Inspection on 25/05/05 for Bradfield Residential Home

This inspection was carried out on 25th May 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

Bradfield Residential Home 25/08/09

Bradfield Residential Home 29/09/07

Bradfield Residential Home 08/08/06

Bradfield Residential Home 24/10/05

Bradfield Residential Home 02/12/04

Bradfield Residential Home 17/06/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Bradfield Residential Home Hawksdown Road Walmer Deal, Kent CT14 7PW Lead Inspector Chris Randall Announced 25 May 2005 09.50 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Bradfield Residential Home H56-H05 S23330 Bradfield V222360 250505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Bradfield Residential Home Address Hawksdown Road, Walmer, Deal, Kent, CT14 7PW 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) 01304 360960 Mr David James Johnson, Mrs Brenda Eileen Johnson Mrs Brenda Eileen Johnson Care Home 20 Category(ies) of OP 20 registration, with number of places Bradfield Residential Home H56-H05 S23330 Bradfield V222360 250505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 02.12.04 Brief Description of the Service: Bradfield is a large, detached care home, situated in a quiet resiential area of Walmer, near Deal. The home was extended to its current size some years ago. The house and gardens are very well maintained, and the premises are entirely suitable for this category of service user Bradfield is near to Walmer Castle, local shops, and the sea, and is within easy reach of the towns of Deal and Dover. It is owned and run by Mr. & Mrs. Johnson who have managed the home since it opened some 10 years ago, and are experienced in the care of older people. Mr. Johnson oversees the general maintenance, and is actively involved in the running of the home. Mrs. Johnson is the registered manager and Rebecca, their daughter, is the assistant manager. Both Mrs Johnson and her daughter have recently completed the registered managers award Bradfield provides accommodation on 3 floors for up to 20 older people. Access to the first and second floors is provided by a passenger lift. Some of the upper rooms also have the advantage of sea views.. Bradfield Residential Home H56-H05 S23330 Bradfield V222360 250505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over 15.5 hours. 10.75 hours were spent in the home spread over 2 days. The inspection took the form of a tour of the building; observation of lunch being served; inspection of records; observation of activities; and talking to 6 staff members, 2 visitors, the manager and assistant manager, and the majority of service users, 11 in some depth. The home is spacious, clean, comfortable and very well maintained, and service users expressed their satisfaction at living there through comments which included “I am very happy here”, “its very nice”, “I like it very much, it’s a very happy atmosphere”, and “Its lovely, really nice, spotlessly clean”. What the service does well: What has improved since the last inspection? What they could do better: Staff records need to be updated to come into line with the revised Schedule 2 of the Care Standards Act 2000. Bradfield Residential Home H56-H05 S23330 Bradfield V222360 250505 Stage 4.doc Version 1.30 Page 6 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. Bradfield Residential Home H56-H05 S23330 Bradfield V222360 250505 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Bradfield Residential Home H56-H05 S23330 Bradfield V222360 250505 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3, 4 & 5 The home has an effective admission assessment in place, and a trial period is offered. Residents assessed needs are supported by appropriately trained staff backed up by visiting professionals. EVIDENCE: The home carries out a comprehensive assessment of needs for all prospective service users, either in their own home, in hospital, or on a day visit to the home. Assessments cover all aspects of the service users needs. Wherever possible assessments are carried out with a member of family present. Joint assessments are obtained for service users placed by Social Services to supplement the homes assessment.. An initial care plan is formulated following assessment and this is expanded once the service user is in residence and their actual needs can be monitored and fully assessed. During the assessment process the home considers its ability to meet any assessed needs. Prospective service users spend a day at the home initially. Subsequently the first four weeks of accommodation are also on a trial basis to enable the Bradfield Residential Home H56-H05 S23330 Bradfield V222360 250505 Stage 4.doc Version 1.30 Page 9 service user to assess the homes suitability as a permanent home, and to allow the home to fully assess its ability to meet their needs. Standard 6 is not applicable to this home. Bradfield Residential Home H56-H05 S23330 Bradfield V222360 250505 Stage 4.doc Version 1.30 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, & 10 The health and personal care needs of service users are planned and met by the home. Service users are treated with respect and their right to dignity, privacy and choice is upheld. EVIDENCE: The care plans used by the home are very comprehensive and would enable a carer new to the home to give all of the care necessary to meet the needs of the service users. The care plans include falls risk assessments as well as other specific risk assessments, they also include weight and eating and drinking charts. These plans are reviewed monthly and updated as necessary. The staff of the home assisted by relevant professionals, doctor, district nurse, continence nurse, optician, chiropodist, C.P.N. etc meet the health care needs of the service users. Any actual or potential pressure areas are referred to the district nurses who provide support, advice and appropriate equipment. Service users are encouraged to register with the G.P. of their choice and there are currently doctors from four different surgeries who visit the home. Service users with visual impairment have special halogen lights in their bedrooms, special knobs on their radios and talking clock and watches. Maintenance of Bradfield Residential Home H56-H05 S23330 Bradfield V222360 250505 Stage 4.doc Version 1.30 Page 11 mobility is encouraged and there is sufficient space for service users to walk around, either in side the home or in the garden. Service users privacy and dignity are respected. Staff were seen to knock on bedroom doors before entering. Service users are called by their preferred name. Most have their own telephone line in their rooms and there is a cordless telephone that can be used when necessary for those without this facility. Medical examinations are carried out in the privacy of service users own bedrooms. Staff were witnessed cleaning glasses for service users. Comments from service users included “I am most certainly being well looked after”, “The staff are a nice lot, they treat me with respect”, and “we had the chiropodist this morning” Bradfield Residential Home H56-H05 S23330 Bradfield V222360 250505 Stage 4.doc Version 1.30 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, & 15 The lifestyle at Bradfields meets the expectations and preferences of service users. Visitors are made welcome, choices are respected, and nutritious needs are met. EVIDENCE: Service users are encouraged to lead as normal a life as they are able and their likes and dislikes are recorded in their care plans. Service users personal choices are respected in all aspects of their lives. Various activities, both organised and ad hoc, are encouraged. On the first day of the inspection there was a bingo session for prizes taking place in the lounge in the morning with 9 service users taking part. In the afternoon a small group of service users were playing cards, with staff help. On the second day of the inspection the hairdresser was in attendance and service users were making good use of her services. Other service users were seen to be walking about the home The various sitting areas provided were well used, with some people choosing to sit in their own bedrooms. There is a library area in the front hallway with large print books, videos and listening stories all available. This facility is provided by the County Council and the books are exchanged quarterly. The home has its own 9 seater mini bus and outings include weekly trips to the bandstand in the better weather; Langdown point for coffee; and visits to the bowling club at Ash. Bradfield Residential Home H56-H05 S23330 Bradfield V222360 250505 Stage 4.doc Version 1.30 Page 13 Visitors are made welcome to the home and are invited to join their relatives for meals if they wish. Service users wishes are respected if they do not want to see a visitor. There are no restrictions on visiting times although, unless the visitor is staying for a meal, mealtimes are discouraged. One service user commented “my husband visits daily” Service users, or their family, deal with their own financial affairs. The home holds small amounts of pocket money for a few people. Money held by the home is properly accounted for. Service users are encouraged to bring some of their own possessions into the home to personalise their own room. The assistant manager and the chef work together to plan the menus, taking into account seasonal variations and individual service users needs and choices. The majority of food is freshly prepared and fresh vegetables and fruit are used. The menu is balanced and provides choices for each meal. Food observed was attractively served, hot, appetising, wholesome and nutritious. All meals were covered until served. Pureed food was well presented. Special diets are catered for as required. Mealtimes are an unhurried and pleasant, sociable occasion with staff on hand to offer assistance as needed. Drinks, and snacks, are available throughout the day and good intake of fluids is actively encouraged. Jugs and glasses are provided in all bedrooms. Service users commented, “I like to walk down to the meadow”, “we are fed very well” and “the food is lovely” Bradfield Residential Home H56-H05 S23330 Bradfield V222360 250505 Stage 4.doc Version 1.30 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16, 17 & 18 Service users complaints are taken seriously and acted upon, their legal rights are protected and they are protected from abuse EVIDENCE: The home has a simple, clear and accessible complaints procedure. A record is kept of all complaints and moans, however minor, together with the outcome of the investigation. During the last year there had been 19 complaints, all very minor. One complaint had been made direct to the Commission for Social Care Inspection, this was investigated and was not upheld. Service users have the choice of whether to go to the polling station or to have a postal vote with the majority choosing the latter. Where needed postal votes are completed with the assistance of service users own visitors. Transport is provided for those who wish to vote in person. All staff are instructed on adult protection issues on induction and all of those spoken to understood their responsibilities. The home has a whistle-blowing policy and this is explained at induction. The management of the home are clear that they would follow up any allegation of abuse promptly and would make referrals to the POVA list if necessary. Checks are made on the POVA register prior to the appointment of any new staff in order to safeguard the safety of service users. Bradfield Residential Home H56-H05 S23330 Bradfield V222360 250505 Stage 4.doc Version 1.30 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 21, 22, 23, 24, 25, & 26 Service users are accommodated in a safe, clean, comfortable, well-maintained environment with sufficient room and appropriate adaptations to meet their needs EVIDENCE: The home has been adapted and extended from the original family home to form accommodation suitable for the needs of the service users. It is very well maintained with Mr. Johnson, one of the providers, overseeing all of the maintenance work. The grounds are safe, attractive, well maintained and accessible to all service users and their visitors. Eight of the bedrooms have direct access to the enclosed garden area. There were no requirements following the last fire officer’s visit but the manager is investigating his recommendation regarding magnetic door openers. Communal areas are light and airy and give the option of several sitting areas. The dining room provides plenty of space for the service users to eat in comfort and the high ceilings give an even greater sense of space. Bradfield Residential Home H56-H05 S23330 Bradfield V222360 250505 Stage 4.doc Version 1.30 Page 16 This is a non smoking home. There are sufficient toilet, washing and bathing facilities provided. All of the rooms in the new extension have shower rooms en-suite. Many of the other rooms also have en-suite facilities those without have a wash basin in the room and toilet facilities nearby. The home has a 5-person passenger lift providing access to all floors. Grab rails are provided throughout the home. Other adaptations include raised toilet seats or toilet frames, commodes, and bath hoist. Each room has a call bell fitted. Service user bedrooms are all of a sufficient size to meet their needs. The only time a shared room would be used would be for a couple and this would be at their request and would be indicated in their care plans.. A telephone access point is provided in all rooms and a television is provided, although many service users choose to bring their own. Rooms are appropriately furnished and many service users bring their own favourite pieces of furniture with them. Rooms have adequate heating, lighting and ventilation. The premises are kept very clean and hygienic and any odours are quickly dealt with. Good infection control measures are in place and staff are trained in infection control procedures. There is sufficient hand washing facilities available. The laundry facilities are adequate for the current service user group and the walls and floor of the laundry are easily to clean A service users commented “my room is very nice”, and a member of staff commented “Its lovely here, really nice and spotlessly clean”. Bradfield Residential Home H56-H05 S23330 Bradfield V222360 250505 Stage 4.doc Version 1.30 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29, &39 The home provides appropriate numbers of staff, adequate recruitment processes and ongoing staff training to meet the needs of service users. EVIDENCE: There are sufficient staff shown on the duty rota to meet the needs of the service users. The home uses the residential forum guidance for assessing staffing levels. The manager and assistant manager are actively involved in working ‘on the floor’ and are therefore quickly aware of any potential problems or increases in dependency and when additional help may be needed. Currently the morning shift comprises of one manager and 2 carers, 1 cook, and 2 domestics. Afternoon shifts one manager and 2 carers and in the evenings there is an additional carer. Overnight there are 2 waking night staff and Mr. Johnson works in the home from 06.30 – 08.00. 4 members of staff, together with the manager and assistant manager have achieved N.V.Q. level 2, a further 3 are due to start on their training shortly. When they complete their training the home will achieve the required 50 of care staff being trained to NVQ 2 as required by Standard 28. Recruitment procedures in the home are generally good with C.R.B. checks being instigated, POVA first and two references obtained prior to any member of staff starting work. The home was advised of the revised Schedule 2 and a recommendation has been made that staffing records comply with this Schedule. All staff are employed in accordance with the GSCC code of Bradfield Residential Home H56-H05 S23330 Bradfield V222360 250505 Stage 4.doc Version 1.30 Page 18 conduct, and all are given a statement of terms and conditions. Staff appointments are made on a 3 month trial basis. All staff receive induction training when first employed at the home. The 12 week training record includes restraint and abuse, quality care, death & dying, risk management, & infection control. Other training that has taken place includes NVQ, moving and handling, basic food hygiene, health and safety and risk assessment, and mental health awareness. One staff member commented “I have done training in manual handling & lifting, infection control, first aid and fire. Before I started I had a police check and they took up references for me Bradfield Residential Home H56-H05 S23330 Bradfield V222360 250505 Stage 4.doc Version 1.30 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) The home is run by a management team who work in the best interest of service users EVIDENCE: The registered manager and assistant manager have both completed the registered managers award. The manager, who is also one of the providers, has been running the home since it first opened 10 years ago. Both the manager and assistant manager attend the same training courses as the rest of the staff and in addition the registered manager has achieved her assessors certificate. There are clear lines of accountability within the home and all service users and staff know who to refer to if they need help or advice The managers of the home live in an adjoining house and there is a telephone link to the house for emergency contact. There is an open and positive ethos in the home, with the management staff communicating a clear sense of direction and leading by example. Bradfield Residential Home H56-H05 S23330 Bradfield V222360 250505 Stage 4.doc Version 1.30 Page 20 One staff member said. “Brenda and David are the best bosses I have ever had”, another said “Its brilliant, I thoroughly enjoy it, the staff are great to work with”. The home has suitable accounting and financial procedures. Insurance certificates are displayed on the notice board. There is no written business plan but nevertheless the management is very clear of their objectives for the home. Service users, or their families, take control over their own money with the exception of small amounts of pocket money which the managers look after to enable them to purchase small personal items. Supervision sessions and appraisals for care staff are about to commence and all of the paperwork has been prepared. All records are up to date and relevant and are securely stored in the locked upstairs office. Service users have access to their own records at their request. Safe working practices are encouraged and staff undergo training in fire, infection control, moving and handling, food safety etc. Food handling is appropriate. All food is stored correctly. The kitchen is clean and in good order. Hazardous substances are safely stored and COSHH sheets are available. Accident records are in order. An analysis of accidents is discussed with staff but at present this is not documented. Falls are monitored and professional help sought when necessary. Wheelchairs are serviced twice a year and Mr. Johnson checks them in between times. Certificates of safety checked were all up to date. There is a Health & Safety poster displayed on the notice board. Bradfield Residential Home H56-H05 S23330 Bradfield V222360 250505 Stage 4.doc Version 1.30 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 3 3 3 3 3 3 3 Bradfield Residential Home H56-H05 S23330 Bradfield V222360 250505 Stage 4.doc Version 1.30 Page 22 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 29.1 Good Practice Recommendations Staffing records are maintained in accordance with the revised Schedule 2 of the regulations. Bradfield Residential Home H56-H05 S23330 Bradfield V222360 250505 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection 11th Floor, International House Dover Place Ashford Kent, TN23 1HU 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 Bradfield Residential Home H56-H05 S23330 Bradfield V222360 250505 Stage 4.doc Version 1.30 Page 24 - 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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