Care Home: Barton Lodge

Similar services:

• Fairfields Country Rest Home
• Poldhu
• Queensmount
• Trevaylor Manor
• Didsbury Court Rest Home
• Belma
• Hunters Care Centre
• Manor Lodge

What the care home does well People said they were well cared for and the home was described as "lovely" and "very nice" by people. Care is provided by a happy and trained staff team, whose main priority is meeting the needs of the people living at the home. Pre-admission assessments gather sufficient information to enable the staff to prepare for each person`s admission. The care planning arrangements, including the risk assessments and reviews ensure all staff are made aware of people`s needs and how they wish to be supported. Subsequent record keeping is also clear and informative. People are admitted into a spacious and comfortable home with all bedrooms being of a satisfactory size and having the benefit of an en-suite toilet. The size of the home was much appreciated by people, they enjoyed living in a small "family" home. Leisure activities are well planned and provide stimulation and interest to people. The meals are nutritious, plentiful and varied and people are free to request alternatives if they do not wish to have what is on the planned menu. What has improved since the last inspection? No requirements for improvement were made at the previous inspection. However the owners have a positive approach to training and continue to improve the training offered staff. An extension to the home will provide a further seven bedrooms, increased communal space and an improved laundry. What the care home could do better: Mr and Mrs Child and their staff team provide a good quality of care to people living in the home. Personal, health and social care are all given consideration in care planning to ensure people feel safe, well looked after and have an opportunity to socialise with others. One recommendation for improvement has been made at this inspection in relation to the hot water supply to the bathrooms which is very slow. Key inspection report Care homes for older people Name: Address: Barton Lodge 12 Longlands Dawlish Devon EX7 9NF     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Jane Gurnell     Date: 2 8 0 8 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 24 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought 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 The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 24 Information about the care home Name of care home: Address: Barton Lodge 12 Longlands Dawlish Devon EX7 9NF 01626866724 01626862889 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr Glen Russell Child,Mrs Sally Ann Child care home 11 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is 11. The registered person may provide the following category of service only: Care home providing personal care only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Old age not falling within any other category (Code OP) Dementia (Code DE) Date of last inspection Brief description of the care home Barton Lodge provides accommodation with personal care to older people, both male and female. The home is registered to provide a service for up to 11 people. Accommodation is laid out over 2 levels with stair lifts connecting the ground and first floors. The home offers 7 single bedrooms and 2 double bedrooms all with en-suite facilities. In terms of communal space, the home has a lounge, dining room and conservatory. There are also 2 communal assisted bathrooms. The building itself is a large detached property set in its own attractive grounds. It is located within walking Care Homes for Older People Page 4 of 24 Over 65 0 11 11 0 Brief description of the care home distance of the town centre of Dawlish with its range of shops, amenities and sea front. The weekly cost of care at the home ranges from 360 to 481 pounds depending on the accommmodation chosen and the persons care needs. Information about Barton Lodge can be obtained directly from the home. Care Homes for Older People Page 5 of 24 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The previous inspection of Barton Lodge was undertaken on 17th July 2007 when the home was judged as providing good outcomes to the people living there. This unannounced inspection took place on the 28th August 2009. One of the homes owners, Mrs Sally Child, was present and she and her staff team assisted with the inspection. Prior to the inspection the owners had completed an Annual Quality Assurance Assessment form, which is a document provided by the Commission to enable the home to prove us with information about what the home does well, what plans there are for further development and improvement and information relating to health and safety practices. We also sent 10 surveys to people living in the home, five to staff and two to health care professionals involved in providing specialist support to the home. Six surveys were returned from people living in the home, four from staff and one from Care Homes for Older People Page 6 of 24 a health care professional: all commented favourably upon the quality of the care and support provided at the home. On the day of the inspection a tour of the building was made. Six of the eight people living in the home as well as a visitor were spoken with. Staff were spoken with and observed going about their duties and interacting with people. The records relating to the care of three people were looked at, as were the medication records, staff recruitment and training records and documentation relating to the servicing of equipment. Care Homes for Older People Page 7 of 24 What the care home does well: What has improved since the last inspection? 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 8 of 24 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 24 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Admission to the home is on the basis of an assessment so that people considering moving to Barton Lodge can be confident it will be suitable to meet their needs. Evidence: The owner confirmed that she visits each person considering moving to the home to provide them with information about the home as well as to undertake an assessment of their needs. Other health care professionals such as nurses and social workers also contribute to the assessment process to enable the home to gather as much information about the person as possible. The assessment and care plan for someone newly admitted to the home were looked at and these provided information about the persons care needs as well as their hobbies and interests and personal preferences. The assessment gives consideration of peoples religion and cultural background. Care Homes for Older People Page 10 of 24 Evidence: One person who had been newly admitted to the home said she had been invited to visit the home before deciding to move in. She said she had been made very welcome and had settled well. Care Homes for Older People Page 11 of 24 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples health, personal and social care needs are clearly set out in individual care plans ensuring consistency in care giving. People are treated with respect and due regard for their dignity so that they enjoy a good quality of life in the home. There are good systems in place to ensure that peoples health care needs are met and safe medication practices are safe. Evidence: All but two people living in the home were spoken with. Those who were able to comment directly about life in the home said they were well cared for and were happy. When asked if there was anything that would make things better for them, all said no. Those people who were unable to comment about their experiences due to their confusion, appeared contented and settled. People were seen to move freely about the home and the staff were seen in friendly conversation with them. Five of the people living in the home who returned a survey said they always receive the care and support they require: one person said sometimes. In response to the question, what does the home do well?, comments included everything, takes Care Homes for Older People Page 12 of 24 Evidence: very good care of my mother and keeps me well informed and there is always a carer around to help. The care plans for three people were looked at in detail and these provided a clear description of each persons needs to ensure people were supported in a safe and consistent manner. Several risk assessments contributed to the care planning process, for example, relating to continence management, nutrition, mobility and skin care, and these assessments were reviewed each month along with the care plans. The care plans provided evidence that the care staff were supported by specialist health care professionals such as the District Nursing Service, the Community Mental Health Team, a Dietitian and a Continence Adviser. The survey returned by a health care professional confirmed his/her confidence in the homes ability to meet peoples needs. Staff confirmed that people who develop terminal illnesses could remain at the home as long as they, with the specialist support from the District Nursing Service, can continue to meet their needs. Evidence of this was available in the care planning documents for someone who had recently died and the care plan indicated their end of life wishes which were supported by their family and the GP. Care staff who are responsible for administering peoples medication have received training through the local pharmacy regarding safe practices. Medicines were stored safely and records were clear and accurate. Care Homes for Older People Page 13 of 24 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples social, cultural and religious needs are recognised and met. Meals are varied and offer a well-balanced diet. Evidence: People said they were satisfied with the activities provided to them and talked about the open door policy regarding visitors, which was very important to them. The notice board held information about forthcoming events as well as a copy of the most recent Residents meeting notes which included peoples ideas for activities within the home as well as trips out to local places of interest. There are records of peoples likes and dislikes and preferences with regard to activities as well as consideration of their religious and cultural needs as part of their assessment and care planning to ensure these can be met. The main meal of the day was observed and the people said how much they enjoy the meals. Special diets were catered for and meals can be taken in the dining room or in individual rooms. There is a three weekly menu, which people living in the home have contributed to, again there was evidence of peoples meal suggestions in the Resident Meeting notes, and there is always a choice available for every meal. Care Homes for Older People Page 14 of 24 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Suitable arrangements are in place to deal with peoples complaints or concerns. This promotes peoples rights and makes sure that any concerns are dealt with positively. Systems to protect people from abuse are in place and understood by all staff through ongoing training. Evidence: People spoken with and a visitor said they had no complaints to make about the services provided at the home. All six people returning a survey said they knew how to make a complaint. The owner keeps a record of issues brought to her attention and these indicated all issues are taken seriously and dealt with promptly. The Commission has not received any complaints about the home since the previous inspection. Records indicate that staff have received training in the protection of vulnerable adults ensuring they are knowledgeable about their responsibilities should they suspect someone is at risk. Recruitment practices ensure as far as possible only suitable staff are employed. Care Homes for Older People Page 15 of 24 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Barton Lodge is a well-maintained home that has a safe, comfortable environment for people. The home is pleasant and clean throughout. Evidence: A tour of the building was undertaken during the inspection and most of the bedrooms were seen. The home was well maintained and all bedrooms were well decorated: it was evident people had been able to bring personal items with them. Bedrooms are refurbished as they become available. All the bedrooms provide en suite toilet facilities and people said they were very happy with their rooms and the communal areas of the home. There is a lounge room, dining room and conservatory on the ground floor and these provide pleasant views over the town towards the sea. The building was clean throughout and high standards of hygiene were evident, although one bedroom had a slightly unpleasant odour which the owner confirmed was in the process of being cleaned. The owners are extending the building to provide a further 7 bedrooms and more communal space. Currently the laundry room is in an outhouse adjacent to the house, and is in its current state of repair not easily cleanable. It is also used as a store room for vases and cleaning materials. The owner confirmed that the laundry room is going to be completely refurbished with the current building work. Care Homes for Older People Page 16 of 24 Evidence: There are two bathrooms, one on each floor, and both are fitted with a bath chair for ease of use for people with restricted mobility. The hot water supply to both of the baths was very slow and the baths took a long time to fill: the owners have been asked to seek advise to remedy this. Care Homes for Older People Page 17 of 24 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff are kind and caring. They are well trained and motivated to provide a good standard of care for people. They are employed in sufficient numbers to meet the needs of those currently living in the home. Recruitment practices are safe to ensure as far as possible only suitable staff are employed at the home. Evidence: People said the staff were kind and caring and they came promptly should they ring for assistance. The owner explained that usually there were two care staff as well as herself available each morning and afternoon, two care staff during the evening and one waking and one sleeping-in member of staff during the night. The two members of staff spoken with said they felt well supported in the home and enjoyed working at Barton Lodge. They also appreciated the small size of the home which enabled them to build close relationships with the people living there and their families. This was further confirmed by the four staff returning a survey: all indicated they are well supported, receive ongoing training and meet regularly with the owner. Three staff recruitment and training files were looked at. Recruitment practices safeguarded the people living in the home. The owners carry out checks to ensure that staff are suitable to work with people in a care setting. Evidence that staff are trained and have regular training updates so that they can work safely, skilfully and Care Homes for Older People Page 18 of 24 Evidence: effectively with people was evidenced on individual staff files, as well as in the training overview which held information about the training undertaken by all staff. Newly employed care staff work alongside more experienced staff until they feel confident and the owners consider them to be competent to work alone. They are provided with the Skills for Care formal induction training which provides information on values and principles of good care. Care Homes for Older People Page 19 of 24 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Barton Lodge is a well run home. The owners and staff endeavour to create a caring and safe place for people to live. Suitable record keeping protects the best interests of the people living in the home. Evidence: People living in the home as well as the staff spoken with said they had confidence in Mr and Mrs Child, the owners of the home. Mrs Sally Child manages the home on a daily basis and through conversation and observation it was evident she had a close relationship with the people living in the home and the staff team. In addition to Mrs Child speaking to people every day, there is a quality assurance process which formally asks people living in the home and their relatives for their views about the care and support provided at Barton Lodge. This includes keyworker involvement with people to ensure they are happy on a day-to-day basis and feel their needs are being met; resident meetings where people are asked their suggestions for meals and activities, as well as issues relating to care planning; questionnaires, and Care Homes for Older People Page 20 of 24 Evidence: spot checks each month by the owner covering issues such as medication, daily care records, cleanliness and staff training. The home offers safe keeping for peoples money should they be unable to manage this themselves: individual records are maintained and a sample of these were checked and the balances found to be correct. Issues relating to health and safety and the security of the home are well managed. The fire testing and servicing records were up to date and staff had received regular fire safety training. Accidents and incidents are well recorded and risk assessments are in place should someone be at a higher risk of falls or injury to to their frailty or confusion. Staff receive periodic one-to-one supervision and appraisals, to assess their work performance and specific training and development needs. Supervision and appraisal is recorded and staff said that they are given the opportunity to discuss any issues they have. Care Homes for Older People Page 21 of 24 Are there any outstanding requirements from the last inspection? Yes £ No R 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, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 22 of 24 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 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 21 The registered providers should ensure the hot water supply within the home is sufficient for normal use. This relates to the slow water supply to the bathrooms. Care Homes for Older People Page 23 of 24 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. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 24 of 24 - 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!