Inspection on 22/11/05 for Braeside

This inspection was carried out on 22nd November 2005.

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

Braeside 17/04/07

Braeside 26/01/06

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 Unannounced 22 November 2005 nd 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 B53-BO3 S42932 BRAESIDE V237702 221105 STAGE 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Braeside Address West Road Prudhoe Northumberland NE42 6JB 01661 832886 01661 832886 bob@braeside.org.uk Braeside Residential Care Limited 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) Barbara Lambert Nelson CRH 8 Category(ies) of LD - Learning Disability (8) registration, with number of places Braeside B53-BO3 S42932 BRAESIDE V237702 221105 STAGE 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: none Date of last inspection 7th March 2005 Brief Description of the Service: Braeside is a large house on two 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 services for people with learning disabilities and associated disorders. The home was fully occupied at the time of the inspection with six male and two female residents. Braeside B53-BO3 S42932 BRAESIDE V237702 221105 STAGE 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced, the first of the year and took place over one day A tour of the premises was carried out. Residents care records; staff recruitment files and additional statutory records were examined. The Registered Manager, two staff were spoken to and the inspector met five residents on her visit. The majority of residents are unable to verbally communicate and it was agreed that the next inspection in January 2006 would be announced in order to obtain the views of the residents’ families, supporters and associated professionals. What the service does well: What has improved since the last inspection? The management of the home continue to strive for high levels of training for staff. Braeside B53-BO3 S42932 BRAESIDE V237702 221105 STAGE 4.doc Version 1.40 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 B53-BO3 S42932 BRAESIDE V237702 221105 STAGE 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Braeside B53-BO3 S42932 BRAESIDE V237702 221105 STAGE 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 Prospective and current residents needs are adequately assessed and they have the opportunity to visit the home. EVIDENCE: The Registered Manager described a comprehensive assessment process involving the resident. There have been no new admissions and the home does not take unplanned admissions. Discussion with staff and the Registered Manager confirmed that residents care needs had been assessed prior to admission. The staff spoke knowledgeably about the skills and experience needed to deliver the services and care the home offers. Staff were observed communicating effectively with residents. Braeside B53-BO3 S42932 BRAESIDE V237702 221105 STAGE 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 Residents and their supporters are aware of their assessed and changing needs and this is reflected in their personal plan. EVIDENCE: On examination of a sample of service user plans these were found to be comprehensive care plan that assists them to become as independent as possible. There was evidence that the service users plans were supported by information within additional files and together they provided comprehensive documentation. The Registered Manager had ensured that all recorded information is reviewed and summarised on a monthly basis. Braeside B53-BO3 S42932 BRAESIDE V237702 221105 STAGE 4.doc Version 1.40 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12,13,14 Residents have good opportunities for personal development. Residents are able to take part in appropriate educational/training, social and leisure activities. Residents are part of the local community Residents engage in appropriate leisure activities. EVIDENCE: Residents have the opportunity to increase their social network and staff support residents to maintain existing friendships and social relationships. During earlier observation there were clear indications that residents have opportunities to participate and learn in a range of settings. Braeside B53-BO3 S42932 BRAESIDE V237702 221105 STAGE 4.doc Version 1.40 Page 11 Residents have opportunities to attend skills and adult training centres. The Registered Manager and staff provided evidence that residents have opportunities for personal development both in the home and through involvement in a range of community based activities. Resident plans indicated that most residents access community facilities during the day either full or part time. Some attend college courses, adult training centre placements, in order to gain work experience or a therapeutic or educational benefit. Residents have the opportunity to use community facilities for leisure activities e.g. cinema, pub, meals, shopping etc. They are offered the opportunity to experience new activities and leisure pursuits as well as supported where necessary to continue with hobbies and interests. It was evident that residents are encouraged and supported to pursue and participate in a range of leisure activities. Staff assists and encourage residents to maintain family links and previous friendships. It was observed staff seeking permission prior to entering individual rooms and interacting well with residents. Residents were observed to move freely around the home and were able to spend time alone. The home operates a no smoking policy. Braeside B53-BO3 S42932 BRAESIDE V237702 221105 STAGE 4.doc Version 1.40 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) not assessed EVIDENCE: Braeside B53-BO3 S42932 BRAESIDE V237702 221105 STAGE 4.doc Version 1.40 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) not assessed EVIDENCE: Braeside B53-BO3 S42932 BRAESIDE V237702 221105 STAGE 4.doc Version 1.40 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 & 30 Residents live in a homely, clean, comfortable and safe environment. EVIDENCE: The homes central position gives good access to local facilities and amenities and as it is a converted house it is in keeping with the surrounding neighbours. The inspection of the building indicated that the premises appeared safe, comfortable, bright and airy, clean and free from odours and generally of a good standard. Individual rooms were personalised, lockable, with appropriate furniture and fittings. Bedrooms had undergone re-decoration. There are sufficient bathrooms/showers available to residents. The home benefits from communal areas that are comfortable, safe and fully accessible. A range of individual aids and adaptations were available. Braeside B53-BO3 S42932 BRAESIDE V237702 221105 STAGE 4.doc Version 1.40 Page 15 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32,33,34 Competent and qualified staff supports residents. Residents are supported and protected by the effective recruitment practices. EVIDENCE: Discussions with the Manager, staff and examination of the staffing rotas confirmed that the home has remained consistently staffed, both during the day and night. The minimum numbers of care staff are 2 throughout the day and evening and with sleep in staff during the night. Examination of staff recruitment files confirmed that appropriate recruitment and procedures to protect residents had been undertaken. Braeside B53-BO3 S42932 BRAESIDE V237702 221105 STAGE 4.doc Version 1.40 Page 16 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,41 Resident’s benefit from a well run home. The homes record keeping policies and procedures protects residents’ rights. EVIDENCE: The Registered Manager is only responsible for Braeside and has obtained her Registered Managers Award. 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 communicates a clear sense of direction and leadership. The records examined were secure, up to date and in good order. Braeside B53-BO3 S42932 BRAESIDE V237702 221105 STAGE 4.doc Version 1.40 Page 17 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 3 3 4 4 x x x Standard No 31 32 33 34 35 36 Score x 3 3 3 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Braeside Score x x x x Standard No 37 38 39 40 41 42 43 Score 4 3 x x 3 x x B53-BO3 S42932 BRAESIDE V237702 221105 STAGE 4.doc Version 1.40 Page 18 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 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. 1. Refer to Standard Good Practice Recommendations Braeside B53-BO3 S42932 BRAESIDE V237702 221105 STAGE 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Northumbria House Manor Walks, Cramlington Northumberland NE23 6UR 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. 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