Inspection on 26/07/05 for Bramblings Residential Home

This inspection was carried out on 26th July 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

Bramblings Residential Home 09/02/10

Bramblings Residential Home 14/01/09

Bramblings Residential Home 07/09/07

Bramblings Residential Home 09/08/06

Bramblings Residential Home 11/11/05

Bramblings Residential Home 07/09/04

Bramblings Residential Home 26/04/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Bramblings Residential Home Bramblefield Close, Hartley Road Longfield Kent DA3 7PE Lead Inspector Jo Griffiths Announced 26 July 2004 09:30 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. Bramblings Residential Home H56-H06 S23910 Bramblings V227753 260705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Bramblings Residential Home Address Bramblefield Close Longfield Kent DA3 7PE 01474 702332 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) Bramblings (Kent) Limited Mrs Bernadette Ramsey CRH Care Home 26 Category(ies) of LD(E) Learning dis - over 65 (1) registration, with number OP Old age (25) of places Bramblings Residential Home H56-H06 S23910 Bramblings V227753 260705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Care of an older person with learning disabilities is restricted to 1 person whose date of birth is 20/04/1931 Date of last inspection 07/09/2004 Brief Description of the Service: Bramblings is a detached property located in a woodland setting near to local shops and other amenities including a railway station and bus routes. Residential services are provided for 25 older people. The home currently provides accommodation arranged on 2 floors with a stair lift between floors. Building works have begun this year to provide more bedrooms and ensuite facilities. This is a large project that has been planned in several phases. The staffing and management structure comprises of the owner, the registered manager, a deputy manager, senior care staff and care staff who work a rota which includes 2 members of staff on waking night duty. There is a large garden to the rear of the property that is well maintained and parking at the front for several cars. Bramblings Residential Home H56-H06 S23910 Bramblings V227753 260705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced. The Manager and Deputy Manager were present and gave feedback on the achievements since the last inspection. For the purpose of this report the people living at Bramblings would like to be referred to as the residents of the home. The staff on duty and a number of residents were spoken with and some records were inspected. What the service does well: What has improved since the last inspection? Since the last inspection a number of events have taken place including a “Street party” within the home to celebrate VE day, visits to the reminiscence centre and a trip to the theatre to see an old time musical. The building works have started and once this is complete residents will benefit from larger rooms, ensuite facilities and more communal areas. A new office, staff room and laundry have been built. Both staff and residents are excited about the plans. The dining room has been redeveloped to encourage a more sociable atmosphere at mealtimes. The residents are happy with this arrangement. Bramblings Residential Home H56-H06 S23910 Bramblings V227753 260705 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. Bramblings Residential Home H56-H06 S23910 Bramblings V227753 260705 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 Bramblings Residential Home H56-H06 S23910 Bramblings V227753 260705 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 Residents are provided with the information they need to make a decision about the home. They have their needs assessed to ensure they can be met and are offered a trial visit before moving in. Each resident has a contract with the home. EVIDENCE: The Statement of Purpose and Service User Guide contain the required information. These documents are well presented. The Service User Guide is user friendly and is given to the resident on their admission. All residents have a full assessment of their needs before moving to the home. The assessment covers all areas of personal, health and social care needs. Records viewed within the care plan evidenced that the residents’ needs are being met. Residents said that prior to moving in they had been able to visit the home to help them make their final decision and that they have a trial period before agreeing a permanent contract. Each resident has a contract with the home that details the service they will receive and the terms and conditions of their residency. Bramblings Residential Home H56-H06 S23910 Bramblings V227753 260705 Stage 4.doc Version 1.40 Page 9 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, 9, 10,11 Residents have a care plan that ensures their health, personal and social needs are met and they are protected by safe procedures for managing medication. Residents feel they are treated with respect and that the home will support them sensitively at the end of their lives. EVIDENCE: Each resident has a care plan based on the assessment of their needs, the resident and their keyworker review this monthly. Various healthcare professionals who visit the home meet residents’ health needs and clear records of health interventions are maintained. Medication is stored safely using the “Boots” system and is administered only by staff that have completed the 12-week training course. Staff spoken with demonstrated a clear understanding of safe practice. Staff are aware of the way each resident prefers to be addressed and they were seen to treat residents respectfully. Residents said that their privacy is respected and they are happy with the manner of the staff. The home has not discussed and recorded the wishes in event of dying for all residents. The Manager explained how this is approached sensitively on an individual basis as the subject comes up or as a person’s health declines. Bramblings Residential Home H56-H06 S23910 Bramblings V227753 260705 Stage 4.doc Version 1.40 Page 10 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, 14, 15 Some residents feel they would like more activities in the home, they are very happy with the community-based activities. Residents are supported to maintain contact with family and friends and visitors are always welcomed. Residents feel they are able to make choices about their lives and they have sufficient choice at mealtimes. They are generally happy with the food. EVIDENCE: A timetable of daily events is displayed on each notice board including bingo, cards and games, although residents said that they do not always occur consistently. The Manager has consulted with the resident group in the residents meetings about the type of things they would like to do, but has found that often residents do not wish to take part preferring to spend time in their own rooms. It is recommended that records be maintained of the activities that actually occur to allow closer monitoring and review of this. Residents said they enjoy the one off activities arranged including the old time musical trip, the reminiscence centre and the visiting entertainers. The Manager described a number of days out that had taken place since the last inspection. Residents said they can receive visitors at any reasonable hour and a number of visitors were at the home during the inspection. There is not a room for residents to receive their visitors privately, although this is included in the Bramblings Residential Home H56-H06 S23910 Bramblings V227753 260705 Stage 4.doc Version 1.40 Page 11 plans for the new building. Residents said they can make choices about whether to receive visitors, when to get up, eat, go to bed and that if they do not want to join an activity they do not have to. The menu is based on residents’ likes and dislikes and a 2nd option can be offered if someone requests it. Snacks are available at suppertime and hot drinks offered throughout the day. Residents’ feedback about the food was generally positive and they are consulted regularly through the residents meetings. Bramblings Residential Home H56-H06 S23910 Bramblings V227753 260705 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, 17 Residents know how to make a complaint and are confident their concerns will be listened to. Their legal rights are fully promoted. EVIDENCE: Residents spoken with were aware of how to make a complaint. The complaints procedure is displayed on each notice board around the home and is included in the Service User Guide. There have been no complaints received since the last inspection. The Manager said they would now be recording the outcome and feedback on complaints in the complaint log following a recommendation from the last inspection. Residents feel confident that their concerns will be acted upon. Residents are registered to vote and can choose the method they wish to use to place their vote. Bramblings Residential Home H56-H06 S23910 Bramblings V227753 260705 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, 21, 22, 23, 24, 25, 26 Residents live in a comfortable, clean and pleasant home. They have sufficient facilities to meet their needs, but will further benefit from the redevelopment project underway at the home. Residents are happy that their bedrooms meet their needs. EVIDENCE: Bramblings is currently under development in a 3-stage project to provide more bedrooms and ensuite facilities for all. As such, a brief tour was undertaken and the Manager described the plans for the new accommodation. All residents are currently accommodated within single bedrooms with the exception of one married couple that have requested to share. In the new building this couple will be provided with their own sitting room as well. There are 4 bathrooms and toilets in the home for residents use; this will increase with the new development. Hot water is regulated in the bathrooms and bedrooms to protect residents and all the radiators are being replaced with a style that has a low surface temperature. Bramblings Residential Home H56-H06 S23910 Bramblings V227753 260705 Stage 4.doc Version 1.40 Page 14 Residents’ bedrooms are clean, well furnished and personalised with their belongings. They have a call point that was seen in use and responded to quickly by staff. Various aids to mobility are fitted around the home. Residents have access to 2 lounge areas and a dining room. The dining room has recently been redeveloped to encourage mealtimes to be a more social occasion. In the new building a room will be available for residents to receive visitors and make their own drinks. Residents can also access the large rear garden and patio area. A new staff room and office have been built. This has ensured residents and staff can meet privately with the Manager if needed. The home is kept as clean, hygienic and comfortable as possible considering the current development works and the residents are looking forward to their new accommodation. Bramblings Residential Home H56-H06 S23910 Bramblings V227753 260705 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 Residents are supported by sufficient numbers of competent staff. They are fully protected by safe recruitment procedures and benefit from the commitment of the home to all staff having the NVQ award. EVIDENCE: Residents feel there are sufficient staff to meet their needs. They described a maximum of a 10-minute wait to be supported and their needs were seen to be met quickly by the carers. There are always 4 care staff in the morning, 3 in the afternoon and 2 at night. There is also a cook, 2 cleaners and the Manager and deputy each day. Out of hours the Manager is on call. Staff files were inspected at random and evidenced safe and robust recruitment procedures. The residents spoke with high regard for the staff. Comments include “ The staff are very good, I have no complaints”. They feel the staff are well trained and can meet their needs. Records show that staff have completed a range of training courses including core safety training, infection control, dementia, sensory impairments and medication. All staff, except the 3 newer carers, have achieved their NVQ award and those spoken with were very proud of this. This exceeds the recommended standard of 50 of staff and therefore has been rated as “Commendable”. It was pleasing to find, when talking with staff, that they have an excellent understanding of how to support residents in a way that demonstrates respect for them. This was seen in the language and approaches used by the carers. Bramblings Residential Home H56-H06 S23910 Bramblings V227753 260705 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, 33, 35, 36, 37, 38 Residents’ benefit from a well run home. They are consulted on their views and protected by safe procedures and well-supervised staff. EVIDENCE: The manager is a qualified nurse, has achieved the Registered Managers Award and has a Bsc Degree in Health studies. Staff said they feel both the Manager and deputy are very approachable and encourage new ideas. All staff spoken with have a clear understanding of the values and direction of the home. Residents spoke highly of the Manager and said she was always around to talk to. Residents’ views are sought through a number of methods. An annual survey is carried out, including their relatives and a quarterly residents meeting is held at the home. Minutes of this were seen. The Manager said the annual survey is due again now. Bramblings Residential Home H56-H06 S23910 Bramblings V227753 260705 Stage 4.doc Version 1.40 Page 17 The home holds money on behalf of some residents and this is being stored and documented securely. The recommendation form the last inspection to keep all receipts ahs been implemented. Residents records are stored securely in the newly built office. Residents are supported by staff that are properly supervised. Each staff member has a supervision session every 2 months. There are policies and procedures in place to guide staff in their roles and protect residents. Residents’ health and welfare are protected. There were no concerns in this area during this inspection. The Manager stated that all safety checks of equipment are in date but the certificates were held at head office. These must be available in the home for inspection. Bramblings Residential Home H56-H06 S23910 Bramblings V227753 260705 Stage 4.doc Version 1.40 Page 18 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 x 3 3 3 x 3 3 3 2 Bramblings Residential Home H56-H06 S23910 Bramblings V227753 260705 Stage 4.doc Version 1.40 Page 19 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. 2. Refer to Standard OP12 OP38 Good Practice Recommendations It is recommended that the activity programme is reviewed with the residents and that records of activities taking place are kept. Certificates evidencing safety servicing of boilers and electrical equipment should be maintained on the premises. Bramblings Residential Home H56-H06 S23910 Bramblings V227753 260705 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection The Oast Hermitage Court Hermitage Lane Maidstone Kent ME16 9NT 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 Bramblings Residential Home H56-H06 S23910 Bramblings V227753 260705 Stage 4.doc Version 1.40 Page 21 - 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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