Latest Inspection
This is the latest available inspection report for this service, carried out on 28th July 2010. CQC found this care home to be providing an Adequate service.
The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.
For extracts, read the latest CQC inspection for Burgess Park Nursing Home.
What the care home does well There has been good progress on meeting the shortfalls we found on previous visits. Redecoration and refurbishment has improved the building so that the residents benefit from a more pleasant environment. One of the living rooms now has a fish tank and a cage of birds. Residents told us that they enjoy watching them. When we visited the staffing levels were good. Sufficient staff were available to meet the needs of the 38 residents present on the day of inspection. We found that referrals had been made to health care professionals as necessary. Some aspects of medication arrangements had improved since our last visit. Staff recruitment records were complete and we found that staff had been properly inducted before they worked directly with residents. We also found that care planning records had improved and that recording was more relevant, respectful and had been reviewed by senior staff in the home. What the care home could do better: Although some improvements have been made to the way that medicines are managed in the home, there are areas still to be addressed to be sure that residents are protected. We received some positive feedback about the meals but overall found that this area should be improved. We found that the options which had been displayed for residents to choose from were not always available. The menu does not adequately reflect the range of residents` cultures. Random inspection report
Care homes for older people
Name: Address: Burgess Park Nursing Home Burgess Park Picton Street Camberwell London SE5 7QH one star adequate service 27/04/2010 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Alison Pritchard Date: 2 8 0 7 2 0 1 0 Information about the care home
Name of care home: Address: Burgess Park Nursing Home Burgess Park Picton Street Camberwell London SE5 7QH 02077032112 02077014220 burgesspark@schealthcare.co.uk www.schealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Grzegorz Zbigniew Bielinski Type of registration: Number of places registered: Conditions of registration: Category(ies) : Exceler Healthcare Services Limited care home 60 Number of places (if applicable): Under 65 Over 65 60 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users who can be accommodated is: 60 The registered person may provide the following category of service only: Care home with nursing (CRH - N) to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Date of last inspection Brief description of the care home Burgess Park Nursing Home is located in a residential area of Camberwell. The home is registered to provide care for sixty older people who have nursing needs.
Care Homes for Older People Page 2 of 11 2 7 0 4 2 0 1 0 Brief description of the care home The facilities in the home are spread over three floors. There are lounges on the ground and first floors of the home and dining facilities are on the ground floor. Bedrooms are located on all three floors of the home. Twenty three of the bedrooms have en-suite facilities. There is a passenger lift allowing all residents to have access to all parts of the home. There is a garden to the front of the home and parking is available on the street and in a small car park to the side of the home. The current manager has been in post since early November 2009. Care Homes for Older People Page 3 of 11 What we found:
We carried out this random inspection so that we could look at the progress made towards meeting the shortfalls we found when we last visited in April 2010. Three inspectors visited the home on this occasion for one day at the end of July 2010. One of the inspectors is a Pharmacy Inspector. During our visit we spoke to residents, relatives and staff as well as the Registered Manager of the home and representatives of the Southern Cross management team. Health and personal care We looked at three care plans and spoke with nurses about the care of the selected residents. Staff spoke confidently and knew the residents and their needs well. The care plans contain a useful section that provides staff with concise life history information. This helps staff to know more about the residents and their lives and interests. The files seen were well organised and the information was readily accessible. All of the care plans, health assessments and risk assessments seen had been reviewed regularly and changes in need noted and addressed. For example, when regular weight checks show that a resident is losing weight staff have quickly informed the GP who has made a referral to a dietician. One resident had recently had dietetic input and is now slowly regaining the weight lost. A visitor told us that they were pleased that their relative had put on weight since coming to live at the home and felt they had come on leaps and bounds, which she put down to good care. During a tour of the premises we noted that some residents had small laminated cards in their bedrooms reminding staff to offer spectacles and hearing aids to residents when they get up in the morning. A resident we spoke with had been given his hearing aid to wear. Medication We inspected the way the home manages peoples medicines, and we found that there have been clear improvements since the last inspection when we found that some medicines had run out, people were not always receiving medicines as prescribed and records of medicines given needed to be improved. At this inspection, we found that medicines are being stored and used safely. Medicine storage areas have been changed, all medicines are now stored in a larger room, which gives staff more space to prepare medicines, and this room is air conditioned so medicines are kept at the right temperatures. All prescribed medicines were available at the home and records showed that people are receiving their medicines at the time they need them, and medicines are given in safe way. Staff had retraining in medicines handling in June 2010, and the home manager is in the process of completing competency assessments for all nurses who give medicines. Staff now check the medicines records 3 times a day to make sure people have received their medicines on time and that records have been completed accurately.
Care Homes for Older People Page 4 of 11 The home manager is also having regular meetings with the pharmacist and GP practice to make sure medicines are received on time. These meetings have been effective. One person is receiving support from the local hospice for end of life care. The nurse in charge of the floor this person is living on told us they had not had any palliative care training.We asked how this person would be cared for, and the home manager told us that himself, the deputy manager and 2 nurses on other floors have had training in palliative care so they would be able to provide care for this person. The home manager also told us that the palliative care team come in almost every day. We inspected the records of the medicines this person is being given for pain relief. The records could be made clearer as staff had signed the homes internal records to say 3 palliative care medicines to be given by infusion had been started the day before the inspection, the hospice records had been signed to say 2 had been started, however staff confirmed that none had been started and were due to be started on the day of the inspection. As these medicines are controlled drugs, care must be taken to complete records of use accurately as this could lead to errors resulting in people not receiving their medicines as prescribed. There was a large backlog of unwanted medicines in the medicines room which should have been returned to the clinical waste company for disposal. These should be written into the disposal log but there were medicines kept unlocked on the counter in the medicines room, and also medicines in a crate for disposal which had not been entered into the disposal log. The home manager explained that this was because the home had recently changed the company who takes away unwanted medicines, and the new company was due to collect soon. Medicines must be entered into the disposal log as soon as they are no longer needed or refused by people, because the home must be able to account for the use of all medicines for the safety of people at the home. Activities We observed that some residents were seated in the front garden having drinks and listening to music. The weather was fine. There is a well stocked activities craft room for residents to use if they wish. There is a communal lounge with caged birds and a tank of fish. There is also a house cat. There is a communal lounge with television and music. There is another communal lounge with an alcoholic drinks bar. Staff and residents call this room The Pub. The pub has been redecorated recently. A notice board on the ground floor has photographs of one resident enjoying a fire brigade display at the local primary school, situated close to the home. We spoke to the resident and he said he had enjoyed the activity. Food and meal times One of the inspectors spoke with a resident who had moved in to the home recently. He said that the staff are alright and so was the food. Care Homes for Older People Page 5 of 11 Another resident has lived in the home for many years. She spoke with one of the inspectors and said that the staff treated her fine but that the food was not to her liking and alternative choices were not always available. Two other residents commented about the food. One said that the quality of the meals was only adequate, rather than good and the other resident said that the meals could be better. Another comment that a visitor made to us about the food was that the meal today did not suit the needs of their relative. We sampled the lunch that was being served, gammon, mashed potato, cauliflower and quiche. It tasted salty. One of the residents was heard to comment that she also found the meat too salty. We observed part of a lunch time and saw that there were sufficient staff available to assist residents to eat in a calm and unhurried way. The days lunch menu was hand written on a notice board on the dining room wall. The lunch menu options were difficult to read and residents may find a printed table top menu easier to choose from. We looked at menus and records of meals served in the home and noted that the rolling menu programme was not always followed. Fish fingers had been served on two consecutive days before the inspection and the rolling menu programme did not correspond with the meals served on many days. We asked one of the catering staff how specific nutritional and cultural needs are being catered for. The member of staff showed us a file in the kitchen with information about individual dietary requirements, for example enriched meals and low potassium diets. The caterer said that enrichment was done by adding cream to things like mashed potato. During a tour of the premises we saw that one resident was being nursed in bed as she did not feel well. A carer was helping her to have a drink and said that she would usually be able to lift the cup herself but as she was not well today the carer was offering and providing assistance. The home is located in a culturally diverse area and the current resident group reflects this diversity. Cultural meals options are not available at present but the caterer said that frozen spicy chicken ready meals were being considered. We discussed this with the home management team at the end of the inspection and they agreed that better options and suppliers were available locally and this was an area that they planned to improve. Meals are currently served in a ground floor dining room next to the serving hatch and kitchen. The manager showed us a room on the first floor that is being redecorated to be turned into a second dining room. He said he hoped that this would provide residents with an alternative to eating in the existing dining room or in their bedrooms. Environment The manager said that the home is undergoing extensive redecoration at the time of this inspection. We saw that communal areas are newly decorated and brighter. Bedrooms and bathrooms are being redecorated or already have been. Decorators were decorating the corridors and the manager is arranging for residents art work to be displayed around
Care Homes for Older People Page 6 of 11 the home. During the tour of the premises we noted that many bedrooms are personalised. Two wet bathrooms are being fitted shortly. The laundry room is small and there are imminent plans for equipment to be moved to make the room easier for the laundry staff to work in and for the room to have new flooring and redecoration. There is another laundry room where clean laundry is stored. This room is also small and cluttered. There is a hairdressing salon and this has been redecorated in bright colours and salon style photographs are displayed. There were no unpleasant odours in the building which is bright and well ventilated. The home was reasonable clean and tidy although some waste bins were broken. The manager said new waste bins were on order. At the last inspection we were concerned about the poor condition of small kitchenettes on the first and second floor. We issued a requirement about this. The manager said that small kitchenettes on the first and second floors are now closed as they are not fit to be used. The requirement is therefore met. One resident said he had seen a mouse in his bedroom but said he was not worried about it. We asked the home manager about this and he said that pest control firm visits regularly and the problem had already been addressed. As recommended in the last report, a safety barrier is now available should lift repairs be needed at any time. This makes the building safer for residents, staff and visitors. Requirements made in the last report in regards to improving the physical environment are all met and the provider has provided a detailed refurbishment plan. Staffing Although there are a high number of vacant placements at the time of this inspection the home manager said that staffing levels had been reviewed and increased in response to a requirement we made at the last inspection. Staff spoken with said that they felt that the home is adequately staffed and they have time to do what they need to do on each shift. A resident said that he could always find staff if he needed assistance. The manager updated us about current staffing levels. He said that there are three nurses and between six and eight carers during the day time and at night there are two nurses and three or four carers on duty. Some of the carers are senior carers. There is an out of hours emergency on call system staffed by the manager and deputy who take turns to be on duty. We checked some recruitment records of staff who have started work at the home since out last visit. We found appropriate checks and references on file along with written evidence of an induction programme and recent in house training courses. Care Homes for Older People Page 7 of 11 What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 8 of 11 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 9 13 The Registered Provider must 10/09/2010 ensure that there are effective arrangements in place for the ordering, recording, administration and disposal of medicines, in particular ensuring that Medicines records accurately reflect when medicines have been given and why they have been omitted or changed. Discontinued medicines are returned promptly to avoid being used in error. Allergy information is recorded for all residents This will protect the health and safety of service users. Care Homes for Older People Page 9 of 11 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 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 2 15 15 The registered provider should take steps to improve the quality of the food served in the home. Culturally appropriate meal options should be available. Care Homes for Older People Page 10 of 11 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 11 of 11 - 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!
