Inspection on 17/04/07 for Braeside

This inspection was carried out on 17th April 2007.

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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Braeside 26/01/06

Braeside 22/11/05

Braeside 07/03/05

Braeside 14/10/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 Braeside West Road Prudhoe Northumberland NE42 6JB Lead Inspector Mary Blake Key Unannounced Inspection 17 April 2007 08:45 Braeside DS0000042932.V330156.R01.S.doc Version 5.2 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 Braeside DS0000042932.V330156.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 Adults 18-65. 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 DS0000042932.V330156.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Braeside Address West Road Prudhoe Northumberland NE42 6JB 01661 832886 01661 832886 bob@braeside.org.uk 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) Braeside Residential Care Limited Mrs Barbara Lambert Nelson Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Braeside DS0000042932.V330156.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 26th January 2006 Brief Description of the Service: Braeside is a large house on three levels situated in landscaped gardens overlooking Prudhoe. The spacious building is furnished and decorated to a good standard. A variety of aids and adaptations allow residents to move freely around the home. The majority of the bedrooms are single with communal bathing and toilet facilities are situated around the home. There is sufficient communal lounge and dining space. The home is close to local amenities and transport networks. The home offers a service for people with learning disabilities and associated disorders. The statement of purpose and last inspection report are available within the dining room. The current fees for the home range from £553.88 to £560.35 per week. Braeside DS0000042932.V330156.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key inspection was unannounced and took place over one day A brief walk around of the premises was carried out. Residents care records; staff training files and additional statutory records were examined. The Registered Manager, deputy and two staff were spoken to and the inspector met all of the residents on her visit. The majority of residents are unable to verbally communicate but all appeared well. Seven supporting professionals questionnaires spoke positively about the care and support provided at the home. What the service does well: The service gives good support to enable individuals to identify and access health care. The service gives good support to enable individuals to maintain and develop personal and family relationships and provides support to help deal with change. It was observed that staff were kind, considerate and supportive to residents. Staff were friendly and relaxed with the inspector and were keen to discuss their work and the residents care needs. The majority of staff are trained to NVQ level 2 and above and have attended associated training. The service gives good support to obtain resident views and that of supporting professionals. Residents live in a home, which is well run and managed. Braeside DS0000042932.V330156.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. The summary of this inspection report can be made available in other formats on request. Braeside DS0000042932.V330156.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Braeside DS0000042932.V330156.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Standard 2 was previously met. It was not assessed on this inspection, as there had been no new admissions. EVIDENCE: Braeside DS0000042932.V330156.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents, where able, are assisted to make decisions and are consulted and participate in all aspects of life within the home. Residents are supported to taken risks as part of their independence. EVIDENCE: On examination of a sample of service users plans these were found to be comprehensive care plan that assists them to receive the care they need. The Registered Manager had ensured that all recorded information is reviewed and summarised on a monthly basis. The Registered Manager is appointee for four residents, whilst other are supported by family or the Court of Protection. Braeside DS0000042932.V330156.R01.S.doc Version 5.2 Page 10 The residents have had the opportunity to participate in the selection of staff. Regular residents meetings are held. Pictorial questionnaires are used to obtain the views of residents who cannot verbally communicate. Risk assessments were in place but some had not been reviewed and updated. Out dated, irrelevant information/risk assessments were held within the files, these should be removed. Braeside DS0000042932.V330156.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 & 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents are part of the local community and participate in appropriate leisure activities. Residents have appropriate personal and family relationships and their rights are respected in their daily lives. Residents are offered healthy diet and a relaxed and social mealtime. EVIDENCE: Residents are offered the opportunity to join in a range of social and leisure activities. Residents have the opportunity to use community facilities for leisure activities e.g. cinema, pub, meals, shopping etc. Braeside DS0000042932.V330156.R01.S.doc Version 5.2 Page 12 They are offered the opportunity to experience new activities and leisure pursuits as well as supported where necessary to continue with hobbies and interests. Staff assists and encourage residents to maintain family links and previous friendships, respecting the individual resident’s wishes. Relatives met on previous inspections spoke of being fully involved and of being warmly welcomed whenever they visited. Staff support residents to maintain existing friends and social relationships. Staff seek permission prior to entering individual rooms and were communicating well with residents. Residents were observed to move freely around the home and were able to spend time alone. Residents had recently been involved in the review of menus and on previous inspections relatives commented on the quality and choice of food available. Residents were observed having a leisurely breakfast, coffee and lunch in a relaxed and social setting. The menus examined did not give sufficient information of the actual food served and it was agreed that these would be updated. Braeside DS0000042932.V330156.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 21 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Residents receive personal support the way they prefer and require. Residents physical and emotional health needs are met. No residents currently administer their own medication and residents are protected by the homes policies and procedures in dealing with medicines. Ageing, illness and death of residents are handled with respect. EVIDENCE: It was evident from examination of care plans, discussions with manager, staff, supporting professionals and relatives that residents, who require personal support, are given this in a way that protects their dignity and maximises their independence. Braeside DS0000042932.V330156.R01.S.doc Version 5.2 Page 14 This was also reflected in the questionnaires received “it (the home) cares and treats all clients with dignity and respect with compassion as well” “the clients needs are put first”. From examination of care plans and discussions with relatives and staff, it was evident that residents’ individual health needs are identified and residents are supported to access community health services such as doctor, district nurse, dentist, and optician. All residents have an annual health check. Staff are particularly skilled in identifying health needs considering residents are unable to verbalise any problems. Supporting professionals commented “Prompt, individual and practical care” Physiotherapist, psychiatric, psychologist and learning support team provide specialist health support. “All physical problems promptly reported and referred for physio assessment” Preventative health care is also supported with some attendance at well woman and well man clinics as required. “ I’m generally delighted with all the staff care at Braeside. They communicate with us (the GP’s) very well and always seem to have the residents best interests at heart” Staff training has been undertaken to provide awareness and additional support for health related needs. No residents currently self medicates. The ordering, storage, administration and disposal of medication was satisfactory and had been reviewed by the community pharmacist who commented “well-informed and trained staff normally receptive to advise” “individuals dignity is always maintained” “every support possible to help individuals lead a full a life as possible”. Staff had undertaken training in the safe administration of medication. “All staff adequately trained and possess personal qualities to support the residents needs as best as possible”. The changing needs of a resident have been well managed over the past year; staff have provided additional support, sought professional advice and accessed appropriate aids/adaptations as necessary. Staff have dealt sensitively with the recent changing needs of residents and have provided support to all residents and families. A care manager commented “The staff continued to visit them both on a regular basis until they died. I feel their dedication on both occasions was admirable” “this home is excellent at maintaining high standards in relation to the health needs of their residents”. Braeside DS0000042932.V330156.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Relatives feel that their and the residents views, where able to express, are listened to and acted upon. Residents are protected from abuse, neglect and self-harm EVIDENCE: There have been no recorded complaints. A complaint procedure is in place. Relatives spoken to over the inspection year stated that they felt confident that their views would be listened to and acted upon if necessary. All staff have undertaken the one day training on the Protection of Vulnerable Adults. The manager/deputy have undertaken the two day course in the Management of suspected abuse. There have been no allegations or cause for concern within the home. Braeside DS0000042932.V330156.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good Standards 24 & 30 were previously assessed and were met This judgement has been made using available evidence including a visit to this service. EVIDENCE: Previously met this standard was not fully inspected but a brief look around the home indicated that it was well decorated, very clean and well maintained. Visitors to the home commented “they maintain extremely high standards of cleanliness” “Braeside is a clean comfortable and friendly home at where I am a frequent visitor”. Braeside DS0000042932.V330156.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The manager ensures there are adequate numbers of staff on duty that have appropriate skills and experience to care for the residents. The recruitment processes in place protect residents. External and internal training takes place providing residents with a skilled, consistent staff team. EVIDENCE: Staffing rotas showed that there are enough staff are on duty to meet the necessary staffing levels. Staff undertake mandatory training, National Vocational Qualifications in Care and other training. This was clarified from the sample of records inspected and discussions with staff. Braeside DS0000042932.V330156.R01.S.doc Version 5.2 Page 18 Discussions with the Registered Manager and staff and examination of individual staff training files confirmed that staff had undertaken refresher in mandatory training, specialised training in working with adults with learning disabilities. Staff said that they are undertaking or had completed National Vocational Qualification in Care level 2 (NVQ) or over and the home has an induction and training programme for all staff working in the home. Staff spoke knowledgably about the individual needs of residents. Staff are currently working through the induction programme and the home has a detailed training programme for the coming year. Staff meetings are used to provide additional in-house training. Comments received from health professionals “very attentive staff” “they do a great job” “very caring attitude” “Carers have been sensitive to differing needs and abilities in clients that I deal with” “on the many times I have visited I have been impressed by staff dedication to meeting the needs of the residents”. Braeside DS0000042932.V330156.R01.S.doc Version 5.2 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Residents families and supporters are confident that their and the residents views, where able to obtain, underpin the development of the home. Residents’ health, safety and welfare are protected. EVIDENCE: On observations of staff and residents it was evident that they felt confident with the openness and approachability of the Registered Manager. The Registered Manager is qualified and experienced and communicates a clear sense of direction and leadership. Braeside DS0000042932.V330156.R01.S.doc Version 5.2 Page 20 Visitors commented, “All visitors and residents are treated with respect I believe this is due to the standards set by the managers”. The home has an annual development plan. A Quality Assurance system is in place the manager uses a number of methods to assess the quality of the care provided. A three monthly audit of the premises are undertaken and recorded by the manager and/or deputy. Residents have three monthly meetings to discuss areas such a menus, changes to staff, house issues. A record is kept of this meeting and actions taken. Staff meet to review care plans, involving residents/relatives/supporters and agreeing any changes and management have undertaken training in person centred planning. Families are informed of any changes to the service provided. Residents, families and supporters are active within the past and present inspection process by completing questionnaires, attending and several contributing by phone. Whilst there have been no requirements the manager is always keen and responds to any advice/information that could improve the service. Residents /interested parties surveys are undertaken and the views of gp’s, staff, community pharmacist, relatives and residents were obtained. The use of pictorial smiley faces was used to obtain residents feelings on a range of areas. Health and safety systems are well organised, the building is safe and the management and staff spoke knowledgeably about maintaining and promoting the welfare of the residents. Braeside DS0000042932.V330156.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 Adults 18-65 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 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 2 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 3 3 X 4 X X 3 X Braeside DS0000042932.V330156.R01.S.doc Version 5.2 Page 22 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 YA9 Regulation 13(4) Requirement The Registered Manager must update all risk assessments. Timescale for action 01/07/07 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 Braeside DS0000042932.V330156.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Braeside DS0000042932.V330156.R01.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. 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