Inspection on 09/11/06 for Bradwell Court

This inspection was carried out on 9th November 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

Bradwell Court 07/06/07

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Bradwell Court Bradwell Grove Congleton Cheshire CW12 5HD Lead Inspector Helena Dennett Key Unannounced Inspection 9th November 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 Bradwell Court DS0000067359.V308553.R01.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. Bradwell Court DS0000067359.V308553.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bradwell Court Address Bradwell Grove Congleton Cheshire CW12 5HD 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) 01260 281428 01260 291855 Sanctuary Care Limited Mrs Lynda Schofield Care Home 27 Category(ies) of Dementia - over 65 years of age (1), Old age, registration, with number not falling within any other category (27) of places Bradwell Court DS0000067359.V308553.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of 27 service users to include: * Up to 27 service users in the category of OP (old age not falling within any other category * One named service user in the category of DE(E) (Dementia over the age of 65) Date of last inspection 8th November 2005 Brief Description of the Service: Sanctuary Care Ltd has recently taken ownership of Bradwell Court Care Home. Previous to that it was owned by Beth Johnson Housing Group. Bradwell Court Care Home was opened in August 2000.The home is close to the town centre of Congleton and to a wide range of shops, churches and other facilities. There are limited car parking facilities available at the home. Bradwell Court was previously used to provide sheltered accommodation and has been adapted to provide accommodation to elderly residents. It is a threestorey building and residents are accommodated on all floors. There is a passenger lift, which serves all floors. Residents’ accommodation consists of 27 single bedrooms all of which have ensuite with shower, a small kitchenette with a fridge. Day space consists of a lounge/dining room and a second lounge with a bar on the second floor. The bar is not currently in use. There are four bathrooms and a number of additional toilets available for residents to use. There are several aids to help residents installed throughout the home; these include bath hoists, grab rails and an emergency call bell system. The scale of charges range from £343.43 - £400 per week. A copy of the latest inspection report can be obtained from the manager on request. Bradwell Court DS0000067359.V308553.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection took place over 6.5 hours. The manager was invited to provide evidence as part of this inspection process. The Inspector spoke to the manager, three staff members and six residents. The inspector walked around the building and visited some of the residents’ rooms. Three residents’ records were examined as part of the inspection process, in respect of the care they receive. Records of medication, care plans staffing rotas and training were also examined. Examination of the homes documentation, policies and procedures formed the basis of the visit. What the service does well: Residents are happy with the care and facilities that are offered at Bradwell court Care Home. Comments such as ‘staff are good’ and ‘I am well cared for’ were made. Staff are attentive to residents needs and good relationships exist between residents and staff. There are good links with health and social care workers, including district nurses, GP’s and social workers. There was evidence that district nurses are asked to visit when residents need them so residents can be confident their health care needs will be met whilst living at the home. Residents were very complimentary about the food that is provided at the home. Comments such as ‘smashing food’ were made. Residents are given a choice of main meal so staff can be confident that residents will eat well thus helping maintain a healthy lifestyle. Residents’ rooms are kept clean and are well maintained. All of the rooms have an en-suite shower and toilet. The home is managed well. All of the residents know the manager and said that they could approach her if there were any problems. One social worker made the following comment ‘ I have always found the home very welcoming. Linda the manager is open to ways of working with clients ‘. Bradwell Court DS0000067359.V308553.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Bradwell Court DS0000067359.V308553.R01.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 Bradwell Court DS0000067359.V308553.R01.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): 1,2 &3 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their representatives have the information needed to choose a home that will meet their needs. EVIDENCE: Following a recent change in ownership of the home, the statement of purpose and service user guide are being reviewed to reflect the changes. Although staff were aware of the existence of the service user guide, some members of staff did not know where it was kept or its purpose. A folder containing the statement of purpose and other information is placed in residents’ rooms. The manager confirmed that all residents are given a statement of terms and conditions at the point of moving into the home. A contract is supplied if a resident is purchasing their care privately. One resident said that she is informed verbally when fees are increased and that her next of kin is also informed in writing. Although the manager confirmed that letters are sent to relatives advising of any increase in fees, copies of these letters are not kept Bradwell Court DS0000067359.V308553.R01.S.doc Version 5.2 Page 9 on file at the home therefore it would be difficult for the manager to answer any queries residents may have on this matter. The manager or senior carer visits residents at home before they are admitted. An assessment is done so that staff and the residents can be confident that their needs can be met. Bradwell Court DS0000067359.V308553.R01.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 &10 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care needs of residents are mainly met and so residents can be confident that they are well cared for. EVIDENCE: Three residents records were looked at during the site visit. These contained an assessment of needs when the resident first came into the home, a risk assessment, a plan of care outlining the agreed care to be provided and a daily record that reported on the health and well being of the individual. These records have improved since the last inspection. Residents are now involved in the care planning process and wherever possible, residents have signed the care plans which suggests that they have been involved in the decision making process regarding their care. Some further improvements are required to make sure that all of the residents needs are identified and appropriate action taken as necessary. For example, one resident with a history of confusion did not have a plan of care in place Bradwell Court DS0000067359.V308553.R01.S.doc Version 5.2 Page 11 and so staff may not know how to deal with the resident when they become confused. Discussion took place with the manager about the need to ensure there is a risk assessment in place for residents using equipment that have a potential safety risk. This was in relation to a short bedside rail in place on a resident’s bed. The manager addressed this issue during the site visit. The health care need of one resident was not monitored sufficiently. The resident is a diabetic and in the care plan it states ‘bloods to be monitored by senior staff on Sunday and Wednesday’. It was recorded that the last blood sugar was done on 22/10/06, which means it is difficult to determine whether her diabetes is stable or if any medical intervention may be required. All of the residents spoken with were complimentary about the staff working at the home. Comments such as ‘staff are good’, and ‘good care’ and ‘staff here do a lovely job’ were made. Another resident said that they were happy with the care and support that they receive at the home. The management of medicines is satisfactory. Senior care staff that have attended training on medication give out medicines to the residents. One issue relating to the administration of medication was identified during the site visit. The manager agreed to address this The atmosphere of the home was relaxed. Staff were seen to knock on doors before entering residents rooms. Bathroom doors were locked when staff were assisting residents to wash and dress. Staff were seen to treat residents with respect. Good relationships appeared to exist. Bradwell Court DS0000067359.V308553.R01.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 & 15. The quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The lifestyle experienced by service users in the home does not satisfy their recreational interests and needs and so service users and not kept stimulated or as active as they would like to be. EVIDENCE: The manager confirmed that she has introduced more activities to the home since the last inspection. This includes painting once a month, a person visits to do crafts on a Friday morning and a music workshop monthly. In addition members of staff said that they organise activities in an afternoon. An activity book is kept, however there was no evidence to suggest that the activities documented in the book were carried out by staff. Residents said that they enjoyed the crafts and painting but would like more to do. One resident said that she attends communion services monthly. All of the residents spoken with said they would like more to do in the day. One resident described her typical day as ‘having breakfast, sitting in the lounge, sits and reads a paper, chats and waits for lunch, sit around doing nothing until tea, may watch television and then goes to bed’. Bradwell Court DS0000067359.V308553.R01.S.doc Version 5.2 Page 13 Other residents said ‘there is nothing to do’ ‘boring’, ‘would like to go out more’. One lady said that she used to enjoy the games and quizzes, but these do not appear to be happening very often now. One lady who is partially sighted said that she cannot read due to her poor sight and that the days are sometimes ‘long’. A senior manager from the company visits monthly and produces a report on the visit. The September report identified the need to engage residents in more activities. Visitors are made welcome into the home at any reasonable hour. Residents were very complimentary about the food on offer at the home. They said that they are given a choice of meals. Comments such as ‘smashing food, always hot’ were made. The menu was displayed in the main corridor so residents can make an informed choice. Bradwell Court DS0000067359.V308553.R01.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 & 18 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have access to an effective complaints procedure, are protected from abuse and so can be confident that staff at the home will meet their needs. EVIDENCE: Residents said that they would approach the senior carer or manager if they had a complaint. However the residents spoken with did not know the complaints procedure of the home. Although members of staff were aware that the complaints procedure was displayed in the main corridor they were not aware that it was also in the service user’s guide which was in the residents rooms. A policy on adult protection was in place. Staff spoken with knew the correct action to be taken should an allegation of abuse or neglect arise. Bradwell Court DS0000067359.V308553.R01.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): The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Bradwell Court Care Home is well maintained and provides a clean, safe and comfortable environment for residents to live in. EVIDENCE: The home was well maintained and provides a safe environment for residents to live in. The bedrooms were large and contained residents personal possessions. Some of the bedroom carpets were showing signs of age and will require replacement in the near future. The manager confirmed that a programme of replacement was in place and some new carpets had been purchased and fitted. One resident commented ‘the home at Bradwell Court is very light, bright and our rooms are nice and big and colourful’. Bradwell Court DS0000067359.V308553.R01.S.doc Version 5.2 Page 16 All parts of the home were found to be clean and tidy. The laundry was clean and tidy and organised. Bradwell Court DS0000067359.V308553.R01.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 & 30. The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to ensure that the needs of residents are met. EVIDENCE: Residents were very complimentary about the staff working at the home. Comments such as ‘staff are good’ and ‘the girls are very good’ were made. Another service user commented ‘the care and support that I receive I am happy with, but sometimes I find there is not enough staff and the girls that are here have to do a lot of running around to see to everyone and therefore do not have a lot of time to spend with each person’ According to the rota there is usually one senior carer and two carers working in a morning to meet the needs of 27 residents in the home. On a Tuesday morning the manager confirmed that an additional member of staff is asked to work as the hairdresser usually visits that day. Two senior carers work in the afternoon until 4pm. At night there is one senior carer and one care assistant working. An extra person comes in at 7am to assist the night staff. The manager said that given the current dependency of the residents the number of staff working at the home at any one time is sufficient to meet their needs. Bradwell Court DS0000067359.V308553.R01.S.doc Version 5.2 Page 18 The manager of the home works supernumerary, which means she has time to undertake her management duties. In addition one of the senior care staff has been allocated one day supernumerary so that she can help with management duties. Staff spoken with were very positive about working at the home and the management support. All felt supported in their role. There was evidence that training is offered to staff. This includes dementia and dealing with challenging behaviour, epilepsy, food hygiene, diabetes and training on abuse. All staff have not had training in moving and handling techniques. A sample of personnel records was looked at. These contained all the necessary checks required to ensure that the person to be employed is suitable to work with older people. Bradwell Court DS0000067359.V308553.R01.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 &38 The quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Although the home is run in the best interests of the residents, the lack of moving and handling training for some staff could put residents at risk of injury or harm. EVIDENCE: The manager of the home is registered with the Commission for Social Care Inspection. She has worked at the home for a number of years. The company who runs the home has changed recently, staff were positive about the support the company have given them since the change. The following comment was made by a social worker involved with some residents at the home ‘ I have always found the home very welcoming. Linda, the manager is open to ways of working with clients’. Bradwell Court DS0000067359.V308553.R01.S.doc Version 5.2 Page 20 A senior manager form the company visits the home monthly and produces a report for the manager to see. During this visit the manager looks at the premises, talks to residents and samples records. Resident meetings are held regularly and action is taken to address any issues that may arise from these. Medicines are audited regularly and other audits are being introduced shortly. The manager confirmed that questionnaires have been sent out to residents and these are currently in head office. Once the findings have been collated the manager will be informed of the outcome and any issues that have arisen from these questionnaires. A small amount of residents’ monies is kept on the premises. Two signatures are obtained for any transaction and receipts are also kept. There was evidence that essential equipment used at the home is serviced regularly. The fire officer has visited recently and staff were waiting for the report to come through. Two members of staff have not had moving and handling training. This means the safety of residents and staff could be compromised. The manager said that a member of staff has attended a trainer’s course and as a result will be qualified to provide moving and handling training to all staff. A programme is being developed to ensure that all staff will have completed a moving and handling training programme and this will be updated every twelve months. Bradwell Court DS0000067359.V308553.R01.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 2 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X 3 X x 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 X X 3 Bradwell Court DS0000067359.V308553.R01.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. 1 Standard OP8 Regulation 12 Requirement The registered person must make sure that the resident’s health is monitored according to the agreed plan of care. The registered person must ensure that residents are consulted about the programme of activities arranged by or on behalf of the care home and provide facilities for recreation including, having regard to the needs of the service users activities in relation to recreation, fitness and training. The registered person must ensure that the persons employed to work at the care home receive training appropriate to the work they are to perform. Timescale for action 09/12/06 2 OP12 16 (2) (n) 31/01/07 3 OP38 18 ( c) (i) 30/12/06 Bradwell Court DS0000067359.V308553.R01.S.doc Version 5.2 Page 23 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 2 2 Refer to Standard OP1 Good Practice Recommendations The registered person should keep a copy of the correspondence in relation to fees and changes in service users contracts in the care home. The registered person should ensure that all staff know where the service user guide is kept and are aware of its contents. The registered person should ensure that all staff adhere to procedures when administering medication. OP1 OP9 Bradwell Court DS0000067359.V308553.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Bradwell Court DS0000067359.V308553.R01.S.doc Version 5.2 Page 25 - 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!