Inspection on 22/08/05 for Bramble Lodge

This inspection was carried out on 22nd August 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

Bramble Lodge 21/06/07

Bramble Lodge 17/11/05

Bramble Lodge 10/02/05

Bramble Lodge 03/05/04

Similar services:

Byars Care Home

St Marys Nursing Home

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Annesley Lodge Care Home

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

CARE HOMES FOR OLDER PEOPLE Bramble Lodge 82 High Lane West West Hallam Derbyshire DE7 6QH Lead Inspector Gail Meads Unannounced 22 August 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 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. Bramble Lodge C02 C52 S19944 Bramble Lodge V236602 220805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Bramble Lodge Address 82 High Lane West West Hallam Derbyshire DE7 6HQ 0115 9444 545 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) Bucintoro Ltd Susan Cumberland Care Home 40 Category(ies) of 40 Older People registration, with number of places Bramble Lodge C02 C52 S19944 Bramble Lodge V236602 220805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 10/02/05 Brief Description of the Service: Bramble Lodge is a predominantly new purpose built Care Home providing 34 single and 3 double bedrooms for Older People. The Home is set in its own extensive landscaped gardens that have been designed to enable wheelchair users and other residents easy access.The Home is situated on the edge of a rural area and the village offers only a few shopping facilities. However, the Home is only a short drive from the town of Ilkeston and the city of Derby both of which offer good shopping facilities and amenities.The services offered are 24 hour staffed care, 3 meals per day, personal laundry, heating and lighting, transport a range of leisure activities and social events. Bramble Lodge C02 C52 S19944 Bramble Lodge V236602 220805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit that took place at the home over a four hour period additional time was spent in preparation for the visit, looking at previous reports and other documents. During the inspection process a number of documents were examined, including residents’ care files, staff files and records, time was spent looking around the building and speaking to a number of residents, and to the manager and staff. The inspector spent a specific amount of the inspection concentrating on the care arrangements for the two residents for the purpose of case tracking. What the service does well: What has improved since the last inspection? There is little room for improvement as indicated throughout the report. However the manager continues to develop and improve as an ongoing process. Bramble Lodge C02 C52 S19944 Bramble Lodge V236602 220805 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. Bramble Lodge C02 C52 S19944 Bramble Lodge V236602 220805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Bramble Lodge C02 C52 S19944 Bramble Lodge V236602 220805 Stage 4.doc Version 1.40 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 standard(s) 1.2.3.4.5. The manager and staff continue to provide a good administrative structure and information is detailed and easily accessed. EVIDENCE: The homes Statement of Purpose was assessed and found to meet requirements. A full and informative information guide is given to each resident on admission. Two random residents’ files were assessed they contained detailed needs assessments. Residents’ signature on the documents indicated the participation of residents in the process Residents are given all of the information that they need therefore they are able to make a positive choice about moving into the home. The home also provides respite care and this is often the way residents experience the home in the first instance, and later make a decision to have a permanent placement. Bramble Lodge C02 C52 S19944 Bramble Lodge V236602 220805 Stage 4.doc Version 1.40 Page 9 Residents and their relatives confirmed that needs assessments take place and that information is shared with the residents. Intermediate care is not provided at this home. Bramble Lodge C02 C52 S19944 Bramble Lodge V236602 220805 Stage 4.doc Version 1.40 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 standard(s) 7.8.10.11 A wide range of health services are available to residents. Residents are treated with respect. EVIDENCE: All residents’ have a general practitioner dental care is provided on a regular basis, ear and eye tests are given as and when needed. Chiropody is provided by both National Health Service and private according to the residents’ preference. Health visits are recorded, as are accidents. Staff were observed talking to residents in a sensitive manner, using the residents preferred address. Residents spoken to spoke of staff being caring and respectful. Staff were observed knocking at residents’ doors before entering. A relative spoken to on the day of the inspection made a point of an occasion when his wife had been in hospital and a member of staff had visited and taken chocolates the relative had been very touched by this gesture, and spoke highly of staff commitment to residents. It was noted that residents’ funeral arrangements had been discussed and their wishes recorded in their individual care plans. Bramble Lodge C02 C52 S19944 Bramble Lodge V236602 220805 Stage 4.doc Version 1.40 Page 11 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 standard(s) 12.13.15. The home provides a wide range of leisure activities and social events. Residents are able to do what they want when they want there are no strict regimes in place. The residents enjoy a high level of visitors to the home. EVIDENCE: An activities programme is in place fun days are held outings are arranged; the home has its own activities room so a range of crafts can be made available to residents. The visitors book indicated a high level of visitors to the home, and during the inspection period a number of visitors were seen coming and going many of the visitors were acquainted with other residents and stopped to talk to them in passing. Relatives and visitors spoken to stated that they were always made to feel very welcome, and they could talk to staff or the manager at any time. Residents spoken to confirmed that there were lots of things to do as one resident said “your never bored here”. Bramble Lodge C02 C52 S19944 Bramble Lodge V236602 220805 Stage 4.doc Version 1.40 Page 12 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 standard(s) 16.18 Minor complaints are dealt with daily as they occur more formal complaints are dealt with appropriately and promptly. EVIDENCE: There had been one minor complaint since the last inspection, which had been dealt with to the satisfaction of all concerned and according to the homes own complaint policy, which is displayed on the notice board. Residents and relatives spoken to stated that they had no complaints but if they did they would talk to the manager in the first instance and they were confident that it would be put right. All staff have received appropriate adult protection training and one member of staff is going to do the training offered by Derbyshire County Council to enable them to train other staff members. Staff had supplied two references and had the required medical and police checks carried out prior to commencing their employment. All new staff are supervised for a period of six weeks before working alone. Bramble Lodge C02 C52 S19944 Bramble Lodge V236602 220805 Stage 4.doc Version 1.40 Page 13 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 standard(s) 19.20.22.23.24.25.26 The environment is warm, light and clean the furnishings are of good quality homely and comfortable in style. EVIDENCE: A number of residents’ rooms were assessed all contained the required furniture as identified in Standard 24. All the residents’ rooms assessed were personalised and reflected the interests of the residents who occupy them. Items of their own furniture and personal possessions were in evidence. There are a suitable amount of toilets and bathrooms provided, toilet and bath aids were provided to enable residents to bathe and toilet safely whilst still retaining their privacy and dignity. Communal areas are spacious warm and clean. Wheelchair access is provided to enable residents to enjoy the well-maintained and colourful gardens provided. Residents spoke to made positive comments about how lovely the gardens were and how some residents enjoyed sitting in them weather permitting. Bramble Lodge C02 C52 S19944 Bramble Lodge V236602 220805 Stage 4.doc Version 1.40 Page 14 The dining area is well presented clean and light with tablecloths and napkins provided. Bramble Lodge C02 C52 S19944 Bramble Lodge V236602 220805 Stage 4.doc Version 1.40 Page 15 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27.28.29.30 Staff levels are maintained at a level sufficient to meet the identified needs of the residents. Staff are well trained and skill mix is taken into consideration when duty rotas are prepared. EVIDENCE: The staff rotas were examined and found to meet the staffing requirements. Staff have very good training opportunities provided and this is reflected in the very high number of staff who have achieved National Vocational Qualification at level two and three. All staff have received their mandatory training and there is a very comprehensive induction process which is carried out over a six week period. Staff spoken to confirmed that their training opportunities were very good and that they enjoyed the challenge of the training. Two staff files were assessed and found to contain the documents as required in Schedule two of the National Minimum Standards. Bramble Lodge C02 C52 S19944 Bramble Lodge V236602 220805 Stage 4.doc Version 1.40 Page 16 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31.32 The managers style is open providing good communication channels to residents, their relatives and to staff members. EVIDENCE: The manager is appropriately trained and has a number of years experience in the caring profession, she presents as competent and confident. Staff spoken to during the inspection stated that they had confidence in the manager and would not hesitate to take problems/concerns/complaints to the manager and they were confident that appropriate action would be taken if necessary. There are regular staff and residents’ meetings taking place, and it was evident that both residents and relatives were able to talk to staff. Bramble Lodge C02 C52 S19944 Bramble Lodge V236602 220805 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 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 x x x x x x Bramble Lodge C02 C52 S19944 Bramble Lodge V236602 220805 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 Bramble Lodge C02 C52 S19944 Bramble Lodge V236602 220805 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection South Point, Cardinal Square Nottingham Road Derby DE1 3QT 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 Bramble Lodge C02 C52 S19944 Bramble Lodge V236602 220805 Stage 4.doc Version 1.40 Page 20 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!