Inspection on 21/02/06 for Bradbury House

This inspection was carried out on 21st 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.

Other inspections for this house

Bradbury House 09/08/07

Bradbury House 27/10/06

Bradbury House 31/08/05

Bradbury House 18/05/04

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 Bradbury House Windsor End Beaconsfield Bucks HP9 2JW Lead Inspector Mrs Caroline Roberts Unannounced Inspection 21st February 2006 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 House DS0000019182.V284982.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. Bradbury House DS0000019182.V284982.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Bradbury House Address Windsor End Beaconsfield Bucks HP9 2JW 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) 01494 671780 01494 672533 wendystallwood@btconnect.com The Abbeyfield Society Limited Mrs Wendy Stallwood Care Home 41 Category(ies) of Old age, not falling within any other category registration, with number (0) of places Bradbury House DS0000019182.V284982.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Frail Elderly Date of last inspection 31st August 2005 Brief Description of the Service: Bradbury House is a purpose built residential home registered to provide care for up to forty-one elderly people. It is situated in a pleasant residential area of the old town of Beaconsfield, close to local shops, market place and the Church. The home provides comfortable accommodation for service users in single bedrooms and spacious social areas. There are accessible attractive and well-maintained gardens. Car parking is available to the front of the home. The local Abbeyfield Beaconsfield Society is responsible for the Management of the home and provides a House Committee. Service users are registered with local GP Practices and have access to local NHS Services through GP referral. Bradbury House DS0000019182.V284982.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Each care home that is registered with the Commission for Social Care Inspection, receives one announced and one unannounced inspection each year and further additional visits as necessary. All inspections, both announced and unannounced are followed by a written report, which eventually become public documents. It is a requirement that inspection reports are made available within the home. This inspection was unannounced and took place on the 21st February 2006 over a four-hour period. The inspector present was Mrs Caroline Roberts (lead inspector). This was a very positive unannounced inspection. The inspector found a relaxed informal atmosphere in the home. Residents consulted expressed satisfaction with the care provided. The staff impressed as motivated and knowledgeable. The inspector met and discussed the inspection findings with the deputy manager before leaving. The inspector found staff polite, helpful and welcoming, and would like to thank them for their co-operation and assistance throughout the course of the inspection. The inspector would especially like to thank the residents for their time and for allowing the inspectors into their home. What the service does well: What has improved since the last inspection? Bradbury House DS0000019182.V284982.R01.S.doc Version 5.1 Page 6 The level of detail within the care plans, has improved. Ongoing re-decoration of the home. Continued training and development of staff. 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 House DS0000019182.V284982.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 Bradbury House DS0000019182.V284982.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): EVIDENCE: Standard 3 was assessed at the previous inspection. The home does not provide intermediate care. Bradbury House DS0000019182.V284982.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): 8,9,10 The visiting healthcare team, and homes staff meet Resident’s health needs. Residents are protected by the homes policies and procedures relating to the storage and administration of medications. The residents are treated sensitively and with respect, and their right to privacy and dignity is respected by the staff. EVIDENCE: The home receives services provided by 2 Doctors surgeries in the area, the millbarn medical centre and The Simpson Centre both GP surgeries will visit the home when needed. The healthcare needs of the residents are met. There were details of contacts with healthcare professionals, including access to chiropody service, dentist, optician and other healthcare services. Entries in the daily reports and medical intervention sheets provide evidence that the home continues to engage the services of community nurses in the assessment of pressure areas care, and for general advice and support. Bradbury House DS0000019182.V284982.R01.S.doc Version 5.1 Page 10 The medication administration records (mar) were examined from one group in the home, and found to be completed fully with no unexplained gaps. Handwritten entries on the medication administration sheets were noted with no actual evidence of the original prescription. The manager is advised that if staff need to hand write medication details onto the (mar) sheets then a copy of the original prescription should be attached to the (mar) sheet. Medication is stored appropriately in locked trolleys. All staff receive medication administration training prior to be allowed to participate in the task of medication administration. Policies and procedures are in place for the storage/administration and disposal of medications. The residents confirmed that the staff treat them with respect and promote their right to privacy. Staff were observed to knock on bedroom doors before entering. Bradbury House DS0000019182.V284982.R01.S.doc Version 5.1 Page 11 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): 12,13,14,15 The daily life and social activities provided match the resident’s preferences and interests. Residents receive a wholesome nutritious diet, and every effort is made to ensure that meal times are a pleasurable experience. EVIDENCE: Residents spoken with said that they were able to choose how they wished to spend their day and were not made to feel uncomfortable if they chose to stay in their own room, and not join in the activities provided. Others were pleased to have a varied programme of activities to enable them to lead a full and active life. The staff make every effort to find out what the individual resident’s life style, and preferences are and these are documented in the care plans. An activities timetable is available and a day activities coordinator is in place. Lunch on the day of inspection consisted of chicken in a mushroom sauce, potatoes, parsnips and green beans, the second choice was lamb mousaka. Desert was treacle sponge and custard. Bradbury House DS0000019182.V284982.R01.S.doc Version 5.1 Page 12 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 Residents are protected by the homes policies and procedures in relation to adult protection. EVIDENCE: Adult Protection training is provided to all staff as part of the induction and then ongoing training. The manager is aware of issues that would need reporting under local adult protection policies. Bradbury House DS0000019182.V284982.R01.S.doc Version 5.1 Page 13 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): 19,20,22,26 The home presents a homely atmosphere is well maintained and a high standard of décor that provide a high level of satisfaction to the residents. Bedrooms are highly personalised and take into account the wishes of the residents. The home has good infection control procedures in place to ensure the welfare of the residents. EVIDENCE: The location and layout of the home is suitable for the collective needs of residents. It is well maintained and there is a redecoration and refurbishment programme in place. The main lounge downstairs has French doors, which open out, onto the garden, which has a central paved courtyard, with raised flowerbeds and seating area. This area is accessible by all the residents. Bradbury House DS0000019182.V284982.R01.S.doc Version 5.1 Page 14 Bedrooms were personalised with personal possessions that reflected the individual characters of residents. On the day of the inspection the home was clean, hygienic and free from offensive odours. Laundry and hand washing facilities were provided taking into consideration infection control measures. Washing machines with the appropriate programming ability to meet disinfection standards were in place. The home has a passenger lift, assisted bathing facilities, hoisting equipment The bathrooms and toilets are equipped with hoists and adaptations. Evidence was seen that these are regularly serviced. Bradbury House DS0000019182.V284982.R01.S.doc Version 5.1 Page 15 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): 29,30 The home has a full recruitment procedure in place. Staff are well trained and competent to undertake their duties fully. EVIDENCE: Two personal files were examined, the first contained job application form, interview assessment, 2 written references, proof of identification, POVA first and CRB. The second file contained as above but only one reference, the deputy manager was sure that a second reference had been obtained but felt it was probably awaiting filing. The deputy manager was asked to send a copy of the reference to the inspector within 2 weeks. The training spreadsheets were examined this indicated that all mandatory training was up of date. The spreadsheet clearly identifies which training has been undertaken with dates, individual certificates are held within the staff personal records. All staff receive 3 days per year paid training. Bradbury House DS0000019182.V284982.R01.S.doc Version 5.1 Page 16 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): 33,35,38 The manager undertakes internal quality assurance ensuring that the home is run in the best interests of the residents. Resident’s financial interests are safeguarded by the systems operated by the home. The resident’s health and safety would be further protected by the manager ensuring that the kitchen staff operate safe food handling and storage procedures. EVIDENCE: The manager has commenced internal quality assurance monitoring, copies of the audits were forwarded to the inspector the day after the inspection. Progress with the quality assurance will be monitored during the next inspection. Bradbury House DS0000019182.V284982.R01.S.doc Version 5.1 Page 17 The records of resident’s personal money held by the home were examined. The records were well kept and the money was securely stored in the home. The records included two signatures for all transactions and receipts maintained. At the last inspection concerns were raised over the practices relating to food hygiene, the home took immediate action and contacted the contract catering company, who immediately visited the home and conducted a food hygiene audit. The kitchen was inspected during this inspection to note any improvements made the findings, as are follows: • • • • Open packets of dry food was noted in the store room Made up sandwiches for tea, were being stored on a shelf in the storeroom, not refrigerated. A number of pots of spice were out of date, examples Chilli powder use by date of March 05, Oregano October 05, Black pepper May 05. Food in the fridge was not covered properly. It is acknowledged that during this visit it was a busy time for the chef preparing lunch however, the kitchen was found to be in need of a good clean. Requirements are served again relating to the cleanliness of the kitchen. Bradbury House DS0000019182.V284982.R01.S.doc Version 5.1 Page 18 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 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 3 X 3 X X X 3 STAFFING Standard No Score 27 X 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X 2 Bradbury House DS0000019182.V284982.R01.S.doc Version 5.1 Page 19 no 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 OP38 Regulation 16.2(j) Requirement The manager is required to ensure satisfactory standards of hygiene in the kitchen. Timescale for action 01/04/06 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 Bradbury House DS0000019182.V284982.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Aylesbury Area Office Cambridge House 8 Bell Business Park Smeaton Close Aylesbury HP19 8JR 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 House DS0000019182.V284982.R01.S.doc Version 5.1 Page 21 - 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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