Care Home: Bassingham Care Centre

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What the care home does well The care home offers a clean and comfortable environment. The people staying at the home told us that they feel staff look after them well and they are happy with the services being provided to them. They confirmed that staff ensure their privacy and dignity is maintained and care is provided in a sensitive manner. The care home has developed good working relationships with community health care services, local consultants and hospitals. The company trains its staff to be able to meet the total needs of residents. Staff are recruited safely. People are happy with the home`s menu which meets people`s individual dietary needs while offering choices. The company continues to maintain the property and ensures a safe and comfortable environment is maintained. What has improved since the last inspection? The company has reviewed its management structure and appointed two deputy managers. Management structure is clear to staff and ongoing support is now available consistently to all staff. The company has reintroduced staff meetings, appraisals and formal supervision. Residents meetings are now held as part of the quality assurance system of the home. An activity organiser has been appointed and the range of activities open to people has been increased. An experienced registered manager has been recruited who has now applied to be the registered manager of this care home. All care records, policy and procedures have been reviewed. Individual care records are now more personalised and describe in detail the individual needs of each person. Care records in general have improved in quality and the standard of the recording has been improved. The acting manager is monitoring all incidents and accidents and keeps the Care Quality Commission informed of any incidents which affect resident safety. The acting manager now receives formal supervision and support from a regional manager. What the care home could do better: The acting manager continues to review care records to ensure that they meet the same standard as for residents admitted since her appointment. The company is working to demonstrate that the improvements made in the last six months will be maintained. Key inspection report Care homes for older people Name: Address: Bassingham Care Centre The Old Rectory 2 Lincoln Road Bassingham Lincs LN5 9HE     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: Ken Hague     Date: 1 1 0 3 2 0 1 0 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 25 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) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial 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. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 25 Information about the care home Name of care home: Address: Bassingham Care Centre The Old Rectory 2 Lincoln Road Bassingham Lincs LN5 9HE 01522788215 01522788509 bassingham_sherry@hotmail.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Cornward Limited Name of registered manager (if applicable) Mrs Kay Mumby Type of registration: Number of places registered: care home 61 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 61 The registered person may provide the following categories of service only: Care Home with Nursing - Code N 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 Dementia - Code DE Date of last inspection Brief description of the care home Bassingham Care Centre is situated in its own grounds in a village location, which has a church, shops and public house. Parking is available at the front and side of the building. The home is registered to provide care and accommodation for people over 65 years, offering nursing and personal care for up to 61 people. Care Homes for Older People Page 4 of 25 Over 65 0 61 61 0 1 0 0 6 2 0 0 9 Brief description of the care home Accommodation is provided in two areas. The main house was a former rectory and has been adapted and extended to provide accommodation for residents on two floors. The first floor is accessed by a shaft lift. Rooms are shared or single and some have en-suite facilities. The second area consists of bungalow style units, which are currently unoccupied; the manager stated that it is the providers intention to sell these. There is a large garden, which has a lawn with flowerbeds and seating for people to use in fine weather. There is a copy of the statement and purpose for the care home in the office which is made available to new residents. A copy of the service users guide is also made available to people considering staying in the home. The care home charges a weekly fee of £360-£655 Care Homes for Older People Page 5 of 25 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: This service has been awarded a two star rating. This means outcomes for people are good. The service did not know we were coming to carry out an inspection. This is referred to as an unannounced inspection. We visited on 11 March 2010. The visit lasted for six hours. The inspection was carried out by a single inspector. The purpose of the visit was to establish how the care home is functioning and the outcomes for people who use the service. We also check that the practices are safe and that staff understand how to recognise abuse and reported appropriately. Any previous information held by the Care Quality Commission about the care home was taken into account. Before the visit the provider returned the Annual Quality Assurance Assessment (AQAA). This document enables us to have additional information about how the home is meeting the needs of people using the resources of Care Homes for Older People Page 6 of 25 the care home. It is normal practice to send out surveys to people who use a service but this could not be achieved in the time period before the inspection date. We therefore spoke to people during a site visit and their views and opinions are reflected within this report. The method of inspection used for this report is called case tracking which involves selecting a portion of the people who use the service and tracking the care they receive. At this visit we tracked three people using the service. This was done by checking records, discussions with them and staff who cared for them, and observations of care practice. At this visit we spoke to people using the service staff and senior management. They gave us an overview of the service which enabled us to award a star rating shown above. Care Homes for Older People Page 7 of 25 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 Care Homes for Older People Page 8 of 25 order line 0870 240 7535. Care Homes for Older People Page 9 of 25 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 10 of 25 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. New residents receive a comprehensive initial assessment which ensure that all identified needs are met. The home provides new residents with information to allow them to make an informed choice whether to move into the care home. Evidence: We studied the care records for the three residents being case tracked as part of this inspection. They all contained a comprehensive assessment completed prior to the resident being admitted to the care home. The acting manager and care staff confirmed that all new residents receive a full comprehensive assessment prior to them coming to stay at the home. The acting manager stated that she ensures that each individuals identified needs can be met by the resources of the home before she agrees to them being admitted. She states in the AQAA that residents are invited to visit the home before making a decision to stay. Care Homes for Older People Page 11 of 25 Evidence: Residents spoken to at the site visit said that they had been supplied with all the information necessary to allow them to make an informed choice before deciding to stay at the home. The residents being case tracked confirmed that they had been involved in the initial assessment and agreed that their social and care needs had been identified as part of the initial assessment. Residents confirmed that they had been given a contract for their stay at the home which included details of the level of financial contributions which they would personally pay to the home. Care Homes for Older People Page 12 of 25 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. Care plans provide comprehensive instructions on how to ensure residents individual needs are met safely. Evidence: Care plans were found to be individualised and person centred. They had been updated monthly and stated the legal status of each individual. Care plans contained the medical history of each resident and their current medication. Any allergies were recorded on individual care plans. Allergies were also recorded on MAR sheets. There was a personal profile of each resident on their individuals file which stated their family history and employment history. The residents likes and dislikes in respect of diet, social activities and hobbies were also recorded. Individual mobility assessments were being completed, dependency levels had been established. A nutritional and tissue viability assessment had been completed for each resident as part of the care plans. The registered manager has introduced a new review of care planning process. The Care Homes for Older People Page 13 of 25 Evidence: standards of the latest care plans exceeded the required national standards. The older care plans still contained enough detail to ensure that safe care could be provided and the residents needs met. All the three residents being case tracked had recorded on their care records their choice of activities, diet and social lifestyle. There were details of the support services provided by the community health care services and visits by chiropodists, opticians and dental specialists. The care plans contain notes made by GPs, district nurses and other visiting professionals. There was evidence in the form of dates, and resident and staff signatures that the care plans are being reviewed monthly. The registered manager and staff both confirmed that care plans are reviewed monthly. The four residents being tracking process confirmed that the identified needs recorded on their individual care plans did correspond with what they felt to be their personal care and social needs. The individual personalities of each residents were recorded in detailed on their care plans. Where there was potential for behavioural problems or difficulties staff are instructed what the triggers are, warning of possible problems and the behaviour management techniques to use to avoid any distress and reduce problems. Residents told us that staff respect their privacy and dignity and encourage them to maintain their independence where possible. A resident stated I find staff kind and considerate and very helpful. Care plans instructed staff how to maintain the dignity and privacy of each individual resident when providing personal care. Care Homes for Older People Page 14 of 25 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. A range of activities is provided to residents to ensure that they can take part in an activity in which they are interested. The dietary needs of the residents are being met by a varied menu which offers choices. Evidence: There is an activity organiser in post. Activities were taking place at the time of the site visit. The range of activities have been extended; they now include handicraft, board games, music events, and some residents are provided with one-to-one activities. Residents are also enabled to take part in activities held in the local community as well as attending community social events. A resident stated The range of activities have increased recently, we are now offered more choices. Residents confirmed that their choice of activities is recorded on their care plans. Residents told us activities do take place and they said that they are satisfied with the activities offered by the home. There is a visiting policy in place, residents stated that their families are always made welcome and that their families can visit at any reasonable time. One resident said My family enjoy visiting me here, staff treat them with courtesy and make them Care Homes for Older People Page 15 of 25 Evidence: welcome. The choices of residents in respect of activities and food were found to be recorded on their individual care plans. The registered manager states that the menu is changed on a four week rota. Staff talk to residents to identify their personal likes and dislikes in respect of food choices and additional items are added to the menue each Wednesday which they call residents choices. These are aimed at offering residents an extended menu taking into account what they like as individuals. The menu was displayed on the day of the site visit and was seen to offer choices. The individual resident likes and dislikes of food was found recorded on their care plan. Residents said Our individual dietary needs are being met and we are provided with choice within the daily menu. A resident stated I like the menu here the food is good. A second resident said I have no complaints about the food, it is of good quality and there is always enough for me to eat. Staff stated Residents are always given choices and we think the food is very good here. Care Homes for Older People Page 16 of 25 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. Residents are protected from any potential harm by staff who have been trained to ensure resident safety is maintained. Evidence: There have been no safeguarding investigations carried out in the last year. The company has a policy and procedure in place to ensure residents are protected from any potential harm. The evidence from records seen at the site visit is that the acting manager monitors any event which could affect the welfare of residents. The health and safety and infection control procedure of the care home was being followed by staff. Staff stated this is a safe home in which to work. Residents stated the acting manager ensures that they are safe and deals with any problems within the home immediately. A resident stated I feel very safe and happy staying in this home. Staff confirmed that they were aware of the whistleblowing procedure of the home which they stated they would feel confident in using if they had concerns about care practice. However, staff added they believe the acting manager would immediately deal with any concerns held by residents or staff when they are brought to her attention. Care Homes for Older People Page 17 of 25 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. Residents live in a safe, comfortable and well maintained environment. Evidence: The home produced records which evidenced that an ongoing maintenance programme is in place to ensure that residents live in comfortable and safe surroundings. Lounges were found to contain TV, DVD and CD facilities. There are two lounges as well as a dining room and conservatory. Rooms are spacious and linked by wide corridors. All rooms are decorated to a good standard. Residents stated that they choose their own decorations for their bedrooms and can put personal furniture into their own rooms. There are bathing facilities and adaptations to ensure that all residents can be bathed safely. Special mattresses and lifting equipment was seen to be provided. The home keeps a large store of spare furniture so that if any items are damage they can be replaced immediately. No health and safety issues were identified at the site visit. No infection control issues are identified at this inspection. Residents stated that they were comfortable and felt safe living in this care home. Care Homes for Older People Page 18 of 25 Evidence: Staff interviewed stated We have no health or safety issues, this is a safe place in which to work. Care Homes for Older People Page 19 of 25 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 trained to answer the needs of all residents. The companys recruitment procedure ensures new staff are recruited safely and residents not placed at risk. Evidence: We looked at the recruitment files for a new member of staff who was interviewed as part of the staff members interview process. She confirmed that she had provided the company with all of the necessary information set out in the Care Home Regulations. She said she had completed a formal induction. Information in her personal file provided evidence that these statements were correct. All of the information required to be obtained before employment is offered was found on her file. This included a criminal record bureau check, two written references and proof of identification. The member of staff confirmed that she been interviewed formally by two people and she had completed an application form. Staff stated that staffing levels are always maintained as per rota. Staff confirmed that they are given adequate notice of future shifts. They stated that training is provided which includes core training and specialised training. They were able to describe recent changes to the legislation including the Mental Capacity Act. Staff stated that supervision and appraisals are being carried out Care Homes for Older People Page 20 of 25 Evidence: by the acting manager. The acting manager confirmed that the recruitment procedure of the home is being followed. She confirmed that 50 of the staff now hold an NVQ two or an equivalent qualification in care. All current members of staff are involved in NVQ training. The acting manager has a training plan in place for the coming 12 months. She stated that staff training is organised after identifying skill needs through appraisals and supervisions. Staff were able to describe the training they had received to ensure residents were protected from any potential abuse. They stated that they were also aware of the companys whistleblowing procedure but were confident that any complaints raised with the manager would be addressed immediately. Care Homes for Older People Page 21 of 25 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. The homes managers ensure that residents needs are met safely. Evidence: The company has reveiwed its management structure since the last key inspection. It has created two new posts. They have appointed two deputy managers to support the acting manager. This has also increased management support to all staff. Notifications are now been completed and sent to the Care Quality Commission without delay. Staff state that they feel now more supported by the managers of the company. Staff supervision and appraisal had been reintroduced Staff meetings are now being held on a regular basis. Care records have improved in quality and are now more personalised to individual residents. There has been a general improvement in all aspects of the management of the home. There have been no complaints, no safeguarding investigations and no notifications which have caused any concerns. Care Homes for Older People Page 22 of 25 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 23 of 25 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 Care Homes for Older People Page 24 of 25 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 non-commercial 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 25 of 25 - 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. 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