Inspection on 14/03/06 for 4 Bruddel Grove

This inspection was carried out on 14th March 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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

4 Bruddel Grove 27/02/07

4 Bruddel Grove 03/10/05

4 Bruddel Grove 08/02/05

4 Bruddel Grove 16/08/04

Similar services:

Trevaylor Manor

Stallcombe House

Stroud Lodge

The Woodmill

Woodland Vale

Bolealler House

Claremont Nursing Home

Althea Park House

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

CARE HOME ADULTS 18-65 Bruddel Grove (4) 4 Bruddel Grove The Lawns Swindon Wiltshire SN3 1PW Lead Inspector Alyson Fairweather Unannounced Inspection 14th March 2006 10:30 Bruddel Grove (4) DS0000003203.V266813.R01.S.doc Version 5.0 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 Bruddel Grove (4) DS0000003203.V266813.R01.S.doc Version 5.0 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. Bruddel Grove (4) DS0000003203.V266813.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Bruddel Grove (4) Address 4 Bruddel Grove The Lawns Swindon Wiltshire SN3 1PW 01793 642378 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) Rethink Ms Thelma June Wilson Care Home 5 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (5) of places Bruddel Grove (4) DS0000003203.V266813.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd October 2005 Brief Description of the Service: 4, Bruddel Grove is a residential home offering support and accommodation for up to five people who have mental health needs. The service is run by Rethink, formally known as the National Schizophrenia Fellowship, with the property owned by Bromford and Carinthia Housing Association. The home is located in the Lawns area of Swindon, within easy access to Old Town, local shops, and other amenities. It is a two storey semi-detached building, and is situated in a cul-de-sac with a large, mature garden at the back, and parking outside at the front. The manager and staff of 4, Bruddel Grove, provide staff cover to another local Rethink project. This service provides supported accommodation, and is called 588 Cricklade Road. Bruddel Grove (4) DS0000003203.V266813.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over one morning on March 14th 2006. The registered manager was on duty, as well as several care staff. Three staff members and one resident were spoken to during the inspection. Written feedback has been received from two residents and three family members. Records examined included care plans, health and safety records, medication administration records and staff training files. What the service does well: What has improved since the last inspection? What they could do better: The home plans to introduce a new system of gathering residents’ views, and it would be useful for this to be introduced as soon as possible. Bruddel Grove (4) DS0000003203.V266813.R01.S.doc Version 5.0 Page 6 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. Bruddel Grove (4) DS0000003203.V266813.R01.S.doc Version 5.0 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 Bruddel Grove (4) DS0000003203.V266813.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Prospective service users have their needs, hopes and goals assessed and recorded before they move in to the home so that staff know how best to support them. EVIDENCE: No new residents have been admitted to the home since the last inspection, although there is a standard assessment procedure which would be used if this was to happen. Referrals are usually initiated by other professionals, as residents of Bruddel Grove have generally come from other settings within the mental health system. The referring mental health teams provide a copy of the most recent Care Programme Approach (CPA) plan, which gives details of how the potential resident can best be supported with their mental health needs. A risk assessment form is also sent to the referrer at this stage. Bruddel Grove (4) DS0000003203.V266813.R01.S.doc Version 5.0 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 Residents make their own decisions about their lives with assistance where needed. EVIDENCE: Residents are supported to make decisions about their own lives with guidance from the staff. They are encouraged to manage their own finances wherever possible, and to be as self sufficient as possible. Three residents manage their own money, and one asks staff for help when necessary. Where restrictions are in place, for example to limit self harm or harm to others, this is clearly recorded and guidelines are drawn up for staff to follow. One resident who is planning to move on from Bruddel Grove is planning to do her own food shopping and keep it in her own cupboard in order to encourage independence. She sometimes shops and cooks meals for her family. Bruddel Grove (4) DS0000003203.V266813.R01.S.doc Version 5.0 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 17 Residents’ rights are respected and responsibilities recognised in their daily lives. Residents are offered a healthy diet and enjoy their meals and mealtimes. EVIDENCE: Residents can choose when to be alone or in company, and when not to join an activity. They have unrestricted access to the home and grounds, and can come and go as they please. Some residents had gone out to day services on the day of the inspection, one was in bed asleep, and another was sitting in the lounge. Residents’ responsibility for housekeeping tasks, such as doing their laundry or tidying their room is specified in their care plan. The menu is planned on a weekly basis by residents at their weekly meeting, and any special diet can be catered for. Toast and cereal is generally served for breakfast, and lunch is usually a light meal, dependent on the residents’ activities. The main meal of the day is cooked in the evening and is usually prepared by staff with assistance from residents where possible, although all are encouraged to cook. Bruddel Grove (4) DS0000003203.V266813.R01.S.doc Version 5.0 Page 11 There was a good supply of fresh fruit and vegetables, and juices and yoghurts were also available. Staff have records of the food likes and dislikes of all residents, and healthy eating options are encouraged. The dining room is light and airy and comfortably furnished, so people can enjoy mealtimes together. Bruddel Grove (4) DS0000003203.V266813.R01.S.doc Version 5.0 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 Residents have control over their own medication wherever possible and the home’s medication policies and procedures ensure that they are safe when their medication needs are being met. EVIDENCE: Medication records examined were in good order. The home has a policy in place for all medication storage and administration, and all staff have medication training. One resident looks after her own medication, and staff support and encourage this. When the medication of one resident was checked, the amount which should have been in the bottle was exactly correct, and the manager explained that medication stock is counted each night and the total amount left is recorded. All medication due to be returned is itemised and saved individually until it is returned from to the pharmacy. All the medication administration records were appropriately signed and completed. A recent visit by the pharmacist had shown that the home’s systems were in good working order. Bruddel Grove (4) DS0000003203.V266813.R01.S.doc Version 5.0 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 Residents’ views are listened to, and any concerns are acted on. EVIDENCE: There is a complaints procedure in the home which outlines the steps to take if any one has a complaint. This gives details of how residents and families can contact the Commission for Social Care Inspection (CSCI) if they prefer to complain to an outside person. Regular residents’ meetings are held at which concerns can be raised. The manager was clear that residents would be able to discuss any concerns with her, and gave an example of when this had been done. There have been no complaints made either to the home or to the CSCI. One relative commented that they were “totally satisfied” with the care their relative received. Bruddel Grove (4) DS0000003203.V266813.R01.S.doc Version 5.0 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 The care which residents and staff take to maintain the home means that residents live in a homely, comfortable safe environment, which is clean and hygienic. EVIDENCE: Bruddel Grove is an attractive home, with two lounges, a dining room and a big, domestic style kitchen. It is light and airy, with comfortable furnishings. Each resident has their own bedroom, and these were homely and contained individual personal items. To the rear of the house is a large, secluded garden which one particular staff member has recently worked hard on, making it a safe and attractive feature for residents to use. The home was clean and hygienic, with policies and procedures in place for the maintenance of the building. There is a weekly cleaning rota, and all service users have a daily household task which they are encouraged to undertake with the support of staff. There was a distinctly friendly, homely atmosphere, with one resident having slung a coat over the banister at the bottom of the stairs. Another resident wrote that the house is always “nice and clean”. Bruddel Grove (4) DS0000003203.V266813.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 and 34 Residents are supported by competent and qualified staff, and they are protected by the home’s recruitment policies and practice. EVIDENCE: One staff member has NVQ Level 2 and two are starting NVQ Level 3. One staff member has NVQ Level 4 and a Certificate in Community Mental Health. He is also undertaking an NVQ Assessor Award. This is in addition to all the statutory and specialist training, including Mental Health Awareness, Early Intervention in Psychosis, Cultural Diversity and Medication Administration. Staff recruitment is assisted by Rethink’s human resources department. All potential staff members meet with residents informally and it is hoped that some will become more involved in the formal interview. Staff are interviewed using a standardised set of questions and a scoring system. All staff have Criminal Records Bureau (CRB) checks and are checked against the Protection of Vulnerable Adults (POVA) register. Two written references are also required. There is a six month probationary period, and the manager meets with staff half way through this period to review progress. All the staff files looked at contained the appropriate documentation. One family gave extremely positive feedback about staff, saying they had always found them to be “very caring and helpful”. Bruddel Grove (4) DS0000003203.V266813.R01.S.doc Version 5.0 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 and 39 Residents benefit from a well run home, and are confident that their views underpin the self monitoring and development in the home. EVIDENCE: The manager has an NVQ Level 5 in Operational Management and the City & Guilds qualification in Advanced Management of Care. She has been employed by Rethink for many years, and has substantial experience of working with people with mental health problems. She has recently had training in Negotiation Skills and has attended Rethink training on the Recovery model of mental health. The home is subject to both internal and external auditing. There are regular staff meetings, reviews with community psychiatric nurses about individual residents, and annual reviews for all residents. Staff are currently developing a new system of gathering information from residents and families, and regular monthly visits are paid to the home by a senior management representative, Bruddel Grove (4) DS0000003203.V266813.R01.S.doc Version 5.0 Page 17 with reports of these visits sent to the CSCI. The home recently had a Quality Assurance audit, gaining 91.7 and being awarded “Green” status. Bruddel Grove (4) DS0000003203.V266813.R01.S.doc Version 5.0 Page 18 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 X X X Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Bruddel Grove (4) Score X X 3 x Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X X x DS0000003203.V266813.R01.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? No 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 Bruddel Grove (4) DS0000003203.V266813.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Chippenham Area Office Avonbridge House Bath Road Chippenham SN15 2BB National Enquiry Line: 0845 015 0120 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. 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