Inspection on 18/01/06 for Branston Court Nursing Home

This inspection was carried out on 18th January 2006.

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 14/07/05

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 Mrs Joanna Wooller Unannounced Inspection 18th January 2006 09:15 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 Branston Court Nursing Home DS0000022316.V279403.R01.S.doc Version 5.1 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. Branston Court Nursing Home DS0000022316.V279403.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Branston Court Nursing Home Address Branston Road Burton On Trent Staffordshire DE14 3DB 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) 01283 510088 01283 565675 www.bupa.co.uk BUPA Care Homes (CFCHomes) Limited Miss Donna Waldron Care Home 45 Category(ies) of Dementia (45), Dementia - over 65 years of age registration, with number (45) of places Branston Court Nursing Home DS0000022316.V279403.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The category of DE shall be a minimum age of 60 years One DE under 60 years (as per letter) Date of last inspection 14th July 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 DS0000022316.V279403.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Two inspectors carried out this unannounced inspection. The manager Donna Waldron was in the home and a registered nurse was working on each of the floors. On arrival at the home there was a warm and pleasant atmosphere with residents going about their usual routines supported by carers and nurses. One issue relating to a complaint which is ongoing, had been received by the CSCI. Staffing was found to be in order and recruitment had resulted in a full team of permanent staff working within the home. The visit was uneventful and all requests from the inspectors were met. Relatives expressed their complete satisfaction in the home and one daughter said she felt ‘chuffed’ that her father was in the home and being so well looked after. What the service does well: What has improved since the last inspection? The environment of the home is enhanced by the complete refurbishment of the ground floor lounges. Branston Court Nursing Home DS0000022316.V279403.R01.S.doc Version 5.1 Page 6 The staff team have jelled well and this is evident whilst observing them. Relative involvement has increased and the residents, staff and relatives had all enjoyed a fabulous Christmas party. 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. Branston Court Nursing Home DS0000022316.V279403.R01.S.doc Version 5.1 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 Branston Court Nursing Home DS0000022316.V279403.R01.S.doc Version 5.1 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): 1, 2 and 5 Individual health, personal and social cares needs had been established through robust preadmission assessments. Staff, which individually and collectively had the necessary skills and experience, were able to ensure that these identified needs were being met. EVIDENCE: The documentation evidenced on this 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. As with the last visit 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. Branston Court Nursing Home DS0000022316.V279403.R01.S.doc Version 5.1 Page 9 If possible community care plans were provided by the social worker, as part of the individual needs assessment process. One daughter who was visiting at the time of the inspection confirmed that they had been fully involved and were in agreement with the assessments. Branston Court Nursing Home DS0000022316.V279403.R01.S.doc Version 5.1 Page 10 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): 8 Residents’ health care needs are identified and met at the home. EVIDENCE: All residents had an individual plan of care that is detailed and reviewed on a monthly basis or more frequently if required to meet a specific need. Monitoring charts are also in place for all residents these are completed on an hourly basis regarding aspects of daily living. Risk assessments are carried out as necessary and form part of the care records. Any contacts regarding health and personal care are recorded in care records, with staff confirming that good professional working practices take place. Detailed records were in place for the administration of medication and were up to date. Relatives spoken to were very positive about the care their family member was receiving at the home. Residents themselves were moving freely around. Branston Court Nursing Home DS0000022316.V279403.R01.S.doc Version 5.1 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): 14 Residents are able to exercise choice within the home. 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. Branston Court Nursing Home DS0000022316.V279403.R01.S.doc Version 5.1 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17 The complaints procedure is displayed and action taken when complaints are received. Legal rights are discussed and documented. 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. One visitor felt sure that should she need to complain she would be dealt with professionally. Branston Court Nursing Home DS0000022316.V279403.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 25 Residents were found to live in safe and comfortable surroundings. EVIDENCE: As at the previous inspection the location and layout of the home is suitable for its stated purpose and provides easy access to the town centre of Burtonupon-Trent. Accommodation is comfortable, homely and well-maintained decoration has taken place in lounges both upstairs and down. Carpets, curtains, and furniture have been replaced and the environment looks light airy and comfortable. 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. Branston Court Nursing Home DS0000022316.V279403.R01.S.doc Version 5.1 Page 14 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. Bathrooms and toilets were appropriately sited around the home specialist equipment provided as required. The blue bathroom downstairs is out of use and taps have been removed. This bathroom would be better utilised as a medical room, which would still leave the required amount of bathrooms for residents. Bedrooms visited were clean comfortable and personalised. Branston Court Nursing Home DS0000022316.V279403.R01.S.doc Version 5.1 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 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 is given high priority. EVIDENCE: 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. Branston Court Nursing Home DS0000022316.V279403.R01.S.doc Version 5.1 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 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): 31, 32, 34, 36, 37 and 38 The management of the home supports residents and staff. Health, safety and welfare of residents and staff are promoted and protected. EVIDENCE: From observations made, discussion with residents, and discussions with the manager and staff, it was evident that the home was being run in the interests of service users. The ethos of the home was more than evident The deputy manager had been recently nominated for a carers award and had been invited to London for the ceremony. Branston Court Nursing Home DS0000022316.V279403.R01.S.doc Version 5.1 Page 17 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. Staff were being appropriately supervised. 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. 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 DS0000022316.V279403.R01.S.doc Version 5.1 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 X X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 X X X X X X X 3 X STAFFING Standard No Score 27 3 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X 3 X 3 3 3 Branston Court Nursing Home DS0000022316.V279403.R01.S.doc Version 5.1 Page 19 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 Branston Court Nursing Home DS0000022316.V279403.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Stafford Office 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. 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