Inspection on 14/07/05 for Branston Court Nursing Home

This inspection was carried out on 14th 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

Branston Court Nursing Home 10/06/08

Branston Court Nursing Home 12/09/06

Branston Court Nursing Home 18/01/06

Branston Court Nursing Home 24/01/05

Branston Court Nursing Home 14/09/04

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

CARE HOMES FOR OLDER PEOPLE Branston Court Nursing Home Branston Road Burton-on-Trent Staffordshire DE14 3DB Lead Inspector Joanna Wooller Announced 14 July 2005 th 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. Branston Court Nursing Home E51-E09 S22316 Branston Court V233471 14.07.05 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Branston Court Nursing Home Address Branston Road Burton-on-Trent Staffordshire DE14 3DB 01283 510088 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) BUPA Care HomesLTD Donna Waldron CRH 45 Category(ies) of DE - 45 registration, with number DE(E) - 45 of places Branston Court Nursing Home E51-E09 S22316 Branston Court V233471 14.07.05 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: The category of DE shall be a minimum age of 60 years One DE under 60 years (as per letter) Date of last inspection 24th January 2005 Brief Description of the Service: Branston Court is a purpose built Care Home, which offers 24 hour Nursing Care for service users with Dementia Care needs. The home was built in 1989 on the site of disused school. Originally it was registered for 56 beds but this is to alter to 45 beds due to double rooms becoming single and two rooms used as lounge areas. Branston Court is set back off Branston Road, Burton-on-Trent. It has close access to public transport and is reasonably close to the main shopping area in Burton. The home consists of single bedrooms with en-suite facilities situated on two floors. Each floor has a spacious lounge and a bright, airy dining area. The ground floor benefits from a quiet room for use of relatives, which can be used by service users also, if accompanied. On the 1st floor a previous activities room is a quiet lounge.The philosophy of the home is ‘choice’, Individual service users make personal choices relating to their day, allowing ample opportunity to join in social activities on a daily basis. Branston Court Nursing Home E51-E09 S22316 Branston Court V233471 14.07.05 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This routine unannounced visit was made on Thursday 14th July @ 09.15hrs. The inspection was undertaken using the National Minimum Standards for Older People as a reference. The total time spent for the inspection, including pre and fieldwork, amounted to 12hrs. The manager was in charge of the home accompanied by two trained nurses and seven care assistants. The ancillary staff on duty included; cook, catering assistant, two domestics, a laundry person, and an administrator. These staffing levels were adequate to meet the needs of current **** service users in the home. Ms Waldron was due to attend an interview to become the registered manager with the CSCI on 20th July 2005. Mrs Fox the Responsible Individual for the home was present during the morning and discussions took place in relation to the homes future plans and progress. The inspection included the following elements; a tour of the building, Observation and inspection of records relating to provision of care, Discussions with several service users, Discussions with all the staff members on duty, Observation and sampling of other services provided such as catering and laundry, and An inspection of the managerial aspects; staffing issues, quality assurance and health & safety. Since the last inspection in January there had been no changes to the management of the home, no complaints had been received by the CSCI and no additional visits had been necessitated. The social work team was currently dealing with one incident. It was evident to the inspectors that all aspects of care had been addressed well, with service users supported by their family or representative, being able to choose the home following an assessment and invitation to visit the home. Service user plans had been well written and included the individually identified health; personal and social care needs, which were well documented. Privacy, dignity and choice aspects for service users were being upheld. Branston Court Nursing Home E51-E09 S22316 Branston Court V233471 14.07.05 Stage 4.doc Version 1.40 Page 6 The home was seen to be fit for purpose and provided a safe environment for the service users and staff. A homely atmosphere had been created, and all areas were clean and tidy. Communal areas for service users were provided including; communal space, dining/activity space, bathing/toilet facilities, and bedrooms. Services and facilities, including catering and laundry, were well maintained. Health and safety aspects had been given a high priority and no shortfalls were noted. Staffing levels and skill mix were evidenced to be adequate to meet the assessed needs of the existing residents. Recruitment and retention of staff aspects were good with little staff turnover. Staff training had been given a high priority, with induction training being followed by NVQ training, and staff had received regular supervision. The home appeared to be managed well by a qualified and competent team of staff. General management aspects were good with BUPA quality assurance taking place. Records had been correctly filed and stored. Assurances were given regarding the positive financial viability of the home, and that suitable accounting/business procedures are adopted. What the service does well: What has improved since the last inspection? What they could do better: The home could speed up the refurbishment programme to improve the internal decoration, fixtures and fittings. Branston Court Nursing Home E51-E09 S22316 Branston Court V233471 14.07.05 Stage 4.doc Version 1.40 Page 7 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. Branston Court Nursing Home E51-E09 S22316 Branston Court V233471 14.07.05 Stage 4.doc Version 1.40 Page 8 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 Branston Court Nursing Home E51-E09 S22316 Branston Court V233471 14.07.05 Stage 4.doc Version 1.40 Page 9 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) 3 and 4. Individual health, personal and social cares needs had been established and were being met by staff, which individually and collectively had the necessary skills and experience. EVIDENCE: The documentation evidenced on the inspection, and partaking in a discussion with service users representatives, enabled the inspector to be assured that service users had been assessed prior to admission and they had been enabled to make a choice about the home. All service users and representatives involved had been given the opportunity to visit the home prior to choosing to stay. Several service users and their relatives spoken to had visited the home, and had a meal prior to deciding to stay, and this was documented within the care plans. Community care plans were provided by the social worker, as part of the individual needs assessment process. Service users representatives when asked confirmed that they had been fully involved and were in agreement with the assessments. Branston Court Nursing Home E51-E09 S22316 Branston Court V233471 14.07.05 Stage 4.doc Version 1.40 Page 10 The care records seen and a discussion with the staff evidenced for the inspector that the care staff, individually and collectively, had the necessary experience and skills to meet the assessed needs of the current service users. Branston Court Nursing Home E51-E09 S22316 Branston Court V233471 14.07.05 Stage 4.doc Version 1.40 Page 11 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. The assessed health and personal care needs of service users had been well documented and were being met, with good standards of care being delivered. There was a safe system for the receipt, storage, administration and disposal of medicines. Service users were treated with respect, privacy and dignity, during the caring process. EVIDENCE: Several service users and relatives spoken to all commented positively about the care being provided. The service user plans and associated documentation were all well written, meaningful and reflected the current condition of residents. The documentation seen and a discussion with both service users and staff members evidenced that the individual health, personal and social care needs were being well met. NHS facilities and professionals including community nurses, medical consultants and clinical nurse specialists had all been accessed when required, and these visits were evidenced to be recorded. A local GP practice and a local pharmacist service the home, and there is a good working relationship with them. Branston Court Nursing Home E51-E09 S22316 Branston Court V233471 14.07.05 Stage 4.doc Version 1.40 Page 12 Records of their visits and outcomes were seen documented. It was observed that a safe system was in place, and that the comprehensive medicines policy documentation seen was being complied with. Whilst at the home the inspectors observed staff to respect service users privacy and dignity and there was very good interaction with staff. All staff were seen knocking on doors before entering. Several visitors informed the inspector that the service users were treated with respect, and that the staff were very caring. Branston Court Nursing Home E51-E09 S22316 Branston Court V233471 14.07.05 Stage 4.doc Version 1.40 Page 13 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 to 15 The systems for resident’s consultation in the home are good with a variety of evidence that indicates that resident’s views are sought and acted upon. There was a relaxed friendly atmosphere with individuals moving freely in and around the home. Links with the community are good. The meals in this home are good offering both choice and variety and catering for special dietary needs as required. EVIDENCE: Observations were made of flexible routines throughout this visit. A full time activities organiser is employed and an extensive programme of social opportunities is available for residents who wish to be involved. Residents at this home with dementia are involved in activities to meet their level of concentration. Massage of hands was taking place by a male carer residents appeared to enjoy this and were relaxed about the whole experience. Contact is maintained with families and friends with 75 of residents having regular visitors. Feedback from residents who were able to offer an opinion were that individual’s expectations of the home were generally met. Religious needs are met via visiting ministers to the home first Friday of the month a church service is held for residents who wish to attend. Branston Court Nursing Home E51-E09 S22316 Branston Court V233471 14.07.05 Stage 4.doc Version 1.40 Page 14 Individuals are encouraged to exercise choice where able to do so, body language, looks and facial expressions or informed choice by staff from personal history of resident. The home provides a choice at all meals the menu was seen and offered a varied nutritional diet taking into account hot weather conditions personal preferences of residents and seasonal foods. Special diets are catered for as required. Branston Court Nursing Home E51-E09 S22316 Branston Court V233471 14.07.05 Stage 4.doc Version 1.40 Page 15 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 and 18 Complaints are listened to and resolved. The home policies, procedures and staff training, protected residents from aspects of abuse. EVIDENCE: An examination of the complaints book, the relevant policy and procedure documentation, and a discussion with staff and residents, evidenced that complaints were listened to and dealt with in the correct manner. Since the last inspection no complaints had been recorded or brought to the attention of this commission. Many ‘thank you’ and complimentary cards were seen from appreciative relatives. The social worker and the multi disciplinary team were investigating one incident. Documentation seen evidenced that the above issues had been discussed at length during staff induction, training and on-going supervision. Branston Court Nursing Home E51-E09 S22316 Branston Court V233471 14.07.05 Stage 4.doc Version 1.40 Page 16 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 to 26 The standard of the environment in this home is good providing service users with an attractive and homely place to live. EVIDENCE: The location and layout of the home is suitable for its stated purpose and provides easy access to the town centre of Burton-upon-Trent. Accommodation is comfortable, homely and well-maintained decoration has taken place in lounges both upstairs and down. New carpets and curtains are being fitted next week and furniture is being replaced. A number of bedrooms have been re-decorated the remainder are being done on a planned programme. The gardens can be accessed through French windows from the lounge via a ramp. Externally to the side and rear of the home there is a secure courtyard and garden area for service users to wander around in safely. Fire escape was clear of debris and a number of relatives were making use of tables chairs and umbrellas in the garden. Bathrooms and toilets were appropriately sited around the home specialist equipment provided as required. Bedrooms visited were clean comfortable and personalised. Branston Court Nursing Home E51-E09 S22316 Branston Court V233471 14.07.05 Stage 4.doc Version 1.40 Page 17 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 to 30. The assessed needs of service users had been met by an adequate number of suitably trained staff. Recruitment procedures had been correctly addressed which had contributed to the protection of service users. Staff training had been given a high priority. Branston Court Nursing Home E51-E09 S22316 Branston Court V233471 14.07.05 Stage 4.doc Version 1.40 Page 18 EVIDENCE: The duty rosters seen, and a discussion with the care manager and the staff, evidenced that adequate numbers of staff had been on duty to meet the needs of the existing service users. Staffing levels were being maintained as at 1st April 2002 and following a discussion with the manager and her staff it was agreed that the shift cover was adequate for the existing residents needs. Staffing rosters were checked and were in order. Adequate ancillary staff were being provided each week. The homes recruitment policy, procedures and documentation were examined and recruitment issues had been handled correctly. Staff had been subject to POVA/CRB comprehensive checks, and these were seen recorded. Staff when asked stated that they had job descriptions and contracts of employment. Training had been given priority and the records of individuals were seen. These records evidenced that trained staff and care assistants had benefited from ‘in house’ and external training which had covered the needs of the registered client group. Training had been provided for staff in the awareness and management of dementia related conditions, and staff outlined this to the inspector. Branston Court Nursing Home E51-E09 S22316 Branston Court V233471 14.07.05 Stage 4.doc Version 1.40 Page 19 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) 33, 35 and 38 The home appeared to be well managed and BUPA quality assurance was in place. Financial aspects were correctly addressed and recorded with safeguards to residents. Health and safety issues had been given a high priority and managed well. EVIDENCE: From observations made, discussion with service users, and discussions with the manager and staff, it was evident that the home was being run in the interests of service users. Quality assurance, including feedback from residents and their representatives, was seen documented. Documentation seen evidenced that the views of visiting professionals had also been established, and included in the review process. A check on the records and a discussion with both service users and representatives evidenced for the inspector that all service users had the opportunity to handle their own finances and all residents and families had chosen to do so. Branston Court Nursing Home E51-E09 S22316 Branston Court V233471 14.07.05 Stage 4.doc Version 1.40 Page 20 Inventories of valuables and belongings brought into the home were recorded. No health and safety issues were noted during this inspection, including a tour of the home. The documentation seen for checks and examination of plant and equipment was all correct and up to date. The manager and staff spoken to confirmed that health and safety issues are given a high priority. Branston Court Nursing Home E51-E09 S22316 Branston Court V233471 14.07.05 Stage 4.doc Version 1.40 Page 21 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 x x 3 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 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 Standard No 16 17 18 Score 3 x 3 x x 3 x 3 x x 3 Branston Court Nursing Home E51-E09 S22316 Branston Court V233471 14.07.05 Stage 4.doc Version 1.40 Page 22 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 12 Good Practice Recommendations To recruit a replacement activity organiser. Branston Court Nursing Home E51-E09 S22316 Branston Court V233471 14.07.05 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection Stafford - Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Branston Court Nursing Home E51-E09 S22316 Branston Court V233471 14.07.05 Stage 4.doc Version 1.40 Page 24 - 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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