Inspection on 15/02/06 for Brant Howe

This inspection was carried out on 15th February 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

Brant Howe 22/08/07

Brant Howe 21/09/05

Brant Howe 15/09/05

Brant Howe 06/12/04

Brant Howe 17/05/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Brant Howe Fairbank Kirkby Lonsdale Carnforth Lancashire LA6 2DU Lead Inspector Jane Strawbridge Unannounced Inspection 15th February 2006 3:45 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 Brant Howe DS0000022581.V281018.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. Brant Howe DS0000022581.V281018.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Brant Howe Address Fairbank Kirkby Lonsdale Carnforth Lancashire LA6 2DU 015242 71832 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) Mr Paul Martin Jackson Mrs Emma Louise Jackson Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Brant Howe DS0000022581.V281018.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home is registered for a maximum of 25 service users to include: up to 25 service users in the category of OP (Old age, not falling within any other category) The home should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 15th September 2005 Date of last inspection Brief Description of the Service: Brant Howe is registered to provide personal care and support for up to 25 elderly people. The home is situated in a residential area in Kirby Lonsdale with easy access to shops and transport. The home has four floors with the ground and first floor only being used to accommodate service users. The top floor is used for staff accommodation and the laundry is sited in the basement. There is ample communal space for the service users to enjoy. There are 11 single bedrooms and 4 double rooms although not all of these are used to accommodate 2 people. A recently completed modern extension to provide bedrooms and communal living space for an additional six residents has been built in a style that complements the existing building. There is also a new single storey building in the grounds to provide an office for the manager and staff accommodation. Brant Howe DS0000022581.V281018.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of the home that took place during an afternoon and early evening. Mrs Margaret Atkinson, senior carer, was in charge of the shift and was present during the inspection. The inspector spent some time talking with the residents either in small groups or individually, with their visitors and with the staff on duty. Records to do with the care of the residents and the day to day running of the home were looked at and the inspector visited all parts of the home. What the service does well: What has improved since the last inspection? What they could do better: All standards have been covered during this inspection and the previous one and improvements have been initiated and any shortfalls identified last time had been addressed. All standards that have been inspected this time were of a high standard, good practice has been identified and there was no evidence to suggest that there was cause for concern. Brant Howe DS0000022581.V281018.R01.S.doc Version 5.1 Page 6 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. Brant Howe DS0000022581.V281018.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 Brant Howe DS0000022581.V281018.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, 5 Prospective residents and their representatives are given sufficient information, including opportunities to visit the home, so that they can see what the home has to offer before making a decision about moving in. EVIDENCE: Brant Howe has a policy of welcoming enquiries at any time and encouraging people who are seriously considering moving into the home to “turn up and see first hand” what the home has to offer. This allows prospective residents and their families to observe for themselves “what goes on everyday” and staff can explain what can be done to meet their specific needs. The home has produced a comprehensive range of information to assist prospective residents who are considering moving in. This included a statement of purpose and service user guide, the home’s complaints procedure and the terms and the conditions of residency. All residents are admitted for a month’s trial period, at the end of which the placement becomes permanent and a written contract is issued. Brant Howe DS0000022581.V281018.R01.S.doc Version 5.1 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): 8, 9 The home promotes the health and wellbeing of each resident by working effectively with health care professionals. Routine safe practices ensure the residents are protected from harm. EVIDENCE: The physical and mental health of each resident is closely monitored and recorded. Individual records including the resident’s diet, weight, oral health, foot care, continence and mental health are kept up to date. All trips and falls by residents are recorded and action taken to identify and minimise the underlying risks with the aim of reducing further accidents and associated injuries. Strong professional relationships have developed between the staff and the local doctors and community nurses. Records of visits by GPs and nurses and other health care appointments had been kept. Residents said that “we only have to mention a problem (with our health) and something is done immediately to help us.” The residents confirmed that the staff assisted them to keep hospital out patient appointments and to see the chiropodist, dentist and optician. Medication procedures were followed and were regularly audited by the local pharmacist to ensure the safety and well being of the residents. One of the residents was administering their own medication and this was stored securely in the bedroom. Brant Howe DS0000022581.V281018.R01.S.doc Version 5.1 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 14 Residents in this home were satisfied with the way in which they spent their time and the range of choices available to them. EVIDENCE: The home has an open door policy that encourages visitors at most times of the day and each resident can choose whether or not to see their visitor. Residents are encouraged and assisted to continue enjoying social contact, hobbies and pastimes they may have had before moving in. There are strong links with the local churches and Communion is offered on a monthly basis. Staff had taken two residents to church recently but they had decided that they preferred to take Communion in the comfort of their home. Most of the residents were looking forward to regular outings in the village’s community based minibus that was available for hire. Brant Howe DS0000022581.V281018.R01.S.doc Version 5.1 Page 11 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): 17 The home has a satisfactory procedure in place to ensure that the legal rights of residents are protected. EVIDENCE: The electoral roll is updated annually and all residents are encouraged to vote in political elections. The majority use the postal voting system although assistance would be provided for anyone who wished to vote at the local polling station. Staff members knew whom to approach if residents were incapacitated and were not capable of speaking on their own behalf. A significant number of residents had family members or representatives who had been granted power of attorney to act on their behalf. Social workers who visited residents regularly also offered advice and assistance as necessary. Brant Howe DS0000022581.V281018.R01.S.doc Version 5.1 Page 12 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): 22, 23, 24, 25 This home continues to invest in a rolling programme of redecoration and refurbishment to provide a safe and comfortable homely environment for the people who live and work there. EVIDENCE: The new wing providing six additional en-suite bedrooms and communal living areas had been completed and was occupied by three residents who were highly satisfied with their accommodation and care. The sophisticated call bell system that had been installed in the new wing had been extended to cover all rooms in the home. This meant that individual residents who required assistance could do so confident that staff would be able to respond more efficiently and other residents would not be disturbed by a central bell system. As rooms became vacant they had been redecorated and carpeted ready for their new occupant. All rooms were comfortably furnished and residents had been encouraged to bring their favourite or most valued possessions with them to make them more homely and individual. Brant Howe DS0000022581.V281018.R01.S.doc Version 5.1 Page 13 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 This home has followed the appropriate recruitment procedures to appoint and develop a trained and competent staff group. EVIDENCE: This home has a recruitment procedure in place that meets the National Minimum Standards and which has been designed to ensure that suitably qualified staff members are appointed. All staff members had successfully completed the necessary checks that were in place to protect the wellbeing of residents and work colleagues. All care staff had appropriate qualifications or they were currently working towards at least NVQ level 2 in care. The head of care had achieved NVQ level 4 in care and the Registered Managers’ Award and had many years’ experience in a care setting. There was a rolling training programme for staff to ensure that they were up to date with new information and improved safe practices. Brant Howe DS0000022581.V281018.R01.S.doc Version 5.1 Page 14 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): 33, 34, 35, 37 This home has procedures in place to find out what people think about the services provided and to ensure the health and safety and wellbeing of the residents, staff and visitors. EVIDENCE: The home had introduced a two weekly survey to find out whether residents were satisfied with the services they received. This took the form of a short individual conversation between each resident and the head of care to identify any matters that had arisen and to agree how to improve matters of concern. This was proving to be a success with both residents and staff because it improved communication and understanding. The residents’ financial interests were protected by the home’s policies and procedures. For example, personal spending money is either held by the residents themselves or stored securely in the home’s safe. Any transactions are recorded and receipts required as proof of any purchases. Lockable and Brant Howe DS0000022581.V281018.R01.S.doc Version 5.1 Page 15 secure facilities in each resident’s bedroom have been provided so that residents can confidently keep personal money and other valued possessions in their own room. All financial accounts relating to the home were handled by professional accountants and audited annually. The records relating to fire safety and the administration and storage of medication had been completed satisfactorily and on time. Brant Howe DS0000022581.V281018.R01.S.doc Version 5.1 Page 16 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 X X X X 3 3 3 3 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 3 3 3 X 3 X Brant Howe DS0000022581.V281018.R01.S.doc Version 5.1 Page 17 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 Brant Howe DS0000022581.V281018.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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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