Inspection on 17/06/05 for The Boltons

This inspection was carried out on 17th June 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 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

The Boltons 30/03/09

The Boltons 02/11/06

The Boltons 15/12/05

The Boltons 18/01/05

The Boltons 03/08/04

The Boltons 19/03/04

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE THE BOLTONS 4 College Road Reading Berkshire RG6 1QB Lead Inspector Sally Newman Unannounced 17 June 2005 @ 08:45 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. THE BOLTONS H51-H01 11122 Boltons V228892 210605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Boltons Address 4 College Road Reading Berkshire RG6 1QB 0118 9261712 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Vijaye Juggurnauth Mr Vijaye Juggurnauth Care Home 18 Category(ies) of Older Person (OP) - 16 registration, with number Mental Disorder over the age of 65 years (MD(E) of places -2 THE BOLTONS H51-H01 11122 Boltons V228892 210605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 18/01/05 Brief Description of the Service: The Bolton’s is a small residential care home for older people situated in a residential area close to Palmer Park in Reading. The Registered manager has owned and managed the home for the last 16 years. The age and design of the Victorian building make it unsuitable for residents with mobility restrictions, despite the lift to the first floor. An extension has been added which has given a number of room’s large ensuite bathrooms. There is one shared room within the home. The home provides care for service users with a range of multi-cultural needs. THE BOLTONS H51-H01 11122 Boltons V228892 210605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection conducted over the course of a morning and lunchtime period. The inspection lasted for 4 ½ hours. Staff were spoken to in private, 2 visiting relatives were spoken to in private and 9 service users were spoken to. Time was spent with the manager discussing various aspects of the home and a range of records was seen. This home provides a good level of care for service users. Only a small number of requirements and recommendations were made. What the service does well: What has improved since the last inspection? What they could do better: Improvements in the range of activities provided could be better co-ordinated and recorded. THE BOLTONS H51-H01 11122 Boltons V228892 210605 Stage 4.doc Version 1.30 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. THE BOLTONS H51-H01 11122 Boltons V228892 210605 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection THE BOLTONS H51-H01 11122 Boltons V228892 210605 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3. Standard 6 is not relevant to this home. The needs of prospective service users are thoroughly assessed prior to a place being offered. EVIDENCE: Evidence was obtained from examining a small sample of service users files and from talking to two visiting relatives in private. Files contained a range of background information and in some cases relevant reports from other outside professionals. Relatives indicated that the move to the home had been handled by the management team sensitively and with individual needs in mind. An example was provided were one service user visiting the home was invited to stay at that time. This had resulted in a reduction in anxiety on the part of the service user and appreciation on the part of the relatives. THE BOLTONS H51-H01 11122 Boltons V228892 210605 Stage 4.doc Version 1.30 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 standard(s) 7 & 8 Service users health, personal and social care needs are mostly recorded in care plans and all service users health care needs are fully met. EVIDENCE: Care plans seen contained a range of information concerning service users health, social and personal care needs. However, there was some inconsistency of information recorded in some files with some pro-formas not being fully completed. One example was a useful lifestyle form, designed for recording interests and preferences, which was left blank in one files. Risk assessments had not always been implemented for identified hazards in respect of individual service users. It will be a requirement that risk assessments are implemented for all hazards concerning service users. There was evidence from talking to service users, relatives and from service user files that health care needs are well understood and appropriate agencies are called upon when outside intervention is indicated. THE BOLTONS H51-H01 11122 Boltons V228892 210605 Stage 4.doc Version 1.30 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 & 13. The lifestyle experienced in the home matches the expectations and preferences of some service users. Contact with family, friends and the local community is encouraged and supported. EVIDENCE: The manager and staff indicated that regular activities are provided in the home. A musician regularly visits the home and this contribution was enjoyed by all those service users who provided an opinion. Some service users indicated that activities are not very regular. The home had started to use a Daily Activity and Record Feedback Form at the time of the last inspection. However, this form had not been completed for several months. It would be beneficial to re-introduce the completion of this form which would then provide evidence of the activities arranged. THE BOLTONS H51-H01 11122 Boltons V228892 210605 Stage 4.doc Version 1.30 Page 11 Two relatives were spoken to in private and both indicated that they were regular visitors to the home. They were always welcomed and one tended to drop in unannounced at times convenient to them. THE BOLTONS H51-H01 11122 Boltons V228892 210605 Stage 4.doc Version 1.30 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 standard(s) 16 Complaints are taken seriously and are addressed without delay. EVIDENCE: The complaints record indicated that the home do respond to complaints appropriately. The home does have a complaints procedure which is made available to all service users and their relatives/representatives. THE BOLTONS H51-H01 11122 Boltons V228892 210605 Stage 4.doc Version 1.30 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 standard(s) 26 The home is clean, pleasant and hygienic. EVIDENCE: All communal areas and one bedroom were seen throughout the course of the inspection and were found to be clean and tidy. Service users indicated that their bedrooms were cleaned on a regular basis. THE BOLTONS H51-H01 11122 Boltons V228892 210605 Stage 4.doc Version 1.30 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 The needs of service users are met by the numbers and experience of staff. EVIDENCE: Evidence was provided from observation on the day of the inspection, the staff rota and discussion with staff, service users and relatives. THE BOLTONS H51-H01 11122 Boltons V228892 210605 Stage 4.doc Version 1.30 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) No standards were inspected on this occasion. EVIDENCE: THE BOLTONS H51-H01 11122 Boltons V228892 210605 Stage 4.doc Version 1.30 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 4 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION x x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x x x x x x x x x x THE BOLTONS H51-H01 11122 Boltons V228892 210605 Stage 4.doc Version 1.30 Page 17 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 7 Regulation 17 Requirement To ensure risk assessments are implemented to address all identified hazards in respect of service users. Timescale for action 31/7/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard 7 12 Good Practice Recommendations To ensure consistency of information recorded for all service users. To re-introduce completion of the Activities Record. THE BOLTONS H51-H01 11122 Boltons V228892 210605 Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection 2nd Floor 1015 Arlington Business Park Theale Reading RG7 4SA 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 THE BOLTONS H51-H01 11122 Boltons V228892 210605 Stage 4.doc Version 1.30 Page 19 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!