Inspection on 03/10/06 for Bracken Ridge Manor Nursing Home

This inspection was carried out on 3rd October 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

Bracken Ridge Manor Nursing Home 13/12/05

Bracken Ridge Manor Nursing Home 31/03/05

Bracken Ridge Manor Nursing Home 09/09/04

Similar services:

Ashlea Mews Residential Home

Eastwood

West Lodge

Arran House

Avenue Community Nursing Home

Cosin Lodge

Farmborough Court

Cragston Court

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

CARE HOME ADULTS 18-65 Bracken Ridge Manor Nursing Home 16/18 High Street Loftus Saltburn-by-Sea TS13 4HW Lead Inspector Val Daly Key Unannounced Inspection 3rd October 2006 09:30 Bracken Ridge Manor Nursing Home DS0000000147.V314021.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 Bracken Ridge Manor Nursing Home DS0000000147.V314021.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. Bracken Ridge Manor Nursing Home DS0000000147.V314021.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bracken Ridge Manor Nursing Home Address 16/18 High Street Loftus Saltburn-by-Sea TS13 4HW 01287 640776 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) Ms Barbara Hoggarth-Ewens Miss Carol Holdsworth Mrs Helen Lauraine Tyreman Care Home 17 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (17) of places Bracken Ridge Manor Nursing Home DS0000000147.V314021.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The Manager (Mrs Helen Tyreman) should attain a relevant Management qualification by 2006 One named individual who is above the age category is allowed to reside in the home. 13th December 2005 Date of last inspection Brief Description of the Service:. Bracken Ridge Manor is a 17-bedded care home with nursing for Adults with Mental Health Problems. The home is a converted property on 3 floors with the majority of bedrooms being on the first floor and second floor and the usual living accommodation on the ground floor. There are 11 single rooms and 3 double rooms, 2 rooms have en-suite WC and hand basins. The home is situated on the High Street at Loftus with easy access to local amenities and directly on a bus route. Many of the service users have lived in the home for a number of years. Bracken Ridge Manor creates a homely, clean and welcoming environment for the residents, which allows for a domestic and family feel. The weekly fees for the home are from £330 to £340. Bracken Ridge Manor Nursing Home DS0000000147.V314021.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was a key inspection and was completed by one inspector over one day. As a key inspection, all of the key standards were examined. A tour of the home took place, residents records were examined, records including accidents, complaints and menus were looked at and a resident, a member of staff and the manager were engaged in discussion about life at Brackenridge Manor. What the service does well: What has improved since the last inspection? What they could do better: The adult protection procedure needs to include informing Social Services Department. Bracken Ridge Manor Nursing Home DS0000000147.V314021.R01.S.doc Version 5.2 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. Bracken Ridge Manor Nursing Home DS0000000147.V314021.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 Bracken Ridge Manor Nursing Home DS0000000147.V314021.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this area is Good. This judgement has been made from evidence gathered before and during a visit to this service. Each resident’s care needs are assessed prior to the move to the home, and periodically thereafter. This will help ensure that each resident’s needs are met at the home and inappropriate admissions avoided. EVIDENCE: Two residents files were examined and they both contained a full detailed assessment of needs. Further assessments are carried out on a regular basis and include the resident, where appropriate and key worker. Bracken Ridge Manor Nursing Home DS0000000147.V314021.R01.S.doc Version 5.2 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): 6, 7 & 9 Quality in this area is Good. This judgement has been made from evidence gathered before and during a visit to this service. Residents are supported to take risks within a risk management framework. This helps to ensure they remain safe and that their independence is promoted. EVIDENCE: Residents are involved in their individual plans of care depending on their ability. The key worker carries out reviews and one to one discussions take place with the resident. Each resident has individual risk assessments depending on their needs and activities that they carry out. The risk assessments are detailed and are either reviewed annually or as the situation changes. The residents are aware of the risk assessments and take part in the reviews if they are able or wish to. Bracken Ridge Manor Nursing Home DS0000000147.V314021.R01.S.doc Version 5.2 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): 12, 13, 15, 16 & 17 Quality in this area is Excellent. This judgement has been made from evidence gathered before and during a visit to this service. Resident’s rights are respected and routines in the home are flexible. Good contact is maintained between residents and their friends and relatives. EVIDENCE: The residents enjoy a wide range of activities at home, board games include, ludo, snakes and ladders and dominoes. Locally some of the residents attend a luncheon club weekly, Village Arts, computer classes and enjoy swimming. MIND is a short taxi ride away where residents take part in arts and crafts and social games. One resident enjoys independent trips to Middlesbrough and another goes further on the train to Darlington. Holidays are arranged as to what the residents prefer, some like a few days away and others have day trips. The manager has been in post for many years as have the majority of the staff. This ensures a consistent approach with the residents. It was noted that staff are respectful towards residents and are aware of their individual rights in their daily lives. The menus showed that a variety of home cooked food is offered to the residents. Bracken Ridge Manor Nursing Home DS0000000147.V314021.R01.S.doc Version 5.2 Page 11 A menu is put on the notice board every morning and there are choices for every meal. If residents do not like any of the food on the menu they only need to ask the cook and she will make an alternative. Food is often a topic discussed in residents’ meetings and suggestions for changes are encouraged. Bracken Ridge Manor Nursing Home DS0000000147.V314021.R01.S.doc Version 5.2 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): 18,19 & 20 Quality in this area is Good. This judgement has been made from evidence gathered before and during a visit to this service. Residents receive good support from staff to ensure that their personal, physical and emotional needs are met. The homes procedures for storing and administering medication are robust to safeguard the residents. EVIDENCE: The care plans examined detailed the personal support needed and given. All residents in the home have their own General Practitioner, some attend appointments on their own and others require an escort. A Psychiatrist also sees residents at least annually. Each resident receives support from staff to the level that they choose and require. Bracken Ridge Manor Nursing Home DS0000000147.V314021.R01.S.doc Version 5.2 Page 13 Policies and procedures are in place for the ordering, receipt, storage, disposal and administration of medication. Examination of medication administration records showed that the procedures were being followed. At the time of the inspection there was one resident who managed his own medication. He collects his medication weekly from the chemist in a blister pack. Bracken Ridge Manor Nursing Home DS0000000147.V314021.R01.S.doc Version 5.2 Page 14 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 & 23 Quality in this area is Good. This judgement has been made from evidence gathered before and during a visit to this service. The home has a complaints system, which residents can use if they are unhappy, have a grievance or dispute. Staffs have received training in adult protection to safeguard the residents fro abuse. EVIDENCE: The home has a complaints procedure and policy in place. There had not been any complaints made to the home since the previous inspection. Staff work very closely with the residents and any concerns or grumbles are usually dealt with straight away. The home has an adult protection policy and procedure in place, however this needs further development to include Social Services Department. Staffs training files were examined which showed that training in ‘No Secrets’, the protection of vulnerable adults had been completed. Information about adult protection is available to residents. Bracken Ridge Manor Nursing Home DS0000000147.V314021.R01.S.doc Version 5.2 Page 15 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 & 30 Quality in this area is Good. This judgement has been made from evidence gathered before and during a visit to this service. The environment is attractive homely and comfortable for the people who live there. All areas were safe, well maintained and extremely clean. EVIDENCE: All areas of the home were comfortable, safe and well maintained. Resident’s bedrooms are individually decorated and furnished to suit their needs and wishes. The home was clean without any odours. Since the previous inspection refurbishment and re decoration had been carried out in some areas, new furniture and a carpet had been purchased for a bedroom, and carpet in the passageways and stairs from the ground floor to first floor, and from the lodge side to the crevice had been replaced. In one of the bathrooms a new bath and shower was in place. A new washing machine and drier have also been purchased. Bracken Ridge Manor Nursing Home DS0000000147.V314021.R01.S.doc Version 5.2 Page 16 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, 34 & 35 Quality in this area is Good. This judgement has been made from evidence gathered before and during a visit to this service. There are clear leadership skills demonstrated by the manager and staff are adequately supervised. Recruitment policies and procedures are robust. EVIDENCE: The home has recruitment policies and procedures in place. Two staff files examined showed that the home’s policies are being followed and all the required documentation was in place. Staff training files were examined which showed training had been carried out in Food Hygiene, Advanced Care Practices, ‘No Secrets’, Risk Assessments, First Aid and Fire Training. At the time of the inspection almost 100 of care staff had achieved NVQ level 2 or above. Domestic staffs have also completed NVQ level 2 in support care. The home has a formal supervision system in place with staff receiving supervision every eight weeks. The manager is available to carry out extra supervision sessions if needed. During the previous residents’ meeting it had been suggested that a resident takes part in the interview process for new staff. One resident expressed an interest to be involved. Bracken Ridge Manor Nursing Home DS0000000147.V314021.R01.S.doc Version 5.2 Page 17 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, 39 & 42 Quality in this area is Good. This judgement has been made from evidence gathered before and during a visit to this service. The manager gives strong leadership and staff work as a team. Residents are protected by the health and safety policies and procedures. EVIDENCE: The home undertakes an annual audit of the service they provide. Residents, staff and relatives have been involved, completing questionnaires and attending in house meetings. The manager is also available to speak with residents and staff on a daily basis. The home has health and safety policies and procedures in place. Training files showed that staff has received training in health and safety Residents receive good support from staff to ensure that their personal, physical and emotional health needs are met. Bracken Ridge Manor Nursing Home DS0000000147.V314021.R01.S.doc Version 5.2 Page 18 The manager has been in post for many years as have the majority of the staff. This ensures a consistent approach with the residents and staffs are aware of their individual needs and wishes. Residents meetings are held regularly and the minutes are taken by one of the residents. Bracken Ridge Manor Nursing Home DS0000000147.V314021.R01.S.doc Version 5.2 Page 19 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 X 2 3 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 3 23 2 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 4 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 3 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Bracken Ridge Manor Nursing Home DS0000000147.V314021.R01.S.doc Version 5.2 Page 20 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. 1. Refer to Standard YA23 Good Practice Recommendations The adult protection procedure needs to be developed further to include Social Services Department. Bracken Ridge Manor Nursing Home DS0000000147.V314021.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX 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 Bracken Ridge Manor Nursing Home DS0000000147.V314021.R01.S.doc Version 5.2 Page 22 - 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. 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