Care Home: Boars Tye House

Similar services:

• Claremont House
• Oak Ridge
• Sun Court Nursing Home
• Ashville House
• Bilney Hall
• Hill Barn
• Mabbs Hall Nursing Home
• Henrietta House

What the care home does well The home is well managed and residents views and suggestions are obtained throughregular meetings and the use of questionnaires and surveys. Where residents have particular requests staff and management act so as to provide for these wherever possible. Residents have care plans, which describe their assessed health and personal care needs. Care plans describe how each persons health and physical conditions affect their abilities to carry out activities of living including washing and dressing, mobilising and eating and drinking. Care plans describe how staff are to support each individual with their health and personal care needs. Care plans are reviewed regularly, updated and amended to show any changes or deterioration in a person`s condition and any changes to the care and support they need. Residents wishes for how are cared for when they become unwell are recorded as are their wishes for who they would like to be contacted / present as they reach the end of life. When a person becomes unwell staff act promptly to ensure that they see their doctor promptly. Complaints are well received, investigated and responded to in accordance with the home`s complaints policy and procedure. Resident`s capacity for making decisions are assessed so as to ensure that so far as possible people can make decisions about their lives. Staff are recruited robustly and checks including Criminal Records Bureau disclosures and Independent Safeguarding Authority checks (formerly PoVA First) are carried out and satisfactory references from previous employers are sought before a person is employed in the home. These checks help to ensure that only suitable people are employed in the home and that the interests and welfare of people who may be vulnerable are safeguarded. What the care home could do better: Where risks to the health and safety of people living in the home are identified, such as risks of injury from falls and risks associated with the use of bedrails, these must be monitored and managed so as to help prevent injury to residents. Staff must keep accurate records to evidence that they have administered medicines as prescribed to people living in the home. Staff must receive regular training and be given accurate information about their roles and responsibilities around safeguarding vulnerable from harm and abuse, so that they know how to report and raise alerts properly. Random inspection report Care homes for older people Name: Address: Boars Tye House 20 Boars Tye Road Silver End Witham Essex CM8 3QA three star excellent 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: Carolyn Delaney Date: 2 1 0 6 2 0 1 0 Information about the care home Name of care home: Address: Boars Tye House 20 Boars Tye Road Silver End Witham Essex CM8 3QA 01376584515 01376585007 ourteam@boarstye.co.uk www.boarstye.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Clive Weir Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Clive Weir,Mrs Bernadette Weir care home 27 Number of places (if applicable): Under 65 Over 65 0 27 dementia old age, not falling within any other category Conditions of registration: 27 0 The maximum number of service users who can be accommodated is 27 The registered person may provide the following categories 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, Dementia - Code DE Date of last inspection Care Homes for Older People Page 2 of 10 Brief description of the care home Boars Tye House is a fully detached property originally constructed approximately three hundred years ago as a farmhouse. The property has been converted and extended into a twenty-seven place residential home for elderly people (over the age 65). Accommodation is in twenty-three single rooms and two shared rooms. Sixteen of these benefit from fitted en-suite facilities. Accommodation is provided on both floors of the home, with communal lounge/dining rooms on the ground floor. Access between floors is provided by a shaft passenger lift. Boars Tye House is located in the village environment of Silver End and is approached via a private drive alongside a large, landscaped front garden. At the rear of the home there is a small rear garden and patio area, which is fully enclosed. Ample car parking is provided to the front for visitors, and bus services pass the front of the building along the main road. Local shopping facilities are a short walk away. Externally the home is very well maintained retaining an attractive period appearance. Internally much of the character of the original property has been retained. Information regarding fees is displayed on the home?s internet website. Past inspection reports are available from the home, and from the CSCI internet website. Care Homes for Older People Page 3 of 10 What we found: This report is in respect of a random inspection carried out for this service. We carry out a random inspection where we want to look at specific outcome or outcome groups. A random inspection will not affect the quality rating made at the previous key inspection. Where we feel following a random inspection that there may be changes to the experiences of people using a service, which would affect the quality rating we would then carry out a key inspection. As it is a focused inspection and not all outcome areas are assessed other issues may come to light when we next carry out our next key inspection. When we visited the home we looked at the three outcome areas, which determine the services quality rating. We looked and Health and Personal Care, Complaints and Protection and Management and administration. We looked at the care plans for two people in the home. We saw that both residents assessed health and personal care needs were described in the plans as was the level of care and support that both people needed so as to be able to carry out daily activities of living such as washing and dressing, eating and drinking, communicating and mobilising. Both care plans were reviewed by staff on a regular basis. Where there were changes to the individuals health or their ability to carry out activities of daily living, care plans were amended to reflect this and the level of care and support that they needed. Staff recorded when a person became unwell and what action was taken such as contacting their doctor or arranging a hospital visit. We looked at accident records maintained by staff. From these we saw that staff recorded when residents had accidents such as falls. From records we saw that there had been no serious injuries or accidents since the last key inspection. From records we identified two residents who were prone to falls. We looked at care plans for both these individuals. While there was a care plan in place, which identified that there were risks to both individuals around falls, there was no information recorded as to the level of risk or how staff were to manage this. When care plans were reviewed they were not amended to reflect any falls or injury since the last time the plan was reviewed. We looked at the care plan for one resident who was confined to bed due to deteriorating health. There was no risk assessment in place to identify the risks associated with the use of bedrails, which were in place so as to minimise the risk of this person falling out of bed. We discussed the importance of assessing, monitoring and managing risks to the health and safety of residents and the manager and care manager assured us that this would be addressed promptly. We looked at the arrangements for ensuring that people living in the home received medicines as prescribed for them. We looked at the medication administration records for each of the twenty-five residents in the home at the time of the inspection visit. We saw that there were anomalies in eight of the twenty-five records, where staff had not signed to indicate that they had administered some medicines one one or more occasion. This was particularly pertinent as an audit carried out by the care manager had identified that records made by staff for tablets administered did not always correspond with numbers of tablets remaining. We discussed the importance of accurate and complete records with the manager and care manager and they told us that they would carry out audits and checks on records with immediate effect. Care Homes for Older People Page 4 of 10 We looked at how complaints were received and investigated. The home had a policy and procedure in place for dealing with complaints and residents were encouraged to air any concerns o make suggestions for how the service could be improved through speaking with staff and at residents meetings. We looked at records for complaints received since the last key inspection. We saw that complaints were investigated and responded to appropriately in line with the homes policy and procedure. We looked at the arrangements for safeguarding people who may be vulnerable from harm and abuse. We saw that there was a policy and procedure in place around safeguarding people. However this policy contained incorrect information and did not reflect current local safeguarding guidelines. The policy stated that all concerns no matter how minor were to be investigated by the person in charge. This is contrary to proper safeguarding procedures and we advised the manager and care manager that all safeguarding alerts must be referred to the local safeguarding team. We looked at how staff were trained so as to be aware of their roles and responsibilities around safeguarding vulnerable people. One member of staff had been trained to train other staff. From information provided by the manager we saw that some staff working in the home had not undertaken training since 2007 and one person had not received training since 2004. The manager told us that they arrange training for staff every three years. However we advised that staff should have training in line with any changes to safeguarding procedures and that there had been changes made to local safeguarding policy and procedures since 2007, which all staff must be aware of so that they act appropriately. We looked at how staff were recruited so as to help ensure that only suitable people were employed in the home. We looked at the staff files for two people who had recently commenced employment in the home. We saw that Criminal Records Bureau disclosures and Independent Safeguarding Authority checks (formally PoVA First) and satisfactory references from previous employer had been obtained before both people started work. We looked at how the home was managed and how the views of people who live there were obtained and acted upon so as to improve their experiences. We saw that residents meetings were held three monthly and that these co-incided with planned events such as fetes or parties so as to encourage participation of residents relatives. We looked at the minutes from the last two meetings held. We saw that changes to the environment such as the extension to improve the lounge area were discussed and that residents were kept of progress with the building works. We saw that as a result of listening to residents that a computer with internet access, including Skye so that residents could keep in touch with their relatives more efficiently, wii fit for exercises etc were being made available for residents. Overall we saw that outcomes and experiences for people living in the home remained excellent. We identified some areas, which need to be improved upon, so as to ensure that this continues to be the case and we have made regulatory requirements in respect of these. What the care home does well: The home is well managed and residents views and suggestions are obtained through Care Homes for Older People Page 5 of 10 regular meetings and the use of questionnaires and surveys. Where residents have particular requests staff and management act so as to provide for these wherever possible. Residents have care plans, which describe their assessed health and personal care needs. Care plans describe how each persons health and physical conditions affect their abilities to carry out activities of living including washing and dressing, mobilising and eating and drinking. Care plans describe how staff are to support each individual with their health and personal care needs. Care plans are reviewed regularly, updated and amended to show any changes or deterioration in a persons condition and any changes to the care and support they need. Residents wishes for how are cared for when they become unwell are recorded as are their wishes for who they would like to be contacted / present as they reach the end of life. When a person becomes unwell staff act promptly to ensure that they see their doctor promptly. Complaints are well received, investigated and responded to in accordance with the homes complaints policy and procedure. Residents capacity for making decisions are assessed so as to ensure that so far as possible people can make decisions about their lives. Staff are recruited robustly and checks including Criminal Records Bureau disclosures and Independent Safeguarding Authority checks (formerly PoVA First) are carried out and satisfactory references from previous employers are sought before a person is employed in the home. These checks help to ensure that only suitable people are employed in the home and that the interests and welfare of people who may be vulnerable are safeguarded. 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 6 of 10 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, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 7 of 10 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 8 13 Where risks to the health and safety of residents are identified, such as risk of injury from falls and risks associated with the use of bedrails, these must be assessed, monitored and managed so as to minimise risks to individuals. This must be done so as to minimise and prevent injury to residents. 21/07/2010 2 9 13 Staff must keep accurate and 21/07/2010 complete records to evidence that they administer medicines to residents as prescribed. This must be done so as to ensure that residents receive medicines as prescribed for them and to minimise the risks of errors. 3 18 13 Staff must undertake regular 21/07/2010 training and be provided with accurate and up to date information around their roles and responsibilities for Page 8 of 10 Care Homes for Older People 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 safeguarding people who may be vulnerable. This must be done so as to ensure that staff are aware of their roles and responsibilities and that they act and report any incidents appropriately. 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 9 of 10 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 10 of 10 - 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!