Inspection on 16/08/05 for Bradford House

This inspection was carried out on 16th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Bradford House 10/12/08

Bradford House 14/12/06

Bradford House 17/03/06

Bradford House 15/02/05

Bradford House 25/11/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Bradford House 74 Ellington Road Ramsgate Kent CT11 9SX Lead Inspector Brenda Pears Announced 16/08/05 at 09:30hrs 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. Bradford House 20051027 H56-H05 S23197 Bradford Hse V237297 160805 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Bradford House Address 74 Ellington Rd, Ramsgate, Kent. CT11 9SX 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) 01843 580026 Mr Graham Charles Whatley Mr Graham Charles Whatley Registered Care Home 7 Category(ies) of Learning Disability registration, with number of places Bradford House 20051027 H56-H05 S23197 Bradford Hse V237297 160805 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Bradford House is a large property situated in Ramsgate close to local shops and amenities. Bus routes are close by and the Home is not far from the local railway station and sea front. The Home is currently registered for 7 service users and provides a relaxed and welcoming atmosphere with service users at the centre of all care given. Bradford House 20051027 H56-H05 S23197 Bradford Hse V237297 160805 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection and the inspection consisted of speaking with the proprietors, staff members and service users. The methods of inspecting the home included checking records, tracking service user care plans, examining staff files, observations and a tour of the building. The inspection focussed on the requirements from the last inspection and key standards. As part of the pre-inspection process, residents and relatives were consulted for their views of the home. Families and service users returned their comment cards, providing valuable feedback about the home, which helped in the planning of this inspection. Two service users who were at home at this time were fully included in this inspection. What the service does well: What has improved since the last inspection? Three bedrooms have been redecorated and some additional development work inside the home has been undertaken. Bradford House 20051027 H56-H05 S23197 Bradford Hse V237297 160805 stage 4.doc Version 1.40 Page 6 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. Bradford House 20051027 H56-H05 S23197 Bradford Hse V237297 160805 stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Bradford House 20051027 H56-H05 S23197 Bradford Hse V237297 160805 stage 4.doc Version 1.40 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 standard(s) 1,2,3,4 New service users are given full information and needs are assessed before any decision is made to move into the home. Every new service user has chances to visit the home before moving in. EVIDENCE: Service users are able to visit, have meals and stay at Bradford House as many times as they wish before deciding to move into the home. Those already living in the home meet any new person thinking of moving in and are also consulted. New service users are assured that the home can meet their needs and help achieve their goals. Full assessments are undertaken and discussions with the new service user and family/advocate/care manager confirm that needs can be met. While emergency admissions are not encouraged, the home works closely with care mangers and service users have been admitted at short notice following appropriate assessment. When a home was closing locally, one person known to service users was admitted as this enabled him to continue using his local routes. This service user stated he is happy in the home and is still able to visit areas that are familiar to him. His full care plan is currently being developed and supported by observations and routines that are being undertaken. Bradford House 20051027 H56-H05 S23197 Bradford Hse V237297 160805 stage 4.doc Version 1.40 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 standard(s) 6,7,8,9 Assessments and goals are set out in individual care plans. Service users are supported to make decisions about their lives and are included in all routines in the home. EVIDENCE: Individual care plans and goals to be attained are clearly recorded and completed after discussions with each individual living in the home and any family member or advocate chosen. Activities are chosen by each service user and supported by staff. Observations at this time, discussions with service users and questionnaires received all confirm that due consideration is given for independence and choice. Bradford House 20051027 H56-H05 S23197 Bradford Hse V237297 160805 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) 11,13,15.16.17 Service users take part in local groups and enjoy local amenities. Service users are encouraged and supported to take undertake responsibilities and make decisions. Meals are chosen by the service users and snacks are always available. EVIDENCE: Outings and activities are chosen by the service user and appropriately supported by staff. Photographs and records of activities and outings enjoyed by service users confirm service users enjoy local amenities and keep contact with family and friends. 5 service users attend day centre, church is attended, by those who choose to go, one weekday and also on Sunday. A disco is attended on one night a month and lunches are taken out whenever service user wish. Each day is started with each person choosing what they will do and one service user had decided to stay in the home at the time of this inspection. Service users are currently collecting holiday brochures to decide where to take this years holiday, supporting independence and choice. Bradford House 20051027 H56-H05 S23197 Bradford Hse V237297 160805 stage 4.doc Version 1.40 Page 11 Families are invited to attend reviews and the home works closely with families to ensure relevant care and support is given at all times. This is also confirmed through the questionnaires received that state there is close contact from the home at all times and families are kept fully informed. Cupboards and the refrigerator contained a variety of foods and snacks available for service users. Shopping and cooking are jointly undertaken with service users and meals are at a time to suit everyone. Mealtimes are flexible and service users have a choice of what is eaten. Observations and discussions with service users at this time also confirmed this. Records are kept of all food that is eaten and how the service user felt on each particular day. This supports healthy eating and independence. Bradford House 20051027 H56-H05 S23197 Bradford Hse V237297 160805 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) 18,19,20 Service users are treated as individuals and with respect. All health care needs are met and appropriate policies/procedures are in place to support service users with regard to medication. EVIDENCE: Records clearly state appointments made and outcomes of all health support that is given. Full reviews are undertaken and the home has good support from the local doctor and community nurse. Discussions with service users, observations at this time and the questionnaires received confirm that the emotional and physical needs of service users are met in an appropriate way. One service user has sadly passed away since the last inspection but the family have very kindly completed a questionnaire form. This clearly expresses how caring and supportive the home has been during this very difficult time. There is still continued contact between the family and the home. Bradford House 20051027 H56-H05 S23197 Bradford Hse V237297 160805 stage 4.doc Version 1.40 Page 13 Medication is securely stored and all record sheets were up to date and clearly completed at this time. Discussions have been undertaken regarding insulin storage with the local nurse and this is stored to ensure there is no risk of cross contamination. No person currently self medicates and service users are aware of how important taking their medication is. All information regarding side effects of medication is kept on each service user file. Bradford House 20051027 H56-H05 S23197 Bradford Hse V237297 160805 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) 22,23 Service users are protected in the home and they are listened to and supported. EVIDENCE: There is an open and transparent working environment within the home. Respect is demonstrated for the needs of others by both staff and service users. There is a clear policy and procedure on abuse and these are updated as training is undertaken by staff. There is also additional KCC information on file with guidelines regarding dealing with abuse. Discussions with service users enforce these policies and support individuals in their daily lives. Service users have informal discussions when everyone is together. This enables everyone to be included and not feel too formal, while encouraging comments and discussion about all issues in the home. All matters concerning individuals are taken seriously and appropriate support is given. Money is stored safely and records are kept up to date and contain all receipts obtained. Service users have their own bank accounts that they manage with support as required. One service user also has an appointed solicitor. Service users have a lockable space in their rooms and the home tries to ensure that acceptable amounts of money are retained. This supports and encourages life skills and independence. Bradford House 20051027 H56-H05 S23197 Bradford Hse V237297 160805 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) 24,25,27,30 Each individual room is comfortable, personalised and promotes independence. There are sufficient toilets and bathrooms to provide privacy and meet needs. EVIDENCE: The home is clean and hygienic with a very homely and relaxed feeling. Service users have a very large lounge and dining room area to share and all rooms are also large with high ceilings and ample personal space. Three rooms have been redecorated since the last inspection and there is an ongoing redecoration programme for the home. Each room is very individual and reflects the personality of the service user. One person enjoys collecting various items and has put hooks around the room to put these things on display. Another room has appropriate furnishings and decoration and familiar objects and pictures to make the service user feel at home. A new service user showed some shelving that has been provided in his room for his large collection of books. This enables him to keep things tidy and in order as he enjoys having everything organised and easily accessed. Bradford House 20051027 H56-H05 S23197 Bradford Hse V237297 160805 stage 4.doc Version 1.40 Page 16 Bradford House 20051027 H56-H05 S23197 Bradford Hse V237297 160805 stage 4.doc Version 1.40 Page 17 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) 33,34,35 Staff undertake appropriate training, are competent and qualified to work in the home. The homes recruitment policy and practices protect service users but do require some reviewing. EVIDENCE: Most staff working at the home have been recruited locally, through either knowing the manager or being recommended by other members of staff. The staff team is small, due to the independent nature of service users, but everyone knows their job roles. Staff are flexible in their work hours to support the lives and activities of service users. The proprietors of the home live locally and are on call to support whenever needed. Appropriate training is undertaken and some recently completed training includes Insulin and Diabetes, Food Hygiene, Health & Safety and Using Medication Safely. NVQ training is also booked and one staff member is currently near to completing NVQ level 2. Bradford House 20051027 H56-H05 S23197 Bradford Hse V237297 160805 stage 4.doc Version 1.40 Page 18 Staff files contain job descriptions and a full induction is undertaken and recorded. However, the files need to contain a photograph and copy of proof of identity for all staff working in the home. Also, one CRB check is to be applied for by the home as the file has only one from a previous employer. Formal staff contracts are also currently being developed for each person. Bradford House 20051027 H56-H05 S23197 Bradford Hse V237297 160805 stage 4.doc Version 1.40 Page 19 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) 37,39,41,42 The home is well run, with an open and inclusive management style. The service users are at the centre of all decisions made in the home. The safety, welfare and health of service users are ensured at all times. EVIDENCE: The home is managed in an inclusive way that ensures everyone, both service users and staff, are aware of what is happening at any time. Observations and discussions confirm that service users are comfortable and included in all discussions and plans that are made. This gives ownership to service users and makes Bradford House their own home. Bradford House 20051027 H56-H05 S23197 Bradford Hse V237297 160805 stage 4.doc Version 1.40 Page 20 The well being and safety of service users is ensured through recruitment and training. Health and well being is ensured through support from appropriate professionals and up to date training being undertaken. Discussions were undertaken regarding toiletry products that are in bathrooms. While service users do appreciate what each product is used for, it is advised that risk assessments are undertaken with regard to the general environment of the home. Bradford House 20051027 H56-H05 S23197 Bradford Hse V237297 160805 stage 4.doc Version 1.40 Page 21 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 3 3 3 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x 3 x x 3 Standard No 11 12 13 14 15 16 17 3 x 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score x x 3 2 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Bradford House Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x 3 x 3 3 x 20051027 H56-H05 S23197 Bradford Hse V237297 160805 stage 4.doc Version 1.40 Page 22 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 YA43 Regulation 17 & 19 Requirement All staff records must contain a current CRB and copies of proof of identity. Timescale for action 30/11/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA42 Good Practice Recommendations That an environmental risk assessment is undertaken. Bradford House 20051027 H56-H05 S23197 Bradford Hse V237297 160805 stage 4.doc Version 1.40 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 Bradford House 20051027 H56-H05 S23197 Bradford Hse V237297 160805 stage 4.doc Version 1.40 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. 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!