Care Home: Bonner House

Similar services:

• Byars Care Home
• St Marys Nursing Home
• Bramble Lodge
• Parkmanor Residential Home
• Thornham Grove
• Hunter`s Lodge
• London Road Neurological and Specialist Care Unit
• Carlton Care Home

What the care home does well The home is well managed and service users said they feel safe here, that they are treated respectfully and that their care needs are met. Service users comments included: "There`s no restrictions, it`s your time to do as you like". "The care is really very good, they treat you very well and know how to get you back on your feet again". "I would recommend it because they know what they are doing and the treatment here is five stars". A detailed assessment of service users care needs is undertaken and service users are involved in the care planning process. Service users care needs are met and they are supported to maintain their independence to assist them to return home. Comprehensive recruitment procedures are in place to protect service users and staff are well trained to meet individuals care needs. Service users enjoy the meals provided of which there is a good variety and choice. The physical environment is of a good standard and provides a safe, clean and comfortable place for service users. What has improved since the last inspection? No requirements were placed upon the home during the previous inspection. Improvements continue to be made with the homes care recording systems to more clearly identify service users care needs and document how these are met. What the care home could do better: Fire safety testing procedures should be reviewed to ensure that testing takes place fully as per fire safety regulations. Recreational activities are provided, which service users enjoy although these are not fully promoted. Service user comments included: "I`m not aware of many activities but it suits me". "It`s limited what they offer but I`m sure you can really do what you like". Staff receive induction upon commencing work at the home although this is not clearly documented. Whilst systems are in place to safe keep service users personal monies, any monies held should be kept separately. Formal quality satisfaction procedures should be reviewed to further involve service users in the aim of improving the services provided. CARE HOMES FOR OLDER PEOPLE Bonner House Mareham Lane Sleaford Lincolnshire NG34 7JY Lead Inspector Mr David Bacon Key Unannounced Inspection 08:30 29th June 2007 X10015.doc Version 1.40 Page 1 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 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Bonner House DS0000041703.V323973.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Bonner House DS0000041703.V323973.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bonner House Address Mareham Lane Sleaford Lincolnshire NG34 7JY Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01529 303306 www.lincolnshire.gov.uk Lincolnshire County Council Mrs Norma Brown Care Home 30 Category(ies) of Dementia - over 65 years of age (1), Old age, registration, with number not falling within any other category (29) of places Bonner House DS0000041703.V323973.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered to provide personal care for service users of both sexes whose primary needs fall within the following categories: Old Age, not falling within any other category (OP) (29) Dementia, over 65 years of age (DE/E) (1) The service user in the category of (DE/E) applies to the service user named in the letter dated, 28th March 2006. The maximum number of service users to be accommodated is 30. 2. 3. Date of last inspection 20th October 2005 Brief Description of the Service: Bonner House is situated in the market town of Sleaford and owned and run by Lincolnshire County Council. It is located in a quiet, residential area within half a mile of the town centre. The home provides purpose-built, two-storey accommodation and incorporates a day care centre. The home provides personal care for up to thirty service users of both sexes, over the age of 65 years, including seven beds for longterm/permanent service users, six beds for intermediate care and fourteen beds for short-term and respite care. The day-care unit within the home does not come under the scope of the CSCI for inspection purposes. It is surrounded by gardens laid mainly to lawns with some flower beds. All areas are accessible by wheelchair users. Car parking is available at the front of the building for visitors and staff and is covered by CCTV to enable staff to check who is entering and leaving the premises. The aim of the home is to provide a range of services to enable older people to remain in the community for as long as possible and quality long-term care for those service users who live at the home permanently. The home’s philosophy of care talks about respecting service users rights, independence, choice, privacy, fulfilment and dignity. Copies of inspection reports are contained within the homes statement of purpose and are on display in each bedroom. The care fees range up to £348 per week. Hairdressing and private chiropody are not included in the fees. Bonner House DS0000041703.V323973.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection took place during June 2007 and the visit to the home was undertaken over approximately 4.5 hours. The methodology for the inspection visit used is called ‘case tracking’. This means that the care received by three service users was looked at in detail, including service users care, staff and general home records, which pertain to their care and support. We also spoke with three service users and two of their representatives, the registered manager, two staff members and a physiotherapist about the support offered to people residing at the home. A partial tour of the premises was conducted including areas relating to the service users who were case tracked. Observations were also made of day-today care practice. Notifications received along with a pre-inspection questionnaire, completed by the manager were also viewed as part of the overall information gathering regarding the service. What the service does well: The home is well managed and service users said they feel safe here, that they are treated respectfully and that their care needs are met. Service users comments included: “There’s no restrictions, it’s your time to do as you like”. “The care is really very good, they treat you very well and know how to get you back on your feet again”. “I would recommend it because they know what they are doing and the treatment here is five stars”. A detailed assessment of service users care needs is undertaken and service users are involved in the care planning process. Service users care needs are met and they are supported to maintain their independence to assist them to return home. Comprehensive recruitment procedures are in place to protect service users and staff are well trained to meet individuals care needs. Service users enjoy the meals provided of which there is a good variety and choice. The physical environment is of a good standard and provides a safe, clean and comfortable place for service users. Bonner House DS0000041703.V323973.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Bonner House DS0000041703.V323973.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Bonner House DS0000041703.V323973.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are involved in planning the care they receive and they can be assured that their care needs will be appropriately met following the detailed assessment of their care needs. EVIDENCE: The homes statement of purpose and service user guide are displayed in the main entrance and copies are maintained in each bedroom. A new leaflet has also been produced giving a brief insight as to the services provided, which is displayed in the home. Bonner House provides care for individuals needing a short stay and for those being part of the intermediate care service. Due to the nature of the services provided the staff only undertake home visits to assess short stay service users. The assessment of service users part of the intermediate care service is undertaken by separate care co-ordinators of which the assessment Bonner House DS0000041703.V323973.R01.S.doc Version 5.2 Page 9 information often arrives with the service user at the beginning of their stay. An admission checklist is in place and the records seen documented service users involvement in the admission process, which included the receipt of information about the services provided and their rights. For example, terms and conditions of residence. The care records viewed evidenced that a comprehensive assessment of each service users care needs had been undertaken, which clearly identified any potential risks and included individual likes and preferences. Discussions held with service users confirmed that they were satisfied with the homes admission arrangements. Comments included: “It all went very well, they handled it all very well”. “The staff welcome you and are there to provide any information, there were no hiccups it was smoothly done”. “They were absolutely wonderful, nothing was too much trouble, they were on hand to help and to answer any questions”. “Yes, we were made very welcome, there were no problems”. Bonner House DS0000041703.V323973.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users benefit from a supportive and well-informed staff team who treat them with respect and they can be assured that their care needs are met. Procedures for the administration of medication are appropriate. EVIDENCE: The service users spoken with were fully satisfied with the care they received and said they were treated respectfully. Comments included: “Apart from not wanting to be here it has been perfect, they are a tremendous lot, the care is second to none”. “I arrived here feeling poorly and they have helped me with my confidence and I am now getting back on track”. “They will do things for you but more importantly they help you to help yourself and everything is here for that”. “All of them treat you well and they do it expertly”. “They identify what help you need and give you the time and support to get back on you feet again, really marvellous”. Bonner House DS0000041703.V323973.R01.S.doc Version 5.2 Page 11 A comprehensive “user lead” care plan is completed for each service user from the initial assessment and the care records seen identified each service users care needs and instructed staff as to how these were to be met. Individual preferences are also recorded. Care records included any risks and identified the support needed to assist the service user to regain their independence. For example, physiotherapy and occupational therapy. Any identified care needs are recorded as reviewed and updated, as necessary. Service users are supported to administer their own medicines where this is risk assessed as appropriate and systems are in place to facilitate this. Medicines were properly stored and records clearly documented medicines as receipted into the building, as administered and where disposed. Staff whom administer medication receive accredited awareness training regarding this. Bonner House DS0000041703.V323973.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are provided with a good standard of meals, which they enjoy and their dietary needs are met. Service users are able to choose how they spend their time and to maintain and develop community links as they prefer although the activities provided should be reviewed. EVIDENCE: Service users are initially consulted with about their likes and dislikes and any preferred routines as part of the admission process, which then forms part of the overall care plan. Information detailing service users rights and choices is maintained in each bedroom. Service users said they were encouraged to make informed choices during each day, that there were no restrictions as to how they could spend their time and that their visitors were made welcome. An activity co-ordinator works two days each week. Service users said that they were aware that some activities were available to them but felt that these were limited. Some information regarding activities is displayed in the home but again this is limited. Comments included: “Well, you choose what you do Bonner House DS0000041703.V323973.R01.S.doc Version 5.2 Page 13 and what you don’t do, it’s your choice”. “There are games and things laid on and you join in if you want or you do as you like”. “I spend the day very much like I would at home really but you don’t have to”. “They come and invite you to join in with things or you could suggest something different”. “There’s no restrictions, it’s your time to do as you like”. “It’s limited what they offer but I’m sure you can really do what you like”. “They make you welcome when you visit and are good if you need to know anything”. Service users are initially consulted with about their dietary needs and preferences as part of the admission process and this information is forwarded to kitchen staff for reference. A three-week menu is in place and the records seen identified a choice of food being available at each mealtime. Meal safety checks are undertaken and records of these are maintained. Service users comments regarding meals included: “We are spoilt, you could not complain about the food”. “You get good choice it tastes good and you can have plenty, what more could you want”. “It is very good food really, I can be difficult to please but they put a very good spread on”. “It’s not rushed, you can see the staff helping people and it’s of a good standard”. Bonner House DS0000041703.V323973.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported to express any views about the home and staff are made aware of the systems in place to protect service users from abuse. EVIDENCE: The service users spoken with said that they felt able to express any views regarding the care provided and that these would be appropriately acted upon. Comments included: “There is information about everything here but I’ve not looked I would just ask the staff”. “We liked the fact that there is information telling you things, it helps if you ever need to know”. “I find them all very approachable, they can’t do enough to help and they seem to follow things up well”. Policies and procedures are in place to safeguard service users of which are also displayed in the home. Pre inspection information received indicated that staff receive awareness training regarding safeguarding adults policies. The staff members spoken with were aware of these and explained the correct action to be taken in the event of an issue of abuse being identified. Records show that there have been no complaints or safeguarding adult’s referrals since the last inspection. Bonner House DS0000041703.V323973.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a hygienic, comfortable, safe and generally wellmaintained environment. EVIDENCE: The environment was clean, tidy and well maintained throughout all the areas seen. The manager said that a rolling programme of decoration was in place, which was evidenced throughout the areas seen. The service users spoken with were satisfied with the cleanliness of the home and comments seen in the homes completed satisfaction questionnaires further confirmed this. Comments included: “I wouldn’t know how to compare it apart from its better than hospital, it’s more like a comfortable hotel with how they treat you”. “My room is cleaned regularly, it’s all clean”. “They have done a great job with it all, we are very impressed”. Bonner House DS0000041703.V323973.R01.S.doc Version 5.2 Page 16 The staff spoken with were satisfied with the systems in place to maintain a safe environment and confirmed that they received awareness training regarding this subject matter, which was further evidenced in the records seen. Systems are in place to minimise risks of infection through water outlets and water temperature valves are fitted to water outlets and records of temperatures are kept. Substances identified as being potentially hazardous to health are stored safely and information sheets and risk assessments are in place providing guidance to staff. Bonner House DS0000041703.V323973.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users are safeguarded through comprehensive recruitment procedures being in place and the staff receive induction when commencing work at the home. There are sufficient numbers of staff, appropriately deployed and well trained to allow them to meet service users individual care needs. EVIDENCE: The service users and representatives spoken with said that they were fully satisfied that their care needs were fully met by the home staff. Comments included: “They don’t seem short of staff, they are around when you need them”. “They are on hand anytime and they are all good at their jobs if you need anything”. “They know what they are doing and they are courteous with you”. “We’ve no complaints, I can’t thank them enough really”. The staff records seen evidenced that appropriate recruitment checks and procedures had been undertaken of which clear guidelines are in place. Recruitment records contain application forms, references, criminal record bureau checks, and identification. The organisation promotes equality and diversity of staff and recruitment information clearly documented this. Newly appointed staff attend induction training upon commencing work at the home Bonner House DS0000041703.V323973.R01.S.doc Version 5.2 Page 18 although records of this are not fully maintained. A training plan is in place, appropriate to the needs of service users and any outstanding training needs are identified and provided for, which was further evidenced by the staff members spoken with and records seen. The pre inspection information received stated that more than 50 of care staff have achieved a national vocation qualification relevant to their work, which was further confirmed during the visit. Bonner House DS0000041703.V323973.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and systems are in place to ensure that care is provided in a safe and appropriate manner and improvements are currently being made with quality satisfaction systems. Improvements should be made regarding the testing of the homes fire safety systems. EVIDENCE: The service users and staff members spoken with were satisfied with the manager’s approach to the role and that they felt fully able to discuss any views with staff about the care provided. Comments included: “It’s friendly and they seem keen to know what you think”. “It is well run and they give you Bonner House DS0000041703.V323973.R01.S.doc Version 5.2 Page 20 confidence to get on your feet”. “It is efficiently run but not bossy, they run a tight ship, very good”. “When I have needed any information they have been very good, you can talk to them, which helps”. However, formal quality satisfaction systems are not fully in place. For example, quality satisfaction questionnaires have not recently been forwarded to service users and service users meetings are not held although the manager agreed to address this. All areas of the home seen were well maintained of which records are kept although a recent risk assessment of the premises has not been undertaken. Pre inspection information received stated that the necessary health and safety checks are undertaken as necessary although fire safety tests were not fully undertaken as per fire safety, which was addressed during the visit. Policies and procedures are in place to protect service users where the home has any involvement in their finances. Monies are not kept separate although the manager agreed to address this. Receipts and records of transactions and totals are maintained. Bonner House DS0000041703.V323973.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 4 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 2 X X 2 Bonner House DS0000041703.V323973.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP38 Regulation 23 (4) Requirement Fire safety tests must be undertaken as per the fire safety officer’s instructions to safeguard service users. Timescale for action 31/08/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 5 Refer to Standard OP12 OP30 OP33 OP35 OP38 Good Practice Recommendations Sufficient activities should be provided to meet the needs of service users during their stay. Records of staff induction should be maintained Quality assurance systems should be developed to more fully enable residents to express their views regarding the service provided. Service users finances should be kept separately for good financial practice. A risk assessment of the premises should be undertaken to identify and minimise risks to service users. Bonner House DS0000041703.V323973.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Bonner House DS0000041703.V323973.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!