Inspection on 22/11/05 for Bradbury Home

This inspection was carried out on 22nd November 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Bradbury Home 03/04/09

Bradbury Home 03/04/08

Bradbury Home 26/10/07

Bradbury Home 27/04/07

Bradbury Home 09/06/05

Bradbury Home 24/01/05

Bradbury Home 26/04/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Bradbury Home 2 Roots Hall Drive Southend on Sea Essex SS2 6DA Lead Inspector Ron Reeves Unannounced Inspection 22nd November 2005 10:00 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 Bradbury Home DS0000034348.V265668.R01.S.doc Version 5.0 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. Bradbury Home DS0000034348.V265668.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Bradbury Home Address 2 Roots Hall Drive Southend on Sea Essex SS2 6DA 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) 01702 435838 01702 434406 The Salvation Army UK Territory Mrs Anne Munro Care Home 36 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (36) of places Bradbury Home DS0000034348.V265668.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Personal care to be provided to no more than 10 service users with dementia over the age of 65 years of age (total not to exceed ten) Number of service users for whom personal care is to be provided must not exceed 36 (total number not to exceed thirty six) Personal care to be provided to no more that 36 older people over the 65 years of age (total not to exceed thirty six) Date of last inspection Brief Description of the Service: Bradbury is a purpose built home which opened in May 1992 and is run by the Salvation Army. Accommodation is provided over three floors that are accessed by a shaft lift. There are 32 single rooms and 2 double rooms. All rooms are en suite. Two floors have a kitchenette where residents can prepare their own snacks and drinks. The kitchenette / lounge on the second floor has been developed to accommodate those residents who have dementia. Meals are served in a dining room that overlooks the garden. There is a hairdressing room and a treatment room so that residents can meet with nurses, chiropodists and other health professionals in private. There is one large lounge and two smaller lounges as well as areas with seating outside the lounges. The garden has patio areas and seating. Ramps allow access for those residents who use wheelchairs. The garden is secure. A staff room with lockers and a kitchenette is also provided. Bradbury Home DS0000034348.V265668.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection, which lasted six and a half hours. The inspection process included discussions with the manager and a tour of the building. Three residents, one visitor and two staff were spoken with and a selection of policies, procedures and records were examined. 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. Bradbury Home DS0000034348.V265668.R01.S.doc Version 5.0 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 Bradbury Home DS0000034348.V265668.R01.S.doc Version 5.0 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): 1, 5 The home provides sufficient information and offers pre-admission visits and trial periods to enable residents to make an informed choice. EVIDENCE: The home has a well developed statement of purpose and service users guide, which provide comprehensive information on the home. Each resident is issued with a comprehensive terms and conditions of residence. Prospective residents and their families are invited to visit the home as many times as they like before making a decision. The manager always visits prospective residents to carry out pre-admission assessments. All residents are admitted on a trial basis, which the home sees as part of a continuing assessment process to ensure the home can meet the resident’s needs. Bradbury Home DS0000034348.V265668.R01.S.doc Version 5.0 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): 7, 9 &11 Resident’s personal and health care needs are consistently well met by the home. Further development is required to the care planning system. EVIDENCE: The manager informed that residents care plans are being computerised. Two care plans seen contained appropriate information for staff to meet residents’ needs, however not all the areas of the care plan were fully completed by the staff. Daily recordings varied in quality depending on which member of staff was completing them. Positive discussions were held regarding further developing the daily recording. No resident has been assessed as able to manage their own medication. Senior staff are trained to administer medication and update their training on a regular basis. The storage, administration and recordings of medicines are generally well organised. Discussions were held with the manager regarding reducing the level of stock medication. Residents spoken with said staff treat them kindly and respected their privacy. The home has a sensitive policy and procedure for managing death and dying. Bradbury Home DS0000034348.V265668.R01.S.doc Version 5.0 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): 15 The home provides a high quality of food, which provides a well balanced diet that meets individual needs. EVIDENCE: One of the strengths of the home is the provision of meals. Menus demonstrated a wide range of varied and nutritious meals are provided for the residents. The daily menu, including a choice of main and evening meal. In addition staff ask residents each day what they would like from the menu. Residents discuss the home’s menus in their residents meetings. The majority of the residents have their meals in the main dining room, which is well furnished and decorated and offers a pleasant, congenial setting. Residents spoken with were unanimous in their praise regarding the quality and quantity of the food provided. Bradbury Home DS0000034348.V265668.R01.S.doc Version 5.0 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): 16, 18 The home has appropriate policies, procedures and staff training to effectively address residents concerns and to protect residents from harm and abuse. EVIDENCE: The manager has an “open door” policy and welcomes comments and suggestions from residents and their visitors. The home has an appropriate complaints procedure. No complaints have been received by the home since the last unannounced inspection, however many compliments were seen to be been received. All residents are included in the local voters’ register and details regarding local advocacy services are displayed in the home. The home has appropriate polices, procedures and practices in place for the prevention of abuse. All staff have received training in the Protection of Vulnerable Adults. Bradbury Home DS0000034348.V265668.R01.S.doc Version 5.0 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, 20, 21, 22, 23, 24, 25, 26 The home provides a high standard of accommodation, which meets the residents’ needs. EVIDENCE: The home is purpose built and won a design award in 1994. It provides a high quality of accommodation for the residents. The building is well maintained, clean and tidy and accessible throughout to the residents. All residents bedrooms are well furnished decorated and personalised to each individual’s taste. En-suite toilets are provided to all bedrooms and some of the rooms have showers. There are sufficient adapted bathrooms. Each floor has its own lounge and kitchenette, although two kitchenettes are not used. There are other areas where residents can sit quietly if needed. The home has a large laundry and drying room. There is a high standard of cleanliness and hygiene throughout the home. Bradbury Home DS0000034348.V265668.R01.S.doc Version 5.0 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, 30 Staffing levels and skills were appropriate to meet the needs of the residents. A wide range of relevant training is available and NVQ training promoted. EVIDENCE: The home benefits from a core group of staff who have worked in the home for a considerable time. At the time of the inspection the home was suffering from an outbreak of flu amongst the staff. Bank and agency staff are used to cover staff shortages. A staff file examined at random demonstrated that the home carries out a thorough recruitment process. A wide range of relevant training is available to staff with most staff either completed or studying at NVQ level 2. Staff spoken with said they thought the home has a good staff team. Residents spoken with said the staff were very nice and kind, however some were better than others. Staff spoken with were able to demonstrate a sound knowledge of residents needs. Bradbury Home DS0000034348.V265668.R01.S.doc Version 5.0 Page 13 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, 38 The home is well managed. Staff within the home are well supervised and supported. Records to protect residents were generally well maintained, up to date and stored securely. EVIDENCE: The manager is well motivated to provide the best possible care for the residents. She has worked in the home for 13 years with 4 years as manager. She has achieved NVQ 4 in management and is in the process of completing the registered managers award. Bradbury Home encourages residents and their families to be involved in the home. Residents committee meetings are held every two months and minutes of meetings demonstrated that residents were very active in making comments and suggestions about the running of the home. In addition the home encourages relatives and other interested people to join the” Friends of Bradbury Home” who meet on a quarterly basis. Bradbury Home DS0000034348.V265668.R01.S.doc Version 5.0 Page 14 Quality Assurance was not specifically inspected on this occasion, but it was noted that the manager has issued quality questionnaires to residents and families. In addition the proprietors carry out a monthly audit of the homes performance. The home looks after small amounts of resident’s money for day-to-day expenses. A sample of records and money examined demonstrated that residents’ money was well managed by the home. Records required by regulation for the protection of the residents inspected on this occasion were found to be generally well maintained and up to date. Some have been commented on throughout the report. Staff supervision was not inspected in detail. However, staff confirmed they receive regular supervision. Regular health and safety checks are being maintained and safety certificates obtained for services and equipment. Bradbury Home DS0000034348.V265668.R01.S.doc Version 5.0 Page 15 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 3 3 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 4 3 4 3 4 3 3 4 STAFFING Standard No Score 27 3 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 3 3 Bradbury Home DS0000034348.V265668.R01.S.doc Version 5.0 Page 16 Are there any outstanding requirements from the last inspection? YES 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 OP7 Regulation 15(1) Requirement The home must ensure residents care planes evidence involvement of residents and are regularly reviewed. Timescale for action 31/01/05 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. 3. Refer to Standard OP7 OP28 OP31 Good Practice Recommendations Daily records should include details of the welfare of the resident, how they spend their day and the progress of the care plan. That 50 of care staff achieve NVQ Level 2 by 2005. Carried forward to next inspection as not inspected. That the manager achieves NVQ Level 4 in care, or equivalent, by 2005. Bradbury Home DS0000034348.V265668.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Bradbury Home DS0000034348.V265668.R01.S.doc Version 5.0 Page 18 - 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. 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