Inspection on 23/08/05 for Brackenlea Care Home

This inspection was carried out on 23rd August 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

Brackenlea Care Home 07/09/07

Brackenlea Care Home 09/01/07

Brackenlea Care Home 16/01/06

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 SO21 2HE Lead Inspector Liz Palmer Unannounced 23 August 2005, 13:00 rd 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. Brackenlea Care Home H54 S57455 Brackenlea V226612 230805.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Brackenlea Care Home Address Parsons Lane Shawford Winchester Hampshire SO21 2HE 023 8036 3246 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) Shawford Healthcare Ltd Mrs Jacqueline Deborah Coles CRH 25 Category(ies) of Dementia, over 65 - DE(E) - 5 registration, with number Old Age - OP - 25 of places Brackenlea Care Home H54 S57455 Brackenlea V226612 230805.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 01.02.05 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 H54 S57455 Brackenlea V226612 230805.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection of 2005/2006 and was unannounced. It took place during an afternoon and lasted for three hours. The senior member of staff on duty assisted throughout the inspection and the registered manager was present for the last hour. A tour of the premises was carried out and care plans, risk assessments and other documents were inspected. Four residents were interviewed as were two care staff. Three visitors to the home were met and spoken with. What the service does well: What has improved since the last inspection? The hallways, lounge, dining room and several bedrooms have all been refurbished. The conservatory is nearly finished its refurbishment. A new patio has also been laid. Residents have recently got two new pet budgies of which they are enjoying the company. A new quality assurance form has been developed and staff numbers have been increased for the night shift. Brackenlea Care Home H54 S57455 Brackenlea V226612 230805.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. Brackenlea Care Home H54 S57455 Brackenlea V226612 230805.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 Brackenlea Care Home H54 S57455 Brackenlea V226612 230805.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) 3, standard 6 does not apply. Arrangements for assessments are in place to allow the home to be clear that prospective residents’ needs can be met in the home. EVIDENCE: Three assessments were looked at and seen to include relevant information, for example, health issues, social interests, religious preferences and details of a persons mental state. After an initial assessment the prospective resident is invited to the home for a day so a more in depth assessment of their suitability can be done. Assessments are undertaken by the manager. Some assessments include an assessment from a care manager if the person is referred by social services. Initial assessments are reviewed five days after a resident is admitted to the home and again after two weeks. Brackenlea Care Home H54 S57455 Brackenlea V226612 230805.doc Version 1.30 Page 9 One new resident was upset during the inspection and staff helped her in a caring and sensitive way to telephone her family. The family of another new resident said they were extremely happy with how their relative had settled in and the resident also commented that they are happy and being well looked after. Brackenlea Care Home H54 S57455 Brackenlea V226612 230805.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 and 10 The arrangements for care planning, ensures that residents’ needs are met. Arrangements for personal and health care promotes the well being of residents and upholds their dignity. EVIDENCE: Care plans detail each individuals care needs and the things that they can do independently. Any health issues are noted and care plans are reviewed on a monthly basis. Any changes are recorded and also handed over on the daily record sheet. It was recommended that special conditions such as allergies and diabetes were recorded more prominently on the reviewed care plans to ensure that all staff are aware of them. They are prominent on the original care plans. Care plans also include details of social interests, for example what newspaper someone prefers, how they like to spend their day and any activities they wish to continue whilst in the home. Each resident is registered with a local General Practitioner (GP) and those asked said they could ask staff if they needed to see a GP and felt confident in the staff to be aware of their health needs. District nurses and other health Brackenlea Care Home H54 S57455 Brackenlea V226612 230805.doc Version 1.30 Page 11 professionals support the home to safeguard the mental and physical health needs of the residents. Suitable risk assessments are in place, for example, for residents who have diabetes, are confused or who are at risk of falling. Residents spoken to said that staff always treat them with respect and dignity. One resident said staff are always patient. Each individual care plan states the personal care needed. Staff spoken to could say how they maintained privacy and dignity whilst offering personal care. During the inspection staff interacted with residents in a friendly and respectful way. Also, the way staff talk about residents showed their respect for them. Brackenlea Care Home H54 S57455 Brackenlea V226612 230805.doc Version 1.30 Page 12 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) 12, 13 and 15 The range of activities offered by the home promotes residents’ mental and physical well being. Residents have a nourishing balanced diet. EVIDENCE: Regular activities offered by the home include, armchair exercises, art and crafts, bingo, quizzes and a visiting hairdresser. Residents spoken to said they had enough to do on a daily basis and also enjoy the trips out and things like the recent garden party. Some residents like to go for walks and sit in the garden. Staff commented that the activities take place as planned and they also enjoy spending time with individual residents, doing their nails, helping them knitting or simply chatting to them. This enhances the quality of life of residents and comments such as “staff always have time for you” made by residents shows this. The homes’ visiting policy welcomes visitors to the home. Important relationships are recorded and staff support residents to keep in contact with their relatives and friends. Some residents have their own telephones but those who don’t can use the home’s telephone. It was suggested a cordless telephone would offer more privacy and the manager agreed to look into this. Brackenlea Care Home H54 S57455 Brackenlea V226612 230805.doc Version 1.30 Page 13 Residents said their visitors are made welcome in the home and some visitors on the day confirmed this and said they are always offered tea and cakes when they visit. Menus show that residents are offered a healthy balanced diet and a choice of meals. The day’s menu is on display in the dining room so residents know in advance what they will be having. Staff ask the residents each day what they would like for the following days main meal. Residents spoken to said they enjoyed the food and staff will always find them something else if they don’t like what’s on the menu. One resident said the food was excellent, in particular the fresh vegetables. Most residents have breakfast in their room and the main meal in the dining room. Different arrangements can be made at the resident’s request. Special diets are catered for and are recorded on care plans, for example, if someone is following a diabetic diet. Brackenlea Care Home H54 S57455 Brackenlea V226612 230805.doc Version 1.30 Page 14 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 The arrangements for complaints allows residents to make their views known and have then responded to. EVIDENCE: The home has a suitable complaints procedure providing clear information about how to make a formal complaint. Residents spoken to know how to complain and said things like “they will sort anything out for you” and “you only have to ask”. The visitors spoken to said they have no worries about talking to the manager about any concerns and had confidence that their concerns would be addressed. There have been no formal complaints since the last inspection. Brackenlea Care Home H54 S57455 Brackenlea V226612 230805.doc Version 1.30 Page 15 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) 19 and 26 The ongoing refurbishment of the home is providing comfortable and pleasant environment for residents. The cleaning routine for the home ensures resident mainly enjoy a bright, clean, and hygienic environment. One resident would benefit from the odour in their room being dealt with. EVIDENCE: The refurbishment and redecoration of the home has improved the communal living spaces and several residents commented how lovely it all looked. Residents and their families have been involved in choosing décor therefore giving them a feeling of it being ‘home’. A full time cleaner is employed by the home ensuring that communal areas and bedrooms are cleaned daily. Residents spoken to said they were happy with the level of cleanliness in the home. An odour was noticed in one room, this was discussed with the management who are aware of the problem. They agreed to resolve the problem so no requirement was made, only a recommendation. Brackenlea Care Home H54 S57455 Brackenlea V226612 230805.doc Version 1.30 Page 16 Brackenlea Care Home H54 S57455 Brackenlea V226612 230805.doc Version 1.30 Page 17 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 and 30 Staff are employed in sufficient numbers to meet the needs of residents at all times. Appropriate training is provided to ensure staff are qualified in understanding and meeting the needs of residents. EVIDENCE: Agency staff are never used n the home. Residents said they felt confident staff had the skills to meet their needs. Staff spoken to showed their knowledge and understanding of residents needs and were seen working with residents in a confident and competent manner. The homes’ training plan covers all the mandatory courses, for example, fire training, first aid, manual handling and infection control. Seven staff have gained NVQ level 3, one has level 2 and three more are starting level 2 in September. All but the newest member of staff have done dementia training. Future training planned includes a challenging behaviour workshop in October. Other training provided includes, for example, bereavement and the prevention of falls. The training programme is on going and ensures that staff are provided with the skills to meet residents needs. Staff commented that the training provided was good and that the management also backed this up with their support. Brackenlea Care Home H54 S57455 Brackenlea V226612 230805.doc Version 1.30 Page 18 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) None of these standards were assessed. EVIDENCE: Brackenlea Care Home H54 S57455 Brackenlea V226612 230805.doc Version 1.30 Page 19 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 x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 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 x Brackenlea Care Home H54 S57455 Brackenlea V226612 230805.doc Version 1.30 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. 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. 2. Refer to Standard OP7 OP26 Good Practice Recommendations Special conditions should be recorded prominently on reviewed care plans. An odour in one room should be addressed. Brackenlea Care Home H54 S57455 Brackenlea V226612 230805.doc Version 1.30 Page 21 Commission for Social Care Inspection 4th Floor, Overline House Blechnyden 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 H54 S57455 Brackenlea V226612 230805.doc Version 1.30 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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