Inspection on 31/10/05 for Brampton Lodge

This inspection was carried out on 31st October 2005.

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

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

Other inspections for this house

Brampton Lodge 26/02/07

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 Mrs Penny McMullan Unannounced Inspection 31st October 2005 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 Brampton Lodge DS0000023762.V262971.R01.S.doc Version 5.0 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.V262971.R01.S.doc Version 5.0 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.V262971.R01.S.doc Version 5.0 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. 11th July 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 quite 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. Brampton Lodge DS0000023762.V262971.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 5.5 hours. Mrs Claire Ebbs, Registered Manager was in attendance. There was an agency member of staff who had worked in the home on several occasions and one new member of staff on duty. The Registered Manager was also on duty and during the inspection an additional senior member of staff was available to administer the medication. There were 14 residents in the home. The Chef, Restaurant Supervisor and one housekeeper were also on duty. The Inspector spoke to six residents and three members of staff. The atmosphere in the home was cheerful and relaxed. Overall feedback from residents was very positive. They said the home was well maintained with a very pleasant garden and the services provided are to a very high standard. What the service does well: The Chef ensures that the meals are of a consistently high standard and the residents confirmed this. The home has a themed food day once a month and at the time of the inspection the dining room was decorated for Halloween and a special menu had been printed for the day. Residents said the meal was very good and the decorations were very good. The home is maintained to a high standard and the food and en suite facilities provided exceed the standard and have been scored as 4, commendable in this report. Staff said that the care given to service users is excellent and they feel supported by the Registered Manager and their colleagues. Residents are free to choose what they wish to do and the home strives to meet resident’s individual needs. One resident said ‘the staff are very kind and caring, the food is good and everywhere is well decorated, it is a good place to live’ Other comments included ‘ you have the choice to join in the activities if your wish’ ‘the food is brilliant’ and ‘there is nothing to complain about’ Brampton Lodge DS0000023762.V262971.R01.S.doc Version 5.0 Page 6 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. Brampton Lodge DS0000023762.V262971.R01.S.doc Version 5.0 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 Brampton Lodge DS0000023762.V262971.R01.S.doc Version 5.0 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): 6 Arrangements are in place to carry out a detailed and thorough assessments of needs of service users prior to admission to the home to ensure that all care needs will be met. EVIDENCE: The admission procedure of the home is thorough and a full assessment is carried out on each service user prior to admission. The Registered Manager or senior member of staff completes a Prospective Client Assessment Form, which covers all aspects of health and social care. This information forms part of the residents care plan. Brampton Lodge DS0000023762.V262971.R01.S.doc Version 5.0 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 the following standard(s): 7,8,9 There is a consistent care planning system in place, however the lack of clear recording may result in residents health and social care needs not being met. The systems for medication administration are good with clear and comprehensive arrangements being in place to ensure residents medication needs are met. EVIDENCE: Resident care plans contain detailed information covering all aspects of health and social care needs of individual residents. Moving and handling risk assessments are in place and in some cases have the required detail however care must be taken to ensure that the assessments are consistent. The home has appointed a Moving Handling Trainer/Assessor who will be reviewing all of the assessments. There are also some areas of the plan which require clarification when recording in the daily progress sheet re accidents/incidents. Staff demonstrated their knowledge and skills in meeting the needs of the service users but this is not always reflected in detail in the plan. A requirement has been made in this report. The plans were up to date and reviewed and signed by the residents. Brampton Lodge DS0000023762.V262971.R01.S.doc Version 5.0 Page 10 Residents said that the staff go with them to their health appointments and visit the optician GP or Chiropodist. The District Nurse and Continence Nurse supports the home and all health care needs are monitored in the residents care plan. The home has a Medication Policy and uses the NOMAD system for the administration of medication. Records viewed were up to date and in good order. Residents who self medicate have risk assessments in place, which include how the situation will be monitored. All senior staff has received medication training. Brampton Lodge DS0000023762.V262971.R01.S.doc Version 5.0 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 the following standard(s): 12,15 The home has a planned programme of activities, which ensures that residents social interests are met. The meals in the home are of a high standard providing a varied, nutritious, balanced diet EVIDENCE: Residents say there are varied activities, which you can choose to attend. Preferences are recorded in their individual plans and a list of weekly activities is displayed on the notice board. At the last residents’ meeting, activities were discussed. One resident said she enjoyed playing cards and was taken to attend card club by one of the staff. Some of the residents enjoyed a trip to Maidstone on the river in the summer. Residents say the food is very good, varied and nutritious. There is a weekly menu and each day there is a three course lunch served with juice and wine. Coffee is then served in the lounge. Alternatives are on the menu and the chef ensures that residents individual dietary needs are met. Residents say they are able to eat their meals in their room or in the dining room. A themed food day is held every month and considerable effort is made to decorate the dining room and provide menus and decorations. One resident said ‘the food is Brampton Lodge DS0000023762.V262971.R01.S.doc Version 5.0 Page 12 brilliant, always good and very varied’. The home consistently exceeds the standard and has therefore received a scoring of 4, which is commendable. Brampton Lodge DS0000023762.V262971.R01.S.doc Version 5.0 Page 13 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): 16,18 The home has a satisfactory complaints procedure in place and residents are confident that should they have a complaint it will be resolved by the home. There are robust arrangements in place for protecting service users. EVIDENCE: The complaints procedure was on display in the lounge and residents spoken to confirm they would complain to the staff or Registered Manager if they had a complaint. Residents said they did not have any complaints and there have been no formal complaints since the last inspection. The home has the relevant policies and procedures in place with regard to Adult Protection Policy including whistle blowing. The Registered Manager is going to attend a POVA course and become a trainer for all staff in the home. All POVA first checks and CRB checks have been carried out for all staff. A list of personal possession is recorded in residents individual care plan. Brampton Lodge DS0000023762.V262971.R01.S.doc Version 5.0 Page 14 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): 21 The home has excellent en suite facilities enhancing the privacy for all residents. EVIDENCE: All residents’ bedrooms have en suite shower facilities, which are modern and spacious. There are two additional bathrooms and two additional toilets, which are in close proximity of the communal areas. The two bathrooms are fitted with bath hoists for assisted bathing. One resident said how much she liked having her own shower and toilet facilities. The home exceeds the standard and has been scored as 4, which is commendable. Brampton Lodge DS0000023762.V262971.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 The home is adequately staffed to meet the needs of the service users. There is over 50 of staff who hold an NVQ 2 qualification or above and are competent to carry out their role as a carer. Recruitment procedures are in place to ensure that residents are protected and in safe hands at all times. The home has a programme of mandatory and induction training for all staff to ensure that staff receives the skills to meet the residents needs. EVIDENCE: At the time of the inspection the following staff were on duty: The Registered Manager, one agency care staff and one carer. There is one waking and one sleep in staff. The agency carer had previously worked in the home and was covering for sickness. The Chef, one restaurant supervisor and one housekeeper were also on duty. Residents said there is always enough staff on duty and they were very kind and considerate. One member of staff said that the staffing of the home is good as they have time to spend with the residents, chatting or joining in the activities. There is a number of experienced staff working in the home with over 50 of NVQ 2 and above. Brampton Lodge DS0000023762.V262971.R01.S.doc Version 5.0 Page 16 Staff files indicate that the relevant references and checks with regard to POVA first and CRB have been carried out. All staff have received terms and conditions of employment. The home has an on going training programme and ensures that training is kept up to date. The latest recruit confirmed that she was completing an induction programme and the Registered Manager is going to become a trainer for the Protection of Vulnerable Adults. Staff said that the home provides good training. Brampton Lodge DS0000023762.V262971.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 38 The home is providing a safe environment for residents, however the lack of clear recording of information potentially puts residents and staff at risk. EVIDENCE: All mandatory, induction and foundation training is provided to all staff. All the necessary safety checks have been carried out in the home. Accident/incidents were tracked through to the care plan and recorded and monitored, however further detail and clarification of the information is required. A requirement has been given in this report. Environmental risk assessments are in place. There was an incident where a resident fell and was taken to hospital and the home failed to inform the Commission with regard to this accident. It is a requirement of Regulation 37 to inform the Commission of any incident, which affects the welfare of a service user, and the home has been issued with a requirement in this report. The Registered Manager has been requested to forward a report concerning this accident. Brampton Lodge DS0000023762.V262971.R01.S.doc Version 5.0 Page 18 Brampton Lodge DS0000023762.V262971.R01.S.doc Version 5.0 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 X 2 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X 4 X X X X X STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X 2 Brampton Lodge DS0000023762.V262971.R01.S.doc Version 5.0 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. 1 Standard 7/38 Regulation 15,13 Requirement Timescale for action 31/12/05 2 38 37 Care plans require further detail to ensure that staff can consistently meet residents needs and the recording of accidents/incidents also require accurate detailed information The home must ensure that the 31/10/05 Commission for Social Care Inspection receives notification of death, illness and other events with regard to the welfare of the residents 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.V262971.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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 Brampton Lodge DS0000023762.V262971.R01.S.doc Version 5.0 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. 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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