Inspection on 14/08/06 for Bradley Resource Centre

This inspection was carried out on 14th August 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 Resource Centre 03/09/09

Bradley Resource Centre 30/07/07

Bradley Resource Centre 24/10/05

Bradley Resource Centre 07/07/05

Bradley Resource Centre 11/01/05

Bradley Resource Centre 28/09/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE Bradley Resource Centre Lord Street Bradley Wolverhampton West Midlands WV14 8S0 Lead Inspector Mr Ian Harris Key Unannounced Inspection 14th August 2006 08:00 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 Resource Centre DS0000035751.V297418.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 Resource Centre DS0000035751.V297418.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bradley Resource Centre Address Lord Street Bradley Wolverhampton West Midlands WV14 8S0 01902-553543 01902-553448 helen.heathcote@wolverhampton.gov.uk www.wolverhampton.gov.uk Wolverhampton City Council 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) Mrs Elizabeth Helen Heathcote Care Home 23 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (23), Old age, not falling within any of places other category (23), Physical disability (23) Bradley Resource Centre DS0000035751.V297418.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Age 50 and over 14 rehabilitation beds and 9 respite care Date of last inspection 24th October 2005 Brief Description of the Service: Bradley Community Resource Centre provides a range of services for older people. The home is managed by the city councils Social Services Department and supports older people and their carers in the south east of the city. It provides a rehabilitation unit with 14 single bedrooms, Rehabilitation is usually provided for a six-week period by a team of rehabilitation assistants, occupational therapists and physiotherapists based at the centre. A Respite Unit with nine single bedrooms provides short-term care for older people. It also provides carers with a break from their role as carers. A day care service which is not inspected and a Home Support Service which is inspected and is addressed in a separate report also operate from the centre It is close to a bus route and the metro. Nearby are shops and a public house. It was noted that the fees are set at the following a stay in the respite unit is £13-49 for people over 60 years of age per night up to and including six nights, after six nights, an individual financial assessment is undertaken by he Social service department. The cost for a weeks stay will therefore vary according to the results of this financial assessment from £94-43 to £336-00. There is no charge for a Rehab unit place. Bradley Resource Centre DS0000035751.V297418.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was an unannounced key inspection and took place over 5. hour’s. During the inspection a tour of the premises took place and staff and care records were inspected. Also staff rotas and general records regarding the maintenance of the home were checked. 4 members of staff 8 residents were spoken to. On the day of inspection the atmosphere within the home was found to be warm, friendly and comfortable with contented residents. All the residents spoken to who could express themselves in a meaning full way expressed their satisfaction with the care they received and there were comments as follows “ the food is good here” “The staff are really good” “ I like my room this is like a hotel.” “I am improving here I couldn’t walk when I came here but now I will soon be going home”. What the service does well: What has improved since the last inspection? Bradley Resource Centre DS0000035751.V297418.R02.S.doc Version 5.2 Page 6 Since the last inspection considerable amount of work has been carried out within the home they include the redecoration of the respite unit corridors and part of the Rehab unit corridors The Main Activities room,1 bedroom, the stairs to the offices and the small meeting room. The paintwork on the outside of the building has been redecorated and all the softwood windows and facias to the laundry, kitchen and offices have been replaced with upvc units. New carpet has been fitted in the Rehab. Lounge and 15 chairs have been recovered. The service user guide has been up-dated and a system of person centred mapping has been introduced that will ensure a more focused care planning To meet the individual needs of the residents. 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 Resource Centre DS0000035751.V297418.R02.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Bradley Resource Centre DS0000035751.V297418.R02.S.doc Version 5.2 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 the following standard(s): 3 and 6 There is a very good assessment procedure of residents needs in place and there is evidence that they are being followed. The home provides a good intermediate care and respite services that is successfully returning people to their homes. The quality outcome in this area is good. This judgment has been made using available evidence including a visit to this service. EVIDENCE: There is evidence on the 6 files that were inspected that all the residents undergo a full multi-disciplinary assessment prior to admission. Three residents’ confirmed that they had been involved in the assessment process. The home provides excellent information regarding the services provided and other relevant information on services for older people. All the residents in the rehab unit have a detailed care plan, which is designed to help them regain and develop their independence. There is occupational therapy and Physiotherapy available within the centre. A weekly multi disciplinary meeting takes place to review the care plans and assess progress. Bradley Resource Centre DS0000035751.V297418.R02.S.doc Version 5.2 Page 9 This ensures that residents are assisted to a speedy recovery and able to return home. Bradley Resource Centre DS0000035751.V297418.R02.S.doc Version 5.2 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 the following standard(s): 7, 8, 9, and 10 Each resident has a good comprehensive, individual care plan that is reviewed on a monthly basis. The home has good contact with local G.P. s. local hospitals and paramedical services, which ensures that resident’s health needs are well met. The systems for the administration of medication are good with clear and comprehensive recording arrangements being in place to ensure resident’s medication needs are well met. The quality outcome in this area is good. This judgment has been made using available evidence including a visit to this service. EVIDENCE: The home provides a comprehensive Care Plan for each individual resident based on the initial assessment. The Care Plans are drawn up by the Care Staff in consultation with the resident and their family. There was evidence on the files to show the care Plans are being carried out and reviewed on a regular basis. The staff are to be commended on the introduction of a new Person Bradley Resource Centre DS0000035751.V297418.R02.S.doc Version 5.2 Page 11 Centred mapping system that ensures that residents needs promoted and monitored closely. The home is well supported by local G. P. s. and all of the paramedical services. Wherever possible, the residents are encouraged to retain their own G. P s, Opticians, and Dentists. It was noted that if the resident has moved out of their area, the Care Manager ensures these services, are provided by local practitioners. The Resource centre is also supported by a consultant, in elderly medicine who is based at West Park Hospital who visits the centre on a weekly basis. The records indicate that resident’s medical needs are being met. Medication is administered, by means of a monitored dosage system. The residents in the short stay / respite unit are encouraged as part of their care plan to self medicate under supervision. The system appears to be working very well. The home receives good support from the local pharmacist who does a three monthly audit of the homes medication. All Senior Staff have been trained to use the system before they are allowed to administer medication. The home has very good policies and procedures, which are used as guidance and are an integral part of the care staff induction programme. Bradley Resource Centre DS0000035751.V297418.R02.S.doc Version 5.2 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 the following standard(s): 12, 13, 14, and 15 The home provides a good programme of social activities within the home, which are designed to meet the resident’s capabilities, which, the staff encourage the residents to pursue The Care Manager and staff encourage family and friends to maintain good contact with their relatives at the home. The meals in the home are good offering both choice and variety and also catering for special dietary needs. The quality outcome in this area is good. This judgment has been made using available evidence including a visit to this service. EVIDENCE: Residents and staff stated that the Residents are consulted regarding the dayto-day running of the home through meetings, reviews and by feedback from the care staff. The care staff, also identify interests that the service users wish to pursue. Also there is a Social Activities group made up of staff and residents that meet through out the year to plan activities and outings. There is a monthly programme of activities advertised in each unit and residents have access to the day centre, where a wide range of activities are available. The observations made, examination of menus and the comments received from the service users confirmed that particular attention is given to the Bradley Resource Centre DS0000035751.V297418.R02.S.doc Version 5.2 Page 13 service users’ individual preferences. All of the comments made by service users regarding the quality, quantity and variety of food provided are complimentary Bradley Resource Centre DS0000035751.V297418.R02.S.doc Version 5.2 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 the following standard(s): 16 and 18 The home has a good compliments and complaints system and there is evidence that residents’ and their families feel that their views are listened to and acted upon The home has good policies and procedures regarding protection from abuse, which includes a whistle blowing policy. The quality outcome in this area is good. This judgment has been made using available evidence including a visit to this service. EVIDENCE: The home has a very good comprehensive complaints and complaints procedure. The residents and relatives are made aware of the procedure through the statement of their terms and conditions of residence, the service users guide, which a copy is issued on admission to the home. Also a copy is placed in the reception hall and in each bedroom. The home has a complaints book in which all complaints are recorded. It was noted that the home has not received any formal complaints since the last inspection all minor complaints are dealt with appropriately and quickly. The home has good policies and procedures regarding Restraint, dealing with Aggressive Behaviour and Prevention of Abuse, which, includes a WhistleBlowing policy. These issues are also covered in internal and N.V.Q. training, which all care Staff is undergoing. Bradley Resource Centre DS0000035751.V297418.R02.S.doc Version 5.2 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 the following standard(s): 19 and 26 The standard of the environment within the home is high and there is a rolling programme of maintenance providing the residents with a very attractive, comfortable, homely and safe place to live. The home was found to be clean tidy and free of unpleasant odour. The quality outcome in this area is good. This judgment has been made using available evidence including a visit to this service. EVIDENCE: The establishment has been established for many years and has undergone major alterations four years ago in order to improve accommodation for older people and provide a rehabilitation unit and respite unit. The Centre is generally maintained to a high standard, as are the gardens and grounds and provides a very comfortable homely and safe atmosphere. It was noted that the following areas have been redecorated. The respite unit corridors and part of the Rehab unit corridors The Main Activities room,1 bedroom, the stairs to the offices and the small meeting room. The paint work on the outside of the Bradley Resource Centre DS0000035751.V297418.R02.S.doc Version 5.2 Page 16 building has been redecorated and all the softwood windows and facias to the laundry, kitchen and offices have been replaced with upvc units. The home was found to be clean and tidy and free from odour. The home has good policies and procedures regarding infection control and the staff have received training in food hygiene and Infection Control. From observations and discussions with staff they appeared to be conscious of the dangers of cross infection. Bradley Resource Centre DS0000035751.V297418.R02.S.doc Version 5.2 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 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, and 30 The home is well staffed with adequate numbers and skill mix of staff. The staff have a very good understanding of the resident’s support needs. The home has good policies and procedures regarding the recruitment of staff, which is being followed. There is a excellent training programme in place that ensures staff are competent to do their job. The quality outcome in this area is good. This judgment has been made using available evidence including a visit to this service. EVIDENCE: The inspection of staff rotas and discussions with residents indicated that the home is well staffed. There is a good balance within the staff group, which includes experience, mature and younger staff who are embarking on a new career. The home operates a very efficient recruitment procedure and the Local Authority is registered in order to complete the appropriate checks on staff. There was evidence within the home that all the checks are being carried out. The home has an excellent training programme and all staff at the home are committed to developing their knowledge and skills through training and have regular opportunities to do so through external and internal training activities. The home has a programme of N.V.Q. training, which has exceeded the minimum standard required. Also the care staff have attended courses on Safe handling of medication, Risk assessment, Ageism, Moving and Handling, First Aid, Protection From Abuse, Infection Control, Dementia Care Studies, Bradley Resource Centre DS0000035751.V297418.R02.S.doc Version 5.2 Page 18 Managing Aggression, Disability Equality, Sensory Awareness, Health and safety at work and Fire prevention. Bradley Resource Centre DS0000035751.V297418.R02.S.doc Version 5.2 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 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, and 38 The home is well managed, where residents’ interests and welfare is promoted. The home is operating a good system to assist residents with the safe handling and keeping of their personal finances and good records are being kept of all transactions made. All the records that were inspected were found to be well ordered and maintained. The home has good policies and procedures regarding Health and safety. The quality outcome in this area is good. This judgment has been made using available evidence including a visit to this service. EVIDENCE: The Care Manager is qualified in both practice and management and has considerable experience in caring for older people in residential homes There are clear lines of accountability within the home and is very supportive of both staff and residents. Bradley Resource Centre DS0000035751.V297418.R02.S.doc Version 5.2 Page 20 Observations made and discussions with residents and staff indicated that the Care Manager is very approachable and operates an open door policy. The staff and residents who could express themselves stated that they are happy to approach the Care Manager or staff with any problems they might have. The home has an internal audit system in place to monitor the quality of the service. There is evidence that staff meetings and staff supervision takes place. All of the records and administrative procedures within the home that was, inspected were found to be well ordered and maintained. The home has a good heath and safety policy and all staff are aware of their responsibilities regarding these issues and a number of staff have received training on these issues. All safety equipment is check and well maintained. Bradley Resource Centre DS0000035751.V297418.R02.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X 4 HEALTH AND PERSONAL CARE Standard No Score 7 4 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 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 Bradley Resource Centre DS0000035751.V297418.R02.S.doc Version 5.2 Page 22 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. Refer to Standard Good Practice Recommendations Bradley Resource Centre DS0000035751.V297418.R02.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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 Resource Centre DS0000035751.V297418.R02.S.doc Version 5.2 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!