Inspection on 26/01/06 for Braeside

This inspection was carried out on 26th January 2006.

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

Braeside 17/04/07

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 Announced Inspection 26th January 2006 09:00 Braeside DS0000042932.V268103.R02.S.doc Version 5.0 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.V268103.R02.S.doc Version 5.0 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.V268103.R02.S.doc Version 5.0 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.V268103.R02.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd August 2005 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 home was fully occupied at the time of the inspection with six male and two female residents. Braeside DS0000042932.V268103.R02.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced, the second of the year and took place over one day A general tour of the premises was carried out. Residents care records; staff training files and additional statutory records were examined. The Registered Manager, four staff were spoken to and the inspector met six residents on her visit. The majority of residents are unable to verbally communicate and this was why it was agreed that this inspection would be announced. The inspector spoke to one family member at the home and one by telephone. Three questionnaires spoke positively about the care and support provided at the home. What the service does well: What has improved since the last inspection? Manager and staff have continued to attend training to enable them to meet the specific needs of people with learning disabilities. The redecoration and refurbishment plan for the home provides more comfortable and pleasant surroundings for residents. Braeside DS0000042932.V268103.R02.S.doc Version 5.0 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 DS0000042932.V268103.R02.S.doc Version 5.0 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.V268103.R02.S.doc Version 5.0 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 the following standard(s): Standard 2 was assessed at the previous inspection and was met. EVIDENCE: Braeside DS0000042932.V268103.R02.S.doc Version 5.0 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 the following standard(s): Standard 6 was assessed at the previous inspection and was met. 7,9 & 10 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 become as independent as possible. The Registered Manager had ensured that all recorded information is reviewed and summarised on a monthly basis. The Registered Manager is appointee for five residents, whilst other are supported by family or the Court of Protection. Braeside DS0000042932.V268103.R02.S.doc Version 5.0 Page 10 The residents have had the opportunity to participate in the selection of staff. Regular residents meetings are held. Pictoral questionnaires are used to obtain the views of residents who cannot verbally communicate. Staff are about to undertake advocacy training. Risk assessments were in place and had been reviewed and updated. Some old irrelevant information/risk assessments were held within the files, these should be removed. Braeside DS0000042932.V268103.R02.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 11,12,13,& 14 were assessed at the previous inspection and were 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: Staff assists and encourage residents to maintain family links and previous friendships, respecting the individual resident’s wishes. Relatives 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 and update of menus and relatives commented on the quality and choice of food available. Residents were observed having a leisurely breakfast and coffee in a relaxed and social setting. Braeside DS0000042932.V268103.R02.S.doc Version 5.0 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 the following standard(s): 18,19,20 & 21 assessed and met 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 and relatives that residents, who require personal support, are given this in a way that protects their dignity and maximises their independence. 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 gp, 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. Physiotherapist, psychiatric, psychologist and learning support team provide specialist health support. Braeside DS0000042932.V268103.R02.S.doc Version 5.0 Page 13 Preventative health care is also supported with some attendance at well woman and well man clinics as required. Staff training has been undertaken to provide awareness and additional support for health related needs. No residents currently self medicates. The examination of the ordering, storage, administration and disposal of medication was satisfactory. Staff had undertaken training in the safe administration of medication. 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. There is currently one resident who has any moving and transferring needs, these are particularly well documented and staff had undergone specific training to meet this need. Staff have dealt sensitively with the recent changing needs of a resident and have provided support to all residents and families. Braeside DS0000042932.V268103.R02.S.doc Version 5.0 Page 14 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 the following standard(s): 22 & 23 assessed and met 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. Staff are about to undertake advocacy training. 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.V268103.R02.S.doc Version 5.0 Page 15 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 the following standard(s): Standards 24 & 30 were assessed at the previous inspection and were met. EVIDENCE: Braeside DS0000042932.V268103.R02.S.doc Version 5.0 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32,33 &34 were assessed at the previous inspection and were met. Appropriately trained staff meets residents’ needs. EVIDENCE: 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 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. Nine of the staff had all undertaken NVQ 2 or above exceeding the standard. Braeside DS0000042932.V268103.R02.S.doc Version 5.0 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37,38 & 41 were assessed at the previous inspection and were met 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: 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. Braeside DS0000042932.V268103.R02.S.doc Version 5.0 Page 18 Staff meet to review care plans, involving residents/relatives/supporters and agreeing any changes and staff are about to undertake training in person centred planning. Staff are also about to undertake training in advocacy. Families are informed of any changes to the service provided. Residents, families and supporters are active within the 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, these were last done in January 2006 and the views of gp’s, staff, community pharmacist, relatives and residents were obtained. The use of pictoral 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. Fire testing and maintenance is undertaken at the given timescales. A satisfactory visit from Environmental Food Agency had been undertaken in 2005 Braeside DS0000042932.V268103.R02.S.doc Version 5.0 Page 19 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 X X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 X 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X X X 4 X CONDUCT AND MANAGEMENT OF THE HOME 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Braeside Score 3 4 3 3 Standard No 37 38 39 40 41 42 43 Score X X 4 X X 3 X DS0000042932.V268103.R02.S.doc Version 5.0 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. 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 YA9YA6 Good Practice Recommendations The removal of outdated risk assessment and other documentation within the service user plan would make the plans easier to review and manage. Braeside DS0000042932.V268103.R02.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Cramlington Area Office 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. Extracts may not be used or reproduced without the express permission of CSCI Braeside DS0000042932.V268103.R02.S.doc Version 5.0 Page 22 - 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. 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