Care Home: Bosworth

Similar services:

• Fairfields Country Rest Home
• Poldhu
• Queensmount
• Trevaylor Manor
• Didsbury Court Rest Home
• Belma
• Hunters Care Centre
• Manor Lodge

What the care home does well No one moves into the home without having their needs assessed which means that the home and the person considering moving in can be clear that this is the right place to care for them. People told us that they were well cared for by dedicated staff. People are supported to maintain contact with family and friends, enabling those living in the home to continue to enjoy relationships that are meaningful to them. Visitors to the home told us that they were always made welcome. Meals are wholesome and nutritious and planned around the likes and dislikes of residents. Sufficient numbers of staff are on duty throughout the day and night to be able to meet the needs of the residents. What has improved since the last inspection? The home has made many improvements since the last key inspection. The care documentation has improved greatly but there were still some minor shortfalls in recording, which need to be addressed so that a clear picture of the residents needs and how they respond to care is maintained. The activities programme has been enhanced and offers a wider range of activities based on the assessed needs and preferences of those living in the home. Staff are well trained in the protection of vulnerable adults and know the procedures to follow if any allegation or suspicion of abuse is made. During the last six months there has been a programme of refurbishment and redecoration which helps to ensure the comfort of those living at Bosworth. A more robust recruitment process is in place, which ensures that residents will be looked after by a suitable workforce. The home has a quality assurance process in place which helps to ensure that the home is run in the best interests of those living there. What the care home could do better: We recommend that when residents are prescribed creams the home put in measures to ensure that they are used in line with the manufacturers timescales and discarded promptly when they become out of date. During our inspection we identified an area of concern where we found the hot water to be very hot and likely to scald. Once the responsible individual was aware of this she put in measures to minimise the associated risks.The use of terry hand towels in communal toilets can pose a risk of cross infection and we recommend the home review their use. Key inspection report Care homes for older people Name: Address: Bosworth 6 Southdown Avenue Preston Weymouth Dorset DT3 6HR     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Amanda Bell     Date: 1 7 1 1 2 0 0 9 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 24 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) Copyright © (2009) Care Quality Commission (CQC). 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 CQC 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 24 Information about the care home Name of care home: Address: Bosworth 6 Southdown Avenue Preston Weymouth Dorset DT3 6HR 01305833100 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mr Derek Edwin Luckhurst,Mrs Christine Wells,Mrs Meryl Susan Hodder Name of registered manager (if applicable) Type of registration: Number of places registered: care home 22 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: One named service user (as known to the CSCI) within the category of LD(E) may be accommodated to receive care. Date of last inspection Brief description of the care home Bosworth Residential Care Home is located in a quiet residential area of Preston, about 2 miles from the centre of Weymouth. The home looks out over a wildlife reserve and has views of the sea and Portland. The home is registered to accommodate a maximum of 22 older persons over the age of 65 years. Bosworth offers 18 single and two double sized bedrooms, spread over two floors; as the house is set on a hill, a number of first floor bedrooms have direct access to the garden. The home has a passenger lift which gives level access to the main area of the first floor; six bedrooms Care Homes for Older People Page 4 of 24 2 6 0 8 2 0 0 9 0 Over 65 22 Brief description of the care home on this floor have access via 3 steps on the landing. On the ground floor there are communal lounges and a dining area, together with a bathroom and WC. The current fees range from £462 to £545 per week. Additional charges are made for hairdressing and chiropody. See the following website for further guidance on fees and contracts www.oft.gov.uk (Value for Money and Fair Terms in Contracts). Care Homes for Older People Page 5 of 24 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: The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This unannounced inspection took place on the 17th November 2009 over a period of approximately four hours. The purpose of the inspection was to assess all of the key standards. The inspection was carried out by two inspectors. The term we is used throughout the report to reflect the findings of the Care Quality Commission, CQC. The responsible individual, Mrs Christine Wells, and the manager Ms Yvonne Connelly were on hand throughout to aid the inspection process. Information gathered for this report came from several sources including reports made to the Care Quality Commission by the home; the annual quality assurance assessment AQAA completed by the responsible individual; discussion with people living, and Care Homes for Older People Page 6 of 24 working at the home; surveys completed by people living at, visiting and working at the home; a tour of the premises; review of a variety of documentation including care records, staff records, maintenance records, policies and procedures. During the course of the inspection people were asked their views on the service provided at the home. They said :The home provides a good quality of care. Staff are very caring and look after me well. Other comments are included in the body of the report. Care Homes for Older People Page 7 of 24 What the care home does well: What has improved since the last inspection? What they could do better: We recommend that when residents are prescribed creams the home put in measures to ensure that they are used in line with the manufacturers timescales and discarded promptly when they become out of date. During our inspection we identified an area of concern where we found the hot water to be very hot and likely to scald. Once the responsible individual was aware of this she put in measures to minimise the associated risks. Care Homes for Older People Page 8 of 24 The use of terry hand towels in communal toilets can pose a risk of cross infection and we recommend the home review their use. 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 24 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 24 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. New residents move into the home having had their needs assessed and been assured that these needs will be met fully. Evidence: We reviewed the care documentation for people who had been recently admitted. We saw that the home had carried out a thorough assessment of the needs of the prospective residents. The responsible individual had then written to the people wishing to be admitted to Bosworth confirming that the home could meet their needs. We spoke with one person who confirmed that a family member had visited the home before they came to stay. They had been made welcome and were given sufficient information so that they could make an informed choice about whether it was a suitable place to live. Care Homes for Older People Page 11 of 24 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. Systems are in place to provide staff with the information they need to meet the health and personal care needs of residents. The principles of respect, dignity and privacy are put into practice. People are protected by the homes procedures for the safe handling of medicines. Evidence: We reviewed care files for three people living at the home. Each file contained detailed assessments, from which staff had used the information to formulate a detailed plan of care. Each file contained a life story of the resident if they were happy to share this information. This helped to inform staff about the personal preferences of each individual in their care and as a consequence we found that care plans were more person centred. During the inspection we observed that care was given in accordance to the written plans. Staff had good relationships with the people living at the home and were patient and encouraging. Staff were observed to be relaxed with people. Staff and residents laughed and chatted together and clearly enjoyed each others company. Care Homes for Older People Page 12 of 24 Evidence: It was clear from discussions with staff and visitors that people living at Bosworth had access to the health services they needed. There was evidence to show that residents got support from General Practitioners, district nursing services, opticians and chiropodists. We looked at the way the home managed medication. There was a policy in place for the safe recording, storage and administration of medicines. We saw that staff adhered to this policy. When resident wished to continue to administer their own medicines they were invited to undertake a risk assessment to ensure that this was appropriate. The residents were then supported in this course of action and were given a safe place to store their medicines. Where creams were used we found the containers had not been dated as to when they were opened. We have made a recommendation that this is done so that staff are prompted to discard the creams when they are out of date. People living at and visiting the home told us that the care was Very Good; Staff are patient and they listen; The staff are always very caring and do whatever is necessary for the residents to feel happy and comfortable as far as is possible. Care Homes for Older People Page 13 of 24 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 living at Bosworth are encouraged to maintain as much independence as possible. Social and leisure activities are varied and suited to the preference and ability of each resident. Evidence: Since the last inspection the home had developed a fuller programme of activities which was based on the preferences of those living at the home. People told us that they enjoyed the activities on offer, which included trips out, tea parties, cards club, gardening club, quizzes. They also told us that they could choose to spend their time as they wanted to do. Some people preferred to spend periods of time on their own at times. During our inspection we heard much laughter coming from the lounge where a quiz was underway. It was evident that everyone was enjoying themselves. Since we last visited the home people living there had received a newsletter every other month. This informed residents about what was going on in the home. The activities notice board had been moved to the front hall so that everyone coming in and out of Bosworth could see at a glance what activities were available. People we spoke with told us that their visitors were always made welcome and that Care Homes for Older People Page 14 of 24 Evidence: they could conduct their visits in private. One person said: The home encourages links with the local community. It also fosters a sense of Home. During our inspection we saw residents enjoying their lunch in the dining room. People told us they enjoyed the food and that the menu offered choice. People told us The food is excellent; I like the food and I can have what I like. Care Homes for Older People Page 15 of 24 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 use the service are able to express their concerns, and have access to a complaints procedure. Protection from abuse is promoted. Evidence: To ensure residents and their representatives have access to the complaints procedure it is included in the information pack given to each resident. People told us that they knew how to complain and felt confident that if they had concerns or complaints they will be listened to and taken seriously. The home has developed and implemented written policies and procedures for the protection of residents from abuse or neglect and provides all staff with training in the understanding of abuse and their role in protecting residents from abuse in its many forms, including neglect. Care staff spoken with during the inspection confirmed that they had received such training. Care Homes for Older People Page 16 of 24 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. Bosworth is a safe and comfortable place to live. Evidence: During our inspection we toured the premises. We saw that the refurbishment programme was well underway. All communal areas had been painted and recarpeted. Residents confirmed that they had been consulted throughout the refurbishment and had been able to choose the carpets and paints. All areas we visited were clean, bright and comfortable. Residents were able to personalise their bedrooms with pictures, furniture and a variety of mementos. A programme of routine maintenance was ongoing. The home was able to show us that generally equipment and facilities in the home were serviced regularly. However the responsible individual was unable to show us a gas safety certificate. To ensure that all gas appliances are safe we have recommend that the registered person have this certificate in place. In one room we found that the water temperature was very hot, which could have posed a risk to the occupant of the room. Once we highlighted this problem to the responsible individual she took immediate steps to minimise any risks to people living in the home. Care Homes for Older People Page 17 of 24 Evidence: General bathrooms and toilets were clean and well presented. However we saw that, in addition to paper hand towels, there was a number of terry towelling hand towels. This posed a risk of cross infection and we recommended that the home review their infection control policy and procedures and possibly remove them. Care Homes for Older People Page 18 of 24 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. Sufficient care staff are employed to meet the needs of residents. Robust recruitment procedures are in place to protect residents from the risk of unsuitable staff working at the home. Generally staff are given the training and support so that they can give a good standard of care to the residents living at the home. Evidence: We reviewed the duty rotas and found that sufficient staff were on duty to meet the needs of the people living in the home. At the time of inspection the care staff were also responsible for some cleaning duties but extra time for this was scheduled into the rota. Mrs Wells told us that she was in the process of recruiting domestic staff. Extra time was also given for staff to organise and carry out social activities. The staff training programme is ongoing. We saw records which told us that all staff had received mandatory training and new staff were undergoing induction training in line with the skills for care common induction standards. Staff confirmed that this training was in place. 66 of care staff held the NVQ 2 award in care. Care Homes for Older People Page 19 of 24 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 home is well organised and the daily management and running of the home centres round the care of residents. Good management practice, systems in place, and records kept, confirm the health and safety of all in the home. Evidence: Ms Connelly had been appointed manager at the time of our last random inspection in August 2009. She is now in the process of submitting an application to the Care Quality Commission to register as manager. Therefore standard 31 could not be fully assessed during this inspection. However it was evident that Mrs Connelly and Mrs Wells manage the home well between them. Staff and residents confirmed that they were very approachable and supportive. One person told us: Since our new manager has stated I feel there is more positivity in the building. Each member of staff has a specific task which I think brings a bit more structure to the way staff work. The management team had ensured that robust recruitment processes were in place Care Homes for Older People Page 20 of 24 Evidence: so that residents could be confident that they would be cared for by suitable staff. Since the last inspection a robust quality assurance process had been put in place. Residents views had been sought and action taken to ensure their wishes were adhered to. Regular reviews of care plans, accidents and medication also helped to ensure that people living in the home had the appropriate care. We saw that the manager had undertaken supervision sessions with individual members of staff and staff confirmed that they felt well supported by the management team. The home holds a small amount of money for some residents at their request. This was well recorded and audited on a regular basis. Generally their were suitable health and safety policies and procedures in place. A record of any accidents to staff or residents was maintained and audited to identify if there were particular trends. Staff had suitable training in moving and handling and fire safety. Care Homes for Older People Page 21 of 24 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 22 of 24 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 25 5 Pre-set valves of a type unaffected by changes in water pressure and which have fail safe devices must be fitted locally to provide water closed to 43 C. To minimise ther risk of burns and scalds 26/11/2009 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 7 Daily records should reflect the well/ill being of the resident and show whether the care given is effective. Where people suffer pain a record should be kept as to whether the condition improves or deteriorates. The home should ensure that creams are discarded in line with the manufacturers recommendations. The home should ensure that every effort is made to minimise the risk of cross infection and consider removing terry hand towels from communal toilets. 2 3 9 26 Care Homes for Older People Page 23 of 24 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. Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 24 of 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!