Inspection on 10/08/05 for Braeside

This inspection was carried out on 10th August 2005.

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

Braeside 30/08/07

Braeside 30/12/06

Braeside 15/02/06

Braeside 11/01/05

Braeside 30/11/04

Braeside 03/03/04

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 Braeside Stanhill Lane Oswaldtwistle Accrington Lancashire. BB5 4QF Lead Inspector Lynn Mitton Unannounced 10 August 2005 10:00 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Braeside F57 F07 S9500 Braeside V233247 100805 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Braeside Address Stanhill Lane Oswaldtwistle Accrington Lancashire BB5 4QF 01254 398099 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr George Anthony Hitchen Mrs Christine Philomena Hitchen Mrs Jennifer Mavis Brimlow Care Home Only Personal Care (PC) 24 Category(ies) of Old age, not falling within any other category registration, with number (OP) 24 of places Braeside F57 F07 S9500 Braeside V233247 100805 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11 January 2005 Brief Description of the Service: Braeside is a detached property situated on the main road in Oswaldtwistle within easy reach of local amenities. There was a parking area for visitors and staff. The accommodation provided for residents is mainly in single bedrooms, sixteen of which have an en-suite toilet and washbasin. There are three lounges and a dining room. The service is registered to provide personal care and accommodation to 24 people aged over 65 years. Braeside F57 F07 S9500 Braeside V233247 100805 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and lasted approximately 8 hours. There were 21 residents accommodated at this time. A tour of the home took place. Over the course of the inspection three of the staff on duty, approximately 8 residents plus the registered provider and registered manager were spoken to, and interaction between the residents and staff members were observed. Throughout the report there are various references to the “tracking process”, this is a method whereby the inspector focuses on a small representative group of service users. Records pertaining to these people were inspected. Policies and practices were also read. What the service does well: What has improved since the last inspection? Braeside F57 F07 S9500 Braeside V233247 100805 Stage 4.doc Version 1.30 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. Braeside F57 F07 S9500 Braeside V233247 100805 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Braeside F57 F07 S9500 Braeside V233247 100805 Stage 4.doc Version 1.30 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 standard(s) 2, 3 & 6 The responsibilities of both parties (ie a contract) should be fully completed and issued to each resident. The admission procedure for new residents ensured that information about their care needs was obtained before they arrived. This enabled staff to have a clear understanding of what they needed to do for them. EVIDENCE: Contracts explaining the terms and conditions of residents stay at Braeside were not fully completed for one resident case tracked. The other resident case tracked did not have a copy of this document on their care file. Assessments of need were completed prior to new residents being admitted. The inspector saw two of these. Letters should be sent to residents advising them that Braeside was able to meet their needs. Intermediate Care is not offered at Braeside. Braeside F57 F07 S9500 Braeside V233247 100805 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7 & 8 Care plans did not contain sufficient detail to ensure that all care needs were identified and care interventions documented. EVIDENCE: The daughter of one resident told the inspector “the staff at Braeside are genuinely caring, and the standard of care is brilliant”. The inspector looked at two residents care plans. On them was some information identifying some of the resident’s care and health needs. The inspector and registered manager discussed the “summary of care” element of the residents file and the inspector advised that this should contain a clear and concise identification of each residents needs and a description of how these needs are to be met by the care staff team. This was being reviewed monthly. The contents of daily records were also discussed. There were records of health needs being met and of risk assessments being completed in order to establish and ensure residents continued safety. Braeside F57 F07 S9500 Braeside V233247 100805 Stage 4.doc Version 1.30 Page 10 Braeside F57 F07 S9500 Braeside V233247 100805 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 & 15 Visitors to residents at Braeside were made welcome. Regular planned activities meant that residents had some opportunities for their enjoyment, mental and physical stimulation. A record should be made of these. Meals were varied and provided a social occasion on a daily basis. EVIDENCE: There were a number of visitors to the home on the day of the inspection. One said they could visit “at any time.” The inspector observed family members being made welcome and chatting to staff about any issues. The inspector was advised there were some activities in place. The inspector did not see any records of these. These activities included, Crafts (every fortnight), dominoes and bingo, beetle drive and manicures. The hairdresser attended weekly. A singer or other entertainer comes to the home every 2-3 months. One resident went out each morning to help out at his son’s garage. One resident said that there were not enough activities on offer. The inspector ate lunch with the residents, and noted that this was a pleasant social occasion. Varied meals were offered to residents with different dietary needs. Choices of food were available for breakfast and at suppertime. Two Braeside F57 F07 S9500 Braeside V233247 100805 Stage 4.doc Version 1.30 Page 12 residents told the inspector that the food was very good and that alternatives were always on offer. Some residents chose to eat in their own room. Braeside F57 F07 S9500 Braeside V233247 100805 Stage 4.doc Version 1.30 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 Staff spoken to were aware of their role to protect the residents in their care. There were written procedures for dealing with complaints in place, and care staff and residents spoken to were aware of what to do if they wanted to make or received a complaint. EVIDENCE: There had been no complaints to the commission since the last inspection. Documentation was in place regarding how to make a complaint and what procedures would be followed on receipt of a complaint. This document should also refer to the Commission being contacted “at any time”, not “if still not satisfied”, and the Commissions details should also be updated. Residents spoken to could tell the inspector who to complain to and felt confident that their concerns would be listened to and acted upon. Staff spoken to were had some idea of what they should do if they received a complaint from a resident or relative. Braeside F57 F07 S9500 Braeside V233247 100805 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 Some facilities at the home were not suitable for the residents accommodated. The general layout and décor of the home provided comfortable and clean surroundings, and was warm, tidy and clean. EVIDENCE: Following a tour of the home with the registered manager, the inspector noted that the detergents in the laundry room needed to be kept safely and securely. There were three communal lounges and a dining room. Some residents spent much of the time in their own room. Residents spoken to said they were happy with this arrangement. Residents rooms were furbished with their own belongings and appeared to be homely and personalised. The gardens around the home were attractive and well maintained. Braeside F57 F07 S9500 Braeside V233247 100805 Stage 4.doc Version 1.30 Page 15 There were 5 bedrooms with localised areas of odour detected in the home. The registered manager assured the inspector this would be remedied as a matter of urgency. The home was clean and tidy, ensuring a pleasant environment for people living at Braeside. Communal toiletries were being kept in a bathroom. The inspector advised that this was neither safe nor hygienic. A lampshade needed replacing on a bedside lamp to reduce the risk of fire. This was removed at the time of the inspection until a new one had been purchased. A floor covering in an en-suite bathroom, not in use at the time of the inspection, needed re-sealing. Braeside F57 F07 S9500 Braeside V233247 100805 Stage 4.doc Version 1.30 Page 16 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 & 30 Staff numbers were adequate to meet the needs of the residents. The residents and visitors spoken to highly valued the care they received at Braeside. Training was being undertaken to ensure that care staff had the skills to care for the residents. Policies and practices were being adhered to with regards to disciplinary proceedings. EVIDENCE: There were 14 care staff on the team at Braeside. There were no vacancies at the time of the inspection. The inspector and registered manager discussed various staffing issues, and it was noted that the homes policies and practices were being followed. The staffing rota was examined and this demonstrated that there was 1 senior and 3 care staff on duty during the waking day, and from 10pm until 7am there was 1 wake & watch care staff and 1 sleep-in care staff member. Many of the care staff team had considerable experience in caring for older people, and were well established at Braeside. One visitor to the home said “ the care staff are genuinely caring”, and another said “the level of care is brilliant”. There were cooks, cleaners and the registered person was heavily involved in the maintenance and upkeep of the home. Braeside F57 F07 S9500 Braeside V233247 100805 Stage 4.doc Version 1.30 Page 17 All staff had either completed or were undertaking NVQ 2 training. 6 care staff had achieved this qualification, and 6 were in the process of completing this training at the time of the inspection. 2 were due to start training in the near future. Two staff recruitment files were case tracked and on them was evidence of other training undertaken. Braeside F57 F07 S9500 Braeside V233247 100805 Stage 4.doc Version 1.30 Page 18 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 The attitude of the staff and management is to run the home around the needs and choices of the residents. EVIDENCE: The inspector was satisfied that due to the daily involvement of the registered persons, the small and experienced care staff team and following observations made on the day of the inspection, that the satisfaction of the residents was of high priority throughout the home. The residents spoke highly of the daily contact they had with the management team and felt their comments were listened to and acted upon. The quality monitoring format, and outstanding recommendation from the last inspection had not yet been implemented. Braeside F57 F07 S9500 Braeside V233247 100805 Stage 4.doc Version 1.30 Page 19 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 2 2 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 2 x x x x x x x STAFFING Standard No Score 27 3 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x x x x 2 x x x x x Braeside F57 F07 S9500 Braeside V233247 100805 Stage 4.doc Version 1.30 Page 20 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP2 Regulation 5(1b & c) Requirement The terms & conditions of the accommodation to be provided, and the provision of services and facilities must be issued to each resident. The registered person shall confirm in writing that the home is able to meet the residents needs. The registered person must ensure the service users plan sets out in detail the action which needs to be taken by care staff to ensure all aspects of health, personal and social care needs of the service user are met. The complaints procedure shall contain the correct details of the Commission, who can be contactable at any time during the process of a complaint. Facilities at the home must be kept odour free and safe. Timescale for action 7th October 2005 2. OP3 14(1d) 16th December 2005 28th October 2005 3. OP7 15 4. OP16 22(7) 7th October 2005 5. OP19 23 (2) 7th October 2005 Braeside F57 F07 S9500 Braeside V233247 100805 Stage 4.doc Version 1.30 Page 21 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. Refer to Standard OP12 OP33 Good Practice Recommendations Opportunities should be give for planned activities, these should be recorded. The registered person is recommended to ensure that effective quality assurance and quality-monitoring systems are in place to measure its effectiveness in meeting the aims and objectives of the home. Braeside F57 F07 S9500 Braeside V233247 100805 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection 1 Floor, Unit 4 Petre Road, Clyaton-Le-Moors Accrington Lancashire. BB5 5JB 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 Braeside F57 F07 S9500 Braeside V233247 100805 Stage 4.doc Version 1.30 Page 23 - 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!