Inspection on 10/04/07 for Braeburn House - North Yorkshire County Council

This inspection was carried out on 10th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Braeburn House - North Yorkshire... 25/12/05

Braeburn House - North Yorkshire... 23/06/05

Braeburn House - North Yorkshire... 01/12/04

Braeburn House - North Yorkshire... 07/07/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Braeburn House - North Yorkshire County Council Braeburn House Moor Lane Eastfield Scarborough North Yorkshire YO11 3LW Lead Inspector Brian Hallgate Key Unannounced Inspection 10th April 2007 09:15 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 DS0000034330.V333894.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. DS0000034330.V333894.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Braeburn House - North Yorkshire County Council Braeburn House Moor Lane Eastfield Scarborough North Yorkshire YO11 3LW 01723 582650 01723 586692 braeburn.house-nyccss@btinternet.com www.northyorks.gov.uk North Yorkshire County Council Address 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 Anne Stanley Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places DS0000034330.V333894.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th January 2006 Brief Description of the Service: Braeburn House is a care home providing personal care and accommodation for up to 40 older people. It is located approximately four miles from the centre of Scarborough. It is close to shops, the post office and other amenities. The home was opened in 1968 and has three floors. The second floor is used as a separate day centre. The ground and first floor are used for the residential section of the building. All service users have their own bedroom. Two of the bedrooms can be used as double rooms if two people wish to share. There is a passenger lift. The home has grounds to the side that are easily accessible. DS0000034330.V333894.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The evidence used to inform this report was obtained from the information documented in previous inspection reports, a pre-inspection questionnaire completed by the registered manager, five service users and six members of staff. Prior to the inspection ten survey forms were sent to service users and six were returned, three survey forms were sent to GPs and one was returned and four survey forms were sent to care managers and three were returned. All survey forms returned contained positive comments about the care provided within the home. A response from a service user was “I am pleased with the care that I receive and the home in general. Everything is here for us.” This unannounced inspection took place on the 10th April 2007, commencing at 9.15am. A number of records were inspected including service users’ assessments, independence plans, medication and health and safety information. A tour of the home was made and staff were observed interacting with a number of service users. The fees on the day of the inspection were £368.90 per week. Additional charges are payable for hairdressing and chiropody services. What the service does well: What has improved since the last inspection? The environment of the home has been improved. Rooms and other areas have been decorated, new carpets and new furniture provided to make the home more homely. An activities organiser has been appointed for nine hours each week and this has improved the number of activities that the service users can participate in if they wish. Staff training continues, with 84 of care staff having obtained an NVQ Level 2 Award in Care. The majority of staff also have a first aid certificate. DS0000034330.V333894.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. DS0000034330.V333894.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 DS0000034330.V333894.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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The assessments prior to admission are comprehensive and provide informed decisions about moving into the home. EVIDENCE: All potential service users are referred through the care management system and a comprehensive assessment is completed and forwarded to the home. A member of the management team within the home visits potential service users in their own home or in hospital to assess if the home has the appropriate environment and the staff have the necessary skills to care for potential service users. A written assessment is made and kept on the service user’s file. The records inspected showed that the necessary assessments are completed before a new service user is admitted. Service users spoken to confirmed that they had been assessed before they were admitted to the home. The home does not provide intermediate care. DS0000034330.V333894.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The health and personal care needs of service users are met and are based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: A promotion of independence plan is developed for each service user from the comprehensive care management assessment and the observations of the staff team. The plan is discussed with service users and the key worker undertakes a review of the independence plan on a monthly basis. Service users spoken to confirmed that staff discussed their plans with them on a regular basis. The plans seen were comprehensive and up to date and enabled staff to give a continuum of care to the service users. All service users are registered with a GP and information on the files showed that there is access to specialised health services as necessary. A chiropodist visits the home on a regular basis. Two service users self medicate and there are appropriate lockable facilities in each bedroom for service users to store their medication safely. There is a DS0000034330.V333894.R01.S.doc Version 5.2 Page 10 monitored dosage system administered by the staff for those service users unable to self medicate. Staff responsible for medication have received the necessary medication training. The medication and the records checked were up to date and in order. Service users were observed to be treated with dignity and respect by staff during the inspection. Service users spoken to praised the staff and confirmed that they were always treated with respect. A comment received from a service user was “I am very satisfied with my care, I am very happy and content.” A GP who visits the home stated, “I am very happy with the caring attitude and general standards set at Braeburn.” Comments from care managers included “Staff respect the clients’ wishes and dignity”. “Staff regularly monitor my clients specific health needs and liaise and refer to relevant health professionals as and when required.” DS0000034330.V333894.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users are able to make choices about their life style and are helped to join in activities that they wish. EVIDENCE: Service users stated that they were able to do what they wished to do and staff supported them where necessary. Activities are arranged within the home and service users are helped to attend events in the local community if they wish. All activities are advertised on the notice boards and in the quarterly newsletter, that is produced for service users by staff. A comment from a care manager was “Staff support residents to live the life that they choose and include gentle encouragement to participate in the life of the home.” Visitors are welcome at any time and service users spoken to stated their visitors were made welcome by the staff. A visitor’s policy is in place and visitors sign a visitor’s book on entering and leaving the building. DS0000034330.V333894.R01.S.doc Version 5.2 Page 12 All service users spoken to stated that they were satisfied with the choice, the quality and the quantity of food provided. There is a choice of food at meal times and alternatives are available if service users do not like the choices on the menu. There is a four weekly menu for all meals that appears to provide a balanced and nutritious diet. A service user stated, “The food is very good.” Another service user said “There is no need for alternatives as I always enjoy the food that is served”. DS0000034330.V333894.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. There are satisfactory complaints and safeguarding adults policies and staff are aware of what action to take if issues arise. EVIDENCE: The home has a detailed complaints policy. A copy of the procedure is given to all service users and copies are displayed around the home. There have been no complaints to the Commission for Social Care Inspection or the home in the past year. Service users spoken to said that they would speak to any member of staff if they were concerned about any issue. The home has a copy of the abuse procedure and all staff spoken to knew what action to take in the event of an alleged abuse situation occurring. Staff have received training in safeguarding adults. DS0000034330.V333894.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the environment within the home is good providing service users with an attractive and homely place in which to live. EVIDENCE: The home is pleasant, clean and hygienic. Improvements have been made to the environment since the last inspection. Rooms have been decorated, new furniture and carpets have been purchased. There is a security system that ensures staff know who is in the building at anytime. There is access to the front and the side of the building and service users who wish can sit in the grounds. The home won a Bronze Award for the Best Kept Container Garden for 2006. Care managers stated, “It is very relaxed and there is a peaceful atmosphere. Plenty of space so residents not all ‘bunched up’ together in any particular area.” “Residents have a good choice of different areas, large or small, quiet or communal or the garden where they can sit. They can stay in their rooms when they choose but are encouraged to socialise if they wish.” DS0000034330.V333894.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The service users receive a good standard of care from the wellprepared and motivated staff. EVIDENCE: The staff duty rota showed that there was sufficient staff on duty to meet the needs of the present service users. Service users stated that staff responded to their requests and assisted them where necessary. There is a staff development programme and staff confirmed that they had attended relevant courses to enable them to care for the service users. A very high percentage of the staff have an NVQ Level 2 award in Care. A service user said, “I have been here for over a year and have been very happy. The staff are so cheerful, kind and helpful and look after us all very well.” Care managers commented “Very supportive well trained staff who are very respectful to individuals.” “All the residents have settled well and found the staff very helpful and caring. I feel the staff work well to meet each individuals needs, likes and dislikes.” Three staff files were examined. They contained all the necessary checks that are required before a new member of staff commences work. DS0000034330.V333894.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The registered manager has a clear development plan for the home and she has effectively communicated this to the service users, staff and relatives. EVIDENCE: The registered manager is qualified and experienced in the care of older people. A care manager commented “There are very good lines of communication.” The home undertakes a quality assurance check against the National Minimum Standards for Older People on a three monthly basis in accordance with North DS0000034330.V333894.R01.S.doc Version 5.2 Page 17 Yorkshire Social Services Policy. Regular staff meetings and residents meetings take place and minutes of the meetings are kept. Some service users deposit money for safekeeping. Full income and expenditure records are kept for each individual. The records examined were up to date and in order. The health and safety information checked was up to date and in order, DS0000034330.V333894.R01.S.doc Version 5.2 Page 18 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 4 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 4 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 4 3 X X X X X X 3 STAFFING Standard No Score 27 4 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 4 X X 4 DS0000034330.V333894.R01.S.doc Version 5.2 Page 19 Are there any outstanding requirements from the last inspection? N/a 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 DS0000034330.V333894.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 DS0000034330.V333894.R01.S.doc Version 5.2 Page 21 - 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!