Inspection on 21/09/06 for Bradley House

This inspection was carried out on 21st September 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

Bradley House 14/08/09

Bradley House 19/01/09

Bradley House 23/01/08

Bradley House 25/02/06

Bradley House 24/08/05

Bradley House 10/03/05

Bradley House 19/10/04

Bradley House 30/03/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Bradley House High Street Shirehampton Bristol BS11 0DE Lead Inspector Wendy Kirby Key Unannounced Inspection 21st September 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Bradley House DS0000038920.V310743.R02.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Bradley House DS0000038920.V310743.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bradley House Address High Street Shirehampton Bristol BS11 0DE 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) 0117 9235641 elisabeth.bradleyhouse@btopenworld.com Mrs Elisabeth Laycock Mrs Elisabeth Laycock Care Home 10 Category(ies) of Old age, not falling within any other category registration, with number (10) of places Bradley House DS0000038920.V310743.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate up to 10 persons aged 65 years and over requiring personal care. 25th February 2006 Date of last inspection Brief Description of the Service: Bradley House is a residential home, which is registered to provide accommodation and personal care for up to 10 residents aged 65 years and over. The home is owned and managed by Ms Elizabeth Laycock. The home is situated in a residential area of Shirehampton. It is built over three floors and has a lift accessing the first floor. There are four bedrooms, which are only accessible via a staircase. The home is well maintained and benefits from a large garden, which is secure and provides a quiet area for residents. The property is situated on the high street so benefits from the local amenities and bus routes. Bradley House DS0000038920.V310743.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection conducted as part of the annual inspection process. The inspection lasted one day. Prior to the visit the inspector spent some time examining documentation accumulated since the previous inspection, including the pre-inspection questionnaire, notified incidences in the home, (Regulation 37’s) and the unannounced reports conducted by the Registered Providers (Regulation 26’s). The inspector sent questionnaires “Have your say” to residents in the home prior to the inspection and six were completed and returned. “Comment Cards” were also sent to relatives and three of these were completed. Information from these have been collated and detailed throughout the report. The inspector spent time in discussions with the manager, and members of staff, a number of records and files relating to the day-to-day running and management of the home were examined. Three residents were case tracked. Their care plans, care files and medication records were examined. The inspector spoke with residents and observed them indirectly going about their daily routines. The inspector toured the premises accompanied by the manager. Feedback was given to the manager on the outcome of the inspection. What the service does well: Admission procedures were resident focussed and supportive to residents. Care plans accurately reflect the residents’ needs and how they will be met. Residents and their families are involved in this process wherever possible. Systems are in place to help ensure that there is consistency in assessing, planning, implementing and evaluating the resident’s care at the required times. Staff have a good awareness of individuals’ needs and treat the residents in a warm and respectful manner, which means that they can expect to receive care and support in a sensitive way. Bradley House DS0000038920.V310743.R02.S.doc Version 5.2 Page 6 The manager and her staff are continuing to make every effort to establish resident’s wishes concerning palliative care and any provision residents and their families would wish for by developing end of life care plans. There are safe systems of medication. Residents benefit from a varied activities programme, which is both enjoyable, stimulating and meets individual preferences and expectations. Meals were well presented and menus verify a healthy well balanced diet for all residents who benefit from a wide variety of choice. The home is comfortable, well decorated and furnished. It provides a safe, peaceful and well-maintained environment for the residents. All complaints or concerns are documented, dealt with effectively and outcomes are recorded. Adequate staffing levels help to ensure that resident’s needs are met. Staffing levels are increased should the dependency levels of the residents change. The recruitment procedure is robust and serves to protect vulnerable residents. The home was well organised and managed by an effective, stable management team that promoted the views and interests of the residents. Bradley House provides a very high standard of care to its residents, who appear to be happy with the service they receive and are content with their daily lives. What has improved since the last inspection? The home has consistently demonstrated their commitment to meet all the requirements made at the last inspection and details follow within this report. Several new patio areas have been built in the gardens and a large outdoor barbeque. Additional garden furniture and sun screening has been provided to accommodate these areas. Refurbishment and redecoration to all the bathrooms is almost complete and further ensure that Bradley house is a pleasant, comfortable home to live in. Bradley House DS0000038920.V310743.R02.S.doc Version 5.2 Page 7 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. Bradley House DS0000038920.V310743.R02.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Bradley House DS0000038920.V310743.R02.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Prospective residents and/or their families receive relevant information to make a decision about the nature of the home. Residents receive a contract/statement of terms and conditions on admission. Prospective residents’ needs are assessed prior to admission to determine the suitability of placement to ensure that their needs can be met. Trial visits give prospective residents an opportunity to assess the nature of the home. EVIDENCE: A statement of purpose and service user guide is made available at the initial stage of enquiry to prospective residents/families. Bradley House DS0000038920.V310743.R02.S.doc Version 5.2 Page 10 The service user guide includes valuable information on the facilities and services available to them within the home. Prospective residents are encouraged to visit the home either for the day or perhaps for lunch dependent on their wishes. During the visit staff ensure that valuable information is given in order to assist prospective residents when making a decision about the home. Information provided includes the preadmission process, how residents’ exercise choice, developing care plans and the key worker system. All residents stated in their surveys that they had received a contract and that they had enough information given to them to assist them in deciding if the home was where they wanted to live. During the case tracking process of three residents contract/written terms and conditions were seen. Needs are assessed by the manager pre admission to ensure that the home can meet those needs. The prospective resident, family and carers are involved in this process, wherever possible. Where relevant the manager also obtains comprehensive assessments and care plans from other professionals involved for example, social workers and hospital staff. One relative informed the inspector “My relative has recently moved to Bradley House and nothing seems to much trouble for the staff”. This resident visited the home for a whole week to assist them in making a decision about living in the home on a permanent basis. Bradley House DS0000038920.V310743.R02.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The service had good systems for meeting and monitoring residents’ health and personal care needs in consultation with residents. There are safe systems of practice in receiving, storing, administering, and disposing of drugs. The staff have a good awareness of individuals’ needs and treat the residents in a warm and respectful manner, which means that they can expect to receive care and support in a sensitive way. EVIDENCE: Three residents care files were looked at in detail, including pre-admission assessments, care plans, personal history profiles and risk assessments. Bradley House DS0000038920.V310743.R02.S.doc Version 5.2 Page 12 Plans were completed with regards to social needs including, psychological, emotional, and cultural needs which demonstrate that the home takes a holistic approach to the provision of care. These plans were relatively new to the home and the staff had worked extremely hard in developing them with the residents. All plans were very detailed and personalised including personal preferences, likes and dislikes. The plans demonstrated that the homes philosophy centralises on empowering residents and encourages residents to maintain independence, autonomy and choice. All records evidenced consistency in assessing, planning and evaluating the resident’s care on a regular basis. The staff key worker, residents and relatives signed the care plans after completion and at the required reviews. The manger and her staff were able to demonstrate good relationships with individuals and were knowledgeable about the care needs of the residents living in the home. Records of the General Practitioner (GP) visits with residents and the outcomes were documented. Specialist referrals and visits from other professionals including District Nurses, Chiropractors, Dentists and Opticians were also seen. All residents’ surveys stated that they always felt that they received the medical support they needed. One resident had been considering whether to go ahead with an operation to have their cataracts removed. The home had sought information to assist the resident in making a decision. Another resident in the home had recently had the operation and was happy to talk about their experiences and the advantages of having the surgery. It was evident throughout the inspection that residents had forged good friendships with one another, one resident stated, “We all look out for each other here”. Risk assessments were in place, which included manual handling. Following a requirement at the previous inspection a risk assessment had been developed for one resident who had identified mental health needs. The manager requested a visit from a community psychiatric nurse to help support the resident and staff in developing the risk assessment. This resident was spoken with during the inspection who expressed great contentment and satisfaction with the home and staff. The manager and her staff were able to demonstrate a clear understanding of the residents needs. The inspector spent time with the senior care assistant to discuss the policies and procedures for ordering, storing, administering and disposing of medications. All systems in place are effective and well managed. Bradley House DS0000038920.V310743.R02.S.doc Version 5.2 Page 13 Each care file includes a medication profile which details prescribed tablets, their purpose and any possible side effects. This is good practice. Opportunity was taken to inspect the medication system. The home operates a monitored dosage system for the administration of medication, which is supplied at regular intervals by the local pharmacist. The GP conducts a medication review for all residents every six months. The home also keeps an accurate stock check of medicines given on an as required basis. Fridge temperatures are recorded daily. All staff receive “Medication Competency” training annually and the senior care assistant makes every effort to attend any other relevant training available including diabetes. The home has a resident with diabetes and they have acquired equipment to enable them to monitor and check blood sugar levels. The district nurses have assisted the care staff to become competent in this role and staff in the home are aware of the appropriate action to take should sugar levels become unstable. Although not inspected on this occasion the manager and her staff are continuing to make every effort to establish resident’s wishes concerning palliative care and any provision residents and their families would wish for by developing end of life care plans. The inspector looks forward to discussing their progress during the next visit. Bradley House DS0000038920.V310743.R02.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents are encouraged and supported to live a lifestyle, which is both enjoyable, stimulating and meets individual preferences and expectations. Residents maintain family contact and staff encourage family and friends to join in with activities and any outings. Residents receive a varied and wholesome diet that they are able to influence. EVIDENCE: The home has an activities coordinator who helps support residents to live their lives as they choose. Interaction is largely on a one to one basis, although on occasions some residents enjoy group activities including reminiscence and card games. It was evident that residents are supported to follow their hobbies and interests either independently or with assistance on a daily basis. Bradley House DS0000038920.V310743.R02.S.doc Version 5.2 Page 15 One resident enjoys a weekly trip to his local golf club to meet up with fellow members; the home takes the resident by car and will collect them when they are ready to come home. Another resident recently asked to be involved with choosing and planting this season’s annuals and perennials in the front garden and it was looking splendid on the day of the inspection. One resident explained to the inspector that they preferred spending a lot of time in their room where they could watch their favourite sports on Sky television. This resident also enjoyed one to one visits from the activities coordinator looking and having discussions about their book collection and playing card games. Bradley House is a home from home and residents obviously felt comfortable and relaxed in their surroundings. Residents were seen making cups of tea when they wished to and enjoying participating in normal day-to-day activities such as cake making and washing and wiping up. Staff enjoy organising celebrations within the home particularly during public holidays. One resident recently celebrated their one-hundredth birthday and eighty people attended a party with a buffet and firework display. All residents’ surveys stated, that they enjoy the activities in the home. Residents are supported to attend their local place of worship. A member of the local Church of England visits monthly for an ecumenical communion service. Residents are free to worship as they wish and any arrangements for services or communal prayers within or outside of the home are made in accordance with residents’ wishes. At present the home is in the process of producing an activity welcome pack and residents are completing individual surveys. This new initiative is in order to address any interests and hobbies not yet identified and to ensure that residents know that they are encouraged to exercise choice and control over their lives at all times. It was apparent from the detailed content in the care files that a lot of this information had already been obtained, however the staff in the home explained that by developing personalised activity files would further ensure that residents’ individual expectations and preferences are fully met. The home operates an open door policy for visitors to the home. Residents are welcome to invite visitors to join them for a meal and can arrange for private celebrations with families and friends for example a birthday party. Bradley House DS0000038920.V310743.R02.S.doc Version 5.2 Page 16 There are various areas in the house where residents chose to eat their meals. Some residents choose to dine in couples and enjoy quiet meal times together; the conservatory is an ideal place to accommodate this. Other residents enjoy the size and layout of the large dining room, which makes it possible for all residents to enjoy the social advantages of dining together. Staff had used their expertise and knowledge of the residents, personalities, preferences and ability to eat independently, when seating them for lunch. Both dining areas were light, spacious and the tables were attractively laid with tablecloths and condiments. Meals provided for the residents reflect seasonal trends and availability of produce. Menus are flexible on a daily basis and the home keeps a record of what meals the residents choose. On examination of these records it was evident that this system works well with the residents and on some occasions three or more meals will be prepared on any one day. Bradley House DS0000038920.V310743.R02.S.doc Version 5.2 Page 17 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents and relatives can be confidant that their concerns will be listened to and that they will be protected from abuse. EVIDENCE: Bradley House has a well-established complaints procedure that contains contact numbers and timescales for action. It is included in the residents guide and displayed on the home’s notice board. There have been two concerns received by the home in the last year. Documentation about these concerns were examined and details confirmed that policies and procedures were followed correctly and that they were dealt with and resolved effectively and efficiently. Six residents surveys said that they knew who to speak to if they were not happy. One resident told the inspector “I would speak to a member of staff if I had to make a complaint, or speak to my son”. Bradley House DS0000038920.V310743.R02.S.doc Version 5.2 Page 18 Ten residents surveys said that they new how to make a formal complaint, comments stated, “I’ve never had reason to complain” and, “If I had to complain I would go to Elizabeth the manager”. Relatives’ surveys also confirmed that they were aware of the complaints policy and procedures in the home. The six-monthly reviews also give the opportunity for everyone to discuss any concerns or anxieties they may have. There are policies and procedures as well as a range of guidance information on the topic of protection of vulnerable adults from abuse. The availability of this information should increase staff awareness and understanding of their role in protecting vulnerable adults who live at the home. A number of staff are now undertaking the National Vocational Qualification in care award, and a component of the award addresses issues around the topic of the protection of vulnerable adults from abuse. Resident’s confirmed during the inspection that they are well looked after and provided comments “My carer will always help me if I have a problem and if things go wrong” and “Elizabeth and the staff are very good to me, I am so lucky to have them”. Bradley House DS0000038920.V310743.R02.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,23,24,25,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Bradley House is well-maintained and is decorated to a good standard. Communal areas are well furnished and homely. It provides a safe, peaceful environment for the residents. The home is clean, pleasant and hygienic. EVIDENCE: Bradley House is a Georgian property situated in the high street of Shirehampton. It is a grade 2 listed building with many original period features. The Home is well maintained throughout and contains good quality furnishings and fittings. Bradley House DS0000038920.V310743.R02.S.doc Version 5.2 Page 20 Through the front door is a large entrance hall where the lift is accessed. The hall has various notice boards with lots of information to keep residents and visitors up to date about news within the home. One notice board is entitled “Local events”, which is a new initiative overseen by the activities coordinator. This provides useful information about local events and how to access local community groups and clubs for example the “Workman’s Club”. The Home has a number of rooms for communal use including a large dining area, a spacious lounge and conservatory. The lounge and dining room are homely, welcoming and tastefully decorated. Toilets and bathrooms are spacious and decorated to a good standard, which meet the needs of current residents and are fitted with grab rails and a bath hoist. Bathrooms have been targeted for complete refurbishment and decoration this year and are almost completed. Residents have a bedroom for their own use, the rooms are spacious, and have been individualised by residents, reflecting their own particular tastes with personal photographs and possessions. All rooms are centrally heated and residents are able to control the temperature in their bedrooms. Lighting is of domestic style and emergency lighting is fitted throughout the home. Evidence was seen that this is checked on a monthly basis. The back of the house has large landscaped gardens, with well-stocked flowerbeds, established trees and shrubs and a well-tended lawn. There are various semi-private seating areas for the residents and visitors with plenty of sun screening. Some of these areas are relatively new and include a stone built barbeque, which has proved very popular this summer. There is a large vegetable garden and greenhouse, which has provided various produce throughout the year for residents to enjoy. Although this venture is tended and enjoyed jointly by all residents and staff one resident in particular takes great pleasure and overall responsibility in this recreation. The kitchen was spacious, clean and tidy. The cupboards, fridge and freezer contained an abundant food store and were all clean and well maintained. The fridge and freezer temperatures were recorded and consistent. Records also evidenced that food probe temperatures were being taken on a daily basis. The Home was clean and tidy throughout and free of any odours. Bradley House DS0000038920.V310743.R02.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Adequate staffing levels help to ensure that resident’s needs are met. Residents are supported and protected by the homes recruitment policy. The residents are cared for by caring staff that are trained and supported by management. EVIDENCE: The manager ensures that staffing levels are indicative of the needs and levels of care required by the residents twenty-four hours a day. One resident stated, “Night staff are very prompt and on the ball”. Residents’ surveys agreed that staff are always available when they are needed and listen and act upon what the residents say. One resident said, “This is such a nice place to live”. The inspector spoke to several residents who expressed very positive views about staff and the care they receive providing comments like, “I am so lucky to be here all of the staff are caring and kind” and “I am well looked after”. Bradley House DS0000038920.V310743.R02.S.doc Version 5.2 Page 22 The recruitment process was examined and following previous requirements at the last inspection, all staff records examined showed that the home now follows a robust recruitment procedure. Records contained application forms, references, and a CRB (Criminal Records Bureau) disclosure. There is an induction programme, which covers all mandatory training, including Fire, Manual Handling, Health and Safety and the Protection of Vulnerable adults. The home has a mentor system where all new staff are linked with and shadow a senior staff member during each shift to enable continuity and continued training throughout the induction process. Although at present additional training is sparse the manager and her staff are conscientious in attending training relevant to the care needs of the residents, including diabetes and coping with bereavement. Training courses, which should further assist staff with their professional development, were discussed and it was recommended that the manager contact the Bristol City Council for the latest training bulletin. Seven staff are currently enrolled on NVQ2 and NVQ3. Staff group meetings are held monthly and minutes were examined. Staff enjoy the meetings and find them a useful exercise allowing exchange of information, experiences and knowledge. The meetings enable them the opportunity to discuss the residents, staff roles and responsibilities and any other issues in the home. The inspector spent some time throughout the day observing staff carrying out their duties and assisting residents. Staff were respectful, warm in manner, good humoured and sensitive towards the residents within a relaxed, calm environment. All staff demonstrated a very caring, committed attitude to their roles and responsibilities in ensuring they provide quality of care to the residents. Comments from surveys confirmed that “The care is excellent and all the staff are very friendly”. Bradley House DS0000038920.V310743.R02.S.doc Version 5.2 Page 23 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,36,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents’ needs and best interests are central to the management approach in the home. Staff receive appropriate supervision. The health and safety of residents, staff, and visitors is protected. EVIDENCE: Bradley House has been owned and managed by Elizabeth Laycock since 1996. She has successfully achieved an NVQ level 4 in Care Management and the Registered Managers award. Bradley House DS0000038920.V310743.R02.S.doc Version 5.2 Page 24 Ms Laycock was able to demonstrate good, effective leadership and management that relates to the aims and purposes of the home. It was evident from discussions with Ms Laycock and her staff that the home has a stable team that supports a commitment to providing quality care for the benefit of the residents. The manager encourages innovation within the team and ideas that are generated are respected and actioned, which demonstrates an open and inclusive atmosphere. There was a high degree of satisfaction expressed by all of the residents spoken with. Based on the comments made and through the inspectors observation it is evident that the home is run in their best interests and to ensure their needs are being met. Each resident is responsible for his or her own money and a locked facility is provided in each room. Some residents choose to pay for sundries direct for example to the hairdresser and chiropodist, whilst others prefer to be invoiced at the end of each month. The policy of the home is to not hold any amounts of cash for the residents. If residents choose not to keep money in the home other suitable arrangements are made via a representative such as a family member or solicitor. There is an annual appraisal process, which ties in with the supervision arrangements. The manager has established a formal recorded supervision procedure for all staff. A plan is devised for discussion relating to the residents, work issues, staff issues, personal development and training. The recorded outcomes of the supervision evidenced the effectiveness of the sessions. Some of the Health and safety records in the home were examined. Documentation showed that relevant checks were maintained correctly and at the required intervals including all fire alarms and equipment and emergency lighting. The homes records showed all necessary service contracts were up to date including, gas and electrical services and the passenger lift. Bradley House DS0000038920.V310743.R02.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 X 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Bradley House DS0000038920.V310743.R02.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? No 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. 1. Refer to Standard OP30 Good Practice Recommendations Staff would benefit from accessing additional training, which is relevant to the needs of the residents living at the home. Bradley House DS0000038920.V310743.R02.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG 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 Bradley House DS0000038920.V310743.R02.S.doc Version 5.2 Page 28 - 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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