Latest Inspection
This is the latest available inspection report for this service, carried out on 11th August 2010. CQC found this care home to be providing an Good service.
The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.
For extracts, read the latest CQC inspection for Badgers Wood Care Home.
What the care home does well Throughout the 4 care plans looked at in depth, we noted more comprehensive information was detailed, that is now being acted upon and shared with the staff team who are also involved in the reporting on of any changes /concerns. For example there are now MUST tools in place, Malnutrition Universal Screening Tool, that show details of dietary needs. Risk assessments have been completed for all areas of concern. Clear records were available of meals consumed, and the use of supplement drinks for those who are taking a poor diet. Turning charts and fluid intake charts are in place. The named residents are weighed weekly rather than monthly to monitor weight loss/gain more regularly and then action taken. Body mapping charts are in place and photographs have been taken of pressure areas of where there is concern. Residents are encouraged to take bed rest in the afternoons, if they choose, and we are told liaison with District Nurses is improving. Care plans are being audited by the Manager or Deputy Manager and updated to ensure changes are logged and followed through as and when the changes occur. All the dates noted on the records for these improvements to care plan information and monitoring has all been since April when the concerns were raised with safeguarding . The Deputy Manager told us that the home has made great improvements to the recording practice and communication over the last few months. The home, we are told, now takes all the information about a potential resident to the local surgery to share information with the practice to ensure the health professionals have as much information about the new resident as is available. It was also noted on a pre admission care plan that someone who had only been admitted the week prior to this inspection had detailed information that had been collected to begin a comprehensive care plan. Two of the residents whose care plans were looked at were visited in their bedrooms and the care support found appeared suitable and safe. All areas seen were clean and tidy. We noted staff thoroughly cleaning a toilet and the head housekeeper talked about the deep cleaning programme that was noted on the store room door. There was limited odour problems that appeared to be coming from carpets, that we were told, are about to be replaced. What the care home could do better: The home could improve the way they write the daily records and show more detail of the daily lives of residents. It is unclear how events/concerns are always followed through as the staff do not always record a full picture. The comments seen say `Mr. - is well`, or `appears to be asleep`. There is no notes about any social interaction, events that need a follow up such as professional visits or mood details of the person. It was also difficult to find any social history prior to admission or evidence of how the person spent their days. Supervision of staff should regular involve the measuring of the learning when training sessions have taken place. Staff should be observed by management to ensure the learning is being appropriately used. The Deputy Manager did inform us that there are plans to spend time observing/supervising staff but this had not occurred to date. During the visit it was noted that a resident had pills on her table in her bedroom. On discussion we were told this happens every day so she can take them when she wishes. The Deputy Manager also confirmed this was the practice in the home for this resident. This was discussed fully and a more suitable and safe, risk assessed way to encourage this person`s independence with the management of her medication needs to be found and that the home`s medication procedures are followed. The Manager should find a suitable replacement for when the Cook is on leave to ensure the correct menu and choice of meal is available. Random inspection report
Care homes for older people
Name: Address: Badgers Wood Care Home 29 School Road Drayton Norwich Norfolk NR8 6EF two star good service The quality rating for this care home is: The rating was made on: 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. 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: Ruth Hannent Date: 1 1 0 8 2 0 1 0 Information about the care home
Name of care home: Address: Badgers Wood Care Home 29 School Road Drayton Norwich Norfolk NR8 6EF 01603867247 01603261114 badgerswood@schealthcare.co.uk www.southerncrosshealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Anne Claire Riches Type of registration: Number of places registered: Conditions of registration: Category(ies) : Ashbourne (Eton) Limited care home 45 Number of places (if applicable): Under 65 Over 65 45 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users who can be accommodated is: 45 The registered person may provide the following category/ies of service only: Care Home only Code PC, to service users of the following gender: Either, Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category Code OP Date of last inspection Brief description of the care home Badgers Wood is a care home providing residential care for up to 45 older people. It is situated in a residential area of Drayton, which is approximately four miles from the city of Norwich. There are local shops, pubs and other amenities within the immediate
Care Homes for Older People Page 2 of 8 Brief description of the care home vicinity of the home. Badgers Wood was purpose built in 1986. The accommodation is provided on two floors serviced by stairs and a shaft lift. There are single rooms and some shared rooms. There are enclosed patio areas and grounds, which are visible from residents bedrooms. Badgers Wood is one of several homes in Norfolk owned by the proprietors. Care Homes for Older People Page 3 of 8 What we found:
This Random Inspection was carried out by two Compliance Inspectors following safeguarding concerns raised within a strategy meeting on the 6th August regarding the care offered to two residents staying in the home earlier in the year. Therefore this inspection did not look at key standards nor did the requirement set at the last key inspection regarding medication get inspected during this visit. The requirement will remain on this report to be followed up at a full inspection. We were met and shown around Badgers Wood by the Deputy Manager. A few of the bedrooms and shared facilities were seen. We asked for a number of care plans of people who were cared for in bed, any new admissions and those who are having support with pressure area concerns. In total 4 care plans were looked at in depth. During this visit it was noted that 6 care staff, 1 receptionist, 1 kitchen assistant, 1 stand in cook and 3 domestics were supporting 36 residents. The residents observed appeared to be suitably dressed and supported by staff with the care required during this visit. Conversations heard were appropriate and people were laughing and interacting throughout the visit. 2 families were welcomed and were seen having conversations with staff that looked relaxed and interactive. Residents spoken to felt the staff were supportive and that they were content with the care they are offered. One person who appeared able to speak clearly and competently gave a clear account of the way she is supported. The staff here are very good and I have all the care support I need, was her comment. It was noted during this visit that the incorrect menu was on display and that the meal for that lunchtime had only one choice. The Deputy Manager informed us that the Cook was on leave and that care staff were helping out in the kitchen during this period. The main reason for our visit was to check the details listed in residents care plans to ensure the correct support and care is relative to that person and that monitoring and reporting on to health professionals is taking place in a robust manner for the more frail and dependent residents. We noted a number of improvements that have been added to care plans since the concerns had been highlighted to the safeguarding team. What the care home does well:
Throughout the 4 care plans looked at in depth, we noted more comprehensive information was detailed, that is now being acted upon and shared with the staff team who are also involved in the reporting on of any changes /concerns. For example there are now MUST tools in place, Malnutrition Universal Screening Tool, that show details of dietary needs. Risk assessments have been completed for all areas of concern. Clear records were available of meals consumed, and the use of supplement drinks for those who are taking a poor diet. Turning charts and fluid intake charts are in place. The named residents are weighed weekly rather than monthly to monitor weight loss/gain more regularly and then action taken. Body mapping charts are in place and photographs have been taken of pressure areas of where there is concern. Residents are encouraged to take bed rest in the afternoons, if they choose, and we are told liaison with District Nurses is improving. Care plans are being audited by the Manager or Deputy Manager
Care Homes for Older People Page 4 of 8 and updated to ensure changes are logged and followed through as and when the changes occur. All the dates noted on the records for these improvements to care plan information and monitoring has all been since April when the concerns were raised with safeguarding . The Deputy Manager told us that the home has made great improvements to the recording practice and communication over the last few months. The home, we are told, now takes all the information about a potential resident to the local surgery to share information with the practice to ensure the health professionals have as much information about the new resident as is available. It was also noted on a pre admission care plan that someone who had only been admitted the week prior to this inspection had detailed information that had been collected to begin a comprehensive care plan. Two of the residents whose care plans were looked at were visited in their bedrooms and the care support found appeared suitable and safe. All areas seen were clean and tidy. We noted staff thoroughly cleaning a toilet and the head housekeeper talked about the deep cleaning programme that was noted on the store room door. There was limited odour problems that appeared to be coming from carpets, that we were told, are about to be replaced. 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 Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 9 13(2) & 13(4) People who use the service 08/01/2008 must have medicines received into the home, administered with prescribed variable doses fully recorded so that they can be accounted for at all times. Care Homes for Older People 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, 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 9 13 Medication must be administered safely according to medication procedures of the home. To ensure that residents are protected against risk of poor medication management. 20/08/2010 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 15 27 Choice of meals should be available at all times that follow the planned menu of the day. The home should ensure that a suitably qualified and capable cook is in place when the permanent cook is absent. Care Homes for Older People Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 8 of 8 - 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!
