Inspection on 16/01/06 for Brackenlea Care Home

This inspection was carried out on 16th January 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

Brackenlea Care Home 07/09/07

Brackenlea Care Home 09/01/07

Brackenlea Care Home 23/08/05

Brackenlea Care Home 01/02/05

Brackenlea Care Home 27/07/04

Brackenlea Care Home 02/02/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Brackenlea Care Home Pearson Lane Shawford Winchester Hampshire SO21 2HE Lead Inspector Liz Palmer Unannounced Inspection 16th January 2006 10:15 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 Brackenlea Care Home DS0000057455.V278809.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. Brackenlea Care Home DS0000057455.V278809.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Brackenlea Care Home Address Pearson Lane Shawford Winchester Hampshire SO21 2HE 023 80 363246 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) Shawford Healthcare Ltd Mrs Jacqueline Deborah Coles Care Home 25 Category(ies) of Dementia - over 65 years of age (5), Old age, registration, with number not falling within any other category (25) of places Brackenlea Care Home DS0000057455.V278809.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd August 2005 Brief Description of the Service: Brackenlea is a care home providing personal care and accommodation for 25 older people including those who have dementia. The home is located in the village of Shawford three miles south of Winchester and is within walking distance of a mainline station, bus route and post office. All bedrooms are single; twelve of these have en-suite facilities. There is a lounge, a dinning room and a conservatory. The home has an established garden and seating accessible to service users. Brackenlea Care Home DS0000057455.V278809.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second inspection for the year 2005/2006 and was unannounced. Any key standards not assessed on this inspection were assessed at the previous inspection. Therefore, this report should be read alongside the previous report. Three residents and three staff were spoken to during the inspection. Four service user comment cards were returned prior to the inspection, as was the pre-inspection questionnaire. Two of the nine standards assessed were not fully met and requirements have been made. One of the standards assessed exceeded the national minimum standard. What the service does well: What has improved since the last inspection? A minor improvement to care plans recommended at the last inspection has been carried out and any special conditions, for example, diabetes, are now clearly marked. The home has improved the odour in one room although this is an on going challenge for them. Brackenlea Care Home DS0000057455.V278809.R01.S.doc Version 5.1 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. Brackenlea Care Home DS0000057455.V278809.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Brackenlea Care Home DS0000057455.V278809.R01.S.doc Version 5.1 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 the following standard(s): None of these standards were assessed. EVIDENCE: Brackenlea Care Home DS0000057455.V278809.R01.S.doc Version 5.1 Page 9 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): 9. Arrangements for all aspects of handling medication protect residents EVIDENCE: A member of staff who is a registered general nurse is responsible for the ordering, storing and stock control of all medicines in the home. No residents currently self-administer but the option is open to residents and would be risk assessed on an individual needs basis. The home operates a monitored dosage system which is administered by trained staff. The member of staff who is responsible for medication was clear about the home’s policy and was confident and competent in explaining in. Medication was appropriately stored and records seen were up to date and accurate. Residents spoken to said they were happy with the arrangements for the home to manage and administer their medication. One resident who was previously a pharmacist said he had complete confidence in the home to look after his medication. Brackenlea Care Home DS0000057455.V278809.R01.S.doc Version 5.1 Page 10 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): 14. The home encourages residents to remain independent and have choices in their life. EVIDENCE: Residents spoken to said they are encouraged to look after their own financial affairs with the support of the family. Residents said they would ask their families to support them if they needed financial or legal advise. Residents are supported by the home o be as independent as possible. Residents said they have freedom of choice, for example, how to spend their time. One resident said he appreciated his visitors being able to come and go and times that suited them with no restrictions being made by the home. Brackenlea Care Home DS0000057455.V278809.R01.S.doc Version 5.1 Page 11 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): 18. Arrangements are in place to protect residents from abuse. EVIDENCE: Staff were aware of the Hampshire adult protection policy and the home’s own policy. They said they had received training and were aware of and happy with their responsibilities within the policies. Suitable checks are taken out on prospective new staff to safeguard the safety of residents. There have been no incidents of abuse reported in the home since the last inspection. Brackenlea Care Home DS0000057455.V278809.R01.S.doc Version 5.1 Page 12 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): None of these standards were assessed. EVIDENCE: Brackenlea Care Home DS0000057455.V278809.R01.S.doc Version 5.1 Page 13 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): 28 and 29. Arrangements for staff training exceed the standard for staff qualifications. Recruitment procedures are generally robust but must be followed at all times to protect residents. EVIDENCE: More than 50 of the care staff are trained to National Vocational Level (NVQ) 2 or above. This exceeds the national minimum standard to ensure that residents are in safe hands at all times. Agency staff are never used in the home. Residents said they felt in safe hands and were sure that staff had good training. The procedure for recruiting new staff includes an application form, interview, criminal record check and two referees requested. Six staff files were inspected and three of these had two written references. This was discussed with the manager who assured the inspector that she is fully ware of the procedure and that two references had been requested for each person. In some cases the second reference had been given verbally. A requirement for all new staff to have two written references was made. Brackenlea Care Home DS0000057455.V278809.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 home is well run by a competent manager. Arrangements for residents to have their say in the running of the home are in place. Procedures for safeguarding residents’ finances need to be improved to ensure accuracy. Policies and procedures for maintaining health and safety protect residents. EVIDENCE: The registered manager has been in post for two years. She has achieved NVQ level 3 and 4 in care and the registered manager’s award. She is also qualified to train n medication and s planning to do a train the trainer course in dementia. She is well supported by her line manager and has the confidence Brackenlea Care Home DS0000057455.V278809.R01.S.doc Version 5.1 Page 15 of her staff who said she is very supportive and easy to talk to. Residents also said they had confidence in her and could talk to her if they had any problems. A quality assurance questionnaire is currently being carried out. Staff said this is given out to families and residents and the results and action plan will be published. Residents said they feel as though they have enough involvement in the home and were aware of the residents meetings which are held six monthly. The home advises residents not to keep large amounts of cash in their rooms. Residents are supported by their families to manage their finances. Some cash is looked after by the home. Residents are happy with this arrangement. One said they have a cheque book and the home looks after small amounts of cash for them. The money is locked in the office and the manager holds the key. The manager assured the inspector that arrangements are in place for residents to access their money when she is not on duty. Staff spoken to confirmed this. Records of residents’ monies kept by the home were inspected. Storage was secure and records and receipts were kept. One of the three sampled was not accurate. The balance checked was found to be a small amount over the amount recorded. The manager agreed to implement a procedure for checking balances on a regular basis. Policies and procedures are in place for health and safety, for example, staff receive training in manual handling, fire training is given and fire safety checks are carried out. The manager is aware of her responsibilities, for example, in terms of reporting injuries and communicable diseases. Residents said staff where gloves and aprons and are ‘very hygienic’. Residents also said regular fire alarm tests take place and that they felt safe in home and trusted the staff and management to carry out all the necessary precautions to maintain their health and safety. Brackenlea Care Home DS0000057455.V278809.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 X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 X 28 4 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 2 X X 3 Brackenlea Care Home DS0000057455.V278809.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? NA 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 2 Standard OP29 OP35 Regulation 19 17 Requirement Two written references must be provided for all new staff. All records of service users’ money being looked after by the home must be accurate. Timescale for action 01/02/06 17/01/06 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 Brackenlea Care Home DS0000057455.V278809.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Brackenlea Care Home DS0000057455.V278809.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. 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