Inspection on 11/01/08 for Brampton View

This inspection was carried out on 11th January 2008.

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

Brampton View 05/12/08

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Brampton View 421 Welford Road Northampton NN2 8PT Lead Inspector Helen Abel Unannounced Inspection 11th January 2008 9:00 Brampton View DS0000070111.V355633.R01.S.doc Version 5.2 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 View DS0000070111.V355633.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 Adults 18-65. 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 View DS0000070111.V355633.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Brampton View Address 421 Welford Road Northampton NN2 8PT 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) 01604 475333 01604 472892 keithmsaada@hotmail.co.uk Msaada Care Limited Vacant Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Brampton View DS0000070111.V355633.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered persons may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission are within the following category: Learning disability - code LD The maximum number of service users who can be accommodated is 6. 2. Date of last inspection First Key Inspection Brief Description of the Service: Brampton is a registered residential home for six people with a range of learning disabilities and complex needs or people with dual diagnosis of additional mental health needs. The home is situated on the Welford Road 3 miles north of Northampton town centre. The home offers ground floor accommodation. Access to the home can only be gained via remote controlled gates. The home is in an area between Kingsthorpe and Boughton. With transport you can access Kingsthorpe shopping centre, which includes shops, recreational, and leisure facilities and is also only a short bus ride away from the town centre. Fees are currently £1500 per week. Fees charged will be based upon individual assessment of needs and requirements. Examples of individual items not included in the fees are: – toiletries, clothing and shoes, additional monies towards eating out or entertainment. See the homes Statement and Purpose for all additional items that service users maybe required to buy. Brampton View DS0000070111.V355633.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission for Social Care Inspection (CSCI) inspected the home against the Care Standards Act 2000. The inspection method used was ‘Inspecting For Better Lives’, which is based on outcomes for the clients. Planning for the inspection included reading the notifications of significant events sent to the CSCI and the Annual Quality Assurance Assessments (AQAA), which provides information as to the services, the home provides. The visit took place on Friday morning 11th January 2008 at 9.00am and lasted over five hours. The home has been open for around 3 months ad the acting manager in post for 2 weeks. The acting manager was absent and care staff and a Senior Principal Care Manager (from head office) assisted the Inspector during the visit. The method called ‘case tracking’ was used to determine the standard of care provided in the home surroundings. This involved identifying clients with varying levels of care needs and looking at how these are being met by the staff at Brampton View. The Inspector was unable to communicate with a resident. Discussions were held with staff providing the care, checking records relating to their health and welfare, viewing their personal accommodation as well as communal living areas used. Observations were made of how the care staff supported clients participate in the daily activities and decision-making. Records relating to support plans, medication records, health and safety, staff records, and training records were checked. What the service does well: The assessment process is clearly set out in the written information provided to new residents. The home provides a Statement of Purpose and Service User Guide. Both these documents are presented with comprehensive information, colour photographs, and symbols. Good assessment procedures ensure that residents needs and aspirations can be effectively met. Residents are involved in day to day decisions, are well supported to take reasonable risks and good support plans reflect their needs. Brampton View DS0000070111.V355633.R01.S.doc Version 5.2 Page 6 Residents have opportunities to engage in leisure and community activities, are given support in maintaining links with family and enjoy nutritious food. A specialist diet is provided for a resident case tracked and again is being reviewed by the acting manager in together with a dietician. Residents are actively supported to maintain contact with their family members. Residents receive appropriate personal support and their health and medication needs are well met. Good arrangements are in place for accessing additional support from Psychologist, Occupational Therapist and other professionals to meet the additional physical health needs that some residents have. Residents concerns are listened to and good systems are in place to protect them. Residents live in a clean, comfortable and homely environment, which meets their needs well. Trained staff supports Resident’s. A range of female and male staff of various ages and cultures work across shifts to ensure service user needs are met. The resident’s welfare is being promoted and protected. 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 Brampton View DS0000070111.V355633.R01.S.doc Version 5.2 Page 7 contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Brampton View DS0000070111.V355633.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Brampton View DS0000070111.V355633.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good assessment procedures ensure that residents needs and aspirations can be effectively met. EVIDENCE: The assessment process is clearly set out in the written information provided to new residents. The home provides a Statement of Purpose and Service User Guide. Both these documents are presented with comprehensive information, colour photographs, and symbols. These documents were provided to a service users family when first entering the home. Staff confirmed these documents helped to reassure family members as to the type of service on offer and helped them make an informed choice before the resident to moves in. A very comprehensive assessment process takes place. A full assessment by managers was in place together with assessments submitted from a variety of professionals prior to the resident’s admission. The admission criteria are clearly explained in the Statement of Purpose and outline the Terms and Conditions of Residence. Brampton View DS0000070111.V355633.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents are involved in day to day decisions, are well supported to take reasonable risks and good support plans reflect their needs. EVIDENCE: The resident case tracked support plan was examined and is currently under review. The acting manager is a few weeks into post and is looking closely at support plans and beginning to make changes in consultation with the resident. For example based on the residents likes and dislikes the resident is now assisting staff with simple food preparation, wiping surfaces as part of light cleaning tasks and extending leisure activities. The acting manager spoke of developing the support plans so as they are more focused on the individual, by working more closely with the resident. Comprehensive risk assessments form part of a support plan and address risk to the resident themselves as well Brampton View DS0000070111.V355633.R01.S.doc Version 5.2 Page 11 as those around them. Any restrictions on resident’s behaviour are clearly documented with reasons given for these. Staff on duty were fully aware of the residents needs and actively contribute to support plans and refer to them to gain information as to how to respond to individual residents needs. This was evidenced as staff were observed following through guidance recorded on the support plans whilst working with the resident at mealtimes, ensuring drinks were served at the correct temperature. Detailed daily notes are kept of how residents spend their time. Brampton View DS0000070111.V355633.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have opportunities to engage in leisure and community activities, are given support in maintaining links with family and enjoy nutritious food. EVIDENCE: The acting manager is currently reviewing a resident’s leisure and community activities. As she gets to know the resident better is introducing new ideas. Because of the nature of the residents health needs their ability to communicate is limited. Each day the resident goes out for trips on transport provided by the home. Trips can be simply drives in the surrounding countryside or trips to the parks. Activities are also provided in the home, with Brampton View DS0000070111.V355633.R01.S.doc Version 5.2 Page 13 music in the lounge and bedroom, building bricks, flashing disco lights, bath spa, and a resident enjoys foot massage with cream and lotions. Following on the inspection the acting manager confirmed day activities are being finalised for a resident by the staff team and a final review of needs for day care with the care manager. Evidence confirmed a resident’s care manager is kept informed of changes through regular reviews. Every consideration is always given to the resident attending these meetings due to their complex communication needs. Residents are actively supported to maintain contact with their family members. Arrangements have been made with a family to be assisted with travel to the home on a regular basis. The acting manager is looking into ways of supporting a resident with meeting their religious aspirations. Nutritional screening assessments have been completed and residents eating and weight is monitored. However daily meal records were not up to date and there were gaps where entries had not been completed. The acting manager agreed to keep these records up to date. A specialist diet is provided for a resident case tracked and again is being reviewed by the acting manager in together with a dietician. A new 4 week rotational menu has just been introduced. Staff confirmed a resident recently ate rice and chicken, and spaghetti bolognaise, all foodstuffs that haven’t been offered before. The Inspector observed a staff member serving breakfast. The staff member spoke encouragingly and calmly to the resident to ensure the mealtime was unrushed and relaxed. Brampton View DS0000070111.V355633.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents receive appropriate personal support and their health and medication needs are well met. EVIDENCE: Residents personal support needs are documented in their support plans and staff very aware of the kind of support individuals require. Good arrangements are in place for accessing additional support from Psychologist, Occupational Therapist and other professionals to meet the additional physical health needs that some residents have. A registered learning disability nurse is on duty throughout the week. All residents have access to primary care services such as GP, dentists and opticians and appropriate are supported to attend appointments. Systems for storing medication are good. Creams were appropriately risks assessed for safe holding in a resident’s room. All care staff take responsibility for administering medication and staff confirmed receiving additional training. The Inspector observed medication being administered after breakfast. A Brampton View DS0000070111.V355633.R01.S.doc Version 5.2 Page 15 resident was not given a drink whilst taking four tablets all together; and there were two gaps over two days for medication taken, but not signed for on the medication sheet. It is recommended the home’s Medication Policy and Procedure is reviewed around errors with medication; for managers to undertake random checks of the medication area as part of a quality review; and review care staff medication training. This will protect residents ensuring their medication needs are well met. The acting manager agreed to spot check the medication sheets regularly, and confirmed Boots is soon to be their new Pharmacist supplier. Brampton View DS0000070111.V355633.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents concerns are listened to and good systems are in place to protect them. EVIDENCE: Staff clearly explained to the Inspector how they would respond to complaints. The complaints procedure is set out clearly in the Statement and Purpose with a range of agencies to contact including staff at the home, advocates, the Director of Msaada, and the local social services department. The Commission for Social Care Inspection (CSCI) was included but does not have a contact telephone number. Staff agreed the complaints procedure would be updated soon and will include the new contact details for the CSCI. The home is looking to make the procedure more user friendly and in an appropriate formatts such as - widgit formatt, pictorial and large print. Staff demonstrated good awareness of adult protection procedures and know what procedures to follow. Staff receive training in challenging behaviour and discussions with staff showed that this was appropriate to the needs of the client group. This training is regularly updated with the next update due to take place in February 2008. Brampton View DS0000070111.V355633.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a clean, comfortable and homely environment, which meets their needs well. EVIDENCE: The home is in keeping the style of property in the local community and has a car parking area to the front and large, accessible grounds to the side and rear of the home. A resident enjoys walking around this area and kicking a football. The home is on one level and is accessible throughout. Each resident has the opportunity to furnish/decorate their room to their choice ensuring any specialist equipment required does not dominate the room. All rooms are singal occupancy with en-suite facilities. Both communal and personal rooms are modern, spacious, light, well decorated, furnished and maintained. All areas appeared clean and staff members have undertaken training in infection control. Brampton View DS0000070111.V355633.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents are supported by trained staff. EVIDENCE: A range of female and male staff of various ages and cultures work across shifts to ensure service user needs are met. The service will be ensure staffing continues to meet the growing needs of the service users with skills, culture and sexual orientation. A rolling training programme is ongoing and held at the head office with internal and external trainers. Examples of training provided to staff includes: food hygiene management, risk assessment, medication management, managing challenging behaviour, fire awarenss and first aid. One staff member said that they felt that the training opportunities at the home were good and that the training they had received helped them in their work. Following on the inspection the acting manager confirmed the new staff group are just starting, or are in the process of completing national vocational qualifications (NVQ’s). Staff supervisions are being planned for, and team meetings are just starting. Brampton View DS0000070111.V355633.R01.S.doc Version 5.2 Page 19 The Inspector was unable to access staff records due to the absence of the acting manager. These will be examined at the next inspection. The acting manager agreed to include a key on the staff rota as an aid to follow, who is on duty each time of day. Brampton View DS0000070111.V355633.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 39, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The resident’s welfare is being promoted and protected. EVIDENCE: The acting manager been in post for 2 weeks and was not available upon the day of inspection. Following on the inspection she promptly acted upon feedback left from the inspection. Staff told the Inspector, “The manager is perfect working along side the staff on shift.” “ I have noticed the change in a residents behaviour since the new manager has been here. She is making lots of changes and different plans with new ideas to try with residents.” Management of the home will be examined further at the next inspection. Brampton View DS0000070111.V355633.R01.S.doc Version 5.2 Page 21 Managers meet regularly with the acting manager to discuss the operation of the home and plan for the future. All the homes policies and procedures are being reviewed in February 2008. Managers confirmed they will be starting work on the Quality Assurance aspects and these should be in place by March 2008. The Annual Quality Assurance Assessment confirmed all the required health and safety checks are in place. The fire risk assessment was in place in the lobby area but needs updating. This was later agreed to be reviewed and in place by the end of January 2008. Brampton View DS0000070111.V355633.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 3 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 x 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 3 x x x 3 x x 3 x Brampton View DS0000070111.V355633.R01.S.doc Version 5.2 Page 23 N/a 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. 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 YA19 Good Practice Recommendations To review the home’s Medication Policy and Procedure around errors with medication; managers to undertake random checks of the medication area as part of a quality review; review care staff medication training. This will protect residents ensuring their medication needs are well met. Brampton View DS0000070111.V355633.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 View DS0000070111.V355633.R01.S.doc Version 5.2 Page 25 - 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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