Inspection on 11/01/07 for 36 Bramley Road

This inspection was carried out on 11th January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

36 Bramley Road 06/01/09

36 Bramley Road 24/01/06

36 Bramley Road 19/09/05

36 Bramley Road 25/02/05

36 Bramley Road 28/10/04

36 Bramley Road 02/02/04

Similar services:

Hillside

Applegarth

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Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 36 Bramley Road Market Deeping Peterborough PE6 8JG Lead Inspector Mr Toby Payne Key Unannounced Inspection 11th January 2007 02:30 36 Bramley Road DS0000002495.V325334.R01.S.doc Version 5.2 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 36 Bramley Road DS0000002495.V325334.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 Adults 18-65. 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. 36 Bramley Road DS0000002495.V325334.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 36 Bramley Road Address Market Deeping Peterborough PE6 8JG 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) 01778 348125 www.sense.org.uk Sense Vacant Care Home 4 Category(ies) of Sensory impairment (4) registration, with number of places 36 Bramley Road DS0000002495.V325334.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Condition of Registration All four service users must have a learning disability and either a physical disability or a sensory impairment. 24th January 2006 Date of last inspection Brief Description of the Service: 36 Bramley Road is part of a group of homes in the area, managed by Sense. The home is a two storey house located in a residential area of the town of Market Deeping, not far from the town centre, which has a range of shops and local facilities. The property is domestic in design and in keeping with other houses in the road and has a small garden at the rear. The home is registered to provide personal care for up to 4 people with dual sensory impairments. On the day of the inspection there were 3 people living in the home. All of the people live in single bedrooms. There is no stair or shaft lift installed. The stated aims and objectives are to provide a safe and supportive environment, based on best care values for people who are deaf/blind, to promote a presence in the community through the use of local amenities and services and to build and maintain good relationships and a positive image. The home’s statement of purpose confirms that the minimum staffing ratio of the home is one staff member to 2 residents during the day and at night one wakeful member of staff and one who is sleeping in and on call. In view of the communication needs of people living in the home, the inspector relied on observations between staff and the residents, information provided by staff members and records as evidence as to whether standards were being met. Since the last inspection in January 2006 alternative, more suitable accommodation had been provided by Sense and the existing residents had moved to a new home in Quadring. This had been planned in order to improve their quality of life. This had proved very successful. As a result of this, the home had been empty from May 2006 to December 2006. Following a major refurbishment and redecoration programme 3 residents had been transferred from a home in Skegness, which had also gone through a programme of planned closure. 36 Bramley Road DS0000002495.V325334.R01.S.doc Version 5.2 Page 5 36 Bramley Road DS0000002495.V325334.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was unannounced and started at 2.30 pm. It was undertaken using a review of all the information available to the inspector about 36 Bramley Road. It took place over 4 hours. The inspector spoke to 2 members of staff and the acting manager. The main method of inspection was called “case tracking”. This involved selecting 2 residents and tracking the care they received through the checking of records, discussion with the care staff and observation of their care What the service does well: 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. 36 Bramley Road DS0000002495.V325334.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 36 Bramley Road DS0000002495.V325334.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1 and 2 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. There has been a very smooth transfer and considerable efforts have been made to ensure that this has caused as little distress to the residents. There was information available to enable people coming in to the home to know about the home and service provided. EVIDENCE: The home had been empty since May 2006 but reopened following a major refurbishment in December 2006 to receive 3 residents from a home operated by Sense, which closed in Skegness. There was evidence there had been a lot of thought taken, in order to ensure the smooth transition to this new home. Staff from the previous care home operated by Sense spent 2 days with the staff in this home and this ensured a very smooth transition. The acting manager was going to review the statement of purpose and service user’s guide in order to reflect the changes in the home since it became operational on the 27/11/2006. These documents were last reviewed in June 2006. The information was very clear and detailed and included Sense’s 36 Bramley Road DS0000002495.V325334.R01.S.doc Version 5.2 Page 9 mission statement, including values and aims and objectives together with specific aims and objectives for 36 Bramley Road. They could be produced in large print, Braille, CD Rom, pictorial symbols and languages other than English. Each person had a contract/terms and conditions of residency. This was contained in Sense East terms and conditions. 36 Bramley Road DS0000002495.V325334.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7 and 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. There is detailed care planning which includes risk assessments. The health and welfare of the residents is therefore fully met. People are encouraged to make decisions for themselves and be independent with the support and guidance of staff. EVIDENCE: Each resident had a detailed care plan. All the residents past records had been transferred from the previous home. Care plans were very detailed and included details about their background/family, birthday, mobility, health and professional involvement, personal care, eating and drinking, speech, communication, social and emotional, making choice and specific needs. Each person also had information on how staff could relate to each person’s needs. 36 Bramley Road DS0000002495.V325334.R01.S.doc Version 5.2 Page 11 The care plans had been developed wherever possible with the involvement of the resident, their family/advocate and other relevant people. There were 6 monthly detailed reviews and risk assessments. These reviews included wherever possible the person and their family/advocate. There were very clear records including discussions about the best ways to manage the transfer from the previous care home to this new home. Where required, assistance could be obtained from other professionals to formulate risk management strategies. Care plans were individual, detailed and person focussed. There was evidence of reviews involving all associated in the resident’s needs. These included the resident, their family/advocate, representative of the home, representative of the Resource Centre and their social worker. The home also uses the advice/support of a behavioural therapist who visits the home every 6 months. 36 Bramley Road DS0000002495.V325334.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14, 15, 16 and 17 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Residents are involved in a range of meaningful and appropriate activities, which included educational activities. Residents also receive varied and nutritional meals EVIDENCE: A lot of effort had been made to ensure that the resident’s previous lives and interests had been replicated in this home. Each person attended the new Bourne Resource Centre operated by Sense Monday to Friday between 09.30 to 16.00 hours. There was a broad programme of activities. These included, horticulture, woodwork, pottery, crafts, jewellery, information technology, literacy and numeracy, personal and social development. Each person had their own programme. Each person also had a day at home each week at which they could decide what they wished to do. 36 Bramley Road DS0000002495.V325334.R01.S.doc Version 5.2 Page 13 The acting manager was also in discussions with a local supermarket in Market Deeping to arrange work experience for one of the residents who had this provided at the previous home. There were activities in the evenings, which included visits to the local Gateway Club, swimming, local pubs, cinema and stable management at stables operated by Sense. Residents within their risk assessments were supported/guided in housework, which included cooking, cleaning and laundry. All of the residents cook with staff supervision. They also chose what they wished to eat and the nutritional content was monitored. Meals were taken in the dining area of the lounge. At breakfast there was a choice including a hot meal. At lunch, when attending the resource centre there was a packed lunch and an evening meal provided a hot meal including a choice. All staff were required to prepare meals and all had food hygiene training provided. 36 Bramley Road DS0000002495.V325334.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s health and emotional needs were being met. Staff gave support and aided communication with the people living in the home. Medication was safely administered with staff who knew what they were doing. EVIDENCE: Information about the resident’s medical needs was also transferred across to the new home. Each resident was registered with a GP and their medical needs continued to be met. Care records clearly showed that any health or emotional needs were being met either by staff, specialist staff from Sense East or by the GP. Staff also showed knowledge of the particular needs of the residents. Where required, residents were referred to their GP, Community Nurse, Continence Nurse, Dentist and Optician and Podiatry. Sense also had access to a behavioural therapist. There were 6 monthly audiology and dental checks. Each person received an annual health check. Where required, staff would accompany residents to these services. 36 Bramley Road DS0000002495.V325334.R01.S.doc Version 5.2 Page 15 The home operated a “designated social tutor” system in order to give a specific member of staff responsibilities for a particular resident. Sense had detailed policies and procedures concerning the receipt, storage, handling, administration and disposal of medication. A new medication system was introduced in December 2006 and all staff had been trained. Up to date records were kept of the stock of medication. 36 Bramley Road DS0000002495.V325334.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Any complaints received are taken seriously and residents are protected from abuse. EVIDENCE: Sense East had produced a “Resolving Issues” policy, which gave written and pictorial guidance about how a resident can raise any issues. This could be provided in Braille, tape or other languages other than English. No complaints had been received by the CSCI and the home since the last inspection. The home had an adult protection policy and as well as a copy of Lincolnshire’s Adult Protection policy. As part of their detailed induction all staff received training about their role in identifying/preventing abuse. They also received a yearly refresher training programme in the form of a questionnaire at their appraisal 36 Bramley Road DS0000002495.V325334.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a safe, clean and a well decorated comfortable home. EVIDENCE: Since the last inspection and in preparation for the residents being transferred from the previous home there had been a major refurbishment and redecoration programme. This had provided a very welcoming and comfortable homely accommodation. The inspector saw a resident’s bedroom accompanied by a member of staff. The room was well decorated and very individual and comfortable. Staff had gone out of their way to ensure that residents became used to the layout of the home and their bedrooms. Two bedrooms have had laminate flooring provided on account of the individual needs of 2 of the residents. This had been agreed with the sponsoring authorities. Adaptations have been installed which included an overhead hoist, bath aid, hand rails, stair rail and flashing light system to the front door. 36 Bramley Road DS0000002495.V325334.R01.S.doc Version 5.2 Page 18 Sense carried out a health and safety audit in December 2006 and the home was clean and odour free throughout. 36 Bramley Road DS0000002495.V325334.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32, 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are safe levels of staff and staff know how to meet the resident’s needs. EVIDENCE: Care had been taken to ensure that the staff at this home knew about the needs of the people being transferred from the previous care home. Staff had come from that home for 2 days to help a smooth transition take place. Staff told the inspector this had been very successful and the new staff recruited had settled in the home and got to know the residents. There was a very relaxed atmosphere in the home and staff spoke of working as a team and of their appreciation of the support they received from the new manager. Records showed staff had been recruited correctly with a Criminal Records Bureau check and all new staff received a very comprehensive induction programme. There were 2 staff working towards a qualification in care (National Vocational Qualification) level 2. There was evidence of a good team working in the home. 36 Bramley Road DS0000002495.V325334.R01.S.doc Version 5.2 Page 20 The home was adequately staffed with employees who were experienced and competent to care for service users who have sensory impairments. All care staff were responsible for care, catering, domestic and laundry duties. They were therefore responsible for all the services in the home. Care staff supported the residents to be as independent as possible with these tasks. At night there was one wakeful and one sleep in member of staff who was available if required. 36 Bramley Road DS0000002495.V325334.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are lead by an experienced, competent and committed manager who supports the staff and residents. EVIDENCE: It had been agreed with the commission that the manager could jointly manage this home and another care home operated by Sense in Market Deeping. Sense was arranging for an application to be submitted to the commission for processing. The person had been employed by Sense for 8 years and had been a manager for 3 years. She had obtained a management qualification and was studying for a care qualification. She was also an assessor. She was reviewing the way policies and procedures were made available to staff and was to review the statement of purpose and service users guide to ensure it reflected the home. The acting manager was aware of what needed 36 Bramley Road DS0000002495.V325334.R01.S.doc Version 5.2 Page 22 to be addressed with regard to policies but had emphasised that the most important matter was to ensure that resident’s had settled in the home and that a new team had been created. This had clearly taken place with success. Staff felt they were valued and supported. There were detailed policies and procedures, which enabled staff to deliver care and support. Staff were seen to attend to residents in a confident, knowledgeable, and sensitive manner. They clearly knew the needs of each person and demonstrated excellent communication skills. A relaxed atmosphere pervaded the home. Sense had quality and monitoring systems in place and a comprehensive and detailed quality audit. This had included a questionnaire to purchasers, staff and the resident’s families. The home also received monthly unannounced visits by the Sense area manager and detailed reports of these visits were sent to the Commission. There were no concerns. Sense had achieved the Investors in People award as a result of its commitment to staff education and their development. Records examined on the day of the inspection were available, detailed, and up to date. There was evidence to show they had been reviewed regularly. Sense had comprehensive health and safety policies, which also included risk assessments. The last fire risk assessment was in October 2006. Sense also undertook a detailed health and safety audit on the December 2006. There were no concerns raised. Records were available to indicate that risk assessments had been undertaken. 36 Bramley Road DS0000002495.V325334.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 3 2 4 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 x 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 x 3 x LIFESTYLES Standard No Score 11 x 12 4 13 3 14 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x 3 3 x 3 x 3 x x 3 x 36 Bramley Road DS0000002495.V325334.R01.S.doc Version 5.2 Page 24 No 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 36 Bramley Road DS0000002495.V325334.R01.S.doc Version 5.2 Page 25 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 36 Bramley Road DS0000002495.V325334.R01.S.doc Version 5.2 Page 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. 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