Inspection on 16/05/07 for Braeside (30)

This inspection was carried out on 16th May 2007.

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) 02/05/06

Braeside (30) 05/12/05

Braeside (30) 11/07/05

Braeside (30) 31/01/05

Braeside (30) 17/05/04

Similar services:

Townley Road, 2-3

Foxley Lane (121a)

Tudor Lodge

Stacey Street Nursing Home

Delrose House Ltd

Clovelly House Residential Home Ltd

Abbey Road [53]

Cherry Tree House

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

CARE HOMES FOR OLDER PEOPLE Braeside (30) 30 Kendall Avenue Sanderstead South Croydon Surrey CR2 0NH Lead Inspector Jean Stuart Key Unannounced Inspection 16th May 2007 12:30p 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 Braeside (30) DS0000025757.V340095.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. Braeside (30) DS0000025757.V340095.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Braeside (30) Address 30 Kendall Avenue Sanderstead South Croydon Surrey CR2 0NH 020 8407 0640 F/P 020 8407 0640 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) Mr Runjeetsingh Sowambur Mr Runjeetsingh Sowambur Care Home 3 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia - over 65 years of age (0) of places Braeside (30) DS0000025757.V340095.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. For persons with a mental disorder who are over the age of 65 Date of last inspection 2nd May 2006 Brief Description of the Service: Braeside is a care home for older people who have a mental health problem. The home has provisions to accommodate up to three older people. At present one person lives at Braeside. The home is situated in a pleasant residential area of Sanderstead. Both Sanderstead and Purley Oaks railway stations are within easy walking distance. The home is owned and managed by, Mr. Sowambur the Registered Provider who lives in the top floor of the property. The home consists of three good-sized bedrooms, all on the first floor, a lounge, dining room and kitchen. There is one toilet, and one bathroom on the first floor. There is a large garden to the rear of the home. The resident is charged £400 per week for the services of the home. Braeside (30) DS0000025757.V340095.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out on the afternoon of the 16 May 07, over four hours. The inspection included discussion a person who lives in the home and with the registered manager, Mr. Sowambur. Records were examined and the premise inspected. What the service does well: What has improved since the last inspection? What they could do better: The manager should look to the proactive development of the service. He has not happened not recognised the importance of having furnishings and fittings to a good standard. Braeside (30) DS0000025757.V340095.R01.S.doc Version 5.2 Page 6 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 (30) DS0000025757.V340095.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 Braeside (30) DS0000025757.V340095.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): 1,2,3,6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have the information available to choose a home. The information helps people to make a decision about whether the home will meet their needs. Suitable assessments are completed. Contracts are given to people living in the home. EVIDENCE: The home has reviewed the Statement of Purpose and it now reflects the current staffing situation. The Service Users Guide has been updated in line with the new Statement of Purpose. Braeside (30) DS0000025757.V340095.R01.S.doc Version 5.2 Page 9 A satisfactory assessment of need was seen for an individual who lives there. Contracts are available that set out the fee charged and the service offered. No other person has moved into the home since the last inspection. Mr. Sowambur, reported that he is now considering other client groups, and will not be joining the Croydon Adult Placement Scheme. The home does not offer intermediate care. Braeside (30) DS0000025757.V340095.R01.S.doc Version 5.2 Page 10 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): 7,8,9,10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are recognised as individuals and has a care plan setting out their needs and reviews are carried out. By using this information, residents needs are met. EVIDENCE: Staff understand the importance of people being supported to take control of their own lives. Care plans are person centred and is written in plain language looking at all areas of a person’s life. The contribution from resident’s could not be seen in the care plan. Staff must encourage people to be involved in the ongoing development of their care plan. Braeside (30) DS0000025757.V340095.R01.S.doc Version 5.2 Page 11 From talking with the manager and observing a resident’s reactions during this discussion it can be seen that the person is aware of what is happening. Eye contact was maintained with the person who was talking. The resident chose to speak in response to one question about who helps him. It was reported, “he (the manager) looks after me”. The individual chose not to respond to any further questions. Discussions with residents and their reactions must be recorded. One person is registered with a local doctor and the record shows that they recently attended the surgery. The manager provided more details about the incident. The persons health needs are met. Each individual has their own room and are free to come and go around the home. Their right to privacy and autonomy is upheld. When a resident made a non-verbal decision regarding an afternoon snack the manager did not interfere, and respected the resident’s decision. Braeside (30) DS0000025757.V340095.R01.S.doc Version 5.2 Page 12 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): 12,13,14,15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are helped to exercise control over their lives, enabling them to choose how they live. EVIDENCE: The home offers resident’s the individual privacy and independence. The record show that recently a visit has been made to local shops, and that on another outing a fish and chips lunch was taken. A photograph was seen of a recent trip to Brighton. A person did not comment on the trips out but when asked about the home lead the way to the bedroom. The individual was at ease in this room. Holidays are planned for the resident. Braeside (30) DS0000025757.V340095.R01.S.doc Version 5.2 Page 13 The home has a menu outlining the meals served. This menu does not reflect the range of food served. Mid afternoon a banana and a plate of biscuits were available. No record is made of these. The fridge had a range of fruit, which the manager reported was available for the resident. The home must ensure that a record of the food served is maintained. Braeside (30) DS0000025757.V340095.R01.S.doc Version 5.2 Page 14 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): 16,18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals feel safe and confident in the service provided by Braeside. EVIDENCE: One person spoken to expressed no concerns about the home. The manager had a very caring manner to the resident. The home has never received a complaint but has a complaint ledger should the situation ever occur. The complaint procedure is outlined in the Statement of Purpose and the service user’s guide. Staff have received training in the protection of vulnerable adults. To protect residents all staff have been CRB (criminal record bureau) checked. To safeguard residents financial affairs all matters are dealt with through the accountant. Braeside (30) DS0000025757.V340095.R01.S.doc Version 5.2 Page 15 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): 19,20,23,26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Braeside provides a safe environment. For the home to prosper it requires updating to the current standards shared by many residential homes. EVIDENCE: An individual showed me their room. The bedroom provides basic comfortable accommodation. The lounge reflects the provider’s personal choice rather than the professional selection of items for the actual or perceived resident population. The furniture is a mix of old and new but does not show a Braeside (30) DS0000025757.V340095.R01.S.doc Version 5.2 Page 16 coordinated approach to the furnishings room nor does it give a feeling of a room that belongs to the residents. Bedroom do not all have a wash hand basin. The manager reported that only one of the three bedrooms has a wash hand basin. All residents share the bathroom and toilet. The bathroom is functional. There is a bath and an open cupboard but nothing to give it a homely appearance. The garden can be accessed from one of the lounges, which is not used by the resident. Safety notices on the cupboard and cooker has an institutional feel rather than being homely. Rooms were clean and free from offensive odour. Braeside (30) DS0000025757.V340095.R01.S.doc Version 5.2 Page 17 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): 27,28,29,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is qualified and had the necessary experience to run the home; staff maintain the basic procedures as set out in the National Minimum Standards. EVIDENCE: The home has not developed in recent years with regard to furnishings and fittings. More thought should be given to the service and how the manager, staff and resident wish the service to grow. Mr. Sowambur is a Registered Nurse Mental Handicap (RNMH), help is given by other family members. A satisfactory staffing roster is maintained. Mr Sowambur’s and staff all have Criminal Records Bureau Checks, which were examined during the inspection. All or some of the group of people providing care have attended training in protection of residents from harm/abuse, and food handling. Braeside (30) DS0000025757.V340095.R01.S.doc Version 5.2 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,35,38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The health and safety of the residents including financial matters are protected by the home. The manger is fit to be in charge. EVIDENCE: The practices of the home have moved on when required to by the CSCI. The manger has failed to provide a clear sense of direction for the resident and staff at the home, with regard to its future development. Braeside (30) DS0000025757.V340095.R01.S.doc Version 5.2 Page 19 As stated in the previous standards Mr. Sowambur is a Registered Nurse Mental Handicap (RNMH). Mr. Sowambur stated that has completing an NVQ level 4 in Management and Care. A letter confirming the completion of the course was seen, the certificate is yet to be received by Mr Sowambur. Mr. Sowambur has the services of an independent accountant to audit the service users financial accounts and he can evidence that the service users personal finances are managed in an open, robust and transparent manner. The health and safety of the resident and staff are protected by the home ensuring that the required checks are completed for fire safety, the servicing of gas and electricity etc. Braeside (30) DS0000025757.V340095.R01.S.doc Version 5.2 Page 20 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 3 3 3 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 1 1 X X 3 x x 3 STAFFING3 Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x x x 3 x x 3 Braeside (30) DS0000025757.V340095.R01.S.doc Version 5.2 Page 21 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. OP1 9 1 2 3 Standard OP7 OP15 OP19 Regulation 15 17(2) Schedule 4 23(b) Requirement Staff must consult the resident concerning the ongoing development of their care plan. The home must ensure that a record of the food served is maintained. The premises must meet peoples, needs in a comfortable and homely way. The manager should continue to progress the standard of furnishings and fittings in the home. Timescale for action 30/06/07 30/06/07 31/10/07 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 (30) DS0000025757.V340095.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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 (30) DS0000025757.V340095.R01.S.doc Version 5.2 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. 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