Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 07/02/06 for Birdsgrove Nursing Home

Also see our care home review for Birdsgrove Nursing Home for more information

This inspection was carried out on 7th February 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home has ensured that the staff team are trained and experienced to carry out their roles and to meet the service users needs. Service users and relatives gave positive comments regarding the staff.

What has improved since the last inspection?

The staff training and knowledge has improved and which has been reflected in the care provided and better relationships with the service users and their families. The homes environment and the standard of cleanliness is of a higher quality.

What the care home could do better:

That the standard and quality of the furniture in the home is reviewed and ensure that it meets the needs of the service users. Service users commented that on occasions there was a delay in staff responding to them calling for assistance.

CARE HOMES FOR OLDER PEOPLE Birdsgrove Nursing Home Warfield Road Bracknell Berkshire RG12 2JA Lead Inspector Ruth Lough Unannounced Inspection 7th February 2006 10:45 X10015.doc Version 1.40 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 Birdsgrove Nursing Home DS0000010975.V280418.R01.S.doc Version 5.1 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 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. Birdsgrove Nursing Home DS0000010975.V280418.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Birdsgrove Nursing Home Address Warfield Road Bracknell Berkshire RG12 2JA 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) 01344 422261 01344 303173 birdsgrove@craegmoor.co.uk Southern Counties Care Limited Mary Jane Katherine Slater Care Home 87 Category(ies) of Dementia (20), Old age, not falling within any registration, with number other category (67) of places Birdsgrove Nursing Home DS0000010975.V280418.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users not to be admitted under 60 years of age for long term care. Service users under 60 years of age to be admitted for respite care only. 29th September 2005 Date of last inspection Brief Description of the Service: Birdsgrove Nursing Home is registered for 67 Old Age (OP) and 20 Dementia(DE) service users above the age of 60 years and is part of a group of care homes belonging to Craegmoor Healthcare ( Southern Counties Care Ltd). The home is situated on the borders of Bracknell town within a residential area on the main thoroughfare to the village of Warfield. The home is divided into three units determined by the development of the establishment over time. The Surrey Unit ( 25 ) originally a large converted domestic home, the Berkshire Unit ( 42 ) a purpose built 2 storey extension, and the Kent ( 20 ), built within the last decade for service users with dementia. Birdsgrove Nursing Home DS0000010975.V280418.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The visit to the home was a planned unannounced inspection to review the quality and outcomes for the service users living there. The inspection took place over 1 day and involved the inspector meeting service users, staff and relatives. Recruitment and administrative records were also reviewed. 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. Birdsgrove Nursing Home DS0000010975.V280418.R01.S.doc Version 5.1 Page 6 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 Outcomes Statutory Requirements Identified During the Inspection Birdsgrove Nursing Home DS0000010975.V280418.R01.S.doc Version 5.1 Page 7 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 the following standard(s): These standards were not reviewed on this inspection visit. EVIDENCE: As above. Birdsgrove Nursing Home DS0000010975.V280418.R01.S.doc Version 5.1 Page 8 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 the following standard(s): 10 The home has systems in place to ensure that service users privacy and dignity are upheld. EVIDENCE: The service users are provided with privacy for personal care, consultations with their GP’s and treatment within their own rooms. Staff are instructed of how they should treat service users at all times in the induction process and were seen to address service users appropriately. Service users spoken to confirmed that staff are friendly and respectful. Birdsgrove Nursing Home DS0000010975.V280418.R01.S.doc Version 5.1 Page 9 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 the following standard(s): These standards were not assessed on this inspection visit. EVIDENCE: As above. Birdsgrove Nursing Home DS0000010975.V280418.R01.S.doc Version 5.1 Page 10 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 the following standard(s): These standards were not assessed on this inspection. EVIDENCE: As above. Birdsgrove Nursing Home DS0000010975.V280418.R01.S.doc Version 5.1 Page 11 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 the following standard(s): 19 and 26 The standard of cleanliness and routine maintenance of the home has improved. EVIDENCE: The home has continued with its routine maintenance, renewal of carpets and some repainting since the last inspection visit. The majority of the home has had renewed flooring and bedrooms have been re-decorated as they have been made vacant. Some of the furniture in the communal spaces and service users rooms is worn and shabby in places. Relatives did comment to the inspector regard the poor quality of some of the furniture in the home. The home was fresh smelling and the majority of the home is kept clean. Relatives identified that the standard of cleanliness regarding furniture is not always maintained to a high level. Birdsgrove Nursing Home DS0000010975.V280418.R01.S.doc Version 5.1 Page 12 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 The numbers and skills of the staff employed meet the needs of the service users. The recruitment of staff is carried out appropriately. Staff are provided with the necessary training to carry out their roles. EVIDENCE: The home is divided into three areas and each area has a staff team of nurses, care staff and domestics that responsible for ensuring that the service users needs are met. Service users and relatives commented that on occasions there was a delay in staff responding to calls for assistance. The home has ensured that over 68 of the care staff have achieved NVQ level 2 and /or 3. They have another 10 staff that have commenced training for both levels. A senior nurse has commenced NVQ 4 to support the management team in developing their skills and knowledge. Three domestics have obtained NVQ level 1 and two have commenced NVQ level 2 in Hospitality. The recruitment process is carried out with shared responsibility with the companies Human Resources department. The recruitment files reviewed supported that sufficient information had been obtained in regard to verifying the identity of the individual and all the appropriate employment checks have been done. Birdsgrove Nursing Home DS0000010975.V280418.R01.S.doc Version 5.1 Page 13 The training programme for staff over the last year has focussed on ensuring that the mandatory health and safety retraining is achieved and that nursing skills are maintained. The home has recently commenced using a Personal Performance Assessment tool for the member of staff and the supervisors to identify training needs. The current training that has commenced and is planned for the next year includes for all staff a focus on caring for service users with dementia. The registered nurses are currently in a programme to develop knowledge and skills for catheterisation and caring for those with continence problems. There is a rolling programme of in house training for nursing skills, care planning, infection control and wound care. Birdsgrove Nursing Home DS0000010975.V280418.R01.S.doc Version 5.1 Page 14 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38 The management team are a skilled and experienced to run the home. The new quality assurance programme and processes will ensure that service users views of the service are sought. The home has suitable processes in place to protect service users finances and valuables. The home ensures that the health, safety and wellbeing of service users are protected. EVIDENCE: The manager has attended training to support her role within the home. This has included updates on supervision and appraisal skills, management and has further training planned. Birdsgrove Nursing Home DS0000010975.V280418.R01.S.doc Version 5.1 Page 15 The company has introduced a new detailed quality assurance programme to monitor standards and outcomes for service users in the home. A current exercise has been carried out in regard to the dementia care service provision provided in the home. This process identified deficits and planned programme of development and audit has commenced from this. The information from this and other quality assurance processes have not yet been formalised into a document that can be provided to service users or the CSCI. The home does not manage service users monies and has the necessary processes to support service users should they wish to do this themselves. These include assessment tools and secure lockable spaces in their rooms. Staff are given information in their induction process and the staff handbook in regard to protecting service users from financial abuse. The records for safe working practices and maintenance that were not reviewed in the last inspection were inspected. Routine programme of checks are carried out for fire safety, electrical equipment, moving and handling aids and the lift. Water testing and temperature control are monitored regularly. Staff are provided with the required training in the induction process and when required. Birdsgrove Nursing Home DS0000010975.V280418.R01.S.doc Version 5.1 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x x x x N/a HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 x 3 x x x x x x x STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 X X 3 Birdsgrove Nursing Home DS0000010975.V280418.R01.S.doc Version 5.1 Page 17 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. 1 Refer to Standard OP19 Good Practice Recommendations That the home review the furniture in used in the home to ensure that it meets the needs of the service users. Birdsgrove Nursing Home DS0000010975.V280418.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Berkshire Office 2nd Floor 1015 Arlington Business Park Theale, Berks RG7 4SA 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 Birdsgrove Nursing Home DS0000010975.V280418.R01.S.doc Version 5.1 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!