Inspection on 05/07/05 for Bradbury House

This inspection was carried out on 5th July 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

Bradbury House 02/12/08

Bradbury House 05/12/06

Bradbury House 12/12/05

Bradbury House 04/01/05

Bradbury House 29/04/04

Bradbury House 05/11/03

Bradbury House 15/05/03

Similar services:

The Highlands

Blenheim House

1 Lanark Close

Beaconsfield Court Care Home

Ann Charlton Lodge

The Gardens Care Home

Westmoor View Nursing Home

Ashlea Mews Residential Home

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

CARE HOME ADULTS 18-65 Bradbury House The County Durham Cheshire Home, Worthington Close, Crook, Durham, DL15 8NL Lead Inspector Bill Drumm Announced 5 July 2005 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 B54 S700 Bradbury House V228182 050705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Bradbury House Address The County Durham Cheshire Home, Worthington Close, Crook, Durham, DL15 8NL 01388 768380 01388 768519 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) The Leonard Cheshire Foundation Mrs Linda Blair Care Home 24 (24) Category(ies) of PD Physical disability registration, with number of places Bradbury House B54 S700 Bradbury House V228182 050705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Physically disabled 18 years and over Date of last inspection 4 January 2005 Brief Description of the Service: Bradbury House is owned by The Leonard Cheshire Foundation and is regisered as a Care Home with Nursing. The building was designed to meet the needs of disabled people and was purpose built in 1992. The home is situated close to the town centre of Crook in County Durham and provides easy access for residents to access shops, library and other local leaisure facilities. Bradbury House provides spacious communal and private living space , with wide corridors and doorway which helps to ensure ease of access for wheelchair users. Communal space is made up of central, open plan areas used as sitting and dining rooms. Residents accomodation consists of spacious bed-sits and flats with lounge and bedroom facilities. All bed-sits and flats have en-suite bathrooms with toilet, wash basin and withe bath or shower facilities. Patio doors from all bed-sits and flats allow easy access to patio areas and the homes gardens. The home also provides a Day Care facility for upto 9 people each weekday. This is located in designated areas within the homes communal space. Residents of Bradbury House can join in with day care activities of they wish. The home has their own specialist vehicles that have been especially adapted for the needs of service sers. Bradbury House B54 S700 Bradbury House V228182 050705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place on Tuesday 5th July 2005 and was carried out as part of the annual inspection programme. The inspection lasted for approximately 5 hours, during which, time was spent talking with seven residents, five members of staff and one visitor. The communal areas of the building were all looked at as were a number of residents’ bed-sits/flats. A number of records were also 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 House B54 S700 Bradbury House V228182 050705 Stage 4.doc Version 1.40 Page 6 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 Standards Statutory Requirements Identified During the Inspection Bradbury House B54 S700 Bradbury House V228182 050705 Stage 4.doc Version 1.40 Page 7 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 standard(s) 2 and 5. New residents are only admitted to the home following a comprehensive assessment of their needs and aspirations. This helps to ensure that staff are fully aware of individual needs, likes and dislikes and are able to meet those needs. Each resident has an individual contract or statement of terms and conditions which sets out the conditions of occupancy, services provided and fees charged. EVIDENCE: The manager reported that the last admission to the home took place sometime ago. Records examined contained comprehensive assessments of need undertaken by Local Authority Care Managers and Health care professionals. Seven residents were spoken to during the inspection and those who were able, confirmed their involvement or that of their families in the assessment process. An examination of individual residents’ files indicated that statements for the terms and conditions of residence had all been completed. All records seen were signed by the resident themselves or a witness where it has not been possible for the resident to sign. Bradbury House B54 S700 Bradbury House V228182 050705 Stage 4.doc Version 1.40 Page 8 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 standard(s) 6, 7 and 9. Residents’ care plans are detailed, up to date and clearly state how their needs are to be met and their independence promoted, this enables staff to meet the individual care needs of all residents. Residents are supported and enabled by staff to make decisions about their lives in order to have greater control over their lifestyles. Residents’ risk assessments are both detailed and regularly reviewed. Risk assessment, are therefore appropriate to individual residents’ circumstances. EVIDENCE: Residents’ files examined contained detailed care plans indicating how best to meet the needs of individuals and how to promote their independence. The information present contained the likes and dislikes of individual residents and are based on Leonard Cheshire’s own format. There was evidence to suggest that regular reviews of care plans are undertaken and that residents are involved in the care planning process. Discussion with the manager, residents and staff indicate that residents are enabled and supported to be as independent as possible. Bradbury House B54 S700 Bradbury House V228182 050705 Stage 4.doc Version 1.40 Page 9 Discussion with the manager and staff indicated that residents are enabled and encouraged to be as independent as possible. Care plans and daily routines are based on individual needs and preferences and where appropriate risk assessments have been carried out. Residents’ files examined contained comprehensive risk assessments, which had a direct link to individual care plans. Risk assessments were signed and dated and there was evidence of reviews taking place on a six monthly basis. Bradbury House B54 S700 Bradbury House V228182 050705 Stage 4.doc Version 1.40 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 standard(s) 12, 13, 15, 16 and 17. Residents are encouraged and supported to participate in activities, which are age, peer and culturally appropriate. Residents of the home utilise community resources with the support of staff members, which helps to promote their community presence. Residents have maintained close contact with friends, relatives and other family members who support them in their placements. Residents are encouraged to participate in activities of daily living within the home. This helps them to maintain their own independence. The meals in the home are good offering both choice and variety. EVIDENCE: Discussions with staff members and an examination of individual files indicated that residents are enabled to participate in a range of community activities. The home also has good links into a local college where residents can become Bradbury House B54 S700 Bradbury House V228182 050705 Stage 4.doc Version 1.40 Page 11 involved in woodwork, crafts, cookery etc. The home has also benefited from the installation of new IT equipment, something which residents can use if they wish. The home also employs an activities co-ordinator to help residents to develop new hobbies and interests. The manager and staff all showed an awareness of the needs of residents and the need for them to access community resources in order to promote their community presence. Residents themselves were able to give examples of the way they participate in community life, from using local shops and pubs etc. to becoming involved in a local carnival, something, which they were doing on the day of the inspection. Residents spoken to at the time of the inspection confirmed that they have maintained contact with friends and relatives since moving into the home. On the day of inspection there were frequent visitors to the home of friends and family members. A good rapport was observed to exist between staff members and residents. Routines within the home were described as, flexible by the manager, staff and residents. Menus and meals within the home are regularly reviewed and changed. Residents are asked what food they would like on the menus in order to help ensure that where possible, individual preferences are catered for. An examination of menus confirmed that a balanced diet is offered. Bradbury House B54 S700 Bradbury House V228182 050705 Stage 4.doc Version 1.40 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 standard(s) 18, 19 and 20. Personal support is offered in the home in such a way as to promote and protect residents’ privacy, dignity and independence. The physical and emotional health needs of residents are well met with evidence of good multi-disciplinary working taking place on a regular basis. The systems for the administration of medication are good with clear and comprehensive arrangements in place to ensure residents’ medication needs are met. EVIDENCE: Staff members were able to demonstrate their knowledge and understanding of residents and how the home provides care to them. A discussion with the homes training officers confirmed the process of induction for all new members of staff, which includes aspects of maintaining residents’ privacy and dignity. Personalised induction folders were examined and were found to be both thorough and comprehensive. Residents are registered with a local GP and Dentist. There was evidence from individual residents’ files and from speaking to residents themselves that on- going therapy support from Speech and Language Therapists, Physiotherapists, OT’s etc. is provided to them as and when required. Bradbury House B54 S700 Bradbury House V228182 050705 Stage 4.doc Version 1.40 Page 13 The home has comprehensive procedures for the administration and management of medication. The manager reported that two residents are currently supported and enabled to manage their own medication. All medication is supplied by a local pharmacy in a “blister pack” format. Bradbury House B54 S700 Bradbury House V228182 050705 Stage 4.doc Version 1.40 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 standard(s) 22 and 23. The systems for residents’ consultation in the home are good with a variety of evidence that indicates residents’ views are sought and acted upon. The home has comprehensive policies and procedures for dealing with any issues of adult abuse or exploitation in order to help safeguard residents. EVIDENCE: Resident’s spoken to at the time if the inspection confirmed that, residents meetings are held. The manager confirmed this to be the case but also acknowledged that these meetings had not been held for some months. Regular Regulation 26 visits are also undertaken which involve residents and visitors to the home. Residents spoken to expressed their confidence in raising issues with staff and management and felt confident that their views were listened to. The home has good policies and procedures for dealing with any issues relating to the protection of vulnerable adults (POVA). Training records examined confirm that staff members receive appropriate training in relation to this. Bradbury House B54 S700 Bradbury House V228182 050705 Stage 4.doc Version 1.40 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 standard(s) 24 and 30. Residents live in a safe, homely and comfortable environment, which has been purpose built to meet the needs of people with a physical disability. The home is clean, pleasant and hygienic for residents. EVIDENCE: The home is a purpose built care home, designed to meet the needs of adults with a physical disability and is fully adapted throughout. Residents’ own flats/bed-sits are decorated in their own personal style. Communal areas of the home were homely. The home was found to be clean and hygienic and free from any offensive odours. Bradbury House B54 S700 Bradbury House V228182 050705 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 34 and 35. Residents are supported by a competent and qualified staff who have the skills and experience necessary to meet the changing needs of the residents. Residents are supported by an effective and stable staff team who provide a consistency of care to those who live at the home. The arrangements for the recruitment and induction of staff are good with staff demonstrating a clear understanding of their roles. Staff, are trained and competent to do their job maintaining the safety and well being of residents. EVIDENCE: It was obvious from direct observation that staff members relate well to the residents of the home as well as their visitors and family members. Staff members spoken to had a good knowledge of the needs of adults with physical disabilities and specifically the needs of residents of the home. The waking day within the home, is determined by the residents themselves and rosters examined indicated that 6 staff members are on duty at key times during the mornings with 5.5 staff on duty during the afternoon’s. During the night 3 staff members are on waking night duty. The home also has its own Bradbury House B54 S700 Bradbury House V228182 050705 Stage 4.doc Version 1.40 Page 17 team of support staff who undertake domestic, laundry and cooking tasks. At the time of the inspection the manager reported that a total of 3 staff members were on sick leave, it was also reported that this did not compromise the care provided to residents. The home has comprehensive policies and procedures for the recruitment and selection of staff, which includes the involvement of residents themselves. Staff members’ files examined contained copies of their job descriptions and staff members spoken to were clear about their individual roles and responsibilities. All staff members follow a thorough and comprehensive induction process and have the opportunity to participate in on-going training. The home has two training co-ordinators aligned to it who operate on a job share basis. A training matrix and database has been set up to help monitor every staff members training requirements. Staff members spoken to during the inspection confirmed that training is given a high priority. Bradbury House B54 S700 Bradbury House V228182 050705 Stage 4.doc Version 1.40 Page 18 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 39 and 42. The homes’ manager is committed to self-development, staff training and also has the experience necessary to ensure that the home is well run for the benefit of residents. Residents’ views are sought through regular meetings and where possible their views are borne in mind by the manager when considering how to improve the running of the home. Records in general including Health and Safety were up to date. The Health and Safety of visitors, residents and staff are maintained. EVIDENCE: The manager is a registered general nurse (RGN) and has a certificate in management studies (CMS) in addition to D32/D33 training qualification. She also has a number of year’s experience of working within the care sector and has worked at this home since 1992. Staff members spoken to during the inspection described her as being both friendly and approachable. Bradbury House B54 S700 Bradbury House V228182 050705 Stage 4.doc Version 1.40 Page 19 Residents spoken to confirmed that residents meetings do take place within the home although it has been some weeks since the last meeting had been held. The manager was able to confirm this. Residents also have their own meetings at times of their choosing the information from these meetings is relayed back to the homes’ management. Monthly visits and reports by the responsible individual for the home are being carried out. Records examined confirmed that as far as is reasonably practicable the health and safety of visitors, residents and staff is maintained. Bradbury House B54 S700 Bradbury House V228182 050705 Stage 4.doc Version 1.40 Page 20 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score x 3 3 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Bradbury House Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x 3 x x 3 x B54 S700 Bradbury House V228182 050705 Stage 4.doc Version 1.40 Page 21 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 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 YA 39 Good Practice Recommendations It is recommended that all efforts are made to ensure that the residents meetings which take place within the home are scheduled to occur on a monthly basis. Bradbury House B54 S700 Bradbury House V228182 050705 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection No.1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 B54 S700 Bradbury House V228182 050705 Stage 4.doc Version 1.40 Page 23 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!