Inspection on 02/05/06 for Braeside (30)

This inspection was carried out on 2nd May 2006.

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 (30) 16/05/07

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 James O`Hara Key Unannounced Inspection 2nd May 2006 10:00 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.V290104.R01.S.doc Version 5.1 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.V290104.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Braeside (30) Address 30 Kendall Avenue Sanderstead South Croydon Surrey CR2 0NH 020 8407 0640 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.V290104.R01.S.doc Version 5.1 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 5th December 2005 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 service user 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 comfortable 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. Braeside (30) DS0000025757.V290104.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection. Methods of inspection included a brief discussion with the service user and discussion with the registered manager, Mr. Sowambur. Records examined included the service users care plans, person centred plans, menus, the homes Statement of Purpose, risk assessments, health care correspondence, medication records, complaints records and the homes visitors book. Six requirements and six recommendations from the last inspection were discussed with Mr. Sowambur. What the service does well: What has improved since the last inspection? What they could do better: Mr. Sowambur has worked hard to comply with all of the requirements and recommendations set at the last inspection. As a result of this inspection seven new requirements have been set. Mr. Sowambur expressed during the last inspection he was considering closing the home. Having only one service user, the financial costs of running a care home and regulation were factors taken into account. Since then Mr. Sowambur has applied to join Croydon Councils Adult Placement Scheme. Mr. Sowambur feels that if successful he would benefit from the placement of new service users and management support. Although reviewed and updated the Statement of Purpose does not contain all information that is required under the regulations. Braeside (30) DS0000025757.V290104.R01.S.doc Version 5.1 Page 6 More could be done to by the home to ensure that service user is supported to access social activities in the wider community and develop independent living skills. Mr. Sowambur and any member of his family working in the home will need to update or complete training on food handling, first aid, fire safety, moving and handling and health and safety. Mr. Sowambur should send a copy of his NVQ level 4 certificate to the Commission or provide evidence that he has completed the course. The inspector would like to thank the service user and Mr. Sowambur for their support on the day of the inspection. 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 (30) DS0000025757.V290104.R01.S.doc Version 5.1 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.V290104.R01.S.doc Version 5.1 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 the following standard(s): 1, 2 and 3. Standard 6 does not apply. Although reviewed and updated the Statement of Purpose does not contain all information that is required under the regulations. This could result in an inappropriate placement being made to the home. Equally it could result in service users not receiving the service they expected when they first moved to the home. EVIDENCE: As required at the last inspection the home has reviewed the Statement of Purpose however since then there has been changes to the staffing situation at the home. The Statement of Purpose must be reviewed and amended and should accurately reflect the services offered by the home. The Service Users Guide also needs to be updated in line with the new Statement of Purpose. As required at the last inspection Mr. Sowambur provided an updated contract between the home and the service user. Braeside (30) DS0000025757.V290104.R01.S.doc Version 5.1 Page 9 No service user has moved into the home since the last inspection. During the last inspection the registered provider, Mr. Sowambur, said that he was not sure if he would carry on running the home as he has had only one service user for some time. He had contacted the Croydon Adult Placement Scheme to see if the home could join the Scheme. Mr. Sowambur provided a letter from the Croydon Adult Placement Scheme inviting him to apply to join the scheme. Mr. Sowambur stated that he has applied and is awaiting a response from the scheme. Standard 6 does not apply at the home. Braeside (30) DS0000025757.V290104.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Overall the health care needs of the service user appears to appropriately managed and he receives personal support in the way he proffer’s. EVIDENCE: The service users care plan was reviewed by Mr. Sowambur and the service users care manager on the 18th December 2005. The service users health care, personal care and social care needs were reviewed. Part of the service users care plan refers to encouraging socialisation; the provision social stimulation in order to reduce the risk of isolation. This is to be actioned by Mr. Sowambur actively engaging the service user in social activities and ensure that he gets regular exercise. A discharge letter from Mayday Hospital dated 17th September 2004 diagnosed the service user with a heart condition and Agoraphobia. Mr. Sowambur stated that it is difficult to support the service user to use the community but he continues to offer him opportunities to visit local shops and parks either on foot or by car. Mr. Sowambur produced appropriate procedures for staff to follow in order to support the service user should there be a problem with his catheter. Braeside (30) DS0000025757.V290104.R01.S.doc Version 5.1 Page 11 During the inspection the service user did not wish to speak to the inspector however when asked how he was he gave a thumbs up sign with a smile. Mr. Sowambur stated that due to the service users mental health he is not able to administer his own medication. Medication administration record sheets were up to date and accurate on the day of the inspection however Mr. Sowambur could not access the medication cabinet as he misled the keys. The medication storage area will be examined at the next inspection. The service user stayed at a respite care facility in December 2005 when the Mr. Sowambur went on holiday with his family. Braeside (30) DS0000025757.V290104.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. The service users care plan details a need for social stimulation in order to reduce the risk of isolation. More could be done to by the home to ensure that service user is supported to access social activities in the wider community and develop independent living skills. EVIDENCE: As stated in the previous standards the service users care plan refers to encouraging socialisation. A discharge letter from Mayday Hospital dated 17th September 2004 diagnosed the service user with a heart condition and Agoraphobia. The registered provider stated that it is difficult to support the service user to use the community. The service user has a support plan 18th May 2004 and Weekly Timetable 15th January 2005 that indicate the his needs and activities. A requirement is set that Mr. Sowambur contact the service users care manager in relation to how the home can develop social activities and how these are presented to the service user. Mr. Sowambur must keep a record of social activities/opportunities attended or offered to the service user and Mr. Sowambur must update the service users support plan and Weekly Timetable. Braeside (30) DS0000025757.V290104.R01.S.doc Version 5.1 Page 13 Mr Sowambur stated that the service user does not engage in any independent living skills activities in the kitchen because his behaviour can sometimes present risk. However Mr. Sowambur stated that the service user likes to watch Mr. Sowambur in the kitchen, keep his room tidy and likes to read the daily newspapers. The home has a small area with gym equipment which Mr. Sowambur states the service user likes to use sometimes. The service user also has an exercise bike in his bedroom that he enjoys using. Mr. Sowambur must complete a risk assessment for the service user using the kitchen. The service user stayed at a respite care provider in December 2005 when the Mr. Sowambur went on holiday with his family. Mr. Sowambur stated that the service user had not had an annual holiday for a long time. In the past he had gone to Brighton on day trips. A requirement is set that Mr. Sowambur provides the service user with an opportunity to go on holiday this year. Mr. Sowambur stated that the service user has regular contact by telephone with his brother. During the previous inspection it was noted that the service users brother indicated that communication is good between him, the home and his brother. The home employs a four weekly rotating menu system. Mr. Sowambur stated that this record includes all of the food the service user likes. Braeside (30) DS0000025757.V290104.R01.S.doc Version 5.1 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Suitable arrangements for complaints and protection from abuse are in place to ensure that service users feel listened to and safe. EVIDENCE: The home employs Croydon Councils Protection of Vulnerable Adults Procedure. Mr. Sowambur attended training provided by Croydon Council on their Vulnerable Adults Procedure on the 25/01/06. The home has an appropriate complaints procedure that is included in the reviewed Statement of Purpose. Braeside (30) DS0000025757.V290104.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. The overall impression when visiting this home is that it is homely, comfortable clean and hygienic. EVIDENCE: Mr. Sowambur stated that following the fire alarm system being installed in the home that a Portable Appliance Test was carried out at the home however he could not provide evidence of this on the day of the inspection. Mr. Sowambur must ensure that an annual Portable Appliance Test is carried out at the home and a copy of the certificate is sent to the Commission. Only one service user lives at the home, his bedroom is large and seating and a table is available for use, he has his own personal items and his room was clean and comfortable, he uses the rest of the home as he chooses. On the day of the inspection the service user who is 82 years old stayed in his room and when asked how he was he gave a thumbs up sign with a smile. Braeside (30) DS0000025757.V290104.R01.S.doc Version 5.1 Page 16 Braeside (30) DS0000025757.V290104.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Currently Mr. Sowambur does not employ staff in the home, he or occasionally a family member or an agency staff will be on duty in the home. Given the registered manager and his wife’s qualifications and that there is only one service user living at the home this arrangement is currently acceptable. EVIDENCE: Mr. Sowambur is a Registered Nurse Mental Handicap (RNMH). His wife is a Registered Mental Nurse (RMN) and is also a registered manager at another care home. Mr. Sowambur lives at the home. Mr. Sowambur, his wife and daughter carry out the majority of the care duties in the home, and occasionally an agency staff will be on duty in the home. Given Mr. Sowambur’s and his wife’s qualifications and that there is only one service user living at the home this arrangement is currently acceptable. As required at the last inspection Mr. Sowambur has developed a staffing roster indicating when his family or agency staff work in the home. Mr and Mrs Sowambur’s and his daughters Criminal Records Bureau Checks were examined during the previous inspection. Braeside (30) DS0000025757.V290104.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Mr. Sowambur has worked hard to comply with all of the requirements and recommendations set at the last inspection. Mr. Sowambur expressed during the last inspection he was considering closing the home. Having only one service user, the financial costs of running the care home and regulation were factors taken into account. Mr. Sowambur has applied to join Croydon Councils Adult Placement Scheme. Mr. Sowambur feels that he may benefit from the placement of new service users and management support. EVIDENCE: As stated in the previous standards Mr. Sowambur is a Registered Nurse Mental Handicap (RNMH). During the previous inspection Mr. Sowambur stated that he was currently completing an NVQ level 4 in Management and Care. It was recommended at the last inspection that Mr. Sowambur send a copy of his NVQ 4 certificate to the Commission when this has been obtained. During this inspection Mr. Sowambur stated that he sent his folder off to his trainer to be verified however he has had no response. Braeside (30) DS0000025757.V290104.R01.S.doc Version 5.1 Page 19 Mr. Sowambur stated that the trainer (a private trainer) is currently unwell. Mr. Sowambur must send a copy of his NVQ level 4 certificate to the Commission. As required at the last inspection Mr. Sowambur attended training Mental Health incorporating Learning Disabilities and Dementia. The Unicorn Training Project ran this training. Since the last inspection Mr. Sowambur has also attended Croydon Councils Protection of Vulnerable Adults Procedure training. Mr. Sowambur and any member of his family working in the home must update or complete training on food handling, first aid, fire safety, moving and handling and health and safety. As required at the last inspection Mr. Sowambur has obtained the services of an independent accountant to audit the service users financial accounts so that he can evidence that the service users personal finances are managed in an open, robust and transparent manner. Mr. Sowambur produced finance records for the service user who lives at the home. These included receipts for expenditure. Mr. Sowambur produced a letter from the accountant stating his requirements to enable him to audit the service users accounts quarterly and annually starting December 2005. Mr. Sowambur stated that he had recently sent the service users finance records to the accountant for audit. Braeside (30) DS0000025757.V290104.R01.S.doc Version 5.1 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 2 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 Braeside (30) DS0000025757.V290104.R01.S.doc Version 5.1 Page 21 Are there any outstanding requirements from the last inspection? NO. 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 OP1 Regulation 4.1. Requirement The Statement of Purpose must be reviewed and amended and should accurately reflect the services offered by the home. The Service Users Guide also needs to be updated in line with the new Statement of Purpose. A requirement is set that Mr. Sowambur contact the service users care manager in relation how the home can develop social activities and how these are presented to the service user. Mr. Sowambur must keep a record of social activities/opportunities attended or offered to the service user and Mr. Sowambur must update the service users support plan and Weekly Timetable. Mr. Sowambur must complete a risk assessment for the service user using the kitchen. A requirement is set that Mr. Sowambur provides the service user with an opportunity to go on holiday this year. Mr. Sowambur must ensure that an annual Portable Appliance DS0000025757.V290104.R01.S.doc Timescale for action 31/07/06 2. OP12 14 (2) 31/07/06 3. 4. OP12 OP12 13(4) 14(2) 31/07/06 31/07/06 5. OP20 23(2)c 31/07/06 Braeside (30) Version 5.1 Page 22 6. OP30 18(1) c. 7. OP31 9(1) b (i). Test is carried out at the home and a copy of the certificate is sent to the Commission. Mr. Sowambur and any member of his family working in the home must update or complete training on food handling, first aid, fire safety, moving and handling and health and safety. Mr. Sowambur must send a copy of his NVQ level 4 certificate to the Commission. 31/07/06 31/07/06 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.V290104.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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 (30) DS0000025757.V290104.R01.S.doc Version 5.1 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. 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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