Inspection on 12/05/05 for Birch Hill

This inspection was carried out on 12th May 2005.

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

Birch Hill 15/12/08

Birch Hill 29/01/07

Birch Hill 07/12/05

Birch Hill 04/11/04

Birch Hill 13/05/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Birch Hill Norham Berwick upon Tweed Northumberland TD15 2JZ Lead Inspector Anne Urwin Brown Unannounced 12 May 2005 08:30 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 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Birch Hill B53-B03 S549 Birch Hill V222209 120505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Birch Hill Address Norham Berwick upon Tweed TD15 2JZ Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01289 382216 01289 382087 teresa.culbertson@ben.org.uk BEN - Motor & Allied Trades Benevolent Fund Mrs T Culbertson CRH 26 Category(ies) of DE(E) Dementia - over 65 (2) registration, with number OP Old age (24) of places Birch Hill B53-B03 S549 Birch Hill V222209 120505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: There are no conditions of registration. Date of last inspection 04.11.04 Brief Description of the Service: Birch Hill is situated on the edge of Norham village, whichis approximately eight miles from Berwick upon Tweed. There are local bus services to Berwick where there is a main line railway station. Birch Hill is a detached house situated in its own attractive gardens with views of the village and the river Tweed. The Home is owned by BEN Motor and Allied Trades Benevolent Fund and is registered as a charity. Birch Hill provides comfortable, homely accommodation for up to twenty-six elderly people two of whom suffer some degree of dementia. Birch Hill B53-B03 S549 Birch Hill V222209 120505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection lasted four hours and involved talking to residents, the Manager and staff; inspection of records and a tour of the building. Residents said that they were satisfied with the quality of care provided. They spoke highly of individual staff. A good rapport existed between residents and staff. Care plans seen during the inspection contained appropriate information about each person’s care needs and the support required. The Home is well furnished and appointed and residents are not required to share a room unless they have chosen to do this. There is a homely atmosphere in the Home. Staff have appropriate training provided to ensure that they are able to meet residents’ needs. Staff feel able to put forward their views about the running of the Home to the Manager or to the line Manager who visits regularly. What the service does well: What has improved since the last inspection? An additional en-suite has been installed in one bedroom. There continues to be a commitment to enabling staff to access qualifying training. Birch Hill B53-B03 S549 Birch Hill V222209 120505 Stage 4.doc Version 1.30 Page 6 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. Birch Hill B53-B03 S549 Birch Hill V222209 120505 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Birch Hill B53-B03 S549 Birch Hill V222209 120505 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 3, 4, 5, 6 Each resident has a written contract with the Home. Residents have their needs assessed before moving into the Home. Arrangements are in place to ensure that residents’ needs are met. Pre visits are arranged to the Home so that prospective residents and their family are aware of the facilities and service provided. Birch Hill does not provide intermediate care. EVIDENCE: The Manager confirmed that all residents receive a written contract stating the terms and conditions of residence. One resident was able to confirm that she had received a contract when she was admitted. Every resident has a full assessment of their needs before they are admitted. Records were available to confirm this. If the person has a Care Manager information about the assessment is sent to the Home prior to admission, where there is no Care Manager the Home’s staff carry out the assessment. The Manager and staff described how the person and their family are involved in this process. Birch Hill B53-B03 S549 Birch Hill V222209 120505 Stage 4.doc Version 1.30 Page 9 Pre-visits to the Home and a trial period are arranged to suit individual needs. Relatives are also encouraged to visit the Home. Residents were able to confirm that they visited the Home before coming to live there. Information was available in one resident’s file to confirm this practice. Birch Hill B53-B03 S549 Birch Hill V222209 120505 Stage 4.doc Version 1.30 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8 Care plans providing details of each resident’s needs are in place. Staff promote and maintain residents’ health and ensures access to health care services to meet assessed needs. EVIDENCE: Three residents’ files were checked. These contained individual care plans based on the assessment carried out at the time of admission. Evidence was available of regular review of the care plan. Risk assessments were available in an appropriate form. Staff were able to confirm that they knew the content of care plans and that they are involved in drawing up and reviewing the plans. Three residents stated that staff were aware of their needs and that they were satisfied with the support provided. Evidence was available from records that individual health care needs are identified and met. Records showed that health care professionals are consulted and visit regularly and as needed. The Manager confirmed that there is a good level of support from local health care professionals. Birch Hill B53-B03 S549 Birch Hill V222209 120505 Stage 4.doc Version 1.30 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 13, 14 Residents are encouraged to maintain contact with relatives, friends and the local community. Residents are helped to exercise choice and control over their lives. EVIDENCE: Residents stated that they are able to maintain contact with family and friends and that staff assist them to do this. Links with the local community are encouraged and residents regularly attend the church, local history society and the parish council meetings. Records and discussion with residents and staff confirm that residents’ routines are organised to suit individual choice. Residents said that they are able to choose where they take their meals and at what time. Birch Hill B53-B03 S549 Birch Hill V222209 120505 Stage 4.doc Version 1.30 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 Residents feel confident about making a complaint to the staff and know that their concerns will be taken seriously. There is a simple, clear and accessible complaints procedure in place. EVIDENCE: Residents said that they could make a complaint to a member of staff or the Manager. They said that they were confident that this would be taken seriously. Staff knew that there were written policies and procedures relating to complaints. They were able to give appropriate examples of how they would assist a resident to make a complaint. Complaint records were available for inspection and these provided appropriate information about the investigation and outcome of complaints. No complaints have been made since the last inspection. Birch Hill B53-B03 S549 Birch Hill V222209 120505 Stage 4.doc Version 1.30 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 26 The Home is clean, pleasant and hygienic. EVIDENCE: A tour of the building was carried out and the Home was clean and no unpleasant odours were noted. Evidence was available that appropriate cleaning routines are in place. The Manager reported that appropriate training is provided in infection control and one member of staff regularly attends sessions with the Infection Control link nurse. Written Guidance is in place for Health and Safety and Infection Control. Records and discussion with staff confirmed that appropriate training has been provided and that they were aware of written guidance. The laundry is fitted with appropriate equipment. A sluice is available. Water services have been checked and records confirm this. Radiators can be individually controlled. The central heating system is regularly serviced. Residents stated that they were satisfied with the standard of cleanliness in the Home. Birch Hill B53-B03 S549 Birch Hill V222209 120505 Stage 4.doc Version 1.30 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 Staffing at the time of this inspection was sufficient to meet the needs of the residents. EVIDENCE: The rotas showed that generally there are four care staff are on duty in the mornings and three in the afternoon, although there has been an increase to four in the evenings to meet identified needs. Two waking staff are on duty from 10pm to 8am. There is a senior member of staff on each shift. The Manager provided information that showed that fourteen staff have an appropriate qualification in care. This is to be commended. Residents stated that they feel there are enough staff to meet their needs. Birch Hill B53-B03 S549 Birch Hill V222209 120505 Stage 4.doc Version 1.30 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38 Health, safety and welfare of residents is promoted and protected. EVIDENCE: Records were available to confirm Moving and Handling, First Aid, Fire Safety, Food Hygiene and Infection Control training is provided at regular intervals. Staff stated that there are regular training events covering these areas. Records confirmed that there are arrangements in place for regular checks/servicing of the central heating system, water temperature, electrical equipment, fire system. Written evidence was not available to confirm that weekly fire alarm tests are carried out. Fire risk assessments were in place. Records of accidents are maintained appropriately. The Manager confirmed that Induction and Foundation training is provided for all new staff. Birch Hill B53-B03 S549 Birch Hill V222209 120505 Stage 4.doc Version 1.30 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 4 14 3 15 x COMPLAINTS AND PROTECTION x x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x x x x x x 3 Birch Hill B53-B03 S549 Birch Hill V222209 120505 Stage 4.doc Version 1.30 Page 17 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. 1. 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. 1. Refer to Standard Good Practice Recommendations Birch Hill B53-B03 S549 Birch Hill V222209 120505 Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection Northumbria House Manor Walks Cramlington, Northumberland NE23 6UR 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. Extracts may not be used or reproduced without the express permission of CSCI Birch Hill B53-B03 S549 Birch Hill V222209 120505 Stage 4.doc Version 1.30 Page 19 - 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!