Inspection on 26/02/07 for Brampton Lodge

This inspection was carried out on 26th February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Brampton Lodge 31/10/05

Brampton Lodge 11/07/05

Brampton Lodge 28/02/05

Brampton Lodge 31/08/04

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 Brampton Lodge 4 Dixwell Road Folkestone Kent CT20 2LG Lead Inspector Paul Stibbons Key Unannounced Inspection 26th February 2007 10:15 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 Brampton Lodge DS0000023762.V328623.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. Brampton Lodge DS0000023762.V328623.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Brampton Lodge Address 4 Dixwell Road Folkestone Kent CT20 2LG 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) 01303 258 227 01303 258227 Nickolls Care Ltd Mrs Claire Ebbs Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places Brampton Lodge DS0000023762.V328623.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of two (2) beds may be used at any one time for respite care for service users who are under the age of 65 years old but are over the age of 55 years. 31st October 2005 Date of last inspection Brief Description of the Service: Brampton Lodge provides care for older people aged 65 years and over and also is able to provide a maximum of two beds to be used at any one time for respite care for service users who are under 65 years but are over 55 years of age. The property is a large detached house in a quiet residential area in Folkestone. There are two floors, which are accessed by staircase or a shaft lift. The rooms are all single accommodation with spacious en suite facilities and there is a very pleasant lounge and dining room. The garden is well maintained with seating areas for service users and easily accessible for wheelchair users. The décor of the home is of a high standard and there is a television, telephone and call point in all of the bedrooms. The fees for this service range between £507 and £599 per week with additional charges for hairdressing, newspapers/magazines and chiropody. Brampton Lodge DS0000023762.V328623.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 conducted over a period of two hours. A pre-inspection questionnaire had been completed and returned to the CSCI prior to the visit. A tour of the building was conducted and a variety of records and documentation examined. Several residents were spoken with about their experiences of living in the home and members of staff from maintenance, domestic, kitchen and care staff about their work and management support. What the service does well: What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Brampton Lodge DS0000023762.V328623.R01.S.doc Version 5.2 Page 6 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 Brampton Lodge DS0000023762.V328623.R01.S.doc Version 5.2 Page 7 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): 1,3,4,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users have sufficient information to enable them to make an informed decision on whether the home can meet their needs. EVIDENCE: The homes statement of purpose is clear about the facilities and services provided by the home and is available to all potential service users. Care plans examined are comprehensive in the assessment of needs and the same detailed assessments are carried out prior to admission for permanent or respite care. Brampton Lodge DS0000023762.V328623.R01.S.doc Version 5.2 Page 8 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. Service users health and social care needs are met. Service users are protected by the homes policies and procedures for dealing with medication. Service users are treated with respect and their right to privacy is promoted. EVIDENCE: Care plans examined are detailed in setting out individual requirements and contain manual handling risk assessments where applicable. The home has reviewed the recording of incidents/accidents following the requirements of a Brampton Lodge DS0000023762.V328623.R01.S.doc Version 5.2 Page 9 previous report. There is evidence of referral to other healthcare professionals when required and support in attending appointments. The district nurse and continence nurse support the home and health care needs are monitored in the individual care plans. Examination of medication procedures demonstrated compliance with current legislation and guidelines. Service users who selfmedicate have been risk assessed and monitoring systems are in place. All staff responsible for dealing with medication have received competence based training. Brampton Lodge DS0000023762.V328623.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. There is a range of activities that service users can choose to participate in that meet their social, recreational and religious needs. A varied and nutritious diet is provided to a very high standard. EVIDENCE: There is a weekly activity program on the lounge notice board and at the time of the visit one group were taking part in mobility exercises to music. Others were observed reading newspapers/magazines and some watching television programs. Service users spoken with stated that there is always something to do if they wished to take part. Individual plans record their preferences. Family and friends are made welcome and one visiting relative said how excellent the home is. The home supports attendance to religious services and Brampton Lodge DS0000023762.V328623.R01.S.doc Version 5.2 Page 11 ministers attend the home if requested. The home employs a professional chef and food is presented to a very high standard. The dining area is laid out again to a professional standard and service users have only praise for the quality and quantity of food provided. The home is to be commended for this area of practice. Brampton Lodge DS0000023762.V328623.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17,18 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home has a robust complaints procedure in place and service users are protected from abuse. EVIDENCE: The home has a robust complaints procedure in place. There have been no formal complaints since the last inspection and service users spoken with were comfortable in raising any issues with staff or management. All service users spoken with did state that they had no complaints. There is literature on display advising on advocacy services available to service users. All service users maintain their own benefit books, 13 who handle their own financial affairs and 9 who are subject to Power of attorney. All staff have received training around adult protection issues. Brampton Lodge DS0000023762.V328623.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25,26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users live in a safe, well-maintained and comfortable environment. There is ample personal and communal space to meet service user needs. The home provides any specialist equipment required to maximise service user independence. EVIDENCE: Brampton Lodge DS0000023762.V328623.R01.S.doc Version 5.2 Page 14 The home is decorated and furnished to a very high standard. There is a permanent maintenance person employed and the home is well maintained. The bedrooms are all spacious with outside views and en-suite facilities. There are additional bathroom and toilet facilities close to communal areas. The home provides any necessary specialist equipment i.e. hoists for service users who require them. Individual bedrooms viewed contain personal possessions that reflect the interests and lifestyles of service users. There is a large wellmaintained garden to the rear for the enjoyment of residents. Service users spoken with were more than happy with the service and facilities provided. Brampton Lodge DS0000023762.V328623.R01.S.doc Version 5.2 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 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 excellent. This judgement has been made using available evidence including a visit to this service. There are sufficient numbers of competent staff on duty at any one time to meet the needs of service users. Service users are protected by robust recruitment policies and procedures. EVIDENCE: At the time of the visit there are sufficient numbers of staff on duty to meet the care needs of service users and the general day to day running of the home. The number of staff with an NVQ qualification is in excess of 50 and training is ongoing. Training in the 12 months prior to this visit includes moving and handling, First aid, Food hygiene, Adult protection, Dementia care and Diabetes and Insulin administration. Staff members receive induction and any appropriate training to competently fulfil their roles. Staff files viewed indicated that robust recruitment practices had been carried out with 2 references and CRB checks. Service users state that there are always enough staff on duty to meet their needs and spoke highly of the care received. Brampton Lodge DS0000023762.V328623.R01.S.doc Version 5.2 Page 16 Brampton Lodge DS0000023762.V328623.R01.S.doc Version 5.2 Page 17 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): 31,32,33,35,38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users benefit from living in a well run home. Service users health, safety and welfare is promoted and protected. EVIDENCE: The registered manager has been involved with this service since its opening and service users benefit from the ethos, leadership and management Brampton Lodge DS0000023762.V328623.R01.S.doc Version 5.2 Page 18 approach of the home. Staff spoken with refer to the service as “the best home I have ever worked in”, “it is a pleasure to come to work”. Maintenance staff spoken with state that anything required for maintenance is provided without undue delay. The chef and kitchen staff are justifiably proud of the quality of food they are able to provide. One service user compared the home to “like a hotel”. The vast majority of service users handle their own financial affairs with 50 subject to Power of Attorney. A variety of records viewed demonstrated that the health, safety and welfare of service users is promoted and protected. Brampton Lodge DS0000023762.V328623.R01.S.doc Version 5.2 Page 19 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 X 3 3 X 3 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 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 4 18 4 4 4 4 4 4 4 4 4 STAFFING Standard No Score 27 4 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 4 X 4 X X 3 Brampton Lodge DS0000023762.V328623.R01.S.doc Version 5.2 Page 20 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. 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. Refer to Standard Good Practice Recommendations Brampton Lodge DS0000023762.V328623.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Brampton Lodge DS0000023762.V328623.R01.S.doc Version 5.2 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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