Inspection on 01/02/06 for Bradbury Wing

This inspection was carried out on 1st 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 Wing 08/05/07

Bradbury Wing 22/06/05

Bradbury Wing 14/01/05

Bradbury Wing 15/09/04

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 Wing The Minories Rosebery Crescent Jesmond Newcastle Upon Tyne Tyne & Wear NE2 1EU Lead Inspector Mrs Deborah Haugh Announced Inspection 1st February 2006 09:30 Bradbury Wing DS0000000394.V263748.R02.S.doc Version 5.0 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 Wing DS0000000394.V263748.R02.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 Adults 18-65. 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 Wing DS0000000394.V263748.R02.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Bradbury Wing Address 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) The Minories Rosebery Crescent Jesmond Newcastle Upon Tyne Tyne & Wear NE2 1EU 0191 281 7996 0191 281 7102 info@london.leonard-cheshire.org.uk Leonard Cheshire Mrs Ann Stocker Care Home 20 Category(ies) of Physical disability (20) registration, with number of places Bradbury Wing DS0000000394.V263748.R02.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd June 2005 Brief Description of the Service: The Bradbury Wing is situated in a residential area of Jesmond.It is a single storey building which provides both nursing and residential care for 20 younger people with a diverse range of disabilities. The home is run by Leonard Cheshire in Northumberland,however the building is leased from the City of Newcastle upon Tyne and they remain responsible for the maintenance of the building,grounds and gardens. Resident bedrooms are all single occupancy,have large en-suites including showers and ceiling track hoist systems. There is a range of adapted specialist bathrooms and toilets throughout the home. There is a large lounge and separate dining room.Dining facilities are shared with the adjioning day unit. Service users are able to access the courtyard gardens as they wish and are supported to use all local amenities. There is limited car parking to the front of the home. Bradbury Wing DS0000000394.V263748.R02.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The announced inspection took place on 01/02/06 from 9.30 until 2.15pm. The Registered Manager, Mrs Ann Stocker was on duty during the visit. There were 19 service users at the time of the visit. Staffing levels were checked. Time was spent looking around the home to check the cleanliness, maintenance and decoration during the visit. Prior to the inspection questionnaires were provided to service users and relatives. Service users completed four questionnaires. No relatives and visitors completed questionnaires. Service users shared their views during the inspection. Time was also spent observing the contact between the service users and staff. Two care plans were examined. Arrangements for the administration and management of medication were checked, staff recruitment, NVQ training, catering and quality assurance were also examined. What the service does well: Comments from service users suggested that all felt that staff treated them well, their privacy was respected, they felt safe and liked living at the home. Two people wished to be involved more in decision making in the home and two people did not. Comments included; - ‘I feel safe.’ - ‘100 better here than x.’ - ‘I like my music.’ - ‘I am able to call for help if I need it.’ - ‘I would be listened to if something was wrong, Ann would deal with it.’ The lunchtime meal was shared with some service users and it was unhurried and at the pace of each person. Appropriate assistance was provided to people where required. The range of meals provided in the home is varied and special dietary food is provided in conjunction with advice from dieticians. Service users bedrooms are all personalised, reflect their lives, interests and people they care for. The staff are well trained and specialist training is provided to meet the needs of the people cared for. The health care needs of people are understood and met. Bradbury Wing DS0000000394.V263748.R02.S.doc Version 5.0 Page 6 Care plan arrangements are comprehensive. Service users needs are assessed and reviewed. Risk assessments are in place and the involvement of other professionals is in place. 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 Wing DS0000000394.V263748.R02.S.doc Version 5.0 Page 7 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 Outcomes Statutory Requirements Identified During the Inspection Bradbury Wing DS0000000394.V263748.R02.S.doc Version 5.0 Page 8 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 the following standard(s): 5 (NMS 2 was assessed and met at the last inspection) Contracts are in place so service users know their rights. EVIDENCE: 5) Contracts have been put in place for each service user from their placing authority, which states their rights and obligations. The Registered Manager explained that the Primary Care Trust is still developing contracts. Bradbury Wing DS0000000394.V263748.R02.S.doc Version 5.0 Page 9 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 the following standard(s): 6 (NMS 7 & 9 were assessed and met at the last inspection) There is a clear consistent approach to the care planning, which ensures that the staff have the required information to meet service users assessed needs. EVIDENCE: 6) Two care plans were sampled and were found to look at a range of needs. Assessments are completed and where identified action is identified to meet peoples need. There was evidence of service user and family involvement in the process. Regular reviews of the care plans are undertaken with the involvement of other professional and the plans updated according to changing needs. The care plans were organised, clear, up to date and signed by the author. Two areas were discussed with the Manager and Care Supervisor on the day of the visit and action agreed. Bradbury Wing DS0000000394.V263748.R02.S.doc Version 5.0 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 the following standard(s): 15 & 17 (NMS 12,13 & 16 were assessed and met at the last inspection) Service users continue to maintain relationships and friendships. Dietary needs of service users are well catered for with a balanced and varied selection of food available that meets resident’s tastes and choices as well as special dietary needs. EVIDENCE: 15) Through talking to service users and documentary evidence it is clear that service users are able to see and go out with visitors when they wish. Service users bedrooms have personal keepsakes, photographs of people who are important and who care for them. 17) A five-week menu is available and a comprehensive selection of food is provided to service users. The supper and breakfast menus provide a variety of choice. Special nutritional needs are catered for such as soft diets. Lunch was shared with some of the service users and this was tasty in a relaxed unhurried atmosphere. The cooks are enthusiastic about their work and seek ultimately to meet the needs of the service users. Bradbury Wing DS0000000394.V263748.R02.S.doc Version 5.0 Page 11 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 the following standard(s): 20 (NMS 18 & 19 were assessed and met at the last inspection) The arrangements for the management of medication are suitable and protect service users. EVIDENCE: 20) An audit of the medication was undertaken in the presence of the Registered Manager and Care Supervisor. Arrangements were found to be suitable. Medication Administration Records (MAR) are maintained and documented appropriately. Storage arrangements are secure and suitable. Reviews of medication are undertaken where required. The home has access to the British National Formulary and Palliative Care Formulary, which provides information about medication. Bradbury Wing DS0000000394.V263748.R02.S.doc Version 5.0 Page 12 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 the following standard(s): NMS 22 & 23 were assessed and met at the last inspection EVIDENCE: Bradbury Wing DS0000000394.V263748.R02.S.doc Version 5.0 Page 13 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 the following standard(s): 24, 27 & 29 (NMS 30 was assessed and met at the last inspection) The standard of the environment is satisfactory and provides service users with a clean, comfortable place to live. EVIDENCE: 24,27&29) A tour of the home was conducted with the Registered Manager. The home is well maintained, decorated and clean. Repairs identified at the last inspection have been addressed. The lounge chairs and lighting are to be replaced. Two bedroom carpets have been replaced and other new bedroom carpets are to be fitted. Service users bedrooms are decorated to reflect the wishes and interests of the person. Personal keepsakes, possessions and photographs create a homely environment. The laundry has new equipment and all linen is now laundered in the home as well as service users clothing. A full check of the kitchen was not undertaken but it is clear that the kitchen is well organised and managed. Bradbury Wing DS0000000394.V263748.R02.S.doc Version 5.0 Page 14 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 - 35 The home is staffed to ensure that the assessed needs of the service users are met. There is a stable staff team who are well qualified and work positively with the service users to improve their quality of life. The training and development provided ensures service users are protected and their current and changing needs are met. Recruitment arrangements are robust and protect service users. EVIDENCE: 33) The home continues to staff the home according to the dependency levels of the service users. Given the dependency levels of the service users the qualified nurses are given some supernumerary hours. The staffing levels are: 8am- 5pm 2qualified nurses 7 carers 5pm-8pm 1 qualified nurse 4 carers 8pm-8am 1 qualified nurse 2 carers. Bradbury Wing DS0000000394.V263748.R02.S.doc Version 5.0 Page 15 32 & 35) The home has 8 nurses and 24 support workers. The home has achieved 42 of staff trained to NVQ Level 2. The National Minimum Standard is 50 by 2005 and this will be achieved soon. 4 staff have NVQ Level 2 & 3 4 staff have NVQ Level 2 5 staff have NVQ Level 3 10 staff are completing NVQ Level 3 2 staff are completing NVQ Level 2. Mandatory training is provided. All of the nurses qualify to be Fire Wardens. 45 staff have First Aider at Work training. The nurses complete a 4-day Appointed Person First Aid course. A training matrix was provided to the Inspector and a comprehensive range is provided. Personal and management skills training are provided such as assertiveness, presentation skills, Introduction to Personnel procedures, Recruitment and managing sickness. Staff undertake specialist training in particular areas such as head injury, palliative care and neurological conditions with the Neurological Rehabilitation Centre and Elderly Care Resource Team. 34) Records required for recruitment are in place and appropriate checks are made which include police and Protection of Vulnerable Adults checks and two references. Bradbury Wing DS0000000394.V263748.R02.S.doc Version 5.0 Page 16 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 (NMS 37 & 42 were assessed and met at the last inspection) Quality Assurance systems ensure that service users receive the service they need and want. EVIDENCE: 39) Leonard Cheshire quality audits the home every 4 years and a report is produced and action plans identified where required through the Quality and Standards Advisor. A report from a recent audit by the Adult Learning Inspectorate is due and focused on training, supervision and recruitment. A Health and Safety Audit report has been produced with positive feedback. The Primary Care Trust completes 3 monthly reviews and seeks feedback from service users and families. These reviews will now become annual. Leonard Cheshire produce annual service user surveys and self-assessment process will commence with stakeholders this financial year. A monthly visit and report is produced by a senior representative of Leonard Cheshire on the conduct of the home. The report is provided to CSCI. Bradbury Wing DS0000000394.V263748.R02.S.doc Version 5.0 Page 17 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 X X X 3 Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X 3 X 3 X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X 2 3 3 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Bradbury Wing Score X X 3 X Standard No 37 38 39 40 41 42 43 Score X X 3 X X X X DS0000000394.V263748.R02.S.doc Version 5.0 Page 18 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. 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. Refer to Standard Good Practice Recommendations Bradbury Wing DS0000000394.V263748.R02.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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. 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