felt well supported by the training programme and by management staff. Records required by schedules 2,3, and 4 were in place, apart from some staff records (see standard 29 and requirement). 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. New Bassett House DS0000035586.V288359.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 New Bassett House DS0000035586.V288359.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, 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home have a system for assessing residents’ needs to ensure that the care provided can meet residents’ needs appropriately. The home provides an intermediate care service that helps maximise residents’ independence. EVIDENCE: Copies of assessments were seen on residents’ case files, which provided useful and appropriate information. The inspector was informed that the intermediate care service works very well. There is close co-operation with other health and social care professionals, joint assessments and care planning, and clear targets were identified in care plans seen. Some specialist equipment is provided in intermediate care rooms, e.g. hospital beds. Other aids are provided to ensure appropriate and safe New Bassett House DS0000035586.V288359.R01.S.doc Version 5.1 Page 9 care. Staff spoken to showed sensitivity to residents needs, and a commitment to maintaining residents independence. New Bassett House DS0000035586.V288359.R01.S.doc Version 5.1 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 the following standard(s): 7, 8, 9, 10,11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents health and personal care needs are generally well met, they are treated with dignity and respect which contributes to the enhancement of their everyday lives. EVIDENCE: Some care plans were seen, and three residents were case tracked. All case tracked residents had detailed personal development plans, monthly updates, daily logs, evidence of regular reviews (although occasionally information from a review had not been entered onto the personal development plan), and various risk assessments and monitoring forms. Residents had signed documentation indicating that care plans had been discussed with them. The administration of medication was inspected and records found to be up to date and previous requirements regarding the recording of medication had been complied with. The home has a separate medication room with the medicines trolly, fridge and controlled medication. The fridge was being New Bassett House DS0000035586.V288359.R01.S.doc Version 5.1 Page 11 maintained to the required temperatures. Training for night staff is outstanding and remains a requirement. Residents spoke very positively about staff and said they were treated with dignity and respect. Confirmation was given that they are given choice and are able to follow their own routines. Information about likes and dislikes, and preferred routines is recorded on personal development plans. Information regarding residents is kept on their personal file, the care plan file (containing personal development plan), and daily logs (which are kept together for all residents). Residents’ post death wishes were seen recorded on residents’ files. This information, or reference to it, could be usefully included on the personal development plan, and consideration could be given to cross referencing of other information after reviews are held (copies of which were seen on residents files). New Bassett House DS0000035586.V288359.R01.S.doc Version 5.1 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 the following standard(s): 12, 13, 14, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Activities are provided that generally suit the expressed preferences of residents and outside contacts are encouraged which assists in contributing to a pleasant atmosphere and the overall high level of satisfaction for residents. Dietary needs of service users are well catered for with a balanced and varied selection of food available that meets residents’ tastes and choices. EVIDENCE: Residents interviewed reported that they felt the home provided suitable activities and catered for their interests, although the home is committed to continuing to improve activities (see ‘Your Views – Our Actions). Residents are looking forward to outings in the summer, and to spending time in the garden in the better weather. Residents’ interests are recorded on personal development plans and acted upon. Most residents are from the local community, and most staff live locally. This creates a common bond and staff spoken to encouraged residents to reminisce about the local community. New Bassett House DS0000035586.V288359.R01.S.doc Version 5.1 Page 13 Residents spoken to were positive about the atmosphere in the home and felt that visitors were welcomed. Residents indicated that they feel staff are approachable and any problems can be discussed with them or with one of the managers. All indicated that they are able to exercise choice about aspects of their daily lives. All residents spoken to were complimentary about the standard of catering, and the choice of menus that are available. Menus were seen and found to be varied and to offer choice. Residents said that the food is always well presented. The cook provides a lot of homemade cakes, and special occasions are celebrated with a special meal. Residents had enjoyed the festivities at Christmas and an Easter party was planned. Some fly screens needed to be renewed in the kitchen (see standard 28). New Bassett House DS0000035586.V288359.R01.S.doc Version 5.1 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 the following standard(s): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are systems in place which promote the protection of residents from abuse and neglect. The manager is aware of adult protection procedures and staff have received training. There is a complaints procedure in place, and this is made known to residents and visitors. EVIDENCE: A discussion took place with the manager, who is aware of adult protection issues. Most staff have had training in adult protection. Staff spoken to showed an awareness of adult protection issues and would pass any concerns on to their line manager. One area of concern was discussed with the inspector. There is a complaints procedure displayed in the reception area which is readily available to both service users and their visitors. This specifies how complaints can be made and that they will be responded to within 28 days, written information on how a complaint can be referred to the Commission for Social Care Inspection is included. The complaints records were seen, and no complaints have been made recently. Residents confirmed that they would discuss any concerns with the manager, although all residents spoken to New Bassett House DS0000035586.V288359.R01.S.doc Version 5.1 Page 15 emphasised that they had no complaints. In addition there is a complaints, comments, suggestions book in the reception area. This contained several letters from residents and relatives thanking them for their provision of care. New Bassett House DS0000035586.V288359.R01.S.doc Version 5.1 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, 21, 22, 23, 24, 25, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment within the home is generally well maintained and provides residents with an attractive and homely place to live. EVIDENCE: During this inspection communal areas of the home, kitchen, laundry and three residents bedrooms were seen. There is a regular programme of routine maintenance and renewal of the building and this is evident in the good standard of accommodation provided internally. The home have a local maintenance scheme which works well and ensures that routine work is carried out promptly. The home was well furnished and comfortable and homely, some new furniture had been purchased recently. Individual bedrooms are comfortable and personalised. Discussions with residents indicated that they were pleased and New Bassett House DS0000035586.V288359.R01.S.doc Version 5.1 Page 17 felt the standard of accommodation met their expectations. All areas of the home seen were clean and tidy and residents commented that they felt standards were high. Bathrooms and toilets were clean and tidy and met current standards. There was a range of equipment to meet residents’ needs, and the use of equipment was noted on personal development plans. Equipment is regularly maintained, with some due for service in April. The home has a garden with seating area and space for residents to walk. Some of the paths need attention and some of the paving is currently uneven. The home are aware of this and have plans to do work on the external areas of the home. The sign at the end of the road showing the location of the home is old and worn and has recently been covered in graffiti. The sign should be replaced as it is unsightly and does not reflect the high standards in other parts of the home. New Bassett House DS0000035586.V288359.R01.S.doc Version 5.1 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): 27, 28, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Dependency needs of residents currently accommodated within the home are met by staffing levels provided. EVIDENCE: The rotas were seen and found to provide adequate staffing to meet residents needs. The manager said that generally staff worked as a team and three new members of staff had fitted in well. She is thinking of making some changes to the rota, which runs on a 4 weekly basis. More staff are provided at busy times, e.g. when residents get up in the morning. Staff work constructively with health and social care staff dealing with intermediate care residents. Staff spoken to were responsible and enthusiastic, and were observed being responsive to residents needs and aware of issues of safety. There is a team approach to work, and staff said they feel well supported. Staff files seen had evidence of some CRB checks, copies of contracts, and references, indicating that recruitment procedures are satisfactory. However, not all files at the home had copies of the full range of documentation specified in Schedule 4 (6), although copies of all recruitment documentation would be held centrally. Discussion with staff indicated that they felt they were offered good training opportunities and all staff spoken to were keen to make use of these. Most New Bassett House DS0000035586.V288359.R01.S.doc Version 5.1 Page 19 staff have been trained to level NVQ2, and some staff have NVQ3. Training plans were seen which indicated a rolling programme of training to ensure that all staff had mandatory training. Recent training has included moving and handling updates, adult protection, computer training for managers, fire safety and basic food hygiene. Staff are benefiting from training in infection control. Administration of medication remains outstanding for staff and is the subject of a requirement under Standard 9. It was noted that Derbyshire County Council has achieved the Investors in People Award. New Bassett House DS0000035586.V288359.R01.S.doc Version 5.1 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager provides clear leadership throughout the home with staff demonstrating an awareness of their roles and responsibilities, ensuring the home is run in the best interests of the residents. EVIDENCE: The home is visited regularly by a representative of the registered person and Regulation 26 visit reports were made available to the inspector. These indicated that matters of day to day management are dealt with in a timely fashion (apart from the matters highlighted in the Requirements), and the Service Manager regularly consults with residents about the quality of the service provided. New Bassett House DS0000035586.V288359.R01.S.doc Version 5.1 Page 21 Residents had been formally consulted during a quality assurance exercise, ‘Your views, Our Actions’ and a high degree of satisfaction with the standards of service had been expressed. A variety of health and safety records were looked at. Gas safety testing; portable electrical appliance testing and other maintenance documents were seen: all were satisfactory apart from the electrical hard wiring certificate which was out of date. This work must be undertaken to bring the electrical certificate up to date and ensure safe working practices are in place. A review of records required under Schedules 2,3 and 4 was undertaken. Apart from some gaps in copies held on staff records, all records were found to be in place and this requirement has been met. The inspector was informed that staff supervision plans have been drawn up and have commenced, but that not all staff were having supervision as per the recommended timescales and not all supervision had yet been formally recorded. Staff spoken to confirmed that supervision was taking place. New Bassett House DS0000035586.V288359.R01.S.doc Version 5.1 Page 22 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 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 3 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 2 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 2 3 2 New Bassett House DS0000035586.V288359.R01.S.doc Version 5.1 Page 23 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 OP9 Regulation Requirement Timescale for action 30/05/06 13(2)17 Staff with training in the storage (1)(a) Sch and administration of medicines 3 must on duty for all shifts. CSCI must be informed when training has taken place. Previous timescales 30.10.05 and 30.01.06 not met The registered person must ensure that all staff records retained at the home contain the elements described in the Schedules. CSCI must be informed when records are in place. Previous timescales 31.8.04 and 10. 01.06 not met External paths and patio areas must be maintained safely. Written records must be kept to demonstrate that staff supervision is taking place regularly. A satisfactory up to date electrical hardwiring certificate must be obtained and a copy forwarded to CSCI. Torn fly screens in the kitchen DS0000035586.V288359.R01.S.doc 2. OP29 17,18,19 Sch 2 & 4 30/06/06 3 4 OP19 OP36 23 (2) (o) 18 (2) 30/06/06 30/06/06 5 OP38 23 (2) © 30/06/06 6 OP38 23 (2) © 30/06/06 Page 24 New Bassett House Version 5.1 7 OP38 23 (5) must be replaced. Soap powder must be kept in clearly marked containers to comply with COSHH requirements. 30/04/06 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 Refer to Standard OP9 Good Practice Recommendations Information on service user files and reviews should be cross referenced with personal development plans to ensure that all information used for care planning remains up to date and accessible. The external sign for the home should be replaced. Consideration is given to providing a new tumble dryer. 2 3 OP19 OP26 New Bassett House DS0000035586.V288359.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Derby Local Office South Point Cardinal Square Nottingham Road Derby DE1 3QT 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 New Bassett House DS0000035586.V288359.R01.S.doc Version 5.1 Page 26 - 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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