Care Home: Badger`s Croft

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What the care home does well Each person had individualised care plans which provided staff with guidance about the way in which they were to be supported with their personal care needs. Staff spoken with had a good understanding of the needs of the people they support. What the care home could do better: Care plans need greater detail about the way in which people using incontinence pads are to be supported including how often they are to be checked and the personal care to be provided when they are changed. The carpet in the person`s bedroom should be removed and replaced with a washable floor. Automatic spray dispensers may help to eliminate odours in the room. Staff should make sure that they provide ventilation in the room as soon as is possible in the morning. A wheely bin must be provided so that incontinence pads can be disposed of quickly whilst maintaining an odour free environment and robust infection control within the home. Inspecting for better lives Random inspection report Care homes for adults (18-65 years) Name: Address: Badger`s Croft Pear Tree Close Chipping Campden Gloucestershire GL55 6DB The quality rating for this care home is: The rating was made on: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Lynne Bennett Date: 0 9 1 2 2 0 0 8 Information about the care home Name of care home: Address: Badger`s Croft Pear Tree Close Chipping Campden Gloucestershire GL55 6DB 01386841219 01386841219 pamela.harridine@brandontrust.org Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: The Brandon Trust care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability 6 Over 65 0 Conditions of registration: The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the follownig category: Learning disability (Code LD) The maximum number of service users who can be accommodated is 6. Date of last inspection Brief description of the care home Badgers Croft is a detached home in a residential area of Chipping Campden. Care and accommodation is provided for up to six people with a learning disability, some of whom may also have physical disabilities. Accommodation is provided on the ground and first floors. Each person has their own bedroom. There is a lounge and kitchen/dining area. The home also has a back garden. The home is next to a day centre which some of the people living in the home attend. The home is operated by the Brandon Trust, which also runs a number of other care services in the county and other parts of the region. Up to date information about fees was not obtained during this inspection. People who may be moving into the home and their representatives Care Homes for Adults (18-65 years) Page 2 of 8 are provided with information including copies of the Statement of Purpose and Service Users Guide. Care Homes for Adults (18-65 years) Page 3 of 8 What we found: An anonymous complaint was received by us (The Commission for Social Care Inspection) about infection control measures in the home, neglect of one persons personal care needs and the attitude of staff in relation to a persons personal care needs. It was stated that this person was doubly incontinent and that when their incontinence pads were changed, staff advised not to wash or clean this person but to provide with a clean pad. As a result the person was unclean and had an odour. Incontinence bins were apparently full and overflowing and toilets were not clean. Concerns were also raised about the quality of fresh vegetables. When trying to prepare an evening meal fresh vegetables were found to be mouldy and needed to be thrown out. This random inspection was carried out in response to these concerns. The care of one person was case tracked. Time was spent with them, their care records were examined and their room was inspected. At the time of the visit the person was in their pyjamas, they were clean and odour free. Their room had a strong odour. Their bedding had been removed to be washed. The windows had not been opened, the curtains still being drawn. Staff confirmed that the person was going to have a bath after their breakfast. Care plans for this person provided specific and clear information about their individual personal care needs and how they liked to be supported. Care Plan (3) provided information about bathing and personal hygiene. This had been reviewed twice in the past year. Care Plan (6) provided information about the support needed when using the toilet and gave staff clear instructions about personal care needed after they had been assisted with this. The plan did not make reference to the support needed when staff changed incontinence pads without putting the person on the toilet. Staff spoken with described how they support the person checking their pad every couple of hours and changing it when necessary. After each change they either washed the person or they had a shower or bath if required. Staff said that since August this year they have provided 1:1 support with this person and that under no circumstances should they have been left unwashed or in soiled clothes. Records for this person indicated that the home were working with other healthcare professionals to support them through emotional and psychological changes. The additional support had been provided in response to this and the home were hoping that this level of staffing would continue. During the visit all bathrooms and toilets were inspected as well as the room of the person case tracked. Bathrooms and toilets were clean despite having been used for baths that morning. Each had two incontinence bins in place and most of these were full. One bin in a toilet was overflowing, the lid would not shut and one bin in the bathroom was almost empty. Staff said that the Registered Manager was looking into obtaining a wheely bin from the firm contracted to collect and maintain incontinence bins having recognised that they were not coping with the current capacity. The bins were due to be replaced two days after the visit to the home. The persons bedroom had a strong odour. Their bedding had been removed to be washed. Staff confirmed that the carpet was regularly cleaned and that an industrial Care Homes for Adults (18-65 years) Page 4 of 8 clean was planned. It looked clean but could still account for the strong odour. The room had not been ventilated and there were no signs of automatic deodorising sprays in the room. Staff spoken with, described the way in which they provided personal care to the person case tracked. This reflected their identified needs as described in their care plans. They said that the person would be offered a bath or shower if needed and would always be washed when their pad was changed. Monitoring records were being kept. Staff indicated that poor practice would not be tolerated and that any concerns would be passed onto the Registered Manager who would deal with these accordingly. They said that the organisations policies and procedures would be followed, as had recently happened with one member of staff. At the time of the visit there was a selection of fresh vegetables and fruit in the home. Staff said they shop regularly for vegetables locally as often as on a daily basis. A person living in the home confirmed their expectation that they were going shopping for food that day. Menus indicated that a range of freshly produced meals were being provided for people. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set. No. Standard Regulation Requirement Timescale for action 1 37 38 Ensure that when the 31/03/2008 manager is absent from the home for a continuous period of 28 days or more notification is given, along with supplementary information, as per Regulation 38. Care Homes for Adults (18-65 years) Page 6 of 8 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 6 15 Care plans need to provide 19/12/2008 clear and specific guidance about how to support people using incontinence pads. This is to make sure that they are kept clean and free of odours. 2 30 13 There must be robust 31/12/2008 systems in place to deal with the disposal of incontinence pads. This is to promote a clean environment and good infection control procedures. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 2 23 23 The carpet should be replaced with flooring which can be kept clean and odour free. The room should have good ventilation to prevent odours. An automatic spray dispenser may help eliminate odours. Care Homes for Adults (18-65 years) Page 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. 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