Care Home: Bide A While

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What the care home does well This is a small home caring for up to six people, we found that the staff knew the residents very well and were aware of their needs and wishes. There was a warm friendly atmosphere in the home and the people who use the home were clearly relaxed and well cared for. The residents benefit from the home being used during the day as a `day centre`. This gives them the opportunity to meet different people and be part of a well staffed service that offers a variety of enterainments and passtimes. Staff are very knowledgeable about the residents and were seen to be very caring in the care they gave. The home is managed by a capeable manager who put the residents at the centerentertainmentspastimescapablecenterer of everything that happens in the home. The welfare of the residents is paramount and when the home recognises that the needs of a resident escalates they call in health and social care experts for advice and guidance. The environment is domestic is style and is homely and welcoming What has improved since the last inspection? Requirements left at the last were met. The home has changed in so far as they are now registered to care for six individuals (male and female). Care plans give more detail to staff on how to meet the needs of people who live in the home. What the care home could do better: While this is a very small home and staff know all the residents and the medication they are prescribed very well care must be taken to ensure staff follow the guide line as set out by the Royal Pharmaceutical Society. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Bide A While 14 Brick Kiln Road Old Town Stevenage Hertfordshire SG1 2NH     The quality rating for this care home is:   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. Lead inspector: Marian Byrne     Date: 1 0 0 9 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 20 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI 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 20 Information about the care home Name of care home: Address: Bide A While 14 Brick Kiln Road Old Town Stevenage Hertfordshire SG1 2NH 01438220500 01438360493 bide_a_while@hotmail.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mrs Pamela Pickup,Mr Alan Pickup care home 6 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 6. The registered person may provide the following categories of service: Care Home CRH to service users of the following gender: Either Whose primary 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 Bide A While is registered to provide care and support for up to six service users over the age of 65 years. This large, two storey detached house is situated in a quiet culde-sac close to the Old Town of Stevenage. There is a spacious lounge/dining/activity 6 0 Over 65 0 6 Care Homes for Older People Page 4 of 20 Brief description of the care home area which looks out onto the garden and patio. On weekdays, this area is shared with day centre visitors. Residents also have their own, smaller lounge / dining room, if they prefer this. A large domestic kitchen is at the front of the house. A stair lift enables service users to have access to the bedrooms on the first floor. Two of the bedrooms have a toilet, wash hand basin and a shower and the remaining bedroom has a toilet and a wash hand basin. There are a two further toilets and an assisted bathroom. The garden is well maintained with a patio, seating and shaded areas. Fees range from #650 to #750 and are set out in the Service User Guide, which can be obtained from the manager and is available for all prospective residents. Fees for additional services such as hairdressing and chiropody are listed in the individual service contract. Care Homes for Older People Page 5 of 20 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 is a two star home therefore the last assessment of the service was an Annual Service Review which was carried out on the 4th September 2008. At that assessment we looked at all the information we had regarding the care of residents and the running of the home. Following that assessment we found that there was no event that caused us to reconsider the star rating of the home. This inspection is a Key Inspection and as well as reviewing all the information we have regarding the running of the home we also did a site visit. This was carried out over one day by one inspector. Prior to the inspection we asked the manager to complete an Annual Quality Assurance Assessment (AQAA), this is a legal document. The document was returned to us in a timely manner. The information we gathered on our site visit reflected the information sent to us in the AQAA. Care Homes for Older People Page 6 of 20 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 set out 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 7 of 20 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 8 of 20 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. The people who are admitted to this home can be sure that it will meet their needs. Evidence: All residents are assessed prior to being offered a place in the home. The assessment contains information the prospective residents health, physical and social care needs. All prospective residents are invited to view the home and are re-assessed after six weeks to ensure their needs are being met and that the home suits them. Care Homes for Older People Page 9 of 20 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. People who live in this home can be sure that all health and personal care needs will be identified and met. Evidence: The people we spoke with assured us that they were happy living in the home and that where possible their needs are being met. We saw staff administer care with kindness and affection. The residents health care is provided by a local General Practitioner. Care plans were detailed and had good direction for staff to deliver person centered care. By this we mean that the care delivery is focused on the person rather than on the care task being carried out. Staff clearly know the residents and their needs and wishes and they do all they can to ensure the resident has the optimum care. Care needs to be taken with the administration of medication to ensure it is administered from its original containers as per the guidance from The Royal Pharmaceutical Society. No residents were at risk through the medication procedures the home uses at the moment. When we pointed this out to the Manager she assured us that it would be dealt with immediately. Care Homes for Older People Page 10 of 20 Evidence: The Manager and staff are aware of the limitations of the home and when a resident shows signs of ill being they refer the resident to the appropriate health and social care services for a re-assessment of their needs. Care Homes for Older People Page 11 of 20 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. People who live in this home can be sure that their social needs will be identified and met and that they have access to the local community. Evidence: During the day the residents spend time with people who attend the day center. This is held in the large sitting room/dining room. Residents spoken with said that they did not mind this as it gave them the chance to talk to other people. If a resident does not want to be involved with the day center there is a smaller lounge they can use. We saw that the staff engaged with all the residents and day center guests, there was constant staff attention and stimulation. Visitors are welcomed to the home at all reasonable times. We tasted the lunch and found it to be of good appearance and taste. We saw that the residents and day care visitors enjoy their lunch. Food and drinks are available to the residents at all times. Care Homes for Older People Page 12 of 20 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. People who live in this home can be sure that a complaint would be taken seriously and that they will be safeguarded from abuse at all times. Evidence: There have been no complaints since the last inspection. Because the home is so small all worries are dealt with at a low level and never escalate to a complaint. The home does have a complaints procedure that would be followed if a complaint was made. The AQAA told us that all residents have a copy of the complaints procedure in their rooms. We found this to be so at the site visit. There have been no safeguarding issues since the last inspection. Staff were aware of safeguarding procedures should they be needed in the future. Care Homes for Older People Page 13 of 20 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. People who live in this home can be sure that the environment will meet their needs. Evidence: On the day of the inspection we found the home to be clean, fresh and odour free. All the rooms were decorated to reflected the personalities of the residents. The furniture is domestic in style and we found the place to have a homely atmosphere. We found the home to be in good repair and well maintained. Care Homes for Older People Page 14 of 20 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. The people who live in this home can be sure that staff are recruited and trained appropriately to meet their needs. Evidence: We observed staff interact with the residents we noted that they did this in a manner that was respectful and promoted their dignity and independence We saw that there was affection between the staff and the residents. We looked at the recruitment for three staff and found the paperwork to be in order. This included security and identity checks including a Criminal Records Bureau check. We were told by staff that they receive regular supervision this means that both staff member and senior staff member have the opportunity to evaluate performances and to identify training needs. Staff training is given a very high profile in the home, all the mandatory training was carried out, any training needs that are identified are pursued and training set up. We saw staff provide useful occupation for the residents throughout the inspection we noted that the interaction was very good. We heard laughter and the sounds of people enjoying themselves throughout the inspection visit. When we spoke to staff they were very knowledgeable about the needs of the residents and how to meet those identified needs. Care Homes for Older People Page 15 of 20 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 people who live in this home can be sure that it will be run in their best interests and that their safety and welfare will be promoted at all times. Evidence: The home manager also manages the day center. This appears to work well and to the advantage of the residents. Through the sharing of the day center the residents get the stimulation of different people to interact with. The Manager ensures residents are not admitted into the home unless she is sure that the home can meet their needs. She ensures that the residents health is promoted through the timely use of health and social care professionals. We saw that all the residents had useful occupation. By this we mean that people were stimulated this is important as it is regarded as vital to the mental welfare of the residents. We saw staff relate to the residents in a manner that was respectful and promoted their dignity and independence. All the residents were well presented. The Manager returned the AQAA in a timely manner and we found the information we were given reflected what we found on our site visit. We noted that the staff were recruited and trained appropriately. We noted that there Care Homes for Older People Page 16 of 20 Evidence: was a sufficient ratio of staff to residents on duty. All health and safety checks were carried out in a timely and appropriate manner. The home does not look after any residents monies. Care Homes for Older People Page 17 of 20 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 18 of 20 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 19 of 20 Helpline: Telephone: 03000 616161 or Textphone: or 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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 20 of 20 - 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!