Care Home: Bodley Community Care Support Centre

Similar services:

• The Vicarage
• 7 Hyde Road
• 5 Seafield Road
• Trevaylor Manor
• Honeybourne House
• 12 Orchard Mews
• Stallcombe House
• Stepping Stones

What the care home does well The admissions procedure is thorough and ensures that the people who come into the home for intermediate care are people who will benefit from the service. Very detailed care planning and frequent reviews enable peoples changing needs to be identified, recorded and met. Good practices ensure that people are treated with dignity and respect throughout their stay. People are offered choices in all aspects of their daily living and opportunities are available for them to engage in a range of social activities if they choose to do so. The meals provided are nutritious and balanced and provide individuals with choice and variety. Facilities are available to help people to regain their confidence to prepare their own meals. There is a clear, simple and accessible complaints procedure that ensures that complaints will be responded to promptly. Policies and procedures are in place and the staff are training to identify potentially abusing practices and to protect the people who use the service from the threat of abuse. Bodley provides a comfortable, safe and enabling environment for those living in, working at and visiting the home. The people who use the service are looked after for by well trained and well supervised care staff, catering and domestic staff who work well together and with management and the professional health care workers attached to the unit. The people who use this service can be confident that the home is safe and well managed. What has improved since the last inspection? Improvements have been made to some administrative practices and procedures to increase the efficiency of the service. What the care home could do better: Valves should be fitted, or adjusted on all of the hot water taps that are used by residents to ensure that the temperature of the hot water is safe and comfortable to use. Regular monthly visits need to be carried out on behalf of the registered service providers to ensure that they are able to oversee the management of the service provided. Regulation 37 Notifications need to be sent to the Care Quality Commission if any resident has an accident that requires professional medical attention. This standard procedure is part of our monitoring process. Key inspection report Care homes for older people Name: Address: Bodley Community Care Support Centre Wayside Crescent Whipton Exeter Devon EX1 3LF     The quality rating for this care home is:   three star excellent 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: Judy Hill     Date: 2 7 0 4 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 26 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 26 Information about the care home Name of care home: Address: Bodley Community Care Support Centre Wayside Crescent Whipton Exeter Devon EX1 3LF 01392462473 01392461973 debbie.bewes@devon.gov.uk http/www.devon.gov.uk Devon County Council Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Deborah Mary Bewes Type of registration: Number of places registered: care home 20 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 physical disability sensory impairment Additional conditions: Date of last inspection Brief description of the care home Bodley Community Care Support Centre consists of a day centre (which by law does not need to be inspected by CQC) and the Intermediate Care unit. It is owned by Devon County Council, Social Services Department and managed by Debbie Bewes. The Intermediate Care unit is for older people who have been discharged from hospital and no longer need medical care, but need some extra time to recover and make decisions about their future. All through their stay in the unit, residents are assessed. This includes visiting their home with a member of staff and an occupational therapist to enable the staff to see what may be needed to help the person to live at home. The home is purpose built and Care Homes for Older People Page 4 of 26 Over 65 20 20 20 20 Brief description of the care home all on one level. There are three separate units which are used as stepping stones as residents become more able. There is no charge for anyone whilst using intermediate care services. A copy of the most recent inspection report for the home is available in each bedroom. Care Homes for Older People Page 5 of 26 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: three star excellent 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 key inspection included an unannounced visit to the home that was carried out on 27th April 2010. The information contained in this report was gained from an Annual Quality Assurance Assessment that was completed and returned to us before the site visit by the registered manager, the report of the last inspection and any information that we have received about the service between inspections. Information was also gained during the visit to the service when we spoke with some of the people who use the service, including two people who we spoke with privately. We also spoke with some of the staff on duty and with the registered manager. During the site visit we looked at records, including medication administration records, menu plans and staff recruitment and training records. We also looked at the premises and facilities provided. Care Homes for Older People Page 6 of 26 Care Homes for Older People Page 7 of 26 What the care home does well: What has improved since the last inspection? What they could do better: Valves should be fitted, or adjusted on all of the hot water taps that are used by residents to ensure that the temperature of the hot water is safe and comfortable to use. Regular monthly visits need to be carried out on behalf of the registered service providers to ensure that they are able to oversee the management of the service provided. Regulation 37 Notifications need to be sent to the Care Quality Commission if any resident has an accident that requires professional medical attention. This standard procedure is part of our monitoring process. Care Homes for Older People Page 8 of 26 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 9 of 26 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 26 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. The admissions procedure is thorough and ensures that the people who come into the home for intermediate care are people who will benefit from the service provided. People are helped to maximise their independence and enable them to return home. Evidence: This is a specialised service that provides intermediate care for people who have been in hospital and need support to help them to return to their own homes. Admission is by referral from the hospital and very detailed needs assessments are carried out by health and social care professionals based at the hospital and in the home. The registered manager said that the home confirms the suitability of proposed admissions based on peoples individual needs assessments before admission is agreed. Care Homes for Older People Page 11 of 26 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Detailed care planning and frequent reviews enable the individual need of the people who use the service to be identified and met. Good practices ensure that people are treated with dignity and respect throughout their stay. Evidence: A physiotherapist, an occupational therapist and a registered community nurse have an office base at the home and, along with peoples key workers, care staff, management and the people who use the service, have a direct input into individual care planning, risk assessments and reviews. Care planning is continually reviewed and updated and goals are set to ensure that people are able to regain their confidence and independence, as their final goal is to enable them return to their own homes. The Annual Quality Assurance Assessment tells us that a recent survey had been carried out which showed that 100 of people said that they had benefited from their stay. During the site visit we spoke in private with two of the people who use the service. Care Homes for Older People Page 12 of 26 Evidence: Both said that the felt that their needs had been identified and were being met. We were told that the care staff were very good and responded quickly if people used their call bells. One person said that the physiotherapist made her work hard but that she felt this was justified as she was making good progress. One person told us that this was her third visit to the home and that she had specifically asked to come back to Bodley for her rehabilitation. The other person we interviewed said that this was her first visit and that she was enjoying her stay because everyone had been so supportive and kind to her. Medicines are stored safely in locked cabinets in a designated medicines room and suitable facilities are provided for medication that requires refrigeration and controlled medicines. People are encouraged to administer their own medicines, but trained staff provide as much or as little help as people need until they feel confident about doing so. Medication administration record sheets were checked and seen to be in good order. Care Homes for Older People Page 13 of 26 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Everyone is offered choices in all aspects of their daily living and opportunities are available for them to engage in a range of social activities if they choose to do so. The meals provided are nutritious and balanced and provide individuals with choice and variety. Facilities are available to help people to regain their confidence to prepare their own meals. Evidence: There is a day centre attached to the home and the people who use the service are welcome to attend this if they choose to do so. People also have the option of using one of the private lounges, all of which have television sets, books and games in them which people can use. In addition to the lounges there are seating areas off some of the main corridors and tables which have been set aside for people who like to make jigsaws and for people who wish to buy or donate goods for sale to raise funds for a social fund. One person told us that occasional group outings were arranged and on a previous visit she had enjoyed a trip to Exmouth and an ice-cream on the sea front. Care Homes for Older People Page 14 of 26 Evidence: In each of the bedrooms there is a television set, a CD player and a radio. The home has two enclosed gardens for people to use as and when they wish. We saw the records that are kept in the kitchen of peoples individual likes and dislikes and of any special dietary needs that people may have. Lunch is the main meal of the day and we saw record sheets which told us that people are offered a choice of at two set dinners and two set puddings. The people we spoke to said that the quality of the set meals was very good. The home has three separate units which are designed to accommodate people who are at different stages of their rehabilitation process. Each unit has independent facilities to make breakfasts and evening meals. One unit has kitchen facilities which are designed for use by people who need a lot of support, one for people who need less support and one for people who are able to prepare their own meals with minimal help. Care Homes for Older People Page 15 of 26 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. There is a clear, simple and accessible complaints procedure that ensures that complaints will be responded to promptly. Policies and procedures are in place and the staff are training to identify potentially abusing practices and to protect the people who use the service from abuse. Evidence: The complaints procedure is displayed in the entrance hall of the home and written copies are given to each of the residents in a handbook which they keep in their bedrooms. We were told by the manager that no complaints had been received since the last inspection and CQC have received no concerns or complaints about this service. Since the last inspection the complaints procedure has been integrated with the National Health Service procedure making it easier for the people who use the service and their representatives to make a complaint using one source. Letters complementing the service for the care and attention provided to former residents were seen and several of the pictures that adorn the walls in the corridors had been given to the home in recognition of the service provided. All of the staff have received training in the Safeguarding and the Protection of Care Homes for Older People Page 16 of 26 Evidence: Vulnerable Adults and policies, procedures and codes of practice are in place to protect people from the threat of abuse. Care Homes for Older People Page 17 of 26 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. Bodley provides a comfortable, safe and enabling environment for those living in, working at and visiting the home. Evidence: Bodley Community Care Support Centre is a purpose build care home. All of the accommodation is on one floor meaning that there are no stairs for people to negotiate. One section of the building is used as a day care centre and we have no authority to inspect this area. The people living at the home may use the day centre if they choose to do so but people using the day centre are not permitted to enter the residential areas of the home. The residents accommodation has been divided into three units, each designed to cater for people at different stages of their stay. Each unit has its own lounge, dining room and kitchen facilities. The bedrooms are all single rooms and have en-suite bathroom or shower and toilet facilities. We were told by the manager and one of the people using the service that wherever possible people were given a choice of an en-suite bath or a shower. Separate communal bathrooms are provided and these have baths that are designed for use by people with poor mobility. Communal toilets are situated throughout the Care Homes for Older People Page 18 of 26 Evidence: home and these are large enough to accommodate people who use a wheelchair or a zimmer frame. We did notice signs warning that the hot water from some outlets can get very hot and recommend that valves are fitted or adjusted to control the hot water temperatures. The lounges are spacious and comfortably furnished and seating areas off some of the hallways provide pleasant alternatives to the lounges. The grounds of the house are mainly laid to lawn but there are two enclosed areas of garden which have been landscaped and although a little overgrown these provide pleasant areas for the residents to relax or exercise in. The main kitchen is clean and well equipped and the laundry facilities are adequate for the needs of the home. The home is located in a residential area. The shops at Whipton Village are approximately half a mile away. Bus services pass the home to and from Exeter, which is approximately two mile away and a local train station is a short walk from the home. The home is kept very clean and appears to be in a good state of repair, although some of the bedrooms would benefit from redecorating. Care Homes for Older People Page 19 of 26 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 use the service are looked after by well trained and well supervised care staff, catering and domestic staff who work well together and with management and the professional health care workers attached to the unit. Evidence: We looked at a sample of staff recruitment records and these showed us that safe practices are being used to select and recruit new staff. All newly appointed staff undergo a period of induction training and the record seen told us that this training meets the required standards. On going training is provided to ensure that the staff have the skills they need to do the work that is expected of them. Most of the care staff have completed an NVQ at Level 2 in either Direct Care or Health and Social Care. The care staffing levels are high enough to meet the assessed needs of the residents and the staff are well supervised and supported by the management team and the therapy team, which consists of a physiotherapist, an occupational therapist and a community nurse. Care Homes for Older People Page 20 of 26 Evidence: We spoke with some of the staff as a group and they told us that they worked well as a team and that they respected their line managers and the registered manager, all of whom were described as supportive and approachable. The staff were, however, understandably concerned with a reorganisation that was taking place which would change the management structure of the home and could place their employment at the home or their contracted hours at risk. It is a credit to the staff that although their concerns had a negative impact on staff morale, they had not allowed this to have a negative impact on their work. This was made evident by the comments that we received from the people who use the service who told us that the staff were excellent. Care Homes for Older People Page 21 of 26 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 use this service can be confident that the home is safe and well managed. Evidence: The registered manager is Debbie Bewes. She is qualified for her role and has received regular and appropriate training to retain and update her knowledge and skills. Debbie has many years experience of working with older people in a residential setting and in managing residential care homes. In conversation during the site visit she demonstrated that she has an excellent knowledge of intermediate care and is highly committed to ensuring that the people who stay at the home benefit from the service provided. Debbie is currently supported in her management role by a team of assistant managers,however as part of a restructuring programme changes are planned to introduce a deputy managers post and team leaders. Care Homes for Older People Page 22 of 26 Evidence: Surveys are used regularly to gain feedback about the service from the people who have used the service and their families. Records are kept which show how the service has adapted and areas of the service that have improved as a direct result of action that has been taken in response to the outcomes of the surveys. The registered service providers are Devon County Council and it is their responsibility to make arrangements for monthly visits to be carried out on their behalf and reports to be provided on the conduct of the home. During the inspection saw the latest report and this was dated January 2010. It was confirmed that no person in control visits had taken place in February, March or April. Notifications have been sent to us about events that have happened at the home that may have a negative in pact on one or more of the people who use the service. However, this has not always included falls that have resulted in admission to Accident and Emergency. As this service provides intermediate and not long term care most of the people who use the service do not require help from the home to manage their personal financial affairs. If assistance is needed then arrangements can be made to open a suspense account. People are provided with a lockable facility in their rooms in which to keep their spending money and other valuables. The Annual Quality Assurance Assessment tells us that all of the policies, procedures and codes of practice which are required and recommended to be kept at the home are kept at the home. Arrangements are in place to ensure that these are accessible to the staff and, where they need to be, the people who use the service. Regular maintenance and servicing is carried out on gas, electrical and fire detection and fire fighting equipment. Care Homes for Older People Page 23 of 26 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 24 of 26 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 1 33 26 The registered provider 29/05/2010 must ensure that monthly visits are carried out on their behalf and reports of these visits are received. This is to ensure that the people who are responsible for the service can oversee the management of it. 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 26 Valves should be fitted, or adjusted on all of the hot water taps that are used by residents to ensure that the temperature of the hot water is safe and comfortable to use. Regulation 37 Notifications should be sent to the Care Quality Commission if any resident has an accident that requires admission to Accident and Emergency. 2 38 Care Homes for Older People Page 25 of 26 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 26 of 26 - 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!